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The power of the full blood count
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...Caring for adults with an ocular tumour
Detection If you screen for an intraocular tumour, dilate the pupil. If the patient is driving, use phenylephrine only. If the patient declines, document this in the casenotes. Don’t forget to look for sentinel vessels, which would indicate a ciliary...
Exotropia symptoms
The aim of this study was to evaluate clinical preoperative symptoms and changes to these postoperatively in patients with exotropia. A non-validated questionnaire with 15 questions was used: three subscales including stereopsis (five questions), ocular fatigue (five questions) and cosmetic...
Retinoblastoma in older children
Retinoblastoma is the most common ophthalmic malignancy in childhood and over 90% are diagnosed before the age of five years. It is not often suspected in older children given its rarity and unusual clinical findings which complicates the diagnosis. The...Optic nerve swelling – your survival guide (part 1)
Assessment of optic nerve appearance and functions is a daily routine in neuro-ophthalmology. Following a recent high profile court case there has been a significant increase in the amount of referral to ophthalmology departments to assess the optic nerve and...
Stroke-vision symptoms
The purpose of this study was to investigate the frequency and type of visual symptoms following stroke and evaluate what certain factors were associated with the absence of visual symptoms. This was a prospective, multi-centre, observation cohort study with 915...
Use of acetazolamide for symptoms of visual vertigo
Visual vertigo is a disorder characterised by symptoms of dizziness, vertigo, unsteadiness, disorientation and general discomfort induced by visual triggers. It is currently treated with vestibular rehabilitation therapy, with no effective pharmacotherapy options available for treatment resistant case. Oral acetazolamide...Patient changes eye colour permanently and has brighter and whiter looking eyes
In this new series, Simerdip Kaur takes a look at the latest ophthalmology-related news stories and asks which are scientific reality and which are ‘fake news’. Headline: Patient changes eye colour permanently and has brighter and whiter looking eyes If...SOS (Simplified Ophthalmic Statistics) Part 4: How to present your statistical analysis
This is the last in this series of short guides which we hope provide some guidance in relation to statistical issues researchers may encounter when conducting research, audit or indeed quality improvement projects. Here we focus on an issue that...Sensitive cilia – eyelashes in health and disease
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...
Reported cases of hemifield slide phenomenon
This article reports three cases of hemifield slide, a phenomenon whereby there is an inability to stabilise and fuse visual hemifields. It occurs with heteronymous visual field loss and is thought to result from the loss of corresponding retinal points....
