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Aug/Sep 2015 Quiz 1
History A 60-year-old woman was referred to ophthalmology with a suspected left eye choroidal naevus. Visual acuity was unaffected in both eyes and she was asymptomatic. Ocular history and medical history were unremarkable. Questions Figure 1: Fundus photograph. 1. What...
Monofixation syndrome following cataract extraction
This study aimed to test the hypothesis that interruption of macular fusion for an extended period of time is the key event that results in the development of monofixation syndrome in children and adults. This was a retrospective review of...Aug/Sep 2014 Quiz 2
History A 27-year-old man presented to the emergency department with blurred vision and central scotoma in the right eye (RE) over the previous weeks. He had no relevant medical history and he was not on any current medication. However, he...
Efficacy and safety of intravitreal aflibercept injection in wet age-related macular degeneration
This is a sub-group study of double masked review of patients randomised to different dosages and treatment frequency compared between aflibercept and ranibizumab treatment. This is to evaluate the efficacy and safety of intravitreal aflibercept (IVT-AFL) in Japanese patients with...
Biopsy of nasolacrimal duct using sheath guided dacryoendoscopy
In this study the author’s biopsied six eyes of five individuals with recurrent nasolacrimal duct obstruction following a prior dacryoendoscopic probing. All procedures were performed under local anaesthetic, the obstruction or lesion was directly visualised with dacryoendoscope and biopsy was...White dot syndromes
It is fair to say that trainees and consultants who are not medical retina specialists are a bit scared of the so called retinal ‘white dot syndromes’. It is easy to understand why this is the case, as almost every...Upper eyelid ulceration as a presenting sign of frontal sinus mucocele
Introduction A sinus mucocele is an epithelium-lined sac filled with mucus and desquamated epithelium. It forms secondary to inflammatory processes that occur in a sinus with an obstructed ostium. Predisposing conditions include previous trauma, surgery, tumours, anatomical abnormalities, and chronic...Thousands of retired staff return to the NHS
More than a third of nurses who retired two years ago had returned to practice 12 months later, according to new NHS England figures.
Reflections of a Pupil: What Your Med School and Ophthalmology Textbooks Can’t Teach You (But What Your Mentors, Colleagues and Patients Will)
Reflections of a Pupil is a thought-provoking collection of anecdotes, clinical pearls and life lessons written by Ophthalmologist R Rishi Gupta. While ophthalmologists have a seemingly endless collection of textbooks to choose from to build their knowledge, this book offers...Jun/Jul 2017 Quiz
History A 57-year-old female patient presented with gradual painless diplopia over the last six months. Examination revealed restricted upward eye movements and 4mm proptosis which did not increase with Valsalva manoeuvre. Intraocular pressure was normal, no visual defects were noted,...
Complications of orbital cavernous venous malformation excision
This is a review of 290 patients who underwent excision of orbital cavernous venous malformations (OCVM) between 1970 and 2021, looking to identify the risk factors for a poor visual outcome following surgery. Intraconal lesions were classified as Group I,...
