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Congenital monocular strabismus fixus
The authors describe three cases of congenital monocular strabismus fixus with limited ocular motility in all directions. These were three boys aged two, two and 10 years. The right eye was affected in all with primary deviation angles of 30PD...
Infections related to strabismus surgery
This review considers the range of infections occurring with strabismus surgery. Extraocular infections include conjunctiva, sub Tenon’s abscess and orbital cellulitis. Intraocular infection includes endophthalmitis. Prevention of infection and risk factors includes the issue of scleral penetration and use of...
Care pathway for isolated orbital blowout fractures
The authors conducted a literature review to inform the development of a care pathway for the assessment and management of adult fractures, specifically isolated fractures not combined with facial or systemic injury. Assessments included a core of Hess chart, field...End stage glaucoma management
A 48-year-old female has had multiple drug treatment for glaucoma and is still losing field of vision. How do you manage this over time? This patient is at high-risk for going blind and should be managed aggressively to protect remaining...
Surgical effect of limited membrane dissection
Strabismus surgery was performed with minimal dissection of Tenons sheath and minimal tissue manipulation compared to conventional methods for patients with pure horizontal strabismus – to evaluate the effect on surgical outcomes. The study included 54 patients; 52% female. Mean...
An unusual case of partial oculomotor nerve palsy
The authors present an unusual case of intra-axial oculomotor nerve involvement due to midbrain infarction. The 65-year-old male patient presented with unilateral complete blepharoptosis and slight limitation of upgaze. Neurological examination revealed a complete ptosis of the left eyelid, slight...
Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management
Endoscopic surgery still remains a challenge for many oculoplastic surgeons, whose main scope of work has traditionally been open surgery. The learning curve for endoscopic surgery is quite steep and this approach requires skills that needs to be well trained,...
Atopic keratoconjunctivitis (AKC) and ocular surface squamous neoplasia (OSSN)
The authors present two cases of invasive OSSN in patients with severe AKC. Case 1 was a 73-year-old male with severe AKC and atopic eczema who developed a suspicious papillary-like limbal lesion in the left eye. He had an excisional...
Recurrent thyroid eye disease
This study investigates the incidence of recurrent thyroid eye disease. The authors retrospectively reviewed the records of 415 patients who had been diagnosed with thyroid eye disease between 2006 and 2012. The medical notes were scrutinised for evidence of a...
Avoiding pre-placed recti sutures in enucleation
This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...
Biodegradable plates in lateral orbitotomy surgery
This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...
