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Ophthalmology

Ophthalmic Services

The Calderdale and Huddersfield Foundation Trust Ophthalmology Department is a demand led service that is proud to be one of the busiest in the region. We offer a comprehensive range of ophthalmic services comprising of general ophthalmology and sub-specialist services. Our consultants offer a wide range of treatments and services allowing us to accept referrals nationally from Primary care services and other health care providers.  

The exception is specialist ocular oncology, which is provided in Sheffield Teaching Hospital and Royal Liverpool Hospital.

The Ophthalmology team includes Consultants, Orthoptists, Nurse Practitioners, Optometrists and a diverse Nursing and Health care support team. 

Meet The Team

Consultants

Mr G Oworu – General Ophthalmology, Oculoplastic and Cataract Surgery

Clinics at CRH and HRI

Professor T James – Uveitis, Scleritis and Inflammatory Eye Disease

Clinics at CRH and HRI

Ms I Dias – Medical Retina

Clinics at CRH and HRI

Mr K Khan- Inherited Retinal Eye disease and Medical Retina

Clinics CRH and HRI

Mrs R Khan – Medical Retinal

Clinics at CRH and HRI

Mr Olali- Medical Retina

Clinics at CRH and HRI

Mr M Sarhan – Vitreoretinal surgery and Medical Retina including AMD and RVO clinics, Laser clinics and Cataract surgery

Clinics at CRH and HRI

Ms R Lagnado - Corneal disease, Ophthalmic Plastic Surgery and Lacrimal Surgery.
Clinics at CRH, HRI and Westwood Park

Ms R Rahman - Vitreoretinal surgery and Macular surgery.
Clinics at CRH and HRI

Mr K Davey - Ocular motility, squint
Clinics at HRI

Mr A Aguirre- Paediatric and General Ophthalmology
Clinics at CRH and HRI

Mr K Patel – Oculoplastic, General Ophthalmology and Cataract surgery

Clinics at HRI and CRH

Mr F Musa – Cornea, Glaucoma and Cataract surgery

Clinics at HRI and CRH

Mrs D Gogi - Paediatric Ophthalmology, Ocular Motility, Squint Surgery and Cataract Surgery
Clinics at CRH, HRI, and Todmorden Health Centre

Mr Z Estephan –Medical Retina, General Ophthalmology and Cataract surgery

Clinics at HRI and CRH

Miss K Hollingworth – General ophthalmology and New Patient Clinics

Clinics at HRI

Optometrists

Mr R Ramsden- Contact Lens Service Lead

Mr N Higginson 

Mrs L Knight

Mrs I Gupta

Nurse Practitioner Services

Clare Harrower

Joanne Lawson

Orthoptists

Louise Corp- Service Lead:  Orthoptics and Optometry

Lorna Clarke

Emma Griffiths

Emma Lee

Ross Charlesworth

Laura Charlesworth

Natalka Drapan

Somayya Razaq

Saira Altaf

Andrea McKean- Orthoptic Assistant  

Nursing staff

Qusva Ilyas – Nurse Manager

Diane Lee - Sister, Huddersfield Royal Infirmary – Acre Mill

01484 343238

Heather Robinson – Sister, Calderdale Royal Infirmary

01422 224275

Eye Clinic Liaison Officer (ECLO)

Alice Elliot

Huddersfield Royal Infirmary – Acre Mill

Optometrists

Ms K Doorduyn - Principal Optometrist - Paediatric refraction, Glaucoma, Macula and contact lenses
Clinics at CRH and HRI 

Mr R Ramsden - Contact lenses and refraction
Clinics at CRH

Mr H Taylor - Contact Lenses
Clinics at HRI

Mr N Higginbottom

Clinics at HRI and CRH 

Nurse Practitioner Services

Clare Harrower

Clinics at HRI and CRH

Glaucoma, Cyst Clinics and AMD

Joanne Lawson

Clinics at HRI and CRH

Glaucoma, Cyst Clinics and AMD 

Sister

Huddersfield Royal Infirmary – Acre Mill:

Diane Lee

01484 343235

Calderdale Royal Infirmary:

