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Improving patient safety and experience when referring to hospital in England
We call on NHS England leaders to work with professional and patient eye care organisations to improve the models and funding of eye care services to protect patients.
CertLRS Exam
The CertLRS is a practical examination that tests your ability to perform safe laser refractive surgery. You must take this examination to enter independent practice in the field of laser refractive surgery.
Joint statement: Interim recommendations to discharge patients following routine uncomplicated cataract surgery
The Royal College of Ophthalmologists (RCOphth) and The College of Optometrists are issuing interim recommendations on routine cataract care to help rapidly increase hospital capacity to see patients with urgent, complex or sight threatening disease.
Reducing the postcode lottery by standardising pathways – A system approach to integrated care in Lancashire and South Cumbria
Ahead of Integrated Care Systems (ICS) becoming mandatory bodies in England in July 2022, Shveta Bansal, Clinical Director of Ophthalmology at Lancashire Teaching Hospitals NHS Trust and Clinical Lead for the Ophthalmology Collaborative in Lancashire and South Cumbria ICS, and Hayley Michell, Managing Consultant (NHS Transformation Unit) and Ophthalmology Programme Lead, share their experience of […]
Ophthalmic Safety Alert – Do not use nitrous oxide when there is gas in an operated eye
There have been several case reports on the use of nitrous oxide in the presence of intraocular gas after vitreoretinal surgery with severe loss of vision due to central retinal artery occlusion.2-6 There have also been some cases identified via national incident reporting systems. Nitrous oxide leaves the bloodstream and vitreous cavity quickly once inhalation is terminated,7 restoring the position of the lens-iris diaphragm and reperfusion of the central artery can happen. However, irreparable damage to the retina is known to occur after 100 minutes of ischaemia.7 The extent of damage to the eye may therefore be dependent on the duration of general anaesthesia / use of Entonox and the size of intraocular gas bubble at that time. There is a theoretical risk of harm (raised intraocular pressure or hypoxic iris) in anterior chamber gas bubbles during keratoplasty in the same circumstances, that is flying, high altitude or nitrous oxide use. It is currently unclear whether this represents a significant risk, as there is little published, but some corneal surgeons are warning their patients not to fly postoperatively.