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Ian C. Francis
Ian C. Francis Associate Professor
Ophthalmology
Department of Ophthalmology
Prince of Wales Hospital Ā· Sydney, AUS
About
CURRICULUM VITAE Ian C. Francis OAM, MB, BS (SYD), PHD (NSW), FRACS, FRANZCO, FASOPRS, FANZSOPS ASSOCIATE PROFESSOR OF OPHTHALMOLOGY OPHTHALMIC SURGEON Contents: Personal 3 Current Positions 4 Academic Qualifications 5 Academic Appointments 6 Clinical Appointments 6 Royal Australian and New Zealand College of Ophthalmologists Appointments 7 Membership of Scientific and Other Societies 8 Personal Prizes, Awards and Grants 9 Teaching Experience 10 Peer Review and Audit 12 Clinical Experience 13 Current and Future Research 16 Publications 18-36 PERSONAL : IAN CAITHNESS FRANCIS OAM MB, BS (Syd), FRACS, FRANZCO, FASOPRS, PhD (NSW), FANZSOPS Address: Department of Ophthalmology 2nd Floor, South Wing, Edmund Blackett Building, Prince of Wales Hospital, Randwick. NSW 2031 Australia Tel: (02) 9382 2480/ Eye Clinic : 9382 2261 Fax: (02) 9382 2488 Practice: Chatswood Eye Specialists Suite 2, 38b Albert Avenue Chatswood NSW 2067 Australia Tel: (02) 9411 3277 Fax: (02) 9413 1839 Mobile: + 61 (0)408 839 926 Email: [email protected] DOB: 2nd February, 1949. Family: Married to Lindy - as of 4th December 2018, for 46 years. Two sons, Charles and Edward, married to Katherine and Clare respectively. Each couple has a daughter: Saige (aet 10) and Lydia (aet 8) respectively, and Ed and Clare have a son, Bradley (aet 3), as of December 2017, and have a second son Andre, as of 12th March 2018. Sport: Surfing on Shortboards on Fridays to Sundays, throughout the year, except during holidays, when generally this becomes daily. Preferred board is a 6ft 10in tri-fin, designed by John Carper, and known as 'The Equalizer'. John also designs for Kelly Slater. I recently acquired my first high volume shortboard, of 5 foot 11 inches, which I am still trying to learn to ride. I may have to go back to my Mini-mal even a Mal. Music: Kit Drummer for 30+ years: I generally do two gigs a fortnight, usually nowadays on Christian music. In June 2018, I become competent (well, relatively) ambidextrously on the kit. I now practise silently on an electronic drum kit. CURRENT POSITIONS: Consultant Ophthalmic Surgeon, Ocular Plastics Unit, and in General Ophthalmology, Department of Ophthalmology, at Prince of Wales Hospital, Royal Hospital for Women, and Sydney Children’s Hospital Consultant Ophthalmic Surgeon, Northern Beaches Hospital, Sydney Associate Professor of Ophthalmology, Faculty of Medicine, Department of Ophthalmology, Prince of Wales Hospital, Randwick. Sydney. Senior Lecturer, Faculty of Science, School of Optometry, University of New South Wales, Randwick Consultant Ophthalmic Surgeon, Chatswood Eye Specialists, Chatswood Associate Ophthalmic Surgeon: City West Eye Centre, Fairfield (Dr Sarya Saks’ practice) Associate Ophthalmic Surgeon: Dr Julie Yip’s practice, Campbelltown Ophthalmic Surgeon, Chatswood Private Hospital, Chatswood Ophthalmic Surgeon, Myanmar Eye Care Project, Burma (2012 and 2013) Editorial Consultant, Medicine Today (1999 – present) Consultant Neuro-ophthalmologist at Vietnam National Institute of Ophthalmology, HaNoi, Vietnam (November, 2014) Reviewer for: Journal of Cataract and Refractive Surgery Ophthalmic Plastic and Reconstructive Surgery Ophthalmology British Journal of Ophthalmology Medicine Today (a journal of Australian Family Medicine) Clinical and Experimental Ophthalmology BMC Ophthalmology BMC Eye and Vision Medical Observer (a journal of Australian Family Medicine) Asia-Pacific Journal of Ophthalmology Cephalalgia Annals of Saudi Medicine Eye and Brain Clinical and Experimental Optometry Journal of International Medical Research Eye and Vision ….and many others... Co-Director: Sydney Ophthalmology Writers’ Group ('SOWG' or 'WG') with Professor Minas T. Coroneo and Dr Ashish Agar ACADEMIC QUALIFICATIONS: 1971 MB, BS: University of Sydney 1977 FRACS: Fellow of the Royal Australasian College of Surgeons 1977 FRANZCO: Fellow of the Royal Australian and New Zealand College of Ophthalmologists 1999 FASOPRS (Fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery) (by thesis, and written and Viva examination in the USA) 2008 PhD: Department of Ophthalmology, University of New South Wales. Thesis title: The Watery Eye 2011 FANZSOPS: Fellow of the Australian and New Zealand Society of Ophthalmic Plastic Surgeons ACADEMIC APPOINTMENTS: 1980–1996: Clinical Lecturer – Ophthalmology, Sydney University and Concord Hospital 1996–2012: Clinical Lecturer – Ophthalmology, Prince of Wales Hospital and The University of New South Wales 1996: Alcon Visiting Professor, Melbourne University Department of Ophthalmology, Royal Victorian Eye and Ear Hospital 2012 – present: Associate Professor, UNSW – Ophthalmology, with Prince of Wales Hospital. CLINICAL APPOINTMENTS: 1966 – 1971 Medical Student, University of Sydney 1968 - 1971 Medical Student, Royal North Shore Hospital, and Mater Public Hospital, NSW 1972 – 1973 Junior and Senior Resident, Royal North Shore Hospital, NSW 1974 – 1976 Ophthalmology Registrar, Concord Hospital, NSW 1977 Ophthalmology Registrar, Sydney Eye Hospital, Woolloomooloo. NSW 1977 Assistant Field Director, National Trachoma and Eye Health Programme, Australia (second-in-charge to Professor Fred Hollows) 1978 Ophthalmology Registrar, Addenbrookes Hospital, Cambridge, England 1979 Ophthalmology Registrar, Oxford Eye Hospital & The Radcliffe Infirmary, Oxford, England 1979 Ophthalmic Surgeon, Royal Victoria Hospital, Banjul, The Gambia. West Africa 1979 1980 - 1996 Visiting Ophthalmic Surgeon, Concord Hospital, Concord, NSW 1980 - 2001 Ophthalmic Surgeon, Dalcross Hospital, Sydney. NSW 2001 - present Ophthalmic Surgeon, Ophthalmic Surgery Centre, Chatswood, Sydney. This is now known as 'Chatswood Private Hospital'. 1981 - 1983 Visiting Ophthalmic Surgeon, Walgett Base Hospital, NSW 1996 - 2001 Head, Ocular Plastics Unit, Department of Ophthalmology, Prince of Wales Hospital, Randwick NSW 2001 - present Consultant Ophthalmic Surgeon, Ocular Plastics Unit, Prince of Wales Hospital, NSW 2001 - present Consultant Ophthalmic Surgeon, General Ophthalmology, Department of Ophthalmology, at • Prince of Wales Hospital • Royal Hospital for Women • Sydney Children’s Hospital 2019 - present Consultant Ophthalmic Surgeon, Northern Beaches Hospital, Sydney APPOINTMENTS BY THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF OPHTHALMOLOGISTS, AND OTHERS: 1981 - 1990 Consultant Neuro-Ophthalmologist, Multiple Sclerosis Society of NSW 1986 - 1988 Examiner in Anatomy Part 1 for FRACS, FRACO – Co-examiner with Professor Bob Munro (USyd) and Dr Geoff Long (UMelb) 1989 - 1996 Committee Member, Ophthalmic Plastic and Reconstructive Surgery Committee, RANZCO 1987 - 1991 Editor-in-Chief (Australia), Australian and New Zealand Journal of Ophthalmology 1992 - 1997 Member, Editorial Board, Australian and New Zealand Journal of Ophthalmology 1995 - present Fellow, Australian and New Zealand Society of Ophthalmic Plastic Surgeons 1998 - 2001 Member - Sydney Craniofacial Unit - Sydney Children's Hospital, Randwick 2004 Member - Organising Committee, Neuro-Ophthalmology Society of Australia Annual Scientific Meeting, Sydney MEMBERSHIP OF SCIENTIFIC AND OTHER SOCIETIES: 1978 - present Member - Australian Medical Association 1981 - present Member - Neuro-Ophthalmology Society of Australia 1995 - present Member, Australian Society of Ophthalmologists 1995 - 1997 Member - Northern Sydney Skull Base Surgical Unit - Orbital Surgery 1996 - 2001 Associate Member - International Society for Orbital Disorders 1996 - 2003 Member - European Society of Ophthalmic Plastic and Reconstructive Surgery 1998 - present Member - American Academy of Ophthalmology 1999 - present Fellow - American Society of Ophthalmic Plastic and Reconstructive Surgery (by examination and thesis carried out in the USA) 2000 - 2004 Member - Association for Research in Vision and Ophthalmology 2004 - 2006 Member - Sydney Lacrimal Clinic, Chatswood, Sydney, Australia 2006 – present Fellow - Australian and New Zealand Society of Ophthalmic Plastic Surgeons 2012 - present Member - Australasian Society of Cataract and Refractive Surgeons (AUSCRS) PERSONAL PRIZES, AWARDS & GRANTS: 1970 The James & Margaret Claffey Prize in Ophthalmology in Medicine V, Sydney University 1971 The George Allan Prize for Proficiency in Therapeutics in Medicine VI, Sydney University 1971 Top Mark at Royal North Shore Clinical School for Medicine VI 1989 Pharmacia - Royal Australian College of Ophthalmologists, Prize for the best paper at 1989 Annual Scientific Meeting, Brisbane (Paper 28 in ā€˜Publications': ā€˜Ocular Cicatricial Pemphigoid’) 1990 OPSM - Royal Australian College of Ophthalmologists Travelling Fellowship 1990 to study Ophthalmic Plastic and Reconstructive Surgery around the world 1997 Research Grant by Allergan: Construction of Lid Tensometer used, and published, in my PhD 2005 Prize for Best Teacher in Ophthalmology - Prince of Wales Hospital, Sydney 2007 College Award for excellence in Registrar Teaching - RANZCO Annual Scientific Meeting, Perth 2009 Medal of the Order of Australia (OAM) - for services to Medicine as an Ophthalmologist 2010 ā€˜Eye Invented’, Runner-up Prize: Facial Palsy and Dry Eyes. RANZCO Annual Scientific Meeting, South Australia. Allergan Eye Care TEACHING EXPERIENCE: Undergraduate In the Ophthalmology Clinics at Concord Hospital (University of Sydney) and Prince of Wales Hospital (University of New South Wales), I have taught all years of Medicine but mainly Medicine V and VI. Over more than 42 years, many young University-based Medical students, and