Mr Shadrokh Nabili
MD, MRCOphth, MRCS (Edinburgh) FRCOphth, FRCS (Edinburgh)
Consultant Ophthalmologist and Medico-Legal Expert
University Hospitals of Morecambe Bay NHS Foundation Trust
GMC[1] Number: 5176682 (Full Registration)
Executive Summary
- I am a highly experienced clinician with a proven track record and I am taking this expertise into my work as a medico-legal expert.
- I hold the Cardiff University Bond Solon (CUBS) Expert Witness Civil Certificate (2021) and began accepting medico-legal report instructions in 2022.
- I have had formal accredited basic, higher specialist and advanced subspecialty ophthalmology training in Ninewells University Hospital, The Royal Hospitals (Belfast) and Bristol Eye Hospital since 2000.
- I achieved fellowships from the Royal College of Ophthalmologists (UK) and the Royal College of Surgeons of Edinburgh in 2008 and successfully accomplished an Advanced Sub-Speciality Fellowship (ASTO) at Cornea and External Eye Diseases (Anterior Segment) in 2009 when I was appointed as a full time Consultant Ophthalmic Surgeon in Morecambe Bay University Hospitals Foundation Trust to establish the Cornea and External Eye Diseases Services in South Cumbria and North Lancashire.
- I have wide ranging expertise and skills in an extensive array of eye diseases including cataract, refractive surgery, cornea, external eye diseases, glaucoma, lid diseases (oculoplastics), diabetic eye diseases, age related macular degeneration, retinal diseases, strabismus and neuro-ophthalmology.
- I have special interests in cataract, cornea and external eye diseases and oculoplastics (eyelid) surgery including cosmetic lid surgery.
- I have maintained this continuing professional development and regularly attend national and international conferences on my special interest subjects. In addition, I have been published several times in peer reviewed journals and have undertaken numerous presentations at both national and international conferences.
- I have been awarded an NHS Clinical Excellence Award for my services to University Hospitals of Morecambe Bay NHS Foundation Trust.
- I am the Clinical Lead in Ophthalmology at BMI The Lancaster Hospital, the Audit Lead in Ophthalmology in University Hospitals of Morecambe Bay NHS Foundation Trust, and the Cataract Pathway Lead at University Hospitals of Morecambe Bay NHS Foundation Trust.
Current Post
Consultant Ophthalmologist (Cornea & External Eye Diseases)
University Hospitals of Morecambe Bay NHS Foundation Trust
01.09.10 to date
Medico-Legal Training
Bond Solon Expert Witness Course 1 |
Cross Examination Day |
23 June 2021 |
Bond Solon Expert Witness Course 2 |
Civil Law & Procedure 1 & 2 |
10 & 11 June 2021 |
Bond Solon Expert Witness Course 3 |
Court Room Skill |
20 April 2021 |
Bond Solon Expert Witness Course 4 |
Excellence in Report Writing |
8 March 2021 |
Qualifications
FRCOphth |
November 2008 |
The Royal College of Ophthalmologists |
FRCS (Edinburgh) |
December 2008 |
The Royal College of Surgeons of Edinburgh |
CCST[2] |
December 2008 |
PMBT – UK |
MRCOphth Part 3 |
March 2003 |
The Royal College of Ophthalmologists |
MRCS (Edinburgh) Part 3 |
November 2002 |
The Royal College of Surgeons of Edinburgh |
ICO – Clinical Sciences |
May 2002 |
International Council of Ophthalmology |
MRCOphth Part 2 |
November 2001 |
The Royal College of Ophthalmologists |
MRCS (Edinburgh) Part 2 |
October 2001 |
The Royal College of Surgeons of Edinburgh |
ICO – Basic Sciences (Optics & Refraction) |
May 2001 |
International Council of Ophthalmology |
MRCOphth Part 1 |
October 2000 |
The Royal College of Ophthalmologists |
MRCS (Edinburgh) Part 1 |
September 2000 |
The Royal College of Surgeons of Edinburgh |
