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Doctor in the House

“What’s the bleeding time?”“10 past 10 sir”. These are the famous lines uttered by Chief Surgeon Sir Lancelot Spratt (James Robertson Justice) and Medical Student Simon Sparrow (Dirk Bogarde) on a pre-op ward round at the fictional St Swithin’s Hospital,...

Atlas of Clinical and Surgical Orbital Anatomy (Third Edition)

This textbook highlights in its preface to the third edition that considerable research has been undertaken in the fields of orbital and periorbital anatomy since 1994 (first edition) and 2011 (second edition). Various topics have been elucidated, such as the...

Inverted internal limiting membrane flap vs internal limiting membrane insertion technique for large macular holes

This meta-analysis aimed to compare and evaluate the morphological and functional outcomes between the inverted internal limiting membrane (ILM) flap and ILM insertion techniques in the treatment of large macular holes (MHs). The primary outcome measures were defined by the...

How common are ocular disorders in the first 12-months of life?

The authors present a retrospective case review of all children aged under one year of age diagnosed with an ocular disorder over a 10-year period. The aim of the study was to describe incidence and types of ocular disorder in...

A rare case of endogenous panophthalmitis: Nidus from an E. coli urinary tract infection

Endogenous bacterial endophthalmitis (EBE) is a form of severe inflammation caused by haematogenous spread of a virulent bacterium from a nidus elsewhere in the body to intraocular tissues. It is a rare occurrence and only constitutes around 2–8% of all...

Pituitary tumours: why are they so often missed?

Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

It’s coming home

Yes, this month sees the return of the four-yearly nightmare for me which is the Fifa World Cup. I have had to live with the torture of watching England being knocked out of the tournament ever since I first started...

Endoscopic assisted probing for congenital nasolacrimal duct obstruction

In this retrospective study authors compare the success rate of nasal endoscopic-assisted probing between younger (three years and below) and older (three years and above) children with membranous nasolacrimal duct obstruction and its correlation with the thickness of the membrane...

Vitreomacular traction and full thickness macular hole

Clinical scenario: A 64-year-old lady presented to the clinic with a few weeks history of sudden onset of metamorphopsia, central blur and reduced vision in her right eye. The ocular examination and ocular coherence tomography confirmed right eye focal vitreomacular...

Orbis teams up with the Alcon Foundation and OMEGA to improve eyecare in Zambia

The Orbis Flying Eye Hospital returns to Zambia for a three-week training project in Lusaka coinciding with World Sight Day on October 12.

Hybrid free vision screening for at-risk, low-income families

Give Kids Sight Day (GKSD) is an outreach programme at Wills Eye Hospital to provide free vision screening, ophthalmic examinations and glasses. It started in 2009 and has seen >11,000 children. Its primary aim is to reach high-risk families including...

The last three patients: general practice (Patient One)

Professor Jonathan Rees is an Emeritus Professor of Dermatology at the University of Edinburgh (2020). He held the Grant Chair of Dermatology in Edinburgh from 2000 to 2020, and before that the Chair of Dermatology in Newcastle from 1992 to...