Cataract surgery is commonest operation done as an outpatient procedure in the NHS. Mr Adams and Miss Maling co-lead the Buckinghamshire Healthcare Trust Cataract Service which this year 2021 is the most productive Cataract Service in the country.  Mr Adams and Miss Maling both have training in all aspects of cataract surgery including multifocal lenses, extended range of focus lenses, mono-focal lenses and paediatric cataract surgery.

Mrs Maling understands how debilitating adult strabismus surgery is. Patients often tolerate a squint or double vision as they do not think it can be improved. Often a single short operation will resolve a patients issues long term.

Recurrent corneal erosion syndrome (RCES) occurs when the corneal epithelium – the surface layer of the cornea – fails to
bind properly to the layer underneath it. Initial treatment is to keep the eye lubricated, with drops or gel in the daytime and thicker ointment at bedtime. This protects the healing epithelium from the rubbing effect of the upper lid, and allows it to ‘bed down’ properly.

For those cases that fail to resolve, alcohol delamination and superficial keratectomy is the process of using ethanol to remove all the corneal epithelium, and then smoothing the underlying layer. It is performed in the operating theatre, usually under local anaesthetic. At the end of the procedure a bandage contact lens is left on the cornea to protect the eye and reduce post-operative discomfort.