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Dec/Jan 2019 Quiz

History A 72-year-old male presented to his GP with a large ulcerated lesion on his right lower eyelid present for six months and enlarging in size. He had an urgent referral to a tertiary centre for specialised examination. The lesion...

Optometrists and ophthalmologists update their joint care vision

The College of Optometrists and The Royal College of Ophthalmologists have published an updated joint vision for the continued collaboration of the two professions, to support the delivery of safe and sustainable eye care services in England.

Human factors in the operating room

The importance of minimising human error in surgery is well established. This was initially sparked by lessons learned from the aviation industry in the 1970s after several fatal flight accidents [1]. This became a catalyst for a movement on training...

Regulatory drug evaluations and expedited review initiatives: EU and US perspectives

The European Medicines Agency (EMA) and United States Food and Drug Administration (FDA) each conduct independent assessments of benefit-risk profile when evaluating applications to market new or modified medicines, and their respective decision-making is guided by distinct legislation, procedures and...

Optical Express invests over £3m in new Edinburgh eye clinic

Angus Robertson MSP opens new eye surgery treatment clinic in Edinburgh city centre following investment of over £3m. The eye surgery treatment hub will serve Edinburgh and the surrounding area.

Celebrations for 20 years of VCHP ring out from the city

20 years of Vision Care for Homeless People, and the 18,000+ people who have been helped to better vision through the regional drop-in clinics, were celebrated by a host of volunteers, charity founders and generous donors from the optical community last week.

Inverness resident leads the way with sight loss walking group

An Inverness resident, supported by a national sight loss charity, meets monthly with other blind and partially sighted locals for a wander around Inverness city centre.

Sustainability in eyecare: Climate action in eyecare

Climate change will cause disruption to critical eyecare services and increases in rates of eye disease around the world. The International Agency for Prevention of Blindness has recommended 10 key areas of action on how the eyecare sector can address...

A connected workplace - Part 2

In Part 1 of this topic (bit.ly/ENconnected) the need for a mature ophthalmic imaging network was described. Here, I provide a scoring scheme that can be used to articulate the maturity of existing devices. As with any scoring system, the...

Anterior segment OCT predicts gonioscopic angle closure

This is a prospective observational study of 342 subjects over four years. Sixty-five were controls who had open angles both on gonioscopy and AS-OCT, while 277 had open angles only on gonioscopy but iridotrabecular contact (ITC) on AS-OCT (one to...

A case of progressive supranuclear palsy-like syndrome following aortic aneurysm repair

This original article illustrates the case of an 18-year-old woman who developed progressive supranuclear palsy-like syndrome following an uneventful aortic aneurysm repair. The patient was unaffected for the first 48 hours after surgery and then developed dysarthria, dysphagia (requiring a...

Choroidal defects in neurofibromatosis

The aim of this study was to investigate the frequency of choroidal abnormalities using infrared reflectance imaging with optical coherence tomography (OCT) in paediatric patients with neurofibromatosis (NF) type 1. Thirty-eight eyes of 19 patients were reviewed. NF1 was diagnosed...