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Age versus heterophoria and fusional vergence measures

This study aimed to establish the relationship between age, horizontal heterophoria, horizontal vergences, positive / negative fusional vergence and vergence facilities. The study recruited 112 subjects aged 39.8 ±14.97 years (range 18-65) of which 54.5% were female. There were 49...

Prism fusional vergence measures for Risley vs prism bar measurements

This study sought to investigate the agreement between the phoropter Risley and the prism bar prism fusional vergence amplitudes among a normal sample of Ghanaian children aged 8–17 years. This was a school-based study of 2300 children. Of 2300, 116...

Novel changes during COVID-19 – transforming a walk-in Eye Casualty to a telephone triage service

With the current pandemic climate due to COVID-19, out of the norm approaches have been adopted in different hospitals across the UK to ensure patient safety. At our Eye Casualty (EC) department at Northampton General Hospital (NGH), we felt the...

Patient and clinician view of telemedicine for neuro-ophthalmology consultations when in-person is not possible

The authors present a linked survey sent to patients and neuro-ophthalmologists after a consultation with one of 12 neuro-ophthalmologists from three centres in the United States, over a three-month period in 2020. All consultations were offered virtually due to restrictions...

Providing primary eyecare services during a global pandemic: the new normal

It would be fair to say that 2020 hasn’t quite turned out to be the year that anyone predicted. Living with a global pandemic has become our reality and we are having to get used to many aspects of our...

The expanding role of the optometrist

Eyecare in the UK has seen significant changes in recent years, with new models of care, technological advancements and an increased emphasis on primary eyecare in some UK nations. Crucially, an ageing population demographic is set to escalate further both...

Optical practices to continue to provide urgent and essential care

The UK Government has now published further guidance clarifying that opticians are exempt from the general requirement for retail businesses and premises to close. Optical practices may therefore continue to provide urgent and essential eye care to the extent that they can, including remote care, while managing COVID-19 risk to keep patients, staff and the public as safe as possible.

Flashes and floaters in community optometry – diagnosing a posterior vitreous detachment

Managing patients who attend a practice with symptoms of flashes and floaters is a regular occurrence in community optometric practice. It’s often very distressing for patients; symptoms can be quite dramatic and an internet search can indicate imminent blindness from...

The last three patients: general medicine (Patient Two)

For the second reflection in this series (see Patient One here), Professor Jonathan Rees recounts his experiences of the last patient he saw as a medical registrar, telling the tragic story of a young man’s death and the risks that...

College of Optometrists calls for vital community minor and urgent eyecare services to be universally commissioned in England

Lack of funding threatens commissioning of urgent care eye services in England. The College of Optometrists calls for vital community minor and urgent eye care services to be universally commissioned in England. As demand for eye care in England continues...

Optimising an acute eye service in the current COVID-19 crisis

With the current global pandemic of COVID-19 we have all had to redesign and reorganise our normal working practices. Non-urgent hospital work has been postponed to allow redistribution of resources, redeployment of hospital staff and to reduce the risk of...

Effects of clonidine vs. placebo

The purpose of this study was to measure postoperative agitation using a standardised scale and evaluate whether it is reduced if given clonidine prior to strabismus surgery as compared to placebo. The scales included the Pediatric Anesthesia Emergence Delirium (PAED)...