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Audio – Clinical assessment

No CPD Points

Ocular Disease

Professor John Marshall, the Frost Professor of Ophthalmology at the Institute of Ophthalmology, UCL, clarifies exactly how these DNA test kits work, how to interpret the results, and what accurate conclusions ophthalmologists and optometrists can draw from these types of test.

First published in DOCET OQ93 (2015).

Topics: Genetic, Gene, Inherited, Corneal dystrophy, AMD.

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Audio – Clinical assessment

No CPD Points


Dr Mark Rosenfield, a professor of vision sciences at The State University of New York College of Optometry, talks about his research into the visual demands made by the use of computers and digital electronics, how symptoms present and what advice optometrists can give to patients, and the future implications of ‘wearable technology’.

First published in DOCET OQ93 (2015).

Topics: Computer, Smart glasses, Digital, Asthenopia, Phones, Tablets.

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Audio – Clinical assessment

No CPD Points


Visual field assessment is a common eye examination performed to enable us to map out a patient’s visual field. In this programme Dr Robert Cubbidge talks through different visual fields assessment techniques, and the benefits and limitations of each.

First published in DOCET OQ90 (2014).

Topics: Visual fields, Frequency Doubling, Perimetry, Glaucoma, Magnocellular.

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Audio – Clinical assessment

No CPD Points

Two members of the Clinical Consensus Panel, Professor Steve Taylor & Mark Nevin, discuss the issue of appropriate use of fluorescein in practice.

First published in DOCET OQ89 (2014).

Topics: Fluorescein, Fluorets, Legal classification, Pharmacy, General sales list

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Audio – Clinical assessment

No CPD Points

 

In this interview, David Cartwright asks Dr Barnard about the procedures involved in pre-school vision assessment, and advancements in refraction and strabismus screening techniques, including the utilisation of new technologies.

First published in DOCET OQ89 (2014).

Topics: Paediatric screening, Strabismus, Hirschberg, EyeCheck, Cycloplegia, Refraction, Binocular, Amblyopia

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Audio – Clinical assessment

No CPD Points 

Professional ConductOptical AppliancesAssessment of visual function

This edition of Advances in Eyecare focuses on a variety of issues associated with low vision and takes a closer look at the Medicines Use Review service offered by pharmacists.

Topics: Dark Adaptation, Depression, Low Vision, Comorbidities, Eccentric Viewing, Medicines Use Review, DEPVIT, Comorbidity, Steady Eye Strategy, Macular Degeneration, Rods, Visual Impairment, Pharmacy.

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Audio – Clinical assessment

No CPD Points

 

Dr Tom Margrain talks to Gwyneth Morgan about the development of a new Retinal densitometer for detecting age-related macular degeneration (AMD).

First published in DOCET OQ88 (2013).

Topics: AMD, Macula, Densitometer

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Audio – Clinical assessment

No CPD Points

Susan Cowling asks community optometrist Simon Browning about autofluorescence in the eye, and the implications of the new imaging technology for a wide range of ocular health issues.

First published in DOCET OQ88 (2013).

Topics: Autofluorescence, Drusen, Lipofuscin, RPE

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Audio – Clinical assessment

No CPD Points

Ocular DiseaseAssessment of visual function

Dr Dan Rosser discusses different methods of measuring visual acuity with David Cartwright, including the appropriate uses and associated difficulties of each.

First published in DOCET OQ88 (2013).

Topics: Snellen, logMAR, Acuity, Subjective, Refraction.

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Audio – Clinical assessment

No CPD Points

 Professional ConductOcular examinationOcular Disease 

This edition of Advances in Eyecare has interviews with experts discussing their fields of research applicable to optometric practice, including: electrophysiology, compact electrode ERG and OCT-angiography.

Topics: Electrophysiology, OCT angiography, Paediatric, Macular, Glaucoma, Vascular health.

No
Audio – Clinical assessment

AIE_logo_final_lo%20res.jpg

No CPD Points

Professional ConductProfessional ConductProfessional ConductProfessional Conduct

In this edition, we focus on advances in eye care technology, looking at recent innovations and how they help improve the diagnosis and management of ocular diseases.
 

Topics: Contact lenses, Keratitis, Disinfection, Care systems, Graphene, Compliance, Lens materials, Pathogens, Bacteria, Binocular vision, Eye movements, Tracking, Motility, Reading ability, Muscle balance, Objective assessment, Curtis Dobson, Polly Dulley, Philip Morgan, Bianca Price, David Thomson.

Area of interest: Independent Prescribing

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Audio – Clinical assessment

No  CPD Points

The UK National Screening Committee (NSC) policy recommends that all children aged four to five should have their vision checked in an orthoptic-led service. With the rise of vision screening software in the UK, Shail Patel talks to Professor David Thompson about products that may be of use in screening children. 

