Hoping you can helpScenario is I have a non uk visitor who has glaucoma. She wishes for me to prescribe her glaucoma drops (copy of her prescription at hand). As long as i write a private prescription I think I’m allowed to do so, however never been in this scenario before so wanted confirmation on … Continue reading "Non uk resident prescribing"
Have a px under HES for glaucoma who has just been told by the pharmacy that there’s a supply issue with preservative-free Trusopt, and he’s about to run out. He’s currently on Saflutan and Preserve-free Trusopt as has had serious OSD issues in past with preservatives. There are no glaucoma bods in the eye clinic … Continue reading "Trusopt Manufacturing Issue"
“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. ”
I would be grateful for everyone’s opinions on this just to make sure I am not way off base. So here is the case scenario: 93yr old lady with bilateral NTG, pseduophakic, a bit of dry AMD, moderate lid margin disease with associated ocular surface disease. VA – RE 6/15; LE 6/12+ CCT ~ 500 … Continue reading "Glaucoma & lid margin disease"
hypothetical thinking aloud- just a bit bored lots elderly px and glaucoma follow ups in patients with poor medical control any one ever been tempted or have used a double combo ie DuoTrav and Simbrinza my usual criteria is 3 agents 2 bottles as max
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"
This is taken from the SIGN guidelines: “Patients with an optic disc nerve fibre layer haemorrhage should be referred irrespective of other signs of glaucoma“. Does anyone feel that this statement is too strongly worded?… and should probably read: “Referral should be considered for patients with a disc haemorrhage, regardless of the presence of other … Continue reading "Is this true?"
Really strange thing happened on Friday. I’d appreciate the thoughts of others… 78F patient attending for annual review. Colleague had referred in Oct 2014 after pressures spiked in both eyes following dilation (R 36 L 42 on GAT). Angles were Gd 1 Van Hericks. HES performed YAG PIs x2 each eye and discharged back to … Continue reading "Strange one!"
Disc changes occurring over 2 years, maximum recorded IOP 22mmHg with concurrent multiple intravitreal Lucentis possibly reducing OBF. http://www.ncbi.nlm.nih.gov/pubmed/25711057
Hi All Im hoping someone may be able to help me with this. I have read somewhere that brimonidine is a problem for trabeculectomy – causing softening of the conj and greater likelihood of failure. I can’t remember where and google isn’t helping me….. Is anyone able to direct me or able to post any reference … Continue reading "Article"