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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...

A pituitary tumour from 1927

1 April 2019 | | Ophthalmology, Neuro-Ophthalmology
The author shares a clinical case from Edinburgh Royal Infirmary’s archives. It is not often in the course of a clinical career that one gets the opportunity to review a patient who had been treated by a pioneer neurosurgeon some...

Pituitary tumours: why are they so often missed?

1 April 2017 | | Neuro-Ophthalmology
Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

The refractive index in the eye lens – implications for clinical practice and optical design

1 August 2016 | | Cataract and Refractive
The eye may appear to be a comparatively simple organ and yet its optical system is complex and continues to be a source of investigation and research. The major optical elements are considered to be the cornea and the lens...

How to examine the visual system Part 1: visual acuity, visual fields and eye movements

1 June 2014 | | Retina / Uvea / Vitreous
Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

Things I’d tell my medical school self, had I known my first year on the job would be during a global pandemic

5 June 2020 | | Ophthalmology, COVID-19
In a conversation with his younger self, a foundation doctor reflects on the contrast between his expectations of medicine at university and the reality of working during the coronavirus pandemic. Every doctor arrives at medical school with nervous anticipation, yet...

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...

Cataract surgery supervision

1 June 2019 | | Ophthalmology, Cataract and Refractive
Senior trainees supervising other more junior trainees’ cataract surgery is a skill which needs to be taught and developed with care. It is beneficial for senior trainees as it provides an opportunity to develop supervision techniques prior to consultancy and...

Advances in cataract surgery

1 April 2018 | | Cataract and Refractive
This article covers recent clinical findings in mydriasis and anaesthesia for cataract surgery, shared by Sathish Srinivasan and Keith Davey at a surgical meeting in Manchester. Towards dropless cataract surgery Day case cataract surgery is the standard of care in...

Doctor in the House

4 August 2021 | | Ophthalmology
“What’s the bleeding time?”“10 past 10 sir”. These are the famous lines uttered by Chief Surgeon Sir Lancelot Spratt (James Robertson Justice) and Medical Student Simon Sparrow (Dirk Bogarde) on a pre-op ward round at the fictional St Swithin’s Hospital,...

Trabeculectomy with erroneous Mitomycin-C concentration – a near miss

1 April 2020 | | Ophthalmology, Glaucoma
Trabeculectomy is the most commonly performed surgical procedure for glaucoma in the United Kingdom and worldwide. Modifications to the technique have been made since its introduction in 1963, perhaps the most significant being the adjunctive use of mitomycin-C (MMC), which...

Light in darkness – manual small incision cataract surgery in India

1 August 2017 | | Cataract and Refractive
Cataract has been documented to be the most significant cause of bilateral blindness in India, where vision <20/200 in the better eye on presentation is defined as blindness [1,2]. Estimation of blindness in India by the World Health Organization (WHO)...