Stop under-estimating healthcare isolation

While 71% of Australians live in metropolitan areas of Australia1, it is important to remember country people have poorer access to health services, shorter life expectancy, and up to 1.4 times the burden of disease compared to people living in major cities2.

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Standing up for dry eye patients

As a veteran dry eye patient, I have experienced many highs and lows. From feeling temporary relief via expert treatment through to complex psychological trauma from debilitating symptoms.

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The world of neuro-ophthalmology

Neuro-ophthalmology (N/O) is an interesting subspecialty because it crosses boundaries. Almost exclusively a ‘medical–type’ specialty rather than ‘surgical’, about half of its practitioners in Australia and New Zealand are neurologists and the other half are ophthalmologists.

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The Australian Save Sight registries

When people ask me how on Earth I decided to be an eye doctor I have to admit my father was one. I had never intended to do what he did and I thought I had ignored all his advice. When he told me that ‘observational’ (a.k.a. ‘Phase 4’ or ‘post-marketing’) studies were needed to show that treatments identified by randomised clinical trials (RCTs) actually worked in routine clinical practice, I thought he was just trying to boost his publication list. It turns out that I was wrong about that too. Read more

Is cannabis a treatment for glaucoma?

Medicinal cannabis is often presented as an alternative treatment for glaucoma. Although there is evidence that cannabis lowers intraocular pressure, its role as a viable glaucoma therapy is limited by a short duration of action, psychotropic effects, and possible tachyphylaxis.

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Addressing blink inefficiency

Although blink efficiency is an essential part of the lacrimal functional unit, it has too frequently not received enough attention from clinicians who are focused on remediating other tear dysfunctions. [1] Read more

Dry eye treatment in Australia

Dry eye remains a very common presentation to primary eyecare practitioners in Australia. Many experienced practitioners feel that the incidence of dry eye is increasing significantly. This is a complex and multifactorial disease which begs the question: Are we doing enough for our patients and how could we do better? Read more