Mr Andrew D Price FBDO(Hons)CL MBCLA

Mr Andrew D Price FBDO(Hons)CL MBCLA 

- Portfolio -


Andrew PriceAs well as being a clinician, seeing patients in  Contact Lens, Dry Eye/Watery Eye and Myopia Management Clinics, I design and am a Principal Investigator in clinical trials, have sat on the executive board of more than one eye care organisation, act as a industry/Professional Services Consultant, educator, lecturer and author. I have worked in the field of contact lenses, ophthalmology, laser eye clinics, dry eye and the ocular surface for 30+ years! 

I hold Honours Fellowship of the Association of British Dispensing Opticians (ABDO) in Contact Lens Practice. I have received Certification in Ophthalmic Assisting during my work in ophthalmology practice in the USA. Experience encompasses managing/owning my own contact lens practice, working in practice in Laser Vision and Ophthalmology clinics in the UK and USA. I have had numerous articles published and presented over several hundred lectures and workshops on the subjects of contact lenses, dry eye disease and myopia management. 

I have published clinical trial reports, articles and conference posters on multifocal and toric contact lenses, and punctal occlusion/contact lens discomfort. I am a past ABDO National Clinical Committee member, involved in numerous projects & ABDO representative in a number of organisations. Past Board member of Optometry Wales. Member of the British Contact Lens Association (BCLA).

I have worked with J & J Vision Care, Thea Pharma and others world-wide. I was an investigator in a diabetic clinical study for Duke University in the USA. Pioneered first clinical audit in UK Laser Vision Clinic on treatment outcomes. Developed world’s first ever IT subscription system delivering up-to-date data on CLs, solutions and ocular therapeutics, provided to UK Eye Care Professionals, universities, laboratories. Delivered live radio ‘phone-ins’ on contact lens subjects and produced journal articles on eye care and contact lenes. 

This is me, pictured above, since March 2020 when my collection of rather nice Italian silk ties were replaced by more patient and practitioner protective equipment, to reassure you and myself, every previous patient in the exam room has been masked - no exceptions, personally not only are my vacinations fully up-to-date but I conduct a Covid-19 lateral flow test on myself before each clinic. Actually the new measures weren't completely new to me, as having sanitised my exam room equipment for every patient for decades and with experience in assisting in minor eye surgery in the US and UK it was second nature.   

New equipment; I have recently taken delivery of new equipment for improved diagnosis of dry eye and contact lens discomfort, the instrument, shown on the right, images the vital meibomian glands within the eye lid, it is the dysfunction of these glands that is responsible for the vast majority of dry eye and contact lens discomfort.

 

Also in the same month an unique instrument (shown left) became part of my optional treatment alternatives, the procedure known as photobiomodulation (PBM) is the much friendlier than it looks in-practice treatment to improve the function of the meibomian glands for both dry eye and contact lens discomfort. 

 

 

 

 

Microblepharoexfoliation (shown immediately left) is a painless procedure performed by an eye care professional using a medical device. The instrument has a tiny rotating disposable medical grade micro-sponge to physically scrub the edge of the eyelids and eyelashes, removing the biofilm and exfoliating the eyelids. It works ideally in combination with PBM treatments. Regular microblepharoexfoliation helps to reduce or eradicate the symptoms caused by blepharitis. It can be performed every 4 to 6 months or as needed. This new optional in-practice lid cleaning technique available is designed to supplement home therapies, in order to treat blepharitis more effectively, analogous to dental hygienist cleaning.

 

 

Testing is key, as we have learnt, in medical conditions, testing is key, therefore it was decided to obtain a unique assessment tool, available for use in dry eye, contact lens discomfort and pre/post eye surgery patients, this is the ‘InflammaDry’ test, currently the only way of measuring a specific inflammatory marker in clinic to detect and grade the presence of inflammation on the eye’s surface, with results available during the appointment. It is inflammation that is largely responsible for symptoms in the specific groups of patients mentioned. Dry eye or anti-bacterial drops are largely ineffective in these conditions – specific targeted management is needed. This ‘only one in the world’ test is used in my clinic, one of a handful of locations in Great Britain and Eire.

Results from a range of results demonstrating degrees of inflammation, otherwise unknown are shown in this image.

