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Lean concept implementation process to improve clinic efficiency

The authors adopted a Lean concept to improve patient wait times, delays, clinic inefficiencies and patient satisfaction. They report the outcomes of implementation in this paper. Visit time, and patient and staff movements during patient examinations were mapped. Patient examinations...

Avoiding prominent facial features during perimetry

The authors present a case series including six healthy participants prospectively recruited. All participants had no ocular pathology. The assessment included identification of their dominant eye for use in testing. A 60-4 SITA standard visual field assessment was completed in...

Optical Coherence Tomography: A Clinical and Technical Update

This book is a comprehensive review of the clinical and scientific aspects of optical coherence tomography (OCT). The 255 pages are divided into 11 chapters, each written by a different group of authors. Part I provides viewpoints on the clinical...

Headaches in ophthalmology (part 2)

Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...

‘A space that rekindles the fire in my mind’

The end of 2024 offered us many reasons to celebrate, one of which was the eventful, annual UKISCRS conference in London, during which we saw our editor, David Lockington, step into the role of President and lead the society into...

New runners inspired by London Marathon warned to consider their eye health amid thousands of sign-ups ahead of the event

Runners and would-be runners have been urged to ensure they have considered the best options for their eyesight if they are inspired to be more active by this year’s London Marathon.

Ombudsman comments on government announcement of duty of candour review

Parliamentary and Health Service Ombudsman Rob Behrens comments on the Department of Health and Social Care's announcement about a review into duty of candour.

An unusual presentation of dysthyroid orbitopathy

The authors present a case of a 50-year-old male smoker who presented with bilateral gaze evoked amaurosis (GEA), i.e. the patient was aware of loss of vision in all gaze positions other than the primary position. The patient was being...

Bisphosphonates can cause orbital inflammation

The authors describe four patients with bisphosphonate induced orbital inflammation and review a further 25 cases in the literature. Intravenous zoledronate was the most common precipitant (76% of cases) with the mean time until onset of inflammation being three days...

Ectopia lentis management

This review discusses the management of non-traumatic ectopia lentis in the paediatric population focussing on the variety of surgical options for these patients. The review considers visual sequelae and conservative management, limitations for surgery with respect to historical and current...

Hyphema after trabeculectomy with MMC

The authors retrospectively reviewed the medical records of consecutive patients with glaucoma who underwent trabeculectomy with mitomycin C between June 2005 and December 2010 to determine the risk factors for hyphema after surgery. Of the 420 patients, 104 (24.8%) had...

Bacterial keratitis through the window of the known unknowns

This review article provides an up-to-date summary of current challenges in research and management of bacterial keratitis. The authors highlight that there is no current agreement on the criteria that should define bacterial keratitis; the role of investigation is unclear,...