Professional Memberships
American Academy of Ophthalmology |
Since 2003 |
European Society of Cataract & Refractive Surgery |
Since 2001 |
International Society of Cataract & Refractive Surgery |
Since 2007 |
The Royal College of Ophthalmologists |
Since 2003 |
The Royal College of Surgeons of Edinburgh (Ophthalmology) |
Since 2002 |
British Medical Association |
Since 1999 |
Previous Training and Professional Experience
Consultant Ophthalmologist (Locum) |
University Hospitals of Morecambe Bay |
22.06.09 – 01.09.10 |
ASTO Fellowship (Cornea & External Diseases) |
Bristol Eye Hospital |
03.03.08 – 02.03.09 |
SpR in Ophthalmology |
Royal Victoria Hospital Belfast |
04.08.04 – 02.03.08 |
LAT in Ophthalmology |
Royal Victoria Hospital Belfast |
05.04.04 – 03.08.04 |
SHO Rotation (Ophthalmology) |
Ninewells University Hospital Dundee |
06.08.02 – 31.03.04 |
SHO Rotation (Ophthalmology) |
Morecambe Bay NHS Trust Royal Lancaster Infirmary Furness General Hospital Cumbria |
01.08.00 – 05.08.02 |
Locum SHO (Ophthalmology) |
Furness General Hospital Barrow in Furness |
12.06.00 – 01.08.00 |
Clinical Attachment (Ophthalmology) |
Worthing & Southlands Hospital Worthing, West Sussex |
02.05.00 – 09.06.00 |
GP Training |
Argyll & Clyde NHS Trust |
03.02.98 – 01.02.00 |
Ophthalmic Conference Presentations
- ICO[3] (December 2014) – Ketoralac Associated Corneal Melt – S Nabili
- ICO (November 2009) – Short Term Effect of Intravitreal Anti-VEGF Delivery on Intraocular Pressure –
S Nabili, M Stevenson, U Chakravarty, T Moutray
- ICO (November 2009) – An Unusual Migration of Dislocated Crystalline Lens from Vitreous to Anterior Chamber – S Nabili , D Kumudhan , J A Coleiro
- RCO[4] Congress (2008) – The Outcome of 12 Year Keratoplasty in Patients with Herpetic Keratitis –
S Nabili, D Burns, J Jackson, DG Frazer
- RCO Congress (2007) – Enucleation and Evisceration Study – S Nabili, T Moutray, ST White
- ESOPSRS[5] (September 2007) – Survey of Lacrimal Gland Biopsy – S Nabili, S T White, M Walsh
- The Belfast Alumni Meeting (2005) – Effectiveness of Inverse Knapp Procedure in Patients with Down-gaze Deficit – S Nabili, K Russell, J C MacEwen
- RCO Congress (2004) – Effectiveness of Inverse Knapp Procedure in Patients with Down-gaze Deficit – S Nabili, K Russell, J C MacEwen
- The Annual Australian and New Zealand Ophthalmologists Congress (November 2003) – Effectiveness of Inverse Knapp Procedure in Patients with Down-gaze Deficit – S Nabili, K Russell, J C MacEwen
- SOC[6] (2003) – Effectiveness of Inverse Knapp Procedure in Patients with Down-gaze Deficit – S Nabili, K Russell, J C MacEwen
- East of Scotland Neurophthalmology Meeting (2003) – Bilateral 4th Nerve Palsy Following Stereocatactic Radiothearapy for AVM Treatment – S Nabili
Peer Reviewed Journal Papers
- Adjustment Formulae to Improve the Correlation of White-to-White Measurement with Direct Measurement of the Ciliary Sulcus Diameter by Ultrasound Biomicroscopy – Hashemian SJ , Mohebi M , Nabili S – Journal of Current Ophthalmology. Dec 2017; 30(3)
- Wavefront-Guided Laser-Assisted Subepithelial Keratectomy in Low Myopia, Myopic Astigmatism and High Myopia – Hashemian SJ , Sheikh-Hassani A, Nabili S – International Journal of Ophthalmology. Feb 2015;15(2):192-197
- Antiviral Treatment Following Penetrating Keratoplasty for Herpetic Keratitis – Goodfellow JF, Nabili S, Jones MN, Nguyen DQ, Armitage WJ, Cook SD, Tole DM – Eye (Lond). 2011 Apr;25(4):470-4
- Mutational screening of VSX1 in Keratoconus Patients from the European Population – DP Dash, S George, D O’Prey, D Burns, S Nabili, U Donnelly, AE Hughes, G Silvestri, J Jackson, D Frazer, E He´on, CE Willoughby – Eye (Lond). 2010 Jun; 24(6):1085-92.
