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Standards

Ophthalmic Safety Alert – Diabetic control and safe cataract surgery

May 01
2018

The College has received queries from members to clarify whether there is a specific cut off for glycaemic control, either measured via HbA1C or a blood glucose level on the day, beyond which it is unsafe to proceed with cataract surgery. There is anecdotal evidence of cataract surgery cases being cancelled for surgery if their

  • 1 May 2018

Ophthalmic Safety Alert – intracameral cefuroxime

May 01
2018

There are a range of cefuroxime preparations currently in use for the prevention of endophthalmitis in intraocular surgery. There are two licensed versions, Aprokam (Thea Pharmaceuticals) and  Ximaract (from Bausch & Lomb), both available as a  50mg powder and diluent solution for injection.  Also used are unlicensed prefilled syringes, of which some are compliant with

  • 1 May 2018

Ophthalmic Safety Alert – detachment of cannulas during ophthalmic surgery

Apr 17
2018

The NHS Improvement national patient safety team have informed the College of the continued trend of incidents involving issues with detachment of cannulas during ophthalmic surgery (cannula-associated ocular injury, COI). The cannula is usually attached to either a saline or a viscoelastic syringe. The combination of a small lumen and plunger pressure can result in

  • 17 April 2018

RCOphth Safety Announcement: BSS and Open Systems for Injectable Medicines

Dec 13
2017

Following reported errors of drug misidentification  in other specialties causing serious harm, when an injectable medication was decanted into an ‘open system’, eg a gallipot, before administration, NHS Improvement has expressed concerns to RCOphth about the widespread practice during cataract surgery of decanting BSS (balanced salt solution) from the infusion bag into a gallipot at

  • 13 December 2017

66% of Clinical Leads surveyed by the RCOphth confirm cataract rationing is restricting access to surgery

Nov 09
2017

Cataract surgery: current limitations to patients accessing treatment Cataract surgery is the most common operation performed, with approximately 400,000 performed per year in the UK and has enormous benefit for patients and their quality of life. It is crucial that patients who will benefit from cataract surgery are able to access it, whether for their

  • 9 November 2017