Postgraduate doctors, have attended my Operating sessions to learn something of the technology and management of cataract patients. Until 2002, I regularly had the same groups attend also my Ocular Plastics surgical sessions. I have been running the Sydney Ophthalmology Writers Group (WG or SOWG) in Sydney for over 30 years. WG is currently a 2-3 hour second-weekly event held at my home in Sydney, usually from 10am on a Saturday morning. The Writers Group is attended by Medical students, Scientists, Ophthalmology Pre-registrars and Registrars, as well as Consultants and Academics in Ophthalmology, Internal Medicine, Neurosurgery, Vascular Surgery, Haematology, Radiology, Gastroenterology and Pathology, with many more Specialists, invited to help the teaching, planned for the future. The primary aim of the WG for Postgraduate doctors is to help potential Ophthalmology Registrars obtain publications prior to their RANZCO interviews, possibly to assist their credibility in obtaining a job in RANZCO training. The secondary aim is to enjoy the breadth of Medicine and Ophthalmology, partly by achieving Medical Inter-Specialty interactions and subsequent publications. The tertiary aim is for more junior and more senior Ophthalmologists and Trainees to meet and learn from each other in a fun environment. Postgraduate and Registrar Training I held Postgraduate and Registrar teaching sessions at Concord Hospital and then at Sydney Eye Hospital in Woolloomooloo in the 1970s, and many of the current Senior Consultants in Australia were my students at one time. Following (now Professor) Melbourne’s Justin O’Day’s lead, I instigated the Neuro-ophthalmology Ward Round in Sydney. (Please see paragraph 8, below, in this section). I worked and operated at Addenbrookes Hospital in Cambridge, England in 1978, gaining surgical and medical experience there from numerous world-recognised Ophthalmological Consultants, including Mr John Cairns, who invented the Trabeculectomy, Mr John Scott, who pioneered aspects of Vitreoretinal surgery, especially the use of Silicone oil, and Mr Peter Watson, who was a leader in some Ophthalmological immune disorders, especially of the sclera. I also contributed to the development of a Neuro-Ophthalmology meeting in Cambridge, under the auspices of Mr John Keast-Butler FRCS. In the Oxford Eye Hospital, England, and also at the Churchill Hospital in Oxford, I set up the first Neuro-Ophthalmology meeting, and organised teaching and case presentations while I was there in 1979. I was impressed to work with the legendary Professor Tony Bron, a renowned Corneal Specialist. I also set up a regular teaching session in relation to Medicine, Surgery and Ophthalmology while working in The Gambia, West Africa, during my stay there as Consultant Ophthalmic Surgeon for that country in 1979. I have taught Neurosurgeons and Neurologists in formal clinical sessions and on Neuro-Ophthalmology ward rounds over the last 38 years. In the last seven years (till 2019), I have undertaken teaching Basic Physician Trainees (BPTs) (FRACP candidates in Internal Medicine), and Medical Students and JMOs in an attempt to allow them some to achieve competence in some of the more important features of Neuro-Ophthalmology, including Neurological Diagnosis as it relates to the visual system. This has been reported by some of them to be helpful in their final Viva assessment for their FRACP examination. I have undertaken numerous teaching sessions and seminars for Ophthalmology Registrar candidates, both formally and informally, and at the Annual Registrars Conference in January in Sydney in both Ocular Plastics and Neuro-Ophthalmology. The last occasion was in Sydney in January, 2016. Every week for the last 39 years, on a Monday evening at about 5.30pm, excluding various holidays and absences, I have conducted Neuro-Ophthalmology Ward Rounds (NOWRs) around Concord Hospital (till 1996), and then at Prince of Wales Hospital (from 1996 until the present, indeed 2019). In a teaching role for them at the NOWRs, some of these sessions have been attended by eminent visiting Consultant Australian and International Neurologists, Neuro-ophthalmologists and Neurosurgeons, who have taught the candidates in the usual Viva fashion. These sessions have been supported by live cases provided by and sometimes referred by Neurologists, Neurosurgeons, Radiation Oncologists, Medical Oncologists, Rehabilitation Specialists, Pulmonologists, Cardiologists, Emergency Medicine Specialists, Plastic Surgeons, Nephrologists, ENT Surgeons, Dermatologists, Infectious Diseases Specialists, Immunologists, Haematologists and many others. The documented patient consultations from an 18 month session of the NOWR was presented at our international Neuro-Ophthalmology Society of Australia (NOSA) meeting in 2012. Following another 18 months of cases so seen, a further presentation was given at the RANZCO Annual Scientific Meeting in 2013 in Hobart, and at the September 2014 NOSA Meeting in Canberra. Continuing Education in Ophthalmology In the course of the last 38 years, over 278 publications have been produced by myself, almost invariably in collaboration with colleagues. All of these have been published in peer-reviewed literature, and precisely 236 of them to date have been documented in PubMed (MedLine). Included in these 278 publications have been several book chapters. As a consultant, I attended weekly Neurology Grand Rounds at Concord Hospital for 16 years. I have attended, and presented topics of Neuro-ophthalmological import, as ā€˜Visiting Consultant in Neuro-ophthalmology’, at Neurology Grand Rounds over the last 23 years at Prince of Wales Hospital. Here, I learn from, and attempt to educate, Neurologists and Physicians, as well as Neurosurgeons, and Ophthalmologists, in Neuro-Ophthalmology. Community Engagement I have spoken to numerous community groups regarding basic concepts in Ophthalmology, Ophthalmological Diagnosis, Ophthalmic Surgery, and Neuro-ophthalmology. These include Men’s Groups both in Chatswood (Sydney) and Forster (country NSW), as well as the Council for the Aging, and in 2014 a Community group at the War Memorial Hospital at Waverley, Sydney. Optometry I was awarded my PhD in 2008 at the University of New South Wales in the Department of Ophthalmology. In this endeavour, some of the laboratory work was done at the UNSW Department of Optometry in terms of Tear osmometry and Lid tensometry. A total of 35 associated papers was produced in both these environments over the course of the PhD, and related to it. I have lectured to Optometrists or equivalent over the last 43 years, teaching them mainly in the realm of Anterior segment disorders including Cataracts, as well as Neuro-Ophthalmology and Ocular Plastics surgery. I have been closely involved with the Ophthalmic Surgery Centre, Chatswood, now known as Chatswood Private Hospital, in presentations to General Practitioners and Optometrists, at numerous GP and Optometry teaching days over the last 25 years. I am currently consulting, pro bono, on the basis of a TeleMedicine diagnostic programme with a Mobile Optometry Unit, run by an Optometrist in Sydney. Since July 2019, I have commenced pro bono work for MedeVac, a group supporting asylum seekers and prisoners in TPNG, and particularly in Nauru. This involves assessing such patients via a remote translator, and forming an opinion re their Ophthalmological and Neuro-ophthalmological status over the phone. This is then conveyed to MedeVac officials and lawyers who, armed with this knowledge, attempt to help these patients PEER REVIEW AND AUDIT I have been a reviewer of Ophthalmological literature for over 39 years, with journals including the Journal of Cataract and Refractive Surgery, Clinical and Experimental Ophthalmology, Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery, British Journal of Ophthalmology, Medicine Today, and numerous others. My personal audit has mainly consisted of the results of generally large series of surgical procedures both from the Ocular Plastics Surgical point of view and the Cataract Surgical point of view. To this have been added my Teaching activities at all academic levels and Publications in journals and textbooks. I continue to attempt to create an evaluation of my own current new ideas, and Surgical and Visual Outcomes, in Cataract surgery nowadays. Recent publications, including up to 2018, have shown this. As well, I attempt to evaluate what we are already doing surgically, in order to see if the standard Visual outcomes can be improved upon. Indeed, I continually show that over 92.3% of patients who have no pre-existing corneal, lens capsular, vitreous, retinal, optic nerve or intracranial pathology should achieve Corrected Distance Visual Acuity (CDVA) of 20/12 (6/4) at one month following cataract surgery. For many interesting reasons, this is not always very popular amongst cataract surgical colleagues around the world. However, since the second half of 2018, the notion of excellent postoperative CDVAs, at least among the younger Ophthalmologists, is becoming more acceptable, and indeed a worthy aim. The lack of acceptance of my having achieved these visual outcomes in large cohorts is currently being addressed in my DSc (Doctor of Science, at UNSW). I am working towards the DSc being submitted by late 2019. As of most recently, I do not usually attempt to evaluate Surgical outcomes alone, as around the world these are generally excellent, with the very notable exception of Postoperative Cataract Surgical Endophthalmitis (POE). It is clear, and numerous of my publications support this, that POE is generally underreported. One reason for this is that it usually results in