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Mono vs. multi-therapy in IOP control

This randomised control trial studied newly diagnosed glaucoma patients given mono‐ or multi‐therapy regarding differences in initial intraocular pressure (IOP) reduction, target IOP levels reached and influence of untreated baseline IOP on IOP reduction. Patients newly diagnosed with manifest primary...

Are hospital cataract services managing more complex cases?

An audit of referral pathways and case mix in hospital cataract services. Cataract is the leading cause of irreversible blindness worldwide, causing severe visual impairment, particularly within ageing populations [1]. Gradual lens opacification impairs contrast sensitivity, visual acuity and overall...

Ophthalmology in Uzbekistan: Challenges and prospects

Uzbekistan is situated at the heart of Central Asia with a population of approximately 30 million people. Ophthalmology there has witnessed significant progress over the past few decades since its independence in 1991, reflecting Uzbekistan’s efforts to align its healthcare...

Illuminating task lighting

Good lighting is always important but especially for patients who are visually impaired. Janet Pooley provides an overview. We tend to discuss lighting with patients when their vision is reduced, and where we are considering higher reading adds or low...

Innovative glaucoma surgery first at Newmedica

An innovative glaucoma surgery has been performed at ophthalmology provider Newmedica for the first time. The ELIOS procedure is a type of minimally invasive glaucoma surgery (MIGS) performed during cataract surgery, which uses a laser device to make the channel....

What to expect when meeting a statistician

There are a growing number of statisticians working closely with ophthalmologists. They have different training but they are driven by the same goal: to perform high quality evidence based clinical research [1,2]. In a perfect world we would simply conduct...

The GMC joins the mobile revolution

If you are an ophthalmologist practising in the UK the increasing need to log your educational activities for your Annual Review of Competence Progression (ARCP) or appraisal can’t possibly have escaped you. The existing tools in this area for ophthalmologists...

LSHTM: Global Eye Health

London School of Hygiene and Tropical Medicine Global Eye Care Short Course

Dramatic myopic shift due to epithelial basement membrane dystrophy

Epithelial basement membrane dystrophy (EBMD), also known as map-dot-fingerprint dystrophy, is a common anterior corneal disorder affecting approximately 2% of the population [1]. It is characterised by the abnormal maintenance of the basement membrane, resulting in protrusions into the epithelium....

Acute dellen formation post trauma

Corneal dellen are saucer-like thinnings, usually of the peripheral cornea [1]. Dellen formation is thought to be related to localised tear film instability [2], specifically the absence of the mucin component of the tear film. Without the mucin layer, dry...

Moorfields Education: A&E clinical skills lab

This half-day in-person clinical skills course will provide an opportunity for comprehensive simulated training for essential clinical skills in emergency eye care.

A pituitary tumour from 1927

The author shares a clinical case from Edinburgh Royal Infirmary’s archives. It is not often in the course of a clinical career that one gets the opportunity to review a patient who had been treated by a pioneer neurosurgeon some...