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Comparison of bupivacaine injection vs. mini-tenotomy for small angle deviations

Bupivacaine hydrochloride is an aminoacyltype local anaesthetic. Injection into extraocular muscles elicits a myotoxic response destroying striated muscle fibres but sparing satellite cells, nerves and vessels. Preserved satellite cells proliferate to form new muscle fibres, causing muscle hypertrophy and greater...

Science maps to outline emerging topics in strabismus

Science maps show the current status of research in a specific field – a form of scientometrics. Co-word analysis is an example of graphic modelling in which keywords are used to study the conceptual structure of a research field. In...

3D modelling of orbital measurements to develop and education resource for orbital pulleys

In this study, 3D modelling software was used to visualise the orbital pulleys and create educational content to facilitate visual understanding of this system. Input of measures were from published data on quantitative anatomy of the globe and extraocular muscles...

Eye Emergency Study Day for Doctors

Join us for a dynamic, hands-on study day designed to strengthen your confidence and skills when dealing with ophthalmic emergencies. This interactive day combines theoretical learning working through clinical scenarios, ensuring you leave equipped to oversee the initial management of...

Cataract surgery in small adult eyes

This is a retrospective audit of a five year study period, between the periods of January 2006 to December 2010, where a surgical log book search was performed. The inclusion criteria of this study were intraocular lenses (IOL) power greater...

Internuclear ophthalmoplegia: a case study

A 44-year-old patient presents with binocular, mostly horizontal diplopia when fixating on moving objects. This has been ongoing for approximately five years. He is known to have multiple sclerosis and had an episode of optic neuritis six years prior in...

A closed angle seldom comes alone

Case report An 89-year-old lady with dementia was referred to me out of hours by her GP with a few days history of an angry looking left eye for suspected elevated intraocular pressure (IOP). I discovered that this lady first...

Ridley Eye Foundation’s Spring camp programme

The Ridley Eye Foundation continues its work in taking surgery to patients in remote communities living above 2000m in Nepal’s Himalayas. This spring, between 28 March – 7 April 2024, we supported surgical camps in Jumla and Mugu, both in...

The role of spectral-domain OCT RNFL in revealing a pituitary adenoma with atypical visual fields

Pituitary adenomas classically cause bitemporal hemianopia by compressing the optic chiasm. However, in some cases, the pattern of visual field loss may be atypical and mimic homonymous hemianopia, depending on the direction and extent of tumour expansion. Spectral-domain optical coherence...

Strengthening diabetic retinopathy services in Nigeria through DR-NET – from grass roots to national policy development

This is the third article in a series (see Part 1 and Part 2) reflecting on how shared learning via networks of UK and international eye health professionals is contributing to reducing unnecessary blindness in Nigeria. Earlier articles focused on...

Leveraging networks and collaboration: The Calabar Diabetic Retinopathy Service, from inception to a state-wide service, research and training hub

Diabetic retinopathy (DR), a microvascular complication of diabetes mellitus (DM), is a leading cause of preventable vision loss and blindness in people of working age globally [1]. Diabetic retinopathy is a disease of public health importance in Nigeria as it...

Light view in night view!

Canary Wharf marked its eighth edition of the Winter Lights Festival earlier this year. Exhibiting new spectacular light installations alongside the permanent immersive art displays, a tiny spark of an idea has grown into the most anticipated event, already planning...