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Brain tumours in adults: the essentials for an ophthalmologist
The author provides a review of the common intracranial tumours in adults (other than pituitaries) which may present to an ophthalmologist. Primary malignant brain tumours comprise 3% of adult cancers but with an ageing population such tumours are becoming more...What not to miss in neuro-ophthalmology Part 1
1 April 2018
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EYE - Neuro-ophthalmology
Neuro-ophthalmology is a complex and difficult subspecialty in ophthalmology. It has several connections to neurology, neuro-surgery, rheumatology as well as many other medical specialties. Working in an multidisciplinary team (MDT) environment is key to success in this subspecialty as mistakes...
Cavernous sinus syndrome
Anatomically the cavernous sinus is a plexus of multiple veins that are connected and within this plexus there are several important vascular and neurological structures. These include cranial nerves III, IV, V1 (and sometimes V2), VI as well as the...Isolated trochlear (fourth cranial) nerve palsy in an Asian population
1 August 2018
| Lakana Kumar Thavaratnam, James F (Barry) Cullen
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EYE - Neuro-ophthalmology
The authors report on 35 consecutive new cases of isolated fourth cranial nerve palsy seen over a period of six months in one neuro-ophthalmology clinic in Southeast Asia, with emphasis on their aetiology and management. We report on 35 patients...
Ologen Collagen Matrix to treat ocular hypotony after filtration glaucoma surgery
1 April 2018
| Sofia Rokerya
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EYE - Glaucoma
The authors report a retrospective, observational case series of a Japanese cohort. 12 consecutive implantations of ologen in nine eyes of nine subjects (five men, four women; mean age ±SD, 72.1±12.7 years) who underwent subconjunctival implantation of the device to...
Can thou lyse this? A national study of emergency canthotomy and cantholysis
1 February 2016
| Jonathan CP Roos
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EYE - Orbit
Eighty-two-year old Janet Smith woke up on the floor. Had she been unconscious? Her head hurt. It was the middle of the night, but in the darkness she suddenly wasn’t sure whether she could see out of her right eye....
Oct/Nov 2019 Quiz
1 October 2019
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EYE - General
History A 62-year-old female patient was referred for rapid growth of a left periorbital soft tissue lesion with proptosis. Her past medical history included: hypertension, hyperlipidaemia and bipolar disorder. On examination: vision in the affected eye was hand movements, right...
Defence Medical Services Ophthalmology Conference 2024
3 July 2024
-4 July 2024
by Dr Ben Smith, General Duties Medical Officer (Army), Tidworth, UK. This annual national meeting of tri-service defence ophthalmologists was held in the beautiful and historic setting of Merton College in Oxford, hosted by Professor Robert MacLaren, the current Professor...
Two bifocals and a trifocal
The authors compare the optical outcomes of two bifocal intraocular lenses (AcrySof ReSTOR +2.50 Diopter [D] add +3.0D add) with a trifocal lens (AT LISA tri 839MP). The optical qualities of the lenses were quantified by measuring the modulation transfer...Neurofibromatosis type 2 – diagnosis, features and MDT approach
1 December 2021
| Jincy Kurian
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EYE - Orbit, EYE - Vitreo-Retinal, EYE - Cataract, EYE - Refractive, EYE - General
NF2 is a genetic condition caused by mutation in a single gene (NF2 gene) on chromosome 22. The NF2 gene provides instructions to produce a protein called merlin, also known as schwannomin. This protein functions as a tumour suppressor, preventing...
Behind the eyes: Unravelling the mystery of a painless progressive proptosis
Orbital fungal infections have the potential to give rise to serious complications. While these infections typically originate in the sinuses, patients may initially exhibit ocular symptoms. As a result of the diverse and often vague clinical manifestations (especially during the...Shedding light on Wolfram syndrome: The unveiling of a delayed diagnosis
12 August 2025
| Valeria Antoniou, Sonia Kafkalia, Katerina Papastavrou, Theodoros Potamitis, Antigoni Koukkoulli
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EYE - Neuro-ophthalmology
Wolfram syndrome 1 (WS1) was first described by Wolfram and Wagener in 1938 and it’s a rare neurodegenerative, progressive disorder, also known as DIDMOAD (diabetes insipidus, diabetes mellitus, optic atrophy, and deafness) [1]. We present an atypical case of WS...
