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Specialty doctor interviews
I started my training as an ophthalmologist in the Wild West of Carmarthenshire where I did my first laser procedure, first phacoemulsification and first slit-lamp examination. All of these firsts were done under the tutelage of very skilled staff grade...Fundus photography in Malawi – setting up a screening programmefor diabetic retinopathy
We present the case of a 53-year-old lady who presented to the diabetes outpatient clinic at Kamuzu Central Hospital (KCH), Lilongwe, Malawi. She was diagnosed with type 2 diabetes mellitus six years ago, for which she takes metformin orally. She...A patient report of pseudoxanthoma elasticum, angioid streaks and choroidal neovascularisation
Angioid streaks (AS) on their own do not cause many problems, with the majority of patients remaining asymptomatic [1]. However, once choroidal neovascularisation (CNV) occurs, the visual prognosis of the patient rapidly declines [2]. Treatment is imperative to try and...Adaptive optics imaging: resolving single cells in the living eye
The human retina is unique in the central nervous system (CNS) in that it can be directly visualised non-invasively. Technological advances of several imaging modalities, including optical coherence tomography (OCT), multichannel scanning laser ophthalmoscopy (SLO) and fundus photography, have afforded...
Predicting causes and prognosis in cases of optic disc swelling
The authors reviewed 93 consecutive cases with optic disc swelling (ODS) with the purpose of comparing the clinical manifestations and prognosis between cases. The aim was to understand the differences in frequency and clinical features of ODS, relating these to...
Strabismus and scleral buckling
The authors examine the incidence of strabismus following scleral buckle for retinal detachment surgery and the factors that influence the strabismus, its incidence, preventative measures and treatment options. This was a retrospective review of 344 patients (360 eyes) with a...
Fusion vergence measures
The purpose of this study was to compare fusional vergence measurements between orthophoria, esophoria and exophoria and determine the strength of correlation between fusional vergence and angle of deviation. This was a cross-section study of 530 children aged six to...
A novel test for unilateral functional visual loss
The authors report results of three cases of functional visual loss, where regular ophthalmic testing was not sufficient to confirm the diagnosis. In these cases, bilateral concurrent eye examination was performed using a head-mounted perimeter (imo), to facilitate the diagnosis....
Supranuclear palsy
This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...
PlusoptiX and SPOT screening
The goal of this study was to determine whether an instrument that uses referral criteria having a high specificity (plusoptiX S08) would fail to refer children who have significant amblyopia and who would have been detected by an instrument using...
Long-term esotropia and exotropia alignment
The authors review surgical outcomes for 317 children having surgery for esotropia (n=235) or exotropia (n=82) for comparative analysis using survival curves. Esotropia surgery was undertaken at a mean of 42 months; exotropia surgery at a mean of 60 months...
