Mr Jeremy Joseph MD, FRCS, FRCOphth.

Consultant Ophthalmologist, Bushey, North London

Most patients with eye conditions do not know exactly what is wrong with them or indeed what part of the eye is causing a problem. In general people complain of loss of vision or blurred vision, pain in their eye, eye irritation, double vision, watery eyes or dry eyes. Many eye conditions have very few or no eye symptoms and they may have been detected at a routine opticians visit. A detailed history and clinical examination, together with the use of sophisticated instruments is required, to establish a diagnosis, and plan treatment. Spire Bushey Hospital has a large array of modern eye equipment.

Some of the more common eye conditions which Mr Joseph sees, include:

  • Cataracts
  • Glaucoma
  • Diabetic eye disease
  • Front of the eye problems
  • Retinal diseases
  • Squints and double vision problems
  • Neurological conditions resulting in eye diseases

Diabetic eye disease

Diabetics are unfortunately more prone to eye diseases than the rest of the population. This can include cataracts, glaucoma, and diabetic retinopathy. It is essential for all diabetics to undergo at least an annual eye check. This can be undertaken by certain opticians or by the diabetic retinopathy retinal screening service. Diabetics who are thought to have eye disease require an ophthalmologist’s opinion.

Front of the eye problems

There are numerous front of the eye problems. These may include eyelid disease, infections eg. conjunctivitis, allergic problems, eye lash problems, watery or dry eyes, corneal problems, or foreign bodies. Clinical examination can generally reveal the cause and suggest appropriate treatments.

Retinal diseases

Retinal conditions may present with flashes or floaters, distorted vision or loss of vision.  Many patients may have no symptoms. A detailed examination of the vitreous jelly, which lies in front of the retina, and the retina itself, is undertaken. The diagnosis may be helped by the use of an OCT scan. The principle of this machine is similar to a CT or MRI scan and provides minute detail of the retinal structure.

Diseases of the retina and vitreous jelly may include, vitreous detachments, retinal detachment, retinal circulatory conditions, tears or holes in the retina,  and inherited retinal conditions. Many patients may have unusual pigmentation, spots or features on their retina, detected by an optometrist, causing no symptoms, but requiring an explanation.

Squints and double vision

Squints, which are an alignment problem between the two eyes, generally start in childhood. They may result in one eye becoming lazy (amblyopia). Squints can be acquired later in life due to injuries or neurological problems. Treatment of squints may involve glasses, orthoptic exercises, patching of the good eye to make the lazy eye work harder, and occasionally surgery. Mr. Joseph normally works in conjunction with an orthoptist (similar to an eye physiotherapist) in the diagnosis and treatment of squints.

Neurological problems

A wide range of neurological conditions may affect the eyes. These can result in blurred vision in one or both eyes, double vision or headaches. Migraines often involve visual problems. The assessment may involve a detailed history, clinical examination, visual field testing, and MRI scanning.

To make an appointment with Mr Joseph please contact us on 020 8901 5555.

020 8901 5555

9am - 5pm Monday - Friday