Ophthalmology (eyes)

We provide a wide range of general and specialist eye care services, including:

  • Emergency Eye Service
  • Cataract
  • Glaucoma
  • Paediatric
  • Retina (medical and surgical)
  • External eye disease
  • Eyelids
  • Ocular surface disease
  • Corneal disease
  • Minor operations
  • YAG laser - see  YAG Laser Capsulotomy information sheet [pdf] 100KB
  • Oculo-motility clinics
  • Orthoptic hospital services and community screening services
  • Low vision rehabilitation
  • Contact lens services
  • Botox treatments for Blepharospasm
  • Neonatal screening
  • Vitreoretinal.

We can provide many of our services in one-stop clinics to facilitate speedy diagnosis and treatment.

We offer an urgent care service for patients who self-refer to our Emergency Eye Service. Telephone advice is also available from an experienced ophthalmic triage nurse - please call our emergency telephone line on 020 8296 3817.

Our team

The ophthalmology team consists of orthoptists, ophthalmologists, opticians and ophthalmic nurses.

Ophthalmologists are doctors who specialise in eyes. They examine the health of the eyes, diagnose and treat diseases of the eyes and carry out eye surgery. They may measure the eyes (refraction) and prescribe glasses.

Orthoptists are involved in the assessment of vision in children and adults and primarily specialise in the diagnosis, management and treatment of Amblyopia (lazy eye), squints, movement disorders, and binocular diplopia (double vision).

Optometrists (opticians) are qualified to prescribe glasses. They may carry out a glasses check (refraction) objectively with drops or subjectively without drops.

Ophthalmic nurses are specially trained in eye conditions. They provide pre-operative and post-operative care, triage patients in the emergency eye unit, administer children's eye drops and facilitate and support the eye care team. 

We also have a Eye Clinic liason officer. These are members of staff who can help with practical issues like how to cope with poor sight and how to arrange other issues like sight impairment registration. We have one part time ECLO at Epsom Hospital and one at St Helier hospital. 

Key staff

Mr S Harsum 

Lead clinician, Consultant Ophthalmologist and clinical lead for diabetic retinopathy screening and treatment
Subspecialties: retina (medical and surgical), cataract and diabetes, including age-related macular degeneration and diabetic retinopathy

Miss J Leitch 

Consultant Ophthalmologist 
Subspecialties: paediatric, cataract

Miss C Funnell

Consultant Ophthalmologist and lead clinician for the Acute Eye Service
Subspecialties: paediatrics, motility, neuro-ophthalmology, acute ophthalmology, cataract

Mr EJK Lee

Consultant Ophthalmologist
Subspecialties: medical and surgical retina, casualty, cataracts

Miss Andrena McElvanney

Consultant Ophthalmic Surgeon
Subspecialties: clinical ocular surface disease, oculoplastics, cataracts

Mr Ramu Muniraju

Consultant Ophthalmic Surgeon
Subspecialties: cataracts, retinal diseases including macular degeneration and diabetic eye disease, laser treatments 

Mrs S Sujatha

Consultant Ophthalmologist
Subspecialties: retina and cataract

Mr P Ursell 

Consultant Ophthalmologist 
Subspecialties: cornea and cataract

Mr Muhammad Usman Saeed

Consultant Ophthalmologist and clinical lead for macular degeneration, diabetic retinopathy screening and treatment for Surrey and ophthalmology audit 
Subspecialties: cataract surgery, laser treatments, retinal diseases including macular degeneration, diabetic retinopathy and uveitis.

Mr Chris Panos

Consultant Ophthalmologist
Subspecialties: glaucoma and cataract

Mr P Moradi

Consultant Ophthalmologist 
Subspecialties: cataract, retina, diabetic macular oedema

Miss O Diavati

Consultant Ophthalmologist 

Mr R Petrarca

Consultant Ophthalmologist  
Subspecialties: glaucoma and cataract

Dr S Izadi

Consultant Ophthalmologist
Subspecialties: medical and surgical retina

Mrs A Kincaid

Head Orthoptist

Mrs S Morjaria

Head Orthoptist

Mrs L Ring 

Ophthalmology Matron

Ms Nicole Lau

Eye Clinic Liaison Officer

Eye clinic patient support and information

We provide a wide range of information, advice and support services, including:

  • Patient support at the time of diagnosis of an eye condition that has caused or may cause substantial sight loss
  • Information about eye conditions
  • Advice on low vision aids and other resources to assist with daily living tasks, reading and writing
  • Referrals to, or contact informaiton for, other agencies.

