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Trans-sinus endoscopic removal of retrobulbar air gun pellet within the orbital apex
Injuries to the eye have been widely reported in medical literature due to a variety of mechanisms causing significant morbidity and occasional unexpected mortality for the patient [1]. It is often wrongly assumed that air gun pellets lack this potential....Pharma chameleon
One morning in September ’95, about a month into my first house job on the South Coast of England, I emerged from the ridiculously early ward round on the coronary care unit feeling a bit dazed and therefore headed off...Optometrists and ophthalmologists update their joint care vision
The College of Optometrists and The Royal College of Ophthalmologists have published an updated joint vision for the continued collaboration of the two professions, to support the delivery of safe and sustainable eye care services in England.Regulatory drug evaluations and expedited review initiatives: EU and US perspectives
The European Medicines Agency (EMA) and United States Food and Drug Administration (FDA) each conduct independent assessments of benefit-risk profile when evaluating applications to market new or modified medicines, and their respective decision-making is guided by distinct legislation, procedures and...Sustainability in eyecare: Climate action in eyecare
Climate change will cause disruption to critical eyecare services and increases in rates of eye disease around the world. The International Agency for Prevention of Blindness has recommended 10 key areas of action on how the eyecare sector can address...Imagination
"Logic will get you from A to B. Imagination will take you everywhere.” In this quote by Albert Einstein, he reminds us that whilst logic is useful for practical solutions, the expansive nature of imagination breaks boundaries. It can lead...Cura Te Ipsum – Physician, Heal Thyself
I wasn’t on call and my bleep went off. I knew without looking that it was the directorate office. Immediately my heart sank, for these calls were always about bad things. They never called to say “well done Gwyn you’re...A connected workplace - Part 2
In Part 1 of this topic (bit.ly/ENconnected) the need for a mature ophthalmic imaging network was described. Here, I provide a scoring scheme that can be used to articulate the maturity of existing devices. As with any scoring system, the...
Anterior segment OCT predicts gonioscopic angle closure
This is a prospective observational study of 342 subjects over four years. Sixty-five were controls who had open angles both on gonioscopy and AS-OCT, while 277 had open angles only on gonioscopy but iridotrabecular contact (ITC) on AS-OCT (one to...
A case of progressive supranuclear palsy-like syndrome following aortic aneurysm repair
This original article illustrates the case of an 18-year-old woman who developed progressive supranuclear palsy-like syndrome following an uneventful aortic aneurysm repair. The patient was unaffected for the first 48 hours after surgery and then developed dysarthria, dysphagia (requiring a...
Choroidal defects in neurofibromatosis
The aim of this study was to investigate the frequency of choroidal abnormalities using infrared reflectance imaging with optical coherence tomography (OCT) in paediatric patients with neurofibromatosis (NF) type 1. Thirty-eight eyes of 19 patients were reviewed. NF1 was diagnosed...
