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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...

Cadaveric measurements of the Spiral of Tillaux

The authors conducted a cadaveric study to investigate and analyse the variability of the mean distances of the extra-ocular muscle insertion sites from the limbus as well as corneal diameters. The study included measurements taken from 30 white cavaders; 50%...

Corneal surface astigmatism changes after lateral rectus surgery

This prospective study evaluated astigmatic changes in children following lateral rectus surgery. The fellow unoperated eye was used as the control for assessment of anterior and posterior corneal surfaces. The study included 37 patients (74 eyes); 16 male, 21 female...

Surgical outcomes of primary recess/resection vs readvancement/recession surgery for exotropia

This study compared the surgical yield of primary lateral rectus and medial rectus recession/resection (RR) surgery for basic exotropia, convergence insufficiency type exotropia (CIXT) and divergence excess (DXS) vs. patients undergoing medial rectus readvancement (MRR) +/- lateral rectus recession for...

Lateral rectus superior plication surgery as an option for adult onset esotropia

This study presents results of bilateral superior plication of the lateral rectus for treatment of adult onset esotropia, as a less invasive surgical option. This was a retrospective study of 15 patients with mean age of 51.5 ±12.6 years; 67%...

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...

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...

Eye scans detect signs of Parkinson’s disease up to seven years before diagnosis

A team led by Siegfried Wagner and Pearse Keane of Moorfields Eye Hospital and UCL Institute of Ophthalmology (and spanning UCL institutions) has identified markers that indicate the presence of Parkinson’s disease in patients on average seven years before clinical presentation.

The results of the last survey Jun21

Thank you so much again for participating in the survey. I have been asked to give several talks at regional teaching sessions about some of the issues I discuss in these articles and I am happy to continue to do...

The results of the last survey Jun23

*Please be aware that this data does not form part of a peer reviewed research study. The information therein should not be relied upon for clinical purposes but instead used as a guide for clinical practice and reflection. I continue...

EyeLogbook

This issue we’re covering the recently updated EyeLogbook (www.eyelogbook.co.uk), the Royal College of Ophthalmologist’s (RCO) online surgical logbook. Back in March 2016 a fully re-designed version of the site was released. Not only does the new version bring a beautifully...

A paperless future – get involved!

Jeremy Hunt’s statement earlier in 2014, about a paperless NHS by 2018, has added momentum to the transition away from paper records. The Tech Review this issue discusses what that will involve and how and why you may want to...