ADP EyeCare
  • ADP-EyeCare
    • ADP-EyeCare – An Introduction
    • Mr Andrew D Price FBDO(Hons)CL, COA - Portfolio
    • Mrs Elizabeth Ralph FBDO CL - Portfolio
    • Mrs Vanessa Uden FBDO CL - Portfolio
    • Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucoma - Portfolio
  • Dry/Watery Eye Clinic
    • Dry Eye/Watery Eye Clinic Brochure
    • Dry Eye Drops – The What and the How
    • Dry or Watery Eyes – In-Practice/Clinic Professional Treatments
    • Eye Allergy – Our Expert Advice Can Help
    • Dry/Watery Eye FAQs
    • Private Referral for Dry/Watery Eye/Blepharitis Assessment to Mr Andrew D Price
    • Private Referral for Dry/Watery Eye/Blepharitis Assessment to Mrs Elizabeth Ralph
    • Private Referral for Dry/Watery Eye/Blepharitis Assessment to Mr Ganeshbabu Mahalingam
    • Dry Eye Clinic Video
    • Dry/Watery Eye Videos
  • Contact Lens Clinic
    • The Joy of Contact Lenses
    • Contact Lens Clinic Brochure
    • Brits put their eyesight at risk!
    • Contact Lenses FAQ
    • Private Referral for Contact Lens Assessment/After-Care to Mr Andrew D Price
    • Private Referral for Contact Lens Assessment/After-Care to Mrs Elizabeth Ralph
    • Private Referral for Contact Lens Assessment/After-Care to Mrs Vanessa Uden
    • Private Referral for Contact Lens Assessment/After-Care to Mr Ganeshbabu Mahalingam
    • Private Referral for Contact Lens Assessment/After-Care to Mr Colin Jones
    • Private Referral for Contact Lens Assessment/After-Care to Mohamed Ayyaz Kasmani
  • Clinical Trials - Can You Help?
  • Also Interesting!
    • Are you one of the 72% of people who are not using their eye drops safely or effectively?
    • Hand Hygiene – a Science Behind It!
    • State of the Art Eye Mapping and Tear Film Analysis
    • Make eye drops part of your Ramadan routine
  • Very very specialist services!
    • Punctal Occlusion – a proven treatment for Dry Eye and Contact Lens Discomfort
    • Ortho-K – Overnight Vision Correction
    • Paediatric Myopia Management/Control
    • Adult Myopia Management/Control
    • Soft for comfort with crisp vision - Hybrid Contact Lenses!
  • Remote Consultation
  • Downloads
  • The Blog!

  • Dry/Watery Eye – how I can help?
    The eyes surface and tears are complex – trial and error is not the way!
  • Cause of Contact Lens Discomfort
    Specialist exam techniques can show how contact lens wear can be successful
  • Lid conditions need microscopic examination
    It is not possible to diagnose and successful treat without a specialist exam
  • Short-sighted eyes grow longer!
    Is your child suitable for Myopia (Progression) Management?
  • Ortho-K - clear vision without the need for surgery, glasses or contact lenses
    Ortho-K - clear vision without the need for surgery, glasses or contact lenses
  • Latest technology for diagnosis
    Specialist technology can now identify reasons for dry eye/contact lens discomfort
  • Latest technology for treatment
    Specialist technology can now treat dry eye/contact lens discomfort
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Butterflies Eyecare

Over-Night Refractive Treatment

Dry Eye Clinic Video
Stop Press: Over-Night Refractive Treatment is now available for long, short sight, near prescriptions and post refractive surgery - watch this video. 

Dry Eye Clinic Video

Dry Eye Clinic Video
Why a clinic appointment is so important
watch this video

Latest News

IMPORTANT - PATIENTS PLEASE READ: Keep in mind the knowledge and evidence for the thoughts and statements in this website are presented in good faith and are as up-to-date as possible, however it can only be completely so on the day of publication. New knowledge is always arriving so everyone is encouraged to look at other reputable sources of information, as well as here. Only your Eye Care Professional can decide if a particular product, service or treatment is appropriate for you, if you decide that person to be one of us we would be extremly pleased to help. Whoever you choose all users of this website are strongly advised to read the Disclaimer before continuing. 

