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En coup de sabre scar and strabismus

4 February 2021 | | EYE - Paediatrics, EYE - Strabismus
This is a case report of an eight-year-old child with gradual progressive strabismus (esotropia and hypotropia) from the age of five years. The angle measured >45 degrees esotropia and 10 degrees hypotropia. There was a depressed linear-localised scar over the...
Orbit journal cover image

Autologous scleral button for anterior defect in evisceration surgery

3 April 2024 | | EYE - Oculoplastic, EYE - Orbit
This is a small case series of five patients who have had evisceration surgery using a new technique. The anterior defect created when removing the corneal button has been closed by taking an autologous posterior scleral graft inferomedial to the...

Launch of the Diabetic Retinopathy Screening Service in UHWI Jamaica

1 June 2016 | | EYE - Vitreo-Retinal
At 2.55pm on Wednesday 16 March 2016 the first patient was screened and given her results in the new nurse-led Diabetic Retinopathy Screening (DRS) Clinic at the University Hospital of the West Indies (UHWI), Kingston, Jamaica. This was the result...

Enhancing glaucoma awareness and management in Nigeria – from grass roots to national policy development

5 June 2023 | | EYE - General
This is the second in a series (see Part 1 here) of three articles about strengthening eye health services in Nigeria through collaboration with the LINKS and Networks run at the International Centre for Eye Health, LSHTM. This article highlights...

Specialist high-street eye clinics for managing patients with retinal disorders can enhance care standards

1 December 2018 | | EYE - Vitreo-Retinal, EYE - General
The author examines the successful introduction of community-based retinal clinic services by Manchester University NHS Foundation Trust. Dr Sajjad Mahmood, Consultant Ophthalmologist, MREH, shares experience of establishing community-based medical retina clinic services. Sight loss from age-related macular degeneration (AMD), cataract,...

An anterior segment lump: a diagnostic and treatment challenge

2 February 2024 | | EYE - Oncology, EYE - Pathology
Case presentation A 50-year-old female presented to eye casualty with a lump on the left medial lower eyelid with associated redness and occasional bleeding. The lump was present for a few months with recent enlargement (Figure 1). Her past medical...

Ultrasound biomicroscopy (part 2): primary angle closure

1 December 2016 | | EYE - Glaucoma, EYE - Imaging
Patients with primary angle closure or primary angle closure glaucoma [PAC(G)] comprise a significant subgroup affecting around 10% of glaucoma patients amongst Caucasians. Assessment of the patient with angle closure, or narrow angles, requires gonioscopy. However, whilst identifying the presence...

The results of the last survey Jun24

3 June 2024 | | EYE - Cataract, EYE - Refractive
When I was in my training and even in my early years as a consultant, I did not fully understand the difference between different lenses. When asked my preference of hydrophilic versus hydrophobic intraocular lenses (IOLs) I really did not...

Upper eyelid ulceration as a presenting sign of frontal sinus mucocele

3 October 2022 | | EYE - General
Introduction A sinus mucocele is an epithelium-lined sac filled with mucus and desquamated epithelium. It forms secondary to inflammatory processes that occur in a sinus with an obstructed ostium. Predisposing conditions include previous trauma, surgery, tumours, anatomical abnormalities, and chronic...

Pituitary tumours: why are they so often missed?

1 October 2017 | | EYE - Neuro-ophthalmology
Part 3: Clinical features, assessment and management (see also Part 2, and Part 1) As previously mentioned in this treatise [1] pituitary tumours are common, occur in all age groups and can present with anything from minimal visual symptoms to...

Advances in cataract surgery

1 April 2018 | | EYE - Cataract, EYE - Refractive
This article covers recent clinical findings in mydriasis and anaesthesia for cataract surgery, shared by Sathish Srinivasan and Keith Davey at a surgical meeting in Manchester. Towards dropless cataract surgery Day case cataract surgery is the standard of care in...

Competition ratios: Is the future of ophthalmology too bright?

29 August 2023 | | EYE - General
In the UK, ophthalmology is a highly competitive speciality, attracting many medical graduates keen to pursue a career in this area. However, in recent years, the competition ratios for ophthalmology ST1 training posts have increased significantly, creating a challenging environment...