We specialise in sight loss problems. You are welcome to come without a referral.

Poster and contact detail cards are available in the waiting areas of the eye unit and the Patient Information Centre at St Helier Hospital.

Key staff
- Ann Ryan
Eye clinic liaison officer

Opening hours

In clinic: Monday – Tuesday – Thursday - Friday 8.30am – 4.30pm.
24-hour answerphone service on 020 8296 2000 ext 8718 or 07920650613 (please leave your name, contact details and any message)
You can also email enquiries to annryan@suttonvicion.org.uk or annmarie.ryan1@nhs.net.

Cataract surgery

Your GP has referred you to us because they think you may need a cataract operation. Cataract surgery is the most common surgical intervention performed in the NHS.  Eye surgery at our hospital is performed using the most up to date techniques available. 

Our team is made up of highly skilled and experienced consultant ophthalmic surgeons and nurses. We train around eight doctors every year, who go on to become consultants in hospitals across the UK including Moorfields Eye Hospital. Our staff regularly present new research at international meetings and are recognised across the world as experts in their fields.

Routine cataract surgery

Routine cataract surgery is performed using a technique called small incision cataract surgery, which results in quicker healing. To help you prepare for your surgery we have produced a comprehensive information leaflet, about what to expect, which gives you lots of information about your eye surgery and how it is performed.

When you come to us for your appointment please follow the advice in the letter we sent you as it contains important information about what to do before, during and after your visit.  At your initial assessment we will carry out all the tests and measurements necessary to prepare for your surgery.

  • 98% of our surgery is performed under non-invasive local anaesthetic and 2% as general anaesthetic
  • All patients are day cases
  • We perform over 2500 procedures every year and audit our results continuously
  • Compared to the national average, our results exceed the published standards of care for complications

We also perform complex combined procedures for anterior segment trauma, vitrectomy and glaucoma if needed.

If you have any questions about your eye condition or your surgery, please write them down before your first visit and we will do our best to ensure they are all answered. 

Read our cataracts and cataract surgery brochure [docx] 160KB

Watch this short video produced by RNIB about cataract surgery. You can also read RNIB's cataract guide (opens in a new window)

 

Key staff

The following consultant ophthalmologists, perform cataract surgery:

Key staff

The following consultant ophthalmologists, perform cataract surgery:

Location

Clinics
  • Eye Unit, Woodcote Wing, Epsom Hospital
  • Eye Unit, B block, St Helier Hospital.
Surgery
  • St Helier Hospital, B4 Ward
  • Epsom Hospital, Day Case Unit.

 

Glaucoma screening

Glaucoma of some type is found in about two per cent of the population over the age of 40. It is estimated that more than 500,000 people suffer from glaucoma in England and Wales alone, with more than 70 million people affected across the world (International Glaucoma Association (opens in a new window) 2008).

The great majority of people have a chronic, slow to progress condition known as Primary Open Angle Glaucoma (POAG). It has been shown that half of all cases remain undiagnosed, with people of African-Caribbean descent at greater risk.

It is therefore extremely important to attend an optician for an eye test - not just for glasses but to review the health of the eye. The optician will examine your eyes as well as testing your visual field and the pressure inside your eye (intraocular pressure). If the optician finds a problem with any of these elements they will either refer you directly to the hospital eye service or to your GP for referral.

The visit to the hospital eye service will allow a healthcare professional with specialist qualifications and experience in glaucoma to carry out an in-depth assessment of your eyes. This will include checking your intraocular pressure and examining the back of your eye particularly the optic nerve head (optic disc).

You will need to have your pupils enlarged to make this examination as accurate as possible. Enlarged pupils can affect your vision so please do not drive to your appointment. You may also need to have your visual field tested with a slightly more sophisticated machine than available in the majority of high street opticians.

Please do not worry if you have been referred into the hospital eye service as the aim of all treatments for glaucoma is to lower the intraocular pressure and slow the progression of the disease. The first line of treatment is usually eye drops and your healthcare professional will choose the most appropriate one for you. You may have to try a few different eye drops to find the one most suited to you personally.

