Our Clinical Advisers are here to help you with the professional, clinical and ethical issues that you may encounter every day in practice. We share queries, based on the ones our Clinical Advisers have received, for you to use to challenge your knowledge and skills.
Clinical files: As a non-prescribing optometrist how can I supply chloramphenicol to my patient for prophylaxis?
Clinical files: How should I assess whether a patient has the capacity to consent?
Clinical files: Should I prescribe chloramphenicol for children under two years old
Clinical files: Can I supply contact lenses to an expired specification when a person is anxious about visiting the ophthalmic practice due to COVID-19?
Clinical files: Can I prescribe medication for a different use than it is licensed for?
Clinical files: Am I allowed share anonymised OCT and fundus images on professional forums and WhatsApp groups, and what level of patient consent is required?
Clinical files: Do I need to follow-up on patients with posterior vitreous detachment?
Clinical files: Do I need to wear a face mask in the staff room?
Clinical files: Can my visually impaired patient get TV licence support?
Clinical files: How can I safely use a visual field machine during the recovery phase of the pandemic?
Clinical files: A patient refuses to wear a face covering when attending a primary care practice for a sight test. What should I do?
Clinical files: What should I do if a patient phones the practice noticing flashes and/or floaters?
Clinical files: Can I prescribe a prescription-only medicine based on my findings and working diagnosis from a remote consultation?
Clinical files: Should I measure intra-ocular pressure pre and post dilation on every patient that I perform a dilation on?
Clinical files: Can I see a patient for a sight test before they are due for a routine examination?
Clinical files: The local glaucoma service called the practice and requested a patient’s historic intraocular pressure results. Can I give these out over the phone?
Clinical files: I am keen to start offering my patients a myopia management intervention using atropine. Can I prescribe 0.01% atropine?
Clinical files: My patient is overwearing their contact lenses and refusing spectacles. What should I do?
Clinical files: A patient with a family history of glaucoma refuses to let you look inside her eyes, despite needing a new pair of glasses. What should you do?
Clinical files: A group 2 driver has been referred to you for a VA check - should you do a full sight test?
Clinical files: Can you use fluorescein to check for staining on a pregnant woman?
Clinical files: I have been told to perform IOP measurement on all patients under 16. What should I do?
Clinical files: I think my patient has keratitis. How quickly should I refer them?
Clinical files: My elderly patient may attempt suicide after finding out they no longer meet the driving vision standard, what should I do?
Clinical files: A patient misses an aftercare appointment but urgently needs contact lenses while overseas, what should you do?
Clinical files: A patient refuses treatment, what should you do?
Clinical files: Can you carry out a sight test without parental consent?
