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Ophthalmology archive for 2017

Brexit, for richer, for poorer: prospects for post-withdrawal Britain

1 July 2017 | Rod McNeil | EYE - General

The people of the United Kingdom voted by 52% to 48% to leave the European Union (EU) in June 2016, a referendum decision intended by a slim majority to restore national self-determination and achieve what many believed to be a...

#KnowYourDrops: breaking down barriers to poor compliance

1 June 2017 | Sarah Thomas, Fiona Chiu | EYE - Glaucoma

Award-winning* #KnowYourDrops eye drop compliance campaign helps patients for World Glaucoma Week to achieve medicines optimisation in ophthalmology. The #KnowYourDrops campaign is fast becoming an internationally recognised model to help support healthcare professionals, with the provision of better tailored ophthalmic...

Image of an eye

Refraction planning in cataract: avoid creating an unhappy patient

1 June 2017 | Robert H Taylor, Roger B Ellingham | EYE - Cataract, EYE - Refractive

“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” William Osler The focus of this paper is the prevention of an unhappy patient following cataract...

Troubleshooting in LASIK

1 April 2017 | Bruce Allan | EYE - Cataract, EYE - Refractive

Contemporary laser in situ keratomileusis (LASIK) is safe and effective. It remains the dominant intervention in routine refractive surgery for a good reason: predictable results, rapid visual recovery, and relatively simple strategies for revision treatment. Over 95% of patients are...

Under pressure: a tool to aid the 
non-ophthalmic practitioner in the timely management of acute angle closure

1 April 2017 | Sajjad Abbas, Roger Humphry | EYE - Glaucoma, EYE - Neuro-ophthalmology

Acute angle closure is a true ophthalmic emergency that mandates timely diagnosis and treatment. The priority in initial management is to lower the intraocular pressure in an expeditious matter using medical treatments. The risk of irreversible glaucomatous optic neuropathy is...

Image of an eye

The International AMD Genomics Consortium study: another success in understanding the complex genetics of AMD

1 April 2017 | Valentina Cipriani | EYE - Vitreo-Retinal

Age-related macular degeneration (AMD) is a neurodegenerative complex disease of the eye and a major cause of blindness and visual impairment among the elderly worldwide. The early stages of the disease are characterised by asymptomatic pigmentary abnormalities and accumulation of...

Pituitary tumours: why are they so often missed?

1 April 2017 | James F (Barry) Cullen | EYE - Neuro-ophthalmology

Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

‘The Way Forward’ champions clinicians as architects of patient-centred service redesign

1 April 2017 | Rod McNeil | EYE - Cataract, EYE - Glaucoma, EYE - Vitreo-Retinal

The demographic time bomb poses the dilemma of how more healthcare can be delivered to the UK’s ageing population without commensurate growth in resources. The Way Forward Project provides a robust resource for clinical centres to better identify and implement...

Breakthroughs in the genetics of angle-closure glaucoma

1 April 2017 | Sancy Low, Paul J Foster (Prof) | EYE - Glaucoma

Angle closure glaucoma (ACG) is not widely known to be a familial condition, yet the recent explosion of genetic data and large scale genome wide investigations have confirmed at least 13 genetic loci associated with ACG [1], and provided some...

The structure function relationship in glaucoma

1 April 2017 | David Henson (Prof) | EYE - Glaucoma

Chronic open angle glaucoma (COAG) is the second most common cause of blindness worldwide. It is diagnosed on the basis of three clinical signs, raised intraocular pressure (IOP), visual field (VF) defects and structural changes to the optic nerve head...

Intraocular lens technology to deliver enhanced optical performance after cataract refractive surgery

1 February 2017 | Rod McNeil | EYE - Cataract, EYE - Refractive

Modern cataract surgery aims to provide patients with the best possible visual outcome with the least dependence on spectacles and minimal or no complications and to treat both cataract and refractive errors with a single procedure. Phacoemulsification is the standard...

Do steroids prevent progression to proliferative diabetic retinopathy (PDR)?

1 February 2017 | Usha Chakravarthy (Prof) | EYE - Vitreo-Retinal

There is continuing debate on the merits of pan-retinal photocoagulation (PRP) for severe pre-proliferative and proliferative DR versus the newer therapies that inhibit vascular endothelial growth factor (VEGF). This has been hotly debated [1] following the publication of findings from...

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