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Using a pupillometer to confirm presence of RAPD in post stroke homonymous hemianopia
It has been reported that relative afferent pupillary defects (RAPDs) may be present in patients with occipital lobe lesions. However, a small contralateral RAPD due to a difference in the crossed and uncrossed fibres can be difficult to detect using...Treatment of diabetic macular oedema
Diabetic macular oedema (DMO) is a common complication associated with diabetic retinopathy, and the most common cause of visual impairment in diabetes [1]. With predicted rising levels of diabetes (in England by 2025 the estimated population with diabetes will be...The green grass of denial
Tourists often state with great jealousy how wonderfully green Ireland looks from the air. This wonder often fades when they land and realise just how much it must rain to achieve such vibrant colours! I experienced the reverse of this...
Toy related ocular injuries in US children
This cross-sectional study using data from the National Electronic Injury Surveillance System Study (NEISS) included 1439 patients who visited emergency departments over a five-year period from January 1, 2017, to December 31, 2021, with toy-related ocular injuries. Males were disproportionately...
Case presentation: seizures as a presenting sign of idiopathic intracranial hypertension
Idiopathic intracranial hypertension (IIH) is a syndrome of isolated elevated intracranial pressure of unknown cause. Neurological examination in IIH is typically normal except for papilloedema and possible cranial nerve six palsy, although rare, atypical symptoms and signs can occur. With...Progress in retinal disease management: Highlights of the Retina Day, RCOphth 2025 Annual Congress
The Retina Day meeting at the Royal College of Ophthalmologists (RCOphth) 2025 Annual Congress in Liverpool was held on 22 May 2025. This report highlights 10 selected topics of interest to subspecialists and general ophthalmologists. Decarbonising anti-VEGF clinics (or making...The results of the last survey Jun24
When I was in my training and even in my early years as a consultant, I did not fully understand the difference between different lenses. When asked my preference of hydrophilic versus hydrophobic intraocular lenses (IOLs) I really did not...VisionSpring provides the first-ever vision screening for monks in the Dalai Lama’s community
681 members of the Dalai Lama’s community were screened by VisionSpring to assess whether they needed eyeglasses.The curse of the college museum
David Greig lecture notebook. Courtesy of Dr Jacqueline Cahif, College Archivist, Royal College of Surgeons of Edinburgh. As sure as the inevitability of death and taxes, the hidden stories of past events will intermittently rise to the surface like oil...Personalising the management of dry eye disease: TFOS DEWS III updates evidence-based recommendations
Dry eye disease (DED) is a heterogenous condition that arises from various aetiologic factors and leads to tear film instability, ocular surface damage and neurosensory changes. Symptoms of DED include ocular dryness, burning, itching, pain and visual impairment. An evidence-based...
