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Headaches in ophthalmology (part 2)

1 December 2018 | | Ophthalmology, Neuro-Ophthalmology
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...

Lancet Commission calls for global action on blindness

29 March 2021 |
The Lancet Global Health Commission on Global Eye Health highlights the changing nature of the issues facing eye health professionals worldwide.

Money never sleeps

5 April 2022 | | Ophthalmology, Retina / Uvea / Vitreous
“I want you to deal with your problems by becoming rich” As declared by Jordan Belfort in a motivational speech to his staff in the film Wolf of Wall Street (2013). Unfortunately, medicine as a career does not lead to...

The 2021-2022 ophthalmology ST1 application process

3 October 2022 | | Ophthalmology
Harry Rosen updates us on what is involved in the current UK Ophthalmology Specialist Training (OST) programme application process. The process of applying to the UK Ophthalmology Specialist Training (OST) programme is constantly changing each year, adapting to the needs...

Meeting the needs of older patients in optics

1 February 2019 | | Cataract and Refractive, Optometry, Glaucoma, Retina / Uvea / Vitreous
Fiona Anderson discusses the important role of community-based eyecare practitioners in meeting the visual needs of ageing patients. It has been well documented that today we live for longer. Statistics show in 1997, around one in every six people (15.9%)...

The implementation of postoperative day 1 vitrectomy telephone follow-up consultations

6 April 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Glaucoma
In this pre-COVID-19 study, the authors argue that some follow-up consultations can be done by telephone without compromising patient safety. Thirty years ago, a study by Isernhagen et al. [1] found that 52% of patients required some form of unexpected...

Measuring patient-reported outcomes after refractive surgery to assess patient satisfaction

1 June 2019 | | Cataract and Refractive, Ophthalmology
Patient-reported outcomes enable surgeons to evaluate patients’ symptoms and satisfaction after laser vision correction. The great majority of patients are pleased with their outcomes from laser vision correction, whether it is with photorefractive keratectomy, laser in-situ keratomileusis (LASIK), or small...

The International Council of Ophthalmology: what is it and is it useful for UK ophthalmologists?

1 April 2018 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Oculoplastics, Ophthalmology, Optometry, Orbit, Ocular Pathology and Oncology, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
ICO Director for Examinations and Assessments, Simon Keightley, explains the history and role of the organisation today, as well as outlining recent changes to the ICO examinations. The International Council of Ophthalmology (ICO) is the only international medical specialty organisation...

Ophthalmology in the developing world

1 April 2014 | | Ophthalmology
After the second year of medical school, I spent my summer vacation working as a volunteer for a small Italian non-government organisation (NGO), named HEALTH-AID. As part of my volunteering experience, I joined a team of European doctors, medical students...

Preoperative povidone iodine: weighing the risks

1 October 2019 | | Cataract and Refractive, Ophthalmology
Following on from our recent online survey, the authors examine the potential risks and benefits of diluting the concentration preoperative povidone iodine. Povidone iodine (PI) is an iodophore that has an established use as a broad-spectrum antiseptic, mainly for the...

Recurrent corneal erosions secondary to isotretinoin use

7 December 2020 | | Ophthalmology, Cornea / External Eye Disease
Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations, as shown in Table 1 [3]. These side-effects need...

Discussing treatment modalities for bilateral wet AMD

1 December 2014 | | Retina / Uvea / Vitreous
A 65-year-old lady with bilateral wet AMD and vision of 6/24 comes with an internet search about current therapies. How do you explain the various treatment modalities available? There are two NICE approved treatments for wet age-related macular degeneration (AMD)....