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Seven easy steps in evaluation of fourth-nerve palsy in adults
A fourth-nerve palsy is a common cause of acquired vertical diplopia in the adult. These patients typically complain of vertical diplopia and tilting (torsion) of objects. The history and exam should focus on any other neurologic signs or symptoms, recent head trauma, vasculopathic risk factors, and prior symptoms suggestive of a congenital or long-standing palsy.
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Technology continues to drive refractive procedures
Developments in refractive surgery continue and are dependent on advances in the associated technologies that drive them.
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RB, uveal melanoma research opens door for understanding other cancers
Research in retinoblastoma (RB) and uveal melanoma, two relatively rare ocular cancers, will contribute to all areas of oncology, not just ocular oncology. Discoveries concerning the mechanisms in those two cancers are shedding light on how other tumors function and may aid in the development of therapies and means of predicting metastasis, according to J. William Harbour, MD, who delivered the Cogan Lecture at the annual meeting of the Association for Research in Vision and Ophthalmology.
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Capsular tension rings a boon for dealing with weak zonules
Weak zonules can result from a number of different problems, notably, ocular trauma, aging, pseudoexfoliation, or Marfan's syndrome; however, weak zonules can also be associated with retinopathy of prematurity, prior trabeculectomy or vitrectomy, or an ultra-brunescent cataract. The availability of capsular tension rings (CTRs) is a real boon in helping surgeons deal with loose zonules.
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