oral corticosteroids for posterior non infectious uveitis

Case centres around a 45yr old lady with episodic anterior uveitis that I have treated off and on over the last few years. Recent presentation was different, more ache, less red and reduced vision. OCT showed CMO. GP medical work up was NAD. I wasnt comfortable in giving oral steroids myself and referred to a … Continue reading "oral corticosteroids for posterior non infectious uveitis"

Fenofibrate in diabetic retinopathy

A consultant recently suggested this drug should be offered in community practice to slow progression in both non proliferative and proliferative diabetic retinopathy. I have a very large patient base with diabetic retinopathy so was wondering how to go about recommending/ prescribing this drug. I understand it has been approved in Australia for this purpose. … Continue reading "Fenofibrate in diabetic retinopathy"

Tilted disc with new peripapillary haems R+L

Saw a 24y.o WM today for an annual, was referred last year 2′ suspect optic nerve appearance. Told by consultant could be monitored by Optom. Came in today, asymptomatic, his nerves appear the same as on last OCT, small, tilted, ill defined margins but with two nasal arcuate haems (parallel to disc margin). Colour vision was OK, … Continue reading "Tilted disc with new peripapillary haems R+L"

Aspirin for prolonged prophylaxis after anticoagulation ceases

I received a medicines alert from NICE today reminding me that the use of aspirin for prolonged prophylaxis after venous thrombosis has been supported by two good trials. (see NICE CG 144) Interestingly I had (probably incorrectly) considered that 75mg aspirin following a vein occlusion was a long term therapy anyway. So can I ask … Continue reading "Aspirin for prolonged prophylaxis after anticoagulation ceases"