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Paul Cauchi qualified from The Royal Free Hospital School of Medicine in London in 1996. He went into ophthalmology straight after completing his House Jobs. His interest in ophthalmology was ignited by his grandfather who was an accomplished ophthalmologist in Malta and Gozo and was a member of The WHO Trachoma committee.

His early training was mainly in The South of England but travelled North of The Border to Aberdeen and Inverness to complete his Specialist Registrar training. He completed a Fellowship in oculoplastics and ocular oncology in Glasgow. He works in Glasgow with subspecialty interests in oculoplastics, orbit, lacrimal, thyroid eye disease and ocular oncology.

He collaborates closely with the skull base and head and neck teams and regularly operates jointly on complex cases. He leads The Scottish Ocular Oncology Service which is nationally funded and commissioned. He is a member of The British Oculoplastic Surgery Society and hosted the annual meeting in Glasgow. He is on the British Ophthalmic Surveillance Unit (BOSU) council and on the faculty for The European School of Advanced Studies in Ophthalmology (ESASO). He is currently clinical director of ophthalmology for NHS Greater Glasgow and Clyde.