Sound Optometry
No CPD Points

Assessment of Visual FunctionBinocular VisionOcular Disease

In this episode of Sound Optometry, we hear of a scenario where a sixth nerve palsy was detected in an urgent remote consultation with an elderly patient. We also explore methods that optometrists have at their disposal to detect and manage binocular vision problems in children.

Topics: Binocular vision assessment, Examining children, Amblyopia, Strabismus, Squint, Incommitant, Convergence insufficiency, Exercises, Ocular Motility, Stereopsis, Prisms, Double vision, Orthoptics, Referrals.

Sound Optometry

No CPD Points

Domains: Clinical practice, Professionalism


In this episode we hear from both parent and child about their experience of myopia management with soft contact lenses before Michelle Hanratty talks to Optometrist Kathryn Webber about myopia management. They discuss how to identify suitable candidates and give useful advice on how to explain the potential benefits of myopia management to patients.

Topics: Myopia management, Risk factors for myopia, Communication, Fitting contact lenses in children, Pathological myopia.

Sound OptometryNo CPD Points

Domains: Clinical practice, Communication


In this episode, we hear from a patient who was diagnosed with a conjunctival melanoma before Michelle Hanratty talks to Professor Heinrich Heimann about lesions of the ocular surface and of the anterior chamber. The discussion covers how to recognise pertinent signs and the associated risks factors as well as the management, investigation and treatment of such patients.

Topics: Conjunctival lesions, Uveal lesions, Ocular tumours, Referrals.

Sound Optometry

No CPD Points

Domains: Clinical practice, Professionalism


In this episode, Michelle Hanratty discusses the key examination techniques that are useful in the investigation of binocular vision anomalies with Dr Aleksandra Mankowska. Michelle and Aleks also explore the management of convergence insufficiency and the tricky subject of prescribing prisms and orthoptic exercises.

Topics: Paediatric, Convergence insufficiency, Convergence excess, Esophoria, Exophoria, Prism, Cycloplegic refraction.

Sound Optometry

No CPD Points

Domains: Clinical Practice, Communication


In this episode, Michelle Hanratty discusses the highlights of the BCLA Continued Learning Evidence-based Academic Report (CLEAR) with Professor James Wolffsohn and Neil Retallic.

Topics: Contact lenses, Evidence-based practice, Fitting, Presbyopia, Multifocal, Toric, CLEAR, BCLA.

Sound OptometryNo CPD Points

Domains: Clinical Practice


In this episode Michelle Hanratty first talks to optometrist Stephen Freeman about the clinical decision making process of when to conduct a visual field test. This is followed by a discussion with Dr Lindsay Rountree about visual field testing including how to best achieve reliable test results and how to interpret them; how to relate visual field loss to the location in the visual pathway and likely causes. The episode concludes with advice on referral, and the importance of communicating the impact of visual field loss to a patient’s driving status.

Topics: Visual Fields, Perimetry, Visual pathway, Stroke, Brain tumours, Neurological disease, Driving standards, Referrals.

Sound OptometryNo CPD Points

Domains: Clinical Practice, Communication


In this episode Michelle Hanratty asks optometrist Sarah Farrant and her patient Christine Lanaghan who suffers from dry eye disease how to talk about mental health in practice. Michelle then investigates the relationship between mental health and ocular health with Dr Dennis Pardo, an optometrist and psychotherapist in Massachusetts.

Topics: Mental Health, Well-being, Anxiety, Stress, Communication, Side-effects of systemic drugs, Dry eye.

Sound OptometryNo CPD Points

Domains: Clinical practice, Communication


In this episode, Michelle speaks with a highly myopic patient as well as a parent of highly myopic children about myopia’s impact on lifestyle and ocular health, and their hopes and fears for the future. We also hear from Kathryn Webber about recent myopia management research, advancements and guidance.

Topics: Myopia management, High myopia, Risk factors for myopia, Communication, Pathological myopia.

Sound OptometryNo CPD Points

Domains: Clinical practice, Communication


In this episode, we hear from the assistant headteacher and sensory impairment lead of a SEN primary school about the impact of visual dysfunction on SEN children. Michelle then speaks to Professor Rachel Pilling, delving into the potentially daunting task of carrying out an eye examination on children with SEN and providing valuable hints, tips and resources to better equip optometrists and lay the foundations to lifelong eyecare for SEN children. 

Topics: SEN, Special educational needs, Paediatric eyecare, Eye examinations, Cerebral Visual Impairment (CVI).