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Ophthalmology
Feature 19/06/2018

Learning from cases: specialty focus - Ophthalmology

Learning from cases: specialty focus - Ophthalmology

Time to read article: 6 mins
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What are the main drivers for risk in your specialty? Medical Protection is launching a new series of special articles looking at the key medicolegal risks in a range of specialties, in the UK. We begin with ophthalmology. Dr John Jolly, head of member risk education, and Dr Pallavi Bradshaw, senior medicolegal adviser and qualified ophthalmologist, look into the cases reported to Medical Protection over the past ten years.

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Case report 26/10/2017

Unforeseeable complications?

Unforeseeable complications?

Time to read article: 3 mins
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Mr M, a 45-year-old lawyer with a substantial income, consulted Dr L, an ophthalmologist, for the management of deteriorating keratoconus. He had become intolerant of contact lenses and was experiencing visual difficulties.

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Case report 14/09/2014

Eyes of the storm

Eyes of the storm

Time to read article: 2 mins
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Mr Q, 40 years old, consulted Miss A, a consultant ophthalmologist, with lesions affecting his eyelids. Mr Q’s complex medical history included antiphospholipid syndrome and his drug therapy included anticoagulant and antiplatelet agents, oral corticosteroids and ocular surface lubricants.

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Case report 14/09/2014

Who’s to blame?

Who’s to blame?

Time to read article: 2 mins
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Mrs B, 40 years old, was referred by her optician to see an ophthalmologist, Mr F, because of concerns about possible raised intraocular pressure and right-sided amblyopia. Mr F confirmed the diagnosis of right-sided amblyopia, found her to have normal intraocular pressure and documented some visual field loss in both eyes, which he considered was performance-related. He advised reassessment in six months but the patient did not attend for follow-up.

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Factsheet 01/10/2013

HSC complaints procedure – Hospital setting

HSC complaints procedure – Hospital setting

Time to read article: 5 mins
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Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services.

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Case report 10/09/2013

Sinus surgery: damaged vision

Sinus surgery: damaged vision

Time to read article: 2 mins
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Mr P, a 40-year-old office worker, had a long history of sino-nasal problems, and had even had a previous septoplasty operation. Soon after returning from a holiday, he consulted his GP, Dr A, with worsening blockage in the left side of his nose.

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Case report 10/01/2012

Too many records spoil the notes

Too many records spoil the notes

Time to read article: 3 mins
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Mr M, a 51-year-old primary school teacher, was referred to ophthalmologist Mrs C, following a letter sent by an optometrist to his GP. The optometrist had found Mr M to have an abnormal right optic disc, slightly raised intraocular pressures and significant defects in the visual fields of his right eye with suspected glaucoma.

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Case report 01/11/2005

Beware jaw pain

Beware jaw pain

Time to read article: 2 mins
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Mr T, an 85-year-old retired accountant, went to see his GP, Dr L, because he had felt unwell for a couple of days with a severe left-sided headache. The pain was worse on eating and Mr T had noticed transient loss of vision and flashing lights. Mr T had also lost some weight. Dr L prescribed co-dydramol.

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Case report 01/11/2005

The red eye?

The red eye?

Time to read article: 2 mins
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Mrs O, a 54-year-old secretary with a history of migraine, developed a severe frontal headache, noticing flashing lights and cloudiness in her field of vision. These symptoms came on over about 24 hours. She was visited at home by Dr R, who was working for an out-of-hours GP co-operative. Dr R noted the symptoms of headache, ‘misty’ vision and red eye. Dr R diagnosed conjunctivitis, prescribing topical fusidic acid ointment.

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Case report 01/11/2004

An unusual presentation

An unusual presentation

Time to read article: 2 mins
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Mrs D, a 79-year-old retired haberdasher, went to her GP practice as she’d developed a rash on her forehead and face with puffy eyes. She saw Dr Y who suspected an allergic reaction to a new perfume that Mrs D had just started using.

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Case report 01/11/2003

Change your diagnosis, not the records

Change your diagnosis, not the records

Time to read article: 3 mins
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Miss Y was a healthy, happy schoolgirl until the age of 15 when she started getting headaches. She saw a locum at her GP practice, giving a six-month history of persistent headaches with vomiting and a stiff, twisted neck. She mentioned a family history of migraines. The doctor diagnosed migraine and prescribed analgesia and pizotifen.

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