The Caledonia Oculoplastics Course is a focused educational programme designed to introduce and consolidate core principles in oculoplastic surgery. Aimed at junior ophthalmology trainees and doctors with an interest in the subspecialty, the course provides foundational theory with practical, hands-on experience. I found the course well organised, highly engaging, educational, and particularly valuable in building confidence with common oculoplastic procedures.

Pathologists are at the forefront of personalised medicine, using molecular tools to tailor diagnoses, prognoses, and treatments. In ophthalmic pathology, one of the most significant developments in recent years has been the integration of gene expression profiling (GEP) into the management of uveal melanoma, the most common primary intraocular malignancy in adults in the United Kingdom. Traditionally risk stratification has been based on tumour size, cell morphology, and mitotic activity. The development of GEP assays, particularly DecisionDx-UM, has significantly improved prognostic accuracy in uveal melanoma, paving the way for personalised care based on molecular tumour profiling.

Uveitis refers to inflammation of the uvea (the iris, ciliary body and choroid) but in clinical practice it encompasses intraocular inflammation affecting adjacent structures such as the retina, vitreous and optic nerve. Although it represents a relatively small proportion of ophthalmic disease overall, it is responsible for a disproportionate amount of visual morbidity, accounting for around 10% of blindness worldwide. Uveitis can be acute or chronic, infectious or immune-mediated, and may occur in isolation or in association with a systemic condition. Because the eye is exquisitely sensitive to inflammation, even small degrees of intraocular disturbance can result in substantial symptoms or complications; for this reason, timely recognition and management are of great importance.

The ArcLight is a compact, low-cost, solar-powered ophthalmoscope and examination light designed to combine multiple ophthalmic examination functions into a single handheld device. Originally developed for use in low-resource settings, it was created to address the global challenge of limited access to ophthalmic equipment, particularly in rural or underserved areas. However, its design and functionality have clear relevance to acute care environments in high-income healthcare systems.

Ophthalmology specialty training in the UK is now extremely competitive, with over 20 applicants for each post. This can feel daunting, especially as a medical student, but starting early and taking small, achievable steps can make a real difference.

Attending the Midland Ophthalmological Society (MOS) Annual General Meeting has been one of the highlights of my early ophthalmology experience. The meeting offers a mix of teaching, trainee involvement, and informal networking, which together provide a realistic sense of the specialty. Having attended both the 2024 and 2025 AGMs, I noticed how each year’s focus shaped the learning experience and offered opportunities that matched my own career stage as a resident doctor considering ophthalmology training.

Leukocoria, defined as a white pupillary reflex, represents one of the most urgent clinical signs in paediatric ophthalmology and should always be regarded as pathological until proven otherwise. Leukocoria has a broad differential diagnosis collectively including both malignant and non‑malignant entities, but the immediate clinical priority is to exclude retinoblastoma  without delay.

Clinical audits are a core requirement for the Foundation Programme and provide an excellent way for Ophthalmology applicants to gain up to 5 points on the portfolio. It is often difficult decide on a valid topic for an audit. Furthermore, most foundation doctors will not have a rotation in Ophthalmology. This article will discuss 5 potential audit topics relating to ophthalmology for Foundation doctors to undertake both with a rotation in ophthalmology and without.

Age-related changes occur in all structures of the eye, with variable effects on vision, tear production, and cosmesis. These changes are largely physiological but may predispose individuals to ocular pathology. Below, we outline the key ways ageing affects the eye and its associated structures.

Horner’s syndrome is traditionally associated with superior sulcus (Pancoast) tumours, although disruption of the oculosympathetic pathway may occur at multiple anatomical levels and may be the presenting feature of serious underlying pathology. In this case, a left perihilar SCLC was associated with a contralateral Horner’s syndrome due to suspected compression of the sympathetic chain from a nodal conglomerate abutting the right subclavian artery and common carotid. Primary detection of Horner’s syndrome remains uncommon, as most cases are only identified after an underlying diagnosis has already been established.