Sep 152017
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 [...]
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]”
Feb 252016
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
Feb 252016
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 [...]

Is this true?

 Posted by at 23:02  4 Responses »
Nov 242015
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 [...]

Strange one!

 Posted by at 22:13  10 Responses »
Oct 172015
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 [...]


 Posted by at 13:23  5 Responses »
Feb 162015
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 [...]
Feb 042015
I know this isn’t a prescribing topic but …. I’m trying to get a service set up for monitoring stable glaucoma in the community but i’m a after a working definition for stable glaucoma… any offers ?   thanks