| Preface |
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ix | |
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1 | (5) |
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Primary eye care in general practice |
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1 | (1) |
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Secondary care by other eye professionals |
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2 | (1) |
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Referral letter and GOS 2 form |
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3 | (1) |
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3 | (1) |
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3 | (1) |
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Some old wives' tales in ophthalmology |
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3 | (3) |
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A practical approach to the eye and visual problems |
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6 | (16) |
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6 | (1) |
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6 | (1) |
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6 | (1) |
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6 | (5) |
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Anaesthetic drops to examine a painful eye |
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7 | (1) |
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Fluorescein staining the cornea |
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8 | (1) |
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9 | (1) |
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9 | (2) |
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Schirmer testing for dryness |
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11 | (1) |
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Cover test for the squinting eye |
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11 | (1) |
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Problems with seeing clearly |
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11 | (4) |
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11 | (2) |
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Poor focusing and the pin hole test |
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13 | (1) |
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Opacities in the eye media |
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13 | (1) |
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14 | (1) |
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The fovea (sometimes referred to as the macula) |
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14 | (1) |
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15 | (3) |
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Drops to dilate the pupil |
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15 | (1) |
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15 | (3) |
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18 | (2) |
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18 | (1) |
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Input pupillary imbalance |
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19 | (1) |
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20 | (1) |
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Short guide to urgency of referral |
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20 | (2) |
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22 | (27) |
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22 | (1) |
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22 | (1) |
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22 | (1) |
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23 | (1) |
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23 | (1) |
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23 | (2) |
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23 | (1) |
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Other disorders of the lens |
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24 | (1) |
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24 | (1) |
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24 | (1) |
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Problems with learning to read |
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24 | (1) |
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25 | (10) |
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Symptoms that may help define the cause |
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25 | (1) |
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Examination in sudden visual loss |
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25 | (1) |
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26 | (1) |
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27 | (2) |
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Giant cell (temporal or cranial) arteritis |
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29 | (2) |
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31 | (1) |
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32 | (1) |
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33 | (2) |
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35 | (1) |
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35 | (1) |
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36 | (2) |
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37 | (1) |
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37 | (1) |
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38 | (1) |
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38 | (1) |
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38 | (1) |
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38 | (1) |
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39 | (2) |
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39 | (1) |
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40 | (1) |
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41 | (1) |
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41 | (1) |
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Sensation of visual movement |
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41 | (1) |
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42 | (1) |
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43 | (1) |
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43 | (2) |
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Central serous retinopathy |
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44 | (1) |
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Age-related macular disease |
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45 | (1) |
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Other causes of distortion |
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45 | (1) |
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45 | (1) |
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Disturbance of colour vision |
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46 | (1) |
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46 | (3) |
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49 | (8) |
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49 | (2) |
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Foreign body sensation with pain |
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49 | (1) |
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Recurrent corneal erosion |
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50 | (1) |
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Arc eye (welder's keratitis) |
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50 | (1) |
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Pain without an eye cause |
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51 | (3) |
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Cranial (temporal) arteritis |
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52 | (1) |
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52 | (1) |
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52 | (1) |
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53 | (1) |
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53 | (1) |
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Herpes zoster ophthalmicus |
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53 | (1) |
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53 | (1) |
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53 | (1) |
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54 | (3) |
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54 | (1) |
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54 | (1) |
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Other lid and lash problems |
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54 | (1) |
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54 | (1) |
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55 | (1) |
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56 | (1) |
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57 | (54) |
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57 | (27) |
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Relevant features in the history |
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57 | (1) |
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Accompanying symptoms (and their likely relevance) |
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57 | (1) |
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57 | (3) |
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60 | (12) |
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72 | (1) |
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72 | (1) |
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Corneal inflammation and ulceration |
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73 | (6) |
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79 | (2) |
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81 | (2) |
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Miscellaneous causes of red eyes |
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83 | (1) |
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84 | (4) |
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Associated features and complications |
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84 | (4) |
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88 | (1) |
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Abnormal corneal appearances |
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88 | (4) |
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88 | (1) |
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89 | (1) |
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Band keratopathy and other corneal deposits |
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90 | (1) |
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90 | (1) |
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90 | (1) |
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91 | (1) |
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91 | (1) |
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91 | (1) |
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92 | (1) |
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92 | (4) |
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92 | (2) |
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94 | (1) |
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Lacrimal gland and sac tumours |
