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What not to miss in neuro-ophthalmology Part 2

1 August 2018 | Neuro-Ophthalmology
As mentioned previously there are several conditions in neuro-ophthalmology that should not be missed by the general ophthalmologist as well as ophthalmology trainees. We discussed in the first part some of these conditions including third cranial nerve palsies, giant cell...

What not to miss in neuro-ophthalmology Part 1

1 April 2018 | Neuro-Ophthalmology
Neuro-ophthalmology is a complex and difficult subspecialty in ophthalmology. It has several connections to neurology, neuro-surgery, rheumatology as well as many other medical specialties. Working in an multidisciplinary team (MDT) environment is key to success in this subspecialty as mistakes...

Oculogyric crisis with B12 deficiency

1 June 2022 | | Ophthalmology, Neuro-Ophthalmology, Imaging
An oculogyric crisis (OGC) is a dystonic movement disorder of the eyes which can last from seconds to hours. Although there is no published diagnostic criteria for OGC, typically the onset is acute, and it is characterised by conjugate upward...

A case of ‘60-day glaucoma’

3 April 2023 | | Ophthalmology
Neovascular glaucoma (NVG) has been called ‘90-’ or ‘100-day glaucoma’ in the past due to its typical development three months after the onset of central retinal vein occlusion (CRVO). In reality, NVG can occur anywhere between two weeks and two...

Systemic sarcoidosis presenting with acute myopia and angle closure

1 June 2016 | | Cornea / External Eye Disease, Cataract and Refractive, Glaucoma, Genetics, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous, AMD, Emergency Ophthalmology
Case report A 40-year-old Asian man presented to the Emergency Department with a one day history of sudden onset visual disturbance in his right eye. He complained of image distortion and noted that objects now appeared smaller. He also described...

The results of the last survey Dec20

7 December 2020 | | Ophthalmology, Cataract and Refractive
The responses to the first question in this survey demonstrate the need for it and the significant variation in practice we see in even relatively simple management decisions. Patients are seen regularly with occludable drainage angles and listed for YAG...

Take this waltz

1 June 2016 | | Oculoplastics, Orbit
My last weekend on-call was the busiest I can remember for a very long time. We were just completely swamped with patients. The weather was not too good that Saturday and it felt like every second inhabitant of our ocean...

The approach to angle-closure glaucoma

1 October 2016 | | Glaucoma
Further to my last article in Eye News (print issue) describing the diagnostic approaches to various clinical scenarios in glaucoma, the approach to angle-closure glaucoma (ACG), a situation terrifying for patient and registrar alike, will be discussed. Please refer to...

Views invited on the future Special Schools Eye Care Service

10 October 2023 | optometry, AOP, Julie-Anne Little, children, NHS England, special needs, SEN Campaign
NHS England are consulting on the current model of the Special Schools Eye Care service that is live in 83 schools across England.

Sixth nerve palsy versus decompensating distance esophoria

1 August 2019 | | Ophthalmology, Neuro-Ophthalmology
Orthoptists see a wide range of conditions that can range from reduced binocular single vision (BSV) that may be solved with exercises, to more extreme neurogenic cases requiring further intervention. Because of this variety, it is important to be able...

“I can see fine. Why do I need my eyes tested?”

2 December 2019 | | Optometry
Are routine eye examinations really necessary? The author asks whether frequent appointments in low-risk patients with normal results are actually cost-effective. It’s recommended that most people should get their eyes tested every two years.” [1] This message is widely publicised...

The tragedy of the commons

3 June 2021 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, COVID-19, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
I am a big fan of the YouTube channel Extra Credits History, in which interesting historic events are explained in breathtakingly simple detail in 10 animated videos. I have watched every episode, including the ‘Early Christian Schisms’ and ‘The South...