Topics: Orthoptist, Paediatrics, Software, Computer, logMAR, Refractive error, Spectacles, Children.

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Audio – Clinical assessment

No CPD Points

The pre-ocular tear film (POTF) is an important measure of the health of the surface of the eye. There are a number of pre-existing techniques for the assessment of the POTF, and one of the less well-known ones is the tear ferning test. In this interview, Helen Tilly talks to Dr Christine Purslow about tear ferning and its application in research and clinical diagnosis.

Topics: Tear film, Dry eye, POTF, Contact lens, Ocular surface, Mucous, Meniscus, Microscope, Protein, Electrolytes, Patterns, Grading scale.


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Audio – Clinical assessment

No CPD Points

Malcolm Long speaks with Daniela Nosch who explains her findings from a study carried out in 2011 suggesting that the presence of contact lenses does not alter the accuracy of dynamic contour tonometry measurements. She then discusses the benefits it can have for some groups of patients. 

Topics: Dynamic contour tonometry, Cornea, Goldman, GAT, IOP, Glaucoma, Ocular pulse amplitude, OPA, Intra-ocular pressure.


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Audio – Clinical assessment

No CPD Points

Gordon Ilett talks to Susan Cowling about the link between learning disabilities and visual problems, and about what practical considerations optometrists should bear in mind when examining patients with learning disabilities. 

Topics: Seeability, RNIB, Disability, Olympics, Downs syndrome, Visual impairment, Cerbral palsy, Keratoconus, Cataract, Amblyopia.


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Audio – Clinical assessment

No CPD Points

Visual neglect is a decreased awareness of part of the field of view and can happen after a stroke or other trauma to the brain. Here Olivia Hunt talks to Glyn Humphreys about visual neglect and his research around the subject.

Topics: Neglect, Brain, Trauma, Stroke, Visual field, Music, Tumour, Head injury.

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Audio – Clinical assessment

No CPD Points

In 2009 a research project at the Institute of Optometry investigated the use of vision screening to detect correctable visual problems in the older population. Here Zahra Jessa and Bruce Evans talk to Hugh Breakspear about their research.

Topics: Visual impairment, Screening, Elderly, Cataract, Refractive error, Vision loss, Ageing eye, Macular, Computer.



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Audio – Clinical assessment

No CPD Points


This audio programme discusses the very latest theory for glaucoma and its progression, describes a new way of assessing a patient's stereo vision, and explains our current understanding of human 3D vision and how it may be impacted upon by 3D and virtual reality displays.

Topics: Glaucoma, Binocular vision, 3D, Virtual reality, Stereopsis, Stereoacuity, Paediatric, Screening, Ganglion cells. 

Area of interest: Independent Prescribing

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Audio – Clinical assessment


No
CPD Points

CommunicationOcular ExaminationOptical AppliancesOcular Disease

This edition of Advances in Eyecare discusses the role of technology in three areas; Artificial Intelligence (AI) and telemedicine in diabetic retinopathy screening and how it can be used to enhance patient management; the role of ultra-wide field imaging in the early detection of Alzheimer's disease and an overview of how technology is now being used by visually impaired patients to help them carry out everyday tasks.

Topics: Artificial Intelligence, Telemedicine, Diabetic retinopathy, Patient engagement, Ultra-wide field imaging, Alzheimer’s disease, Visual impairment, Low vision aids.

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Audio – Clinical assessmentSound 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.

No
Audio – Clinical assessment

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.

No
Audio – Clinical assessment

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.

No
Audio – Clinical assessment

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.

No
Audio – Clinical assessment

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.

No
Audio – Clinical assessment

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.

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Audio – Ocular disease and management

No CPD Points

Professor Russell Foster discusses the overlap between eye health, general health and circadian rhythms, including advice for patients on appropriate lighting choices.

First published in DOCET OQ92 (2015).

Topics: Photoreceptors, Retina, Blue light, Lighting, Sleep.

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Audio – Ocular disease and management

No CPD Points

In this update on diabetes and diabetic retinopathy Simon O’Neill outlines the current situation in the UK and Philip Morgan and Mr Robin Hamilton discuss the risk factors for developing retinopathy, and how the existing care system operates.

First published in DOCET OQ92 (2015).

Topics: Diabetic, Retinopathy, Vision loss, Visual impairment, Treatment, Proliferative, Screening, Maculopathy.

No
Audio – Ocular disease and management

No CPD Points

    

A look at two new technologies aimed at improving diabetic detection and management: the first could enhance current screening techniques, the second may help monitor existing conditions.

First published in DOCET OQ92 (2015).

Topics: Diabetic, Retinopathy, Vision loss, Visual impairment, Proliferative, Screening, Lens, Autofluorescence, 'Smart lens'.

 

No
Audio – Ocular disease and management

No CPD Points

An examination of the evidence around claims of potential harm caused by blue light from mobile and computer screens.

First published in DOCET OQ91 (2014).

