12-month Safety and Efficacy Outcomes of a Standalone Trabecular Bypass Device.

Purpose: To analyze the outcomes of the iStent inject in a real-world clinical setting as a standalone procedure to lower intraocular pressure (IOP) in open-angle glaucoma.

Materials And Methods: Patients with open-angle glaucoma having undergone iStent inject insertion without concurrent cataract extraction were included in this multicenter observational real-world study in Australia. Patient data was entered into the Fight Glaucoma Blindness! Registry.

Impact of COVID-19 pandemic on ophthalmic presentations to an Australian outer metropolitan and rural emergency department: a retrospective comparative study.

Background: To analyse ophthalmic presentations to an outer metropolitan and a rural emergency department (ED) during the first wave of the COVID-19 pandemic in New South Wales (NSW), Australia.

Methods: A retrospective comparative study of ophthalmic emergency presentations to Campbelltown Hospital (fifth busiest NSW metropolitan ED; population 310,000) and Bowral and District Hospital (rural ED; population 48,000) before and during COVID-19 was conducted. Patient demographics, triage category, referral source, diagnosis, length of stay, departure status, and follow-up location were assessed from coding data between March 1st to May 31st in 2019 and 2020, corresponding to the peak case numbers and restrictions during the first wave of the COVID-19 pandemic in NSW.

Juggling with theory, evidence, practice, and real-world circumstances: Development of a complex community intervention to increase physical activity in inactive adults aged 50 years and older - The Move for Life Study.

Despite well-known benefits of physical activity, in Ireland only 38 % of older adults are sufficiently active. Behavioural interventions are rarely developed systematically and, when reported, inadequate description often becomes a barrier for subsequent replication and scalability. In this article, we describe the development and characteristics of Move for Life, an intervention to reach and help inactive adults aged 50 years and older increase their physical activity.

An evaluation of an intervention designed to help inactive adults become more active with a peer mentoring component: a protocol for a cluster randomised feasibility trial of the Move for Life programme.

Background: There is overwhelming evidence to support the promotion of physical activity in adults in terms of benefits to well-being, physical and mental health. Physical activity guidelines suggest that adults should accumulate at least 150 min of moderate to vigorous physical activity per week. In Ireland, the majority of adults do not achieve these guidelines, with costs to health and economy.

Bilateral benign lymphoid hyperplasia of the conjunctiva in a paediatric patient.

A 14-year-old boy presented with a 6-month history of bilateral slowly enlarging conjunctival lesions. There was no associated ocular or systemic symptomatology. Examination revealed bilateral salmon-coloured nodular lesions of the bulbar conjunctiva.

Accuracy of the Tonosafe disposable tonometer head compared to the Goldmann tonometer alone.

Purpose: To assess the accuracy of the Tonosafe disposable prism tonometer head via a randomised controlled prospective trial.

Methods: The intraocular pressure (IOP) of 69 patients (31 men, 38 women) involving 137 eyes was measured using both the Tonosafe disposable and the Goldmann tono-meter head. The average age of patients was 66.

Standardization as a mechanism to improve safety in health care.

Background: A growing body of literature shows that when patterns of care are widely divergent, clinical outcomes suffer and, as a result, safety may be compromised. A multispecialty group at Luther Midelfort, Mayo Health System (LM, MHS) initiated efforts to reduce variance in the clinical practice patterns of providers. The pilot initiative, which entailed standardization of a sliding-scale insulin protocol, served as a template throughout the LM, MHS for reducing variance and enhancing safety.

Agreement in assessing glaucomatous discs in a clinical teaching setting with stereoscopic disc photographs, planimetry, and laser scanning tomography.

Purpose: Agreement between three observers--two recently trained fellows and their supervisor--was measured using estimations of cup/disc ratio from stereoscopic optic nerve head photographs and planimetric measurements of cup/disc ratio. Agreement between the clinicians' planimetric measurements of cup/disc ratio and laser scanning tomographic measurements of cup/disc ratio also was assessed.

Methods: From 16 stereoscopic optic nerve head photographs of 16 subjects, the three observers performed clinical estimations of horizontal and vertical cup/disc ratios and planimetric measurements of cup/disc ratios.

Glaucoma laser suture lysis.

Aim: Suture lysis is commonly performed after trabeculectomy to improve bleb function. It is often thought to be an innocuous procedure. This is the first large study to determine the safety of the procedure and compare results with a control group.

Accommodation and iridotomy in the pigment dispersion syndrome.

Background And Objective: Iris concavity has been noted in pigment dispersion syndrome, and could have a role in producing iris-zonule contact. Iris concavity is most likely caused by a relative increase in anterior chamber pressure. The method by which this occurs remains speculative.

Haemophilus aphrophilus bleb infection after a mitomycin trabeculectomy.

Background: Haemophilus aphrophilus is a rare cause of ocular infection. It has been reported once as a cause of late-onset endophthalmitis in a patient with an inadvertent bleb after cataract surgery. We present a case of Haemophilus aphrophilus bleb infection after a mitomycin trabeculectomy.

Ciliochoroidal detachment after aqueous suppressant therapy.

A 78-year-old white man with vascular disease developed ocular hypotony, bullous ciliochoroidal detachments, and suprachoroidal haemorrhage, secondary to medical treatment with acetazolamide and betaxolol, which resolved on withdrawal of these medications. This phenomenon does not appear to have been described in patients without prior intraocular surgery. It is likely that a compromised ciliary vasculature may result in increased sensitivity to aqueous suppressants, leading to profound hypotony, choroidal detachments, and haemorrhage.

Ultrasound biomicroscopic features of spherophakia.

Background: Spherophakia is an uncommon diagnosis. This is the first case report of spherophakia evaluated by ultrasound biomicroscopy.

Methods: Ultrasound biomicroscopy is a new diagnostic technique developed by one of the authors and provides images with microscopic resolution of the anterior segment.

Intralenticular foreign bodies: case reports and surgical review.

Management of intralenticular foreign bodies (ILFBs) is controversial. Correlation between visual outcome, foreign body characteristics, the need for surgical intervention, and the choice of surgical technique are not well established. We report five cases of traumatic ILFBs all managed surgically.

Ultrasound biomicroscopic imaging of the effects of YAG laser cycloablation in postmortem eyes and living patients.

Purpose: The authors performed a series of experiments designed to determine if early effects of YAG laser cycloablation could be detected by ultrasound biomicroscopy in postmortem eyes and living patients. They also designed an apparatus that allowed simultaneous ultrasound biomicroscopic imaging of YAG laser cycloablation.

Methods: Treated and untreated regions of postmortem eyes treated with YAG cycloablation were imaged and compared.

Ultrasound biomicroscopic features of pigmentary glaucoma.

We have developed a device capable of producing subsurface images in eyes at microscopic resolution. We call this method "ultrasound biomicroscopy." We examined 19 patients with pigmentary glaucoma or pigmentary dispersion syndrome using ultrasound biomicroscopy.

Superior sagittal sinus thrombosis--an unexpected cause of papilloedema.

Two patients with superior sagittal sinus thrombosis are reported. Papilloedema was an important diagnostic sign in both cases. Magnetic resonance imaging (MRI) provided the diagnosis in each case and proved to be the investigation of choice.