Just asking for some help from those more pharmocologically minded than me. I have a lovely lady with her second bout of HSK. First one a year or two ago responded perfectly with a short course of gancilcovir eye ointment. Second bout a few weeks ago; no response with ganciclovir eye ointment at all. Not … Continue reading "HSK not responding to ganciclovir but does to oral aciclovir"
Some advice please from our glaucoma specialist colleagues. I have had a couple of patients now who had iridotomies 5-10 years ago – both prophylactically but present with pro-dromal symptoms (ache, intermittant blur), IOPs a little high (circa 25mmHg) and angle very narrow / almost closed – I do OCT scans to document. Discs and … Continue reading "advice on narrow angle – post iridotomies"
Anyone heard of an issue with FML availability – I have had 2 patients last week who couldn’t get it from their pharmacist.
Mrs A came to see me yesterday with a jelly like mass under her right upper eye lid for a month. I everted the eye lid an found a small chalazia over which was a relative large pyogenic granuloma. I kept the eye lid everted and, because the granuloma was large lifted it with a … Continue reading "It just sort of fell off….."
a colleagues doctorate research project needs optoms to log on to https://optomscenarios.co.uk and complete some simple research. If you could help I know he would be grateful. I promised to help publicise
https://www.youtube.com/watch?v=sgav_kZ_Hi4 is interesting. I am trying to become a demodex beliver… The advocation is for 1% ivermectin cream to the lash base at night for one month after lid scrubbing but needs “specialist pharmacy compounding” – I have no idea how to get this – any thought? Better that the irritation caused by tea tree oil … Continue reading "demodex and 1% ivermectin cream"
I have a lovely young lady (about 25 years old) with recurrent AAU. (Her brother is also a patient of mine with AS and recurrent AAU and her father has AS but no AAU). She comes in once or twice a year and I give her the usual mydrilate and predforte on taper and all is … Continue reading "managing synechae"
Simbrinza – combination brinzolamide and brimonadine. Used twice a day Apparently to be given when you have a patients on a PGA but need better IOP control and for that patient a Bblocker is contraindicated. preserved with BAK but the Alcon rep tells me this is at a low BAK concentration New out….
30 year old lady with five recurrent bouts of left eye HSK this year. Disillusioned with HES and wont return. She is on long term oral aciclovir. VA R 6/6 L 6/60 Currently has a left eye corneal ulceration with deep stromal involvement. Has been on topical aciclovir for three weeks without resolution – I … Continue reading "HSK and ganciclovir"
I havent seen this in the optometric press so am sharing http://www.rcophth.ac.uk/news.asp?itemid=1648&itemTitle=Newly+Published+Ophthalmic+Specials+Guidance§ion=24§ionTitle=News