John Tickner

Glaucoma and therapeutic specialist optometrist in private practice on the South Coast

Sep 272017
Following discussion at the weekend (AOP Therapeutics) about 0.01% Atropine, there was some debate about off-label – use for other than the licensed indication e.g Doxy for blepharitis, and unlicensed medicines which IP optoms cannot access. The general consensus was that 0.01% Atropine would be off-label since Atropine itself is licensed, however that appears not [...]
Sep 082017
“Be aware that holding an independent or non-medical prescribing qualification alone (without a specialist qualification relevant to the case complexity of glaucoma being managed) is insufficient for managing glaucoma and related conditions. [2017]”


 Posted by at 10:40  12 Responses »
Aug 222017
Interesting piece in The Optician this week raising the issue of optometrists being entitled to use the courtesy title “Dr” just as dentists and vets do. Is there any appetite for this amongst IP optoms particularly ? It would seem a good place to start a campaign, perhaps restricted to IP optoms to help differentiate [...]


 Posted by at 16:48  1 Response »
Oct 142016
The College are looking for someone to present this: “We’re looking at some ideas for a clinical audit session within the IP stream at Optometry Tomorrow and I wondered if you had completed an IP outcome audit and did this demonstrate how you could improve anything in your practice?” Any takers contact:
Sep 062016
Learning Point for the day – stay vigilant.  65yowf on treatment for Ca breast now Docetaxel and previously 5Fluorouracil, Epirubicin, cyclophosphamide and docetaxel (FEC-T) c/o epiphora w/o dry eye Sx. O/e bil punctal stenosis. “Could this be related to my chemo ?” Probably not, but I’ll have a look – Oh! actually yes:

Ikervis recall

 Posted by at 11:55  1 Response »
Jun 072016
Just in case anyone has been using this, it is now the subject of a recall.
Mar 092016
Just spoke to the GOC because I had not received IP Speciality Retention forms this year. They confirm they have not/are not sending them out this year, but do want it downloaded, completed and returned by the 15th ! Anyone not done this yet I propose you crack on and do so ! The form is here
Nov 242015
64yowf presenting with a history of recurrent conjunctivitis over the past year. She has been variously prescibed Chlormaphenicol, brolene, Fusidic acid (allergic reaction) and no treatment. It has flared up again today with conj hyperaemia, no follicles, low BUT, no corneal involvement.  She has some seborrhoeic blepharitis and lid margin telangiectasia but it doesnt look [...]