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College of Optometrists urges next government to prioritise eye health

The College of Optometrists is calling on the next Westminster government to establish optometrists as the first port of call for anyone with an eyecare issue.

Normal videonystagmography data

The authors report on the smooth pursuit and saccadic eye movement waveforms elicited from normal patients while viewing standardised calibrated targets. Serial trials were performed on each patient to determine test / retest reliability: nine trials producing 117 results by...

Randomised trial of multifocal intraocular lens versus monovision

The authors report on a randomised, multicentre clinical trial comparing the outcomes of Tecnis ZM900 diffractive multifocal intraocular lenses (IOL) versus monovision with Akreos AO monofocal IOL (dominant eye targeted for emmetropia and non-dominant eye targeted for -1 to -1.50...

Use of the RAPDx device to evaluate efficacy of treatment in patients with optic nerve disease

The RAPDx objectively determines the RAPD magnitude by alternately presenting light stimuli to each eye and deriving amplitude and latency scores. The authors of this paper evaluated the amplitude and latency scores from the RAPDx together with other ophthalmic investigations...

Ointment related granulomas post-blepharoplasty

This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...

Impact of medical vs. surgical treatment on quality of life in glaucoma patients

The author recruited 225 patients across two sites and divided them into three groups. Group 1 medical treatment only, Group 2 surgical treatment only, Group 3 mixed medical and surgical (patients still on drops after surgery). They then used a...

Combined Vismodegib and Mohs surgery

This is a report of eight patients with locally advanced periocular basal cell carcinoma who were treated with Vismodegib prior to Mohs micrographic surgery. The rationale for the combined treatment plan was that long-term Vismodegib is poorly tolerated due to...

Surgical outcomes of isolated medial rectus palsy

Isolated medial rectus is a rare clinical entity. This prospective study of 32 patients from China showed that this was caused most commonly by iatrogenic injury (43.75%), trauma (37.50%) and congenital (18.75%) causes. An average of 60 ±25 prism dioptres...

Tutopatch® in surgical management of third nerve palsy

his study evaluates the benefit of using Tutopatch® to elongate the extraocular muscles in patients with third nerve palsy who have residual strabismus after unsuccessful surgery and no other surgical options considered to be appropriate. The study included nine patients...

Real world data of post-IVT endophthalmitis, from a nurse-delivered intravitreal injection service

Introduction Intravitreal injection of neutralising anti-vascular endothelial growth factor (VEGF) antibody was licenced more than a decade ago, and over the years there has been proportionate increase in the number of intravitreal injections [1]. Injection of a therapeutic agent through...

NHS England - PCSE online business continuity plan

In advance of paperless claims and payments for GOS, NHS England publishes updated business continuity plan as a failsafe in instances when there is a PCSE system outage or connectivity issues.

Ambitions for sustainable service recovery amidst an escalating post-COVID backlog

Rod McNeil reviews plans, activity and solutions to better address the post-COVID backlog and bolster sustainable service recovery. Ophthalmology was the busiest outpatient specialty during the three years to March 2020 across the English NHS and again recorded the highest...