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Surgical strategies to manage incomitant strabismus in adults

Incomitant vertical and / or horizontal strabismus is a challenging presentation. Patients are usually symptomatic as the onset is either sudden so they haven’t developed any coping mechanisms or very complex so that any coping mechanisms will not cover all...

A day in the life of...an ophthalmic imager / an orthoptic assistant

The ophthalmic imager My role as an ophthalmic / medical photographer has evolved, dramatically, since I began my career at Manchester Royal Eye Hospital, 30 years ago. Long gone are the days of developing and hand printing fluorescein angiograms in...

An unusual third nerve palsy case report

The authors present the unusual case of a 23-year-old male presenting to hospital with right eye pain, right upper eyelid ptosis, blurred vision and diplopia, developing immediately after a penetrating injury to his right upper eyelid. On assessment he was...

Recurrent sebaceous gland carcinoma

In this retrospective case review study, authors report their outcomes in management of recurrent sebaceous gland carcinoma (SGC) and propose a graded protocol to manage these entities. All consecutive cases of SGC from January 2004 to December 2017 at the...

Microcatheter in the vertebral artery as a cause of branched retinal artery occlusion?

A 19-year-old male presented to eye casualty with a seven-day history of a ‘blurred patch’ in the left eye. The patient denied any other visual symptoms including flashes or floaters and there had been no change in visual symptoms in...

College welcomes over 450 new optometrists to the profession at the 2025 Diploma Ceremony

On Tuesday 18 November, the College welcomed over 450 new optometrists to the profession in two College Diploma Ceremonies held in Westminster, London. Over 70 members awarded higher qualifications at Professional Higher Certificate or Professional Diploma level. The ceremonies brought...

Dr Sohaib Rufai awarded European Award in Medicine for Ophthalmology

Dr Sohaib Rufai has been awarded the 2022 European Award in Medicine for Ophthalmology. He led the world’s first study using handheld OCT to predict future vision in infantile nystagmus.

The GMC joins the mobile revolution

If you are an ophthalmologist practising in the UK the increasing need to log your educational activities for your Annual Review of Competence Progression (ARCP) or appraisal can’t possibly have escaped you. The existing tools in this area for ophthalmologists...

Sustainability in eyecare: Are virtual clinics the way forward in the diagnosis and monitoring of retinal disease?

Virtual clinics can be used successfully in screening and management of ocular conditions such as diabetic retinopathy, retinopathy of prematurity and age-related macular degeneration. Virtual clinics should be a considered as a more clinically appropriate modality of consultation, diagnosis and...

Applying for ophthalmology ST1 in 2026: What’s new?

Competition for ophthalmology ST1 has intensified steadily over recent cycles, rising from ~9:1 (2022) to ~10:1 (2023), ~14:1 (2024) and ~22:1 (2025) [1]. Against this background, applicants benefit from a structured approach: mapping achievements to portfolio domains early, identifying gaps...

My Top Five: Duke Elder Undergraduate Ophthalmology Prize Exam Tips

The prestigious Duke Elder Undergraduate Ophthalmology exam in the UK is aimed at medical students who have completed their ophthalmology undergraduate teaching but is open to all medical undergraduates provided they have not graduated at the time of the examination....

My Top Five: Duke Elder Undergraduate Ophthalmology Prize Exam Tips

The prestigious Duke Elder Undergraduate Ophthalmology exam in the UK is aimed at medical students who have completed their ophthalmology undergraduate teaching but is open to all medical undergraduates provided they have not graduated at the time of the examination....