Qusva Ilyas

01422 224275 

Our Services

Macular Service

Macular clinics are held on both hospital sites and run by a multidisciplinary team consisting of medical retina consultants, general Doctors, ophthalmic nurse practitioners, optometrists as well as the nursing team and other technicians within the department. Patients attending are initially referred urgently and seen within 2 weeks of referral if their GP or Optician suspects they have wet macular degeneration. The clinics are a one stop service which means on the first initial visit several tests and investigations will be carried out with the results instant so a plan of treatment and care can then be offered. The treatment is usually commenced on initial visit but subsequent visits to the department will be required. The macular clinics are extremely busy clinics and your initial visit could take up to 4 hours. Subsequent visits will be at regular intervals depending on the treatment pathway you have commenced.

Oculoplastic Service

The Oculoplastic Service oversees assessment, investigation, and management of eyelid, eyebrow, lacrimal (tear draining system), and orbital (eye socket) disorders for both children and adults. This includes common conditions such as ptosis (drooping upper eyelid), dermatochalasis (excess upper eyelid skin), entropion (in-turning of the eyelid), ectropion (out-turning of the eyelid), various skin cancers, nasolacrimal system (tear duct drainage system) obstruction, and thyroid eye disease. Patients are referred from GP’s, opticians, consultant ophthalmologists, and other consultants within the hospital.

Paediatric Service

Paediatric ophthalmology clinics are held in both Huddersfield & Halifax providing specialist care for children with eye conditions such as squint, motility problems, amblyopia, cataract, glaucoma, and cortical visual loss. Ophthalmology consultants work closely with orthoptists, optometrists, paediatricians, the low vision service and the community visual impairment teams, and teachers for the visually impaired to diagnose, treat and manage conditions to allow children to gain and achieve their maximum visual potential.  Due to the complex nature of this clinic, appointments can last up to 2 hours.  Children attending will usually need drops that can take up to an hour to have an effect before through examination can take place.

Ocular Motility Service

Ocular motility clinics specialize in eye movement disorders ranging from children with squints to adults with double vision.  Orthoptists and optometrists work closely with Consultant ophthalmologists to diagnose and treat such conditions as well as provide glasses, exercises, and therapeutic relief.  Pre and post-operative examinations are carried out in this clinic for patients requiring surgery for visual or cosmetic conditions. 

Nurse led cyst clinics

These clinics are run by ophthalmic nurse practitioners who have undertaken advanced training in this field. There is a clinic held once per fortnight at either site.  New Patients are usually referred via their GP or optician and will attend a one stop service.  Patients will be examined, diagnosed  and treated appropriately at the clinic which could involve a minor operation if required. Some patients require a follow up appointment depending on their diagnosis.

Glaucoma Service

This shared care service involves Glaucoma Specialist consultants, General Opththalmogy doctors  as well as Nurse practitioners, Optometrists, Orthoptists and technicians who have undertaken advanced training in this area .  Community optometrists are also involved in Glaucoma referral refinement schemes and Ocular Hypertension monitoring schemes.   New patients referred with suspected glaucoma will attend the Glaucoma screening clinic to complete a number of tests recommended by the NICE guidelines .  Decisions on diagnosis, treatment and future management can be made either on the day by the reviewing  clinician or virtually by a Glaucoma specialist.  Monitoring appointments will be made appropriately either in the eye clinic or at a chosen community optometrist.

Optometrist Refraction Clinics

Optometry services run on both sites providing refractions and contact lens assessments for patients referred from other members of the ophthalmology team.  The service provides refractions in specialist corneal clinics and for adults with complex eye conditions.   In paediatric clinics cycloplegic drops are used to test young children and spectacles are prescribed for children requiring therapeutic refractive correction.

Contact Lens Clinics

Medical contact lenses are supplied to patients on both sites by our hospital optometrists for three main reasons, firstly when satisfactory vision cannot be obtained through spectacles but can with contact lenses, secondly when exceptionally strong spectacles are required and thirdly when the appearance of the eye is unacceptable

Orthoptic Clinics

Orthoptic clinics run on a daily basis for the assessment and treatment of ocular motility disorders such as squint, amblyopia ("lazy eye"), double vision and nystagmus. This will include patients who have suffered a stroke, double vision associated with other conditions such as diabetes, thyroid disorders and neurological conditions.  Patients are referred from consultant ophthalmologists, optometrists, GPs or other consultants within the hospital.  A large proportion of the patients are young children, who often attend for treatment over several years whilst their visual systems are maturing.  Health visitors and school nurses also have access to this service to allow any concerns about a child’s eye sight to be addressed at the earliest possible opportunity.

