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Surgical options for the treatment of hyperopia

1 August 2016 | | EYE - Cataract, EYE - Refractive
The modern refractive surgeon has a variety of options available to treat patients with hyperopia who wish to be independent of spectacles and contact lenses. Unlike in low myopia where presbyopic patients may have the ability to see well for...
Keratoconus book cover image.

Keratoconus: When, Why and Why Not. A Step by Step Systematic Approach

1 August 2014 | | EYE - Cornea, EYE - General
This is a single author publication addressing the subject of ectatic corneal disorders and keratoconus (when, why, and why not) with a step by step systematic approach to management using modern sophisticated diagnostic and screening tools. It is comprised of...
Ophthalmology journal cover image.

Intravitreal dexamethasone implant for diabetic macular oedema

1 February 2015 | | EYE - Paediatrics, EYE - Strabismus
The authors report on the three-year outcomes of the Ozurdex Dexamethasone (DEX) intravitreal implant multi-centre trial for the treatment of diabetic macular oedema (DME). Patients with DME (best-corrected vision of 20/50 to 20/200 and central retinal thickness of ≥300µm) were...
Image of the JAMA Network Reader.

Analysis of risk factors for intraocular pressure rise following insertion of fluocinolone acetonide injection in uveitic patients

1 October 2015 | | EYE - Vitreo-Retinal
For this study, the authors analysed the pooled data from three phase2b / 3 multi-centre randomised controlled trials carried out over three years. Included patients had undergone at least one of the following treatments: 1) systemic therapy (corticosteroid / immunosuppressant...
Ophthalmologica journal front cover image.

Injection of methotrexate into silicone oil-filled eyes for grade C PVR

1 October 2019 | | EYE - Vitreo-Retinal
Methotrexate (MTX) is an antineoplastic antimetabolite with immunosuppressant properties. Folate antagonism is known to contribute to the antiproliferative effects of MTX, and release of adenosine from cells and inhibition of polyamines may explain its anti-inflammatory effects. These activities contribute to...
Seminars in Ophthalmology journal cover image

Biometric changes in phakic eyes over time

3 June 2021 | | EYE - Cataract, EYE - Refractive | Biometry, anatomy, cataract surgery, management, surgical planning
This was a single-centre retrospective cohort study of patients who attended a ‘two-stop’ preassessment clinic for consideration of cataract surgery between November 2002 and March 2015. Four biometric measurements were recorded: axial length, horizontal (K1) readings, vertical (K2) readings and...
Ophthalmologica journal cover image.

Characteristics of bilateral retinal detachment

4 December 2023 | | EYE - Vitreo-Retinal | Anatomic success rate, Bilateral retinal detachment, Buckle surgery, Fellow eye, Retinal symmetry, Vitrectomy
This was a retrospective study based at a tertiary centre which analysed the specific characteristics of bilateral Rhegmatogeous detachment, taken from the review notes of 300 patients (600 eyes) who had bilateral retinal detachment (RD) surgery between January 2005 and...

The results of the last survey Oct20

5 October 2020 | | EYE - Glaucoma, EYE - Cataract, EYE - Refractive, EYE - General
The point of this series is to find variations in practice and to raise them to you, the readership, so you can review and reflect upon them. I am aware there is not always a ‘correct’ way of doing things,...

A case of late spontaneous subluxation of in-the-bag intraocular implant

1 April 2017 | | EYE - Cataract, EYE - Refractive
An 82-year-old frail lady was referred by her optometrist with a finding of subluxated implant in the right eye. She had uneventful phacoemulcification with in-the-bag intraocular implant 17 years earlier. There is no history of having had pseudoexfoliation (PXF) or...

How to pass the Refraction Certificate

1 August 2019 | | EYE - Cataract, EYE - Refractive, EYE - General
Unfortunately, I had the pleasure of getting to know this exam intimately. With adequate preparation this does not have to be the case for most people. The exam has recently changed to consist of 10 OSCE style stations (previously 12)....

You want to do paediatric ophthalmology? Seriously?

1 August 2017 | | EYE - Neuro-ophthalmology
Completion of Core Training is approaching fast and you begin to wonder three things. One, where do you want to live? Two, is anyone going to be retiring there soon? Three, what subspecialty do you want to do? In an...

Warfarin Induced Suprachoroidal Haemorrhage Presenting as Acute Angle Closure Glaucoma

1 February 2014 |
Spontaneous suprachoroidal haemorrhage is a rare but recognised entity. Anticoagulant therapy is a well known risk factor. We describe a case of warfarin induced suprachoroidal haemorrhage presenting as acute angle closure glaucoma in a patient with raised International Normalised Ratio...