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234 results found

Acetylcholine receptor antibodies in the diagnosis of ocular myasthenia gravis at the Manchester Royal Eye Hospital

Myasthenia gravis (MG) is the commonest autoimmune condition to affect the neuromuscular junction. In the UK, its prevalence is 15 per 10,000 [1,2] and recent studies have shown that rates are steadily increasing [3,4]. Aims of this audit The aim...

The PMFA Journal - October/November 2018 issue available

FEATURES IN THIS ISSUE: A practical guide to the most commonly used dressings in wound care by Sotirios Foutsizoglou. / Raising the bar for safer cosmetic surgery in the UK - part 2 by James D Frame. AND SO MUCH MORE...

The PMFA Journal - April/May 2019 issue available

FEATURES IN THIS ISSUE: Genioplasty by Natasha Berridge and Paul Johnson. / Immediate versus delayed post mastectomy breast reconstruction by Diaa Othman, Adil Khan and Mumahhad Riaz. / Laser tattoo removal by Dana Alessa and Eric F Bernstein. AND MUCH MORE...

Long-term treatment of blepharospasm using Botulinum Toxin A

The authors report findings from a retrospective single-centre study which aimed to evaluate the efficacy and safety of long-term botulinum A toxin (BAT) treatment in patients with blepharospasm (BPS). Blepharospasm is described as one of the most frequent types of...

Adjustment under topical anaesthesia in children

This is a study of 19 cases of strabismus surgery using topical aesthetic and intraoperative adjustment in selected children. The study included 14 males and five females with mean age of 12.68 ±2.5 years (range 8-16). Five were esotropia and...

Managing a patient with ptosis

A 50-year-old male patient is referred from the Accident & Emergency department with a history of ptosis. How will you manage this patient? Mr Bertie Fernando Clinical management Clinical management starts with a sound clinical history. Current history The history...

Myasthenia gravis presenting with isolated ptosis: a poorly studied subgroup

Investigation into the cause of one isolated symptom or sign can be challenging if that particular sign may be caused by a variety of pathological processes, affecting different tissues, and presenting to different specialties. Unilateral ptosis is a case in...

Les Misérables

I recently had the signal pleasure of undergoing Part 2 of the FRCOphth exit exam and could not help but wonder at how examiners could on the whole be easily categorised into certain subtypes which readers may find fascinating. This...

Anisometropia following cataract surgery and its non-surgical treatment

The desired result of cataract surgery is improved visual acuity without the use of spectacles. In practice most patients following initial cataract extraction are likely to be symptomatic of anisometropia giving rise to prismatic effects (anisophoria) and unequal retinal image...

Reducing postop nausea and vomiting

This study adopted an aggressive prophylactic anti postoperative nausea and vomiting (PONV) regime with retrospective review of patient outcomes. Of 794 adult strabismus procedures, 31 (4%) had PONV. Median post-anaesthetic recovery was 45 minutes. Prolonged recovery was associated with long-term...

BT for cyclic esotropia

This paper describes two patients with childhood cyclic esotropia treated with botulinum toxin (BT) and followed for eight and nine years. Onset was at two and four years of age. BT was injected under electromyography (EMG) guidance bilaterally to medial...

Essentials of OCT in Ocular Disease

Sir Isaac Newton was the first to establish the technique of low coherence white light interferometry. Following on from this, the principle of laser interferometry as an imaging modality for retina was applied by David Huang and his associates in...