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OCT imaging of occluded puncta

This is a description of the use of enhanced depth optical coherence tomography (OCT) to see whether a patent ampulla or canaliculus is detectable in patients with absent or occluded puncta. Nine occluded puncta of six patients with epiphora were...

Anatomical variations of the nasolacrimal system

The authors report a retrospective observational case series of 734 dacryocystography images; 689 from adult patients and 45 from paediatric patients. Of these 734 images, 35 (4.8%) were found to have an anatomical variant where the nasolacrimal duct emerged from...

Outcomes of punch punctoplasty with Kelly punch

The authors report a retrospective case series study, over an eight-year period between January 2008 to January 2016 evaluating the long-term outcomes of punch punctoplasty by Kelly punch as a primary treatment for punctal stenosis; 101 punch punctoplasties from 50...

Transforming eyecare with AI at 100% Optical

“We are drowning in people we need to see in hospital eye services, and some people are going blind as a result. We are looking at nearly 10m hospital appointments for ophthalmology a year, with an approximately 33% increase over...

Transcanalicular diode laser-assisted DCR: success rates and factors for success

This study aimed to evaluate the success rates of transcanalicular diode laser-assisted dacryocystorhinostomy (TCL-DCR) during three years of follow-up and to find clinical factors that influence surgical outcomes. Major outcomes were defined as a patent neo-ostium tested by irrigation (anatomical...

One-week intubation in external dacryocystorhinostomy

Whether to routinely intubate or not in dacryocystorhinostomy (DCR) surgery has been a subject of controversy among lacrimal surgeons. Similarly, if intubated the timing of removal of stent is not standard. Here, the authors carried out a survey of their...

A case report of papilloedema caused by unilateral jugular vein thrombosis

In rare cases, unilateral jugular vein thrombosis can lead to increased intracranial pressure and papilloedema, resulting in headaches and visual loss. The authors describe the case of a 45-year-old patient with squamous cell carcinoma of the larynx who developed right...

Nasolacrimal duct screening to minimise post cataract endophthalmitis

This case control study compared the nasolacrimal duct (NLD) patency in a random sample of phacoemulsification cataract surgery patients (control group) versus a consecutive series of patients who developed endophthalmitis post cataract surgery (case group). NLD syringing was performed in...

Use of white coat and greetings

This study was undertaken to characterise the practice patterns of paediatric ophthalmologists regarding their use of white coats and salutations in outpatient visits. A questionnaire was sent to American Association for Pediatric Ophthalmology and Strabismus (AAPOS) members with a response...

College comments on the DHSC’s update on GOS sight test fees for England and clinical placement training payments for 2025/2026

This week, the Department of Health and Social Care published details of its confirmed NHS sight test fee and NHS domiciliary fees from 1 April 2025, continuing professional development payments for 2024, and clinical placement training payments from 1 April...

Ophthalmic imaging in children

Ophthalmic imaging has in recent years become an integral part of the diagnosis and monitoring of patients. There is now a wide range of instruments available for imaging children and assisting in the provision of detailed clinical information for the...

Clinical outcomes of endoscopic dacryocystorhinostomy

The aim of this study was to report the authors’ experience with endoscopic dacryocystorhinostomy (ED) in a paediatric population and to evaluate the effect of surgical site reassessment on anatomy and clinical outcomes. The study included 47 children <18 years...