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The results of the last survey Apr25

Postoperative endophthalmitis is arguably the worse possible complication of cataract surgery. We are a victim of our own success as the procedure has such an amazing safety profile that when things go wrong patients are bound to feel aggrieved and...

Bovine pericardium scleral patch graft associated scleritis: Ahmed valve implant for pupillary block glaucoma

Processed bovine pericardium is a lyophilised collagen sheet used as a surgical armamentarium. It renders the material antigenically inert with minimal inflammation [1]. Sclera patch pericardium graft (Tutopatch) is a collagenous membrane derived from solvent preserved, irradiated bovine pericardium [2]...

Vision on the line: Managing orbital trauma in a 30-year-old surgeon after a football injury

Blunt orbital trauma is a common consequence of sports injuries. Although retrobulbar haemorrhage is frequently associated with orbital compartment syndrome (OCS), the severity of clinical signs can outweigh imaging findings. Early recognition and intervention, such as lateral canthotomy and cantholysis...

The approach to angle-closure glaucoma

Further to my last article in Eye News (print issue) describing the diagnostic approaches to various clinical scenarios in glaucoma, the approach to angle-closure glaucoma (ACG), a situation terrifying for patient and registrar alike, will be discussed. Please refer to...

Pharmacopoeia of the Royal Infirmary of Edinburgh

The compact volume depicted in Figure 1 bears the simple title Pharmacopoeia. The book originally belonged to the author’s father, the late John King. A pharmacist by profession, John King maintained a keen interest in matters pertaining to pharmaceutical history....

A glimpse of Syrian ophthalmology

Ophthalmology training in Syria has long followed a rigorous residency model, preparing medical graduates for specialist practice through surgical experience and formal examinations. Yet in recent years, the combination of conflict, resource shortages and emigration of medical professionals has created...

A rare case of endogenous panophthalmitis: Nidus from an E. coli urinary tract infection

Endogenous bacterial endophthalmitis (EBE) is a form of severe inflammation caused by haematogenous spread of a virulent bacterium from a nidus elsewhere in the body to intraocular tissues. It is a rare occurrence and only constitutes around 2–8% of all...

Communication in ophthalmological surgery: Perspectives from an observer

"Please don’t move” is a common phrase I have heard whilst shadowing in theatres as the ophthalmologist contends with the eye of a patient looking around and tilting their head during surgery. As the average corneal diameter is approximately 12–12.5mm...

Sustainability in ophthalmic imaging

Sustainability has become more significant across all areas within healthcare as organisations aim to lower environmental impact whilst maintaining high standards of patient care. Ophthalmology is a technologically advanced specialty with regular equipment upgrades, and ophthalmic imaging plays a significant...

Papilloedema: an update

Some readers may have seen a recent report in the national newspapers of the case of a teenage girl with persistent severe headache associated with a fatal brain tumour having been undiagnosed despite many consultations with her medical advisers. It...

Learnings and trends in the management of open-angle and angle-closure glaucoma

To be truly disruptive, newer technologies need to offer a quality of life benefit over medication to a broad population of glaucoma sufferers. Evidence and converging trends in medical and surgical management of glaucoma were explored in counterpoint discussions and...

The curse of the college museum

David Greig lecture notebook. Courtesy of Dr Jacqueline Cahif, College Archivist, Royal College of Surgeons of Edinburgh. As sure as the inevitability of death and taxes, the hidden stories of past events will intermittently rise to the surface like oil...