As well as being a clinician, seeing patients in Contact Lens, Dry Eye/Watery Eye and Myopia Management Clinics in Nantwich and Glossop, 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, my vacinations fully up-to-date. 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 left, 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 lright) 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.
Always nice to receive from other Health Care Professionals:
"Testimonial for Mr Andrew Price
I had been “putting up” with a sore dry eye, itchy and sore lids, some tear leakage and sticky eyes in a morning. I had been using over the counter artificial tears, but they made little difference to the dry eye. I had flakes on my lids when I scratched. My optometrist referred me to Mr Price, a specialist in dry eye.
Mr Price is very professional, obviously extremely knowledgeable and creates a clinical environment where you trust him.
He did an extensive examination and then discussed my care. He prescribed an eye mask to be warmed and then for me to massage the eyelids. A clear fluid came out from my lids after this exercise. I also have a cleansing solution for my lids. The crusts on my lids have gone. I also have eye drops. These are far superior to the ones I have been using and my dry eye is controlled.
I would recommend Mr Price to you".
Kathleen Baker RGN, RCNT, DipN, Post Grad Cert.
Keith Williams, Specialist Contact Lens Optician at Image Optical Limited. "I can fully endorse Andrew’s expertise in his dry eye clinics. I would never hesitate to refer patients to him for a full dry eye work up",
From a patient in north Wales;"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.
A patient attending my clinic in SW & C Jackson Opticians, Nantwich;
Testimonial for Mr Price, Dry Eye Specialist.
I first experienced vision problems back in February 2021. Over the course of the next few months, I consulted several eye professionals, each of whom diagnosed a condition called ‘dry eye’. However, apparently it was “only” dry eye and I was sent on my way each time with eye drops to use as often as needed.
As Mr Price explained at my first visit, it is not “only” dry eye. Dry eye causes wide-ranging and very uncomfortable symptoms. It is also emotionally very distressing, struggling to alleviate the symptoms with eye drops whilst not knowing if there will be any long-term damage to one’s eyes.
I am deeply relieved to have been under the continuous care of Mr Price for six months now. I have been assiduously following the daily eye care regime and have so far also had two treatments of “Photobiomodulation” or Low-Level Light Therapy (LLLT).
Mr Price has always emphasised that progress would be slow, and it has been. Until very recently, moments of clear vision have been fleeting and a better day has often been followed by a couple of days where I felt that no lasting progress was being made.
Mr Price has also been very clear that my vision may never return to 100% stability but may, in time, return to manageable and sustainable levels of clarity and comfort. My current experience is bearing this out. Over the last month, I have noticed a very distinct improvement in vision. Whilst still unstable, the periods of clear vision have been more frequent and longer lasting. This perceived improvement was corroborated by the computer readings of tear film break-up time at my most recent clinic visit, which has improved dramatically in both eyes. I am cautiously excited!
I thank Mr Price sincerely for ensuring from the outset that I understood that the treatment of dry eye is no easy or quick fix. Whilst the daily eye care regime is not arduous and can be fitted into every day’s schedule, it does nevertheless require commitment, day-in day-out, and the programme of eye care and LLLT treatments has to be given time.
Given the improvements I have been experiencing recently, there is no question for me other than to stay committed to the programme. It may be taking time, it may take organisation, but ultimately, this is my best shot to achieve the best outcome possible for my vision.
Here is another 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"
A patient moving to another part of the country said in a thank you card; Dear Mr Price, Thank you so much for your professional help with my dry eye care. I have learnt so much and have felt the benefit of you clinic. I will miss seeing you. Thank you again. With love, Rachel Goodwin
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 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.
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 .
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.
- Lecture: “Contact Lens Discomfort and Evaporative Dry Eye – The Missing Link?” - The over-riding cause of the high contact lens dropout rate has been and remains lens discomfort, this has not changed even with the most advanced lens and material designs available to us. Corneal hypoxia …a problem solved. However contact lens discomfort remains, wearing times are low and dropout rates high in the contact lens population. Are we close to identifying a missing link?
- Lecture: “Treat the cause of dry eye, not the symptoms” - The prevalence and causes of dry eye. Where various alternative practical solutions will be discussed that can and have been used in high street practice to address the common evaporative dry eye in both contact lens and non-contact lens wearers. The reasons why some approaches work and others don't will be explored.
- Skills Workshop: “Managing Evaporative Dry Eye – A Skills Workshop” - The diagnosis and management of dry eye is within the natural field and range of skills of eye care clinicians (optometrist and CLO). Extend your skills. You will be able to practice slit-lamp examination of the lid margins and express meibomian glands, also observe the ocular surface using different surface stains.
- Discussion Workshop: “Managing Evaporative Dry Eye – A Discussion Workshop” - Understand why optical practices are better positioned than the pharmacist, GP/Hospital Eye Service to offer solutions to very often long standing patient problems. The workshop will help you understand the importance of the tears film's quantity and quality, and how this can be assessed using techniques and aids that are readily available in practice to help your dry eye/contact lens patient.
- Lecture: “The role of MF SCLs in Myopia Control” - Myopia is the most common ocular disorder and is generally the result of abnormal elongation of the eye. Vision can be improved with spectacles, contact lenses and refractive surgery, however these do not address the underlying abnormal enlargement of the eye. Myopia places substantial burdens both on individuals and society and increases the risk of eye disease later in life. Can multifocal contact lenes play a role in myopia control?