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

22/11/2025: Boots recall two eye cosmetic products. Go to Boots recall page to see more (when there scroll down to see both products) 

15/09/2025: New patient recommendation added to Andrew D Price Portfoilo (scroll down article). 

07/07/2025: MEDICINES RECALL/NOTIFICATION. Class 2 Medicines Recall: Zaditen 0.25 mg/ml, eye drops, solution, Laboratoires Théa EL(25)A/34

18/05/2025: On May 15, 2025, Contamac Solutions, Inc. announced a voluntary product recall in the United States for lots HFH, HGC, HGI, HGN, HKF, HKK of Nutrifill, a preservative-free contact lens insertion solution. Go to https://contamacsolutions.com/pages/public-notice-recall to read more. 

13/05/2025: Device safety information and medicines recall/notification. Class 4 Medicines Notification, Chemidex Pharma Ltd, Various Products, EL(25)A/21. Page summary: Chemidex Pharma Ltd has informed the MHRA that the Patient Information Leaflet (PIL) in their topical steroid products does not contain all the required safety information. Cartons for the products/batches listed are missing side effect information related to Visual Disturbances.

13/05/2025: 75,000+ Cases of Eye Care Products Recalled Nationwide (USA) Over Sterility Concerns, FDA Says. Go to Health to read more. 

08/05/2025: Company initiated and FDA Enforcement recall of 34,000 contact lenses in February/March 2025. Lens names that may be known to UK ECPs and patients are 'MyDay Toric' and 'Specsavers Easyvision Linarial Toric'. See The Healthy and FDA Enforcement Report. 

08/05/2025: MHRA Class 4 Medicines Defect Notification: Chloramphenicol 1% w/w Eye Ointment, Blumont Pharma Limited, EL(25)A/20.

02/05/2025: Another testmonial added to the ADP Portfolio

23/04/2025: Andrew D Price - Contributing CPD Author to 'Optician' Journal.

24/12/2024: Recall Alert - "FOR IMMEDIATE RELEASE – 12/21/2024 – Fort Worth, Texas. Alcon Laboratories is voluntarily recalling one (1) lot of Systane Lubricant Eye Drops Ultra PF, Single Vials On-the-Go, 25 count (Lot 10101) to the consumer level. Alcon evaluated a consumer complaint of foreign material observed inside a sealed single use vial and determined the material to be fungal in nature". Go to Company Announcement for further information. 

15/11/2024: Beth Ralph now 'Holder of Omnigen Amniotic Membrane Training Certificate'.

07/11/2024: Warning. US FDA publish warning letter to 'Fancy Drops Beauty LLC' regarding colour changing eye drops readily available via UK internet supply. 

 

 

 

 

 

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Mr Ganeshbabu Mahalingam - Portfolio

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Published: 25 March 2021

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Mr Ganeshbabu Mahalingam
MPhil PhD FCOptom FBCLA ProfHigherGlaucoma
- Portfolio -

 

Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucomaGanesh graduated optometry in 1998 from a hospital-based optometry institute in India.  Completing his under graduation, he pursued his career in the same hospital for few years working in various optometry departments (Glaucoma / Speciality Contact lenses / Electro-diagnostics / Cataract assessment / low vision aids / ocular emergency) and along with eye specialists (Uvea/Glaucoma/Cornea).  This intensive exposure has triggered his interest in eye research and consequently, he was involved in one of the international multi-centred study for an eye medication.  

