Consultation

I provides advanced micro-incision cataract surgery and will advise on the appropriate intra-ocular lens for your particular needs.  This includes toric lenses to correct astigmatism and extended range of vision multifocal lenses to reduce spectacle dependance.

Patients with wet (neovascular) age-related macular degeneration can benefit from prompt injection treatments with various anti-VEGF agents.  The first injection can usually be performed on the day of consultation as as "see and treat service".

Blockage to the veins of the retina can produce significant visual disturbance and may require injection treatments with anti-VEGF agents or steroids at Exeter Eye. More severe cases may require laser or surgery at the West of England Eye Unit under Mr Simcock's care..

Mr Simcock has pioneered macular hole surgery in the UK and performs a technique which includes lens removal to prevent patients returning for cataract surgery.  The technique also benefits from no  or limited (2 day) face down posturing to allow hole closure in most macular holes.

Scar tissue on the surface of the macular (central retina) causes blurring and distortion of vision.  Surgical removal of scar tissue with vitrectomy can be performed if sufficiently troubled. Most patients notice a significant improvement in vision and reduced distortion with this surgery..

Patients troubled by floaters in their vision not improving over a period of at least 6 months may benefit from vitrectomy surgery to remove the floaters.  Patient selection is important and depends on age (usually over 50) and the state of the jelly (vitreous) in the main eye cavity.