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The writing on the wall

The Prophet Daniel tells a famous tale of how the tyrannical king of Babylon held a feast for all his top lords and ladies, and as the feasting grew to fever pitch a mysterious hand appeared from nowhere that started...

Principles of contact lens fitting in keratoconus

Keratoconus is an ectatic condition of the cornea characterised by progressive conical distortion with irregular astigmatism, myopia and apical protrusion. Most cases progress slowly resulting in varying degrees of myopic astigmatism. Management of keratoconus includes spectacles, soft contact lenses, a...

A near miss

A 55-year-old gentleman presented with a ‘blurry patch’ to his left eye which he had noticed for the past two months. The visual acuity with correction was 6/5 in the right eye and 6/6 in the left eye on the...

A look into the IOL space

Advances in the design and performance of intraocular lenses (IOLs) continue to be driven by demand for better outcomes, presbyopia correction and spectacle independence, alongside a better understanding of the dynamics of the crystalline lens, newer theories of accommodation and...

Streamlining cataract lists: how are you managing it?

Mr Jonathan Ross, in conversation with Ms Bita Manzouri, provides a personal perspective on challenges and opportunities shaping the future of cataract surgery services across the hospital eye service. Redesigning cataract pathways in response to COVID-19 Bita Manzouri: Over the...

“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...

Neuro-ophthalmology: the extended role of an orthoptist

Neuro-ophthalmology has always been a speciality of interest during my studies and now in my career. In 2018, I started a Band 7 post which gave me an extended role in neuro-ophthalmology and the responsibility of developing an orthoptic led...

RCOphth (The Royal College of Ophthalmologists) Cataract Surgery Complications

This course will focus on the practical management of posterior capsule rupture and zonular dialysis. This will be a “hands on” course with the emphasis on practicing anterior vitrectomy techniques, the use of capsular tension rings, capsule hooks and sulcus IOL implantation. There will also be interactive small group teaching on how to prevent surgical complications during phacoemulsification surgery. The course is aimed at ST5-ST7 trainees, Fellows and Consultants.

RCOphth: Cataract Advanced Training with Simulation Course

This course will focus on advanced cataract surgery skills including the practical management of posterior capsule rupture and zonular dialysis. This will be a “hands on” course with the emphasis on practicing anterior vitrectomy techniques, the use of capsular tension...

Treatment of Type 1 ROP with intravitreal bevacizumab or laser photocoagulation according to retinal zone

This is a retrospective review of charts of 54 consecutive very low birth weight (VLBW) infants between June 2011 and January 2015 from Berlin, Germany. Type 1 ROP (posterior ROP, n=33; peripheral zone 2, n= 21) were treated with either...

Support for patients with nystagmus

This is a qualitative study in patients with nystagmus identified through regional clinics, charity events and the Royal National Institute of Blind People (RNIB). Two hundred and fifty-one participants were identified, with 184 respondents included in the study. Fifty-six percent...

Outcomes of augmented surgery for exotropia

This was a prospective study to assess patients with basic type intermittent exotropia of 15-45PD in angle and who were operated with augmented bilateral lateral rectus recessions with conjunctival recession, and followed postoperatively for six months. The study included 15...