Simultaneously, he was involved in various other studies on uncommon eye diseases.  This has given him exposure to other investigative laboratories like haematology (blood), Micro-biology (disease organisms), pathology (examining tissues), and genetics.  After all these exposures he worked as a specialist optometrist at their Glaucoma Department for 2years, and at the same time he pursued his Mphil degree in glaucoma. Subsequently, he came to the UK for his PhD in glaucoma.  Over the years, he managed to publish 20 scientific publications in his career.  Being interested in clinics, he obtained his license to practice in UK, and as well secured a position as a hospital optometrist at the Bradford Royal Infirmary for some time.  In the later years, and until recently he provided speciality contact lens service to Wakefield Hospitals through its community share-care project.

Due to his interest in providing excellent service to the community, he tested himself gaining additional UK qualification, Professional Higher certificate in Glaucoma; and a certification for providing minor eye conditions. Now, he is expanding his knowledge to myopia management and dry-eye management to provide these services to the community in addition to his regular speciality services.

During his career he has always maintained teaching as a part of his life.  Until he left India, he was a module leader for certain optometry modules at the institute where he studied his undergraduate degree.  In addition, he was a key player in founding a continued education and training system for qualified optometrist in that institute.   During his PhD studies he managed to get involved in teaching undergraduate optometry students at Bradford University.  Now, he is back to teaching undergraduates on a part-time basis at this university.

Possessing these extensive exposure and experience in optometry he was recognised as a Fellow (by portfolio) by the College of optometrists.  At this time of writing this text, the College of Optometrist has awarded this type fellowship only for 50 optometrist all around the world.   In addition, recognising his service to the community needing speciality contact lens service, and his contributions to the science on contact lenses, the British Contact Lens Association has awarded him another Fellowship from their organisation.  

He believes that every bit of knowledge that he gained in his career should be utilised for its purpose, which is for the patient care. It is difficult not to appreciate his belief during his consultations.

Where am I and how to contact me?

 

I am based in the West Yorkshire area, if you are interested in my services please email me at: This email address is being protected from spambots. You need JavaScript enabled to view it.

An optional Private Referral Form for Contact Lens Assessment/After-Care for
Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucoma
can be found here.

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ADP-EyeCare – An Introduction

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Published: 30 September 2019

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ADP-EyeCare – An Introduction

Thank you for visiting this website, we hope you find it not only interesting but educational and thought provoking as well.

ADP-EyeCare is formed of five associates, who not only collaborate on specific aspects of eye care, but also offer their own individual eye care services. One is Mr Andrew D Price FBDO(Hons)CL MBCLA, CEO, Clinical Director of ADP-EyeCare, who provides eye care in Widnes. Second is Ms Beth Ralph FBDO CL, who provides eye care in the East Midlands and South Yorkshire. The latest Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucoma in West Yorkshire, Mohamed Ayyaz Kasmani BSc(Hons) MCOptom in Feltham, London and Mr Colin Jones FBDO(Hons)CL in Widnes.

Mr Andrew D Price FBDO(Hons)CL, COA (North Wales)      Mrs Beth Ralph FBDO CL (East Midlands & South Yorkshire)

Mr Andrew D Price FBDO(Hons)CL MBCLA  (Widnes)

 

    

Mrs Elizabeth Ralph FBDO CL MBCLA (East Midlands & South Yorkshire)

 

      

 

    

Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucoma (West Yorkshire)

 

Mohamed Ayyaz Kasmani BSc(Hons) MCOptom (Feltham, London)     

Mohamed Ayyaz Kasmani BSc(Hons) MCOptom(Feltham, London)

    

This email address is being protected from spambots. You need JavaScript enabled to view it.(Widnes and Vision Aid Overseas)

 

Under the same menu heading where you found this page you will find their individual portfolios. We hope they will make interesting reading.

