A5082832134- Intraocular Surgery and Lenses
- Retinal and Macular Surgery
- Traumatic Ocular and Foreign Body Injuries
- Glaucoma and retinal disorders
- Retinal and Optic Conditions
- Retinal Diseases and Treatments
- Intracranial Aneurysms: Treatment and Complications
- Surgical Simulation and Training
- Corneal Surgery and Treatments
- Vascular Malformations Diagnosis and Treatment
- Facial Trauma and Fracture Management
- Cerebrovascular and Carotid Artery Diseases
- Intraoperative Neuromonitoring and Anesthetic Effects
- ECG Monitoring and Analysis
- Corneal surgery and disorders
- Facial Rejuvenation and Surgery Techniques
- Dermatologic Treatments and Research
- Ocular Oncology and Treatments
- Retinal Imaging and Analysis
- Ocular Diseases and Behçet’s Syndrome
- Facial Nerve Paralysis Treatment and Research
- Ocular Surface and Contact Lens
- Botulinum Toxin and Related Neurological Disorders
- Ophthalmology and Eye Disorders
- Telemedicine and Telehealth Implementation
Moorfields Eye Hospital
2014-2024
University College London
2014-2024
Moorfields Eye Hospital NHS Foundation Trust
2015-2024
University Hospitals Sussex NHS Foundation Trust
2023-2024
Sussex Eye Hospital
2023-2024
Ophthalmology Associates (United States)
2023
ViteroRetinal Surgery
2023
Birmingham Accident Hospital
2020
Institute of Ophthalmology
2020
Government of Western Australia Department of Health
2018
Background The COVID-19 crisis forced hospitals in the UK dramatically to reduce outpatient activity. To provide continuity of care and assist patients reluctant or unable leave their homes, video consultations were rapidly implemented across routine emergency ophthalmology services. Objective describe deployment scaling a large volume teleophthalmology using consultation platform ‘Attend Anywhere’ Moorfields Eye Hospital’s accident (A&E) department (London, UK). Method Patient...
<h3>Importance</h3> A lack of consensus exists with regard to the optimal positioning regimen for patients after macula-involving retinal detachment (RD) repair. <h3>Objective</h3> To evaluate effect face-down vs support-the-break on displacement and distortion RD <h3>Design, Setting, Participants</h3> prospective 6-month single-masked randomized clinical trial was conducted at a multicenter tertiary referral setting from May 16, 2016, 1, 2018. Inclusion criteria were fovea-involving...
<h3>Aims</h3> To investigate whether ophthalmology trainees are able to assess their own competence in cataract surgery and this judgement improves as they progress through training. <h3>Methods</h3> A prospective, blinded, single-centre comparative study of trainee surgeons was performed. 16 junior (150–499 operations) senior (>500 were recruited. They performed a single videotaped operation filled the validated Objective Structured Assessment Cataract Surgical Skill (OSACSS) assessment...
<h3>Importance</h3> Patients with benign essential blepharospasm or hemifacial spasm are known to use botulinum toxin injections and alleviating maneuvers help control their symptoms. The clinical correlates between the of not well established. <h3>Objective</h3> To determine whether for disease severity treatment. <h3>Design, Setting, Participants</h3> A prospective cross-sectional observational study (designed in September 2013) 74 patients 56 who were consecutively recruited from adnexal...
Purpose: Long-term study to evaluate the clinical and surgical outcomes of SB surgery for primary rhegmatogenous retinal detachment (RRD) at a large tertiary eye center. Methods: Non-comparative, retrospective case series 589 eyes 569 patients with RRD who underwent between 2004 2022 median follow-up 6 months. Main outcome measures were best-corrected visual acuity (BCVA), outcomes, complications, classification RRD. Results: At baseline, 447/589 (76.1%), round hole-RRD 133/589 (22.7%)...
<b><i>Purpose:</i></b> The reported incidence of postretinal detachment (RD) macular displacement varies markedly (14–72%). This may in part be due to the imaging modalities used. We compared ability 2 types fundus autofluorescence (FAF) detect this phenomenon. <b><i>Methods:</i></b> Prospective study 70 eyes with macula-involving RDs. 8 weeks postoperatively, patients underwent FAF machines: a confocal scanning laser ophthalmoscope (cSLO) and...
