Cataract risk stratification and prioritisation protocol in the COVID-19 era.

Background: The COVID-19 pandemic halted non-emergency surgery across Scotland. Measures to mitigate the risks of transmitting COVID-19 are creating significant challenges to restarting all surgical services safely. We describe the development of a risk stratification tool to prioritise patients for cataract surgery taking account both specific risk factors for poor outcome from COVID-19 infection as well as surgical 'need'.

Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care.

Objective: The demand for cataract surgery in Fife (a well-defined region in southeast Scotland) was steadily increasing over 15 years. Cataract surgery was therefore being outsourced to meet demand with consequences on list mix, training needs, patient experience and staff morale. We aimed to redesign our services to meet local demand, retain a patient-centered service and continue to fulfil training needs.

Vitreous hemorrhage after whole-body vibration training.

Purpose: The purpose of this study was to describe spontaneous vitreous hemorrhage after a session of whole-body vibration training.

Method: This is a case report of a 52-year-old man with no ophthalmic history who presented with a uniocular drop in vision.

Results: Examination showed two areas of vitreous condensations associated with vitreous hemorrhage.

Redesign and modernisation of an NHS cataract service (Fife 1997-2004): multifaceted approach.

Problem: A Scottish national health service ophthalmic facility was unable to cope with increasing demand for cataract surgery.

Design: Multifaceted approach to redesign hospital space to accommodate a cataract unit; to invest in cataract nursing staff to allow more operations under local anaesthesia and as day cases; and to enhance input by general practitioners and optometrists to streamline and reduce false positive cataract referrals. A prospective audit for productivity was undertaken in 2004 (two years after the redesign) and compared against the national cataract surgery audit data for Fife from 1997.

Spontaneous recovery from inferior rectus contracture (consecutive hypotropia) following local anesthetic injury.

We present yet another case of apparent inferior rectus paralysis following retrobulbar anesthesia for cataract surgery. He initially had a typical course but, unusually, after developing hypotropia and presumed contracture, went on to spontaneously recover. We are unaware of any other such case described in the literature.