- Demonstration & Discussion Workshop: Eye Drop User Review (EDUR) - The Eye Drop User Review Demonstration and Discussion Workshop will enable High Street Eye Care Professionals to play a vital part in the safe and effective use of eye drops by patients. Improving the use of eye drops by patients has long been over looked but is a vital part of such therapy. A short slide presentation and lecture on the non-effect of not instilling effectively will be combined with hands-on experience on yourself and workshop partners.
- Past presentations: “ The whole presentation and associated workshop was excellent” – Gloucester Optometrist, October 2016. “Thoroughly interesting and practical” – South Wales CLO July 2016. “Very good clear information ..” – Oxford IP, September 2016. “One of the best lectures I have heard … excellent, visuals and discussions” – Elgin, Optometrist, 2013. “Dear Andrew, many thanks for the interesting lecture last evening, I wish they could all be like that” – Cardiff DO, 2014.
- Discussion Workshop: “How to set up a Dry Eye/Allergy Eye Clinic” - The Tool Kit has everything you need to launch your Dry Eye/Allergy Eye Service; modifiable patient leaflets, screening questionnaires, GP letters, patient mailers, record cards etc. An in-practice meeting with follow-up support.
- Discussion Workshop/Programme: “The Enhanced CL Exam & Assessment Tool Kit” - All the essentials to address this long-standing problem, increase income and offer your patient’s an unique approach; modifiable patient leaflets, screening questionnaires, patient mailers, record cards etc. An in-practice meeting with follow-up support.
- Skills Workshop: “The role of punctal occlusion (PO) and its practical skills” - When would punctal occlusion be used, what are the risks, benefits and options? Hands on teaching with punctal occluders. Full support included: Informed Consent forms, pre and post-treatment protocols, fees discussion etc.
- Advanced Dry Eye Management Workshop: To include lid debridement, demodex diagnosis and treatment and punctal occlusion and its role in Dry Eye and Contact Lens Discomfort.
- Recent presentations: "Excellent lecture and workshop. Excellent speaker and presentation packs to enable instant set-up of the Dry Eye clinic. Andrew has developed wonderful templates to help with the set-up and continuation of the Dry Eye clinic. Much appreciated" - PB, BSc(Hons) MCOptom Dip ScV, Principal Optometrist & Director, Midlands.
"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.
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
- Full Spectrum Service: For practices that want to extend their patient services but haven’t got time and resources to initiate it - I can provide a full spectrum Dry Eye (DE)/Contact Lens (CL) clinic to your practice including marketing and administrative support. This enables you to provide a full unrivalled service to help your DE and CL patients, extending your eye care, increasing patient recommendations, improving CL patient retention and raising income.
From appropriate ocular surface products, to in-practice treatments including moist heat meibomian gland expression to lid debridement to punctal occlusion I (or one of my fully trained CLO or Optometrist colleagues) can provide all this to your patients with appropriate management, all seen as provided by your practice. All will increase your income.
- Stand Alone or Combined CL/DE Clinic: The above service can simply provide a first class-class combined CL/DE clinic or supplement your normal CL clinics. This may well free up extra-time and/or offer extra clinic days for more general eye exams and spectacle dispensing. Early 2018 – Myopia Control CL prescribing added to my clinics in your practice, providing yet another service and income stream and extending the care you provide to your patients
- Proven record: I have built a successful combined daily DE/CL clinic from nothing in a small town practice, faced with all the normal challenges you probably have, and can do the same for you. Lest you think I am only interested in the more difficult cases, I also look after patients that wear daily disposable lenses twice a week very well!
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.
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?
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!
- Price, A D, Long, B. ‘Management of contact lens discomfort with punctal occlusion therapy’ (2017). Optometry Today. October 2017, pp 78-82.
- Price, A D. ‘Topical eye therapy, Understanding dry eye: part 1’ (2017). Dispensing Optics. November 2017, pp 26-27.
- Price, A D. ‘Topical eye therapy, Understanding dry eye: part 2’ (2017). Dispensing Optics. December 2017, pp 31-32.
- Price, A D. ‘Topical eye therapy, antibiotics’ (2018). Dispensing Optics. March 2018, pp 30-31.
- Price, A D. ‘Insuring your insured’ (2018). Dispensing Optics. April 2018, pp 34.
- Price, A D. ‘Aiding glaucoma treatment’ (2018). Dispensing Optics. June 2018, pp 26-27
- Price, A D. ‘Topical eye therapy, ocular hypotensives’ (2018). Dispensing Optics. July 2018, pp 24-25.
- Price, A D. ‘Topical eye therapy, anti-allergy & anti-inflammatory’ (2018). Dispensing Optics. November 2018.
- Presenter, Discussion Workshop: Price A D, Prof Simon Barnard. ‘Instrumentation to Aid Specialist Lens Fitting’. Scottish Contact Lens & Ocular Surface Society, November 2016
- Presenter, Poster sessions. Price A D, Long B. ‘Management of contact lens discomfort with punctal occlusion therapy’. British Contact Lens Association Clinical Conference, 9-11 June 2017, Liverpool, UK.
- Presenter, Poster sessions. Price A D, Long B. ABDO Contact Lens Uncorrected Cylinder (CLUC) Trial’. ABDO stand, Optrafair, 14-16 April 2018, Birmingham, UK
- Presenter, Demonstration Workshop. ‘Ocular surface staining, subjective non-invasive break-up time and tear meniscus height’. British Contact Lens Association Clinical Conference UK, 10 June 2018, London, UK.
- In addition to these around 300 other presentations to professional conferences, meetings and webinars.