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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

The Outside Clinic Account Holders C16491 (VRICS) Diabetic Eye Disease

Published May 27th, 2011 by Jane Macnaughton.

By Jane Macnaughton MCOptom and Peter Chapman MCOptom FBDO

This VRICS poster quiz consists of a series of images of diabetes and associated conditions.
This quiz will cover the National Guidelines for grading diabetic retinopathy, the pathogenesis and progression of diabetic eye disease and onward referral protocols.
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

Download a PDF Copy of article C 16491 Here

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Article Expires End April 2012

ASSOCIATED READING lIST

1. Please note: the Grading used in this VRICS refers directly to the National Screening Programme for Diabetic Retinopathy: local differences in grading protocols may exist and are not taken into account in this quiz.

http://www.retinalscreening.nhs.uk

http://www.scotland.gov.uk/Publications/2003/07/17638/23088  

Fundus Photograph Reading Centre: http://eyephoto.ophth.wisc.edu/ResearchAreas/Diabetes/DiabStds.htm

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

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

The Outside Clinic Account Holders: A practical approach to the management of low vision Paper One: Understanding Community Care

Published April 17th, 2011 by Jane Macnaughton.

Over two million people in the UK have significant sight loss. The overwhelming majority with a visual impairment is the elderly. With over 80% of individuals included on the Severely Sight Impaired and Sight Impaired registers for the United Kingdom 75 years of age. Age-related macular degeneration is the single most significant cause, accounting for approximately half of all registered cases.

Learning Objectives:

Following this article the practitioner will understand,

• The route to registration
• The purpose of registration
• Legal framework of registration
• World Health Organisation definitions of visual impairment and the importance of the ICF Document
• UK definitions of sight impaired and severely sight impaired
• The CVI, RVI and LVL documents
• The role of the Optometrists and Dispensing Opticians in the national Eye Care Pathway for Low Vision and the need for multidisciplinary care

Download a copy of Low V Article 1 C 16293 here 

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As practitioners we have a duty of care to our elderly population. With the management of systemic disease improving over the years, the average age of the population is set to increase further. With an increase in the number of ‘elderly years’. Therefore it follows that there will be a significantly higher proportion of the population with degenerative conditions, placing a greater demand upon services for the elderly. Therefore over the coming years, we must prepare ourselves for a significant change in our working practices. With greater demand for services for visually impaired people, this will undoubtedly include the provision of low vision aids.

It is the intention of this article to break down the barriers to low vision and to assist the practitioner in acquiring the basic skills of prescribing magnification. The emphasis with be on management of the elderly visually impaired patients. However, low vision practitioners must not only be able …

Outside Clinic Account Holders: VRICS Ocular Pathology And Conditions Associated with Vascular Disease

Published March 25th, 2011 by Jane Macnaughton.

C‑16141 Visual Recognition & Interpretation of Visual Signs:

Ocular Pathology And Conditions Associated with Vascular Disease

by Peter Chapman MCOptom FBDO  and Jane Macnaughton MCOptom

This VRICS poster quiz consists of a series of images related to vascular conditions that affect the eye. Delegates are encouraged to discuss with peers and/or use available materials to interpret the pictures and come to an accurate conclusion.

2 General CET points (Optometrists)

Download a copy of the article here: VRICS C16111  

Take the test Online here.

 Expires 31st March 2012

EXPIRED Outside Clinic CET: Keeping it Simple

Published February 18th, 2011 by Jane Macnaughton.

In this article Dr Fiona Fylan provides an account of the research she has undertaken with optometrists and patients about communication in practice. She highlights how patients perceive the optometric examination in a way that is similar to consultations with their GP, and expect the expert practitioner to find out about their needs, to explain test procedures and results, and to explain the recommendations they make. The research indicates that many practitioners underestimate the information that patients would like to receive about the test procedures and findings, and that patients would like their optometrist to find out more about their visual needs, including those that arise from their lifestyle, work and leisure activities, before making recommendations. Patients also want more information about why the recommendations made are appropriate, although they vary in their preferred decision-making role – some want the optometrist to provide information so that they can make informed decisions, and others prefer to rely on the optometrist’s recommendations. The research results are used to inform recommendations for improving communication in practice.

Expired 

Learning Objectives:

1. To increase the ability to elicit issues pertaining to the patient’s visual and lifestyle requirements.
2. To enable the practitioner to better understand the patient’s visual and lifestyle expectations.
3. To enable the practitioner to better understand a patient’s fears, anxieties and concerns about their visual welfare, the eye examination and its outcome.

This article has been accredited for 1 CET point (General) for both Optometrists and Dispensing Opticians.

Keeping It Simple

As a researcher and consultant in optical practice I was delighted when Essilor International asked me to get involved with their latest research project. Essilor International are based in Paris …

EXPIRED Outside Clinic Account: VRICS External Pathologyof the Ageing eye

Published February 16th, 2011 by Jane Macnaughton.

C‑14963 Visual Recognition & Interpretation of Visual Signs: External Pathology of the Ageing Eye

by Jane Macnaughton MCOptom and Peter Chapman MCOptom FBDO.

2 General CET points (Optometrists)

This VRICS poster quiz consists of a series of images of the external eye.

You are encouraged to discuss with peers and/or use available materials to interpret the pictures and come to an accurate conclusion which may include diagnosis and onward management.

Download a copy of the VRICS Quiz here

This CET Article has Expired