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Superior oblique posterior tenotomy for orbital fracture strabismus

The use of superior oblique posterior tenotomy (SOPT) is reported as a primary procedure in five patients with orbital blowout fractures. The mean follow-up was 15.2 months (6-20). Two patients required further surgery because of a larger vertical deviation. SOPT...

Orbital filler for enophthalmos in Parry-Romberg syndrome

This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...

Is exenteration helpful in invasive fungal sinusitis?

Invasive fungal sinusitis is a potentially lethal disease that causes painful orbital apex syndrome with ophthalmoplegia and visual loss. The mechanism of ophthalmoplegia and visual loss is not clear, and neither is the role of radical surgery-orbital exenteration. The authors...

Use of amniotic membrane in second stage Hughes tarsocunjunctival reconstruction

This is a retrospective, non-comparative interventional case series of 30 patients who underwent amniotic membrane transplantation to lower lid margin as part of Hughes lid reconstruction to prevent a hyperaemic, hypertrophic conjunctival margin with excessive discharge. Patients undergoing more than...

Bilateral LR recession for DRS

This study reports the use of bilateral lateral rectus (LR) recessions instead of unilateral LR recession for unilateral exotropic Duane’s retraction syndrome (DRS) with abnormal head posture. This was a retrospective study of seven patients; five female and two male....

Sagging eye syndrome surgery

This retrospective study evaluated outcomes of surgery for patients with sagging eye syndrome (SES) from 1994 to 2014, to determine recurrence rates of strabismus. The study identified 103 cases; 93 requiring surgery for symptomatic small angle strabismus and 10 requiring...

IgG4-related disease or Graves orbitopathy

This is retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...

Management of restrictive diplopia after ptergium surgery

This single centre retrospective case series included 15 patients with restrictive diplopia after ptergium excision. The mean time from surgery to diplopia was six months and all patients had a moderate limitation of abduction in the operated eye causing an...

Biopsy of nasolacrimal duct using sheath guided dacryoendoscopy

In this study the author’s biopsied six eyes of five individuals with recurrent nasolacrimal duct obstruction following a prior dacryoendoscopic probing. All procedures were performed under local anaesthetic, the obstruction or lesion was directly visualised with dacryoendoscope and biopsy was...

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...

Incidence of ocular myasthenia gravis and risk factors for conversion to generalised disease

This population based retrospective cohort study evaluates the incidence of ocular myasthenia gravis (OMG) as well as risk factors for transformation to generalised myasthenia gravis (GMG). Sixty-five patients (40 male and 25 female) with newly diagnosed with myasthenia gravis (MG)...

Radiotherapy for orbital apex cavernous haemangiomas

This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....