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Oculogyric crisis with B12 deficiency

1 June 2022 | | Ophthalmology, Neuro-Ophthalmology, Imaging
An oculogyric crisis (OGC) is a dystonic movement disorder of the eyes which can last from seconds to hours. Although there is no published diagnostic criteria for OGC, typically the onset is acute, and it is characterised by conjugate upward...

The results of the last survey Oct21

1 October 2021 | | Ophthalmology, Cataract and Refractive
This edition’s survey questions moved away from the deep and ethically charged questions of the recent surveys and focussed on simple and straightforward issues. This is really where the surveys began in exploring the minor practice variations which we have...

Evaluation of a service providing sight impairment registration for stroke survivors

1 June 2022 | | Paediatric Ophthalmology / Strabismus | Certificate of visual impairment, barriers, cerebrovascular accident, registration, sight impairment, stroke survivors
This service evaluation study of a hospital single centre stroke service was undertaken to determine reasons for declining sight registration, whether patients feel supported without registration and determine changes needed to improve registration processes. A review of existent data was...
Ophthalmology Secrets book cover image.

Ophthalmology Secrets, Fifth Edition

2 August 2022 | | Ophthalmology
Janice Gault presents the fifth edition of the critically acclaimed Ophthalmology Secrets. If you are someone like me, who is sceptical and needs persuaded to add another textbook to their collection, let me be the first to convince you the...

Glaucoma care provision using a multidisciplinary approach: a personal view

1 February 2018 | | Glaucoma, Ophthalmology
This article is going to explain the secret to running an efficient multidisciplinary glaucoma service which will comfortably meet the demands of an ever-growing elderly population, within the confines of budgetary and clinical constraints, wherever the setting. This may be...

Reflections on designing and delivering an undergraduate ophthalmology teaching programme

28 March 2023 | | Ophthalmology, ONLINE EXCLUSIVE ARTICLES
Dr Alexander Strother reflects on his time designing and delivering a classroom-based programme to ensure that medical students know how to take comprehensive ophthalmic histories from patients. Working as a clinical teaching fellow, in 2021 I had the great privilege...

Celebrating eight years of the nurse-led intravitreal injection service

4 February 2021 | | Ophthalmology, Retina / Uvea / Vitreous
Moorfields Eye Hospital NHS Foundation Trust in London celebrated the eighth year of its nurse-led intravitreal (IVT) injection service in 2020. In collaboration with Beaver-Visitec International (BVI), Moorfields’ comprehensive one-day course for non-medical staff has blossomed into a thriving success....

The results of the last survey Oct 2019

2 December 2019 | | Ophthalmology, Cataract and Refractive
Another fascinating response which once more highlights the massive variation in practice. I completely acknowledge that ophthalmology is an art as well as a science and therefore there will be variances in practice and there will not be one ‘right’...

Art in Motion

5 June 2023 | | Ophthalmology
One sunny Thursday afternoon, in the spring of March 2023, I was invited to attend a zoom call with Nick Astbury, who works part-time at the International Centre for Eye Health at the London School of Hygiene & Tropical Medicine....

Quality matters in the management of serious eye disorders

1 June 2019 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
The author discusses the first quality standard for serious eye disorders from NICE and takes a look at new care models for enhanced service delivery. Patient backlogs pose risks to patient safety, with research showing that people are losing sight...

Portable corneal topography – exploration of a prototype

1 June 2022 | | Ophthalmology, Optometry, Imaging
Ophthalmic imaging devices, such as corneal topographers, are not widespread in the developing world. A small device that connects to a smartphone might be a solution to improve developing nation access to corneal imaging. I recently had the opportunity to...

Refraction planning in cataract: avoid creating an unhappy patient

1 June 2017 | | Cataract and 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...