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95 | (1) |
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96 | (4) |
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Acute swelling around the eye |
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96 | (3) |
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Chronic swelling around the eye |
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99 | (1) |
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100 | (1) |
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101 | (2) |
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101 | (1) |
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102 | (1) |
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103 | (1) |
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Abnormalities of the pupil |
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104 | (2) |
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Equal pupils with an unequal response to light |
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104 | (1) |
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104 | (1) |
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105 | (1) |
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105 | (1) |
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106 | (1) |
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Abnormal retinal appearances |
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106 | (5) |
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106 | (1) |
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107 | (3) |
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110 | (1) |
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Problems with focus, spectacles and contact lenses |
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111 | (10) |
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Error of refraction and its measurement |
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111 | (1) |
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111 | (1) |
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111 | (1) |
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111 | (1) |
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Types of focusing problem |
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111 | (3) |
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Presbyopia, or getting older |
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111 | (2) |
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Myopia, or short-sightedness |
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113 | (1) |
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Hypermetropia, or long-sightedness |
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113 | (1) |
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113 | (1) |
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113 | (1) |
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114 | (1) |
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Testing for errors of refraction |
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114 | (1) |
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How to assess spectacle lenses |
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114 | (1) |
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Professionals qualified in eye care |
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114 | (1) |
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114 | (1) |
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115 | (1) |
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Ophthalmic medical practitioner |
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115 | (1) |
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115 | (3) |
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117 | (1) |
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118 | (1) |
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Intolerance of spectacles |
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118 | (1) |
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118 | (2) |
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Extended wear contact lenses |
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119 | (1) |
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Disposable contact lenses |
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119 | (1) |
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120 | (1) |
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120 | (1) |
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120 | (1) |
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Criteria for the provision of contact lenses on the NHS |
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120 | (1) |
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Surgery for errors of refraction |
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120 | (1) |
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Five common eye disorders |
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121 | (12) |
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121 | (1) |
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122 | (3) |
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Treatment of chronic glaucoma |
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122 | (3) |
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125 | (1) |
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125 | (1) |
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Age-related macular degeneration |
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125 | (1) |
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126 | (1) |
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127 | (6) |
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127 | (1) |
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127 | (5) |
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132 | (1) |
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132 | (1) |
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132 | (1) |
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The eye in systemic disorders |
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133 | (12) |
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133 | (1) |
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Ophthalmic problems in neurological disorders |
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133 | (3) |
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133 | (1) |
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134 | (1) |
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134 | (1) |
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Benign intracranial hypertension |
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135 | (1) |
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136 | (1) |
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Eye problems in joint disorders |
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136 | (2) |
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136 | (1) |
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137 | (1) |
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137 | (1) |
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137 | (1) |
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Sjogren's syndrome (sicca syndrome) |
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137 | (1) |
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137 | (1) |
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Eye problems in skin disorders |
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138 | (3) |
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138 | (1) |
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138 | (1) |
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138 | (1) |
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138 | (1) |
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139 | (1) |
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139 | (1) |
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Infections of the skin involving the eyes |
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139 | (1) |
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Inherited disorders of the skin with eye features |
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140 | (1) |
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Skin and eye in systemic disorders |
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140 | (1) |
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Ocular side-effects of skin therapies |
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140 | (1) |
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Eye problems in sexually transmitted disorders |
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141 | (1) |
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Ophthalmic problems in vascular disorders |
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141 | (4) |
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141 | (1) |
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142 | (1) |
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143 | (1) |
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143 | (1) |
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144 | (1) |
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Ischaemic optic nerve disease |
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144 | (1) |
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Retinal vascular occlusions |
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144 | (1) |
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Screening asymptomatic patients |
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145 | (17) |
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145 | (7) |
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145 | (1) |
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145 | (2) |
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147 | (4) |
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A practical screening programme |
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151 | (1) |
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Other factors in diabetic eye care |
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152 | (1) |
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152 | (3) |
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152 | (1) |
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153 | (1) |
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154 | (1) |
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155 | (4) |
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155 | (1) |
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155 | (1) |
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155 | (3) |
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Sharing with other professionals |
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158 | (1) |
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Why bother to screen all children? |
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159 | (1) |
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Screening for genetic abnormalities |
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159 | (1) |
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Screening for drug toxicity |
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160 | (2) |
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160 | (1) |
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160 | (1) |
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160 | (1) |
