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Prevalence of misdiagnosis of third nerve palsy by referring clinicians

The authors present a retrospective case review of new patient presentations to a neuro-ophthalmology clinic at two centres between 2014 and 2017. The electronic medical records were searched using the variety of terms for third nerve palsy. Referral for management...

Surgical technique for small-angle hypertropia

In order to treat small-angle hypertropia of <5PF associated with mild / moderate upshoot in adduction, an option is to suture the inferior oblique (IO) belly to the sclera following its natural muscle direction or with anterior transposition. This study...

Surgical correction of lacrimal gland prolapse

This is a systematic review of published literature on the management of lacrimal gland prolapse or ptosis. The authors found 16 publications which contained a description of any surgical correction of a prolapsed lacrimal gland, comprising seven case reports, four...

BTA injection to treat convergence insufficiency

The outcomes of patients with convergence insufficiency (CI) treatment with botulinum toxin A (BTA) in one or both lateral rectus muscles are reported. This was a retrospective study of 23 patients; eight males, 15 female, mean age 59 years (range...

A modified technique for external DCR

The authors described a modified technique for external dacryocystorhinostomy (DCR) whereby the lacrimal sac is excised medially along its length using a 15mm blade. Following insertion of silicone stents, the remaining part of the anterior wall of the lacrimal sac...

Use of oral fluorescein angiography in a paediatric population

The authors report a retrospective records review of all patients who received an oral ultrawide fluorescein angiography (FA) over a 42-month period at a single children’s hospital. Data were extracted from the records including indication for FA, adverse events, pauses...

Posner-Schlossman Syndrome (PSS) European Study Group: study protocol and baseline patient characteristics of a multicentre study

This is a retrospective, multicentre (11 centres) study of European patients (total 107; Caucasians in 93.4%). Age ranged between 11 and 76 years with mean age 42 ±15 years. Best corrected vision was >0.5logMAR in 80.3% of the eyes, and...

Mastering Monovision with Professor Graham Barrett and Mr Alastair Stuart

Professor Graham Barrett, creator of RayOne EMV, joins Mr Alastair Stuart, Medical Director of Optegra UK, to discuss why he frequently selects this lens for patients in Rayner’s Peer2Peer podcast series. Mr Stuart shares insights on patient selection, calculations, and...

RCS England response to latest NHS waiting times data

The latest NHS consultant-led referral-to-treatment data shows that the total waiting list increased by 6,002 in October 2025, reaching 7.3 million. Analysis reveals the percentage of patients who began treatment within 18 weeks slightly decreased to 61.7%, indicating minimal progress...

Strabismus and ocular motility, demystified

I am a former orthoptist, now trained in medicine and working as a foundation doctor. In my previous work, I was frequently approached by ophthalmology trainees eager for guidance with strabismus and ocular motility. Drawing on my clinical experience, I...

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...

A missed opportunity

Back in 2000 Sir Liam Donaldson wrote a piece of work commissioned by the then Secretary of State for Health entitled “An Organisation with a Memory”. We are now 18 years on and still some of the recommendations from them...