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I am interested in making my ophthalmology practice sustainable, but where do I start?

5 June 2025 | | news, carbon emissions, decarbonise, sustainable, Sustainability News
I have yet to meet an ophthalmologist who does not care about a sustainable future for our planet, but the challenge lies in knowing where and how to start. Quite often, as individuals, we see ourselves less empowered when it...

Dec/Jan 2016 Quiz

1 December 2015 | EYE - Cataract, EYE - Cornea, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal, EYE - General
History A 40-year-old swimming instructor undergoes an enucleation for a blind painful eye. There is a history of soft contact lens wear. She has had a corneal abscess and corneal graft procedures in the past. Questions 1. What does this...

Third nerve palsy following cataract surgery with sub-Tenon’s anaesthesia

1 October 2014 | | EYE - Cataract, EYE - Refractive
Figure 1: Photograph showing partial ptosis of the right eye two months after surgery (photo by R McLeod). An 83-year-old lady had routine right eye cataract surgery under uncomplicated sub-Tenon’s anaesthesia. She presented two weeks later, explaining that following the...

Unilateral Single Wall Decompression of Thyroid Proptosis Following an Incidental Traumatic Injury

1 December 2013 | | EYE - Neuro-ophthalmology, EYE - General
Case report A 69-year-old female with a long history of Grave’s ophthalmopathy was under routine follow-up when it was noted during a clinic visit that the amount of proptosis and lid retraction in her right eye had remarkably reduced. A...

Anaesthetic drops abuse

5 October 2020 | | EYE - Cornea, EYE - General
A 67-year-old retired female nurse presented with persistent, bilateral, non-healing (>6 weeks) corneal ulcers and stromal ring infiltrates (Figures 1 and 2). The epithelial defects were the result of chemical burns caused by her contact lenses which had been stored...

Applanation tonometry in the pandemic era: Are facial masks an obstacle to a correct intraocular pressure measurement?

6 January 2021 | | EYE - Glaucoma, EYE - General
Current recommendations in the UK advise on wearing any facial covering to prevent the spread of the coronavirus [1]. Whilst this is vital for patient and hospital staff safety, it has led to several changes in the approach to a...

How the other half live – ophthalmology training around the world

5 August 2020 | | EYE - Cataract, EYE - Refractive, EYE - Vitreo-Retinal, EYE - Cornea, EYE - General
Ophthalmology speciality training is currently seven years in the UK without an additional fellowship. UK trainees are privileged to have a training programme that is held in high esteem across the world, but did you ever wonder what other trainees...

The ophthalmologist’s elbow: a potentially painful point of contact

1 February 2015 | | EYE - General
Three months ago I leant, in the customary manner, on the box of my indirect lens at the slit lamp to examine a patient’s fundus. An acute and severe pain in the tip of my elbow immediately interrupted me. I...

Myasthenia Gravis Masquerading as a Third Cranial Nerve Palsy

1 February 2014 |
A 65-year-old man presented with a week’s history of binocular diplopia (in all directions of gaze) and a right partial ptosis. He was systemically well. His past medical history was unremarkable except for vitiligo. At presentation acuity was 6/6 bilaterally....

Warfarin Induced Suprachoroidal Haemorrhage Presenting as Acute Angle Closure Glaucoma

1 February 2014 |
Spontaneous suprachoroidal haemorrhage is a rare but recognised entity. Anticoagulant therapy is a well known risk factor. We describe a case of warfarin induced suprachoroidal haemorrhage presenting as acute angle closure glaucoma in a patient with raised International Normalised Ratio...

Parents urged to get children checked for dry eye disease

20 April 2026 | dry eye, public health
Dry eye disease (DED) has become a feature of teenage and young adult life, rather than a condition which traditionally troubled only the middle-aged. The problem is largely unrecognised, says a leading figure in children’s vision and eyecare, Prof James...

The paradox of green: When environmental solutions lead to unintended harm

1 April 2026 | | sustainability
The global drive toward environmental sustainability is increasingly hampered not by outright denial, but by well-meaning solutions that conceal perverse incentives and unintended ecological consequences. Many popular ‘green’ measures, adopted by simplifying complex environmental challenges into easy substitutions or offsets,...