an inadequate Visual outcome, at least by comparison with the patient’s preoperative CDVA. I have currently over 26 publications on MedLine which attempt to address POE, and its prevention. My current and ongoing Audit relates to Intravitreal Injections of VEG-F Inhibitors, given mainly in Sydney at the Chatswood Rooms and Prince of Wales, as well as at Katoomba, Fairfield and Campbelltown. I am auditing my Intravitreal Injections for Wet Macular Degeneration, Retinal vascular occlusions, and Diabetic Retinopathy. The current priority is the PIVIC Study, where a ā€˜Prospective IntraVitreal Injections Circumferential Study’ is being carried out injecting at twelve positions around the eye, avoiding 12, 3, 6 and 9. In this study, injections of various VEG-F inhibitors are given as above, aiming to note the efficacy and safety of this procedure. I have designed a new recording technique which enables Intravitreal injections to be given seamlessly without repeatedly traumatising the scleral pars plana in just one or two locations. I am also auditing my expanding series of Temporal Artery biopsies (TABxs), performed in order to facilitate the diagnosis of Temporal Arteritis (aka GCA). I have worked, collaborated and presented with Dr Anna Finniss, Rheumatologist of Chatswood, and her Rheumatological colleagues, including Dr Ann Cheung, and with Dr Alexandra Allende, who is a dedicated Histopathologist of Douglass Hanly Moir. As a small item of interest, I performed three TABxs in the week commencing 141018, and two of three were positive. CLINICAL EXPERIENCE I was involved in general Medicine and Surgery at Royal North Shore Hospital as a Junior Resident and Senior Resident. {These are now currently known as, respectively, ā€˜Intern’ and ā€˜RMO 1’ (= Resident Medical Officer #1), as well as PGY1 and PGY2}. I did most aspects of Ophthalmic surgery as a Registrar at Concord Hospital from 1974, and then at Sydney Eye Hospital until graduation, where I completed my formal Examination-based training in April 1977, after arriving there in January 1977. In Addenbrookes Hospital, Cambridge, I was involved with German translation for Mr John D. Scott, who was a prominent early Vitreoretinal surgeon. He used liquid silicone for re-attaching detached retinas in those days. In this situation, and in 1978, I was able to create some slides with German subtitles for presentations given by John in a German-speaking environment in Europe. I performed a major Retinal Pigment Epithelium literature research topic Review and presentation while in Cambridge, receiving information from around the world including from Professor Richard W. Young of Baltimore. In Cambridge, I undertook standard Cataract surgery from those days, as well as some Ocular Plastics, Trauma surgery, Orbital surgery, and Lacrimal surgery. The same applied in Oxford, where, under the influence of Professor Tony Bron, I was involved in corneal and ocular surface disorders. I set up Neuro-ophthalmology Meetings in both Cambridge and Oxford while I was there. This involved Neurologists, Neurosurgeons and Ophthalmologists. I was the Ophthalmic Surgeon for The Gambia, West Africa, during March-June 1979, carrying out many Cataract operations, Trabut procedures for trachoma, and I suspect the first corneal graft, the first DCR, and the first fascia lata suspension procedure for ptosis, as well as orbital surgery, trauma surgery, the first Intraocular Foreign Body removal, and numerous other procedures. Appointed as a VMO at Concord Hospital, from 1980, my time was divided between managing Neuro-Ophthalmological patients, and doing anterior segment surgery, mainly cataracts and pterygia and some corneal surgery, but with two thirds of the surgical workload being Ocular Plastics. At Concord, I set up and developed the first Ocular Plastics Unit, the second one in Sydney at that time. When I arrived at Prince of Wales in 1996, my time was totally devoted to Ocular Plastics surgery, as first Director of the Ocular Plastics Unit, and to doing and teaching Neuro-Ophthalmology. Over the years until now, I have performed regular after-hours procedures in emergency Orbital, Lacrimal and Eyelid surgery, as well intraocular surgery. I ceased formal intraocular surgery on the 10th August, 2016, at 2pm, after over 43 years of operating, but continue doing my one OR-based operation of Temporal Artery biopsy. I was involved with seeing and operating on children at Sydney Children’s Hospital from the Ocular Plastics point of view from 1996 until 2002. From then, when there was no other Ocular Plastics cover in the hospital, and which was done almost invariably by Dr Geoff Wilcsek, who succeeded me as Director of the Ocular Plastics Unit, I did some of the emergency after hours Eyelid and Orbital surgery, as well as General Ophthalmology. I was the first Ophthalmic surgeon to set up and commence Ophthalmic surgery at Dalcross Private Hospital in 1980, due to the withdrawal of Medical and Surgical services related to the institution of Australian Medicare. I was followed by numerous other Ophthalmic surgeons over the next few years, and worked there doing regular Ocular Plastics and Cataract surgery until 2000. I then moved my private surgical practice entirely to Ophthalmic Surgery Centre, Chatswood where I had an all-day Wednesday operating list which consisted largely of Cataracts, Temporal artery biopsies and Pterygium surgery. As mentioned above, while I ceased almost all major Ophthalmic surgery on 10th August 2016, I still do some simple lid procedures such as chalazia, in the Rooms, as well as anti-VEGF injections. As mentioned above, my only other surgical procedure is doing Temporal Artery Biopsies, for which I am available continually, and which are generally done at Chatswood Private Hospital. Indeed, Ophthalmic Surgery Centre is now known, following updating in place and services since 2016, as Chatswood Private Hospital. About 50 surgeons work there, most being Ophthalmic Surgeons, along with ENT surgeons and a few others, including myself with just Temporal artery biopsies. I transiently operated at Castlecrag Private Hospital, doing Orbital, Lacrimal and Eyelid surgery, as well as Cataract surgery. When their Administration decided in the late 1980s that phacoemulsification was not the way forward regarding cataract surgery, I left and moved all my work back to Dalcross Hospital. As stated above, I then moved my surgery to the Ophthalmic Surgery Centre, Chatswood, now named Chatswood Private Hospital. I have a wide experience in Anterior segment and Ocular Plastics surgery, which has proved very satisfying and has appeared to have benefitted patients. I have visited Burma as an Ophthalmic Surgeon twice between 2010 and 2014 for a stay on each occasion of between 10 and 14 days. These trips are carried out under the auspices of the Myanmar Eye Care Programme, run by Dr Geoff Cohn OAM, Ophthalmic Surgeon of Sydney. We consulted and operated in fairly remote hospitals in Myanmar, mostly doing cataract surgery, but at times performing Ocular Plastic surgery. I travelled to Hanoi, Vietnam for a week in November 2014 to teach, and examine in, some Neuro-Ophthalmology to the local Ophthalmologists, Neuro-Ophthalmology Trainees, and Physicians. This appeared to be well received, and opportunities have arisen for further teaching and interaction with the Vietnamese Medical fraternity since my arrival home. As mentioned above, I ceased operative Cataract Surgery on 10th August, 2016. I continue to consult at Chatswood Eye Specialists, and to do Temporal Artery biopsies at Chatswood Private Hospital. I have also set up a consultative group which manages Temporal Arteritis. This consists of at least four Rheumatologists, a dedicated Ophthalmic Histopathologist, all mentioned above, with myself as Ophthalmic Surgeon and diagnostician. The aim of this group is to achieve early diagnosis and management of Temporal Arteritis, planning to obtain a Temporal Artery biopsy result and a Rheumatological consultation within 24 hours of the referral. Having ceased Cataract surgery, I have been attending second-weekly early Monday morning Registrar tutorials by one of the VR surgeons at Prince of Wales Hospital. There, Dr John A. Downie, Vitreoretinal Surgeon, teaches on Medical and surgical Retina. This commenced for me from 2016. I attended eight major talks on Medical Retina at the November 2016 RANZCO ASM in Melbourne. I was privileged to join, as a student, the new and older Registrars from around Australia in the three day Ophthalmology Registrars Annual Conference at Sydney Eye Hospital in January 2017, learning the A-Z of Medical Retina. I have since commenced anti-VEG-F injections for patients in Sydney in the Rooms at Chatswood,Katoomba, Fairfield and Campbelltown, and in the public clinic at Prince of Wales. I attended more Medical Retina conferences during 2017-2019, notably a dedicated Medical Retinal conference in Adelaide, plus a further Medical Retinal conference in Queensland in August, 2017. I attended and contributed to an Eylea (Bayer) conference in Sydney in late August 2017. I also attended another Eylea Conference in October, 2017, in Sydney. These Medical Retina conferences have continued till 2019, and are ongoing. I attended further teaching on Medical Retinal disease at the American Academy of Ophthalmology meeting in New Orleans in November 2017. I attended, and presented at, the RANZCO Annual Scientific Meeting in early November 2018 in Adelaide. I consulted and taught in General Ophthalmology, Neuro-ophthalmology and Medical Retina and Ocular Plastics in Katoomba, NSW, on a weekly basis, until November 2018. From the 5th December 2018, I will be