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Surgical management of 2 cases of synergistic adduction during elevation; aberrant regeneration

The authors present 2 cases with unusual findings of aberrant regeneration of the third cranial nerve palsy with coexisting sixth cranial nerve palsy. The first case was a 44-year-old male with head trauma from a road traffic accident. The second...

Dissecting the green credentials of ophthalmology virtual clinics

Since 2006, the NHS’ long-term plans have consistently advocated and resourced telemedicine. The current 10-year plan that was announced in 2019 aimed to cut face-to-face outpatient visits by one-third by 2024, by adopting digital consultations. The NHS plan calculates that...

RNIB’s free online resource for pupils and teachers gets a brand-new web platform

Thousands of children and young people across the UK with vision impairment and/or difficulty reading standard print, due to conditions like dyslexia, can now access more than a million books and images more quickly and easily after RNIB’s Bookshare service...

Should we move towards procedure-specific consent forms?

The consent process represents the patient’s acceptance of the information provided to them and an agreement to undergo an intervention as suggested by a health professional. Effective doctor-patient communication, ensuring the succinct delivery of the necessary points in a way...

Optical coherence tomography in patients exposed to vigabatrin

Vigabatrin is used to treat epilepsy and can lead to increased levels of gamma-aminobutyric acid (GABA) in the brain and in the retina leading to binasal visual field defects. Although not the first line of treatment for adults it is...

The Syrian Ophthalmologists Initiative (SOI): A lifeline to the future of ophthalmology in Syria

Syria, a nation with over 22 million people, has faced more than a decade of conflict that has severely impacted its healthcare infrastructure. Medical training has become fragmented, with many doctors lacking access to structured postgraduate education and essential clinical...

IN FOCUS - The achievements and lasting effects of VISION 2020

Blindness is a major public health problem globally. The first estimate of global blindness by the World Health Organization (WHO) in 1972 provided a figure of 10 to 15 million, which was considered an underestimate [1]. In 1999, an extraordinary...

The management of antiplatelets and anticoagulation in elective ophthalmic surgery

Clinical scenario: A 57-year-old gentleman who is scheduled to have Mohs micrographic surgery and reconstruction for a medial canthal basel cell carcinoma (BCC) has been started on aspirin and clopidogrel following a coronary stent three weeks ago. Does the antiplatelet...

Predictive measure for alignment stability

The authors aimed to determine whether a correlation exists between the immediate operative alignment and future alignment in fixed suture strabismus surgery. This study enrolled 54 patients; seven were lost to follow-up so results are presented for 47 cases. Mean...

Comparison of ganglion cell thinning in glaucoma vs. macular hole repair

This prospective study compared the changes in the photopic negative response of the focal macular electroretinogram (fmERG) caused by retinal ganglion cell complex (GCC) thinning at the macula between patients with open angle glaucoma (OAG) and 12 months after successful...

Regulatory drug evaluations and expedited review initiatives: EU and US perspectives

The European Medicines Agency (EMA) and United States Food and Drug Administration (FDA) each conduct independent assessments of benefit-risk profile when evaluating applications to market new or modified medicines, and their respective decision-making is guided by distinct legislation, procedures and...

Oculogyric crisis with B12 deficiency

An oculogyric crisis (OGC) is a dystonic movement disorder of the eyes which can last from seconds to hours. Although there is no published diagnostic criteria for OGC, typically the onset is acute, and it is characterised by conjugate upward...