Charles Bonnet Syndrome (CBS) is a condition characterised by complex visual hallucinations in psychologically healthy individuals with significant visual impairment. This case report presents an elderly patient with bilateral age-related macular degeneration (AMD) who developed vivid visual hallucinations. The report discusses the presenting symptoms, investigations, differential diagnoses, pathophysiology, and management approaches for CBS. The aim is to raise awareness among clinicians to recognise and manage this frequently underreported condition effectively.

Ophthalmology ST1 recruitment remains highly competitive, with the competition ratio rising from 14.41 in 2024 to 21.54 in 2025. For the 2026 intake, the Severn Deanery has updated its Evidence Folder guidance, refining scoring criteria, clarifying evidence requirements, and introducing a candidate self-assessment component. This article provides a detailed overview of these updates, highlights domain-specific scoring changes, and offers practical guidance for applicants.

The ability to competently use a slit lamp is a fundamental skill in ophthalmology, critical for examining the eye and identifying a wide range of ocular conditions. Despite its frequent use in clinical practice, slit lamp training is not routinely included in undergraduate medical education, and many clinicians lack confidence in its correct application. Structured training in slit lamp use is therefore highly valuable - not only for doctors, but also for nurses, optometrists, and other allied health professionals involved in eye care.

Ophthalmology serves patients from a wide range of cultural and religious backgrounds. For Muslim patients, the month of Ramadan often raises specific questions about fasting, medication use, and scheduling of procedures. This article explores practical considerations around ophthalmic medications during fasting, the effects of Ramadan on ocular health, and culturally competent communication. It concludes with a reflection on the experiences of Muslim junior doctors balancing faith and training

For many medical students and foundation doctors, a taster week is the first meaningful exposure to ophthalmology. Clinics and eye casualty provide concentrated encounters with common presentations and genuine emergencies. The following ten cases are highly likely to appear, and each offers specific opportunities to build knowledge, practise core skills, and reflect on the broader role of ophthalmology in patient care.

Most students and junior doctors are familiar with the standard medical clerking structure: history, past medical history, examination, investigations, and plan. However, when entering an ophthalmology clinic or casualty, documentation quickly becomes more specialised. Notes are concise, anatomy-driven, laterality-specific, and often incorporate diagrams. Understanding this distinctive style is essential for patient safety and for making the most of an ophthalmology placement.

Fungal keratitis is a challenging ocular infection, particularly in patients with predisposing factors such as diabetes mellitus and prior ocular surgery. We present the case of an elderly man with a history of penetrating keratoplasty and insulin dependent diabetes who developed Candida keratitis in his right eye. Initial treatment with topical natamycin was started following positive fungal scrapings, but due to supply shortages, therapy was transitioned to topical amphotericin B combined with chlorhexidine. Despite the recognised limitations of amphotericin B, including poor corneal penetration and potential toxicity, the patient’s infection resolved successfully with this regimen. This case highlights both the efficacy of natamycin as first-line therapy and the potential of amphotericin B as a valuable second-line option when standard treatment is unavailable. It underscores the importance of early diagnosis, aggressive antifungal therapy, and flexibility in adapting management strategies to resource limitations. Further studies are warranted to optimise antifungal treatment protocols and improve outcomes in fungal keratitis.

Glaucoma is a chronic eye condition in which impaired drainage of aqueous humour leads to elevated intraocular pressure (IOP) and progressive optic nerve damage. Traditionally, it has been managed with medications, laser therapy, or invasive surgeries such as trabeculectomy and aqueous shunt implantation. Minimally Invasive Glaucoma Surgery (MIGS) encompasses a range of less invasive procedures that target the trabecular meshwork, suprachoroidal space or Schlemm’s canal, designed to bridge the gap between medications, laser therapy, and conventional surgery. While MIGS is relatively new, having been in clinical use for just over a decade, it has rapidly evolved and gained acceptance among glaucoma specialists. Importantly, MIGS is often performed alongside cataract surgery, which can enhance the pressure-lowering effect of cataract extraction itself.

Idiopathic, full-thickness macular holes (iFTMH) are foveal defects involving all neuroretinal layers, accounting for 85% of macular holes. They arise from age-related vitreous changes causing vitreomacular traction and subsequent hole formation, with peak incidence between the ages 60 to 70, and a 2-3 times greater incidence in women. Symptoms include blurred vision, decreased visual acuity, metamorphopsia or central scotoma. Prompt identification is crucial to ensure appropriate management, as although a minority of cases resolve spontaneously, timely surgical intervention remains the mainstay of treatment to restore anatomy and optimise visual function (4). Advances in vitreoretinal surgery, including pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling and emerging techniques such as inverted ILM flaps having improved closure rates, even for chronic or large holes. This review provides a concise overview of the  diagnosis, classification and management of iFTMHs.

Susac syndrome, characterised by branch retinal artery occlusion, encephalopathy and sensorineural hearing loss, is a rare autoimmune condition which was first described by John Susac in 1979. This article aims to provide an insight into the pathophysiology, clinical features, diagnosis and management of Susac syndrome.