News

TED Immunosuppression advice during Covid-19

TED Immunosuppression advice during Covid-19 Every TED patient needs to be managed on a case by case basis. These recommendations are not prescriptive but based on collective multidisciplinary experience. Intravenous methyl prednisolone therapy is generally not recommended for treating moderate to severe thyroid eye disease during the COVID19 pandemic. These patients will be at risk of severe suppression of their immune system and it is vital to avoid unnecessary hospital visits for this vulnerable group. Where feasible patients who, under normal circumstances, [...]

COVID-19 Prioritisation

COVID-19 Prioritisation The challenges presented to all ophthalmologists during the COVID-19 pandemic are enormous. Oculoplastic surgeons also face potentially high degrees of viral exposure in clinic and theatre from droplet and aerosol spread. Viral transmission may, or may not, occur from the tears and conjunctiva, but protection of the mouth, nose, and eyes is essential when examining or operating on patients. BOPSS both supports, and have contributed to, the Royal College of Ophthalmologists’ guidelines. We encourage all our members to [...]

Covid-19; high risk patients.

The AoMRC has requested that BOPSS remind members that we may be the primary physician for patients who are at high risk of increased morbidity and mortality from COVID-19  (1). These patients are being asked to consider complete self-isolation – or shielding – for their own safety. A template letter (2) which can be sent to such patients and the information sent out by NHSE (3) is available. Additional information can be found on the AoMRC website https://www.aomrc.org.uk/covid-19-clinical/ (1) AoMRC letter to clinicians (2) [...]

Eyelid Surgery for Thyroid Eye Disease

Through BOPSS, Rebecca Ford and her team completed a UK survey on the provision of eyelid surgery for patients with thyroid eye disease (TED). The conclusions were presented at the 2019 BOPSS meeting. Provision for this surgery varies depending on the individual CCGs. Before approval is obtained for eyelid surgery, however, most patients will have had to apply for individual funding requirements (IFR), secured prior approval (PA) or met the criteria for a planned procedure with a threshold (PPPwT). These approvals [...]

Retrobulbar Hyaluronidase to reverse CRAO following injection of facial fillers

Retrobulbar Hyaluronidase to reverse CRAO following injection of facial fillers. The consensus is both in review and animal studies1-8 that, as yet, there is not conclusive evidence to support this treatment. Only a limited number of case reports and theoretical proposals have been recorded in support of the technique9,10. Thus, it is our advice that ophthalmology units do not need to be equipped to provide an emergency retrobulbar hyaluronidase service. Best practice dictates that all practitioners should be aware of [...]

Mohs Micrographic Surgery (MMS)

The Mohs Service Guidance and Standards (updated January 2020) have now been published and are available to download using the link below. Mohs Micrographic Surgery Services Guidance and Standards

Call for Members of the Scientific Committee representing oculoplastics

A joint post between the College and BOPSS has been announced on The Royal College of Ophthalmologists website https://www.rcophth.ac.uk/about/college-roles/ Role Member of the Scientific Committee representing oculoplastics Summary Use your expertise to influence the scientific standards and practice of ophthalmology. Join the College’s Scientific Committee to promote and advise on scientific research and innovation, support educational and academic meetings and promote the use of evidence-based guidelines in ophthalmology. For more information please see the job description here. Applications should be submitted via the rcophth.ac.uk website application [...]

BOPSS ‘state of TED care’ survey and recommendations

As the BOPSS National TED Lead, I have been working closely with TEAMeD to implement TEAMeD-5. The findings of the BOPSS ‘state of TED care’ survey and recommendations on delivering a sustainable TED service nationally have now been published https://www.nature.com/articles/s41433-019-0664-z These recommendations have been endorsed by TEAMeD, BOPSS, the Royal College of Ophthalmologists, the Royal College of Physicians, Society for Endocrinology (SOE) , the British Thyroid Foundation (BTF) and the British and Irish Orthoptic Society (BIOS) The paper is open access thanks to [...]

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Mohs Micrographic Surgery (MMS) UK surgical standards & service guidance

Introduction In 2019 the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) and the British Oculoplastic Surgery Society (BOPSS) formed a multidisciplinary working party to set these UK Mohs Micrographic Surgery standards and guidance, supported by an advisory panel of experts from a range of relevant specialties and interests. Published standards or guidelines for Mohs Micrographic Surgery (MMS) currently exist both in the UK and internationally, but these do not adequately encompass the needs and requirements of all MMS practitioners [...]