- Short Term Effect of Intravitreal Anti-VEGF Delivery on Intraocular Pressure – S Nabili, M Stevenson, U Chakravarty, T Moutray – British Journal of Ophthalmology Br J Ophthalmol 2009 April. Vol 93 No 4
- Ophthalmomeningeal Foramen Masquerading as a Foreign Body – Emergency Medical Journal (EMJ) – S Nabili, A Ferguson, I Zeally, D Gambler, C J MacEwen –Emerg Med J. 2006 July; 23(7)
- Effectiveness of Inverse Knapp Procedure in Patients with Down-gaze Deficit – K Russell, S Nabili, J C MacEwen – British and Irish Orthoptic Journal Br Ir Orthopt J 2006; 3: 32-36
- Take a Closer Look – Emergency Medical Journal (EMJ) – T Moutray, S Nabili, S Sharkey – Emerg Med J. 2006 Mar; 23(3):239
- Rare Association of Macular Hole and Macular Naevus – S Nabili, J Bolton – British Journal of Ophthalmic Photography
- Subhyaloid Haemorrhage in Branch Retinal Vein Occlusion – S Nabili, J Bolton – British Journal of Ophthalmic Photography
- An Unusual Migration of Dislocated Crystalline Lens from Vitreous to Anterior Chamber – S Nabili , D Kumudhan , J A Coleiro (Submitted) – BJO
Research Papers
- Short-term effect of intravitreal Anti-VEGFs delivery on intraocular pressure – The result of this research has been published in the BJO[7]. Our study looked into the effect of Anti-VEGF (Macugen, Avastin, and Lucentis) on the intraocular pressure of ARMD patients. The study was published. Please see the publications section above.
- Use of antiviral prophylaxis in the graft survival in HSK patient – Mr SD Cook, Mr D Tole and I were looking into the effect of the antiviral prophylaxis in the graft survival at the 12-month, 24-month and 60-month periods. Our study was published. Please see the publications section above.
- Effectiveness of Posterior Juxtascleral Depot (PJD) Injection of Anecortave in ARMD – I was a certified ophthalmologist performing the PJD injection of Anecortave (Phase II Research Drug) in ARMD patients at the Royal Victoria Hospital in Northern Ireland. This was a double-blinded multi-centre randomised control study which was funded by Alcon and conducted by Professor Chakravarty.
- Randomised Control Study on the Effects of Mitomycin-C in Adult Endoscopic Dacryocystorhinostomy – I was involved in this randomised controlled study on the effects of Mitomycin C versus placebo in adult endoscopic dacryocystorhinostomy (DCR) surgery. This research was planned as a prospective randomised double blind study to evaluate the role of Mitomycin C in the success of endoscopic DCR. The Ophthalmology and Otolaryngology Departments at Ninewells University Hospital, Dundee conducted the study.
Audits
- Management of cataract in Fuch’s Dystrophy patients (2018) – I have recommended a guideline in order to reduce postoperative complications in Fuch’s Endothelial Dystrophy patients undergoing cataract surgery following this audit in 2018. This guideline recommends changes in preoperative assessment of patients with Fuch’s and surgical techniques to reduce the complications. This audit was presented in the trust audit meeting.
- The Cross Bay Infectious Keratitis (2012) – I designed and conducted this audit which looked into the aetiology, clinical presentation, risk factors, management and outcomes of infectious keratitis across the Morecambe Bay at three hospitals in University Hospitals of Morecambe Bay. The audit recommended a treatment protocol for infectious keratitis in order to improve the outcome. This audit was presented to the Solway Eye Group Annual Meeting in November 2012.
