I hope you enjoy the latest of our post-Covid case studies this week. As always, one of the key points is that excellent quality images of often difficult to capture signs, in this case vitreous particulate material, can be taken with the latest smartphone or tablet cameras.

I must confess, this case was also the first time I had come across the Consultant Connect app. Free to download, once your practice is registered, you can safely send images or data via the system and have feedback from a consultant ophthalmologist signed into the system. It reminds me of the old Optos service that saved many a false referral.

When first playing with the Optos Panoramic system, probably some 20 years ago now, most peripheral retinae looked problematic until I knew what I was doing. So, I made use of a service that was offered all those years ago, whereby you could send any suspect images safely and have almost instant feedback from the American optometrist, and peripheral retina guru, Bill Jones. As with all feedback, I much preferred being disagreed with (I remember the words, ‘Bill, I cannot see anything here to worry about’) if it meant avoiding an unnecessary referral. And, if it meant me improving my interpretative skills, all the better. To paraphrase Einstein, never trust anyone who is always right.

So, I am going to try out the Consultant app and am all ears if anyone else has any experience of what may be a very useful service, especially at a time when filtering referrals to secondary care needs to be as precise as

Finally, as an ex-Aston boy, I have to point out again that the always excellent not-for-profit organisation, the Orthoptic and Binocular Vision Association, are relaunching their excellent course to be held at the University. For more information, please email the honorary secretary, my old lecturer: d.b.stidwill@aston.ac.uk.