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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...Insights on medical AI for ophthalmology: an update on current perspectives
Artificial intelligence (AI) has immense promise for revolutionising medical practice. Generative AI is a form of AI in which algorithms are trained on datasets that can be used to generate new content, such as text, images or video based on...Sustainability in eyecare: Intraocular gases and the climate emergency
In 2020 the NHS became the first national health system to commit to delivering ‘net zero’ carbon emissions by 2040. The author investigates how the impact of ophthalmic surgery can be reduced. Medical gases have been used in ophthalmic surgery...Digital eyecare – enabling better communication between primary and secondary care
Alexander Chiu and his co-authors highlight innovations influencing healthcare advancement and how trainees can get involved. Hospital eye services (HES) were under great pressure to meet demand, even before the COVID-19 pandemic. This pressure has increased with the cancellation and...Choosing the right FRCOpth Part 1 question bank: My Experience with Eye Academy, EyeDocs and eFRCophth
Digital revision for the FRCOphth Part 1 has never been more crowded, or more confusing. Alongside well-established favourites like EyeDocs and eFRCOphth, newer platforms such as Eye Academy are rapidly gaining attention, promising the edge needed to pass. Like many...
Effects of blood donation on the physiology of the eye
Hypovolaemia is a state of decreased blood volume, the reduction of which reduces tissue perfusion which may in turn lead to cellular hypoxia and end-organ damage. In blood donation, 500ml of blood is collected in ten minutes. This equates to...
Iranian strabismus prevalence
This study aimed to evaluate the prevalence of heterotropia and heterophoria in Iran. This was a cross-section study undertaken in 2013 with the target population of grade 1 (seven-year-old) children. Seven cities across different geographical locations were included with multistage...
Infantile exotropia and developmental delay
This is a retrospective review of infants requiring surgery for infantile exotropia before the age of one year to report the surgical outcomes and frequency of associated developmental problems. The study reviewed 26 patients first assessed at two to 10...
Under pressure: the constant drive to improve IOP monitoring
The authors offer a comprehensive overview of interplay between glaucoma and intraocular pressure (IOP), IOP measurement principles and historical measurement techniques and progress in IOP measurement devices. The authors explore the issues surrounding current thinking in IOP measurement and its...A closer look at the new wave of glaucoma surgery – radical or old school?
Glaucoma is a challenging condition to treat because the exact pathophysiology remains unclear and the only readily modifiable factor is the intraocular pressure (IOP). Additionally, most glaucoma patients are completely asymptomatic, yet are often subjected to lifelong medical therapy. The...The results of the last survey Dec24
This edition’s survey results are fascinating. They focus more on your impressions and views rather than on the facts of your clinical practice. Effectively I asked you to take the role of an expert and comment on the cases I...
