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Effects of orbital decompression on duction, cyclotorsion and diplopia

This is a retrospective review of 156 patients (281 eyes / orbits) with Graves Orbitopathy (GO) who had orbital decompression (OD) between 2016 and 2020 from Amsterdam, Netherlands. Data analysis of type of OD, eye position, duction, cyclotorsion and level...

Description of surgical modification for heavy eye syndrome

For heavy eye syndrome, these authors report a modification to facilitate approximation of the widely separated muscles using a combination of zip-up and hand-over-hand manoeuvres. Ten patients underwent this surgery with unification of the superior rectus and lateral rectus muscles....

A tarso-conjunctival flap for paralytic ectropion

This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...

Large collar diameter Jones tubes

This is the first report of the success rates of frosted Jones tubes with larger diameter, 4.5 or 5mm collars. This is a retrospective review of 29 eyes of 25 patients who underwent insertion of a large diameter collar frosted...

Chronic drop use and trabeculectomy on tear osmolarity

Ocular surface disease (OSD) is common in patients chronically treated for glaucoma. This may be related to the drug itself but often to the preservatives in the medication. Much work has been done on the most common preservative, benzalkonium chloride...

Is exenteration helpful in invasive fungal sinusitis?

Invasive fungal sinusitis is a potentially lethal disease that causes painful orbital apex syndrome with ophthalmoplegia and visual loss. The mechanism of ophthalmoplegia and visual loss is not clear, and neither is the role of radical surgery-orbital exenteration. The authors...

Paralytic strabismus in Parry-Romberg syndrome

Parry-Romberg syndrome is a progressive hemifacial atrophy with idiopathic craniofacial disorder characterised by slowly progressive atrophy of soft tissues on one side of the face. A case is presented of acquired monocular elevation deficit in a child without restrictive component....

Outcomes of primary vertical strabismus in Duane retraction syndrome

In this study, the authors report the clinical profile and surgical outcomes in patients with Duane retraction syndrome (DRS) who presented with significant primary position hypertropia. This was a retrospective study of 590 patients with DRS, of which 18 had...

The Last House Officer

The Last House Officer by Gwyn Williams takes us on a hilarious journey from first surgical house job to (accidental) ophthalmology trainee. Things don't always seem to work out too well for Owen Morgan. Blindsided into a hasty marriage to...

Conjunctival melanoma involving the lacrimal drainage system

A total of 52 patients were diagnosed with conjunctival melanoma over a period of 17 years, 17 of whom required orbital exenteration. Five of these were found to have melanoma involving the lacrimal drainage apparatus (LDA). One was evident clinically...