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V pattern surgery
Inferior oblique (IO) muscle belly transposition involves fixing the belly of the IO to the sclera at 5mm posterior to the temporal insertion of the inferior rectus (IR). This study reports the clinical outcomes of bilateral surgery to treat V...
Transconjunctival eyelid weight insertion
This is a description of a new surgical technique to insert upper lid weights via a posterior, transconjunctival route. Following local anaesthetic, the upper lid was everted over a Desmarres retractor with a silk traction suture. A 5mm high central...
Combination surgical management for congenital lacrimal duct obstruction
The authors aimed to report the clinical outcomes of antegrade balloon dacryocystoplasty (DCP) followed by pushed-type monocanalicular (MC), combined as a primary management for congenital nasolacrimal duct obstruction (CNLDO). This was a retrospective study of 62 eyes (48 patients) with...
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...
Congenital nasolacrimal duct obstruction in trisomy 21 vs non-trisomy 21 patients
This is a retrospective case review study looking at patients who underwent intervention for congenital nasolacrimal duct obstruction (CNLDO) between January 2017 and January 2018. The authors state that patients were excluded if there was less than 60 months of...
Anatomical measurements for degree orientation and muscle insertions for rectus muscles
This study reports the relative degree orientation of the superior, lateral and inferior rectus muscles with respect to the medial rectus, and the distances between the rectus muscle insertions. The study involved 30 cadavers (60 eyes), all White, 50% female...Things I’d tell my medical school self, had I known my first year on the job would be during a global pandemic
In a conversation with his younger self, a foundation doctor reflects on the contrast between his expectations of medicine at university and the reality of working during the coronavirus pandemic. Every doctor arrives at medical school with nervous anticipation, yet...Ophthalmology Foundation: a promising new beginning
The world’s leaders in ophthalmology have created the new Ophthalmology Foundation, to make prevention of blindness and maintenance of high quality vision accessible to people of all nations. Board of Directors President David EI Pyott explains their vision for the...The results of the last survey Apr24
It has been a few years now since we started these surveys and I continue to be amazed by the variance in our practice. As a patient, I think I would expect there to be more consistency and evidence-based practice....Unilateral central scotoma following dengue fever
Case report A 16-year-old Caucasian male was referred to the eye casualty at Nottingham University Hospitals NHS Trust by the infectious diseases unit in September 2013. He gave a history of photophobia, pain on eye movements and central blurred vision...‘Getting a head start’: ways medical students can boost their chances of entering ophthalmology training
Ophthalmology is one of the most competitive medical specialities in the UK, with 3.74 applicants per place in 2018 [1]. Given the competitive nature of this highly specialised field, medical students who are interested in pursuing a career in ophthalmology...
