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An Inconvenient Truth: Pete’s hidden curriculum Part 4

“What gets us into trouble is not what we don’t know. It’s what we know for sure that just ain’t so.” The above is a quote attributed to Mark Twain from the 2006 documentary, An Inconvenient Truth, which follows Al...

Silicone band loop myopexy in the treatment of myopic strabismus fixus

This is a retrospective case series of chart review of patients who had silicone band loop myopexy between January 2008 to December 2012 for myopic strabismus fixus (MSF) at a tertiary eye centre in India. A minimum period of two...

Real-world experience and outcomes of SLT laser used as a first-line treatment in ocular hypertension patients in a United Kingdom National Health Service setting

The management of raised intraocular pressure (IOP) in the context of ocular hypertension (OHT) and primary open angle glaucoma (POAG) remains a major contributor to the workload of ophthalmology units across the UK. Treatment of these conditions has historically centred...

Supranuclear palsy

This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...

Litechnica relocate to a new, improved location

Due to increased sales volumes and additional demand for engineering services, Litechnica are excited to announce the relocation of their head office to Hillingdon, Middlesex.

Recurrent corneal erosions secondary to isotretinoin use

Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations, as shown in Table 1 [3]. These side-effects need...

Beyond ‘Shield and Ship’: a novel device (Eye-Aid) to provide temporary aqueous tamponade

The authors present a pilot efficacy study of the novel Eye-Aid device in a porcine model of full-thickness corneal wounds to mitigate anterior chamber collapse in the forward military environment. Currently, the ‘Shield and Ship’ paradigm taught to military healthcare...

Doctor by the sea (Pete’s Hidden Curriculum Part 1)

See Pete's Hidden Curriculum Part 2 here. “They can always hurt you more.” This is The Fat Man’s Law Number 8 from the book The House of God by Samuel Shem. For those that have not read this book, it...

Infections related to strabismus surgery

This review considers the range of infections occurring with strabismus surgery. Extraocular infections include conjunctiva, sub Tenon’s abscess and orbital cellulitis. Intraocular infection includes endophthalmitis. Prevention of infection and risk factors includes the issue of scleral penetration and use of...

Dramatic myopic shift due to epithelial basement membrane dystrophy

Epithelial basement membrane dystrophy (EBMD), also known as map-dot-fingerprint dystrophy, is a common anterior corneal disorder affecting approximately 2% of the population [1]. It is characterised by the abnormal maintenance of the basement membrane, resulting in protrusions into the epithelium....

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...

Transferring imaging from primary to secondary care (part 1)

Transferring clinical imaging from high street optometrists to secondary care is an increasingly requested option, especially in the context of the COVID-19 pandemic. A wide variety of solutions exist to allow this, each with their own merits and shortcomings. For...