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Africa makes strides in tackling blinding eye diseases: highlights of annual conference

1 December 2022 | | Ophthalmology
Introduction The 9th Annual Scientific Conference of the College of Ophthalmology of Eastern, Central and Southern Africa (COECSA) was held at the Bingu International Convention Centre in Lilongwe, Malawi in September 2022. The meeting was hosted by the Ophthalmological Society...

Pituitary tumours: why are they so often missed?

1 April 2017 | | Neuro-Ophthalmology
Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

How to examine the visual system Part 1: visual acuity, visual fields and eye movements

1 June 2014 | | Retina / Uvea / Vitreous
Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

Adaptive optics imaging: resolving single cells in the living eye

1 June 2014 | | Cornea / External Eye Disease
The human retina is unique in the central nervous system (CNS) in that it can be directly visualised non-invasively. Technological advances of several imaging modalities, including optical coherence tomography (OCT), multichannel scanning laser ophthalmoscopy (SLO) and fundus photography, have afforded...

Psychiatric Consequences of Ophthalmic Disease

1 December 2013 |
In part two of this series on ophthalmology and psychiatry, the authors will cover the possible psychiatric consequences of ophthalmic disease. The following conditions will be discussed: a. Black patch psychosis b. Psychological state in blindness c. Phobias in the...

Diabetes macular oedema in pregnancy self-resolving postpartum

1 October 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging
*Equally contributing co-first authors. Diabetic macular oedema (DMO) is a common clinical presentation to ophthalmology clinics. Ample evidence exists for management of DMO in non-pregnant patients. However, there is a paucity of evidence on the optimal management of DMO in...

The most frequent complaints and claims in ophthalmology – a Medical Protection Society (MPS) analysis

4 December 2018 | | Optometry, Cataract and Refractive, Glaucoma
The authors look at the reasons behind medico-legal cases reported to MPS and share key learning points. Complications following ophthalmology surgery are rare, however, medico-legal cases are not uncommon due to the significant impact they can have on patients’ lifestyles....

The approach to trabeculectomy postoperative complications

1 August 2016 | | Glaucoma
Performing a trabeculectomy is like giving birth to a baby. It may be traumatic and there is scope for devastating error but once the operation is completed only then does the real work begin. The bleb must be nurtured into...

Don’t ignore the black lesion! It might be mucormycosis

1 June 2017 | | Cornea / External Eye Disease
Keeping mucormycosis infection in the foreground of your differential diagnosis, especially in those more vulnerable patients, will help save their lives if recognised and managed appropriately. Mucormycosis is a fulminant infection caused by the fungi of the family Mucoraceae. It...

The power of the full blood count

1 October 2021 | | Ophthalmology, Retina / Uvea / Vitreous
Vishal Shah walks us through his thought process whilst highlighting the importance of routine investigations when dealing with unusual retinovascular presentations. Retinal changes can arise in anaemia, leukaemia, lymphoma, myeloproliferative and myelodysplastic syndrome. They are often the first manifestation of...

The management of watery eye in an infant with facial dysmorphism

1 April 2015 | | Paediatric Ophthalmology / Strabismus
A six-month-old child with facial dysmorphism is brought to the eye clinic with history of watery right eye since birth. How will you manage this child? Causes for watery eye in an infant 1. Overproduction of tears a. Infections b....

Unilateral central scotoma following dengue fever

12 October 2023 | | Neuro-Ophthalmology, ONLINE EXCLUSIVE ARTICLES
Case report A 16-year-old Caucasian male was referred to the eye casualty at Nottingham University Hospitals NHS Trust by the infectious diseases unit in September 2013. He gave a history of photophobia, pain on eye movements and central blurred vision...