A happy IP story

Friday 5.02pm – whilst closing the shutters I came across a young woman who appeared to be in excruciating pain. Her partner said that she had been sent down by the GP after a lighter “blew up” in her face 4 hours ago. They had irrigated the eye for 30 minutes (partners 3/12 supply of … Continue reading "A happy IP story"

Formulary compliance

In our region, the NHS pharmacy team are getting a bit more militant about formulary compliance. The most relevant area of primary care prescribing for optoms is for ocular lubricants. We all supply or recommend (or even prescribe!) lubricants from time to time. The problem seems to occur when optoms supply the fancy bottle lubricants … Continue reading "Formulary compliance"

This is NOT dry eye.

https://www.reviewofoptometry.com/article/this-is-not-dry-eye 48 year old female patient. Moderate myope c. -6.00. Lapsed lens wearer (illness). Referred by a colleague to local HES for intractable, mostly unilateral (L) dry eye symptoms. HES diagnosed OSD and recommended lid care and lube.   She attended 2 weeks ago for a review appt and the eyes looked absolutely fine apart … Continue reading "This is NOT dry eye."

What the….!

What the heck is going on here? What would you do? ___________________________________________ RFV – Routine eye exam with no symptoms Initial observation: Right eye slightly redder than left. Hx: 2010 Right successful cryobuckle procedure – RD prophylaxis in high myope with progressive retinoschisis (that’s what VitRet said). 2011 Right buckle removed after extruding out through … Continue reading "What the….!"

Amniotic membrane graft for conjunctivochalasis

  Thought I would share this interesting case. 75 year old male with a 2 year history of worsening dry eye symptoms right eye. Nothing seemed be providing relief from the symptoms. Constant eye irritation was making patient unhappy as he was unable to read or do hobbies involving electrical projects. Slit lamp exam revealed: … Continue reading "Amniotic membrane graft for conjunctivochalasis"

Acute presentation

The following Px was seen by my non-IP colleague initially and Px returned next day for a second opinion. 60 year old female Px Symptoms: 2 day Hx red right eye. Slight FB sensation on blinking but no pain. No blurring, photophobia or discharge. POH: Occasional SCL usage. Wore day before symptoms started. PMH: Hypothyroidism … Continue reading "Acute presentation"

What exactly does the IP qualification mean?

After the public ding-dong between the College president and a couple of enthusiastic IP optoms in community, I thought it might be interesting to see what others views are on the points raised. e.g. What does IP allow us to do? How do we define the limits of our competence? What happens if we do … Continue reading "What exactly does the IP qualification mean?"

Epithelial flap – corneal erosion

Just wanting some advice about a patient I saw today. Classic presentation of epithelial erosion this morning in 50 yo male. RE sore, red, swollen since waking – pain 6.5/10 on waking & now 2/10 (11am). External exam reveals watery red eye with swollen lids Slit lamp exam reveals 1.5mm x 1.5mm unilateral corneal erosion. … Continue reading "Epithelial flap – corneal erosion"