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A rare case of oculomotor nerve palsy from presumed cavernous angioma

Cavernous angiomas of the cranial nerves are extremely rare, and those of the oculomotor (third) nerve are rarer still. The authors present a single case study of presumed cavernous angioma involving the subarachnoid portion of the left third nerve, which...

Surgical treatment for monocular elevation deficit

Type 1 monocular elevation deficiency is a restrictive form identified by positive results on forced duction testing in elevation, normal elevation forced generation test, elevation of saccadic velocity and absence of poor Bell’s phenomenon. The authors aimed to evaluate the...

Outcomes of unilateral surgery for bilateral asymmetric DVD

The purpose of this study was to analyse the outcomes and complications observed in a cohort of patients with unilateral superior rectus recession in bilateral asymmetric dissociative vertical deviation (DVD) with strong preferential fixation. This was a retrospective review of...

Management of strabismus due to orbital wall fractures

The authors present a retrospective single centre review of patients with strabismus due to orbital wall fractures with regard to their clinical presentation and outcomes. The study included 347 patients; 87% male and mean age of 32.42 ±12.9 years. Ten...

Making sense of the orthoptic assessment

Following the Specialty Trainee article on this topic in the February/March 2020 issue, Joe Smith provides a more detailed breakdown of the orthoptic report. Orthoptists investigate, diagnose and manage a wide variety of patients with varying problems. In this article,...

Management of squint with near-distance angle disparity

These are a group of strabismus disorders where the angle of misalignment is different between near and distance. The focus of this article will be on the patients where the angle for near exceeds the distance angle by more than...

Collamer lenses for accommodative ET

Posterior chamber phakic IOL implantation was used to treat patients with accommodative esotropia (ET) with the goal of eliminating hyperopia and producing orthophoria. Three patients (six eyes) aged 18-22 years had an average follow-up of 17 months ±6.24. The mean...

Risk factors for amblyopia

The author presents a meta-analysis of published data to estimate American Association for Pediatric Ophthalmology and Strabismus (AAPOS) prevalence data for amblyopia risk factors. He extracted data from major paediatric comprehensive eye examination studies for children aged two to five...

Improving vision screening access

The purpose of this study was to determine whether providing access to instrument-based screening equipment would increase the total number of high quality age-appropriate vision screenings provided to pre-school aged children. SPOT vision screening was placed in paediatric offices at...

Cycloplegic retinoscopy refraction versus Retinomax K-Plus 5 autorefraction

In this study, the authors present their results comparing cycloplegic refraction with retinoscopy versus hand-held Retinomax K-Plus 5 autorefraction. The study included 213 children aged 0.1 to 20 years (426 eyes). Mean age was 6.2 ±4.4 years. They examined sphere,...

Supranuclear ocular motility disorders

Figure 1: Bilateral INO Introduction Complex ocular motility disorders are a diagnostic challenge. These patients come with very complex ocular motility presentations and require a careful and detailed assessment in order to find the correct diagnosis and arrange appropriate investigations....

Ocular motility disturbances after glaucoma drainage device

This is a cross-sectional study of children (<17-years-old) with a glaucoma drainage device (GDD) (Ahmed vs Baerveldt) implanted consecutively by a single surgeon from the Toronto group, between September 2006 and May 2018 and who had an ocular motility examination...