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What plane should be used for ultrasound measurement of the optic nerve sheath diameter?

This prospective observational study aimed to evaluate the differences between optic nerve sheath diameter (ONSD) between the patients’ two eyes and different ultrasound planes (transverse and sagittal). Participants were recruited over a two-year period from a single neurosurgical department. To...

Demyelinating optic neuropathy

Introduction Optic neuritis (ON) is an inflammatory process affecting the optic nerve. After glaucoma, it is the most common optic neuropathy affecting patients under the age of 50. The usual presentation of typical ON is unilateral subacute loss of vision...

Diagnosis and management of IV cranial nerve palsy

Aetiology: Trochlear nerve palsy can be divided into acute or congenital. Congenital trochlear nerve palsy is usually noted in childhood with development of abnormal head posture. Various pathologies can lead to acute IV nerve palsy, most commonly trauma. Other causes...

Pathway innovations to address cataract services post-COVID-19

Background The demand for cataract services prior to the COVID-19 pandemic was already recognised to be high and growing - in the face of an ageing population and reduced surgical thresholds. When added to the growth in demand for ophthalmic...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

RCOphth Research Changes Lives

The Royal College of Ophthalmologists Research Changes Lives

SARCS XXIII (State of the Art Refractive and Cataract Surgery) Symposium

PROGRAM: No Capsule? No Problem! Scleral Sutured IOLsIntra Scleral Haptic Fixation TechniquesIOLs for Direct Scleral Fixation: Carlevale IOLIris/Anterior Fixated IOLsNext-Gen Tech for Next-Level Vision Integrated WorkflowsDigital Alignment of Toric IOLsAI and IOL CalculationsAI Assisted Surgical Planning SystemsAI Assisted ICL SizingTreating...

AC/A measurement differences

The authors sought to investigate differences in stimulus accommodative convergence/accommodation (AC/A) ratio using various techniques and accommodative stimuli. The study included 81 orthoptic students; 15 males and 66 females with a mean age of 21 years ±1. Ocular deviation was...

Accuracy of intraocular lens power calculations in paediatric eyes

A study comparing the accuracy of the SRK II, SRK/T, Hoffer Q, Holladay 1, T2 and Super formula in predictive refractive outcomes in children undergoing primary IOL insertion into the capsular bag following cataract surgery. A total of 377 eyes...

Mastering Monovision with Professor Graham Barrett and Mr Alastair Stuart

Professor Graham Barrett, creator of RayOne EMV, joins Mr Alastair Stuart, Medical Director of Optegra UK, to discuss why he frequently selects this lens for patients in Rayner’s Peer2Peer podcast series. Mr Stuart shares insights on patient selection, calculations, and...

Inter-deanery transfers

In the past, a system existed for when unexpected circumstances arose, with trainees from one part of the country being able to apply to relocate to another part without losing out on training time. This was mainly because of marriage,...

The last three patients: dermatology (Patient Three)

For the third and final reflection in this series (see Part 1 and Part 2), Professor Jonathan Rees recounts his experience of a patient with cancer who was failed by the NHS, and how their inadequate treatment illuminates some issues...