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Informed consent – the Brexit test

The Medical Defence Union (MDU) runs courses on various medicolegal topics. I would guess people only ever attend these courses if they have an exam or an interview approaching as the subject matter is exceedingly dry for clinicians. I myself...

The Irlen Experience

My father used to say that humanity is divided into those that see the world through a moral framework and recognise their place within it, and Tories. When a concerned mother came to the paediatric clinic bearing literature from the...

Periorbital and subconjunctival emphysema - a sign of orbital rim fracture

Background Orbital emphysema is a condition where air is present in orbit or periorbital tissues [1]. It is most commonly caused by trauma leading to orbit fracture, where air from paranasal sinuses is allowed to enter the orbit. The most...

The writer: publishing my first book as a trainee

Medicine is very hierarchical. Indeed, Hippocrates himself laid the foundation of the apprenticeship that is medical training and while it is the noble duty of the boss to pass on information and ask for tasks to be undertaken as a...

Ophthalmology Specialty Training 2024: What's different?

The 2024 intake for ophthalmology specialty training (OST) has undergone several significant changes in its approach towards candidate selection and assessment. This article provides a comparative analysis, detailing these new measures and comparing them against the previous year's standards. Our...

Working smarter not harder: How to transform eyecare delivery in the United Kingdom (part 1)

Are we doing enough to meet the current demands on ophthalmic services? In part one of a two-part series (see Part 2 here), Rosalind Harrison takes a look at how efficiency has been improved in eyecare services in the US....

Where are they now?

The Eye News and University of Edinburgh teams last met up with Zomba-based Dr Chinsisi Namate Nyirenda, in Glasgow, May 2022, when she was a member of The Ophthalmological Society of Malawi’s delegation to the Royal College of Ophthalmologists Annual...

Neuro-ophthalmology: the extended role of an orthoptist

Neuro-ophthalmology has always been a speciality of interest during my studies and now in my career. In 2018, I started a Band 7 post which gave me an extended role in neuro-ophthalmology and the responsibility of developing an orthoptic led...

What intentional eyecare looks like: Lessons from Aravind Eye Hospital

Jet-lagged, following 24 hours of travel from Boston, sweat rolled down my forehead only to return moments after I had wiped it away. Even the English signs seemed suddenly indecipherable in the humid midday heat of Pondicherry, India. I’ll never...

Applying for ophthalmology ST1 in 2026: What’s new?

Competition for ophthalmology ST1 has intensified steadily over recent cycles, rising from ~9:1 (2022) to ~10:1 (2023), ~14:1 (2024) and ~22:1 (2025) [1]. Against this background, applicants benefit from a structured approach: mapping achievements to portfolio domains early, identifying gaps...

One bottle, many eyes: The hidden dangers of sharing eyedrops in the community

We report a case of unilateral mydriasis in a female patient referred by her general practitioner (GP) with a dilated and sluggish left pupil, likely caused by the accidental use of her husband’s prescription eyedrops. This case highlights the importance...

House of cards

When I was a junior doctor in the late 1990s writing my first scientific papers, once each article was finished, I had to fill out an application form, print out multiple copies and then walk to the post office at...