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A window to 2024 and beyond?

3 April 2024 | | Ophthalmology
The connection between the eye and systemic diseases has been acknowledged for millenia. Historical records suggest that ancient civilisations had some understanding of the eye’s significance beyond its primary function in vision. For instance, in ancient Egypt, the ‘Eye of...

Risk stratification to reduce intraoperative cataract surgical complications

3 June 2021 | | Cataract and Refractive | Phacoemulsification, complications, posterior capsule rupture, risk stratification
The authors prospectively collected data on 1135 consecutive patients undergoing cataract surgery. They were risk stratified according to categories – A (no additional risk factors, 0 points), B (vitrectomy, corneal scarring, small pupil less than 3mm, shallow anterior chamber less...

Secondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support

1 August 2014 | | Cataract and Refractive | Anterior chamber, Cornea, Lens and zonules, Optics and Refraction, Treatment Surgery
This retrospective, non-randomised, non-comparative, interventional study including 128 eyes of 124 patients that presented with aphakia with no capsular support. All patients consecutively underwent Artisan iris-claw intraocular lense (IOL) implantation between 1997 and 2010. The inclusion criteria were: aphakic without...

Neonatal hypoxic ischaemic encephalopathy with imaging abnormalities in the occipital lobe – how to counsel the parents

5 April 2022 | | Ophthalmology, Neuro-Ophthalmology, Imaging
Case A baby boy, with a background of intrauterine growth restriction, was born at 37 weeks and three days gestation via forceps delivery. The baby was born in poor condition, with low heart rate, poor respiratory rate, poor colour and...

A refractive surprise after vitrectomy and capsulectomy

1 February 2016 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
Figure 1: Right posterior capsule small aperture. We report a case of a pseudophakic patient who underwent vitrectomy and posterior capsulectomy. In spite of good visual acuity and absence of floaters, he was unhappy with the visual outcome. Case report...

Burning vision: vision loss from misuse of ‘toy’ laser pens in children

1 April 2014 | | Cornea / External Eye Disease
A case series of five children with macular burns due to the misuse of novelty laser products, purchased online or abroad, was undertaken at the Royal Hallamshire Hospital and The Children’s Hospital, Sheffield [1]. All patients were from the Sheffield...

Vitreomacular traction and full thickness macular hole

1 December 2017 | | Imaging, Retina / Uvea / Vitreous
Clinical scenario: A 64-year-old lady presented to the clinic with a few weeks history of sudden onset of metamorphopsia, central blur and reduced vision in her right eye. The ocular examination and ocular coherence tomography confirmed right eye focal vitreomacular...

Binocular single vision (BSV)

3 April 2023 | | Ophthalmology
Introduction In this article I will try to summarise some of the definitions, tests and assessments performed in the strabismus clinic to assess patient binocular potential. This is a key feature of strabismus assessment, especially in adults, and it will...

The paediatric cataract: an overview of the embryology and pathophysiology

5 February 2020 | | Ophthalmology, Paediatric Ophthalmology / Strabismus, Cataract and Refractive
In the first of the two articles (see Part 2 here) on paediatric cataracts, Samuel Aryee reviews the aetiology of this condition. Cataracts arise from opacification of the natural transparent lens, which can cause partial or total blindness. Although the...

What's trending Aug/Sept 2019

1 August 2019 | | Ophthalmology, Optometry, Emergency Ophthalmology, Cornea / External Eye Disease
#puppydogeyes Who can resist a pair of puppy dog eyes? It may be that no human can! A team of researchers discovered that dogs acquired a new forehead muscle, which is scanty or absent in wolves. This muscle is the...

Neurofibromatosis type 2 – diagnosis, features and MDT approach

1 December 2021 | | Ophthalmology, Orbit, Retina / Uvea / Vitreous, Cataract and Refractive
NF2 is a genetic condition caused by mutation in a single gene (NF2 gene) on chromosome 22. The NF2 gene provides instructions to produce a protein called merlin, also known as schwannomin. This protein functions as a tumour suppressor, preventing...

Non-organic visual loss

2 December 2019 | | Ophthalmology, Neuro-Ophthalmology
Patients can present to eye departments with various signs and symptoms (mostly symptoms) with no obvious organic cause. These patients can be labelled with any of a wide range of diagnoses such as functional visual loss, functional overlay, psychosomatic reaction...