There are a number of specialist pages on the website, if you are interested in the topics discussed and can travel to Widnes (Mr Andrew D Price), the East Midlands/South Yorkshire (Mrs Beth Ralph), Wakefield (Mr Ganeshbabu Mahalingam), Feltham. London (Mr Mohamed Ayyaz Kasmani) or Widnes (Mr Colin Jones) please contact the relevant person using the email address given. If there is only one email address given for a particular practitioner it indicates the other doesn’t as yet provide that service.

They welcome initial email conversations with prospective patients and/or referring colleagues. If the patient is referred from a fellow ECP the aim is to obtain a successful outcome and refer the patient back for co-management and all their other eye care needs. Email communication from other HCPs such as GPs, pharmacists, dermatologists etc are also welcomed. Optional downloadable, saveable, editable and printable Referral Forms for each practitioner are available under either the Dry/Watery Eye Clinic and/or Contact Lens Clinic tabs in the menu. As part of the ethos of providing the best care possible they recognise accurate and timely testing in eye care is vital, as it is in medicine generally, Mrs Ralph and Mr Price both have available a test that can not only detect dry eye and contact lens discomfort inflammation, but measure its degree as well, no other test in the world does this and they are proud to be pioneers in its use. 

InflammaDry
InflammaDry detects and grades eye surface inflammation helping targeted treatment.

We are available by email to patients who may be interested in a face-to-face or remote consultation regarding non-urgent contact lens, dry eye or ocular surface conditions. we have extended appointments further apart so that safe distancing and clinical standard hygiene measure can be effective. If you would like to contact us for non-urgent eye care discussions related to dry eyes or contact lenses you can  by email:

  • Mr Andrew D Price (Widnes or general enquiries) This email address is being protected from spambots. You need JavaScript enabled to view it. 
  • Elizabeth Ralph (East Midlands and South Yorkshire) This email address is being protected from spambots. You need JavaScript enabled to view it. 
  • Mr Ganeshbabu Mahalingam (West Yorkshire) This email address is being protected from spambots. You need JavaScript enabled to view it. 
  • Mr Mohamed Ayyaz Kasmani BSc(Hons) MCOptom This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Mr Colin Jones FBDO(Hons) CL This email address is being protected from spambots. You need JavaScript enabled to view it.

Personal portfolios can be found here: 

  • Mr Andrew D Price FBDO(Hons)CL MBCLA 
  • Mrs Elizabeth Ralph FBDO CL MBCLA  
  • Mr Ganeshbabu Mahalingam MPhil PhD FCOptom FBCLA ProfHigherGlaucoma 

For Mr Andrew Price new arrangements for private new patient appointments will change; new patients for the Widnes clinics are asked to send an initial email to This email address is being protected from spambots. You need JavaScript enabled to view it. this will enable the best approach to be mapped out, which following the return email or short phone conversation may be an extended telephone or video consultation or a practice visit. The initial email/short telephone conversation is without charge or obligation to proceed further. 

The ability to conduct telephone/video consultations will not fully replace 'face-to-face' and the tests that can only be done physically, but rather dovetail into a care appointment schedule. The normal 40 minute appointments will be extended to 1 hour. 

 

 

Eye Care Professionals who would like to know more about tailor made videos for their practice can email This email address is being protected from spambots. You need JavaScript enabled to view it.

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Mr Andrew D Price FBDO(Hons)CL MBCLA

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Published: 30 September 2019

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Mr Andrew D Price FBDO(Hons)CL MBCLA 

- Portfolio -


As 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 hADP at Focus Inad 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. 

 

AntaresNew 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.

 

 

 

The image (below left) is with a new advanced fluorescein filter attached to a bio-microscope (below right) giving unique images of, in this case, a corneal scratch or other corneal injury. Images courtesy of Aston Vision Sciences.

AVS Filter on SL imagesScratch on Cornea C (2)

 

 

 

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.

