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The Duke-Elder exam: A medical student’s head start into ophthalmology

The Duke-Elder exam is a specialist ophthalmology exam intended for medical students to sit during medical school. It is named after Sir Stewart Duke-Elder, a pioneering Scottish ophthalmologist who was active in the first half of the 20th Century by...

Virtual ophthalmic conferences: learnings from the Covid-19 pandemic

The Covid-19 pandemic was the catalyst for a number of paradigm shifts in numerous industries. The demand for proxies that follow social distancing measures created a hotbed for digital solutions and transitioned these to social convention. In the aftermath, the...

Comparing the roles of nurse practitioners and doctors working in A&E departments: A review

Accident and emergency departments have been increasingly under pressure with overcrowding of patients and a strain on limited medical resources over recent years. One of the innovative strategies to meet this demand has been the expansion of the role of...

Collaborative care: The advanced practitioner in paediatric ophthalmology

In response to the increasing paediatric workforce shortage the landscape of paediatric ophthalmology is shifting [1]. As we face a striking surge in demand accompanied by increasingly complex patient profiles, alternative models of care are beginning to evolve. The advanced...

Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

425,000 NHS patients use online GP registration service in first year

More than 425,000 patients have used a new national online service to register with a GP in its first year.

The ROP Network: a south-south collaboration to improve care for premature babies

Retinopathy of prematurity (ROP) is a disorder of the immature preterm retina and a leading cause of preventable, irreversible blindness in children. There are 15 million preterm births annually, and over 32,000 neonates became blind from ROP in 2010 [1]....

Commonest mistakes during the refraction certificate exam

Ophthalmology specialty trainees are required to pass the refraction certificate exam within the first two years of training. If one passes this exam before entering a training programme, this can add two points to the portfolio during applications. In this...

Community Eyecare Services in Northern Ireland: putting the patient at the centre, improving outcomes and maximising system resource

The UK has four healthcare systems; Northern Ireland, Scotland and Wales each has autonomous legislature that develops health policy, while the UK government directly runs England’s NHS. Like the other nations, Northern Ireland is continually challenged to meet the needs...

Incomplete teprotumumab treatment for thyroid eye disease

This is a multi-centre retrospective analysis of clinical outcomes in patients who were on teprotumumab for thyroid eye disease but had the usual regime of eight infusions, three weeks apart, interrupted due to COVID-19. Manufacturing was suspended between Dec 2020...

Transferring imaging from primary to secondary care (part 1)

Transferring clinical imaging from high street optometrists to secondary care is an increasingly requested option, especially in the context of the COVID-19 pandemic. A wide variety of solutions exist to allow this, each with their own merits and shortcomings. For...

Treat and extend for PCV

This South Korean study investigated the efficacy of a treat and extend regimen (TER) using ranibizumab to treat polypoidal choroidal vasculopathy (PCV). Twenty-nine eyes were included in this retrospective case note review. Of these, five eyes had been treated with...