transferring the Katoomba work to Campbelltown, NSW, where, every second Wednesday, I work in the King St practice of Dr Julie Yip. I am the only Ophthalmologist who is doing anti-VEGF injections in this practice. I spend my Tuesdays consulting at City West Eye Centre in Fairfield, with Dr Sarya Saks. I will be working on alternate Wednesdays in Dr Robyn Armstrong’s practice in Blacktown from September 2019. CURRENT AND FUTURE RESEARCH 1. I am currently undertaking the final stages of assembling the data, history and publications for a Doctor of Science (DSc) qualification at the University of New South Wales. This degree at UNSW requires a PhD or equivalent as a precondition. My thesis topic is: Cataracts in Medicine in 2020: Translation of aetiology, associations, and management into surgical and visual outcomes Submission for the consideration of the award of the degree of Doctor of Science at the University of New South Wales Ian C. Francis OAM MB, BS (Syd), PhD (NSW), FRACS, FRANZCO, FASOPRS, FANZSOPS 2. In addition to the more than 278 articles already published and in print, I have currently over 30 studies and papers in preparation for submission for publication in peer-reviewed journals around the world. While some of this latter group are just going through Ethics approval, some are nearly bearing fruit. These articles will almost certainly, at least hopefully, appear in the published literature with the passage of time. One particular paper on ā€˜Refraction’ had its data collected at the Perth RANZCO in November 2017. Of the 1000 attendees, there were over 230 respondents to a questionnaire. This should be a very instructive publication. It is currently under consideration by an international Ophthalmology journal. ā€ƒ PUBLICATIONS 1. Francis IC, Flynn F, Hollows FC. Deep Corneal Leukoma Adherens in an Aboriginal Population. Aust J Ophthalmol. 1981;9:303-309 2. Kappagoda MB, Francis IC. Ophthalmic Manifestations of Systemic Neoplasia: A Review and Report of 11 Cases. Aust J. Ophthalmol. 1981;9:267-272 3. Francis IC, Brown SA. Abnormal Head Posture: A Review of 116 patients. Aust Orthopt J. 1982;19:35-40 4. Francis IC, Kappagoda MB. Iris Microhaemangiomas. Aust J. Ophthalmol. 1982;10:167-171 5. Flaherty M, Francis IC, Kappagoda MB. Bilateral Eye Injuries from Motor Vehicle Trauma. Aust NZ J Surg. 1983;53:567-59 6. Francis IC, Loughhead JA. Bell's Phenomenon: A Study of 508 patients. Aust J Ophthalmol. 1984;12;15-21 7. Francis IC, Kappagoda MB. The Disposable Modified Fornix Flap for Cataract Surgery. Aust J Ophthalmol. 1984;12:57-59 8. Delle Vergin S, Cornell E, Francis IC. A Simple Test of Spatial Frequency Discrimination in Patients with Multiple Sclerosis. Aust Orthoptic J. 1984;21:29-31 9. Cornell E, Francis IC. Combined Internuclear Ophthalmoplegia and Contralateral Superior Oblique Palsy. A Case Report. Aust Orthoptic J. 1984;21:47-49 10. Francis IC, Benecke PA, Kappagoda MB. A Ten Year Hospital Survey of Eyelid Cancer. Aust J Ophthalmol. 1984;12:121-127 11. Minogue MJ, Francis IC, Quatermass P, Kappagoda MB, Bradbury R, Walls RS, Motum PI. Successful treatment of Fungal Keratitis Caused by Paecilomyces Lilacinus. Am J Ophthalmol. 1984;12:626-627 12. Cornell E, Francis IC. The Use of Vertical Prisms in Progressive Supranuclear Palsy (Steele Richardson Olszewski Disease). Aust Orthoptic J. 1985;22:23-25 13. Booth FM, Francis IC, Kappagoda MB. Laser Trabeculoplasty and its Effect on Tonography, Central Visual Fields and Anterior Chamber Depth. A Preliminary Study. Aust NZ J Ophthalmol. 1985;12;337-342 14. Francis IC, Nicholson GA, Kappagoda MB. An Evaluation of Signs in Ocular Myasthenia Gravis and Correlation with Acetylcholine Receptor Antibodies. Aust NZ J Ophthalmol. 1985;13: 395-399 15. Lawless M, Francis IC, Kappagoda MB, Lord GDA, Anderson I, Kos W. Computerised Tomography of Keratoconus. Australas Radiol. 1986;30:10-12 16. Meades KV, Francis IC, Kappagoda MB, Filipic M. Light Microscopic and Electron Microscopic Histopathology of an Iris Microhaemangioma. Br J Ophthalmol. 1986;70:290-294 17. Francis IC, Kappagoda MB, Smith JF, Semmonds DB, Hewson JW. Recurrent Acute Myelomonoblastic Leukaemia Presenting as a Red Eye. Med J Aust 1986;145;632:634 18. Hopkins A, Yiannikas J, Francis IC. Mitral Valve Prolapse and Retinal Infarction. Aust NZ J Opthalmol. 1987;15:79-82 19. Francis IC, Schumacher RS, Haylen MJ. Assisted Local Anaesthesia for Cataract Surgery (ALACS) Aust NZ J Ophthalmol. 1987;15:185-191 20. Francis IC. (Editorial). ANZJO Towards 2000. Aust NZ J Opthalmol. 1988;16:1 21. Saad N, Francis IC, Kappagoda MB, Bradbury R. Adult Penicillinase-Producing Gonococcal Keratoconjunctivitis. Med J Aust 1988;49:710-711 22. Francis IC, Kappagoda MB, Smith J, Kneale K. Kimura's Disease of the Orbit. Ophthalmic Plast Reconstr Surg. 1988;4:235-239 23. Whitehouse GM, Francis IC. Eyelid Reconstruction Using a Monopedicle Flap and Buccal Mucosa: Report of 15 Cases. Aust NZ J Ophthalmol. 1988;16:295-301 24. Whitehouse GM, Filipic M, Francis IC. Expulsive Choroidal Haemorrhage. Aust NZ J Ophthalmol. 1989;17:225-232 25. Haylen MJ, Schumacher RS, Francis IC. Day Case Cataract Surgery. Brit J. Ophthalmol. 1989;73:932-933 26. Painter GT, Harrisberg B, Booth FM, Francis IC. Safey of Combined Simultaneous Argon Laser Peripheral Iridotomy and Trabeculoplasty. Aust NZ J Ophthalmol. 1989;17:452 27. Macken P, Francis IC, Whitehouse GM, Leung B, Vicary D. Multiple Endocrine Neoplasia Type 11 (B). Aust NZ J Ophthalmol. 1990;18:224-225 28. Francis IC, Wakefield D, McCluskey PJ, Walls RS, Brewer JM. Ocular Cicatricial Pemphigoid. A Clinical Review. Aust NZ J Ophthalmol. 1990;18:143-150 29. Smith JB, Bishop VLM, Francis IC, Kneale K, Kos S. Ophthalmic Manifestations of Perineural Spread of Facial Skin Malignancy. Aust NZ J Opthalmol. 1990;18:197-205 30. Whitehouse GM, Francis IC. Flap Lining in Lid Reconstruction. Ophthalmic Surg. 1990;21:374 31. Francis IC. The Watery Eye. Medical Observer. 1991;13-14 32. Roberts TV, Francis IC, Lipson AH, Kappagoda MB, Zagarella SS, Hooper MJ, Tonkin MA. The Eye and the Hand. Aust NZ J Ophthalmol. 1990;18:287-298 33. Francis IC. A Systemic Approach to the Diagnosis of Chronic Conjunctivitis. Am J Ophthalmol. 1990;110:213-214 34. Ghabrial R, Francis IC, McClellan KA. Free-Floating Pigmented Iris Cyst in the Anterior Chamber. Aust NZ J Ophthalmol. 1991;19:79-80 35. Francis IC, Newman M. Medial Palpebral Tendon Repair for Medial Ectropion of the Lower Eyelid. Ophthalmic Plast Reconstr Surg. 1991;7:222-223 36. Francis IC. (Editorial) Diode Laser Trabeculoplasty - What's in a Name? Aust NZ J Ophthalmol. 1991;19:263-264 37. Roberts TV, Francis IC, Lipson AH, Kappagoda MB, Zagarella SS, Hoooper MJ, Tonkin MA. The Eye and the Hand: A Clinical Review. Abstracted in "Year Book of Ophthalmology" Mosby Year Book, St. Louis. Editor: Peter R. Laibson, MD, 1991 38. Ong KS, Bank A, Francis IC. Punctal Dyeing: An Adjunct to Intraoperative Lacrimal Punctal Identification. Ophthalmic Surg. 1992;23:293-294 39. Moshegov CN, Francis IC, Mulligan NB, Ross CA. The Patulous Popping Punctum: Confirmation of a Positive Valsalva Bubble Test. Aust NZ J Ophthalmol. 1992;20:349-350 40. Francis IC, McCluskey PJ, Wakefield D, Branley MG. Medial Canthal Keratinisation (MCK). A Diagnostic Sign of Ocular Cicatricial Pemphigoid. Aust NZ J. Ophthalmol. 1992;20:350-351 41. McKay DL, Francis IC. How to Treat the Red Eye. Australian Doctor, February, 1993 42. Downie JA, Francis IC, Arnold JJ, Bott LM, Kos S. Sudden Blindness and Total Ophthalmoplegia in Mucormycosis. A Clinicopathological Correlation. J Clin Neuro-Ophthalmol 1993;13:27-34 43. Francis IC, Irvine S, O'Brien DPB, Haylen MJ, Schumacher RS, Alexander S. Prospective Evaluation of One Surgeon's First 100 Cases of Endocapsular Phacoemulsification Cataract Surgery. Aust NZ J Ophthalmol. 1993;31:147-152 44. Versace P, Francis IC. The Koch Endocapsular Punch. A Report on its use in 96 Consecutive Cases. Aust NZ J Ophthalmol. 1993;21:153-156 45. Ghabrial R, Francis IC. Argon and Diode Laser Treatment of Benign Eyelid Lesions. Aust NZ J Ophthalmol. 1994;22:45-48 46. O'Brien DPB, Francis IC. The Corneal Quilt: A Protective Device Designed to Reduce Intraoperative Retinal Phototoxicity. Ophthalmic Surg. 1994;25:191-194 47. Mulligan NB, Ross CA, Francis IC, Moshegov CN. The Valsalva DCR Bubble Test: A New Method of Assessing Lacrimal Patency After DCR Surgery. Ophthalmic Plast Reconstr Surg. 1994;10:121-123 48. Francis IC, Lawless MA. Bilateral Giant Papillary Conjunctivitis Related to Glaucoma Drainage Surgery Blebs. Cornea. 1994;13:469 49. Ghabrial R, Francis IC, Kappagoda MB. Autologous blood facilitation of Lid Laser Treatment. Aust NZ J Ophthalmol. 1994;22:218 50. Irvine S, Francis IC, Kappagoda MB, Haylen MJ, Alexander S. Schumacher RS, Boytell K. The Second Two Hundred Cases of Endocapsular Phacoemulsification: The Learning Curve Levels Off. Aust NZ J Ophthalmol. 1994;22:281 51. Irvine S, Francis IC, Bishop AE, Baxter J. The Entropion Patch. A Method of Temporarily Correcting Involutional Entropion with Adhesive Tape. Ophthalmic Surg. 1994;25:604-606 52. Francis IC, Wilcsek GA, Egan CA, Kneale KL. Bilobed Flap Repair in Medial Canthal Reconstruction. Aust NZ J Ophthalmol. 1995;23:251 53. Koh LK, Francis IC, Kappagoda MB, Hooper M, Filipic M. Multiple Endocrine Neoplasia Type Two B: A Case report with light and electron microscopic and immunohistochemical correlation. Aust NZ J Ophthalmol.1995;23:343-350 54. Irvine S, Francis IC, Kappagoda MB, Haylen MJ, Alexander S, Schumacher RS, Boytell KA. Prospective study of 210 consecutive cases of Endocapsular Phacoemulsification using the AMO SI-30NB 3-piece foldable lens. Aust NZ J Ophthalmol. 