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The Outside Clinic Account Holders C18188 (VRICS) Problems in the Periphery

Published January 4th, 2012 by Jane Macnaughton.

This VRICS poster quiz consists of a series of images and diagrams. You are encouraged to discuss with peers and/or use available materials to interpret the pictures and come to a accurate conclusion.

To receive your CET points for this article, complete the Multiple Choice Questions.

A pass mark of 66% (8 out of 12 correct answers) must be achieved. Only one attempt is allowed.

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Article Expires End April 2012

ASSOCIATED READING lIST

1. Clinical Ophthalmology: A Systematic Approach: Expert Consult, 7th edition (Kanski, J, and Bowling, B)

2. Moorfields Manual of Ophthalmology (Timothy L. Jackson MBChB FRCOphth PhD)

3. Review of Optometry:http://www.revoptom.com

The Outside Clinic Account Holders: Glaucoma detection for the domiciliary optometrist. Paper 2: Management C 17915 (O)

Published November 29th, 2011 by Jane Macnaughton.

This text based article will discuss the treatment options for Chronic Open Angle Galucoma with specific emphasis on the medical treatments currently available and the common side effects of these medications. The role of the optometrist will also be outlined.

Learning Objectives:

To understand
1. IOP and aqueous humour dynamics
2. The autonomic nervous system and the eye
3. Medical treatment options for Chronic Open Angle Glaucoma (COAG)
4. The side effects of medical treatment options for COAG
5. The role of the optometrist in patient management of COAG

ANTHONY T CLARKE BSc (Hons) MCOptom DipGlauc Specialist Optometrist in Glaucoma, Leicester Royal Infirmary Specialist Optometrist in Glaucoma, Peterborough Community Glaucoma Scheme Anthony completed a degree in Physiology & Anatomy in the mid-1990s before going on to study Optometry at Aston University, qualifying as an Optometrist in 2000. He currently works as a specialist optometrist within the glaucoma clinic at the Leicester Royal Infirmary. He is also an accredited Optometrist for the Peterborough Community Glaucoma Screening programme. He is also the Lead Assessor (Glaucoma) for the Leics & Rutland LOC. Anthony regularly teaches medical students and visiting pre-registration Optometrists and has been involved in clinical audit. He has also been a pre-registration supervisor. He has written occasional articles which have appeared in the optical press.

Article Expires End April 2012

This CET article has been awarded 1 General CET point – target Group : Optometrists

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The Outside Clinic Account Holders: C17314 (VRICS) Problems at the Pole

Published September 28th, 2011 by Jane Macnaughton.

By Jane Macnaughton MCOptom and Peter Chapman MCOptom FBDO

This VRICS poster quiz consists of a series of images of the posterior pole. This quiz will cover posterior segment lesions, their pathogenesis and onward management. Delegates are encouraged to discuss with peers and/or use available materials to interpret the pictures and come to a accurate conclusion.

This article is accredited 2 General CET Points for Optometrists

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Article Expires End April 2012

ASSOCIATED READING lIST

1. Clinical Ophthalmology: A Systematic Approach: Expert Consult, 7th edition (Kanski, J, and Bowling, B)

2. Moorfields Manual of Ophthalmology (Timothy L. Jackson MBChB FRCOphth PhD)

3. Review of Optometry:http://www.revoptom.com

The Outside Clinic Account Holders: C16976 Glaucoma detection for the domiciliary optometrist. 1 The Assessment

Published August 31st, 2011 by Jane Macnaughton.

Glaucoma describes a group of diseases that share the same common feature of progressive optic neuropathy. Glaucoma results in characteristic damage to the optic nerve head and retinal nerve fibre layer, which can produce characteristic functional vision loss i.e. visual field defects. If progressive this damage is potentially blinding.

This article will address the current methods and guidance for detecting glaucoma in patients living within a domicilary setting. Specific reference will be made to the challenges faced and the impact of current guidance on this important groups of patients within clinical practice.

This CET article has been awarded 1 General CET point – target Group : Optometrists

Expiry Date 30/4/12

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Learning Objectives :

Following the article readers will have improved or enhanced understanding of the following:

1. Types of glaucomas, risk factors, demographics and cost to the economy
2. The impact of dementia when assessing for glaucoma within the elderly ahe group.
3. Review of the cornerstones of glaucoma detection: VF / Tonometry and disc assessment
4. Challenges, Alterations and additional considerations when investigating for glaucoma within the domicilary setting.
5. Revew of the guidelines: GOC / Colege guidance and the impact of NICE upon the referral pathway.

The Outside Clinic Account Holders: C16825 A practical approach to the management of low vision in the domiciliary setting Paper 2: Assessing & Prescribing Magnification

Published July 27th, 2011 by Jane Macnaughton.

As with any eye examination, whether it be within a consulting room or within the domiciliary setting, is important to follow a well-constructed and methodical routine. We need to determine what it is that the patient wants to be able to do, and then take appropriate actions to meet those needs. This may include prescribing magnification, giving advice on lighting, or discussing further referral onto social services for rehabilitation strategies and daily living skills.

This article has been awarded 1 CET point for both Optometrists and Dispensing Opticians. Expiry date 30/4/12

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Following this article the practitioner will
Understand how to accurate assess the vision of a visually impaired person
Understand how to calculate and prescribe the most appropriate magnification for a set visual task
Understand the choices available in selecting the most appropriate choice of Low Vision Device to meet the patient’s needs.

Recommended Reading:

Low Vision Manual (Pub Butterworth-Heinemann) Jonathan Jackson PhD (Editor), James Wolffsohn BSc PhD MCOptom (Editor)
Eye Essentials: Low Vision Assessment (Pub: ABDO Bookshop) Jane Macnaughton MCOptom