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P009 Service evaluation to optimise ophthalmological services for hydroxychloroquine retinal screening
Conclusion Our results demonstrate the need for service development to facilitate adherence to RCOphth guidance. Up to 40% of patients started on HCQ have baseline risks for retinopathy, most due to dosing>5mg/kg/day warranting yearly screening. Our findings will inform development of a rheumatology HCQ retinal screening pathway and services, to ensure safe long-term use of HCQ.Disclosure C. Lee*: None.M. Dey*: None.M. Hng: None.S. Peterson: None.I. Rahiman: None.M. Elshafei: None.C. Estrach: None.N.J. Goodson: None. (Source: Rheumatology)
Source: Rheumatology - April 26, 2021 Category: Rheumatology Source Type: research

New recommendations for retinal monitoring in hydroxychloroquine users: Baseline testing is no longer supported
Br J Dermatol. 2021 Mar 18. doi: 10.1111/bjd.20073. Online ahead of print.ABSTRACTThe Royal College of Ophthalmologists (RCOphth) has published new recommendations for retinal monitoring for hydroxychloroquine and chloroquine users in the United Kingdom (2020).1 The recommendations aim to protect both patients and prescribers by reducing the risk of irreversible visual loss from hydroxychloroquine retinopathy. Importantly, as a consequence of new evidence, baseline retinal testing is no longer required and an updated monitoring timetable is recommended.PMID:33733454 | DOI:10.1111/bjd.20073 (Source: The British Journal of Dermatology)
Source: The British Journal of Dermatology - March 18, 2021 Category: Dermatology Authors: I H Yusuf F Latheef M Ardern-Jones A J Lotery Source Type: research

Baseline retinal testing is no longer recommended for hydroxychloroquine users in the United Kingdom
The revised BSR DMARD guidelines introduced substantial changes to monitoring recommendations for hydroxychloroquine [1]. The guidelines, which reflected the Royal College of Ophthalmologists (RCOphth) 2018 recommendations on retinal monitoring [2], introduced a significant burden on clinical teams, and some services were unable to deliver them. The RCOphth has now published updated guidelines on retinal monitoring for hydroxychloroquine and chloroquine users in the United Kingdom (December 2020) [3]. The revised guidelines should be welcomed by patients, rheumatologists and ophthalmologists. This editorial summarises the ...
Source: Rheumatology - February 9, 2021 Category: Rheumatology Source Type: research

The Royal College of Ophthalmologists recommendations on monitoring for hydroxychloroquine and chloroquine users in the United Kingdom (2020 revision): executive summary
Eye, Published online: 09 January 2021; doi:10.1038/s41433-020-01380-2The Royal College of Ophthalmologists recommendations on monitoring for hydroxychloroquine and chloroquine users in the United Kingdom (2020 revision): executive summary (Source: Eye)
Source: Eye - January 9, 2021 Category: Opthalmology Authors: Imran H. Yusuf Barny Foot Andrew J. Lotery Source Type: research

Guidelines on prescribing and monitoring antimalarials in rheumatic diseases: a systematic review.
CONCLUSIONS: The newest recommendations are heterogeneous suggesting lower hydroxychloroquine dosing. Retinal toxicity is irreversible and the risk increases over time. Annual screening after five years with automated VF and SD-OCT may be warranted to detect early changes and discontinue therapy if necessary. PMID: 33124575 [PubMed - as supplied by publisher] (Source: Clinical and Experimental Rheumatology)
Source: Clinical and Experimental Rheumatology - November 1, 2020 Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research

Pachymeter Use and Disinfection Practice in the United Kingdom: A National Survey
Conclusions: There is a large variation in methods and duration of tip disinfection with only a few units following the Royal College of Ophthalmologists (RCOphth) guidelines on pachymeter disinfection. The majority of eye units use alcohol/chlorine-based wipes for cleaning the pachymetry heads which is against the current recommended guidelines. The average immersion time when solutions were used was 5 to 10 minutes. (Source: Journal of Glaucoma)
Source: Journal of Glaucoma - August 1, 2020 Category: Opthalmology Tags: Original Studies Source Type: research