1995;23:287-291 55. Chang AA, Bank A, Francis IC, Kappagoda MB. Clinical Exophthalmometry - a comparative study of the Luedde and Hertel exophthalmometers. Aust NZ J Ophthalmol. 1995;23:315-318 56. Francis IC, Kappagoda MB, Mulligan NB, Moshegov CN. Valvalsa DCR Bubble Test. Ophthalmic Plast Reconstr Surg. 1995;11:226-227 57. Roberts TV, Francis IC, Kappagoda MB, Dick AD. Herpes Zoster. Eye. 1995;9:594-598 58. Francis IC, Egan CA, Wilcsek GA. Intellectual Rigor and Correspondence Regarding Brief Reports. Am J Ophthalmol. 1995;120:544-545 59. Francis IC, quoted by Stratmoen J. "Legal Threat Hinders Surgery". Australian Doctor. Report regarding Ischaemic Optic Neuropathy Decompression Trial. May 12,1995;26 60. Ng DT, Roberts TV, Francis IC. A Caveat to the Use of Flexible Iris Retraction Hooks. Aust NZ J Ophthalmol. 1996;24:305 61. Francis IC, Egan CA, Wilcsek GA. CT Appearance of a Functioning Jones' Tube After Dacryocystorhinostomy and Bypass Tube Surgery. Aust NZ J Ophthalmol. 1996;24:287 62. Gillies M, Francis IC, McCluskey P, Wakefield D. Local Interferon alfa-2b for Ocular Cicatricial Pemphigoid. Br J Ophthalmol. 1996;80:927 63. Egan CA, Kottos PJ, Francis IC, Kappagoda MB, Schumacher RS, Boytell KA, Haylen MJ, Alexander S. Prospective study of the S1-40NB foldable silicone intraocular lens. J. Cataract Refractive Surg (Suppl). 1996;22:1272-1276 64. Francis IC, McCluskey PJ, Gillies M, Wakefield D, Walls RS. Diagnosis of the Conjunctival Biopsy in OCP. Ophthalmology 1996;103: 543-544 65. Francis IC, Kappagoda MB, Walls RS, McCluskey PJ, Wakefield D. Conjunctival Scarring After Eyelid Surgery as First Sign of Ocular cicatricial Pemphigoid. Ophthalmic Plast Reconstr Surg. 1997;13;73-74 66. Egan CA, Kottos PJ, Francis IC. Advantage of Plate Lenses. J.Cataract Refract Surg. 1997; 23:693 67. McNab AA, Francis IC, Benger RS. Crompton JL. Perineural Spread of Cutaneous Squamous Cell Carcinoma via the Orbit. Ophthalmology 1997;104:1457-1462 68. Ghabrial R, Francis IC, Fulcher GR. Transient Retinal Arterial Compromise in Graves' Orbitopathy. Eye 1997;12:477-8 69. Francis IC, Coroneo MT. Botulinum Toxin increases tearing in patients with Sjogren's syndrome: A preliminary report. J. Rheumatol 1998;9:1829 70. Ng DT, Rowe NA, Francis IC, Kappagoda MB, Haylen MJ. Schumacher RS, Alexander SL, Boytell KA, Lee BB. Intraoperative complications of 1000 phacoemulsification procedures: A prospective study. J Cataract Refract Surg. 1998;10:1390-95 71. Sumich PM, Francis IC, Kappagoda MB, Alexander SL. Artist's appreciation of Endocapsular Phacoemulsification. J. Cataract Refract Surg. 1998;11:1427-31 72. Francis IC, Kappagoda MB, Cole IE, Dunn G, Bank L. Computerised Tomography of Dacryostenosis: A Retrospective Study of 107 cases. Ophthalmic Plast Reconstr Surg. 1999;15:217-226 73. Francis IC. How to Use Physical Signs in Ophthalmology Surgery. Rev Ophthalmol. 1999;6:85 74. Francis IC, Coroneo MT. Advantages of the Naugle Instrument. Ophthalmic Plast Reconstr Surg. 1999;15:4-6 75. Francis IC, Coroneo MT, Thompson JF. Surgical Management of Conjunctival Melanomas. Arch Ophthalmol. 1999:117:1098-9 76. Verhoeven JJC, Sharma S, Francis IC, Wilcsek GA, Coroneo MT, Ng DT. Chang L. Cloth Drape Fixation Using Transparent Adhesive Dressing for Facial Plastic Surgery. Plast Reconstr Surg. 1999;104:82-3 77. Sumich PM, Francis IC, Kappagoda MB, Alexander SL. Artist's Appreciation of Endocapsular Phacoemulsification. Abstracted in "Year Book of Ophthalmology 1999". Mosby Inc. Sydney 1999;24-5 78. Francis IC, Ehrmann K, Stapleton F, Coroneo MT. Lid tensometry in normals: A preliminary study. ARVO Abstract 2000;41:865 79. Sharma S, Wilcsek GA, Francis IC, Lee D, Coroneo MT, Harrison H, Wolf G, Stammberger MD. Management of acute surgical orbital haemorrhage: an otorhinolaryngological and ophthalmological perspective. J Laryngol Otol. 2000;114:621-626 80. Roberts TV, Francis IC, Lertusumitkul S, Kappagoda MB, Coroneo MT. Primary phacoemulsification for uncontrolled angle-closure glaucoma. J Cataract Refract Surg. 2000;26:1012-6 81. Wan MK, Francis IC, Carter PR, Griffits R, van Rooijen ML, Coroneo MT. The Spectrum of Presentation of Silent Sinus Syndrome. J Neuro-Ophthalmol. 2000;3:207-212 82. Gock G, Francis IC, Mulligan S. Traumatic intramuscular orbital haemorrhage. Clin Exp Ophthalmol. 2000;28:391-2 83. Sharma S, Kim P, Francis IC, Coroneo MT. Use of a Surgical Ruler Intraoperatively to Stabilise the Everted Upper Lid. Plast Reconstr Surg. 2000; 6:1426-7 84. Wilcsek GA, Francis IC, Egan CA, Kneale KL, Sharma S, Kappagoda MB. Superior oblique palsy in a patient with a history of perineural spread from a periorbital squamous cell carcinoma. J Neuro-Ophthalmol. 2000;20:240-41 85. Francis IC, Walsh WR, Sonnabend DH, D’Mello ACJ, Coroneo MT. Stabilisation of the posterior limb of the medial canthal tendon using biodegradable Tag Anchors: A cadaveric model. Ophthalmic Plast Reconstr Surg. 2001;17:28-35 86. Francis IC, Wilcsek GA, Sharma S, Coroneo MT. Transcaruncular medial orbitotomy for stabilisation of the posterior limb of the medial canthal tendon. Clin Exp Ophthalmol. 2001;29:85-89 87. Goh ASF, Francis IC, Kappagoda MB, Filipic M. Orbital inflammation in a patient with extrascleral spread of choroidal malignant melanoma. Clin Exp Ophthalmol. 2001;29:97-99 88. Kim P, Berdoukas P, Francis IC, Coroneo MT, Kappagoda MB. Kinetic observational exophthalmometry: A simple method of assessing the relative axial positions of the eyes. Ophthalmic Surg Lasers 2001;32:257-9 89. Sumich PM, Francis IC, Kappagoda MB, Alexander SL. Retained visual sensation during cataract surgery. Ophthalmology. 2001;108:1003 90. Ng DT, Francis IC, Kneale KL. Orbital Amputation Neuroma causing failure of prosthesis wear. Orbit 2001;20:57-62 91. Francis IC. Authors’ qualifications. Aust NZ J Surg. 2001;71:382 92. Ehrmann K, Francis IC, Stapleton F. A novel instrument to quantify the tension of upper and lower eyelids. Contact Lens and Anterior Eye. 200l;24:65-72 93. Woo TL, Francis IC. Intermittent blurred vision and trichomegaly due to latanoprost. Clin Exp Ophthalmol 2001;29:272-3 94. Ng DT, Francis IC, Schumacher RS. Prospective study of 1 surgeon’s experience with 115 cases using the Unfolder lens injection system. J Cataract Refract Surg. 2001; 27:1437-9 95. Woo TL, Francis IC, Wilcsek GA. Coroneo MT, McNab AA, Sullivan TJ. Orbital and Adnexal Wegener’s Granulomatosis. Ophthalmology. 2001;108:1535-1543 96. McKelvie PA, McNab A, Francis IC, Fox R, O’Day J. Ocular Adnexal Lymphoproliferative disease: a series of 73 cases. Clin Exp Ophthalmol 2001; 29:387-393 97. McKelvie PA, Francis IC, Watson S, Nuovo G. Case Report: Multifocal chorioretinal atrophy associated with Herpes Zoster Ophthalmicus. Clin Exp Ophthalmol 2001; 29:429-32 98. Francis IC, Stapleton F, Coroneo MT, Ehrmann K. Eyelid tensometry in older individuals: a correlation with clinical eyelid tension assessment. ARVO Abstracts. 2001;42:368 99. Francis IC, Filipic M. MEN IIB and Ganglioneuromatosis. Ophthalmic Plast Reconstr Surg. 2002;18:163-4 100. Watson SL, Francis IC, Coroneo MT. Pituitary apoplexy presenting with an orbital bruit. Clin Exp Ophthalmol. 2002;30:305-307 101. Francis IC, Pettinger DF. Holistic impressions of an ophthalmologist having cataract surgery himself. Clin Exp Ophthalmol. 2002;30:311 102. Francis IC. Canthus-Sparing Ectropion Repair. Ophthalmic Plast Reconstr Surg. 2002;18:310-311 103. Stringfellow GJ, Francis IC, Coroneo MT, Walker J. Orbital dirofilariasis. Clin Exp Ophthalmol. 2002;30:378-380 104. Francis IC, Wan MK. The punctal apposition syndrome: a new surgical approach. Br J Ophthalmol 2002;86:1256-1258 105. Micheli T, Cheung LM, Sharma S, Assaad NN, Guzowski M, Francis IC, Norman J, Coroneo MT. Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens. J Cataract Refract Surg. 2002; 28:1869-1872 106. Cheung LM, Guzowski ME, Francis IC. Morbidity of conjunctival suturing in short scleral tunnel phacoemulsification surgery. Clin Exp Ophthalmol 2002;30:444 107. Wilcsek GA, Vose MJ, Francis IC, Sharma S, Coroneo MT. Acute angle closure glaucoma following the use of intranasal cocaine during dacryocystorhinostomy. Br J Ophthalmol 2002;86:1312 108. Sharma S, Sumich PM, Francis IC, Kiernan MC, Spira PJ. Wernicke’s encelophalopathy presenting with upbeating nystagmus. J Clin Neurosci 2002;9:476-8 109. Roberts T, Francis I, Lertusumitkul S, Kappagoda M, Coroneo M. Trabeculectomy and Angle Closure. Ophthalmology . 2002;109:1584-5 110. Younan NM, Francis IC. Progressive visual failure in an eye with optic disc drusen and an orbital mass. J Neuro-Ophthalmol 2003;1:31-3 111. Stringfellow GJ, Francis IC. Appearance of intraocular silicone oil on computed tomography. N Engl J Med 2003;348:12 112. Lewis NL, Francis IC, Hawkins GS, Coroneo MT. Bilateral microsporidial keratoconjunctivitis in an immunocompetent non-contact lens wearer. Cornea. 2003;22:374-6 113. Attebo K, Bank A, Francis IC, Coroneo MT. Re: Laser peripheral iridoplasty as initial treatment of acute attack of primary angle-closure glaucoma. A long-term follow-up study. J. Glaucoma 2003;12:497-8 114. Wilcsek GA, Francis IC. Argon laser and trichiasis. Br J Ophthalmol 2003;87:375 115. Cheung LM, Wan MK, Irvine S, Francis IC. The Irvine-Francis Cannula: A new instrument for manual aspiration of tenacious subincisional cortex. J Cataract Refract Surg. 2003;4:852-4 116. Francis IC, Filipic M. Choroidal Metastasis From Medullary Thyroid Carcinoma in Multiple Endocrine Neoplasia. Am J Ophthalmol. 2003;136:775-6 117. Sears WR, Francis IC. Use of the ophthalmic phacoemulsification instrument for tumors of the spinal cord: report of seven cases. J Spinal Disord Tech. 2004;1:41-3 118. Papalkar D, Sharma NS, Ooi J-L, Sharma S, Francis IC. Pupil blown by a puffer. Lancet. 