- The Outcomes of Keratoplasty in Patients with Herpetic Keratitis (2008) – This audit looked into the outcome of 12 year Keratoplasty in patients with a history of herpetic keratitis in the Royal Victoria Hospital, a tertiary cornea and external diseases centre in Northern Ireland, between 1994 and 2006. This study looked into the pre and postoperative visual acuities, the seniority of surgeon, the type of Keratoplasty (PK, LK, and DALK), the postoperative management, and the final refractive status. This audit recommended the Keratoplasty, particularly DALK, in patients with HSK in order to improve their vision. It was submitted as an oral presentation for the Royal College of Ophthalmologists Congress in 2008.
- Lacrimal Gland Biopsy (2007) – This audit reviewed the patients undergoing lacrimal gland biopsy in Northern Ireland between 2000 and 2006. The patients were identified from the database of Belfast Institute of Pathology. Demographic data, clinical characteristics, laboratory investigations, imaging, histopathology reports and treatment details were evaluated. This study was presented at the 25th annual congress of European Society of Ophthalmic Plastic Surgery & Reconstructive Surgery (ESOPSRS) in Slovenia in September 2007.
- Enucleation and Evisceration Audit (2007) – This audit looked into the indications, surgical techniques, and rate of intraoperative and postoperative complications following enucleation and evisceration surgery between January 2000 and December 2005 in the regional oculoplastics centres in Northern Ireland. This audit was presented as a poster at the Royal College of Ophthalmologists Congress in May 2007.
- Biometry Audit – This audit looked into the refractive status of 210 patients following cataract surgery at the Ophthalmology Department in the Royal Lancaster Infirmary between November 2000 and April 2001. The aim of the audit was to assess whether the postoperative refractive status of those patients were within one dioptre of the expected value. It revealed 96% of patients achieved the above target. The audit discussed the causes of failure in 4% of patients and also suggested the solutions to improve the current practice of biometry at the department.
- Annual Strabismus Surgery – A prospective study was undertaken to look into strabismus surgery at the Ophthalmology Department in the Royal Lancaster Infirmary for the year 2001. The aim of the study was to assess patients two weeks before and 12 weeks after surgery. The audit looked into the waiting time for surgery, the type of operation, the dioptric difference between pre and postoperative measurements and the percentage of under-correction and over-correction.
- Refraction Clinic Update – An audit was undertaken to look into the refraction clinics at the Ophthalmology Department in the Royal Lancaster Infirmary between August and December 2001. The study showed the number of clinics, the number of patients at each clinic, the new patients to follow-up, patients ratio, the DNA rate and the waiting time for a refraction appointment within the above period.
Continuing Professional Development
ESCRS[8] |
London |
September 2019 |
ESCRS |
Vienna |
September 2018 |
ESCRS |
Lisbon |
September 2017 |
EuCornea |
London |
September 2017 |
RCO[9] Annual Congress |
Royal College of Ophthalmologists |
May 2016 |
Annual AAO[10] Meeting |
Las Vegas |
November 2015 |
Annual AAO Meeting |
Chicago |
October 2014 |
ESCRS |
London |
September 2014 |
RCO Annual Congress |
Royal College of Ophthalmologists |
May 2013 |
Mastering Professional Interactions Workshop (MPS[11]) |
Manchester |
April 2013 |
Medical Statistics Course (BMA[12]) |
London |
November 2012 |
Surgery for Severe Corneal & Ocular Surface Disease |
AAO |
November 2012 |