 

Testimonials

Always nice to receive from other Health Care Professionals and patients (published with full patient approval):

Received 14./09/2025: 

"Please put that up on the website mr price it may need slightly editing full stops (etc) but I’m more than happy to leave a glowing review .."
Sent from my iPhone

On 13 Sep 2025, at 17:35, ANDREW GODBER wrote:

"Mr Andrew D Price FBDO(Hons)CL MBCLA . Has done an amazing job at getting the contact lenses I needed .After trying unsuccessfully for years in getting suitable lenses for my high astigmatism he’s gone above all expectations including a much better prescription for my vision .For myself I have needed gas permeable lenses but they are just as good and comfortable as the more modern soft lenses . I would not hesitate in recommending Mr price at the practice in Widnes for lenses for patients with complex prescriptions and the after care he provides,which is something I feel is needed ".
Sent from my iPhone

Received 02/05/2025 (on being told I was retiring, which was not fully acurate, as I simply moved my clinic to a new practice): "I understand from Jackson's Opticians in Nantwich that you will shortly be retiring. Congratulations! Enjoy every moment! Unfortunately, I won't see you before you do retire.

I would like to take this opportunity to thank you from the very bottom of my heart for all your care and advice over the last almost 4 years. It has been utterly invaluable, as evidenced by the significant improvement in my dry eye condition in that time.

Also, emotionally, I was in a very dark place when I first came to you as a result of several unsatisfactory appointments with opticians, doctors and eye specialists. It has been wonderful not only to have had your recommendations and mask treatments and all the check-ups but also your understanding and support all this time. Thank you so much for keeping me on your patient list. It has meant so much to me.

Have a wonderful retirement!
Very very best wishes,
G Lucas"

Received 28/08/2024: "My Name is Nicola Badwick for the past 6 months I have been suffering with chronic dry eyes. My consultant at the Yale hospital was unable to do anymore for me after trying many treatments and  drops. Badwick PBM 5Also I had punctal plugs fitted. Nothing seemed to work. My consultant then advised me to visit Mr Price at SW+C Jacksons opticians in Nantwich to see if they could help me . Mr Price gave me a   schirmer test and there was hardly any water in my eyes. He said suggested that my lacrimal glands may have stopped working. So I was offered a 3 week course of photobiomodulation, this is a special   mask  that gives out heat and light. It fits over the face and is painless. After 3-weeks I had brilliant results. I was also cleaning my eyes at home and using special eye drops supplied by Mr Price. After 3 weeks he did another schirmer test on my eyes and the results were amazing. Lots more tears in my eyes and the burning and gritty feeling were vastly improved. I will return in 3 months time for a follow  up. Mr Price is very professional and I am thrilled with the results and can now start to enjoy my everyday life." - Mrs Nicola Badwick. 

 "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.

G Lucas

Preston, 04/02/2022

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 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.   

 

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. 

  • 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.

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

  • 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.

 

More lectures/workshops! 

 

  • 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.

 

 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

 

  • 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!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

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

  • 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.

Presentations

  • 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.

 

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Mrs Elizabeth Ralph FBDO CL

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Published: 30 September 2019

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Mrs Elizabeth Ralph FBDO CL
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Mrs Elizabeth Ralph FBDO CLI am an experienced Dispensing & Contact Lens Optician with a demonstrated history of working in the optical industry for over 20 years. Graduating in Cambridge Anglia Ruskin University in 2003 and continuing my education to later qualify as a contact lens optician from Bradford.

Professional Services Consultant
Currently working with Positive Impact to deliver CET (Continuing Education Training for professionals) for dry eye, punctal plugs.

I am involved in running contact lens fitting workshops for University students and professional training events. I also visit practices to train individual Eye Care Professionals in a range of dry eye and contact lens products.

Contact Lens Specialist
As a contact lens wearer myself I understand the importance of excellent comfort and vision.  There is nothing more irritating than uncomfortable eyes.  This all starts with assessing the surface ocular health of the eye. Treating any dry eye or similar eye disease is an important part of good contact lens wear.  Then choosing the correct lens and design to ensure an optimum fit.

 

 

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