2004;364:415 119. Papalkar D, Francis IC. Authors’ qualifications and the BJO. Br J Ophthalmol 2004;88:1227-8 120. Francis IC, Papalkar D, Sharma S, Wilcsek G. Tarsal strip procedure for the correction of tearing. Ophthal Plast Reconstr Surg. 2004;20:40 121. Francis IC, Wilcsek G, Chan DG, Kim P. Medial canthal tendon repair for moderate to severe tendon laxity. Clin Exp Ophthalmol 2004;32:554-5 122. Chan DG, Francis IC. Transphenoidal diplopia. Surv Ophthalmol 2004;49:618-9 123. Sharma N, Ooi JL, Francis IC, Sharma S, Papalkar D, Kim P, Alexander SL, Schumacher RS. Sudden visual loss after uneventful cataract surgery: Snuff syndrome. J Cataract Refract Surg. 2004;30:2435-6 124. Chan DG, Francis IC. Effective draping for cataract surgery by using a relieving incision in the operative drape. Clin Exp Ophthalmol. 2004;32:656 125. Chan DG, Francis IC. Correspondence. Comment on 'Glaucoma from topical corticosteroids to the eyelids'. Clin Exp Ophthalmol. 2004;32:656-7 126. Hunt A, Wilcsek G, Francis I. Upper eyelid ptosis repair after cataract extraction and the importance of Hering’s test. Plast Reconstr Surg. 2003; 111: 1366-1367 127. Chan DG, Francis IC. Fuchs heterochromic cyclitis: Whither the apostrophe? Am J Ophthalmol. 2004;138:1087 128. Rosenberg ML, Chan DG, Francis IC, Coroneo MT. Smokers' veins: a useful clinical sign. Clin Exp Ophthalmol. 2005;33:107-8 129. Chan DG, Francis IC. Blepharitis: an approach to management. Medicine Today. 2005;6: 56-59 130. Francis IC, Chan DG, Kim P, Wilcsek G, Filipic M, Yong J, Coroneo MT. Case-controlled clinical and histopathological study of conjunctivochalasis. Br J Ophthalmol 2005 ;89: 302-305 131. Francis IC, Stapleton F, Ehrmann K, Coroneo MT. Lower eyelid tensometry in younger and older normal subjects. Eye 2006; 20:166 -172 132. Francis IC, Chan DG, Papalkar D, Papas EB, Stapleton F. Videoreflective dacryomeniscometry in normal adults and in patients with functional or primary acquired nasolacrimal duct obstruction. Am J Ophthalmol. 2005;139:493-7 133. Papalkar D, Francis IC. Author! Author! Br J Ophthalmol. 2005 ;89:518-9 134. Francis IC, Chan DG. Re: the lacrimal paradox: toward a greater understanding of success in lacrimal surgery. Ophthal Plast Reconstr Surg. 2005 ;21:166-7 135. Chan DG, Francis IC, Downie JA. Inflow of ocular surface fluid through clear corneal cataract incisions: A laboratory model. Am J Ophthalmol. 2005; 139:753-4 136. Papalkar D, Francis IC. Who is the author? Brit J Ophthalmol. 2005; 89:784 137. Chan DG, Francis IC, Filipic M, Coroneo MT, Yong J. Clinicopathologic study of conjunctivochalasis. Cornea. 2005;24:634 138. Chan DG, Francis IC. Intraoperative management of iris prolapse using iris hooks. J Cataract Refract Surg. 2005;31:1694-6 139. Papalkar D, Sharma S, Francis IC, Downie JA, Thanakrishnan G, Hughes LJ. A rapidly fatal case of T-cell lymphoma presenting as idiopathic orbital inflammation. Orbit. 2005; 24:131-133 140. Assaad NN, Cheung LM, Lim C, Francis IC, Coroneo MT, Alexander SL, Schumacher RS. Centripetal lens epithelial cell migration: a prospective study of the Alcon SA60AT intraocular lens. Clin Exp Ophthalmol. 2005; 33:364-368 141. Wilcsek G, Leatherbarrow B, Halliwell M, Francis I. The 'RITE' use of the Fricke flap in periorbital reconstruction. Eye. 2005; 19:854āˆ’860 142. Cheung LM, Wilcsek GA, Francis IC, Coroneo MT. Staining of the Tenon capsule with trypan blue during enucleation surgery. Arch Ophthalmol. 2005;123:1125-6 143. Figueira E, Chan DG, Francis IC, Coroneo MT. Response to 'Sodium bicarbonate in the treatment of blepharitis'. Clin Exp Ophthalmol. 2005;33:448-9 144. Papalkar D, Francis IC, Lim R. Comment on 'What is the direct cost of treatment of acute primary angle closure glaucoma? The Singapore model'. Clin Exp Ophthalmol. 2005; 33:446 145. Papalkar D, Francis IC, Stoodley M, Kaines A, Sharma S, Kalapesi FB, Wilcsek GA. Cavernous haemangioma in the orbital apex: stereotactic-guided transcranial cryoextraction. Clin Exp Ophthalmol. 2005; 33:421-3 146. Francis IC. A tribute to Dr Medduma B. Kappagoda. Clin Exp Ophthalmol. 2005; 33:414-6 147. Kehdi EE, Watson SL, Francis IC, Chong R, Bank A, Coroneo MT, Dart JK. Spectrum of clear corneal incision cataract wound infection. J Cataract Refract Surg. 2005; 31:1702-6 148. Rosenberg ML, Chan DG, Francis IC, Coroneo MT. Smokers' veins: a useful clinical sign - response. Clin Exp Ophthalmol. 2005; 33:676 149. Holck DEE, Ng JD. Evaluation and treatment of orbital fractures. Book Chapter by Wilcsek GA and Francis IC entitled : ā€˜Acute orbital haemorrhage’. Elsevier Inc, Philadelphia. 2006; 31: 381-389. 150. Papalkar D, Francis IC. Injections for chalazia? Ophthalmology. 2006;113:355-356 151. Francis IC, Papalkar D, Chan DG, Papas EB, Stapleton F. Nasolacrimal obstruction. Ophthalmology. 2006; 113:162 152. Papalkar D, Francis IC, Wilcsek G. Correction of ectropion in facial paralysis. Plast Reconstr Surg. 2006;117: 677 153. Papalkar D, Sharma S, Francis IC, Downie JA. Red eye and a rodent ulcer. Ophthalmic Plast Reconstr Surg. 2006;22: 131-132 154. Papalkar D, Francis IC. Unusual cause of visual symptoms after bilateral laser in situ keratomileusis. J Cataract Refract Surg.2006; 32:187 155. Papalkar D, Francis IC. Relative afferent pupil defect, or afferent pupil defect? Clin Exp Ophthalmol. 2006; 34:193 156. Stahl U, Francis IC, Stapleton F. Prospective controlled study of vapor pressure tear osmolality and tear meniscus height in nasolacrimal duct obstruction. Am J Ophthalmol. 2006;141:1051-6 157. Figueira EC, Francis IC, Wilcsek GA. Re: "Effect of exophthalmometer design on its accuracy". Ophthal Plast Reconstr Surg. 2006;22:405 158. Francis IC, Wilcsek G. Expect the unexpected. Br J Ophthalmol. 2006 ; 90:936-7 (Editorial on Lacrimal sac Lymphoma) 159. Papalkar D, Francis IC. The ophthalmologist or the optometrist as surgeon. Arch Ophthalmol. 2006;124:604 160. Nemet AY, Wilcsek G, Francis IC. Endoscopic dacryocystorhinostomy with adjunctive mitomycin C for canalicular obstruction. Orbit. 2007; 26: 97-100. 161. Cheung LM, Francis IC, Stapleton F, Wilcsek GA. Symptom assessment in patients with functional and primary acquired nasolacrimal duct obstruction before and after successful dacryocystorhinostomy surgery: a prospective study. Br J Ophthalmol. 2007; 91: 1671-1674 162. Figueira EC, Conway RM, Francis IC. Choroidal osteoma in association with Stargardt's dystrophy. Br J Ophthalmol. 2007;91:978-9 163. Francis IC, Woo TL, Playfair TJ. Basic clinical training in ophthalmology: correct misfires quickly! Clin Exp Ophthalmol. 2007;35:395 164. Figueira EC, Francis IC, Wilcsek GA. Scleral MIRAgel causing bony orbital erosion. Orbit. 2007; 26: 65-9 165. Lee KJ, Figueira EC, Sharma NS, Masselos K, Ooi JL, Chan DG, Francis IC. Iris prolapse and the floppy-iris syndrome. J Cataract Refract Surg. 2007;33: 757-8 166. Sharma NS, Ooi JL, Maloof TC, Wilcsek G, Francis IC, Coroneo MT. Culture-proven Aspergillus fumigatus infection in a primary hydroxyapatite orbital implant. Clin Exp Ophthalmol. 2007; 35:294-5 167. Chong R, Ayer CJ, Francis IC, Coroneo MT, Wolfers DL. Adjunctive hyperbaric oxygen in pseudomonas keratitis. Br J Ophthalmol. 2007;91:560-1 168. Figueira EC, Francis IC, Wilcsek GA. Intraorbital glass foreign body missed on CT imaging. Ophthal Plast Reconstr Surg. 2007;23:80-2 169. Figueira EC, Coroneo MT, Francis IC. Preventing conjunctival autograft inversion in pterygium surgery.Br J Ophthalmol. 2007;91:83-4 170. Sharma NS, Ooi JL, Papalkar D, Sharm S, Francis IC, Fung VS. Pharmacological mydriasis secondary to ipratropium bromide: A cause of unilateral dilated pupil. J Clin Neurosci. 2008;15:320-321 171. Brown TM, Dauber SL, Figueira EC, Pandya VB, Masselos K, Francis IC. Congruency in homonymous hemianopia. Am J Ophthalmol. 2007;144:786 172. Borovik AM, Skalicky SE, Masselos K, Brown TM, Dauber SL, Pandya VB, Figueira EC, Francis IC. The TAHITI approach to cataract surgery consent. J Cataract Refract Surg. 2008;3:180-1 173. Brown TM, Masselos K, Figueira EC, Dauber SL, Pandya VB, Wilcsek GA, Francis IC. Assisted local anaesthesia for endoscopic dacryocystorhinostomy : comment. Clin Exp Ophthalmol. 2008;36:101 174. Dauber SL, Masselos K, Brown TM, Figuera EC, Pandya VB, Francis IC. Atypical Retinitis Pigmentosa Masquerading as Primary Open Angle Glaucoma. J Glaucoma. 2008; 17:248 175. Skalicky SE, Borovik AM, Masselos K, Pandya VB, Wang LW, Figueira EC, Wilcsek G, Francis IC. Prevalence of Open-angle Glaucoma, Glaucoma Suspect, and Ocular Hypertension in Thyroid-related Immune Orbitopathy. J Glaucoma. 2008; 17:249-250 176. Figueira EC, Smith NJ, Wilcsek GA, Francis IC. Re: "Facial Nerve Paralysis: An Unrecognized Cause of Lower Eyelid Entropion in the Pediatric Population" Ophthal Plast Reconstr Surg. 2008; 24:247 177. Brown TM, Pandya VB, Masselos K, Wang LW, Lee KJ, Figueira EC, Francis IC. A prospective randomized treatment study comparing three treatment options for chalazia: triamcinolone acetonide injections, incision and curettage and treatment with hot compresses: comment. Clin Exp Ophthalmol. 2008; 36:394-5 178. Figueira EC, Wang LW, Brown TM, Masselos K, Pandya VB, Dauber SL, Lee KJ, Amjadi S, Skalicky SE, Francis IC. The grape: an appropriate model for continuous curvilinear capsulorhexis. J Cataract Refract Surg. 2008;34:1610-1 179. Wang LW, Lee KJ, Masselos K, Brown TM, Figueira EC, Francis IC. Management of angle closure glaucoma in East Asian eyes: a response to argon laser iridotomy-induced bullous keratopathy, a growing problem in Japan. Br J Ophthalmol. 