Endothelial Keratoplasty |
AAO |
November 2012 |
ECCE/SICS |
AAO |
November 2012 |
Anterior Lamelar Keratoplasty |
AAO |
November 2012 |
Enucleation/Evisceration |
AAO |
November 2012 |
Subspecialty Cornea Day |
AAO |
November 2012 |
Optimal Management of AMD |
AAO |
November 2012 |
Subspecialty Refractive Surgery Day |
AAO |
November 2012 |
New Schwind Laser Training |
Frankfurt |
October 2012 |
RCO Annual Congress |
Royal College of Ophthalmologists |
May 2012 |
LASIK |
Moorfields Eye Hospital |
December 2011 |
Mastering Professional Interactions Workshop (MPS) |
Manchester |
November 2011 |
The 1st Manchester Corneal, Cataract & Refractive Symposium |
Bausch & Lomb |
November 2011 |
Blepharoplasty – Wet lab |
AAO – Orlando |
October 2011 |
Blepharoplasty – Theory |
AAO – Orlando |
October 2011 |
DALK – Wet lab |
AAO – Orlando |
October 2011 |
DALK – Theory |
AAO – Orlando |
October 2011 |
Keratoconus Management |
AAO – Orlando |
October 2011 |
IOL Iris Fixation without Capsular Support |
AAO – Orlando |
October 2011 |
Surgery for Severe Corneal & Ocular Surface Disease |
AAO – Orlando |
October 2011 |
Botulinum Toxin & Facial Filler Injections – Wet lab |
AAO – Orlando |
October 2011 |
Botulinum Toxin & Facial Filler Injections – Theory |
AAO – Orlando |
October 2011 |
Endothelial Keratoplasty |
AAO – Orlando |
October 2011 |
ISCRS Laser Refractive Surgery Injections – Wet lab |
AAO – Orlando |
October 2011 |
Subspecialty Cornea Day |
AAO – Orlando |
October 2011 |
Subspecialty Refractive Surgery Day |
AAO – Orlando |
October 2011 |
Cornea & External Eye Diseases |
Moorfields Eye Hospital |
October 2011 |
ESCRS |
Vienna |
September 2011 |
EU Cornea |
Vienna |
September 2011 |
Management of Ocular Inflammation |
Bausch & Lomb |
June 2011 |
Annual AAO Meeting |
Chicago |
October 2010 |
Cornea Subspecialty Day 2010 |
Chicago |
October 2010 |
ESCRS |
Paris |
September 2010 |
Looking Forward (Management Course) |
Pfizer |
April 2010 |
Mastering Adverse Outcomes (MPS) |
Manchester |
March 2010 |
NEOS[13] Cornea Day |
Manchester |
March 2010 |
Training the Trainers |
Royal Lancaster Infirmary |
February 2010 |
The UK Vision Strategy |
Penrith, Cumbria |
February 2010 |
The 19th Iranian Congress of Ophthalmologists |
Tehran |
November 2009 |
Mastering Your Risk (Management Course) (MPS) |
Manchester |
October 2009 |
UKICRS[14] |
Leeds |
October 2009 |
Endothelial Corneal Grafting (DSAEK & DMEK) |
Dr Melles’ Eye Institute (Holland) |
June 2009 |
Sailing a Safe Ship (Management Course) |
Warwick University |
May 2009 |
Advanced Life Support |
Bristol Royal Infirmary |
January 2009 |
3D Glaucoma – Diagnosis Day |
Pfizer – London |
September 2008 |
3D Glaucoma – Disc Day |
Pfizer – Nottingham |
April 2008 |
Resuscitation Update |
Bristol Royal Infirmary |
March 2008 |
Surgical Modalities in Keratoconus (UKISCRS) |
Warrington |
November 2007 |
Medical Retina HST Course |
Royal College of Ophthalmologists |
October 2007 |
Cornea HST Course |
Royal College of Ophthalmologists |
September 2007 |
ESOPRS[15] |
Slovenia |
September 2007 |
Cornea & Oculoplastics Course (Organised by Mr Sheeraz Daya) |
West Sussex |
September 2007 |
Paediatrics HST Day |
Royal College of Ophthalmologists |
April 2007 |
AMD and IVT Therapy (Novartis) |
Belfast |
March 2007 |
Anterior Vitrectomy Techniques for Cataract Surgeons |
ESCRS London |
September 2006 |
Posterior Capsulorrhexis – Wet lab |
ESCRS London |
September 2006 |
Spotlight on Intra-operative Complications of Uncomplicated Cataracts |
ESCRS London |
September 2006 |
Malpositioned IOLs |
ESCRS London |
September 2006 |
Confocal Microscopy in the Diagnosis & Management of Corneal Diseases |
ESCRS London |
September 2006 |
Lifestyle, IOLs & Making choices |
ESCRS London |
September 2006 |
