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Isolated trochlear (fourth cranial) nerve palsy in an Asian population
The authors report on 35 consecutive new cases of isolated fourth cranial nerve palsy seen over a period of six months in one neuro-ophthalmology clinic in Southeast Asia, with emphasis on their aetiology and management. We report on 35 patients...My COVID-19 songs
A portrait of Anna by Tamara Jovandic-Everson as part of #portraitsforNHSheroes. I am a consultant eye surgeon and these are my COVID songs. First of all, I have not even had time to digest the past six months, partly because...OSA wine promotion open to all 100% Optical visitors
The OSA is keen to ensure that visitors to 100% Optical engage with the broad spectrum of specialist suppliers at the three-day event, which runs from 24-26 February at Excel, London.
Distance esotropia due to excessive near work
The authors aimed to review cases with divergence insufficiency esotropia in 12 young adults associated with excessive near work. Patients were aged 28.17 ±4.06 years and had normal external, anterior / posterior segment examinations and no neurological signs. Ten had...What's trending Dec/Jan 2021
A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #threeblindmice US company Nanoscope Therapeutics has developed a new treatment which is hoped will restore vision in those affected by retinal...Typical or surprisingly uncharacteristic presentations of neuro-ophthalmic emergencies
Irrespective of geographical location or patient cohort, emergency departments are high risk locations capable of inspiring extreme anxiety and dread in patients and doctors alike. The stress multiplies when a walk-in or referred case is suspected of underlying neurological pathology....
Managing blepharophimosis
The authors present a prospective study of a one-stage technique for managing both telecanthus and ptosis seen in blepharophimosis syndrome. The technique involves carrying out a Y to V medial canthoplasty followed by a frontalis suspension which the authors carry...Insects, swelling and sight loss: a case of orbital inflammatory syndrome
Despite being the most common cause of painful orbital mass in adults and the third most common orbital disease, orbital inflammatory syndrome still proves to be a difficult ocular condition to diagnose, treat, and manage. A 41-year-old lady presented to...Pituitary tumours: why are they so often missed?
Part 3: Clinical features, assessment and management (see also Part 2, and Part 1) As previously mentioned in this treatise [1] pituitary tumours are common, occur in all age groups and can present with anything from minimal visual symptoms to...
Persistence of Ebola virus in ocular fluid during convalescence
The most recent Ebola outbreak has infected over 26,300 patients, but also resulted in the highest number of survivors in history. Uveitis has been described during the convalescent period, but Varkey and colleagues report, for the first time, finding viable...