2008; 92:1300 180. Masselos K, Wang LW, Amjadi S, Brown TM, Figueira EC, Francis IC. Re: "Simultaneous eyelid and choroidal metastases 36 years after diagnosis of medullary thyroid carcinoma". Ophthal Plast Reconstr Surg. 2008; 24:430 181. Sharma NS, Ooi JL, Masselos K, Hooper MJ, Francis IC. Zoledronic acid infusion and orbital inflammatory disease. N Engl J Med. 2008; 359:1410-1 182. Ng WT, Lee S, McRae A, Francis IC, Wakefield D. Genital ulceration in a febrile patient with poor vision: a presentation of presumed BehƧet's disease. Aust N Z J Obstet Gynaecol. 2008; 48:445-6 183. Masselos K, Lee KJ, Brown TM, Wang LW, Figueira EC, Pandya VB, Francis IC. Phacoemulsification training. Arch Ophthalmol. 2008 ;126:1608 184. Sharma NS, Ooi JL, Figueira EC, Rosenberg ML, Masselos K, Papalkar DP, Paramanathan N, Francis IC, Alexander SL, Ferch NI. Patient perceptions of second eye clear corneal cataract surgery using assisted topical anaesthesia. Eye. 2009; 23: 284-9 185. Figueira EC, Sharma NS, Ooi JL, Masselos K, Lee KJ, Rosenberg ML, Francis IC, Alexander SL, Ferch NI, Stapleton F. The Lanindar test: a method of evaluating patient suitability for cataract surgery using assisted topical anaesthesia. Eye. 2009; 23:284-9 186. Masselos K, Bank A, Francis IC, Stapleton F. Corneal Indentation in the Early Management of Acute Angle Closure. Ophthalmology. 2009; 116: 25-29 187. Francis IC. Re "Long-term effects of smoking on retinal microvascular caliber". Am J Epidemiol. 2009; 169: 256 188. Pandya VB, Masselos K, Brown TM, Figueira EC, Wilcsek G, Francis IC. Upper eyelid laxity. Ophthalmology. 2009; 116:170 189. Ooi KG, Wenderoth JD, Francis IC, Wilcsek GA. Selective embolization and resection of a large noninvoluting congenital hemangioma of the lower eyelid. Ophthal Plast Reconstr Surg. 2009; 25:111-4 190. Brown TM, Masselos K, Wang LW, Figueira EC, Francis IC, Wilcsek G. Re: Presumed nasolacrimal endometriosis". Ophthal Plast Reconstr Surg. 2009;25: 254-255 191. Amjadi S, Brown TM, Masselos K, Wang LW, Figueira EC, Francis IC. Re: "Anterior segment ischemia and retinochoroidal vascular occlusion after intralesional steroid injection". Ophthal Plast Reconstr Surg. 2009; 25: 253-254 192. Dubey R, Wang LW, Amjadi S, Figueira EC, Brown TM, Younan NM, Wilcsek GA, Francis IC. Surgical management of marginal chalazia. Br J Ophthalmol. 2011; 95:590,596-7. 193. Francis IC, Roufas A, Figueira EC, Pandya VB, Bhardwaj G, Chui J. Endophthalmitis following cataract surgery: the sucking corneal wound. J Cataract Refract Surg. 2009; 35: 1643-5 194. Masselos K, Bank A, Francis IC. Angle closure glaucoma. Re : Eke T. Ophthalmology. 2009; 116:1415-6; Author reply. 195. Masselos K, Bank A, Francis IC. Angle closure glaucoma. Re : Cheung JJ, Pong JC, Chan CH, Lai JS. Ophthalmology. 2009; 116: 2039. Author reply. 196. Madge SN, Selva D. ANZSOPS DCR Intubation Study Group Canalicular intubation in routine dacryocystorhinostomy. Clin Exp Ophthalmol. 2009; 37:533-4. (Francis IC : one of the ANZSOPS Study Group) 197. Amjadi S, Roufas A, Figueira EC, Bhardwaj G, Francis KE, Masselos K, Francis IC. Microwash or macrowash technique to maintain a clear cornea during cataract surgery. J Cataract Refract Surg. 2010; 36:1453-4 198. Wei M, Brettell D, Bhardwaj G, Francis IC. Negative dysphotopsia with spherical intraocular lenses. J Cataract Refract Surg. 2010 ;36:1621 199. Cohen AJ, Weinberg DA. Eds: Evaluation and Management of Blepharoptosis: Book Chapter : ā€˜Diagnosis of ptosis’ by Wilcsek G, Francis IC. 2011, Springer. Hanover NH, USA. 200. Lauschke JL, Singh R, Wei M, Bhardwaj G, Figueira E, Montfort J, Francis IC. Factors influencing the incidence of postoperative endophthalmitis. Am J Ophthalmol. 2011; 151:732 201. Karaconji T, Skippen B, Di Girolamo N, Taylor SF, Francis IC, Coroneo MT. Doxycycline for Treatment of Blepharochalasis via Inhibition of Matrix Metalloproteinases. Ophthalmic Plast Reconstr Surg. 2012: 28: e76-78 202. Singh R, Dubey R, Montfort J, Jeffries M, Agar A, Bank A, McNaught P, Francis IC. Carnitine Palmitoyl Transferase II deficiency: a possible association with progression of Normal Pressure Glaucoma. Clin Exp Ophthalmol. 2012; 40:e237-8 203. Sanli E, Figueira EC, Bhardwaj G, Watson SL, Francis IC. Tunnel vision and night blindness in a 52-year-old man. Med J Aust. 2011;195:287-8 204. Markoulli M, Francis IC, Yong J, Jalbert I, Carnt N, Cole N, Papas E. A histopathological study of bulbar conjunctival flaps occurring in 2 contact lens wearers. Cornea. 2011; 30:1037-41 205. Singh R, Montfort JM, Bhardwaj G, Brettell D, Jalbert I, Agar A, Francis IC. Dynamic Disc Dimensioning: improved measurement of optic nerve height using red-free light. Clin Exp Ophthalmol. 2012; 40: e231-2 206. Chui JJ, Ooi KG, Reeves D, Francis IC. Bluebottle envenomation-induced crystalline keratopathy. Cornea. 2011; 30:835-7 207. Dubey R, Stringfellow GJ, Wilcsek G, Coroneo MT, Francis IC. Atraumatic and Systematic Lacrimal Syringing: A Photographic Analysis. Techniques in Ophthalmology. 2011;9:68-70 208. Jeffries MA, Dubey R, Bhardwaj G, Singh R, Lauschke JL, Wei M, Agar A, Wilcsek G, Francis. IC. Augmented kinetic observational proptometry: an improved technique for clinical assessment of proptosis and enophthalmos. Ophthal Plast Reconstr Surg. 2011;27:463 209. Dubey R, Brettell DJ, Montfort J, Coroneo MT, Francis IC. Obviating endophthalmitis after cataract surgery: excellent wound closure is the key. Arch Ophthalmol. 2011;129:1504-5. 210. Karaconji T, Dubey R, Yassine Z, Singh R, Agar A, Francis IC. Bacterial-sized particle ingress promoted by suturing : is this true in the real world? J Cataract Refract Surg. 2011;37:2235-6 211. Dubey R, Karaconji T, Agar A, Bank A, Coroneo MT, Francis IC. Role of clear lens extraction in adult angle closure disease: a review - comment. Clin Exp Ophthalmol. 2012;40:e239 212. Leong BC, Dubey R, Ooi KG, Montfort JM, Wilcsek GA, Coroneo MT, Grant PW, Lloyd AR, Francis IC. Paradoxical embolus and endophthalmitis. Ophthalmology. 2012;119:424-424.e1. 213. Karaconji T, Whist E, Francis IC, Ghabrial R. "Intradioploic epidermoid cyst of frontal bone with spontaneous fistulization to eyelid". Ophthal Plast Reconstr Surg. 2012 ;28:230-1 214. Ku JJ, Wei MC, Amjadi S, Montfort JM, Singh R, Francis IC. Role of adequate wound closure in preventing acute postoperative bacterial endophthalmitis. J Cataract Refract Surg. 2012; 38:1301-2. 215. Dubey R, Bhardwaj G, Sanli E, Kalapesi F, Francis IC. Temporal Arteritis—Reversal of Blindness Using Anticoagulation and Steroids. Neuro-Ophthalmology 2011; 35: 264-268. 216. Dubey R, Chui J, Langford-Smith J, Danesh-Meyer H, Francis IC. Jaw Dropping: The necessity of a history and a biopsy in suspected temporal arteritis. Neuro-Ophthalmology. 2011; 35:156-157. 217. Sim BW, Amjadi S, Singh R, Bhardwaj G, Dubey R, Francis IC. Assessment of adequate removal of ophthalmic viscoelastic device with irrigation/aspiration by quantifying intraocular lens "judders". Clin Experiment Ophthalmol. 2013;41:450-4. 218. Fox OJ, Sim BW, Win S, Singh R, Amjadi S, Agar A, Bank A, Francis IC. Technique to exclude temporal lash incursion in phacoemulsification surgery. J Cataract Refract Surg. 2012;38:1885-7. 219. Sim BW, Karaconji T, Bhardwaj G, Dubey R, Harris JP, Francis IC. Scalp necrosis in temporal arteritis: abrupt termination of the superficial temporal artery as a possible precursor. J Dtsch Dermatol Ges. 2013;11:551-2 220. Win SH, Parker RT, Ku JJ, Lau OC, Singh R, Ruan CW, Lim CH, Thoo C, Agar A, Francis IC. Iris floccule : elevated intraocular pressure or threat to life? Clin Exp Ophthalmol. 2013;41:892-4. 221. Thurtell MJ, Chiu AL, Goold LA, Akdal G, Crompton JL, Ahmed R, Madge SN, Selva D, Francis I, Ghabrial R, Ananda A, Gibson J, Chan R, Thompson EO, Rodriguez M, McCluskey PJ, Halmagyi GM. Neuro-Ophthalmology of invasive fungal sinusitis: 14 consecutive patients and a review of the literature. Clin Exp Ophthalmol. 2013;41:567-76 222. Lauschke JL, Amjadi S, Lau OC, Parker RT, Chui J, Win S, Sim BW, Ku JJ, Aggarwala A, Lim CH, Singh R, Wei MC, Cohn GS, Chan DG, Armstrong PA, Agar A, Francis IC. Comparison of macular morphology between femtosecond laser-assisted and traditional cataract surgery. J Cataract Refract Surg. 2013;39:656-7 223. Zhang MG, Chen TS, Lau OC, McPherson ZE, Kam AK, Ruan C, Francis KE, Agar A, Francis IC, Sim BW. Endophthalmitis in Cape Town, South Africa: Are the data real? J Cataract Refract Surg. 2013;39 :1452-3. 224. Chen TS, Figueira E, Lau OC, McKelvie PA, Smee RI, Dawes LC, Agar A, Wilcsek G, Francis IC. Successful "Medical" Orbital Decompression With Adjunctive Rituximab for Severe Visual Loss in IgG4-Related Orbital Inflammatory Disease With Orbital Myositis. Ophthal Plast Reconstr Surg. 2014 ;30:e122-5 225. McPherson ZE, Lau OC, Chen TS, Kam AW, Amjadi S, Zhang MG, Playfair TJ, Agar A, Francis IC. High-speed cannula detachment into the eye during Hydrodissection. Ophthalmic Surg Lasers Imaging Retina. 2014;45:347-9 226. Lim CH, Williams SC, Yun ST, Aulia FA, McPherson ZE, De Silva D, Irvine S, Francis IC. Persistent concerns regarding intracameral cefuroxime. J Cataract Refract Surg. 2014 ;40:1236-7 227. McPherson ZE, Jung-Yeon Ku J, Chong E, Amjadi S, Francis KE, Lauschke JL, Kam AW, Tsang H, Francis IC. Fibres found in the eye during and after phacoemulsification cataract surgery. Eye (Lond). 2014; 28:958-61. 228. Figueira EC, Chen TS, Agar A, Coroneo MT, Wilcsek G, Nemet A, Francis IC. LESCs: Lateralizing Eyelid Sleep Compression Study. Ophthalmic Plast Reconstr Surg. 2014;30:473-5 229. Ruan CW, Win SH, Francis KE, Francis IC. Optimizing the cataract order of the list in modern surgery. J Cataract Refract Surg. 2014;40:842-3. 230. Lau OC, Montfort JM, Sim BW, Lim CH, Chen TS, Ruan CW, Agar A, Francis IC. Acute intraoperative rock-hard eye syndrome and its management. J Cataract Refract Surg. 2014;40:799-804. 