Mrs Elizabeth Ralph

Professional Services Consultant
Contact Lens Specialist

Contact: beth.ralph19@icloud.com

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Dry Eye Clinic Video

Latest News

LATEST NEWS! This column will carry the latest news for ADP-EyeCare patients and/or prospective patients. 

23/05/2020:  Dry Eye Clinic Video published - watch here.

03/05/2020:  Remote non-urgent consultations with Andrew D Price, now available 7 days/week, day or evening by phone or Webcam Consult. Send initial email to patients@adp-eyecare.co.uk  

03/05/2020: A collaborative agreement between private ophthalmology and Andrew D Price at the Dry Eye/Contact Lens Clinic of ADP-EyeCare at Focus-In Opticians of Rhyl. See more.

04/04/2020: Lipiflow page discusses treatment. See In-Practice/Clinic Professional Treatments under Dry Eyes Clinic menu-point.

25/03/2020:  New feature of the ADP-EyeCare website is the downloadable, savable, optionally printable Contact Lens Referral documents with all fields open for text. Go to ADP-EyeCare where you will find it under the Contact Lens Menu Point.

15/03/2020: Latest Covid-19 guidance for professionals and patients in regard to contact lens and spectacle wear can be fiund here https://www.abdo.org.uk/news/experts-respond-to-covid-19-contact-lens-misinformation/

22/02/2020: New feature of the ADP-EyeCare website is the downloadable, savable, optionally printable Dry/Watery Eye/Blepharitis Referral documents with all fields open for text. Go to ADP-EyeCare where you will find it under the Dry/Watery Eye Menu Point.

05/02/2020: The use of two new instruments for diagnosis and treatment of dry eye and contact lens discomfort included in appointments - Me-Check and MyMask. See Mr Andrew D Price - Portfolio.

22/01/2020 ADP-EyeCare announce a new dry eye clinic will commence in Stoke-on-Trent in the first week of March 2020, in addition to the current one in North-Wales. To find out more email Andrew D Price FBDO(Hons)CL , COA: patients@adp-eyecare.co.uk  

07/01/2020: Contact lens wearers who would like to improve their hours of comfort please see 'Clinical Trials - Can You Help?'

28/12/2019: 'Monovision' where one eye is corrected for distance and the other for near, is sometimes an option for cataract/refractive surgery. It is vital you have the opportunity to judge if this is suitable for you before surgery, this can be done easily as part of the Cataract or Refractive Surgery Referral Clinic. The 'target' prescription is then known in advance and is provided to the surgeon.

07/12/2019: Mrs Elizabeth Ralph FBDO CL joins ADP-EyeCare, providing specialist services in the East Midlands. 

28/10/2019: Do you have Colour Blindness/Colour Vision Deficiency (CVD)? A unique contact lens is available that may help you differentiate colours more easily. Read more. Email: patients@adp-eyecare.co.uk   

26/10/2019:  Wear glasses/contact lenses currently and would like to consider reducing or eliminating your need for them by refractive surgery, or you require cataract surgery and thinking of a private procudure? We can offer information and examinations to assess your sutability. Email: patients@adp-eyecare.co.uk 

 

 

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Refractive Surgery Referral Clinic

What is the assessment refractive surgery referral in the practice?

Andrew D. PriceYou will be specifically assessed with a view to referring you to a specialist private clinic for non-NHS refractive surgery with a view to removing or reducing your need for spectacles or contact lenses. I choose to co-manage patients with specific ophthalmic surgeons/clinics in Wales and North-West England who will make the final decision on your suitability for treatment. Your visit(s) to my clinic will provide comprehensive data on whether this form of eye surgery is a possibility and information on the various surgical options and providers.

Post-surgery appointments, even routine follow-ups, are a vital part of the care involved. If you and your surgeon/clinic are happy with your progress, routine follow-up visits can take place in my clinics if appropriate.

Refractive surgery

The term ‘refractive surgery’ covers procedures carried out to remove or reduce the need for spectacles or contact lenses. There are a number of such procedures nowadays some re-shape the cornea (front of eye) by laser, others by placing a new internal lens or implant in the eye.

LASIK eye surgery is minimally invasive and requires two lasers to complete the procedure. The first laser creates a flap in the cornea (the front surface of the eye) which is then lifted before the second laser is applied to the middle corneal layer. The application of the second laser is corrects your prescription. The surgeon then gently replaces the corneal layer which was previously lifted and the procedure is complete.

LASEK treatment involves just one laser and is the recommended treatment for people with thinner corneas. The epithelium, the transparent layer on the eye's surface, is softened using a dilute alcohol solution, and is then gently pushed to the side. This exposes the middle corneal layer which can then be treated by laser to correct your prescription. The bladeless technology allows for a quicker healing process than earlier forms of the procedure.

Refractive Lens Exchange (RLE) replaces contact lenses or glasses by the same process as cataract surgery, however they are performed to help you achieve better vision, rather than with the purpose of removing a cataract. Here you have the opportunity to choose between monofocal to improve unaided distance vision or multifocal to improve reduce the need for a distance and near prescription.

Auxiliary lens/insert implantation is where the eye’s existing internal lens is not removed and an extra lens or insert is placed within the eye to replace or reduce the need for spectacles or contact lenses.

Monovision: Sometimes your surgeon can aim to give you 'monovision' where one eye is corrected for distance and the other for near, it is vital you have the opportunity to judge if this is suitable for you before surgery, this can be done easily as part of the Refractive Surgery Assessment Referral Clinic. The 'target' prescription is then known in advance and is provided to the surgeon.

Purpose of your refractive surgery referral assessment

Your pre-referral assessment is designed to obtain a lot of vital information for you and a potential surgeon/clinic to enable informed decisions.

Exams, data and discussions can include:

  • Providing objective information to aid your choice of surgeon/clinicRefractive Surgery
  • Is your prescription stable for refractive surgery
  • Your expectations
  • Monovision discussion and pre-surgery assessment
  • Past eye history
  • Medical history
  • Internal eye health with optional photography
  • Eye measurements
  • Microscope exam of the front of the eye
  • Dry eye, lid and ocular surface assessment and therapy to improve treatment success if needed
  • Clinical discussions between myself and your choice of surgeon/clinic

Other eye surgeries that you can be referred for

Corneal Collagen Cross-Linking can strengthen and stabilise the cornea and is sometimes indicated for conditions like keratoconus or corneal ectasia to reduce the likelihood of progression.

Blepharoplasty is a procedure to tighten the skin and soft tissue on the eye lids and may be indicated for drooping, sagging or puffy lids that affect vision or for purely cosmetic reasons.

Eyelid lumps, bumps, cysts and chalazions although common should always be identified, observed and if necessary, or for purely cosmetic reasons, be treated.

What are the charges?

Because there are so many conditions and alternatives for treatment it is not possible to provide accurate charges in general information such as this. I will be able to give you some indication as I know more about you, especially at your appointment. I can even give you some approximate ideas by email This email address is being protected from spambots. You need JavaScript enabled to view it. and then more specific information when we meet.

What do I do next?

Email me: This email address is being protected from spambots. You need JavaScript enabled to view it. to discuss further, with a view to arranging an initial appointment in my North Wales clinic.

 

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