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Inherited retinal disorders now the leading cause of blindness

The recent paper in BMJ Open, from the UCL Institute of Ophthalmology, ‘A comparison of the causes of blindness certifications in England and Wales in working age adults (16-64 years), 1999-2000 with 2009-2010’ concludes that inherited retinal disorders (IRD) such...

The REAL Clinic: a dual-purpose model

Naveen and Robbie discuss the benefits that come with a clinic offering both ophthalmic and plastic / cosmetic surgery services at REAL, a purpose-built clinic near Battersea Power Station, South London. Not unlike plastics / cosmetic surgery, ophthalmology is changing....

Vision Care for Homeless People

Vison Care for Homeless People (VCHP) was first established in 2003 with the aim to provide eye tests and glasses free of charge to people living in shelters, hostels or who are sleeping rough. Today, we remain the only national...

The art of giving generous grains

On the drive home, after a long day of eye screening patients in homeless shelters, I would pass through the boroughs, towns and villages of east London. Stopping at the soup kitchen, I would meet Christian with heavy cataracts, and...

International eyecare charity Orbis and Tom Davies Eyewear take on Africa's biggest road race

Blindness prevention charity Orbis and Tom Davies Eyewear take on Africa’s biggest road race and raise over 80,000. The team braved high altitude and heat to raise vital funds for the charity’s sight-saving work across Ethiopia. On 23rd November, eleven...

An elective in the land down under

My clinical elective was spent at the Royal Victorian Eye and Ear Hospital (RVEEH) in Melbourne. As Australia’s only specialist tertiary hospital dedicated entirely to eye disease, RVEEH gave me significant exposure to, and enhanced my clinical understanding of, ophthalmology....

New GIRFT glaucoma guidance – opportunities for improvement through primary eyecare services

Primary eyecare organisations have welcomed the publication of NHS England's Getting It Right First Time (GIRFT) Best Practice Guidance for Glaucoma Services. If implemented by ICBs as intended, the new guidance should mark an important step forward in the delivery...

Updated Supervision eligibility, opportunities and support for Scheme of Registration from 1 July 2026

From 1 July 2026, supervision arrangements on the Scheme for Registration will align with the model already used in Clinical Learning in Practice (CLiP). This marks the final stage of the transition to supervision arrangements designed to meet the GOC’s...

Sixth nerve palsy versus decompensating distance esophoria

Orthoptists see a wide range of conditions that can range from reduced binocular single vision (BSV) that may be solved with exercises, to more extreme neurogenic cases requiring further intervention. Because of this variety, it is important to be able...

The results of the last survey Jun24

When I was in my training and even in my early years as a consultant, I did not fully understand the difference between different lenses. When asked my preference of hydrophilic versus hydrophobic intraocular lenses (IOLs) I really did not...

The refractive index in the eye lens – implications for clinical practice and optical design

The eye may appear to be a comparatively simple organ and yet its optical system is complex and continues to be a source of investigation and research. The major optical elements are considered to be the cornea and the lens...

Best way to detect glaucoma progression: by reflecting on the past 25 years

Glaucoma – a condition of optic neuropathy leading to progressive visual field loss often associated with raised intraocular pressure. It is fair to say that our definition for this condition has remained unchanged over the last 25 years and the...