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Subconjunctival anaesthesia in vitreoretinal surgery
The authors present a technique that combines topical and subconjunctival anaesthesia for vitreoretinal surgery. In this ‘two-step’ procedure, three drops of proparacaine were applied to the conjunctival fornix, followed by subconjunctival lidocaine injected in three quadrants. This was compared with...
Phacoemulsification Cataract Surgery
The book, through a ‘rear-ended’ approach to training, covers basic and fundamental skills for the novice ophthalmic surgeon embarking on phacoemulsification cataract surgery. As the preface states, this is a ‘key surgical technique for an ophthalmologist to learn’. However, achieving...Cataract surgery in uveitis patients
Cataract formation is a common complication of uveitis, causing up to 40% of vision loss in these patients. Cataract results from inflammation +/- corticosteroid therapy and is usually posterior subcapsular, but a small proportion have a rapid increase in nuclear...
Aspirin and upper lid surgery
This is a double-blind randomised controlled trial of preoperative aspirin versus placebo in patients undergoing upper lid blepharoplasty or ptosis surgery. All enrolled patients were already taking aspirin and no other anti-platelet or anticoagulant drugs. All patients either had no...Cataract surgery supervision
Senior trainees supervising other more junior trainees’ cataract surgery is a skill which needs to be taught and developed with care. It is beneficial for senior trainees as it provides an opportunity to develop supervision techniques prior to consultancy and...
Repeated ptosis surgery
The purpose of this study was to evaluate the amounts of surgery for the treatment of residual or recurrent simple congenital ptosis and to investigate the relationship between long-term surgical success rates with clinical and surgical factors. This was a...
MISS vs. conventional surgery
This was a prospective randomised parallel arm design study for 40 patients. Group 1 consisted of conventional strabismus surgery using the limbal approach and group 2 consisted of minimally invasive strabismus surgery (MISS). Mean age was 21.1±2.73 years for MISS...Advances in cataract surgery
This article covers recent clinical findings in mydriasis and anaesthesia for cataract surgery, shared by Sathish Srinivasan and Keith Davey at a surgical meeting in Manchester. Towards dropless cataract surgery Day case cataract surgery is the standard of care in...
Topical anaesthetic strabismus surgery
This prospective observation study was undertaken with 16 symptomatic diplopia patients (15 male, one female) from various causes. All underwent single stage adjustable strabismus surgery (SSASS) under topical anaesthesia. Mean age was 28.12 years (range 19-65) and all had a...Nanosecond laser cataract surgery
The authors review the evidence for nanosecond laser cataract surgery: is this the future? Cataract is a leading cause of visual impairment worldwide, and cataract surgery is one of the most successful and cost-effective healthcare interventions, with a great impact...
Brown’s syndrome surgery
Complications of surgery for Brown syndrome include under correction, extrusion of expanders and training for surgery. The authors introduced a procedure with minimal side-effects, accompanied by the application of the native tendon for superior oblique elongation. This was a prospective...
