You searched for "headache"

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Take this waltz

My last weekend on-call was the busiest I can remember for a very long time. We were just completely swamped with patients. The weather was not too good that Saturday and it felt like every second inhabitant of our ocean...

Behind the curtain: What trainees wish they knew before starting in ophthalmology

As a foundation year doctor, I didn’t expect ophthalmology to feature much in acute medicine or surgery. Yet it kept appearing at the periphery – and when it did, it was often complex and unexpectedly urgent. A confused older patient...

“I can see fine. Why do I need my eyes tested?”

Are routine eye examinations really necessary? The author asks whether frequent appointments in low-risk patients with normal results are actually cost-effective. It’s recommended that most people should get their eyes tested every two years.” [1] This message is widely publicised...

Sixth nerve palsy versus decompensating distance esophoria

Orthoptists see a wide range of conditions that can range from reduced binocular single vision (BSV) that may be solved with exercises, to more extreme neurogenic cases requiring further intervention. Because of this variety, it is important to be able...

Shockat Adam MP pledges to focus attention on special schools eyecare service

Charity SeeAbility and Willow Dene Oakmere Road special school in Greenwich were delighted to host the first practising optometrist MP to be elected to parliament, Shockat Adam, to see the charity’s eyecare work in action. Shockat came to learn more...

From dry eyes to glaucoma: How the menopause impacts your eyes and what to do about it, according to an optician

Menopause, much like entering puberty, comes with hormonal disruptions that change a woman's body and behaviour. Some of the first visible side effects are hot flushes, weight gain, and acne, accompanied by behavioural symptoms like mood swings, insomnia, and brain...

PREVIEW: 100% Ophthalmology @ 100% Optical

1–3 March 2025 • London, UK • Register here March 2025 will see the second instalment of 100% Ophthalmology which, if you were following us last year, was a great success. Co-located alongside the well-known 100% Optical and hosted within...

The tragedy of the commons

I am a big fan of the YouTube channel Extra Credits History, in which interesting historic events are explained in breathtakingly simple detail in 10 animated videos. I have watched every episode, including the ‘Early Christian Schisms’ and ‘The South...

Internuclear ophthalmoplegia: a case study

A 44-year-old patient presents with binocular, mostly horizontal diplopia when fixating on moving objects. This has been ongoing for approximately five years. He is known to have multiple sclerosis and had an episode of optic neuritis six years prior in...

Choroidal melanoma – breaking bad news

Case report A 55-year-old Caucasian female presented to her general practitioner with a three-month history of headaches and worsening blurred vision in the left eye. On further close questioning, she reported no eye pain, intermittent floaters and flashes of light...

Avoiding investigations through history taking and examinations to differentiate serious from comparably benign aetiology

*Joint first authors. Introduction Anisocoria can be a sign of neurological deficit, necessitating numerous investigations [1]. This case report explores how expensive and time-consuming investigations can be avoided by thorough history taking and examination to differentiate serious from comparably benign...

Unilateral central scotoma following dengue fever

Case report A 16-year-old Caucasian male was referred to the eye casualty at Nottingham University Hospitals NHS Trust by the infectious diseases unit in September 2013. He gave a history of photophobia, pain on eye movements and central blurred vision...