Pre-Registration FAQs: Ocular Disease & Investigative Techniques

At this time of the year, pre-registration trainees are once again completing their Assessments. Following the popular Ask the Examiner threads in the past, we have compiled all of the questions and answers as FAQs and regrouped them all according to subject. Our contributors have included Bill Harvey, Peter Chapman, Joy Myint, Dr Christine Astin, Prof David Henson, Henri Obstfeld, Catherine Viner, Miss Parul […]

Has RGP fitting become the new ‘rocket science?’

Over recent years I appear to be fitting less and less rigid gas permeable lenses in the GOS.  At a recent gathering, some friends were even debating whether or not GP lens fitting should now become a ‘specialist service’ only to be provided by practitioners who manage to demonstrate the experience. After all, with dwindling […]

Optical Appliances Competency 4.9

Competency 4.9 The ability to manage non-tolerance cases If a non-tolerance case occurs, practitioners must be able to logically identify the problem quickly and efficiently.  This competency assesses the trainee’s ability to listen to the patient and to solve the problem. Non-tolerance cases can occur for many reasons.  They could be generally categorised as, Pathological […]

Optical Appliances Competency 4.8

 An understanding of the application of complex low vision aids e.g. spectacle-mounted telescopes, CCTV Under this section, the group of ‘complex’ low vision aids consist of telescopes and electronic magnification systems, of which CCTV’s are just one type. As the majority of complex low vision aids are prescribed and dispensed by practitioners based either within […]

What’s on BV – Episode 3 – How to get more from your occluder – Part 3

When is a tropia not a tropia? The previous episodes have covered the topics of asymmetric phoria and the importance of recovery in latent squint. This episode aims to highlight the importance of observing both the covered and uncovered eye on the cover test. I tested an 11 year old girl recently who has a […]

What’s on BV – Episode 2 – How to get more from your occluder – Part 2

What do we mean by recovery? In the last episode, we saw that concomitant deviations do not have to be symmetrical, and that in the case of anisometropia, one may see an asymmetrical movement of the eyes on the alternate cover test.  This episode highlights the importance of the recovery movement seen on cover test. […]

What’s on BV – New Series

Welcome to the first episode of the new ‘What’s on BV’ series, where I hope to highlight some examples of BV tests that I find particularly useful in clinical decision making.  Unfortunately there is no free binder with part one, but I hope they prove a useful collection in the long run.  If there are any […]

The contact lens patient knows best

There I was, Friday afternoon, reflecting on a week comprising of mainly routine refractions but with the few interesting cases that kept my brain active. However, one area of clinical practice that I had observed during the week worried me: Contact lens wearers seem to know best!

Swimming around in a pool of acanthamoeba

I am a keen swimmer.  Over the past few years swimming has gradually become my main form of exercise. I wear goggles, I wear contact lenses, and when I occasionally forget either one or both, I usually muddle on and get some quality exercise all the same.

The CET Cycle: need to make a point or gain a point?

I already have my 36 CET points.  In fact I have significantly more than that and I managed to achieve the minimum within the first 6 months of this cycle. I achieved most of them waiting for the 5:15 from Leicester to Melton, a mere 10 minute journey.  Honestly, there is really little else to […]