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An unusual case report of bilateral abducens paralysis
In this case report a nine-year-old girl develops bilateral abducens nerve paralysis, caused by vertebrobasilar dolichoectasia. Vertebrobasilar dolichoectasia is characterised by dilation, tortuosity and marked elongation of the vertebral and basilar arteries. Clinical findings result from the compression and displacement...Intraocular surgery and dry eye: Understanding the link, minimising the risk and preparing for the future
Dry eye disease (DED) and ocular surface disease (OSD) are increasingly recognised as central factors in contemporary intraocular surgery. As cataract, glaucoma and vitreoretinal procedures advance toward greater refractive precision, patient expectations have risen and tolerance for postoperative visual fluctuation...
Whiteboard illustrations added to pre-surgery timeout procedure
The authors present results of a quality improvement initiative. A whiteboard illustrated with right and left eyes with views of the extraocular muscles was developed, the board also contained spaces for the patient’s name, deviation, versions and the procedure name....
Environmental variations in endophthalmitis
In this retrospective cohort study, the authors looked at seasonal and environmental variations in 171 endophthalmitis cases out of 423,297 intravitreal injections. The incidence of this complication was not correlated to monthly snowfall, rainfall, or average temperature. There was no...
Review of bupivacaine use in treatment of strabismus
This review aimed to assess the applications of bupivacaine (B) in the non-surgical treatment of strabismus in human and animal studies. Animal studies show that singly-innervated fibres with low concentrations of mitochondria and developed sarcoplasmic reticulum are more affected by...
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...
Optical coherence tomography angiography usability in measuring iris vasculature in strabismus surgery
The purpose of this study was to investigate the use of optical coherence tomography angiography (OCTA) as a screening tool for anterior segment ischemia (ASI) in strabismus surgery. Optical coherence tomography angiography measurements were taken in 18 subjects. Twelve were...
Multiple sclerosis and the ocular manifestations
This population study retrospectively identified patients with multiple sclerosis (MS) over a 14-year period. The aim of the study was to report the frequency and severity of ocular conditions associated with MS. Cases were identified from the Rochester Epidemiology Project....
Infantile exotropia surgical outcomes
This study investigates the success rate and dose response of bilateral lateral rectus muscle recessions (BLL) and bilateral lateral rectus muscle recessions plus unilateral medial rectus resection (LMR) on basic type infantile exotropia of 20–45PD. This was a retrospective review...
Surgical outcomes in third nerve palsy
The authors of this article explore the factors associated with successful surgical outcomes in third nerve palsy, which is known to be difficult to treat. A number of case notes were reviewed for patients who underwent surgery or botulinum toxin...The medical student syndrome
It is often said that “a little learning is a dangerous thing,” but being super savvy can’t put us at the brink of harm, can it? Each year as thousands of students commence their medical degrees, they begin a journey...
