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How do you solve the problem of trachoma in Ethiopia?

Background Trachoma is one of the oldest diseases known to humankind and the leading infectious cause of blindness worldwide. Spread by the bacterium chlamydia trachomatis, it is transmitted through contact with the eyes, eyelids and nose of those infected. The...

Chemical injury

You are the on-call ophthalmologist. You receive a call from A&E regarding a 45-year-old man who sustained a chemical injury. He was mixing some cement, when a small amount entered his left eye. He was not wearing any protective goggles....

Useful digital resources for the modern ophthalmologist

In the age of the internet and a smartphone at everyone’s fingertips, here are some free resources I have found to be useful on the job, and hopefully will be of use to you too. Feedly (Android/iOS): Better known as...

The management of watery eye in an infant with facial dysmorphism

A six-month-old child with facial dysmorphism is brought to the eye clinic with history of watery right eye since birth. How will you manage this child? Causes for watery eye in an infant 1. Overproduction of tears a. Infections b....

Third nerve palsy

Case scenarios A 71-year-old female presented to a nearby eye emergency unit with two days history of partial ptosis in her left eye with diplopia. She saw her GP earlier that day and he asked her to go to the...

Impact of preop occlusion on surgical outcome

The purpose of this study was to evaluate the effect of improved control with part-time occlusion treatment on the final postoperative surgical outcome in patients with intermittent exotropia. Eighty-nine patients were recruited who had unilateral lateral rectus recess / reset...

Electronic treatment reminders

The authors report the results of a small pilot study to measure the use of electronic reminders for children undergoing treatment for amblyopia with patching by assessing changes in visual acuity, reported compliance and ease of use of the reminder...

Age and prevalence of amblyopia in Ghana

The overall aim of this study was to determine the pattern and prevalence of amblyopia and assess the treatment options used in a rural hospital in Ghana. The authors conducted a retrospective study from 2014-2018. Of 12,860 clinical records, 12,602...

Effect of observation of intermittent exotropia on health-related quality of life of children and parents

The authors present the analysis of the Intermittent Exotropia Questionnaire (IXTQ) completed by the observation arm of a previously reported randomised controlled trial comparing part-time patching to observation. Children aged >5 years completed the Child IXTQ, and all parents completed...

Parental feedback on their needs from eye services for children with congenital cataracts

The aim of this study was to analyse non-directed parental feedback to health care providers responsible for paediatric cataract care in Sweden. This was a cross-sectional study including open-ended questions. Ninety percent were mothers, and most from Sweden (82.5%) with...

100 years since Sir William Duke-Elder graduated from the University of St Andrews

With sincere thanks to Andrew King, Ophthalmic Optician and owner of Andrew King Opticians near Glasgow, for his extensive research into Duke-Elder’s life.' Sir William Stewart Duke-Elder. Photo credit: Edward Irvine Halliday, Institute of Ophthalmology. In the world of ophthalmology,...

Headache: the clue is in the eyes

A worrying cause of headache is raised intracranial pressure (ICP). Papilloedema is a vital clue for accurate diagnosis and performing fundoscopy is essential in detecting this sign. The authors review the use of fundoscopy in their own district general hospital....