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Corneal ectatic disorders, such as keratoconus, progressively weaken corneal integrity, leading to thinning, irregular astigmatism and visual deterioration.1 Typically progressive in nature, these ectasias result in increasingly thinner corneas, causing the cornea to protrude forward into a cone shape. This leads to increasing amounts of myopia and astigmatism – both regular and irregular – as the disease […]

EUROPEAN OPHTHALMIC REVIEW – VOLUME 10 – ISSUE 1 – SUMMER 2016

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Foreword

Welcome to the latest edition of European Ophthalmic Review, which features a wide range of articles, beginning with intraocular diseases. An editorial from Rodrigues and Lim explores approaches to achieving successful outcomes and minimising complications in neovascular glaucoma surgery. Also on the subject of glaucoma, Feijoo discusses the latest advances in tonometry. Biologic targeted therapies […]

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Editorials

This last decade has seen truly significant changes in the understanding and management of uveitis, from the standardisation of diagnostic criteria that the Standardization of Uveitis Nomenclature (SUN) project has brought to the advent of novel therapeutic options that have revolutionised disease management.1,2 In this, the uveitis world is following the lead set by rheumatology […]

Rubeotic or neovascular glaucoma is an aggressive secondary glaucoma, which if untreated, rapidly progresses to permanent and devastating visual loss. First described in 1871, it has also been labelled as haemorrhagic glaucoma, thrombotic glaucoma or congestive glaucoma. It results from neovascularisation of the iris and angle structures as a result of severe, diffuse and chronic […]

Glaucoma is an optic neuropathy, and although considered a multifactorial disease, it is the level of intraocular pressure (IOP) that is the main known risk factor for development and progression. There are other risk factors that can modify the effect of IOP on the development of glaucoma, but currently the main objective of glaucoma management […]

Branch retinal vein occlusion (BRVO) represents a common retinal vascular disease, with a cumulative 15-year incidence of 1.8% in the overall population.1 With regard to its association with cardiovascular diseases (particularly arterial hypertension and ischaemic heart disease),2 the diagnosis is of major relevance. As a quick and noninvasive method, optical coherence tomography angiography (OCT-A) nowadays […]

Imaging techniques in the diagnostic field of the eye have undergone a tremendous development over the last few decades. Fluorescein angiography (FA) as one of them, has been a key tool in the diagnosis of retinal diseases such as diabetic retinopathy, age-related macular degeneration, artery or vein occlusions, vasculitis and vascular tumours of the retina. […]

Optical coherence tomography angiography (OCTA) is a relatively new diagnostic technique that is able to provide a rapid, dyeless and noninvasive three-dimensional reconstruction of perfused vessels of retina and choroid. The fundamental concept of OCTA is that in a static eye the sole moving structure is blood, flowing through retinal vessels: indeed, erythrocyte movement is […]

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Review

Diabetic macular oedema (DME) is a severe ocular complication of diabetic retinopathy (DR).1 Despite the fact that significant advances are being made in early diagnosis and treatment of patients, numbers of patients likely to develop vision loss or blindness due to DR and DME are expected to rise in parallel to the incidence of diabetes. […]

Optical coherence tomography angiography (OCTA) is a type of noninvasive angiography without a contrast agent, which provides detailed assessment of the retinal and choroidal vasculature by detecting motions of erythrocytes and visualising blood flow using serial optical coherence tomography (OCT) B-scans.1-3 OCTA is a good method for imaging the microvasculature in the diseases that affect […]

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US Ophthalmic Review Highlights

The femtosecond laser has propelled cataract surgery into a new age: with more precise capsulotomies, less need to expose the eye to ultrasound energy and a few other pearls.1But even when employing 21st century state-of-the-art technology to benefit our patients, the supreme rule from the first millenium B.C. holds as true as ever: primum nil […]

Herpetic keratitis is the most common cause of corneal blindness, and is considered to be a major indication for penetrating keratoplasty (PKP).1 Herpetic keratitis is caused by human herpes virus (HHV). Table 1 shows the herpes viruses that may cause disease in man.2–5 Certain viral infections have been eradicated by vaccination, and others are controlled […]

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