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161 | (1) |
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162 | (9) |
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Importance of the clinical history |
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162 | (2) |
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Risk of foreign body within the eye |
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162 | (1) |
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Risk of significant blunt trauma |
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162 | (1) |
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Risk of penetrating eye injury |
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162 | (1) |
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162 | (2) |
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Warning signs in eye trauma |
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164 | (3) |
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164 | (1) |
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164 | (1) |
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164 | (1) |
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164 | (1) |
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Subconjunctival haemorrhage |
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165 | (1) |
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165 | (1) |
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165 | (1) |
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165 | (1) |
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166 | (1) |
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166 | (1) |
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167 | (1) |
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Loss of vision---summarizing the causes |
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167 | (1) |
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Management plan for the injured eye |
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167 | (4) |
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167 | (1) |
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167 | (1) |
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167 | (1) |
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168 | (1) |
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Black eyes and other blunt injuries |
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168 | (1) |
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168 | (1) |
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169 | (1) |
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The damaged eye that appears to be perforated |
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169 | (1) |
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170 | (1) |
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170 | (1) |
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171 | (20) |
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171 | (4) |
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Day-case cataract surgery |
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171 | (1) |
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Local anaesthesia for cataract surgery |
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171 | (1) |
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172 | (1) |
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172 | (2) |
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174 | (1) |
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175 | (1) |
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Chronic `simple' glaucoma |
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175 | (1) |
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Acute (angle closure) glaucoma |
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175 | (1) |
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Retinal detachment surgery |
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176 | (3) |
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176 | (1) |
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176 | (2) |
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178 | (1) |
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178 | (1) |
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179 | (1) |
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180 | (1) |
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180 | (2) |
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Corneal refractive procedures |
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182 | (1) |
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Removal of an eye (enucleation) |
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182 | (1) |
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183 | (1) |
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Minor surgery around the eyes |
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184 | (7) |
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Ingrowing eyelashes (trichiasis) |
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184 | (1) |
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Syringering the tear ducts |
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184 | (2) |
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Removal of a meibomian cyst (chalazion) |
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186 | (1) |
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Retropunctal cauterization |
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186 | (2) |
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188 | (1) |
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189 | (1) |
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190 | (1) |
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190 | (1) |
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190 | (1) |
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190 | (1) |
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Management of visual handicap |
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191 | (6) |
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191 | (1) |
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Loss of visual field alone |
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191 | (1) |
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Loss of both acuity and field |
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192 | (1) |
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192 | (1) |
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192 | (1) |
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192 | (1) |
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Loss of vision in one eye |
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192 | (1) |
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192 | (1) |
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Registration as blind or partially sighted |
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193 | (1) |
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Requirements for blind registration |
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194 | (1) |
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Requirements for partially sighted registration |
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194 | (1) |
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Benefits and concessions for registered blind and partially sighted people |
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194 | (1) |
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194 | (1) |
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Visual handicap in children |
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195 | (1) |
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195 | (1) |
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Ordinary driving licences |
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195 | (1) |
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Professional and vocational driving licences |
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196 | (1) |
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Occupational requirements |
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196 | (1) |
| Appendix 1: Formulary for eye care in general practice |
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197 | (8) |
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Formulations and application |
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197 | (3) |
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Patient information leaflets |
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197 | (1) |
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197 | (1) |
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197 | (2) |
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199 | (1) |
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199 | (1) |
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Medication in contact lens wearers |
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199 | (1) |
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200 | (1) |
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200 | (1) |
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Allergic reactions to eye medication |
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200 | (1) |
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Systemic effects of absorbed eye medication |
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200 | (1) |
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Anti-infective preparations |
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200 | (1) |
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200 | (1) |
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201 | (1) |
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201 | (1) |
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201 | (1) |
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Anti-inflammatory preparations |
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201 | (1) |
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201 | (1) |
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Non-steroidal anti-inflammatory preparations |
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202 | (1) |
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Anti-allergic preparations |
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202 | (1) |
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202 | (1) |
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202 | (1) |
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Medications for the dry eye |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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Drugs acting on the pupil |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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203 | (1) |
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Drugs to control intraocular pressure |
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204 | (1) |
| Appendix 2: List of suppliers and charities |
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205 | (1) |
| Appendix 3: Patient information sheet: applying a pad |
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206 | (1) |
| Appendix 4: Patient information sheet: blepharitis |
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207 | (1) |
| Glossary of terms used in ophthalmology |
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208 | (3) |
| Index |
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211 | |