PRK, Lasek & Epi-Lasik – Wet lab |
ESCRS London |
September 2006 |
Keratoplasty: Theory & Practice |
ESCRS London |
September 2006 |
LASIK – Wet lab |
ESCRS London |
September 2006 |
Refractive Surgery Didactic Course |
ESCRS London |
September 2006 |
Joint Infection Meeting |
Royal Victoria Hospital Belfast |
June 2006 |
Deep Anterior Lamellar (DALK) Deep Lamellar Endothelial Keratoplasty (DLEK) |
UKICRS Warrington |
May 2005 |
Neuro-Ophthalmology HST Day |
Royal College of Ophthalmologists |
December 2005 |
Refractive Surgery |
UKICRS Warrington |
November 2005 |
The British & Irish Orthoptic Society |
Belfast |
November 2005 |
ALS (CPR Training) |
Altnagelvin Hospital |
August 2005 |
Eyelid, Lacrimal & Orbital Course |
Moorfields Eye Hospital |
January 2005 |
RCO Annual Congress |
Manchester |
May 2004 |
Practical Ophthalmic Ultrasound |
Aberdeen Royal Infirmary |
March 2004 |
Phacoemulsification Master Course |
AMO[16] |
October 2003 |
Intermediate Phacoemulsification with the Management of Astigmatism |
UKICRS Warrington |
October 2003 |
Diabetes and Eye Disease |
The Royal College of Physicians |
August 2003 |
Neuropass |
Royal Free Hospital |
October 2002 |
Postgraduate Meetings in Ophthalmology |
Manchester Royal Eye Hospital |
August 2000-2002 |
Information Technology |
Lancaster College |
April 2002 |
Moorfield’s Part 3 Membership Course |
Moorfield’s Eye Hospital |
February 2002 |
St Thomas’ Ocular Motility Course |
Guys & St Thomas’ Hospital |
February 2002 |
Part 2 Membership Course |
Ninewells Hospital, Dundee |
September 2001 |
Optics & Refraction and the Clinical Methods of Examination |
Manchester Royal Eye Hospital |
March 2001 |
Basic Microsurgical Skills Course |
Royal College of Ophthalmologists |
February 2001 |
Corneal Trephination and Suturing Wet Lab |
Warrington Hospital |
February 2001 |
Anterior Segment Repair Following Trauma |
Warrington Hospital |
January 2001 |
Section 3 BST Curriculum (External Eye Disease, Sclera, Cornea and Anterior Uvea) |
North Riding Infirmary, Middlesbrough |
December 2000 |
Manchester Symposium on Strabismus |
Manchester Royal Eye Hospital |
November 2000 |
Basic & Intermediate Phacoemulsification |
Warrington Hospital |
November 2000 |
Section 2 BST Curriculum (Disorders of the Lids, Lacrimal Apparatus, Adnexa and Orbit) |
Cumberland Infirmary, Carlisle |
September 2000 |
The Foundation Course in Clinical Ophthalmology |
Ipswich General Hospital |
February 2000 |
Accident & Emergency in Surgery & Medicine |
Glasgow Royal Infirmary |
August 1998 |
ALS (CPR Training) |
Stobhill Hospital, Glasgow |
April 1998 |
Academic Distinctions & Prizes
International Ophthalmologist Education Award |
American Academy of Ophthalmology (2012) |
Practical Ultrasound Course |
Aberdeen Royal Infirmary Prize |
Phacoemulsification Master Course |
Advanced Medical Optics Prize |
Anatomy |
Prize |
Pathology |
Prize |
Physiology |
Distinction |
Pharmacology |
Distinction |
Surgery |
Prize |
Ophthalmology |
Prize |
Neurology |
Distinction |
Ear, Nose & Throat |
Distinction |
Dermatology |
Distinction |
-
General Medical Council ↑
-
Certificate of Completion of Speciality Training ↑
-
Iranian Congress of Ophthalmologists ↑
-
Royal College of Ophthalmologists ↑
-
European Society of Ophthalmic Plastic Surgery & Reconstructive Surgery ↑
-
Scottish Ophthalmological Club ↑
-
British Journal of Ophthalmology ↑
-
European Society for Cataract and Refractive Surgeons ↑
-
Royal College of Ophthalmologists ↑
-
American Academy of Ophthalmology ↑
-
Medical Protection Society ↑
-
British Medical Association ↑
-
North of England Ophthalmological Society ↑
-
United Kingdom & Ireland Society of Cataract & Refractive Surgeons ↑
-
European Society of Ophthalmic Plastic & Reconstructive Surgery ↑
-
Advanced Medical Optics ↑