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Screening for amblyopia

The purpose was to determine the validity of the OPTEC 5500 vision screener in detecting visual acuity and amblyopia in paediatric patients aged 3-17 years with comparison to the Lea and Snellen tests. This was a cross-section study of 64...

Preparing for the Duke Elder Award

The Duke Elder examination is an undergraduate ophthalmology exam, conducted by the Royal College of Ophthalmologists (RCOphth) and undertaken by students with an interest in ophthalmology. It is a two-hour, 90-question, multiple choice exam with a broader curriculum than that...

An arm and a leg

“It cost me an arm and a leg.” – Mr B told me. An arm and a leg to be seen by the famous Russian eye surgeon who said that everybody can be spectacle-free. He took Mr B’s money (roughly...

On the wrong track

A 65-year-old very high myope lady presented with sudden blurred vision down to count fingers to her right eye after a short and sharp pain. She also described seeing a black swirly line and as all these symptoms were exactly...

Ocular findings in autism

This retrospective study investigated the ocular manifestations of autistic spectrum disorders (ASD) among children in a paediatric ophthalmic practice setting. Fifty-three patients were identified. Assessments were undertaken for 44 with 68% having autistic disorder, 16% with pervasive personality disorder –...

Developing community eye care: the evolution of Wales’ eye care services

In the third in our series about community eye care in the home nations, David O’Sullivan explains how Wales has developed its community eye care services. Since the devolution of healthcare to Wales on 1 July 1999 [1], significant changes...

A population based follow-up study on pseudoexfoliation and cataract surgery

n association between pseudoexfoliation (PEX) and cataracts has been shown in many previous studies. Recently, the Australian Blue Mountains Eye Study, using the Wisconsin Cataract Typing and Grading System, observed an increased prevalence of nuclear cataract in eyes with PEX....

Congenital aniridia clinical features

In this study the authors investigated the various ocular and systemic features associated with congenital aniridia in Indian eyes (262 eyes of 131 patients). The median age at time of first hospital visit was eight years (one day to 73...

Density of cataract and its influence on retinal nerve fibre layer thickness

The aim of this study was to further define and model the influence of cataract on spectral domain optical coherence tomography (SDOCT) image quality and retinal nerve fibre layer (RNFL) thickness measurements. OCT quality is influenced by opacities in the...

Ophthalmology survey results August/September 2019

I am delighted to see another great response to the practice variance survey. I am extremely grateful to all of you who took part and would encourage those of you who didn’t to try this survey. It literally takes mere...

The miracle of multi-professional working in modern-day eyecare

"It’s a Tuesday morning, and I’m in the presence of one of the most mind-boggling accomplishments in human history. This thing is so astounding in its complexity and scope, it makes the Panama Canal look like a third grader’s craft...

Conservative management of concomitant strabismus

The aim of management for all patients with strabismus should centre around four goals: to prevent amblyopia, to alleviate symptoms, to restore binocular single vision (BSV) and to improve ocular alignment. The conservative management options available for strabismus include observation,...