Background/aims To investigate the clinical effectiveness of adjunctive triamcinolone acetonide (TA) given at time vitreoretinal surgery following open globe trauma (OGT). Methods A phase 3, multicentre, double-masked randomised controlled trial patients undergoing vitrectomy OGT comparing TA (intravitreal and subtenons) against standard care (2014–2020). The primary outcome was proportion with least 10 Early Treatment Diabetic Retinopathy Study (ETDRS) letter improvement in corrected visual...
Ocriplasmin is a protease which has been approved for the treatment of symptomatic vitreomacular adhesion (VMA). A 63-year-old presented with blurred vision in left eye and best corrected visual acuity 6/18. Optical coherence tomography revealed VMA an underlying macular hole she subsequently underwent intravitreal ocriplasmin injection. One week after injection, had released but enlargement drop her BCVA to 6/60. This persisted at 1 month It important warn patients that may lead their...
Background Eyes sustaining open globe trauma are at high risk of severe visual impairment. Proliferative vitreoretinopathy is the most common cause retinal detachment and loss in eyes with trauma. There evidence from experimental studies pilot clinical trials that use adjunctive steroid medication triamcinolone acetonide can reduce incidence proliferative improve outcomes surgery for Objective The Adjunctive Steroid Combination Ocular Trauma or ASCOT study aimed to investigate effectiveness...
Posterior hyaloid removal during pars plana vitrectomy and lensectomy for ectopia lentis is commonly performed, but may increase the risk of intraoperative retinal breaks postoperative detachment. This study evaluated outcomes after with or without posterior removal.This retrospective observational cohort included cases that underwent (2005-2014), induction a vitreous detachment (PVD). The primary outcome was secondary were incidence iatrogenic breaks, change in visual acuity.Twenty-six...
To establish the level of confidence amongst UK ophthalmology specialist registrars (residents) in managing posterior capsule rupture (PCR) during cataract surgery.An online nine-item questionnaire was distributed to all registrars, recruited nationwide via regional representatives. Data collected included stage training, number completed operations, cumulative PCR rate, PCRs independently managed, understanding vitrectomy settings and fluidic parameters access simulation. Respondents...
Purpose: Paraneoplastic ocular inflammation can be associated with the autoantibody against collapsin response-mediator protein-5 (anti-CRMP-5). We describe clinical and histological features of 2 rare cases small cell lung carcinoma (SCLC) presenting intraocular inflammation: first was anti-CRMP-5 positive second preceded auto-antibody's discovery but remarkably similar features. The previously unreported retinal histology is described.Methods: Case notes review.Results: Both presented...
Casswell, Edward J. MBBS; Bowes, Oliver Barsam, Allon FRCOphth; Perry, Henry D. MD Author Information
To describe the widefield spectral-domain optical coherence tomography features of peripheral round retinal holes, with or without associated detachment (RD).Retrospective, observational study 28 eyes and RD. Patients underwent imaging a 50-degree (Heidelberg Engineering, Germany) Optos ultra-widefield systems (Optos, United Kingdom).Vitreous attachment at site hole was detected in 27/28 (96.4%) cases. Cases were split into three groups: RHs RD (n = 12); subretinal fluid 5), flat 11),...
Objectives To understand the incidence, causes, management and outcomes of intentional (assault) unintentional severe ocular chemical injuries (SOCI) at an urban tertiary referral centre in UK. Design Retrospective observational study. Setting A London ophthalmic centre, Moorfields Eye Hospital. Participants All cases SOCI presenting between 1 September 2011 31 August 2014 were identified. The definition was grade 3 or 4 on Hughes-Roper-Hall classification system. We identified 25 (6...
A 74-year-old man developed sudden onset of painless persistent partial loss vision in the right eye 3 days after total knee replacement. The initial investigation was for amaurosis fugax with a normal CT scan brain but carotid Doppler confirmed >90% stenosis internal artery. Urgent ophthalmological review anterior ischaemic optic neuropathy. Subsequently, he lost his completely eye. He had previous high risk hemispheric transient attack reported as normal.
Background In the United Kingdom, it is estimated that 5,000 patients sustain eye injuries or ocular trauma requiring hospital admission annually, of which 250 will be permanently blinded. This study explores cost-effectiveness Adjunctive Steroid Combination in Ocular Trauma (ASCOT) given during surgery versus standard treatment vitreoretinal with open globe trauma. Methods economic evaluation was embedded alongside ASCOT RCT (ClinicalTrials.gov Identifier: NCT02873026). We conducted a...