Telemedicine in Oculoplastics: The Real-Life Application of Video Consultation Clinics.

Purpose: Our oculoplastic service piloted a new video consultation (VC) clinic in response to the COVID-19 pandemic. Data were collected to determine whether specific patients are better suited to VC, and to quantify the true benefit of VC in patients that successfully attended.

Methods: Data were collected prospectively on predetermined data collection forms, including consultation duration, diagnosis, management plan, and issues that arose.

The intraoperative use of polydioxanone foil to reduce the risk of sino-orbital fistula formation in orbital exenteration.

Background: Orbital exenteration is a radical surgical procedure resulting in deformity. It involves removal of the globe, optic nerve, extra-ocular muscles, orbital fat, lacrimal gland, and peri-osteum. Sino-orbital fistula (SOF) formation is a common documented post-operative complication, usually connecting the orbit and the ethmoid sinus.

Educational report: A case of lacrimal sac rhinosporidiosis.

This article reports a presentation of lacrimal sac rhinosporidiosis and informs the reader of this uncommon but important diagnosis. A 36-year-old man from Pakistan presented with a 3-month history of swelling at the nasal aspect of the left lower lid. This was associated with occasional crepitus and slight localised discomfort, but no epiphora.

A bundle improves eye care in PICU.

Background: Intensive care patients are susceptible to developing painful corneal epithelial deficits. Provision of eye care to prevent deficits was limited in our paediatric intensive care unit (PICU) population.

Interventions: A new eye care bundle was introduced, comprising a guideline for eye care, the addition of eye lubricants to the electronic prescribing order set for new admissions to PICU and staff education on the importance of eye care.

Visual outcomes following orbital biopsy.

Background: The risks of orbital biopsy depend on the lesion's location and relationship with surrounding structures. Complications include reduced vision, although visual outcomes following orbital biopsy are not widely reported.

Aims: To determine visual outcomes following orbital biopsy in Gartnavel General Hospital's Oculoplastic and Oncology Service.

Combined amniotic membrane transplant and anterior stromal puncture in painful bullous keratopathy: clinical outcome and confocal microscopy.

Objective: To report the outcomes of anterior stromal micropuncture (ASP) combined with amniotic membrane transplantation (AMT) in the management of painful bullous keratopathy (BK) with poor visual potential, and to assess amniotic membrane (AM) retention.

Design: Case series, retrospective review.

Participants: Twelve eyes of 12 patients with BK causing intractable pain or discomfort and poor visual potential, treated between March 2006 and October 2008 at Gartnavel General Hospital, Glasgow.

Inferior oblique recession: an efficient technique.

Introduction: We describe a novel, simple, rapid technique for inferior oblique recession.

Method: Access to the muscle is gained through a peripheral radial conjunctival incision midway between the lateral and inferior recti. The anterior edge of the inferior oblique muscle is identified coursing parallel to the limbus on the undersurface of Tenon's capsule, at the apex of the exposure.

Dorsal midbrain syndrome with loss of motor fusion: a rare association.

Introduction: Dorsal midbrain syndrome (DMS) is characterized by upgaze paralysis, convergence-retraction nystagmus, and eyelid retraction. Impaired downgaze and pupillary light-near dissociation may co-exist, while less common features including exotropia and convergence paralysis have also been described. However, loss of motor fusion is not a well recognised finding in DMS.

Systemic cyclosporin A in severe atopic keratoconjunctivitis.

Purpose: Severe atopic keratoconjunctivitis (AKC) is associated with atopic dermatitis and is often refractory to topical treatment and potentially blinding. Because T lymphocytes are central in the pathogenesis of these diseases, systemic cyclosporin A (CSA) should treat both dermatologic and ocular manifestations. We describe the successful treatment of 8 patients with severe AKC, resistant to conventional management, with systemic CSA.

Retinal arteriolar macroaneurysms and central retinal vein occlusion in a patient with complete pulmonary atresia.

Purpose: Retinopathy in cyanotic heart disease arises due to hypoxia and polycythaemia. We report the development of central retinal vein occlusion, and two arteriolar macroaneurysms in a normotensive patient with polycythaemia secondary to complete pulmonary atresia.

Method: A 44-year-old woman with polycythaemia secondary to complete pulmonary atresia, presented with unilateral reduced vision of hand movements in the right eye.

Excision of granulation tissue and free conjunctival autograft in the management of necrotizing scleritis.

Purpose: To describe a novel use of conjunctival autograft in the management of surgically induced scleral necrosis that occurred after squint surgery.

Methods: Interventional case report.

Results: A 22-year-old man underwent bilateral adjustable squint surgery.

Bilateral full thickness macular holes in association with serpiginous choroiditis.

Purpose: To report serpiginous choroiditis associated with full thickness macular holes (FTMH).

Design: Interventional case report.

Methods: A 58-year-old female with bilateral serpiginous choroiditis developed right-sided blurred vision and metamorphopsia.

Sequential leukemic infiltration and human herpesvirus optic neuropathy in acute lymphoblastic leukemia.

Leukemic infiltration is a common cause of optic disk swelling in a patient with acute lymphoblastic leukemia (ALL). Recurrence of optic disk swelling in a patient with previous leukemic infiltration carries a grave prognosis when it is associated with recurrent central nervous system disease. We report a case of recurrent swelling of an optic disk in a patient with T-cell ALL who had previously been treated for CNS relapse with optic nerve involvement.

An arteriovenous malformation masquerading as a carotid-cavernous sinus fistula.

Purpose: To describe a case of an occipital arteriovenous malformation (AVM) presenting with unilateral signs mimicking a carotid-cavernous sinus fistula (CCF).

Design: Interventional case report.

Methods: A 67-year-old normotensive male presented with loss of vision, pain, and proptosis of the right eye.