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End of an era: completing training. Tips for survival, fellowship applications and how to CCT

1 February 2019 | | EYE - General
Tafadzwa Young-Zvandasara shares the things he wishes he had paid more attention to when approaching the end of training. It is the end of an era, you are now ready to move on. Training has been filled with a structured...

Treatment for cause of sudden sight loss now available through the NHS in England

24 September 2025 | LHON, NICE, vision Loss, mitochondrial disease, NHS England
The National Institute for Health and Care Excellence (NICE) has approved a treatment for Leber Hereditary Optic Neuropathy (LHON), called Idebenone (Raxone), in those aged 12 and above who are affected by the condition. LHON is a rare mitochondrial genetic...

NICE approves treatment for cause of sudden sight loss

15 October 2025 | genetics, neuro-ophthalmology, drugs, new treatments, mitochondrial
The National Institute for Health and Care Excellence (NICE) has approved a treatment for Leber Hereditary Optic Neuropathy (LHON), called Idebenone (Raxone), in those aged 12 and above who are affected by the condition. LHON is a rare mitochondrial genetic...

COVID-19 and Ophthalmology: RCOphth, ICEH and COECSA joint webinar

13 August 2020 | | EYE - General
The Royal College of Ophthalmology of Eastern, Central and Southern Africa (COECSA) and the Royal College of Ophthalmologists (the Royal College) have had a successful VISION 2020 LINK partnership for over 12 years. The partnership was established by the VISION...

International medical graduates in ophthalmology

4 December 2023 | | EYE - General
IMGs in the NHS The General Medical Council (GMC) defines an international medical graduate (IMG) as someone who has obtained their primary medical qualification outside the European Economic Area (EEA) [1], meaning that an IMG is a medical doctor whose...

Managing a dislocated intraocular lens

1 October 2014 | | EYE - Cataract, EYE - Refractive
A 70-year-old male patient is referred from the optician with a history of onset of double vision and examination shows a dislocated / subluxated IOL. How will you manage this patient? If the double vision is causing serious concern to...

Ophthalmology survey results June/July 2019

1 June 2019 | | EYE - Cataract, EYE - Refractive, EYE - General
Firstly may I thank all of you who took the time to answer the survey. I hope you will agree that the findings are very interesting. From a medicolegal perspective we always consider the Bolam test which can be summarised...

The results of the last survey Jun21

3 June 2021 | | EYE - Cataract, EYE - Refractive, EYE - General
Thank you so much again for participating in the survey. I have been asked to give several talks at regional teaching sessions about some of the issues I discuss in these articles and I am happy to continue to do...

The results of the last survey Apr22

5 April 2022 | | EYE - Cataract, EYE - Refractive, EYE - Vitreo-Retinal, EYE - General
The answer to the first question was interesting in that it seems an increasing number of units are doing same-sitting bilateral cataract surgery. It is becoming accepted practice and mainstream. Immediately sequential bilateral cataract surgery (ISBCS) involves performing phacoemulsification with...

An unusual case of silicone oil in the anterior chamber simulating intraocular implant

1 October 2016 | | EYE - Cataract, EYE - Refractive, EYE - General
Silicone oil internal tamponade has been used for over 50 years, even prior to pars plana vitrectomy [1].Over a course of time silicone oil may migrate to the anterior chamber through the pupil. This may disperse in the form of...

A refractive surprise after vitrectomy and capsulectomy

1 February 2016 | | EYE - Cataract, EYE - Cornea, EYE - General, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oncology, EYE - Oculoplastic, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal
Figure 1: Right posterior capsule small aperture. We report a case of a pseudophakic patient who underwent vitrectomy and posterior capsulectomy. In spite of good visual acuity and absence of floaters, he was unhappy with the visual outcome. Case report...

Refraction planning in cataract: avoid creating an unhappy patient

1 June 2017 | | EYE - Cataract, EYE - Refractive
“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” William Osler The focus of this paper is the prevention of an unhappy patient following cataract...