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Fellow eye comparison of DMEK and PKP
This retrospective analysis of 11 patients who underwent penetrating keratoplasty (PKP) in their first eye followed by descemet membrane endothelial keratoplasty (DMEK) in their second eye studied visual and refractive outcomes. Intra and postoperative complications were compared and a subjective...Take this waltz
My last weekend on-call was the busiest I can remember for a very long time. We were just completely swamped with patients. The weather was not too good that Saturday and it felt like every second inhabitant of our ocean...UK ophthalmologists discuss value of ultra-widefield multimodality retinal imaging
Utilising optomap ultra-widefield (UWF™) multimodality retinal imaging with integrated SS (or SD) OCT in clinical practice contributes to identifying unexpected pathologies in a patient without visual complaints, report 81% of clinicians at industry webinar.
Four key questions and answers for glaucoma practitioners
In this discussion paper the authors pose four questions for the clinician diagnosing and monitoring glaucoma, and supply evidence-based answers. Worldwide, the most common functional test used to diagnose and monitor glaucoma is static automated perimetry, most typically with a...The College of Optometrists and The Royal College of Ophthalmologists launch new joint vision for delivering eye care services across the UK
The College of Optometrists and The Royal College of Ophthalmologists (RCOphth) continue to review the ongoing impact of the pandemic on eye services across primary and secondary care.Biometry and IOL choice errors
In the next instalment of this series I focus on problems associated with biometry and intraocular lens (IOL) selection for cataract surgery. I have taken previous medicolegal cases I have dealt with and tried to extract some learning points and...Retinal prosthetics: science fiction or a vision for the future?
“Is it a fact – or have I dreamt it – that, by means of electricity, the world of matter has become a great nerve, vibrating thousands of miles in a breathless point of time?” – Nathaniel Hawthorne, The House...Ophthalmic exposure for emergency medicine doctors
Emergency medicine is a challenging specialty which requires managing a range of acute issues. In this article, I explore the experiences of emergency doctors towards ophthalmic cases presenting in the emergency department, identifying what initiatives have helped trainees. Emergency medicine...
Contact lenses for adults with infantile nystagmus
A pilot randomised controlled trial (RCT) was conducted to determine recruitment rates, acceptability of and adherence to treatment and adverse events along with change in best corrected visual acuity (BCVA) and nystagmus parameters from baseline to two weeks follow-up. The...Retinal arteriovenous malformation
A 24-year-old Caucasian girl reported to the eye clinic with the complaint of painless decreased vision in her right eye. She had no history of infectious disease, trauma, systemic malignancy or other systemic complaint. Her best corrected visual acuity was...Caring for adults with an ocular tumour
Detection If you screen for an intraocular tumour, dilate the pupil. If the patient is driving, use phenylephrine only. If the patient declines, document this in the casenotes. Don’t forget to look for sentinel vessels, which would indicate a ciliary...
