BCLA Photographic Competition The Academic Committee of the British Contact Lens Association (BCLA) announces a Photographic Competition to be held at the BCLA’s Annual Clinical Conference (3–5 June 2005 at the Hilton Brighton Metropole Hotel, Brighton, UK). Accepted photographs will be displayed alongside the posters and the best entries as judged at the Conference will be published here, in the BCLA’s journal, Contact Lens and Anterior Eye. A prize will also be awarded to the best entries. Submitted entries can be viewed on the BCLA’s website at www.bcla.org.uk. Contact Lens and Anterior Eye will present an example image in each issue until the prize winners are published in the journal from September 2005. The first example appeared in the December 2004 issue; the third example appears below.
Patient GB: Thinking ‘‘outside the box’’ Brian Tompkins, Tompkins, Knight & Son Optometrists, Northampton, UK This is a simple example of using a retinal camera in a slightly unusual way to give a great view of opacities in the lens or, as this example shows, of capsular opacities. This type of image gives an overview of the eye and makes it easy for a patient to see exactly what is being discussed whether it be early or lens opacities or pre and post op Yag views. All of which is brilliant in patient education. Most non-mydriatic retinal cameras use a simple infra-red illumination to set up the initial focus and keep the pupil large. During this mode you are viewing the cornea, anterior chamber and crystalline lens or capsule lens through the high quality optics and with direct illumination. I use a Topcon NW5 with a Sony 3CCCD Colour Video camera captured through ARC Capture Software. Most retinal cameras will be able to focus in this way, either automatically or using the Plus Compensator used on high hypermetropes. Simply line up the focus as normal, then, rather than moving forward to focus in to the retina, get the best focus possible on the opacity and fire the flash. Simple effective and useful if the patient is not very mobile as you do not have to move to a SL. This particular patient is a 42-year-old female who had bilateral squint surgery in 1966 and has through life been a reasonably high myope with slight amblyopia of the RE. She began to develop nuclear sclerosis in both eyes, but initially in the L and eventually had cataract surgery with implants L 1999, R 2001. She has subsequently had Laser capsulotomy on both eyes although technically they are not true capsulotomies, but clearing of lens epithelial overgrowth, which may require repeat treatments throughout life. This image shows the current state of her RE. 1367-0484/$ – see front matter doi:10.1016/j.clae.2005.03.001