London Eye Surgeon

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London Eye Surgeon

London based eye surgeon specialising in paediatric and adult eye care

07/05/2025

⭐️Before Vs After⭐️

Here is a lovely example of how squint surgery can change someone's happiness and self-esteem. This very sweet 10 year old boy underwent unilateral squint surgery on the left eye. The photo at the bottom is his eye alignment 2 weeks after surgery. He was so pleased and grateful we were able to help him regain confidence. Needless to say, this makes my job worthwhile.

Swipe ➡️ to see the written note of thanks.

01/06/2024

Officially open!! My new venture Newmedica Berkshire is officially open for referrals. Please see the link in my bio or below for more information about the centre and how to refer.

https://www.newmedica.co.uk/clinics/slough/

24/05/2024

⭐️Epidermal inclusion cyst ⭐️

Here is a 10 year old child with a slow growing cyst, which was freely mobile with no overlying skin changes. I removed this cyst intact, and it was sent for biopsy. The result was an epidermal inclusion cyst. Pleased to say the parents and child were very happy with the result.

22/02/2024

Here is a 16 year old girl with a 2 month history of reduced vision. She was known to have posterior subcapsular cataracts (most likely congenital). She had previously good visual acuity, but on presentation to her optician, the vision in her left eye had dropped from 6/7.5 with pinhole to HM. As you can see, she has a complete white cataract in the left eye, which has progressed rapidly. There was no history of trauma. On examination, her left cataract was intumescent and white, blocking the fundal view. Ultrasound B Scan was performed, which showed a flat retina and no vitreous changes. Swipe ➡️ to see the anterior segment OCT, which shows the protrusion forwards of the lens. Thankfully, intraocular pressure was normal.

What do you think happened here?
Share your thoughts below 👇🏽

02/02/2024

The child that can not see.

This 7 year old boy presented with reduced distance and reading vision for several months. See the fundus autofluorescence above showing a dark choroid surrounded by hyperfluorescent pisciform flecks. Swipe ➡️ to see the fundus photos showing the characteristic Bull's eye Maculopathy. This child was diagnosed with Stargardts disease. This is an autosomal recessive disorder of the ABCA4 gene, causing photoreceptor dysfunction, resulting in the accumulation of lipofuschin. Unfortunately, this condition has no cure, but treatment is aimed at supportive visual aid.

Have you seen this before?
What else can cause Bull's eye maculopathy?
Let me know 👇🏽

08/11/2023

⭐️Juvenile Idiopathic Arthritis (JIA)⭐️
Here are the typical 'mutton-fat' keratic precipitates or KP's seen on the corneal endothelium in granulomatous uveitis. This 11 year old girl reported bilateral blurred vision with no pain or redness. This is the typical presentation of uveitis in children with JIA, hence the need for regular screening. This girl was immediately started on intensive topical steroids and cycloplegic drops to prevent progression and complications.

Let me know if you have seen this before and what you did? 👇🏽

25/07/2023

⭐️'My Daughter is a different person'.⭐️

These are the words of the mother of the girl in the photo above, 2 weeks after her squint surgery. I urge those who feel squint surgery is a 'cosmetic' procedure to talk to this mum. She told me (with tears in her eyes) that she hadn't realised the psychosocial impact the squint was having on her child. From teasing by other children to teachers telling her off for not concentrating in class, these repeated experiences have the ability to shape the outcome of each child. It can affect self-esteem, social interactions, and a child's ability to thrive in society. I am so glad we helped this child overcome her social anxieties, and hopefully, this will impact her life in a positive way going forward.

So Save and Share this post to show the next person who regards squint surgery as cosmetic!

31/01/2023

⭐️Teaching & Training⭐️

Today we set up strabismus simulation training for some of our doctors. This involved practising surgical techniques for recession and resection of muscles on a model eye. I always find it best to start squint surgery on these model eyes to get a feel of the procedure and to develop familiarity with the surgical instruments. We had great feedback from our doctors and they found this approach much more valuable as we were able to take our time and teach them tips to make the procedure easier.

Have you used simulation training before? Let me know your thoughts on it 👇

11/10/2022

Rising up to the challenge!

Today I had to literally and figuratively rise up to the challenge in front of me. I performed a cataract operation standing up! For those that may not know, cataract surgery is usually done by the surgeon sitting in front of the microscope and using both legs to control the foot pedals of the microscope (right foot) and ultrasound machine (left foot). However, this patient had a chronic lung condition and back surgery which meant she was unable to lie flat, therefore, we had to adjust our technique in order to acheive the best outcome for the patient. The surgery was successful and without complications so a big win all round.

What challenge have you risen to recently?? 👇

20/09/2022

LISCH NODULES

In this picture these small pale spots are melanocytic hamartomas which project on the surface of the iris, they are a typical characteristic feature of the hereditary multisystem condition known as Neurofibromatosis Type 1 (NF1).

Can you name other features associated with NF1? 👇

21/07/2022

EXCISION OF CONJUNCTIVAL INCLUSION CYST 👁
Here is a video of my technique for excision of a conjunctival inclusion cyst. This child developed this cyst post squint surgery (not my original case) and it did not resolve with topical treatment. The child did not tolerate cyst drainage under the slit lamp guidance either. Therefore, we decided to opt for surgical removal. Alongside the cyst was scar tissue which was also excised. Here is my step by step guide to removal of a conjunctival inclusion cyst:

1️⃣ Traction suture placement to allow good exposure of the area to be excised.

2️⃣ Inject a small amount of subconjunctival local anaesthetic (I used lignocaine 1%)

3️⃣ Using a vannas scissor incise above the cyst and dissect the overlying conjunctiva away from the cyst.

4️⃣ Once the cyst is visualised start excision by cutting the base of the cyst.

5️⃣ The idea is to remove the cyst whole and intact to reduce chances of recurrence

6️⃣ Once removed if the area is small the conjunctiva can be left open to heal. Here the area is quite large and therefore I used 3 x 8.0 vicryl rapide to close the conjunctiva.

Hope you found this video useful, feel free to SHARE and SAVE if you have a case like this in the future.✅️

Stay tuned to see the post op results.....

08/06/2022

'Doctor you have changed my life!'
These are the words that mean so much to me and make my job worthwhile.
Squint surgery can literally be life changing; increasing self confidence, improving job opportunities, building relationships. This gentleman was extremely pleased with his result 2 weeks after surgery. He had undergone surgery as a child and was left with an exotropia (outward turning eye). He felt his options were limited but we discussed the option of exploring his previous surgery and found we were able to change the muscle position with adjustable sutures to give him the best result. I'm so pleased for my patients results and improvement in quality of life.

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London

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http://thelondoneyesurgeon.com/

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