Choroidal naevus is the most common benign intra-ocular tumour. It originates from neural crest derived cells. This lesion is of clinical significance due to risk of visual loss especially if located near the foveola and risk of transformation into malignant melanoma. Traditionally choroidal naevus has been assessed using ultrasound and fluorescein angiography. With advent of new imaging modalities like optical coherence tomography (OCT), fundus autofluorescence (FAF) and OCT angiogram (OCTA) they are being more commonly used to assess naevus. Low risk naevus is defined as one that is unlikely to transform into melanoma. Features of low-risk naevi are thickness <2mm, presence of drusen, absence of subretinal fluid, absence of orange pigment, absence of symptoms, tumour margins away from optic disc, and echo dense on ultrasound. It is a common observation that choroidal naevi are rarely seen in younger children. We describe a case of choroidal naevus in a 16-year-old girl referred to our clinic and review of literature to assess its prevalence and outcome in children.
Medical students have limited exposure to ophthalmology (1) and foundation placements in the specialty are rare. Taster weeks give applicants a chance to broaden their experience and make an informed career decision, and the recruiting bodies for ophthalmic specialist training (OST) in the UK have hence allocated weight in the application for the completion of an ophthalmology taster week (2). However, OST is highly competitive and, while a taster week itself carries 1 point in the application, applicants can use this experience to unlock more opportunities to strengthen their chances of securing a post. The following article explores how those looking to apply for the specialty can get the most out of their taster weeks.
Ophthalmic specialist training (OST) is one of the most competitive training programmes in the United Kingdom with only 89 places for over 600 applicants in 2021 (1). The cancellation of face-to-face interviews in response to the Covid-19 pandemic is one of several changes effected by the Royal College of Ophthalmologists and the Severn Deanery which is the lead recruiter for the speciality. Many budding ophthalmologists have struggled to adapt to the changes directly and indirectly imposed by the pandemic and were not successful in securing a training post during this time. The following article aims to outline changes to the OST application experience during the Covid-19 era and offers advice to those hoping to apply in coming cycles.
Advice on preparing the Ophthalmology Speciality Training (OST) portfolio often assumes that the applicant is still in medical school or at a relatively early stage of their career, which can be disheartening for applicants who decide to pursue Ophthalmology later on in their careers (such as during Foundation Years 2 or 3), as this cohort of applicants would have to develop their portfolio within a much shorter timeframe. This article aims to highlight high-yield elements within the OST to maximize points, focusing on applicants who decided to pursue Ophthalmology in their Foundation Years.
Cataracts are the leading cause of blindness worldwide. Estimates attributing blindness due to cataracts range from 50% cause of all-blindness in middle-low income countries to 90% cause of all-blindness in developed countries. Beyond the age of 60 years old, the average person is more likely to suffer from cataracts than not. This combination of a high incidence rate among the population and highly effective treatment available makes cataract surgery the most common surgical procedure performed in the NHS. This article explores and establishes the benefits of cataract surgery from multiple perspectives.