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Managing a patient with ptosis
A 50-year-old male patient is referred from the Accident & Emergency department with a history of ptosis. How will you manage this patient? Mr Bertie Fernando Clinical management Clinical management starts with a sound clinical history. Current history The history...Move 78
The Soviet Union still existed throughout my formative years, along with a vague undefinable miasma of possible war that generated films such as Red Dawn and Rocky IV. My favourite film from that era was called War Games, in which,...Phacogeddon
A trainee shortly to rotate to my firm was unhappy at the fact that she had only one phaco list in her timetable. She was a final year trainee with more than five hundred cataract extractions to her name so...Acute dacryoadenitis secondary to COVID-19
Acute dacryoadenitis is defined as the rapid onset of discomfort and swelling of the lacrimal gland, classically giving rise to an S-shaped ptosis [1]. Dacryoadenitis is the most common cause of a painful mass in the lacrimal gland in young...
Managing blepharophimosis
The authors present a prospective study of a one-stage technique for managing both telecanthus and ptosis seen in blepharophimosis syndrome. The technique involves carrying out a Y to V medial canthoplasty followed by a frontalis suspension which the authors carry...
Intravitreal aflibercept for diabetic macular oedema
The VISTA and VIVID randomised phase 3 trial were designed to compare the efficacy and safety of intravitreal aflibercept injections versus laser photocoagulation for diabetic macular oedema (DMO). A total of 872 patients with centrally involving DMO were recruited, and...
Amniotic membrane efficacy
This prospective randomised study evaluated the effect of amniotic membrane (AM) in reducing inflammation, fibrosis, adhesion formation and ocular movement restrictions following strabismus surgery. This study used 22 rabbits: all with superior rectus recession in both eyes with AM placed...
Simultaneous surgery for ptosis and strabismus
The authors present the surgical management of congenital ptosis and coexistent strabismus at one centre for a follow-up period of >2 years. This was a retrospective review of 10 patients (17 eyes); nine males. Intermittent exotropia was present in three...
Selection of visual field test for detection of pituitary disease
This prospective cross-sectional diagnostic accuracy study compared Octopus semi-automated kinetic perimetry (SKP) and Humphrey static automated central perimetry for detection of neurological visual field loss in patients with pituitary disease. Humphrey central 30-2 SITA threshold programme results were compared with...
Scheimpflug vs. OCT in measuring corneal thickness
The authors report on the reproducibility and repeatability of corneal thickness measurements using three different Scheimpflug imaging cameras (Pentacam, Sirius and Galilei) and one Fourier-domain optical coherence tomography (OCT) system (RTvue-100). The rationale for this study is that corneal thickness...
Meta-analysis of treating meibomian gland dysfunction (MGD) with topical / oral azithromycin
This study pooled the clinical outcomes of 18 high-quality studies managing MGD with azithromycin. Symptom score was the primary and clinical signs were the secondary outcome measures. Overall effectiveness of topical azithromycin (TA) and oral azithromycin (OA) was measured by...