Helping people improve the quality of their life is tremendously pleasing, especially when they put their appreciation in writing; "Thank you so much for the wonderful care and treatment I received. Mr Andrew Price has solved my dry eye problems, which has given me normality in my life again, I can't thank him and Diana Haines enough. See you both in three months for my check-up/review" - Liz Langdon.

Here is another recent email from a grateful patient; "Dear Mr Price, I wanted to pass on my sincere thanks for the amazing help you have provided with regard to my eye health. Recommended by the team at Jacksons Opticians in Nantwich, I came to you with two long-term problems - dry-eye, which was often causing me extreme overnight pain; and blepharitis, which was so serious I had been referred to a local hospital. Four months on - the dry-eye "events" have reduced from around 8 per month to just two, and the intensity has greatly reduced; and the blepharitis is all but completely cured, as long as I continue with the treatment & practices which you have recommended. This has made a huge difference to my lifestyle - I can't thank you enough. Kind regards, Steve"

Here is an appreciative contact lens patient; "Firstly the lens is great and has removed the double vision. i have some outer field of vision with it which i suspect is helpful". "Having suffered with diplopia for just over a year and with little chance of improvement my ophthalmologist suggested an occlusive lens may help. I contacted Andrew price who met with me and talked me through the process and possible benefits of wearing an occlusive lens.

As Andrew had first hand experience of double vision it was a relief to describe to someone what I was seeing and feeling who actual could understand my situation. I was measured and then tried an occlusive lens. The relief of removing the double vision was immense. If anyone reading this has double vision and have feel that they are stuck with it I strongly suggest you give Andrew a call and let him show you what can be done. Thank you Andrew" - Paul Walmsley.   

Please look through the further sections of this portfolio, I hope you will find it of interest! If you do, and think some of my wealth of experience may benefit you by seeing me in my Nantwich or Glossop clinics for dry eye or anything contact lens related, I would be delighted to discuss initially and then help you, I can be reached by E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.Eye Care and/or Healthcare Professionals can also use that email address and can find an optional Contact Lens Referral Form here and/or an optional Dry Eye Referral Form here.   

July 2021: Even though some mandatory Covid restrictions may be lifting I would like all patients I see in my exam room to know, I am fully vaccinated, undertake a Lateral Flow Test before each clinic and will be wearing a mask for every exam, I request you to be masked for your appointment, not only for my extra protection, but also for the patients that will be seen after you. That way we not only reduce risk for ourselves but importantly for others as well. 

Website

ADP-EyeCare

This website was launched in October 2019 with the intention of providing potential new patients with eneough information for them to make an informed decision on attending one of my clinics and/or supporting existing patients in the care they need as I see them for appointments Nantwich or Southport. Since forming ADP-EyeCare I have welcomed Mrs Beth Ralph FBDO CL, based in the East Midlands, Ms Vanessa Uden in Surrey and Mr Ganeshbabu Mahalingam, Wakefield as associates you will find their specific personal portfolios under the ADP-EyeCare menu.

Ethos and specialities!

The website will have an ‘eye care' leaning, so will probably appeal to people who want to relate to an Eye Care Professional, in the same way they do to their doctor or dentist and like that relationship reciprocated. I, and many other Eye Care Professionals, like to think there is more to eye care than seeing someone once every two years. I hope you find the various sections of the website and this portfolio interesting. You will see that I am not a 'eye care generalist' my areas of speciality is the eye's (ocular) surface, so dry eye, blepharitis, contact lenses - especially for people who have had to stop wearing them, multifocal and astigmatic lenses, myopia control etc. I do not prescribe or dispense spectacles, although I like working (sharing care) with colleagues that do, either in the practice I work in or in other practices. 

Nocturnal Video Capture Cropped

You may find two articles intresting one on the prescribing of contact lenses that assist colour vision discrimination - Chromagen, another about clear vision without spectacle or contact lenses during the day - Ortho-K .

 

As well as seeing patients - lectures/workshops! 

 

I thought patients might be interested in a flavour of the other things I do outside the clinic, especially as they relate directly to the clinical care and services I provide. Below is some of the eduction I provide to under-graduate and post-graduate Eye Care Professionals in the UK and world-wide. 

