Sound Optometry

57: Adult Diplopia – Double the trouble?

When we think about binocular vision (BV), we typically focus on the paediatric cohort. But there are hundreds of thousands of adults across the UK who have developed BV issues later in life, including double vision. This can be a clinical challenge that not every optometrist is confident in managing. Many of these patients struggle with their daily activities. Some people lose hope that their vision can be restored.In this episode, consultant ophthalmologist Nadeem Ali tells Michelle Hanratty that there are options available for adults with double vision, not just prism correction in spectacles. By pinpointing the likely cause of BV issues, optometrists can identify patients who might benefit from treatment and refer them on to secondary care. Nadeem provides insights from more than two decades of experience performing squint surgery, both within the NHS and at his private London Squint Clinic. Squint surgery has improved the quality of life for many patients; such as Pauline Brand, who also tells her story.GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domains of Clinical Practice. Docet - dedicated to providing quality optometric education and professional development.

56: Cataract Surgery – Meeting challenges and reducing risk

More than 1,500 cataract operations are carried out every day across the UK, making it one of the most common types of elective surgery undertaken by the NHS. But there are significant challenges facing cataract service delivery, with many patients — especially those with co-morbidities — struggling to access timely care. Could innovations help?In this episode, Michelle Hanratty asks Dr David Lockington, a consultant ophthalmologist and the President of the UK and Ireland Society of Cataract and Refractive Surgeons, about how cataract surgery has evolved in recent years. They discuss how appropriate referral and effective management by community optometrists can help to mitigate risks in patients. David also explains how the use of advanced lenses, bilateral surgery and dropless surgery can benefit both patients and healthcare practitioners.Finally, Michelle is joined by Dr Magdalena Edington, a high-volume cataract surgeon who predominantly carries out dropless surgery at an Independent Service Provider in England. Magdalena provides tips for optometrists who carry out postoperative care for thesepatients in the community.GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domains of Clinical Practice and Professionalism. Docet - dedicated to providing quality optometric education and professional development.

55: Vitreomacular conditions – When to monitor and when to refer

Vitreoretinal problems can arise as a natural part of ageing but in some patients, something more sinister could be at play. What are the signs of vitreomacular interface disorder pathogenesis that optometrists should be picking up on in practice? In this episode, Michelle Hanratty is in conversation with Mr Kam Balaggan, a consultant in cataract and vitreoretinal surgery at Wolverhampton Eye Infirmary. Kam describes how to identify the vitreomacular conditions that might be encountered in everyday practice — from adhesion to epiretinal membranes and macular holes. He goes on to explain when and how urgently cases should be referred. Michelle also asks Kam some of the questions viewers left during his recent Docet webinar, which registered optometrists can catch-up on here.GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domain of Professionalism and Clinical Practice. Docet - dedicated to providing quality optometric education and professional development.

54: Headaches – Causes and clinical management

It’s thought that over half of the world’s population experience a headache disorder, and almost all of us have experienced the symptoms at some point in our lives. Headaches can be caused by many different factors — both visual and non-visual — and their severity can vary massively. When optometrists are examining patients, it’s not always clear how concerned to be or what to do next. After all, headaches could be a sign of an underlying health problem, from hypertension to brain tumours.  In this episode, Michelle Hanratty is joined by Hilary Hodgson and Dr Nav Chana, who together advised a new six-part course about headaches available on the Docet website. Hilary, an optometrist, begins by explaining what to look out for in eye examinations. Dr Chana, a GP, goes on to discuss when to refer on patients and how primary care practitioners can work together to understand the causes of headaches in a timely manner.  You can enrol onto Docet’s headaches CPD course here.  GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domain of Clinical Practice and Communication. Docet - dedicated to providing quality optometric education and professional development.

53: Periorbital Skin conditions – What’s an optometrist to do?

Skin conditions are very common in the UK; for example, up to 30% of children and 10% of adults suffer from eczema. Dermatological problems can cause great discomfort or they could be the sign of a more serious underlying health condition. If the eye area is affected by a skin condition, optometrists are in a good position to help patients early-on, especially as it can sometimes be difficult to access a GP or a dermatologist in a timely fashion.  In this episode, Bryan Murphy, a Consultant Dermatologist at Cathedral Health in Belfast, tells Michelle Hanratty why it’s essential for optometrists to understand periocular conditions, from allergies and inflammation to skin lesions. Bryan also provides practical advice for optometrists on history-taking and referrals when patients present with skin problems.   Don’t forget that if you have a topic in mind that you’d like us to cover, or if you’ve got an interesting case study you’d like to share, send Docet a message on LinkedIn. GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domain of Clinical Practice. Docet - dedicated to providing quality optometric education and professional development.