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Quiz Dec/Jan 2023
History A 35-year-old female presented to the emergency eye clinic with an acutely red, painful, photophobic left eye. She was a contact lens-wearer but denied swimming, showering, or sleeping in her lenses. She resided on a farm and worked as...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...
Care journeys of patients with central retinal artery occlusion
The authors present a retrospective case note review of all adult patients referred for or diagnosed with central retinal artery occlusion (CRAO) to a single tertiary hospital over a 10½ year period. A total of 181 patients were included in...
Monofixation syndrome following cataract extraction
This study aimed to test the hypothesis that interruption of macular fusion for an extended period of time is the key event that results in the development of monofixation syndrome in children and adults. This was a retrospective review of...
Factors indicating better stereopsis for APAET
The purpose of this study was to determine preoperative factors that affect postoperative stereopsis in patients with acquired partially accommodative esotropia (APAET). This retrospective study was undertaken over a five-year period. Eighty-four subjects had surgery for APAET and 57 met...
Long-term esotropia and exotropia alignment
The authors review surgical outcomes for 317 children having surgery for esotropia (n=235) or exotropia (n=82) for comparative analysis using survival curves. Esotropia surgery was undertaken at a mean of 42 months; exotropia surgery at a mean of 60 months...
Angle of deviation measurements in seated and supine positions
The objectives of this study were to compare ocular deviation between the seated and decubitus positions in the operating room and assess the outcomes at one day, one month and three months postoperatively. This prospective study included 30 cases; two...
Immediate postop alignment differences between adult and childhood ET
The purpose of this study was to investigate the immediate postoperative alignment among patients undergoing successful surgery for esotropia and to determine whether there are any differences between children and adults. This was a retrospective case review of 544 cases;...
Using a fenestration technique for partially accommodative esotropia
The authors evaluate a fenestration technique which is described as a modified sutureless hang-back recession, for cases of partially accommodative esotropia, in a prospective non-controlled cohort. Children under 10-years-old with full accommodative correction and a partially accommodative esotropia between 10...
Importance of vision input to postural stability
This literature review was undertaken to overview postural stability in strabismus and amblyopia. Postural stability is a complex skill that coordinates dynamic sensory mechanisms to facilitate sustained balance. The review discusses critical roles of vision in postural stability, e.g. postural...
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...
