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Isolated trochlear (fourth cranial) nerve palsy in an Asian population
The authors report on 35 consecutive new cases of isolated fourth cranial nerve palsy seen over a period of six months in one neuro-ophthalmology clinic in Southeast Asia, with emphasis on their aetiology and management. We report on 35 patients...Acanthaemoeba keratitis
In the second of this series I describe a case of Acanthaemoeba keratitis (AK) that was misdiagnosed for a prolonged period which resulted in a devastating outcome. This is one of half a dozen similar medico-legal cases I have dealt...Shedding light on Wolfram syndrome: The unveiling of a delayed diagnosis
Wolfram syndrome 1 (WS1) was first described by Wolfram and Wagener in 1938 and it’s a rare neurodegenerative, progressive disorder, also known as DIDMOAD (diabetes insipidus, diabetes mellitus, optic atrophy, and deafness) [1]. We present an atypical case of WS...
Using ‘piggyback prisms’ to measure large angle strabismus – don’t simply add them together
An experimental study was conducted with the aim of developing a method to measure strabismus angles larger than 50 prism dioptres (PD) using ‘piggyback prisms’ – stacking Fresnel and block prisms. The stacked prisms were placed 2cm from the light...Embracing assistive technology in the fight against sight loss
The author shares his own experience of sight loss and explains the vital role assistive technology can play in the lives of visually impaired patients. There is no doubt that sight loss continues to be a clear and present danger,...‘Getting a head start’: ways medical students can boost their chances of entering ophthalmology training
Ophthalmology is one of the most competitive medical specialities in the UK, with 3.74 applicants per place in 2018 [1]. Given the competitive nature of this highly specialised field, medical students who are interested in pursuing a career in ophthalmology...Planes, trams, and auditoriums: Beware predatory conferencing
Predatory open-access journals and predatory conferences are considered the two main areas of predatory infiltration in academic medicine that are of growing concern [1–7]. Unsolicited publishing requests from potentially predatory publishers occur frequently among faculty in ophthalmology [8]. Predatory conferencing...Enhancing glaucoma awareness and management in Nigeria – from grass roots to national policy development
This is the second in a series (see Part 1 here) of three articles about strengthening eye health services in Nigeria through collaboration with the LINKS and Networks run at the International Centre for Eye Health, LSHTM. This article highlights...Retinal prosthetics: science fiction or a vision for the future?
“Is it a fact – or have I dreamt it – that, by means of electricity, the world of matter has become a great nerve, vibrating thousands of miles in a breathless point of time?” – Nathaniel Hawthorne, The House...Four Pillars: Leadership for clinical practice settings
This series explores the four pillars of advanced clinical practice and here, Regina Tavengwa explores the pillar of leadership and management. I have been in my current role as a matron for eight years, with a background of practicing as...
