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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 12 – ISSUE 2 – WINTER 2018

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Foreword

  Welcome to the latest edition of European Ophthalmic Review. The past year has seen an impressive number of new approvals of ophthalmic drugs and devices, and 2019 promises further advances that change the way we practice though new drugs and technologies that will improve our patients’ lives. We begin with an editorial from Noel […]

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Editorial

Ocular residual astigmatism The initial step of planning any refractive laser treatment that requires correction of astigmatism is to calculate the difference in magnitude and axes between the refractive cylinder at the corneal plane, and the corneal astigmatism – that is the vectorial difference. This has been defined as the ocular residual astigmatism (ORA) and […]

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Brief Report

Glaucoma is a chronic disease that affects the optic nerve and it is often accompanied by an increase in intraocular pressure (IOP). The disease affects both men and women and is more common in those aged over 40 years. Glaucoma, if left untreated, can lead to an important reduction of vision and to blindness: the […]

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Reviews

Diabetic macular oedema (DMO) is a complication of diabetic retinopathy, a microvascular ocular complication of diabetes mellitus.1 The blood–retinal barrier (BRB) is a specialised structure, which tightly regulates, maintains and balances the levels of electrolytes, protein and fluid in the retinal tissues – a function that is central to the maintenance of normal visual acuity […]

Initially described by Sugar and Cairns in the early 1960s, traditional trabeculectomy was associated with a significant risk of complications, such as persistent hypotony, bleb-related problems and sight-threatening infection.1,2 Since then, and motivated by the need to reduce the number of complications and surgical failure rates, trabeculectomy technique has evolved in order to minimise associated […]

The number of people living with chronic conditions is rapidly growing, increasing pressure on healthcare providers. In England, for example, it is estimated that long-term conditions account for 70% of total health and social care spending.1 Given that the average age of European populations is increasing and that for many diseases treatment costs are escalating, […]

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Original Research

Oculoplastic surgeons are often faced with the diagnostic dilemma of abnormal tissues within the orbit and adnexal structures. In many cases, the associated signs, symptoms and radiological appearances allow a tentative differential diagnosis to be formulated. However, most often, diagnostic dilemma prevails, leading to frequent surgical intervention in the form of tissue biopsy for diagnostic, […]

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