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Vitreomacular traction: natural course vs. vitrectomy vs. ocriplasmin

3 June 2024 | | EYE - Vitreo-Retinal
Over time, the vitreous gel completely separates from the retina in a process known as a posterior vitreous detachment (PVD). In some instances, however, the vitreous does not detach entirely and remains adherent to the macula. The term vitreomacular traction...

Ophthalmology specialty training applications: a costly affair?

23 August 2021 | | EYE - General
Ophthalmology is one of the most competitive specialties to pursue training in worldwide. In the United Kingdom, the ST1 entry national selection competition ratio for the past few years has ranged between four to five applicants per post [1]. The...

The adverse effects of COVID-19 on undergraduate ophthalmology education: An opportunity to reform ophthalmology training

11 January 2021 | | EYE - General
The steady erosion of undergraduate ophthalmology teaching, which has been acutely exacerbated by the COVID-19 crisis, has led to a lack of basic ophthalmology examining skills and knowledge amongst clinicians of other specialities. Concurrently, there has been a rise in...

How good does my vision have to be to drive this thing? Visual standards for various occupations

2 August 2022 | | EYE - General
We can all picture that moment in clinic: you are about to tell someone that they’re no longer legally able to drive, ready to deploy our ‘breaking bad news’ techniques. For some patients this may have been expected, or they...

Human factors in the operating room

3 June 2021 | | EYE - Cataract, EYE - Refractive, EYE - General
The importance of minimising human error in surgery is well established. This was initially sparked by lessons learned from the aviation industry in the 1970s after several fatal flight accidents [1]. This became a catalyst for a movement on training...

Keep calm and cut the carbon – improving sustainability in ophthalmology

7 December 2020 | | EYE - General
As I dump my tenth pair of gloves into a non-recyclable clinical waste bin; dispose of another handful of plastic minims; or print another wad of single-sided discharge paperwork after a cataract surgery, the inconvenient truth of how these seemingly...

“Herr Doktor, I can’t see but I am driving”

1 February 2018 | | EYE - Vitreo-Retinal, EYE - General
This 56-year-old lady was quite puzzling. With her own glasses and the pinhole she merely managed to see the 1.3 and 1.0 logMAR lines with her right and left eye, respectively (I am currently working in Germany again, so goodbye...

A log in the eye

1 February 2017 | | EYE - Vitreo-Retinal
"My friend wanted to show how far he could throw that log. So, he helicoptered it over his head, faster and faster and when he let go, it hit my eye at full speed,” a young lady of 19 years...

“I can’t see nothing out of that eye, you ....!”

1 February 2015 | | EYE - Imaging, EYE - Orbit, EYE - General
This is exactly the call you don’t want to receive at 11 at night. The A&E colleague phoned to inform me about a young man who was kicked several times in the face and could not see out of one...

Fusarium keratitis in a patient with alcohol dependence

1 April 2014 | | EYE - Cornea, EYE - Imaging, EYE - General
Treatment of fungal keratitis secondary to the Fusarium species remains a challenge. Although relatively more common in warmer climates, this corneal infection is rare in the UK. Most cases have been reported in farmers and are often preceded by trauma....

Obtaining US clinical experience in ophthalmology as a UK medical student or junior doctor

2 April 2025 | | EYE - Cataract, EYE - Glaucoma, EYE - Oculoplastic
Medical students or junior doctors in the UK may be interested in gaining US clinical experience for many reasons. Unfortunately, many trainees do not know how to arrange these and there is a common misconception that it is difficult to...

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

1 February 2017 | | 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...