Zonular dialysis and cataract surgery: results from a UK tertiary eye care referral centre.

Objective: Zonular dialysis (ZD), referred to as the presence of a deficient zonular support for the lenticular capsule, might be the result of several causes and be detected only at the time of cataract surgery. The aim of this study was to evaluate pre-, intra-, and postoperative features of eyes with ZD regardless of the etiology detected during cataract surgery.

Methods: A single-centre retrospective observational cohort study was performed at Moorfields Eye Hospital (NHS Foundation Trust, London, U.

Thygeson's superficial punctate keratitis.

Purpose: Thygeson's superficial punctate keratitis (TSPK) is a chronic and recurrent corneal epitheliopathy. Although first described more than 70 years ago, the precise etiological mechanism and optimal treatment approach for TSPK has not been established. In this paper, we present an up-to date review of the literature and propose a step-by-step management protocol.

Management of giant fornix syndrome with irrigation with povidone-iodine.

Giant fornix syndrome (GFS) was first described as a cause for a relapsing mucopurulent conjunctivitis. Predominantly elderly patients have enlarged superior fornices from superior aponeurosis dehiscence that permits the accumulation of protein coagulum that is colonised by bacteria. Established treatment includes the use of intensive topical antibiotic and corticosteroid.

Acute Glaucoma Following Cyanoacrylate Glue Patch for Corneal Perforation.

Purpose: To describe a case of acute glaucoma after cyanoacrylate gluing for a nontraumatic central corneal perforation.

Methods: A 55-year-old woman with history of rheumatoid arthritis and severe dry eye presented to emergency with a right central corneal perforation. She was treated successfully with the use cyanoacrylate glue patch but iridocorneal adhesions remained.

Small optical zones with aspheric profiles in laser refractive surgery for myopia: a surgical outcome and patient satisfaction study.

Purpose: To assess the outcomes of small optical zone (OZ) ablations used in conjunction with large transition zones (TZ) and a highly aspheric treatment profile.

Methods: Interventional case series of 39 consecutive patients with myopia or myopic astigmatism. Patient data included pre and postoperative refraction and visual acuities, laser treatment settings and pre and postoperative corneal topography as well as questionnaire responses about the use of glasses and the quality of vision postoperatively.

Comparison of two ophthalmoscopes for direct ophthalmoscopy.

Background: To measure the ease of use and performance of the Optyse lens-free ophthalmoscope compared with the standard Keeler pocket ophthalmoscope, and to assess its suitability as an inexpensive ophthalmoscope for medical students.

Design: Randomized cross-over study.

Participants: Twenty second-year medical students, 10 as ophthalmoscopists ('observers') and 10 as 'patients'.