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How to examine the visual system Part 1: visual acuity, visual fields and eye movements

Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

COMPlog – Electronic visual lane software

COMPlog is software designed to replace physical Snellen and LogMAR charts. We have been using COMPlog since 2017 in the unit where I work. Some readers may find our experience, and reasons for choosing this product, interesting. This article is...

E-Dobson card for visual acuity

The authors assessed the utility of an electronic Dobson acuity card which can be altered for spatial frequency. Thirty-six infants and toddlers aged 5-36.7 months were recruited – equal females and males. Fourteen had high refractive error. The card is...

Prevalence of visual function impairment in congenital ptosis

This study sought to evaluate the prevalence of visual function loss in the setting of congenital ptosis. This was a retrospective study of 155 eyes of 134 patients; 72 males and 62 females. Mean age at diagnosis was 7.8 ±5.8...

Comparison of visual acuity testing in clinic versus at home

The authors present a prospective cohort study including children aged three to 12-years-old with and without ocular pathology. Visual acuity was assessed using both an M&S Smart System in clinic, using different protocols depending on the age of the child....

Importance of visual fields for detection of progression in glaucoma

Early detection of progression of glaucoma, and escalating treatment is vital to maintain vision in patients. In this paper from the Early Manifest Glaucoma Trial (EMGT) group they compared the earliest detection of progression in visual fields and monoscopic optic...

Visual recovery following Ex-Press vs. trab

The authors describe a prospective randomised study of 64 POAG subjects with controlled IOPs comparing visual acuity data in patients randomised to either Ex-Press model P50 or trabeculectomy. Visual acuities were recorded at baseline, day one, weeks one and two...

A case series of electroretinography findings in visual snow syndrome

The authors present a case series of individuals referred to an electroretinography (ERG) lab for assessment due to abnormal vision symptoms, over a two year period. Cases with visual snow syndrome (VSS) or isolated visual snow (VS) were included. All...

Do operative interventions for IIH improve visual function?

The authors of this paper reviewed patient case notes to determine visual outcome following shunt surgery for idiopathic intracranial hypertension (IIH). A retrospective case notes review was conducted for 50 patients who underwent shunt surgery for IIH. Outcome measures included...

Agreeing terminology for non-classic visual field abnormalities

The authors present a prospective survey of neuro-ophthalmologists. The survey comprised of 10 visual fields. The selection of visual fields for the survey aimed for variety and excluded classic neuro-ophthalmology visual field defects, e.g. hemianopia, nasal step. The survey was...

Visual outcomes and predictors in optic pathway glioma

This is a retrospective study of 60 paediatric optic pathway glioma (OPG) patients (NF1 or sporadic) presenting to Great Ormond Street between 2003-2017. Median follow-up was 82 months. Analysis was divided into best and worst eye vision representing level quality...

Selection of visual field test for detection of pituitary disease

This prospective cross-sectional diagnostic accuracy study compared Octopus semi-automated kinetic perimetry (SKP) and Humphrey static automated central perimetry for detection of neurological visual field loss in patients with pituitary disease. Humphrey central 30-2 SITA threshold programme results were compared with...