231. Williams SC, Lim CH, Aulia FA, Yun ST, Singh R, McPherson ZE, Agar A, Francis IC. Endophthalmitis in Spain: more than meets the eye? J Cataract Refract Surg. 2014; 40:689-90. 232. Williams SC, Aulia FA, Lim CH, Yun ST, McPherson ZE, Wang SB, Agar A, Francis IC. Endophthalmitis in Europe : data collection conundrum. J Cataract Refract Surg. 2014;40:688 233. Coster DJ, Lowe MT, Keane MC, Williams KA; Australian Corneal Graft Registry Contributors. A comparison of lamellar and penetrating keratoplasty outcomes: a registry study. Ophthalmology. 2014;121:979-87. 234. Lim CH, Yun ST, Aulia FA, McPherson ZE, De Silva D, Jain NS, Irvine S, Francis IC. Intracameral cefuroxime may assist the eye but is defied by the statistics on endophthalmitis. J Cataract Refract Surg. 2014;40:1941. 235. Lim CH, Figueira EC, Amjadi S, Coroneo MT, Francis IC. Preseptal epidermal eyelid abscess related to unreported trauma in a patient with schizoaffective disorder. ANZ J Surg. 2014 Sep 24 236. Abedi F, Lau OC, Francis IC. Re : Acute aqueous misdirection syndrome: pathophysiology and management. J Cataract Refract Surg. 2014;40:2167-8. 237. Chen TS, Chong CW, Kam AW, Abedi F, Francis IC. Re: Rudnisky et al.: Antibiotic choice for the prophylaxis of post-cataract extraction endophthalmitis. Ophthalmology. 2015; 122: e12 238. Yun ST, Woo DM, Chong CW, Liu Y, Francis KE, Shah SA, Agar A, Francis IC. Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis. J Ophthalmol. 2015; 617019. doi: 10.1155/2015/617019. Epub 2015 Aug 12. 239. Ooi KG, Gupta R, Wang SB, Dance S, Borovik A, Francis IC. Spontaneous hyphaema secondary to bleeding from an iris vascular tuft in a patient with a supratherapeutic International normalised ratio: case report. BMC Ophthalmol. 2015;15:60. 240. Wang SB, Quah XM, Amjadi S, Tong J, Francis IC. Hydropolish: a controlled trial on a technique to eradicate residual cortical lens fibers phacoemulsification cataract surgery. Eur J Ophthalmol. 2015;25:571-4 241. Wang SB, Liu Y, George A, Francis IC. Rethinking cataract surgery benchmarking, key performance indicators and maintaining professional standards in Australia. Clin Exp Ophthalmol. 2016 Jan 13 242. Jain NS, Liu Y, Wang SB, George A, Govendir M, McPherson ZE , Agar A, Francis IC. Teaching Hospital Cataract Surgical Outcomes in Adelaide, Australia. Clin Exp Ophthalmol. 2016;44:648. 243. George A, Lim N, Jain NS, Chong C, Abedi F, Liu Y, Wang SB, Govendir M, Agar A, Francis IC. Diagnostic Algorithm for Patients with Suspected Giant Cell Arteritisā€ Useful, but No Substitute for Thorough Histopathology. J Neuro-Ophthalmol. 2016;36:343 244. Chong CW, Wang SB, Jain NS, Bank CS, Singh R, Bank A, Francis IC, Agar A. Comparison between intraocular pressure spikes with water loading and postural change. Clin Experiment Ophthalmol. 2016 May 25. doi: 10.1111/ceo.12777. 245. Shah SA, Spencer SK, Tharmarajah B, Francis IC. Meibomian gland dysfunction: azithromycin and objective improvement in outcomes in posterior blepharitis. Clin Experiment Ophthalmol. 2016;44:866. 246. Kam AW, Chen TS, Wang SB, Jain NS, Goh AY, Douglas CP, McKelvie PA, Agar A, Osher RH, Francis IC. Materials in the vitreous during cataract surgery : nature and incidence, with two cases of histological confirmation. Clin Experiment Ophthalmol. 2016;44:797-802. 247. Kam AW, Chen TS, Wang SB, Jain NS, Goh AY, Douglas CP, McKelvie PA, Agar A, Osher RH, Francis IC. Materials in the vitreous demonstrated under the operating microscope during cataract surgery and confirmed histologically. Clin Exp Ophthalmol. 2017;45:206 248. Lim NS, Singh N, Jain NS, Amjadi S, Chong CW, Francis IC. The Temporal Arteritis Proforma: Should cough be included? Rheumatol Int. 2016;36:1701-1703 249. Oh LJ, Nguyen CL, Wang SS, Francis IC. Has the Time Come for All to Routinely Use Intracameral Antibiotic Prophylaxis at the Time of Cataract Surgery? Am J Ophthalmol. 2016;171:152-153 250. Singh N, George A, Tan J, Ewe SY, Francis IC. Giant Cell Arteritis With Arteritic Anterior Ischemic Optic Neuropathy Is Bilateral Until Proven Otherwise. J Neuroophthalmol. 2016; 36:479. 251. Lee MB, Bobba S, Francis IC. Comparison of recent Studies of Postoperative Endophthalmitis From the Same National Database. JAMA Ophthalmol. 2017;135:173-174 252. Nguyen CL, Francis IC. Mechanical anterior lens capsule polishing under viscoelastic during phacoemulsification cataract surgery. Clin Exp Ophthalmol. 2017; 45:654-656 253. Nguyen CL, Oh LJ, Wong E, Francis IC. Povidone-iodine 3-minute exposure time is viable in preparation for cataract surgery. Eur J Ophthalmol. 2017; 27:573-576 254. Rao ACA, Shah SA, Sim BWC, Yun STH, Jain NS, Kalani Y, Francis IC. Neuroradiological Endovascular Intervention for Diplopia in a Case of Aneurysmal Aberrant Regeneration of the Third Nerve. Cureus. 2017 Jun 12;9(6):e1340 255. Waldie A, Jain NS, Bobba S, Francis IC. Therapy update: Red Eye in the Contact Lens Wearer. Australian Doctor. March 2017:10-13 256. Nguyen CL, Oh LJ, Wong E, Francis IC. Author's reply to comments to: Povidone-iodine 3-minute exposure time is viable in preparation for cataract surgery. Eur J Ophthalmol. 2017;27:e189 257. Yu HCY, Francis IC, Wilcsek G. Thyroid eye disease. Preserving vision and function. Endocrinology Today. 2017; 6:13-17 258. Oh LJ, Nguyen CL, Wong E, Wang SSY, Francis IC. Prospective study of CenturionĀ® versus InfinitiĀ® phacoemulsification systems: surgical and visual outcomes. Int J Ophthalmol. 2017;10:1698-1702 259. Waldie AM, Spencer SKR, Francis IC. Primary femtosecond laser posterior capsulotomy: Without clinical outcomes, caution should be exercised. J Cataract Refract Surg. 2017;43:1237. 260. Lau FS, Behan-Willett AP, Smyth JWP, Spencer SKR, Lee BWH, Agar A, Francis IC. Visual Outcomes Following Bilateral Implantation of Two Diffractive Trifocal Intraocular Lenses in 10,084 Eyes: Are Big Data Always Better. J Ophthalmol. 2018;187:169-170 261. Bobba S, Fox OJK, Lee MB, Parker R, Jain NS, Semmonds AK, Agar A, Francis IC. Contiguous Silicone Oil Migration from the Vitreous Cavity to the Optic Tract. J Neuroophthalmol. 2017;37:464-465. 262. Fox OJK , Bobba S, Chong CWK, Wang SB , Wehrhahn MC, Irvine S, Francis IC. Clinical Study Anterior Chamber Culture at the Conclusion of Cataract Surgery and Its Relation to Post-Cataract Surgery Endophthalmitis. The Open Access Journal of Science and Technology. 2018;5. 263. Zhang HH, Hepschke JL, Shulruf B, Francis IC, Spencer SK, Coroneo M, Agar A. Sharpening the focus on ophthalmology teaching: perceptions of medical students and junior medical officers. Clin Exp Ophthalmol. 2018;46:984-993. 264. Wang SSY, Lee MB, George A, Wang SB, Blackwell J, Moran S, Francis IC. Five cases of orbital extramedullary plasmacytoma: diagnosis and management of an aggressive malignancy. Orbit. 2019;38:218-225. 265. Lee BWH, Lau FS, Agar A, Coroneo MT, Francis IC. Toxic retinopathy after phacoemulsification when the cefuroxime dilution is correct: Expect the expected. J Cataract Refract Surg. 2018;44:792 266. Ling DL, Waldie AM, Francis IC. Whose perspective underlies this article? Med J Aust. 2019;210:54 267. Bobba S, Spencer SKR, Fox OJK, Agar A, Coroneo MT, Francis IC. Management of the photic sneeze reflex utilising the philtral pressure technique. Eye. 2019; 33:1186-1187. 268. Lee BWH, Ling MLH, Francis IC. Accuracy of Simple Quantitative Assessment of Orbital Resiliency. Ophthalmic Plast Reconstr Surg. Accepted February 2019. 269. Lau FS, Lee BWH, Agar A, Coroneo MT, Masselos K, Bank A, Francis IC. Corneal Indentation works, almost universally, and especially when applied as per the Corneal Indentation protocol. Surv Ophthalmol. 2019; 64:588-589 270. Jain NS, Kam AW, Chong C, Bobba S, Waldie AM, Newey AY, Agar A, Kalani MYS, Francis IC. Intracranial Arterial Compression of the Anterior Visual Pathway. Neuro-ophthalmology, 2019. DOI: 10.1080/01658107.2019.1566383 271. Lee BWH, Francis IC. In Pseudotumor Cerebri, Hormonal Contraception is Not Associated, and the Diagnosis Remains Idiopathic Intracranial Hypertension. Am J Ophthalmol. 2019;203:297-298. 272. Abedi F, Borovik AM, Waring D, Hariz S, Francis IC. Primary intraocular natural killer/T-cell lymphoma unmasked with infective endophthalmitis after an intravitreal injection of bevacizumab. Clin Exp Ophthalmol. 2019; doi: 10.1111/ceo.13561. 273. Sascha KR Spencer SKR, Shulruf B, McPherson ZE, Zhang H, Lee MB, Francis IC, Bank A, Coroneo MT, Agar A. Factors Affecting Adherence to Topical Glaucoma Therapy: A Quantitative and Qualitative Pilot Study Analysis in Sydney, Australia. Ophthalmology Glaucoma. 2019.https://doi.org/10.1016/j.ogla.2019.01.006. https://www.ophthalmologyglaucoma.org/article/S2589-4196(18)30094 -2/pdf 274. Waldie AM, Lau FS, Hepschke JL, Francis IC, Wilcsek G. Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report. Current Trends in Ophthalmology. 2019. https://doi.org/10.18314/ctoy.v2i1.1565 275. Ling MLH, Tynan D, Ruan CM, Lau FS, Spencer SKR, Agar A, Francis IC. Assessment of Saccadic Velocity at the Bedside. Neuro-Ophthalmology. May 2019. https://doi.org/10.1080/01658107.2019.1616776 276. Waldie AM, Francis IC, Coroneo MT, Wilcsek G. The FESplasty Procedure: Employment of a Periosteal Transposition Flap for Surgery of Floppy Eyelid Syndrome. May 2019. https://doig.org/10.1111/ceo.13560 277. Agnihotri K, Spencer SKR, Wong ELS, Lee BWH, Agar A, Francis IC. All that fails to abduct may not be an abducens palsy. July 2019. https://doi.org/10.1111/ceo.13590 278. Ling MLH, Yosar J, Lee BWH, Finniss A, Allende A, Francis IC. The Diagnosis and Management of Temporal Arteritis: A Contemporary Review. Accepted by Clin Exp Optom.

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