Topics: Computers, Blue light, Photoreceptors, Retina, Macula degeneration, Circadian rhythms, Sleep, Lenses, Sunglasses, Lighting, Phones, Tablets.

No
Audio – Ocular disease and management

No CPD Points

A dermatologist discusses the adverse ocular side effects of anti-malarial medications used to treat autoimmune conditions such as rheumatoid arthritis and the duty of care regarding adnexal and facial skin lesions.

First published in DOCET OQ91 (2014).

Topics: Drugs, Malignant, Skin lesions, Adnexa.

No
Audio – Ocular disease and management

No CPD Points

Professor Harminder Dua discusses his groundbreaking discovery of the existence of a new corneal layer and its implications in optometry with Gordon Carson.

First published in DOCET OQ90 (2014).

Topics: Cornea, Collagen, Glaucoma.

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Audio – Ocular disease and management

No CPD Points

Stephen Lash, a Consultant Ophthalmic Surgeon at University Hospital Southampton, talks about the cosmetic use of bimatoprost glaucoma eye drops and what advice optometrists should give to patients aiming to benefit from the lash enhancing side effects.

First published in DOCET OQ90 (2014).

Topics: Drugs, Eye drops, Glaucoma, Prostaglandin Analogues, Bimatoprost, Eyelashes.

No
Audio – Ocular disease and management

No CPD Points

In this interview, Polly Dulley asks Professor Rupert Bourne about the implications of the findings of a study of the worldwide causes of vision loss and how they relate to UK optometrists.

First published in DOCET OQ89 (2014).

Topics: Blindness, Incidence, Global, Causes

No
Audio – Ocular disease and management

No CPD Points


This audio programme discusses the very latest in retinal screening techniques and focuses on techniques helping in the early detection of glaucoma, vascular changes, and neuronal degenerative conditions such as Alzheimer's disease.

Topics: Glaucoma, DARC, Alzheimer's Disease, Sight loss, Retina.

Area of interest: Independent Prescribing

No
Audio – Ocular disease and management

No CPD Points

Epiretinal membrane is a thin layer of tissue which can grow over the surface of the retina and cause vision problems. Stephen Charles is a vitreoretinal surgeon at the Manchester Royal Eye Hospital, and talks to Ian Wallwork about the condition and its treatment.

Topics: Retina, Referral, Vitreoretinal, Micropsia, Visual loss, Visual impairment, Macropsia, Distortion, ERM, Amsler, OCT, Victrectomy.


No
Audio – Ocular disease and management

No CPD Points

Tamoxifen had resurfaced in 2013 in the media because of NICE guidelines which approve the drug for prescription not only to patients with a diagnosis, but also to those at high risk of developing breast cancer. Polly Dulley and Philip Morgan discuss the clinical impact that the NICE guidelines may have on optometrists.

Topics: Drugs, Breast cancer, OAR, NICE, Ocular adverse reactions, Corneal deposits, Dry eye, Retinal crystals, Macular.

No
Audio – Ocular disease and management

No CPD Points

The initial results of Age‐Related Eye Disease Study 2, or AREDS 2, were announced in May 2013. In this interview Hugh Breakspear speaks to John Lawrenson, Professor of Clinical Optometry at City University, about AREDS 2 and discusses the implications of the reported findings for optometrists and patients.

Topics: AMD, Supplements, Vitamins, Diet, Minerals, Lutein, Zeaxanthin, Omega-3, Macular degeneration.

No
Audio – Ocular disease and management

No CPD Points

Lucentis, previously used to treat Wet AMD, has recently been licensed by NICE for the treatment of diabetic maculopathy – a complication of diabetes that affects the macular. Clare Bailey talks to Fiona Grey about diabetic maculopathy and the prospects for its treatment with this new indication.

Topics: Diabetes, Macular, Anti-VEGF, Ranibizumab, Oedema, Retinopathy, Ischaemia, Laser, Haemorrhage, Visual loss.

No
Audio – Ocular disease and management

No CPD Points

Migraine is a condition which affects 12-15% of the UK adult population. Attacks can be debilitating, and can affect or be triggered by vision. For this reason, migraine patients sometimes consult optometrists. Anita Shah talks to Professor Bruce Evans about the causes, diagnosis, and treatment of the condition. 

Topics: Headaches, Flashes, Visual aura, Retinal, Visual loss, Photophobia, Neurological, Triggers, Colourimeter, Tinted lenses.

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Audio – Ocular disease and management

No CPD Points

Adam Wannell talks to Michael Johnson about papilloedema. Many patients with papilloedema first present to their optometrist, and, although relatively rare, optometrists working in the community have a very important role in the early identification and correct management of this condition.

Topics: Optic nerve, Disc margin, Swollen, Intracranial pressure, Referral, Emergency, Tumour, Trauma, Haemorrhages, Headache, Nausea, Neurological.

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