Sound Optometry

Sound Optometry

Sound Optometry is the podcast from Docet that provides high quality continuing professional development (CPD) for fully-qualified UK-GOC-registered optometrists practising in England, Wales and Northern Ireland. Each month, we’ll be exploring the topics that matter most to us optometrists with case studies and in-depth conversations. You can gain 1 CPD point by listening to this podcast and completing the exercise on http://docet.info.

Episodes

May 21, 2025 29 mins
Since COVID-19, a greater number of enhanced optometric services have been rolled out across much of the UK. These pathways have been proven to reduce the burden on secondary care, reduce patient waiting times and have saved the NHS millions of pounds. As a result, Integrated Care Boards (ICBs) have commissioned optometric services far beyond CUES, MECS and pre- and post- operative cataracts. For example, in some areas, optome...
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Primary angle closure disease is more common in the UK than was initially thought and it is important for optometrists to understand the condition’s stages of progression; from primary angle closure suspect (PACS), to primary angle closure (PAC) and primary angle closure glaucoma (PACG). PACG is the stage we want to avoid, where structural damage to the optic nerve and loss of visual function have occurred because of the occlu...
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Stress and burnout, which we explored in the last episode of Sound Optometry, is far from uncommon in optometrists. In this episode, Michelle Hanratty uncovers the severe implications that chronic stress can have on the health of optometrists in the future. How can we reverse its damage?

Michelle is joined by Professor Anna Whittaker, a health psychologist at the University of Stirling, who highlights the role of cort...
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A study conducted in Australia found that around half of optometrists experience burnout. One in every three optometrists also live with a mental health condition. We all know what workplace stress can feel like, but few of us can probably spot the signs of long-term stress turning into burnout. That can lead to even more serious mental health challenges and can affect how we care for our patients.

In this episode, Mi...
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One in three people born in the UK today will go on to develop dementia — a term used to describe a range of neurological conditions that cause the loss of cognitive functioning. It’s been established that dementia can affect vision and recently, researchers have realised that visual impairment is a modifiable risk factor for dementia, too. In other words, vision correction can, at the very least, improve the quality of life o...
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Optometrists commonly encounter corneal conditions in practice—such as keratoconus, Fuch’s endothelial corneal dystrophy and recurrent corneal epithelial erosion syndrome. As Professor Sai Kolli explains in this podcast, the management of corneal dystrophies may involve monitoring, therapeutic treatment or onward referral, depending on their severity. Michelle Hanratty also hears from Christina and her son Sam, who discovered ...
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Vision standards and occupational eye testing can have profound consequences on patients and their families, especially when children are weighing up their career prospects. It’s therefore important that optometrists understand how tests are carried out and the implications of their results. In this episode, Michelle Hanratty takes a trip to the vision research centre at City St George's, University of London, to meet Professo...
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As it is a condition that comes on with ageing, presbyopia is something that optometrists very commonly encounter in practice. For most people who develop long-sightedness, their eyesight is easily corrected with spectacles and sometimes contact lenses. But many patients seek to reduce their dependence on spectacles and that’s where refractive surgery can provide a welcome solution.

In this episode, Michelle Ha...
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Gene therapy is one of the most exciting areas of modern medicine. In eye care, they promise to restore the vision of patients with both rare genetic eye diseases, such as a certain type of inherited retinal dystrophy, as well as more common conditions that have genetic components, like AMD. 

In this episode, Michelle Hanratty uncovers how gene therapies work with Omar Mahoo, a consultant ophthalmologist at Moorfields...
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June 20, 2024 26 mins
Half of the population experience menopause, but its effects are wide-ranging and poorly understood. In this episode, Michelle Hanratty investigates how menopause can affect the eye — from inflammatory changes, such as blepharitis, to dry eye disease and even an association with glaucoma. Michelle examines the scientific research with Stuti Misra, an Associate Professor in ophthalmology at University of Auckland. Plus, Julia S...
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May 22, 2024 28 mins
Complaints are a normal part of a patient-facing industry, like optometry — from problems with prescriptions to quibbles about customer service. Therefore, handling complaints in a professional manner is an essential part of the GOC’s Standards of Practice. In this episode, Michelle Hanratty hears from Dawn Slocombe, a Complaints Resolution Manager at the Optical Consumer Complaints Service (OCCS), about how complaints are pro...
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In optometry, exciting new products or treatments are constantly coming onto the market. As practitioners, we need to keep our knowledge up-to-date, so that we can offer solutions to our patients if they present with an ocular condition. But is the evidence strong enough to make a recommendation or to provide that treatment? 

In this episode, Michelle Hanratty taps into the expertise of IP optometrists Paramdeep Bilkh...
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Ocular allergy can be more complicated than the seasonal conjunctivitis that optometrists see frequently in practice. To treat allergic reactions effectively, it’s important to understand how the immune system works. In this episode, Michelle and Dr Peter Frampton, an optometrist at Aaron Optometrists in the North of England, discuss the four types of immune reactions, or “allergies”, that can be expected in practice. Michelle...
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February 14, 2024 28 mins
Children with special educational needs (SEN) are 28 times more likely to have a problem with their vision—or how their brains interpret vision—than their peers. It’s essential that optometrists understand how to make appointments as successful as possible for SEN children and their families. In this episode, Michelle Hanratty asks Ellie Hughes, Assistant Headteacher and Sensory Impairment Lead at Chellow Heights Special Schoo...
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January 17, 2024 28 mins
Age-related macular degeneration (AMD) is the most common cause of sight loss in the UK, and the dry form is the most common type of the condition. In this episode, Michelle Hanratty visits a community practice in Harborne, Birmingham, to meet optometrist Bradley Warwick. Brad specialises in dry AMD, so Michelle and Brad discuss how to manage and counsel patients with the condition that currently has no treatment options. Late...
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Laser treatments are a great way for optometrists to learn new skills and add some variety to day-to-day practice. In this episode, Michelle Hanratty brings us into her YAG laser capsulotomy clinic in Birmingham, where she treats posterior capsule opacification (PCO) following cataract surgery. Michelle walks us through an appointment with a patient, demonstrating how quick and effective the treatment can be, as well as explai...
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Over 400,000 cataract procedures are done every year in England alone and the surgery is also one of the most successful in modern medicine. But complications can still occur, for a number of reasons. With optometrists becoming ever more involved with cataract surgery patient pathways — from direct referral to postoperative care — in this episode, Michelle Hanratty explores the risk and complications that optometrists should b...
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Myopia can be much more than just shortsightedness. In this episode, Michelle Hanratty speaks to her friend Kathryn, who has severe myopia, to find out how the condition can cause further ocular health problems, like macular degeneration. 

Two years ago on the podcast, we explored how optometrists should play an active role in myopia management using contact lenses. Listen to that episode here.

Since then, mo...
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Regular eye screening for the more than 4 million people in the UK with diabetes is essential. The chronic condition is difficult to manage, but high blood sugar over time can damage the blood vessels in the retina. These changes to the eye can be detected by retinal photography, yet diabetic retinopathy is a leading cause of blindness, because it typically isn’t caught — and managed — early enough. 

This episode expl...
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June 28, 2023 27 mins
Detecting and diagnosing suspect glaucoma isn’t an exact science, but the stakes are high—undetected or late-diagnosed optic nerve damage can lead to irreversible vision loss. Subtle changes in the optic nerve head can be confusing, though, so as an optometrist, being confident in your clinical decisions is essential. In this episode, Michelle Hanratty seeks advice on optic disc assessments with Patrick Gunn, an optometrist at...
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