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Cataract surgery training in the independent sector

3 June 2024 | | EYE - Cataract, EYE - Refractive
I am now most of the way through my ST3 year working in Plymouth, within the Peninsula Deanery. Before the start of the year, I was approached by one of my consultants who asked if I would like to carry...

Light in darkness – manual small incision cataract surgery in India

1 August 2017 | | EYE - Cataract, EYE - Refractive
Cataract has been documented to be the most significant cause of bilateral blindness in India, where vision <20/200 in the better eye on presentation is defined as blindness [1,2]. Estimation of blindness in India by the World Health Organization (WHO)...

The ‘art’ of refraction – designing a refraction course

1 April 2016 | | EYE - Cataract, EYE - Refractive
Learning how to refract requires theoretical knowledge, practice and determination. Refraction is a notoriously challenging skill to acquire and the competing demands on junior ophthalmologists can often be restrictive of the development of this core skill. To consolidate theory learnt...

Principles of contact lens fitting in keratoconus

1 December 2015 | | EYE - Cataract, EYE - Refractive
Keratoconus is an ectatic condition of the cornea characterised by progressive conical distortion with irregular astigmatism, myopia and apical protrusion. Most cases progress slowly resulting in varying degrees of myopic astigmatism. Management of keratoconus includes spectacles, soft contact lenses, a...

Pituitary tumours: why are they so often missed?

1 April 2017 | | EYE - Neuro-ophthalmology
Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

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

1 August 2016 | | EYE - Cataract, EYE - Cornea, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal
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...

Blind Veterans UK calls on eye health professionals to direct blind and vision impaired veterans to vital support

1 December 2015 | EYE - General
A national charity is asking ophthalmologists and eye health professionals to help them reach out to the tens of thousands of blind and vision impaired ex-service men and women who are currently missing out on vital support to help them...

A pituitary tumour from 1927

1 April 2019 | | EYE - Neuro-ophthalmology, EYE - General
The author shares a clinical case from Edinburgh Royal Infirmary’s archives. It is not often in the course of a clinical career that one gets the opportunity to review a patient who had been treated by a pioneer neurosurgeon some...

Brain tumours in adults: the essentials for an ophthalmologist

1 August 2019 | | EYE - Neuro-ophthalmology, EYE - General
The author provides a review of the common intracranial tumours in adults (other than pituitaries) which may present to an ophthalmologist. Primary malignant brain tumours comprise 3% of adult cancers but with an ageing population such tumours are becoming more...

Ophthalmic learning through the lens of cognitivism and constructivism

9 October 2020 | | EYE - General
Learning in ophthalmology is multi-faceted, from understanding the fundamentals of eye anatomy and physiology to higher order skills such as performing cataract and vitreoretinal surgery. Having a strong foundation in the basics is a necessity for higher order knowledge synthesis,...

A missed intraocular telescope – an opportunity to re-focus the evidence

4 February 2021 | | EYE - Cornea, EYE - Vitreo-Retinal, EYE - Imaging, EYE - General
Intraocular telescopes allow magnification of the image so that it would be projected into a larger area of the macula, this makes the central defect caused by dry age-related macular degeneration (AMD) smaller. The most common approach is a Galilean...

Understanding the inequalities of ophthalmic care for Indigenous people in a first world country

6 November 2023 | | EYE - Pathology, EYE - Oncology
Aboriginal Australians have faced numerous challenges over the past centuries. Here in this article, Edward Saxton highlights why there are inequalities of ophthalmic care in Australia and why this has led to increased levels of blindness in Aboriginal people relative...