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"
Saw this today on an asymptomatic, healthy (no know health concerns), Indian male of 38yo. No POH/FOH. Any suggestions? https://www.dropbox.com/s/sqmp2r5nomgftbh/LE%20Optomap.jpg?dl=0 https://www.dropbox.com/s/te2uzcqr7i3hnmk/OCT.jpg?dl=0 These are the Optomap and OCT images I did.
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"
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"
Has anyone had success with intra-vitreal injections yet? Lucentis may give us the way in for more sexy treatments such as ocriplasmin for VMT/mac hole. All very exciting now that NICE approval granted. Locally though no progress yet, though if a precident were set…., who knows. Exciting times.
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"