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Dexmedetomidine vs remifentanil for reduction of postoperative agitation
Postoperative agitation is a common anaesthetic complication in children with a significant impact to care and outcomes. The authors studied preschool children to compare the effect of intravenous administration of dexmedetomidine and remifentanil on postoperative agitation following strabismus surgery under...
An unusual case report of bilateral abducens paralysis
In this case report a nine-year-old girl develops bilateral abducens nerve paralysis, caused by vertebrobasilar dolichoectasia. Vertebrobasilar dolichoectasia is characterised by dilation, tortuosity and marked elongation of the vertebral and basilar arteries. Clinical findings result from the compression and displacement...
Pupil responses in diabetes
This study aimed to investigate pupillary involvement in patients with type 2 diabetes mellitus (DM) and to evaluate any relationship between severity of diabetic retinopathy (DR) and pupillary responses. Participants included 133 individuals in four groups: proliferative DR (n=21), non-proliferative...
Outcome of nasolacrimal probing in older children
The authors aimed to determine the success of nasolacrimal duct obstruction (NLD) probing in a cohort of patients older than four years with simple membranous obstruction. Eighteen patients were included in this retrospective study aged 5.6 years on average (4.1-10.6)....Sickle cell eye disease: an overview of vitreoretinal complications and their surgical management
Sickle cell disease is the most common genetic disorder worldwide and is associated with lifelong anaemia, intermittent pain and multi-organ morbidity. Ocular involvement can be associated with significant visual impairment due to the complications of proliferative sickle retinopathy (PSR). Occasionally...The ‘theatre of the mind’: Charles Bonnet Syndrome and Esme’s Umbrella
The founder of Esme’s Umbrella shares her experience with the poorly understood condition Charles Bonnet Syndrome and the creation of the campaign. Many years ago, when I was a young actress, I was in an American play called ‘Butterflies are...
Subthreshold micropulse laser treatment in chronic central serous chorioretinopathy
This retrospective study was conducted to assess the treatment of 38 patients of chronic central serous chorioretinopathy with a 577-nm subthreshold micropulse laser (SML) Supra Scan Quantel Medical. Eighteen patients of these had persistent subretinal fluid (SRF) after photodynamic therapy....Ophthalmic learning through the lens of cognitivism and constructivism
Learning in ophthalmology is multi-faceted, from understanding the fundamentals of eye anatomy and physiology to higher order skills such as performing cataract and vitreoretinal surgery. Having a strong foundation in the basics is a necessity for higher order knowledge synthesis,...The challenges of rural optometry and how independent prescribing has helped
Why move from a busy professional independent Aberdeen optometry practice over 200 miles to one of the most remote places in the United Kingdom? I could talk about the professional challenge of supporting a rural community, or the chance to...
DTI/MRI results in amblyopia
Diffusion tensor imaging (DTI) is an MRI technique that can evaluate white matter integrity and neuronal connectivity. Normal brain maturation and myelination are associated with reduced water diffusion and increased diffusion anisotropy. The authors aimed to evaluate the anterior optic...
Albinism and later life visual development
This study aimed to evaluate whether best corrected visual acuity changed significantly in the second decade of life in those with albinism and the impact of extraocular muscle surgery and type of albinism on change in acuity during the second...
