Specsavers customer Michelle Crawford (left) and optometric director of Specsavers Lanark Rubena Kerr receiving the Dame Mary Award for Professionalism and Expertise

Optometrist wins national award – for professionalism and expertise in eyecare

The 22nd annual Spectacle Wearer of the Year Awards saw the introduction of a new accolade, the Dame Mary Perkins Award for professionalism and expertise.

This was presented to the opticians store that has made the greatest contribution to raising awareness in the importance of eye care. It was won by Lanark joint venture partner, optometrist Rubena Kerr, and her team for their vigilance in detecting a life threatening brain tumour in their customer Michelle Crawford.

Michelle, 44, experienced almost no symptoms at all, aside from a slight blurriness in one eye while wearing contact lenses. After swift referral to Hairmyres Hospital following an eye test, a huge, life-threatening tumour, which would have killed her within six months, was diagnosed.

Michelle’s willingness to share her story achieved considerable media coverage about eye health. Rubena and Michelle were called on to stage to receive the award on behalf of the store.

Optometrist of more than 50 years herself, Dame Mary said: ‘Michelle’s story shows that an optician doesn’t just test how well you can see and if you need glasses, they provide an overall health check and so much more. Rubena you are credit to our profession.

‘I would also like to thank you Michelle. We are passionate about raising awareness in the importance of regular eye tests. Having had your support in so willingly talking about your own experience has really helped us do that.’

Michelle’s story:

The meningioma grade one tumour, located at the front of mum of two Michelle’s brain behind her left eye and thought to be around the size of an orange, was so rare, a number of surgeons and specialists from hospitals across Scotland gathered to observe her surgery and monitor her recovery.

Michelle recalls: ‘It took a few months for me to book an appointment at Specsavers as I didn’t think the blurriness in my eye was anything serious.

‘Rubena was really thorough and helped me try out different contact lenses to see if that would fix the problem. After a few appointments, I happened to mention that the problem was only at the side of my vision in my left eye and that I was also having a problem with things appearing too bright. After conducting a visual fields test, Rubena referred me to Hairmyres.

I expected the appointment to be a few weeks later but when I found out I had to go the very next day, I started to worry something serious might be wrong.’

Rubena adds: ‘In my over 25-year career as an optician, I have helped to spot a few brain tumours, but I had never before seen a case like Michelle’s.
She didn’t have any symptoms often associated with tumours such as headaches or seizures and there was no sign of any abnormalities in the photo of the back of her eye during any of her eye exams. Michelle visited the store for a contact lens check as she had been having trouble with her left eye. It is very common for people to find they have one eye with worse vision when wearing contact lenses so at this point, there was no cause for concern.

It was so lucky she mentioned that the problem was with the side of her vision as this prompted me to conduct a visual fields test which isn’t usually performed during a contact lens check.

A visual field test checks the visual pathway which is situated between your eyes and your brain. It is checked in many patients and will show up any defect by showing a pattern of missing points. These patterns are then used to help diagnose certain conditions including glaucoma, diabetic changes, and various tumours.
The test revealed that half of Michelle’s pattern of points was missing. This is very uncommon and a major indication that something serious may be wrong, therefore I referred Michelle to Hairmyres immediately.’

Michelle underwent various tests at Hairmyres Hospital including a CT scan. She continues: ‘Staff at the hospital explained that I’d be able to go home after the CT scan, however, as soon as it was completed they asked me to wait.

‘Almost immediately after arriving back at the waiting room, a doctor took me to a quiet room. It hadn’t occurred to me that I might have a brain tumour at this point, I actually thought I might have had MS as my mum suffers from the condition. I could see the doctor was visibly shaking as he explained that he’d never seen a tumour like mine with such a lack of symptoms before.

Eight weeks after the diagnosis, I underwent surgery for around 15 hours to remove the tumour. Before surgery, it was explained to me that it was very unlikely they’d be able to save my eye as the tumour was so close to it and that I may be unable to walk or speak.

‘I was unconscious for two days following the operation and doctors started to worry that there was an increasing risk I would suffer from some of the side effects they explained to me beforehand.’

Michelle lost the sight in her left eye and suffered from aphasia which left her unable to speak for three days after she regained consciousness as the tumour was next to the part of her brain which controls language. Thankfully, she was able to walk again days after the surgery.
A piece of Michelle’s skull was removed during the operation and was not replaced due to swelling. Ten months later, it was replaced with a metal plate.

Her recovery process also included having to relearn words to build her speech back up and she is yet to undergo surgery to correct drooping to her eye.
Michelle has six-monthly checks to make sure the non-cancerous tumour has not returned. These appointments will become less frequent if the tumour does not reappear.

Michelle adds: ‘My consultant was amazed at the progress I made after three months of working very hard to regain my speech.
‘Aside from losing my sight in my left eye and, as a result, being unable to drive for the rest of my life, I have been extremely lucky. ‘I was only the seven person in South Scotland to undergo brain tumour treatment of this nature in the past three years and the rest either died or had to have their eye completely removed.

‘Losing sight in one eye has been a huge adjustment but I know things could have been very different and I might not have been around to watch my 17 and 15-year-old sons grow up with my husband.

‘I completely believe that some sort of gut instinct told me to get my vision checked out. I was so close to not bothering as it’s easy to put it on the back burner when it didn’t feel like a major problem.

‘I’ve since found out that if I hadn’t had the surgery when I did, it’s very likely my condition would have deteriorated very quickly and I wouldn’t have been well enough for it to go ahead. If that scenario had played out it may have been more about prolonging my life rather than saving it.

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