Author Archive for: ‘Ian McLeish’

Optic Nerve Haemorrhage At 4 OClock

Glaucoma Suspects and Continuity of Care

Optic Nerve Haemorrhage at 4 to 5 O'Clock position

Optic Nerve Haemorrhage at 4 to 5 O’Clock position

I recently had a lady in who was last tested by us 7 years ago, but returned to us having visited an optician’s chain, twice apparently. Her last eye test was two years ago. She complained that her glasses were “never right”. Though they were not “not right enough” to complain, or have another eye test, until they broke.

She admitted that she was supposed to return to that optician’s after six months for a check up, but did not bother, and claimed to not remember why she should return.

One of her eyes showed classic signs of Glaucoma- she had a loss of optic nerve tissue in a specific area of the optic disc, and a flame shaped haemorrhage at the same place. Visual field testing was full- there seems to be no loss of vision in the eye which I suspect has a problem- this means that (IMHO) it has been detected early enough – flame shaped haemorrhages are incredibly suspect for glaucoma damage, and we will refer her on via the GP to see a specialist.

The Ophthalmologist specialist perhaps will not agree with me, but an optic nerve haemorrhage at an area of disc loss is very, very suggestive of Glaucomatous damage to the optic nerve. There were also other changes which were evident from the previous records, which also showed an increase in the cupping of the optic nerves – indicative of progressive (damaging) changes.

The Optic Nerve connects your eye to your brain, and is therefore rather important for your normal vision!

This elderly lady should have understood why returning in six months was required, it should have been explained in a way she understood, though perhaps it was and she just does not remember…..

Being a Glaucoma suspect is not the end of the world – it is an easily controllable eye problem. But first you must be diagnosed, and then controlled – slowly go blind, or put drops in the eyes at bed-time, maybe twice a day?

Hmmm – SLOWLY (AND PAINLESSLY) GO BLIND, or put drops in my eyes – I would rather not have to put drops in my eyes every day, but it is I think better that SLOWLY GOING BLIND!?!

My first suggestion, to most of my clients would be pick an optician, and stick with that optician – otherwise no-one will get to know your eyes!

This post is not “touting for business” – it is a suggestion that you should stick with the same Optometrist, the one who know your eyes and sight the best – the one who has your previous records!

My number two suggestion, which perhaps should be number one, is to regularly compare the vision from each eye individually, and call an Optometrist if there is any distortion or anomaly in either of the eyes.

Change of plans…..

The plan before the Christmas break was to move hosting providers, but because the “new” host messed me about for an entire month, there had to be a change of plan!

The new host was actually the host we had always had, though the web site was being served elsewhere. This meant that they were being paid for virtually nothing…..

A support request raised on December 4th was not answered sensibly until the 3rd of January.

This delay meant a different plan, not least the loss of custom for the host I was planning to return to, but as I am already paying them, and they left me hanging for nearly a month, “we” are taking up new roots, on a different server.  That was not the plan, and it was still sad to tell my current paid host that they had let me down so much that we were going elsewhere, but there was little choice.

This means that I had to “port” the site to the live version, without so many ways, ideally to check for errors that I would have hoped to have been able to.

If you see any glitches, mistakes or problems, please let us know at

I hope there will be few, if any, but the way this had to be done was not ideal, so there may be a few issues – let us know, and apologies for any inconvenience.


Christmas Bauble

Merry Christmas!

To all our clients and friends – Merry Christmas!

We hope you have a great festive season – some good rest, good cheer and satisfying relaxation.

We look forward to seeing you in the New Year!

From the staff at McLeish Optometrists- Ian, Neasa, Sandra and Victoria.

(alphabetical order there, by the way!)

Have a Very Merry Christmas!

And let us all hope we have a fabulous 2018!

Ho Ho Ho!

Screenshot 2017 03 12 20.57.08

It is that time of year, again!

We have closed for the past few years between Christmas and the New Year – mainly because, although we are able to order contact and spectacle lenses, we are unable to get to the delivery, which arrived at a local solicitor’s premises, which was closed until the New Year.

This year will be the same.

Often, during my “off work” time, I need to do a variety of things – one for this year will be to sort out the website. It is not broken, but there are many features which are now presenting problems with the site’s (NOT YOUR!) security.

If you notice any breakages on the site until 2018, please check back later – there are a good few things to be changed and adjusted, not least a hosting change, which could take a few hours to fully complete. Nothing should be a big deal – I will attempt to do most of the maintenance when you are asleep, but for those other insomniacs, who happen to arrive, my apologies!


Christmas Hours

A Christmas TreeThere are no Christmas and New Year opening hours – we will be closed until the New Year – reopening on January 3rd 2018!


Saturday 23rd December
Christmas Eve (Sunday 24th December)
Christmas Day
St Stephen’s Day
Wednesday 27th Dec
Thursday 28th December
Friday 29th December
Saturday 30th December
New Year’s Eve (31st December)
Monday 1st January
Tuesday 2nd January
Wednesday 3rd January
Rest of the Year

10.00am – 5.30pm
Business as usual!

Most often when we did open we would be doing repairs – “someone sat on my glasses”, “knocked off and stood on at the party”, etc. Or sitting around with nobody coming to see us at all! Very often those who did visit, we were unable to help as we were unable to source parts for the frames they purchased elsewhere.

Even if we could order parts, we could order them, but not get them much sooner than if they were ordered in the New Year – that is the way solicitors work, and though our courier service is mainly aimed at serving solicitors, if they are closed, we cannot access our deliveries.

But that is only a (reasonable) excuse?

The Christmas to New Year shutdown is the only time off I have been able to take in the past 6 years, so whilst I do apologise for the inconvenience, everyone needs a break? It IS good to be busy, but….

This time of year is the best time to have it – it is the “Most Wonderful Time of the Year” after all!?

In case of a significant emergency, please see this post…

Have a very Merry Christmas, and a Happy New Year – we hope to see you then!

Remember that many more folks are entitled to funded eye examinations under the PPS/ PRSI / Treatment Benefit scheme than ever before – including the self employed!

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