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Patterns of binocular diplopia in giant cell arteritis (GCA)

Giant cell arteritis (GCA) is a granulomatous vasculitis that targets medium and large sized vessels. Binocular diplopia has been reported in a small number of patients with visual manifestations of GCA. It can be caused by ischaemia in any segment...

The management of possibly progressive pterygium

A 43-year-old Sudanese male patient is referred by his GP with a fleshy lesion encroaching the nasal cornea for the last six months. History Make note of: risk factors, i.e. UV exposure and ocular irritation - history of living in...

Implications of missed foreign bodies under the upper eyelid

Children aren’t the best historians. As a result, clinicians sometimes rely on the accounts of parents regarding problems. Missed foreign bodies due to poor histories or incomplete examinations may result in irreversible loss of vision. This case report shines light...

Ocular neuromyotonia

The authors report a cohort of ten patients (nine female) with ocular neuromyotonia (ONM) for clinical signs and symptoms, treatment methods and outcome. Six had affected vertical muscles including superior oblique, inferior rectus and superior rectus. Four had affected lateral...

Mimicked tumour seeding due to asteroid hyalosis

A case report is presented of a patient with treated retinoblastoma (RB) who later developed asteroid hyalosis which mimicked tumour seeding. The case was a 37-year-old male with presenting symptoms of vitreous floaters. A unilateral RB was diagnosed at the...

Ophthalmology practice during COVID-19

The purpose of this study was to share the experiences in treating paediatric ophthalmology patients during the pandemic and to report institution guidelines. A flowchart was devised for telephone triage and subsequent follow-up of patients through telemedicine or face to...

Pioneering Moorfields and Guy’s and St Thomas’ study tackles visual snow

A new study by a team from Moorfields Eye Hospital and Guy’s and St Thomas’ will examine the role of mindfulness in potentially helping people who have visual snow syndrome.

An unusual presentation of dysthyroid orbitopathy

The authors present a case of a 50-year-old male smoker who presented with bilateral gaze evoked amaurosis (GEA), i.e. the patient was aware of loss of vision in all gaze positions other than the primary position. The patient was being...

Viral conjunctivitis and COVID-19

A joint statement was released by the Royal College of Ophthalmologists and College of Optometrists on 19 March.

A Case-Based Guide to Eye Pain: Perspectives from Ophthalmology and Neurology

A refreshing, systematic approach to eye pain, arguably one of the most commonly presenting symptoms and one that can be fraught with diagnostic challenges and management dilemmas for the busy clinician. There is a scarcity of books covering this particular...

Globe subluxation subsequent to long-term steroids

Globe subluxation, when the globe equator projects anterior to the orbital rim, is a serious orbital condition commonly associated with thyroid eye disease, floppy eye syndrome or a shallow orbit. The authors present a first case of a spontaneous globe...

Characteristics of bilateral retinal detachment

This was a retrospective study based at a tertiary centre which analysed the specific characteristics of bilateral Rhegmatogeous detachment, taken from the review notes of 300 patients (600 eyes) who had bilateral retinal detachment (RD) surgery between January 2005 and...