COVID-19: Ophthalmological Aspects of the SARS-CoV 2 Global Pandemic.
CONCLUSION: Within a short period, a growing body of articles has started to elucidate the ophthalmological implications of COVID-19. As the eye can represent a route of infection (actively via tears and passively via the nasoacrimal duct), ophthalmological care has to undergo substantial modifications during this pandemic. In the eye, COVID-19 can manifest as keratoconjunctivitis. PMID: 32375197 [PubMed - as supplied by publisher] (Source: Klinische Monatsblatter fur Augenheilkunde)
Source: Klinische Monatsblatter fur Augenheilkunde - May 8, 2020 Category: Opthalmology Tags: Klin Monbl Augenheilkd Source Type: research

A Survey of Surgical Techniques in Pterygium, Thailand 2016
Conclusions: BST and CAGT were the most selected surgical techniques for primary and recurrent pterygium, respectively. Better provision and distribution of amniotic membranes and fibrin glue along with training courses would promote the ideal surgical techniques. (Source: Asia-Pacific Journal of Ophthalmology)
Source: Asia-Pacific Journal of Ophthalmology - November 1, 2019 Category: Opthalmology Tags: Original Clinical Study Source Type: research

Retinopathy of prematurity occurrence and evaluation of screening policy in a large tertiary Greek cohort
ConclusionsThe frequency of ROP observed in this cohort was as low as that reported in other developed countries. The currently used screening criteria permitted identification of all infants who were at risk and, therefore, need not be changed. (Source: International Ophthalmology)
Source: International Ophthalmology - October 21, 2019 Category: Opthalmology Source Type: research

Royal College of Ophthalmologists: National Survey of ST1 Supervision
Royal College of Ophthalmologists: National Survey of ST1 Supervision, Published online: 07 January 2019; doi:10.1038/s41433-018-0325-7Royal College of Ophthalmologists: National Survey of ST1 Supervision (Source: Eye)
Source: Eye - January 7, 2019 Category: Opthalmology Authors: Christopher King Alex Tytko Anne Fiona Spencer Anna Mead Source Type: research

Evaluation and management of adult idiopathic intracranial hypertension.
We present an infographic as an aide-mémoire of the first consensus guidelines for IIH. PMID: 30154235 [PubMed - as supplied by publisher] (Source: Practical Neurology)
Source: Practical Neurology - August 28, 2018 Category: Neurology Authors: Mollan SP, Hornby C, Mitchell J, Sinclair AJ Tags: Pract Neurol Source Type: research

Cataract surgery refractive outcomes: representative standards in a National Health Service setting.
CONCLUSION: Refractive outcomes following routine cataract surgery reported here are well within the targets recommended by the Royal College of Ophthalmologists and European guidelines, but suggest that higher cataract refractive outcome benchmark standards may not yet be a realistic expectation for all NHS units with current biometry practice. PMID: 29907629 [PubMed - as supplied by publisher] (Source: The British Journal of Ophthalmology)
Source: The British Journal of Ophthalmology - June 15, 2018 Category: Opthalmology Authors: Brogan K, Diaper CJM, Rotchford AP Tags: Br J Ophthalmol Source Type: research

The Royal College of Ophthalmologists recommendations on screening for hydroxychloroquine and chloroquine users in the United Kingdom: executive summary
The Royal College of Ophthalmologists recommendations on screening for hydroxychloroquine and chloroquine users in the United Kingdom: executive summary, Published online: 11 June 2018; doi:10.1038/s41433-018-0136-xThe Royal College of Ophthalmologists recommendations on screening for hydroxychloroquine and chloroquine users in the United Kingdom: executive summary (Source: Eye)
Source: Eye - June 10, 2018 Category: Opthalmology Authors: Imran H. Yusuf Barny Foot James Galloway Michael R. Ardern-Jones Sarah-Lucie Watson Cathy Yelf Michael A. Burdon Paul N. Bishop Andrew J. Lotery Source Type: research

Joint recommendations for retinal screening in long-term users of hydroxychloroquine and chloroquine in the United Kingdom (2018).
This article is protected by copyright. All rights reserved. PMID: 29770429 [PubMed - as supplied by publisher] (Source: The British Journal of Dermatology)
Source: The British Journal of Dermatology - May 16, 2018 Category: Dermatology Authors: Yusuf IH, Lotery AJ, Ardern-Jones MR Tags: Br J Dermatol Source Type: research