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BACKGROUND Invasive fungal sinusitis is a rare condition that usually occurs in immunocompromised patients and often presents as an orbital apex syndrome. It is frequently misdiagnosed on presentation and is almost always lethal without early treatment. DESIGN Retrospective case series of 14 consecutive patients with biopsy-proven invasive fungal(More)
PURPOSE To describe the clinical, immunohistochemical and prognostic features, as well as outcomes of a large series of patients with orbital and periorbital diffuse large B-cell lymphoma (DLBCL). DESIGN This study is a multicentre, retrospective non-comparative consecutive case series. METHODS The setting for this study was institutional. A total of 37(More)
PURPOSE To compare the accuracy of biometry using conventional A-scan ultrasonography and partial coherence interferometry, and to improve the accuracy of biometry by sequential audit of postoperative refractive error. METHODS The study was performed in three phases. In phase 1, 20 consecutive patients undergoing routine phacoemulsification underwent(More)
AIMS To describe the outcomes and complications for composite eyelid grafts in a large case series over a 9-year period. METHOD A retrospective study of all patients who underwent a composite graft for eyelid reconstruction between January 2000 and May 2009. A composite eyelid graft involves the excision of a full thickness pentagonal wedge from the donor(More)
Proximal obstruction of the lacrimal drainage system is typically managed with conjunctivodacryocystorhinostomy and lacrimal bypass tubes, a technique first described in 1962 by Lester Jones. This initial approach utilizes a temporary stent to allow epithelialization of the fistula. Over the last 49 years numerous alterations to this technique have been(More)
PURPOSE To provide an up-to-date review of the clinical presentations, investigations, and management of orbital tuberculosis (OTB). METHODS Systematic review of the literature concerning OTB, limiting the results to English-language peer-reviewed journals. RESULTS Seventy-nine patients from 39 publications were identified as cases of OTB. The condition(More)
PURPOSE To assess the refractive expectations of patients having elective cataract surgery. SETTING Queen's Medical Centre, Nottingham, King's Mill Hospital, Sutton-in-Ashfield, and Kidderminster District Hospital, United Kingdom. METHODS A prospective questionnaire study of patients attending a preoperative assessment clinic for elective cataract(More)
BACKGROUND A prerequisite for safe cataract surgery is an adequately dilated pupil. The authors conducted a trial to assess the efficacy (in terms of pupil diameter) of a depot method of pre-operative pupil dilatation, as compared with repeated instillations of drops (which is time-consuming for the nursing staff and uncomfortable for the patient). (More)
The role of intubation in routine dacryocystorhinostomy (DCR) surgery is unclear, with there being little evidence in favour of this practice, which appears to have largely come about as a result of history, anecdote and the evolution of DCR surgery. In this paper, a brief history of intubation in DCR surgery is presented and the evidence base is analysed.