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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...

Does lower eyelid entropion repair alter corneal topography?

The authors aimed to analyse the corneal morphology before and after advancement of posterior lower eyelid retractors (LERs) alone or in combination with a lateral tarsal strip (LTS) for lower eyelid involutional entropion. Retrospective analysis of 24 consecutive elderly patients...

Ocular surface and meibomian gland changes in cicatricial conjunctival disease

The authors evaluate long-term structural and functional meibomian gland and lid margin changes in a retrospective study of 64 patients (64 eyes) with chronic cicatricial conjunctival diseases (CCDs), including ocular cicatricial pemphigoid (OCP; n=22), Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS-TEN; n=24),...

Accuracy of anterior segment OCT in identifying medial and lateral recti muscle insertions in previously operated eyes

In this study, the authors aimed to assess the reliability of anterior segment optical coherence tomography (ASOCT) measurements in strabismus reoperations for locating muscle insertions. This was a prospective observational study of 30 patients (60 previously operated horizontal rectus muscles:...

How to be a better optometrist – a personal view

Our optometry editor shares her personal observations of what makes the best optometrist. Some years ago in Glasgow, I gave a presentation with this same title, ‘How to be a better optometrist’. I was the optometry programme director for NHS...

Presumed DALK stromal graft rejection following Covid-19 infection

Case report A 45-year-old healthy male patient with a past ocular history of keratoconus and right deep-anterior lamellar keratoplasty (DALK) graft performed 10 months prior, presented to our eye casualty clinic with a two-day history of right photophobia and epiphora....

Informed consent in ophthalmology care in the UK: A critical component of patient‑centred practice

Informed consent is a cornerstone of ethical and legal practice in healthcare, particularly in fields like ophthalmology where specialised interventions can have significant implications for a patient’s vision and quality of life. In the UK, informed consent is not merely...

My ophthalmic elective: Harvard Medical School

Medical electives are an excellent opportunity to learn, enjoy and explore countries and their healthcare systems. I was grateful to do mine in ophthalmology at Harvard Medical School (HMS). This article will share my personal experience working at HMS with...

Cataract surgery and the carbon footprint: Lessons in sustainability from Aravind Eye Hospitals, India

Climate change is among the most urgent global health threats. In 2016, environmental factors caused 13.7 million deaths worldwide, underscoring the link between planetary and human health [1]. Healthcare itself is not blameless. Globally, the sector accounts for 4.4% of...

Through the lens: The evolution of the slit lamp

The slit lamp is one of the most vital diagnostic tools in both ophthalmology and optometry. It enables practitioners to examine and capture the anterior and posterior segments of the eye with precision, helping to diagnose a wide range of...

VISION 2020 LINKS: COECSA Fellowship examination goes from strength to strength

Eye health problems and access to diagnosis and treatment is an important issue throughout low- and middle-income countries (LMICs), and particularly on the African continent, where quality of life is drastically affected by poor vision, blindness and deteriorating eye health,...

Astigmatism correction in cataract surgery: Why are we still hesitating?

Toric spectacle lenses were first described in 1847 by George Biddell Airy, and their adoption was, presumably, gradual at that time. Today, correction of astigmatism with glasses is routine. In a recent survey, 87.2% of spectacle prescriptions contained at least...