Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile
Pankaj Agarwal

@edinburgheyedr

Ophthalmic surgeon specialising in glaucoma and cataract management based in Edinburgh, UK.
PLEASE NOTE: This is not individualised medical advice.

ID: 1418610438024073216

linkhttps://campsite.bio/edinburgheyeconsultant calendar_today23-07-2021 16:34:32

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Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

#Cataract surgery has been shown in the EAGLE study to be a good treatment for those with narrow angles, due to the mechanical factor of angle closure the developing lens causes. It can also be used as a good opportunity to add stents to aid IOP. #optometry#ophthalmology#glaucoma

#Cataract surgery has been shown in the EAGLE study to be a good treatment for those with narrow angles, due to the mechanical factor of angle closure the developing lens causes. It can also be used as a good opportunity to add stents to aid IOP. #optometry#ophthalmology#glaucoma
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Pigment dispersion syndrome (PDS) is a secondary cause of glaucoma - pigment cells cause dysfunction of the trabecular meshwork and block flow of the aqueous. Not everyone with PDS will develop #glaucoma likely risk at 5 years is 10% &15% at 15 years Link in Bio #ophthalmology

Pigment dispersion syndrome (PDS) is a secondary cause of glaucoma - pigment cells cause dysfunction of the trabecular meshwork and block flow of the aqueous. Not everyone with PDS will develop #glaucoma likely risk at  5 years is 10% &15% at 15 years Link in Bio #ophthalmology
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Checking to see how patients are instilling their eye drops is just as important as checking their schedule. Patients with #glaucoma may feel doubling of eye drops helps lower pressure further - this frequently isn't the case. #eyehealth#optometry#ophthalmology#preregoptometist

Checking to see how patients are instilling their eye drops is just as important  as checking their schedule. Patients with #glaucoma may feel doubling of eye drops helps lower pressure further - this frequently isn't the case. 
#eyehealth#optometry#ophthalmology#preregoptometist
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Some individuals believe massaging their eyes may help to lower IOP. This can transiently raise the pressure of the eyes & raises the risk of complication post-operatively to the eye if done incorrectly. #optometry #ophthalmology #preregoptometrist #eyehealth #glaucoma

Some individuals believe massaging their eyes may help to lower IOP. This can transiently raise the pressure of the eyes & raises the risk of complication post-operatively to the eye if done incorrectly. #optometry #ophthalmology  #preregoptometrist #eyehealth #glaucoma
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Encouraging patients to build routines around eye drop insertion can help improve the effectiveness of medication in #glaucoma drops. #optometry #ophthalmology #eyehealth

Encouraging patients to build routines around eye drop insertion can help improve the effectiveness of medication in #glaucoma drops. #optometry #ophthalmology #eyehealth
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

If patients report systemic #sideeffects it's important to pass these details back to the #ophthalmologist. Some side effects are short lasting others may not go away &can not be tolerated - often treatment change would be explored. #optometry#preregoptometrist#eyehealth#glaucoma

If patients report systemic #sideeffects it's important to pass these details back to the #ophthalmologist. Some side effects are short lasting others may not go away &can not be tolerated - often treatment change would be explored. #optometry#preregoptometrist#eyehealth#glaucoma
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Reminder - Patients do not need to wait to reach a certain level of vision to be referred for consideration of cataract surgery. #optometry #preregoptometrist #ophthalmology #eyehealth #cataracts

Reminder - Patients do not need to wait to reach a certain level of vision to be referred for consideration of cataract surgery.
#optometry #preregoptometrist #ophthalmology #eyehealth #cataracts
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Many patients worry that TV or experiencing eye strain will cause their IOP to raise or negatively impact on their #glaucoma. Give reassurance that this isn't the case & promote healthy eye habits to aid compliance.#optometry #ophthalmology #preregoptometrist #eyehealth

Many patients worry that TV or experiencing eye strain will cause their IOP to raise or negatively impact on their #glaucoma. Give reassurance that this isn't the case & promote healthy eye habits to aid compliance.#optometry #ophthalmology #preregoptometrist #eyehealth
Emma Brown (@ecuthb14) 's Twitter Profile Photo

Learn the valuable skill of sighted guiding in just one hour, for free! Virtual training available at different times throughout the week. Guide Dogs also offers training for friends and family of adults with sight loss and organisations.

Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Contact lenses (CL) can be helpful in monitoring for glaucoma but also take some special considerations. 1/4 #glaucoma #contactlens #optometry #ophthalmology #preregoptom #optician #eyehealth #eyes

Contact lenses (CL) can be helpful in monitoring for glaucoma but also take some special considerations. 1/4
#glaucoma #contactlens #optometry #ophthalmology #preregoptom #optician #eyehealth #eyes
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

2/4 Contact lenses (CL) pros: ✔️ Wearing a CL while performing visual fields helps to ensure no edge defects, especially with a high rx ✔️ New technology is being developed to allow for IOP monitoring via CL

Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

3/4 CL considerations ❗ Patients should be reminded about the risk of toxicity with use of glaucoma drops and CL ❗CL may act as a reservoir for medication if adequate time is not given between drop and insertion

Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

4/4 ❗If a patient has a bleb surgery, it's essential to ensure no compression of the bleb & advise of increased infection risk via their CL and bleb. ❗A change of lens type may be required; however, RGPs risk trauma to blebs and softs risk compression and recurrent friction.

Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

No age group is immune from #glaucoma. Congenital glaucoma, Ocular hypertension and glaucoma can be picked up at any age and can be due to a number of different factors. #optometry #ophthalmology #preregoptometrist #eyehealth

No age group is immune from #glaucoma. Congenital glaucoma, Ocular hypertension and glaucoma can be picked up at any age and can be due to a number of different factors. #optometry #ophthalmology  #preregoptometrist #eyehealth
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Knowing the signs and symptoms of bleb leakage could help to save a patient's sight - reports of any of these 4 recent changes and or a positive seidel test in those who have a bleb should raise red flags. #glaucoma #eyeheatlh #optometry #ophthalmology #preregoptometrist

Knowing the signs and symptoms of bleb leakage could help to save a patient's sight - reports of any of these 4 recent changes and or a positive seidel test in those who have a bleb should raise red flags. #glaucoma #eyeheatlh #optometry #ophthalmology #preregoptometrist
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

Often patients report struggling with their drops which impacts compliance. There are different methods and aids available. Referring to @gluacom_uk is a good first step - they have details on drop aids available. #optometry #ophthalmology #preregoptometrist#eyehealth#glaucoma

Often patients report struggling with their drops which impacts compliance. There are different methods and aids available. Referring  to @gluacom_uk is a good first step - they have details on drop aids available. #optometry #ophthalmology  #preregoptometrist#eyehealth#glaucoma
Pankaj Agarwal (@edinburgheyedr) 's Twitter Profile Photo

A chronic condition impacting on work is a common worry with #glaucoma. Reassuring that there are lots of good support networks and support for access to work is important - this may be very difficult for individuals to voice! #optometry#ophthalmology#preregoptometrist#eyehealth

A chronic condition impacting on work is a common worry with #glaucoma. Reassuring that there are lots of good support networks and support for access to work is important - this may be very difficult for individuals to voice! #optometry#ophthalmology#preregoptometrist#eyehealth