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Is ophthalmology still a vocation?

People seem to be interested in medicine for different reasons. There does seem to be a spectrum in ophthalmology in which people range from ‘do it for the pay’ all the way to ‘do it for the patients’, with some...

Specialty doctor interviews

I started my training as an ophthalmologist in the Wild West of Carmarthenshire where I did my first laser procedure, first phacoemulsification and first slit-lamp examination. All of these firsts were done under the tutelage of very skilled staff grade...

Choosing a subspecialty

It is quite worrying how many registrars reach the final years of training without choosing a subspecialty. Sometimes this is because they love everything and cannot countenance giving any of it up, but more commonly this is due to various...

Keeping watch

Although it’s autumn, it’s not too cold and the slight breeze blowing up from the sea does not make me regret leaving my jacket in clinic. It’s a strange site; hundreds of hospital staff standing on either side of the...

The writing on the wall

The Prophet Daniel tells a famous tale of how the tyrannical king of Babylon held a feast for all his top lords and ladies, and as the feasting grew to fever pitch a mysterious hand appeared from nowhere that started...

Existential Crises

Over the past few years and months, I have noticed increased numbers of my colleagues from all over the UK complaining about various problems with their jobs and life in general, and it seems that since the COVID-19 pandemic the...

Lessons from ARVO 2025

Conferences abroad are wonderful indeed. You get to escape from the crushing grind of reality at the NHS coalface for a few days and learn about the cutting edge of your subspecialty. By the end of these events, I actually...

Quiz Dec/Jan 2020

History A 69-year-old female patient was referred to the uveitis clinic from her local district general hospital with a left posterior uveitis which had been unresponsive to high dose steroids. She had no other previous ophthalmic history nor significant systems...

Headaches in ophthalmology (part 1)

Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...

Hydroxychloroquine toxicity

Being the subject of litigation is stressful and upsetting. Having to look back over your previous decisions and justify the care you delivered in good faith can be difficult. Sadly, we all live with the Sword of Damocles above us...

QR codes in posters

Sometimes it is nice to read a poster you see at a conference in more detail at a later date. With a little effort you can easily distribute a PDF version of your poster to interested readers by ‘attaching’ a...

A paperless future – get involved!

Jeremy Hunt’s statement earlier in 2014, about a paperless NHS by 2018, has added momentum to the transition away from paper records. The Tech Review this issue discusses what that will involve and how and why you may want to...