Archive for March, 2007

What do you want from me?

Published March 28th, 2007 by David.

I am halfway through what is turning into a very busy week and after a conversation with a number of clients, candidates and people outside the industry, I was left wondering what exactly clients and candidates want out of a recruitment consultancy and how does this vary with the level of the role and urgency […]

Photophobic or over sensitive?

Published March 27th, 2007 by Peter Chapman.

Bright light. It’s horrible. Who does like looking at bright light? I don’t. So when a patient presents with a chief complaint of photophobia, what are we meant to do?
I have had two cases in the last two weeks (I hate this sunny weather sometimes!).  The first was a student who felt that his photophobia […]

Swimming around in a pool of Acanthamoeba

Published March 26th, 2007 by Jane Macnaughton.

I am a keen swimmer.  Over the past few years swimming has gradually become my main form of exercise. I wear goggles, I wear contact lenses, and when I occasionally forget either one or both, I usually muddle on and get some quality exercise all the same.
Between us, my family makes a combined number of […]

Where is your CV?

Published March 22nd, 2007 by David.

One of the courses of action which people can do in order to find themselves work is to post their CV on a variety of different CV search websites and let the people contact you. This of course saves you doing all the calling around however it does raise the question where is your CV […]

The Intraocular Variations of IOP

Published March 21st, 2007 by Paul A Verkey.

By Paul Verkey, Kristina Ptochantonis, and Shetaaj Moorad
In clinic, we spend a fair amount of time measuring countless pressures and it is easy to forget what factors affect intraocular pressure (IOP) over time; these factors may affect how we manage the patient at the end of our clinical examination.
IOP values do not follow a normal distribution, […]

Dr Putrino’s Eyegenie

Published March 20th, 2007 by Andrew Ho.

Almost everyone at some point during their clinical experience will encounter, or have been in a situation where they think to themselves, “Wouldn’t it be nice if someone had invented… right now?. Well, one such device that falls neatly into this category is the recently introduced Eyegenie.
The Eyegenie is a simple plastic eyelid retractor […]

Clinical Conundrums: Case History 3 - Differential Prism

Published March 20th, 2007 by Peter Chapman.

A 78-year-old patient presented for refraction following a cataract extraction on the Right Eye. A nice easy start after lunch I thought.  During history and symptoms she explained there may have been some complications during the surgery but was unsure exactly what those complications had been.
Refractive Status, Pre-operative:

R +6.00/-0.50 x 75                6/18             Add +2.75 
L +5.50/-1.25 x […]

Clinical Conundrums: Case History 2 - ‘Pie on the Floor’

Published March 14th, 2007 by Caroline King.

From Caroline King & Priscilla Darkwah:
We today examined a  34 year old female patient who attended for a routine 2-yearly eye examination.  She was reporting a slight deterioration in her distance visual acuity, which was more noticeable when driving. There were no problems at near. She was otherwise asymptomatic, no headaches, diplopia or any other complaints.
Her general health […]

My ‘Duty of Care.’ - Driving Standards

Published March 13th, 2007 by Priya Morjaria.

I clearly remember the words of my university lecturer saying to all of us:-
‘When a patient does not meet driving standard requirements, you can only advise them about it. Your duty is to make sure that they are aware of the clinical results. You are not in a position to tell them whether or not […]

The Contact Lens Patient Knows Best

Published March 13th, 2007 by Peter Chapman.

There I was, Friday afternoon, reflecting on a week comprising of mainly routine refractions but with the few interesting cases that kept my brain active. However, one area of clinical practice that I had observed during the week worried me:
Contact lens wearers seem to know best!
Imagine my disbelief when on asking to remove their contact […]