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NHS leaders must support doctors to act on new GMC guidance to challenge concerning behaviour at work

Dr John Holden responds to the publication of the revised Good Medical Practice (GMP) guidance from the General Medical Council.

My top five: Uses of artificial intelligence in ophthalmology

Artificial Intelligence (AI) has emerged as a prominent topic of discussion within the field of ophthalmology, captivating researchers and practitioners alike. Although recent attention has been drawn to the integration of AI in ophthalmology, it’s important to recognise that AI...

Positives and negatives of managing diplopia in adults with prisms

This study recruited consecutive patients prescribed prisms during a two-year period, within set criteria of a deviation up to 30 prism diopters, good fusion, willingness to wear prisms and no previous unsuccessful use of prisms. The majority of cases had...

Computer-assisted surgery in the orbit

In this paper the authors describe the growing use of computer-assisted surgery in ophthalmology. It is already described as a powerful adjunct in neurosurgery and sinus surgery and here they describe their experience of using it for the orbit; specifically...

Using a fenestration technique for partially accommodative esotropia

The authors evaluate a fenestration technique which is described as a modified sutureless hang-back recession, for cases of partially accommodative esotropia, in a prospective non-controlled cohort. Children under 10-years-old with full accommodative correction and a partially accommodative esotropia between 10...

Long-term improvement of stereopsis in intermittent refractive esotropia

This was a retrospective study to review the records of patients with refractive accommodative esotropia (RAET) to determine long-term stereoacuity (SA) improvement in those that showed initial poor or no stereopsis. The study included 79 patients; 54% male and mean...

Vertical disparity effects on horizontal fusion

This study was designed to investigate the effect of induced vertical disparity by prisms on horizontal fusional reserves at near distance. One hundred and seventy students were recruited and vertical disparity was induced by small vertical prisms of 0.5 and...

Bilateral versus unilateral recession outcomes for intermittent exotropia

The aim of this study was to compare surgical motor and sensory outcomes of unilateral versus bilateral lateral rectus recessions in children with small angle intermittent exotropia. This was a retrospective study of 55 patients; 28 bilateral and 27 unilateral...

N-T asymmetry in tracking eye movements

The current study aimed to quantify and compare the visual tracking responses of two sensory induced strabismic juvenile monkeys during monocular smooth pursuit, ocular following response and optokinetic nystagmus (OKN). Monkey 1 had esotropia and monkey 2 had exotropia. Both...

Outcomes of paediatric cataract

The authors aimed to compare the visual outcomes of primary and secondary IOL implantation and to identify the risk factors for the development of strabismus in patients with paediatric cataract. The study included 220 eyes of 148 patients: 76 unilateral...

Use of RAPDx device with optic nerve disease

The authors have previously reported on use of the RAPDx device for evaluating relative afferent pupillary defects (RAPD). RAPDx objectively determines the magnitude of RAPD by presenting light stimuli alternately to pairs of eyes with laterality. The parameters of amplitude...

Effective contrast ratio as a measure of binocular visual perception

The authors used a binocular phase combination paradigm to quantitatively evaluate and compare the binocular visual perception of normal individuals and patients with different types of strabismus to understand the binocular visual perception of patients with strabismus and evaluate whether...