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Influence of FLEx and SMILE on corneal nerve density and ocular surface
This was a prospective study designed to compare the influence of femtosecond lenticule extraction (FLEx) and small incision lenticule extraction (SMILE) on the corneal nerve density and ocular surface for myopic correction. Thirty patients underwent bilateral lenticule extraction. One eye...
Positives and negatives of managing diplopia in adults with prisms
This study recruited consecutive patients prescribed prisms during a two-year period, within set criteria of a deviation up to 30 prism diopters, good fusion, willingness to wear prisms and no previous unsuccessful use of prisms. The majority of cases had...
Intermittent exotropia
Four cases of intermittent exotropia are discussed. Case 1 was a nine-month-old with cycloplegic refraction of +1.0DS and a 30PD intermittent exotropia at near and distance. Discussions considered observation, part-time occlusion, refractive correction and later possibility of surgery. Case 2...
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...Has ‘reduce, reuse and recycle’ gone too far?
The past few decades of surgery since the ‘mad cow disease’ have been dominated by a push to switch to disposable instruments. The reason is to prevent cross-contamination and reduce the risk of surgical site infections – especially so with...
B-scan ultrasonography
B-scan ultrasonography is commonly employed for the diagnosis and follow-up of ocular trauma. This retrospective study looked at the accuracy and predictive ability of B-scan ultrasonography following open globe repair. Of the 965 patients identified with open globe injuries at...
Stereo distance in XT
The test distance effect on stereoacuity was explored in a population with intermittent exotropia along with use of two types of stereograms with crossed and uncrossed disparity. At near and distance distances, the median for both disparities was 60”; 79%...Acanthaemoeba keratitis
In the second of this series I describe a case of Acanthaemoeba keratitis (AK) that was misdiagnosed for a prolonged period which resulted in a devastating outcome. This is one of half a dozen similar medico-legal cases I have dealt...
Distance esotropia due to excessive near work
The authors aimed to review cases with divergence insufficiency esotropia in 12 young adults associated with excessive near work. Patients were aged 28.17 ±4.06 years and had normal external, anterior / posterior segment examinations and no neurological signs. Ten had...
