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An interview with Rachel Morris: Clinician wellbeing and difficult conversations

In the last wellbeing supplement, I interviewed Robert Self, Vice President of the Association of Anaesthetists, and we discussed the resources that doctors can access when experiencing problems with their wellbeing. One of those that he recommended was the podcast...

Haag-Streit Academy to host ‘Improving Outcomes Biometry’ course in September

Haag-Streit Academy will be hosting their ‘Improving Outcomes’ Biometry courses on Friday 26th & Saturday 27th September at Queen Margaret Hospital in Dunfermline. The hospital is a five-minute walk from Queen Margaret train station with frequent services to and from...

Ocular neuromyotonia

The authors report a cohort of ten patients (nine female) with ocular neuromyotonia (ONM) for clinical signs and symptoms, treatment methods and outcome. Six had affected vertical muscles including superior oblique, inferior rectus and superior rectus. Four had affected lateral...

The pyramid

The first time I attended the Congress of the Royal College of Ophthalmologists was now more than 10 years ago, though I still remember the excitement of wandering down the aisles in the exhibition hall marvelling at the stands and...

Effect of intravenous mannitol in post vitrectomised eyes

The purpose of the study was to evaluate the effect of intravenous mannitol 20% on intraocular pressure in vitrectomised silicone-oil filled eyes. A prospective analysis of consecutive patients was undertaken with their fellow eyes taken as controls. Thirty-one patients were...

Effect of caffeine and low intensity endurance exercise on intraocular pressure

This placebo controlled, double blind, balanced crossover study reports in healthy individuals that 30 minutes of cycling caused a maximum of 2.7mmHg lowering of IOP. A caffeine dose of 4mg/kg 30 minutes prior to cycling negated this effect. The conclusion...

Access to eyecare based on geographical location

The authors aimed to evaluate access to paediatric ophthalmology using geo-informatics (OpenStreetMap software) with the objectives being to calculate driving time between vision screening centres and eyecare providers (ophthalmologists or optometrists) coupled with mapping to demographic information and economic census...

Lean concept implementation process to improve clinic efficiency

The authors adopted a Lean concept to improve patient wait times, delays, clinic inefficiencies and patient satisfaction. They report the outcomes of implementation in this paper. Visit time, and patient and staff movements during patient examinations were mapped. Patient examinations...

Intranasal combined dexmedetomidine and intranasal midazolam-ketamine sedation efficacy and associations in childhood strabismus surgery

The aim of this study was to compare the efficacy of intranasal combined dexmedetomidine (D) and intranasal midazolam-ketamine (MK) sedation and their effects on the occurrence of oculocardiac reflex in children’s strabismus surgery. The study recruited 37 children to each...

The Arclight: A ‘pocket’ ophthalmoscope to revitalise undergraduate teaching?

Ophthalmoscopy should be a core skill for every doctor and should be firmly embedded in the undergraduate curriculum similar to the unquestioned position of the stethoscope. The simplicity of the Arclight means it is easy to useand, importantly, to learn...

Greater awareness of children’s vision care is urged by the profession

Greater attention needs to be given to children’s vision, believes the profession, as a recent survey by Mumsnet reveals that visits to the optometrist are lower down the agenda than dental visits. It found that 9% of parents saw no...

Haag-Streit launches Eyesi Indirect Ophthalmoscope ROP simulator for retinal examinations on preterm infants

The Eyesi Indirect ROP is a mixed-reality simulator that offers a highly immersive training environment for proper device handling, with an embedded, didactically structured simulator curriculum to teach the diagnostic skills required for correct ROP classification.