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Preventing refractive surprises by real time biometry during cataract surgery

1 October 2015 | | EYE - Cataract, EYE - Cornea, EYE - General, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal
A few months ago a retired lady presented for second eye cataract surgery. I noted on the pre-op ward round that the outcome of her first eye’s surgery looked like a refractive surprise as her spherical equivalent in that eye...

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

3 June 2026 | | EYE - Cataract
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...
British Journal of Ophthalmology cover image.

Radiation maculopathy

1 December 2018 | | EYE - Vitreo-Retinal
This is a retrospective non-randomised study of 13 consecutive eyes of 13 patients affected by radiation maculopathy secondary to eye irradiation for primary uveal melanoma (Iodine-125 brachytherapy). All patients were treated with a single intravitreal 0.7mg dexamethasone implant and full...

A paradigm shift in the way we approach cataract surgery

1 February 2015 | | EYE - Cataract, EYE - Refractive
Cataract surgery is the most common elective surgical procedure in the UK [1], with in the region of 350,000 cases being conducted each year. With an ageing population, this figure will only continue to rise over time. Cataract surgery is...

Should we move towards procedure-specific consent forms?

1 October 2017 | | EYE - General
The consent process represents the patient’s acceptance of the information provided to them and an agreement to undergo an intervention as suggested by a health professional. Effective doctor-patient communication, ensuring the succinct delivery of the necessary points in a way...

From monofocal to premium: Understanding the expanding landscape of intraocular lenses

5 August 2026 | | EYE - Cataract, EYE - Refractive
For many years cataract surgery was framed almost entirely as a restorative procedure. The goal was straightforward: remove the cloudy lens and replace it with a clear one, restoring distance vision and allowing the patient to function comfortably with reading...

The unlabelled syringe: An avoidable medication risk in ophthalmic surgery

5 October 2026 | | EYE - General
Ophthalmic surgery is a specialty of small volumes, clear fluids and unforgiving anatomy. In cataract, glaucoma and vitreoretinal surgery, a theatre trolley may contain several syringes that look almost identical: balanced salt solution (BSS), lignocaine, intracameral mydriatic, phenylephrine, antibiotic, dye,...

The results of the last survey Apr25

2 April 2025 | | EYE - Cataract, EYE - Cornea, EYE - Vitreo-Retinal
Postoperative endophthalmitis is arguably the worse possible complication of cataract surgery. We are a victim of our own success as the procedure has such an amazing safety profile that when things go wrong patients are bound to feel aggrieved and...

The importance of ‘hands-on’ learning

1 April 2014 | | EYE - General
Providing ongoing professional education and development for the allied professions out of the clinic or hospital setting is often quite challenging. The reorganisation of rotas, heavy clinic lists and financial constraints all add up to making the opportunity to learn...

Building a resonant personal brand: A 10-step guided path for ophthalmologists

4 December 2024 | | EYE - General
Here are 10 actionable steps to carve out a meaningful personal brand. 1. Uncover your core values Delve into the ethos and values that define you as a professional. What sets you apart in the ophthalmic arena? These will be...

In conversation with Robert F Walters, Orbis Trustee

7 December 2020 | | EYE - Cataract, EYE - Refractive, EYE - General
Can you give us a brief overview of the organisation and its hope for the future? Orbis International is a global non-governmental organisation (NGO) which is dedicated to the prevention of blindness. We’ve now been going since 1982. We’re very...

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...