Clinical Articles

Here you will find an archive of clinical and CET articles which have been published in OT from 1999 to the present. You can search for articles via the year of publication, the author's name or using a keyword search. All articles can be downloaded as a PDF alongside any references linked to the article.

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Latent nystagmus

May 17 2013

  • Professor Chris Harris, PhD

There are many types of spontaneous pathological nystagmus with a plethora of classifications, labels and waveforms. Although this can be daunting, nystagmus is a complicated, yet important, sign. Nystagmus has a wide range of associations – from acute neurological disorders to non-progressive... More information

References available for download

Shared care referral pathways part 4: How NICE – OHT and glaucoma referral

May 17 2013

  • Chris Steele, BSc (Hons), FCOptom, DCLP, DipOC, DipTp(IP), FBCLA

Chronic open-angle glaucoma (COAG) is a common and potentially blinding condition. Its prevalence rises steeply with advancing age, from 0.3% at 40 years to 10% in the over 1980s. It is estimated that around 489,000 people are known to have COAG in England and at least the same number again remain u... More information

References available for download

Practice audit of wet AMD referrals

May 3 2013

  • Trevor Warburton, Susan Parker and Anthony Bryan

Wet AMD is one of the few urgent referrals which optometrists encounter and, in our experience, is probably the most common. It requires direct referral to a treatment centre – referral via the GP can be a risk. In common with many areas, Stockport has a dedicated wet AMD pathway, and most of ... More information

References available for download

Shared care referral pathways part 3: See through cataract referral

May 3 2013

  • Chris Steele, BSc (Hons), FCOptom, DCLP, DipOC, DipTp(IP), FBCLA

Cataract surgery is the most frequently undertaken surgical intervention in the UK, with day case rates of 98%-100% being achieved in most NHS ophthalmic surgical facilities. Cataract surgery in the UK is performed predominantly on elderly patients with over 90% being 60 years of age or older, and j... More information

References available for download

Clinical decision making: part 1

May 3 2013

  • Stanley Keys, BSc (Hons), FCOptom, Dip Glauc, Dip Tp (IP)

Optometrists are confronted with a wide range of clinical scenarios and situations on a daily basis which requires a good understanding of ocular examination techniques and ocular conditions. In practice different parts of our knowledge and skills get tested almost at random, depending on the patien... More information

Acquired brain injury part 3: See through cataract referral

May 3 2013

  • Mark Menezes, BSc (Hons), FACBO

In cases of acquired brain injury (ABI), the brain may have been shaken and, as a consequence, the neurology of the brain might not work as well as it did previously. This can result in effects on visual function. The previous article described how to examine the patient with ABI. This final article... More information

References available for download

Acquired brain injury part 2: Examining the patient with ABI

April 19 2013

  • Mark Menezes, BSc (Hons), FACBO

The first article of this series described the key visual effects of acquired brain injury (ABI) and in order to aid rehabilitation of such patients, or at least minimise the impact, careful examination is required. One of the most important aspects of the examination, in any good primary care eye e... More information

References available for download

Blood on the macula: diabetes or age?

April 19 2013

  • Aditi Gupta, MBBS, MRCOphth and Ramesh Sivaraj, MS, DNB, FRCS Ophthalmology

Diabetes and age can affect a patient’s central vision as a result of damage to the macula. Both of these conditions can present with haemorrhage at the macula and appropriate referral and timely management is key in determining the visual potential in these cases. Diabetic retinopathy can pre... More information

References available for download

Interactive presentations

April 8 2013

  • Dr Alison Alderson and Dr Chris Davey

Following a Bradford LOC annual CET day, Dr Alison Alderson and Dr Chris Davey reflect on practitioners’ responses to a presentation entitled ‘Your peers and their decision making’, and review a promising method of delivering interactive lectures in small groups.   More information

References available for download

Optokinetic nystagmus

April 5 2013

  • Professor Chris Harris, PhD

Nystagmus is an oscillation of one or both eyes. Nystagmus can be a physiological phenomenon such as optokinetic nystagmus (OKN) or induced vestibular nystagmus (which are normal oculomotor responses), or it can be a pathological phenomenon in which the eye(s) oscillate spontaneously. Nystagmus is u... More information

References available for download

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