There are many sources of information about glaucoma but we would recommend that you visit the International Glaucoma website (opens in a new window) as this has a wide range of information for you to access.

Key staff

Mr Chris Panos  BSc DM FEBO MRCOphth

Consultant and lead clinician

Mr Robert Petrarca MD (Res) FRCOphth MBBS MCOptom BSc (Hons)

Consultant 

Mrs Lynn Ring

Advanced Clinical Nurse Specialist 

Macular degeneration service

The eye is like a camera with the retina acting as the film at the back of the eye, which processes pictures and sends them to the brain. The macula is the central and most sensitive part of the retina (the film).

Macular degeneration is a serious condition that can lead to blindness. There are two types of macular degeneration, dry and wet.

Dry macular degeneration / dry age-related macular degeneration (AMD)

Dry macular degeneration is a slowly progressive disease of the retina which causes loss of central vision. This is usually age related but can have a genetic and environmental component.

Dry macular degeneration may cause slow and progressive damage to the film (retina) and cause central visual distortion or even blank patches in the centre of vision. Dry macular degeneration usually does not affect peripheral (outer) vision.

There is no cure for dry macular degeneration but some aids like stronger glasses, magnifying glasses, telescopic lenses and illuminated magnifiers may help with vision and reading etc. These are sometimes called low visual aids. Usually large print books or electronic devices (like e-readers or computers) may help in reading by enlarging the font.

You may be given an Amsler chart (see our dry AMD leaflet) to look out for visual distortion and to detect development of wet macular degeneration, which is much more serious and causes more rapid visual loss.

We recommend a balanced diet to everyone, especially green vegetables and fish to patients with dry macular degeneration.

We also advise cessation of smoking, which may benefit macular degeneration.

Wet macular degeneration can be an aggressive condition leading to severe and acute visual loss in a matter of weeks.

We try to prevent or limit visual loss by treating wet macular degeneration.

The diagnosis involves retinal exams which include a dilated retinal examination, digital retinal imaging (photographs), retinal scans and a dye test called fluorescein angiography.

After testing, a small number of patients will be found suitable for treatment. This is because 90% of patients have dry macular degeneration and approximately 10% of patients have wet AMD (only wet AMD is treatable).

Patients with wet AMD are offered intravitreal injection treatment (Lucentis or Eylea treatment), if they fall within the parameters NICE guidance. Few patients may need special Laser treatment called Photodynamic therapy (PDT) and are referred to PDT treatment centres.

We perform retinal scans with our Zeiss Cirrus retinal scanner and Topcon Triton plus imaging systems. We can perform laser treatment for selected patients and also offer intra-vitreal Lucentis / Eylea injection treatment. We do not offer Avastin in this trust.

We also provide support for patients with untreatable macular degeneration and low vision aids like provision of special magnifying glasses and other visual aids.

 

Contact details

Tel: 020 8296 3820
Email: est-tr.AMD@nhs.net

Further information

Referrals

GPs can refer patients via paper-based referrals, via eReferral and by using the wet AMD rapid referral route. Suspected wet AMD should be referred using the following forms:

Key staff

  • Usman Saeed, Consultant Ophthalmologist & Lead Clinican for macular degeneration
  • Ramu Muniraju, Consultant Ophthalmic Surgeon
  • Giuseppe Aramo, Clinical Nurse Specialist
  • Charlotte Brent, Clinical Nurse Specialist.

Ocular surface diseases

Our consultants have specific expertise in dealing with ocular surface diseases, including:

  • a wide range of ocular infections
  • corneal ulcers
  • contact lens related problems and associated infections
  • dry eyes
  • watery eyes
  • allergic eye disease
  • herpetic eye disease
  • ocular surface inflammation
  • eyelid problems. 

Miss McElvanney, the lead consultant, has links with the Medical Contact Lens and Ocular Surface Association (MCLOSA), and the European Contact Lens Society of Ophthalmologists (ECLSO).

We perform anterior segment diagnostic surgery, eyelid surgery and botox for therapeutic indications.

We have a dedicated medical contact lens service for the fitting of therapeutic and specialty contact lenses.

Key staff
Miss Andrena McElvanney, Consultant Ophthalmic Surgeon

Contact details

Tel: 020 8296 3800.

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