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Headaches in ophthalmology (part 2)

Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...

Practice tips: Directions in cataract surgery services and preventing postcataract endophthalmitis

Future directions in the delivery of high quality cataract surgery services and approved intracameral prophylactic approaches to lowering the risk of postcataract infective endophthalmitis were debated by consultant ophthalmic surgeons in a recent London seminar, held at the Royal Society...

Brexit, for richer, for poorer: prospects for post-withdrawal Britain

The people of the United Kingdom voted by 52% to 48% to leave the European Union (EU) in June 2016, a referendum decision intended by a slim majority to restore national self-determination and achieve what many believed to be a...

Comparison of the efficacy of anti-VEGFs agents in nvAMD

This retrospective multicentric study conducted in Israel and Canada, compared the efficacy of bevacizumab, aflibercept 2mg and ranibizumab as first-line treatments for neovascular age-related macular degeneration (nvAMD). Included were treatment-naïve nvAMD eyes receiving ≥12 months of treat-and-extend (T&E) anti-VEGF therapy...

Interspecialty referrals

Referrals between the many and varied branches of ophthalmology sometimes underline how sub-specialised we have all become nowadays. The old era when everyone was an ophthalmic jack of all trades is gone, for better or for worse, and instead of...

Back-to-back congresses in Africa highlight international collaboration to advance eye health

The ISOO Africa 2023 Congress The first International Society of Ocular Oncology (ISOO) [1] conference to be held in Africa took place in Mombasa, Kenya, from 21-23 August 2023. Participants came from all over Africa, as well as the US,...

Rainspotting. Choose your future. Choose Pete’s Hidden Curriculum Part 2.

See Pete's Hidden Curriculum Part 1 here Interviewer: “Mr Murphy, what attracts you to the leisure industry?”Spud: “In a word: pleasure. It’s like pleasure in other people’s leisure.”Interviewer: “Do you see yourself as having any weaknesses?”Spud: Shakes head, then: “Oh,...

Medial rectus recession in Grave’s orbitopathy

The purpose of this retrospective study was to analyse the surgical effect / success rate of recession of the medial rectus in 90 patients with horizontal diplopia. Mean age was 52.5 ±9.4 years. Of that 24% had unilateral medial rectus...

A Nightmare on Doctor Street: Two

Just when you thought it was safe to go back into the clinic room… The quote below comes from Rudy Baylor, a graduate fresh out of law school and recruited by a ruthless ambulance chaser in the legal drama movie,...

Trabeculectomy ab interno (trabectome)

This retrospective study examines the outcome of trabectome surgery in nine phakic patients with Posner-Schlossman syndrome with uncontrolled IOP >30mmgHg. Cytomegalovirus (CMV) DNA was verified by polymerase chain reaction (PCR) in aqueous humour samples. Patients were treated with oral valganciclover...

The College of Optometrists publishes Interim Position on AI in Eye Care

The College of Optometrists has today published its Interim Position on the Use of Artificial Intelligence (AI) in Eye Care setting out the UK optical sector’s collective stance on the safe and responsible implementation of AI in eyecare. The College...

Blinking and driving

Spontaneous blinking is dependent on cognitive processes and is regulated by a central pacemaker that is highly sensitive to the attention demands and cognitive workload of the visual task in hand. There is evidence of a variability in the frequency...