Demonstration & Discussion Workshop: Eye Drop User Review (EDUR).

 

More lectures/workshops! 

"Hi Andrew, Many thanks for your wonderful tuition yesterday. You gave me great confidence right from the start and your patience was amazing. I quite surprised myself that I was actually able to fit the plugs" - DP BSc MCOptom, South-West.

 

 Antares Corneal Topgrapher

The Antares Corneal Topgrapher, and other similar instruments, can revolutionise care for contact lens and dry eye patients, enabling an appreciation of the cornea in three dimensions, showing high points, overall and localised curvature, just like an ordinance survery map of the land, but on a micro-scale. This can enable contact lenses to be designed for each individual patient, as each cornea has unique characteristics, just like a finger print. Simply Ortho-K is not possible without corneal topograhy. It also has great imaging potential for dry eye patients, enabling infra-red imaging of the vital meibomian glands and tear film analysis. look at this very interesting article, State of the Art Eye Mapping and Tear Film Analysis then email This email address is being protected from spambots. You need JavaScript enabled to view it. to find out more about this instrument and how it could help you with your contact lens wear and/or dry eye.

Antares

 

To my ECP colleagues - extend your DE/CL service, raise income - all with no financial/time investment

 

Clinical Trials

 

I design, conduct and deliver in-practice clinical trials, and have issued reports on cross-over trials involving market leading multifocal contact lenses, specialist multifocal contact lenses, toric contact lenses and punctal occlusion and contact lens discomfort (CLD). Patients have started to benefit from these results.

As an Eye Care Professional who works in typical UK practices, I know that providing ‘real world’ data derived from a practice environment. obtained from a fellow practitioner can be hugely impressive. If a company can show results for patients seen on a ‘wet Wednesday in Wigan’ this carries a lot of weight with other practitioners! I take a very keen interest in in-house trials, statistical significance, box and whisker charts etc, however whether they should or not, most UK Eye Care Professionals do not.

I have published results from a punctal occlusion clinical trial carried out in two typical High Street practices in NW England and North Wales, the results are hugely impressive and are something all practitioners can relate to. The trial’s clinical poster was accepted for the BCLA CC in 2017, which in turn generated an optometry journal article – all resulting in increased product sales. This type of result could be available to you. Also two separate clinical trials on multi -focal lens prescribing (presented at Optrafair 2018) have been completed again with useful practical results.

I work with an Independent Project Manager with experience in organizing and managing clinical, technical, and writing projects through initiation, planning, execution, and close-out. Major responsibilities include identifying and qualifying investigators, conducting protocol initiations, monitoring study progress, designing and managing clinical trial database, descriptive and statistical analysis, interim and final reporting, IRB updates, and writing professional meeting abstracts.

I believe the clinical trials I have conducted and the interest I take in all reseach in my field directly benefits my patients - please see below. 

 

How does the work I do benefit patients?

rubber ducks

Not every contact lens patient is the same, your eyes are as unique as finger prints, no one else in the world will have the same eyes as you! You may well benefit from having contact lenses prescribed for you as an individual?

 

Hamster

Are you going round and around looking for a solution for your dry eye problem?

 

 

Most 'off-the shelf' solutions to patients eye care needs work resonably well for most people. However a significant percentage do not for a sizable number of patients, you may well be one of them. My unique experience, skills, research and education (that I receive and I give to others) enables me to help contact lens and dry eye/blepharitis patients, that otherwise I could not.

In the field of contact lenses, there have been recent amazing developments in product research, design and development, giving the possibilities of better vision - for distance and near and better comfort for longer, my work directly helps patients I see. For children, now the exciting possibility of reducing the progression of their myopia (short-sight) so their prescription is less strong when an adult. 

We know so much more about the ocular surface now than we did, even five years ago. The eyes surface and lids can not only directly be involved in the dry eye problem but adversely effect succesful contact lens wear. We know how to accurately diagnose the particular problem and the answers to them. Surely the cycle of 'trialing' one contact lens after another that doesn't seem to make a significant improvement the and trial and error process of picking eye drops off the shelf should be a thing of the past!                                                                                                                                                                 

Publications/Presentations

Publications

Presentations