Low Vision Clinics

Low vision clinics provide assessment, advice and low visual aids (magnifiers) where appropriate to adults and children with untreatable visual loss such as macular degeneration, diabetic retinopathy, nystagmus and congenital disorders.  Magnifiers are provided free of charge, with patients being asked to return or exchange them when they become less helpful.  Once seen patients are offered open access to the service without having to be re-referred by their GP.  The low vision service has close links with the Eye Clinic Liaison Officer in Huddersfield, providing additional support for people with visual impairment and their families. Also close links with the qualified teachers for the visually impaired who offer extra support and advice for children.

Stroke Service

Orthoptists have a close working relationship with Occupational Therapists and Physiotherapists on the acute stroke and stroke rehabilitation wards. Any patient who suffers a visual problem following a stroke can be referred for a vision screening assessment by an Orthoptist on a weekly ward round so that a decision can be made as to whether the patient requires further treatment or more comprehensive vision tests in order to aid their rehabilitation and quality of life. Alternatively, there is a direct referral system in place for patients who have been discharged back into community Occupational Therapy care for those needing ophthalmic care.

Special School Service

An orthoptist visits a number of special schools in the area assessing and monitoring children with more complex needs vision in an environment they are more familiar and comfortable with.  This aids the detection and treatment of eye conditions as well as providing a fictional visual assessment for those children who traditional tests may not be suited.  Referrals into clinic for refraction and consultant input can be made where necessary and this multidisciplinary team can then liaise with the education service to ensure all findings are considered in the educational context.

Primary Vision Screening

Orthoptists provide vision screening across the Calderdale area , screening reception class children in school for visual defects in line with the UK National Screening Committee.  This recommends all children between the ages of 4-5 should be given the chance of having a vision assessment in school. Early detection of eye problems such as amblyopia (lazy eye/reduced vision) and strabismus (squint) allows avoidable permanent visual deficit. Children found with such problems can be treated in the hospital or by an outside optician during the critical development period of the eye (up to 8 years of age).

Outreach Clinics

Services are provided in community clinics in Todmorden and Westwood Park, to save patients from lengthy trips to the hospital for routine follow-up care.

Outreach Clinics

Visual field clinics run on a daily basis, supporting the ophthalmic consultant clinics.  They provide visual field analysis for a range of conditions including glaucoma and stroke; referrals are also taken from other consultants in the hospital. 

A Goldmann perimeter is available on the Huddersfield site for specialist visual field examinations and second opinions for the DVLA.

Eye Clinic Liaison Officer (ECLO)

Eye Clinic Liaison Officer (ECLO)

The ECLO service provides practical and emotional support to anyone affected by an eye condition and is based in the eye clinic at Acre Mills Outpatients. The ECLO office is a place to talk through the concerns associated with sight loss and gain useful information on the best way forward as well as onward referrals for more support. Alice Elliott is the ECLO for Calderdale and Huddersfield Trust. She is employed by the RNIB and is based within the eye clinic to be as available as possible for the patients and their families who need her help.

Feel free to pop into the eye clinic to see her or give her a ring on 01484 343 228/ 07711920494.

E-mail – alice.elliott@cht.nhs.uk

Students and Post graduate training.

The ophthalmology department is accredited by the Royal College of ophthalmologists to deliver our patient and surgical training to junior doctors who will become the next generation of ophthalmology consultants as part of the Yorkshire School of Ophthalmology and the Yorkshire and Humber Deanery.

We also train Physician Associates from Leeds University, post graduate optometrists, and are an accredited establishment for the training of undergraduate nurses, orthoptic students, and regularly receive students from the universities of Huddersfield, Sheffield and Liverpool. 

As part of our commitment to education and training we will be hosting eth Part 2 FRCOphth exams in April 2018 on behalf of the Royal College of ophthalmologists. 

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