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Volume 3
Optometry: Open Access
ISSN: 2476-2075
Optometry 2018
October 08-09, 2018
Page 40
conference
series
.com
October 08-09, 2018 | Edinburgh, Scotland
3
rd
International Conference and Expo on
Optometry & Vision Science
Mark Wright, Optom open access 2018, Volume 3
DOI: 10.4172/2476-2075-C1-008
Quiz on diagnostics eye algorithms
T
here are many excellent ophthalmology textbooks which give the novice the appropriate knowledge, however very few
indicate how to apply it. For this reason I have developed along with colleagues a series of diagnostic algorithms (Edinburgh
Diagnostic Algorithms) for the three most commonly encountered scenarios: red eye (s), visual loss and diplopia. I’ve included
two others; anisocoria and epiphora. These diagnostic algorithms allow the inexperienced clinician (in ophthalmological terms) to
start toutilise and build upon their existing knowledge by consulting a framework which represents the thought processes of their
more experienced colleagues. Algorithms are, therefore, simply a user-friendly version of these diagnostic and/or treatment thought
processes. Algorithms are always a compromise between having enough detail to cover the most commonly encountered diagnoses
while remaining simple enough to use. They rely upon the clinician being able to clarify the history and elicit the clinical signs which
act as signposts on the road to diagnostic nirvana.
I’ll present the results of 3 published studies looking at the accuracy of the Edinburgh Diagnostic Algorithms I’mhopeful that during
the course of my talk I’ll convince you of their benefits whilst having a bit of fun!
The accuracy of the Edinburgh Red Eye diagnostic algorithm. H Timlin, L Butler & MWright Eye (Lond). 2015 May;29(5):619-24.
The accuracy of the Edinburgh Visual Loss diagnostic algorithm. C Goudie, A Khan, C Lowe and M Wright. Eye (Lond). 2015
Nov;29(11):1483-8.
The accuracy of the Edinburgh Diplopia diagnostic algorithm. L Butler, T Yap and MWright Eye (Lond). 2016 Jun;30(6):812-6
Narrated algorithm talk:
https://youtu.be/9MykiR5imtwBiography
Mark Wright perform over 300 small incision phaco-emulsification (modern small incision) cataract surgeries annually with over 99% as a day case. His cataract outcomes
are as follows; over the past three years (1,173 consecutive cases), 96% of patients saw 6/12 or better postoperatively (comparative figure is 91% from the national
cataract audit). Mark’s capsular rupture rate, the most commonly sited measurement of surgical dexterity was 0.6% (1.9% national cataract audit). He co-leads the
oculoplastic (eyelid and socket) service for Lothian. Audit of surgical outcomes forms the backbone of revalidation, He was the inaugural audit secretary for the British
Oculoplastic Surgical Society. He have a keen interest in teaching and has, for the past 10 years, run the undergraduate ophthalmology course at Edinburgh University.
Consultant Ophthalmologist, Lothian University Hospitals NHS Trust, Princess Alexandra Eye Pavilion, Edinburgh Consultant Ophthalmologist, West Lothian NHS Trust,
St John's Hospital, Livingston. Honorary Part-time Senior Lecturer, Edinburgh University.
Mark Wright
Royal College of Surgeons, Scotland