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Shifting the paradigm of managing patients in medical retina: how real-world data can help us to improve clinical practice

The ophthalmic subspecialty of ‘medical retina’ has undergone dramatic changes in recent years. With the introduction of ranibizumab (Lucentis, Novartis), a specialty formerly dominated by laser-based therapies has been transformed to become, in large part, pharmacotherapy-based. To date, these pharmacotherapies...

End stage glaucoma management

A 48-year-old female has had multiple drug treatment for glaucoma and is still losing field of vision. How do you manage this over time? This patient is at high-risk for going blind and should be managed aggressively to protect remaining...

What's trending Jun/Jul 2021

A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #blindpensioner #teachescooking #cookbook Simon Mahoney lost his eyesight to uveitic glaucoma. His wife was his main carer and did most of...

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...

Causes of abnormal head postures – literature review

Yadegari reports a narrative literature review for abnormal head postures (AHPs) with discussion on different causes. This review summarises the control of a normal head posture before discussing differences of ocular vs non-ocular AHPs. Ocular AHPs may be adopted to...

SOS (Simplified Ophthalmic Statistics) Part 2: How to summarise your data and why it’s a good idea to do so

Studies involve capturing data. Statistical techniques allow data to be used to answer important research questions. A case series may have data on a handful of subjects but we are now entering the Big Data arena where datasets can be...

PALs use for convergence excess esotropia

This retrospective study includes a disparate group of 39 esotropic patients with an accommodative element from two different clinics with differing prescribing practices. Seven children were excluded due to previous treatment or insufficient follow-up. In all patients single vision glasses...

BT for intermittent exotropia

This study aimed to evaluate the effect of botulinum toxin (BT) on the amount of deviation and fusional control state of intermittent exotropia. Twenty-one patients (five male and 16 female) aged five to 18 years with progression of exotropia were...

Vertical angle surgical outcomes

The surgical results of all patients undergoing isolated adjustable suture vertical squint surgery for thyroid eye disease are presented for a single centre over five years to explore the predictive factors for surgical planning. This was a retrospective study in...

IOOA and DVD surgery

The authors report the results of bilateral modified inferior oblique (IO) transposition considering the equator in seven patients with infantile strabismus syndrome with inferior oblique overaction (IOOA) and dissociated vertical deviation (DVD). Mean age was 4.5 years (2-7) and mean...

Surgery for acquired distance esotropia

The purpose of this study was to evaluate the outcome of this surgical approach in the treatment of divergence insufficiency esotropia. This was a retrospective review of 18 patients aged on average 49.6 years; 77% were female. Preoperatively the distance...

Prism adaptation outcomes in convergence excess esotropia

This study reports the changes to angle of deviation following prism adaptation in a group of 58 patients with convergence excess esotropia and their surgical outcomes. Age at prism adaptation was 7.2 (SD1.82) years. One child refused prisms and two...