I am Clinical Associate Professor of Glaucoma Research at the International Centre for Eye Health and Consultant Ophthalmologist specialising in Glaucoma at Moorfields Eye Hospital, London.
Affiliations
Teaching
I teach on the Glaucoma module of the Masters in Public Health for Eye Care at LSHTM and supervise MSC student projects. I also teach on the MSC in Ophthalmology at University College London. I contributed to the development of the glaucoma MOOC at LSHTM and have written educational articles on glaucoma in the Community Eye Health Journal.
As part of my NHS role I teach trainee ophthalmologists and optometrists both formally as part of their education programme, and in the clinical environment.
I developed the Glaucoma online training module for the West African College of Surgeons Ophthalmology subspecialty training programme based in Korle Bu Hospital, Ghana. I led 2 residential courses with hands on training of trabeculectomy in 2011 and 2017 in Korle Bu Hospital, Ghana. We have now developed a second module focussing on tube surgery for glaucoma.
Between 2014 - 2018 I was co-chair of the Moorfields International Glaucoma Symposium and from 2015-2019 I was co-chair and then chair of the Scientific Programme Planning Committe for the World Glaucoma Congress.
Research
Diagnosis and treatment of glaucoma in Low and Middle Income populations.
I am supervising a PhD investigating the ability of portable low cost devices to detect glaucoma in the community in West Africa where the prevalence of glaucoma and related visual impairment is the highest in the world. I am also working with the ICEH International Glaucoma Research Group on projects in Tanzania looking at diagnosis of glaucoma and development of referral pathways. In Bauchi, Northern Nigeria we are evaluating different types of laser treatment as first line management of Primary open angle glaucoma.
I was part of the study teams for the TEMA Eye Survey in Ghana (2006) and the Nigerian Visual impairment Survey. These two surveys confirmed the high prevlance of Primary open angle glaucoma in West Africa.
Primary angle closure glaucoma
I spent two years (1998-2000) working on a research project based in Mongolia which focussed on early detection and laser treatment of angle closure and angle closure glaucoma. I set up a randomised controlled trail to determine if early detection and prophylactic laser iridotomy would prevent progression of disease.
I worked in Singapore for 18 months as clinical and research fellow and published the first study to compare anterior segment OCT imaging of the angle with gonioscopy for the detection of angle closure.
I have maintained my interest in angle closure and anterior segment imaging with several publications focussing on the diagnosis and treatment of angle closure both in the UK and in Asia. We evaluated the AS-OCT in the new patient clinics at Moorfields to show that it could accurately predict which patients would need intervention for angle closure without the need for gonioscopy thereby streamlining the referral pathways.
Following the publication of the EAGLE and ZAP angle closure studies I was a member of the group with developed guidelines on the management of angle closure glaucoma for the Royal College of Ophthalmologists in 2022. More recently I have worked with optometrists to evaluate training in community refinement of angle closure referrals to the hospital eye service, and with the ACE study group which has completed an NIHR funded projected which is evaluating different technologies for the diagnosis of angle closure.
Selected Publications
