- Intraocular Surgery and Lenses
- Glaucoma and retinal disorders
- Ophthalmology and Visual Impairment Studies
- Corneal surgery and disorders
- Retinal Diseases and Treatments
- Retinal Imaging and Analysis
- Connexins and lens biology
- Retinal and Macular Surgery
- Retinal and Optic Conditions
- Patient Satisfaction in Healthcare
- Ophthalmology and Visual Health Research
- Vascular Malformations Diagnosis and Treatment
- Ocular Infections and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Advanced Glycation End Products research
- Antiplatelet Therapy and Cardiovascular Diseases
- Ocular Surface and Contact Lens
- Medical Coding and Health Information
- Ophthalmology and Eye Disorders
- Traumatic Ocular and Foreign Body Injuries
- Aldose Reductase and Taurine
- Diversity and Career in Medicine
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiomyopathy and Myosin Studies
- Biochemical effects in animals
Bristol Eye Hospital
2013-2024
University Hospitals Bristol NHS Foundation Trust
2009-2024
Royal College of Ophthalmologists
1999-2022
University of Bristol
2000-2022
Institute of Population and Public Health
2022
National Health Service
1993-2020
Guy's and St Thomas' NHS Foundation Trust
2015
At Bristol
2011-2012
London School of Hygiene & Tropical Medicine
2007-2011
Cheltenham General Hospital
2010
To assess how intraocular lens (IOL) formula choice affects refractive outcomes after cataract surgery using IOLMaster biometry.Department of Ophthalmology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom.Database study.Hypothetical prediction errors were retrospectively calculated on prospectively collected data from electronic medical records optimized Hoffer Q, Holladay 1, and SRK/T formulas (Sofport AO Akreos Fit IOLs) across a range 0.5 mm or 1.0 axial length...
To describe the outcomes of cataract surgery in United Kingdom. Anonymised data on 180 114 eyes from 127 685 patients undergoing between August 2006 and November 2010 were collected prospectively 28 sites. Outcome measures included intraoperative postoperative complication rates, preoperative visual acuities. Median age at first eye was 77.1 years, 36.9% cases had ocular co-pathology 41.0% underwent both eyes. Preoperative acuity 0.30 logMAR or better 32.0% 47.7% second Postoperative...
<h3>Objective:</h3> To estimate the distribution and predictors of some common visual problems (strabismus, amblyopia, hypermetropia) within a population-based cohort children at age 7 years. <h3>Methods:</h3> Children participating in birth study were examined by orthoptists who carried out cover/uncover, alternate cover, acuity non-cycloplegic refraction tests. Prospectively collected data on potential risk factors available from study. <h3>Results:</h3> Data for 7825 seven-year-old...
PURPOSE: To assess the benefits of intraocular lens (IOL)-constant optimization for IOLMaster biometry on refractive outcomes after cataract surgery all surgeons and individual surgeons, define acceptable levels error in IOL-constant optimization, calculate minimum number eyes required optimization. SETTING: Department Ophthalmology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom. DESIGN: Database study. METHODS: Hypothetical prediction errors were retrospectively...
To investigate the impact of EyeSi surgical simulators on posterior capsule rupture (PCR) rates cataract surgery performed by first and second year trainee surgeons.A Royal College Ophthalmologists' National Ophthalmology Database audit study surgeons' PCR over seven consecutive Health Service (NHS) years. Participating centres were contacted to ascertain date when their surgeons had access an machine whether this was on-site or off-site. Operations classified as before, after no EyeSi.The...
<h3>Importance</h3> Aligning outcome measures for cataract surgery, one of the most frequently performed procedures globally, may facilitate international comparisons that can drive improvements in outcomes meaningful to patients. <h3>Objective</h3> To propose a minimum standard set surgery enables global comparisons. <h3>Design, Setting, and Participants</h3> A working group experts registries was convened, along with patient advocate, agree on consensus surgery. In modified Delphi process,...
To determine whether primary trabeculectomy or medical treatment produces better outcomes in term of quality life, clinical effectiveness, and safety patients presenting with advanced glaucoma.Pragmatic multicentre randomised controlled trial.27 secondary care glaucoma departments the UK.453 adults newly diagnosed open angle at least one eye (Hodapp classification) between 3 June 2014 31 May 2017.Mitomycin C augmented (n=227) escalating management intraocular pressure reducing drops (n=226)...
Purpose to determine whether primary trabeculectomy or medical treatment produces better outcomes in term of quality life (QoL), clinical effectiveness and safety patients presenting with advanced glaucoma. Design multicentre randomised controlled trial Participants between June 3, 2014 May 31, 2017, 453 adults newly diagnosed open angle glaucoma at least one eye (Hodapp Classification) were recruited from 27 secondary care departments the UK, 227 allocated 226 management. Methods...
PURPOSE. To define vision-related quality of life, to outline the development a vision-specific life instrument and present characteristics 10-item `core' questionnaire. METHOD. A standard method included: 1. Generation relevant issues by individual interviews with 38 visually impaired adults, consultation 37 professionals support workers literature review. 2. Operationalisation, involving 58 ophthalmic patients. 3. Pre-testing, maximise face validity content validity, 184 individuals...
Purpose To compare the clinical results of conventional phacoemulsification surgery (CPS) with femtosecond laser–assisted cataract surgery. Setting Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom. Design Single-center prospective randomized interventional case-controlled trial. Methods Patients undergoing were to receive either CPS or The was performed a laser (Lensx), and all operations gravity-fluidics torsional machine (Infiniti). visual acuity, refraction, central corneal...
Background Presentation with advanced glaucoma is the major risk factor for lifetime blindness. Effective intervention at diagnosis expected to minimise of further visual loss in this group patients. Aim To compare clinical and cost-effectiveness primary medical management compared surgery people presenting open-angle (OAG). Methods Design : A prospective, pragmatic multicentre randomised controlled trial (RCT). Setting Twenty-seven UK hospital eye services. Participants Four hundred forty...
Patients and clinicians need to accurately assess the risks benefits of pars plana vitrectomy for proliferative diabetic retinopathy, but clinical trial data may not reflect real-world experience.To prospectively audit complications retinopathy help establish benchmarks.Royal College Ophthalmologists' National Ophthalmology Database study 939 eyes 834 patients undergoing primary at 16 different vitreoretinal units in United Kingdom. Data were obtained period from January 2001 November...