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100 years of insulin

*Joint first authors The centenary of the discovery of insulin is a time to celebrate one of the most significant scientific discoveries of the 20th century. Background Before 1923, Type 1 diabetes mellitus [T1DM] resulted in death from severe ketoacidosis...

Sustainability in eyecare: Are virtual clinics the way forward in the diagnosis and monitoring of retinal disease?

Virtual clinics can be used successfully in screening and management of ocular conditions such as diabetic retinopathy, retinopathy of prematurity and age-related macular degeneration. Virtual clinics should be a considered as a more clinically appropriate modality of consultation, diagnosis and...

Progress for a more sustainable practice in ophthalmology

Climate change is widely considered to be the greatest threat to health in the 21st century and is accompanied by other environmental considerations such as air and water pollution that impact on human health [1,2]. These problems are, in no...

The happiness coefficient: Pete’s hidden curriculum Part 5

Jeremy: Come on, man, shake your booty! Tonight even Paxman’s out, hoovering up lines of crank off Krishnan Guru-Murthy. Tonight’s the big one.Mark: Jeremy, all rational people agree it’s a truth self-evident that it’s impossible to have a good time...

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...

Reduced angle after BT for postop diplopia test

The authors undertook a retrospective study to evaluate the extent of reduced deviation after Botulinum toxin (BT) when used as a postoperative diplopia test. They evaluated effect in 39 patients: 32 exotropia and seven esotropia. The same BT dose was...

A case of ipsilateral fourth nerve paresis and Horner’s syndrome

The author presents a single case report of an exceptional association between fourth nerve palsy and ipsilateral Horner’s Syndrome. The case is presented alongside magnetic resonance images (MRI) which reveal a mass in the right cavernous sinus. The 54-year-old woman...

Fusional vergence measurement

This paper reports a systematic review to address two objectives: 1, to compare the normative values of tests measuring fusional vergence; 2, to investigate sources of heterogeneity of prism accuracy. The review was conducted according to PRISMA guidelines with a...

Visual field progression after glaucoma drainage device implantation

This retrospective interventional case series assessed changes to visual fields after implantation of a glaucoma drainage device (Baerveldt, Ahmed or Molteno Devices) between 2010 and 2015. A total of 106 eyes from 96 patients were included in the final analysis...

Anatomical variations of the nasolacrimal system

The authors report a retrospective observational case series of 734 dacryocystography images; 689 from adult patients and 45 from paediatric patients. Of these 734 images, 35 (4.8%) were found to have an anatomical variant where the nasolacrimal duct emerged from...

Surgical treatment outcomes and predictors for consecutive exotropia

This retrospective study presented the long-term results of consecutive exotropia surgery and its prognostic factors, and compared efficacy of medial rectus advancement, lateral rectus recession, or a combination of both. Patients were treated between 2000–2020. Mean age was 33.98 ±17.68...

Changes in phoria measurements after physical activity

This study aimed to evaluate effects of physical activity (aerobic and anaerobic) on the latent eye deviation. The study recruited 20 competitive soccer players (10 myopes (mean -0.63D) and 10 emmetropic: 19 males), who underwent a total 90-minute exercise of...