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Rahi et al investigated the frequency of visual impairment due to undiagnosed refractive error (RE) and its associations with vision-related quality of life (VRQOL), general health, and social circumstances in a representative population of 9271 British working-age adults. 1.6% of individuals had undiagnosed RE and 37.9% had diagnosed RE. 18% of individuals with undiagnosed RE were visually impaired. Individuals with undiagnosed RE were more likely to have a manual (vs non-manual) occupation and to be separated, divorced or widowed, and were less likely to be in a social or professional organisation. Existing healthcare delivery systems should be improved so as to benefit such individuals during their working lives.

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Conjunctival autografting after pterygium excision offers low rates of recurrence. Karalezli et al randomised 50 eyes undergoing primary pterygium surgery to fibrin glue (25 eyes) or 8-0 Vicryl sutures (25 eyes) to attach the conjunctival autograft. The patients were followed up for 12 months. Two patients in the fibrin glue …

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