A 91-year-old man has become the first person in England to be fitted with a ground-breaking artificial cornea.
Cecil ‘John’ Farley, 91, said his sight was now improving thanks to the procedure, which he underwent after 15 years of suffering from problems with his eyes.
The cornea is the clear outer layer at the front of the eyeball – and is described by the NHS as the “window to the eye”.
A person can suffer from vision problems and pain if the thin transparent covering is damaged by disease or injury – with those affected often left facing a long wait for a human transplant.
However, it is hoped that the artificial device, called EndoArt, will slash waiting times, ease pressure on the NHS and eliminate the risk of the human body rejecting corneas received from an organ donor.
Mr Farley, from Chobham in Surrey, said he was overjoyed by the transplant – in his right eye – because it meant he could continue to see his 83-year-old wife Elizabeth.
He said: “I can still see my wife after 63 years of marriage, we can just carry on as normal and live life as fully as we can.
“It makes your life fuller when your eyes work properly – you don’t realise how debilitating it is until it happens to you.”
Image: Cecil Farley has his new cornea examined. Pic: PA
Before the surgery, Mr Farley had no vision in his right eye – but his sight has slowly been improving ever since the procedure in February.
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He said: “It has made a great difference to my sight. It was very blurred and I couldn’t distinguish a face.
“Now I can see better with it, the brighter the light the better. It’s coming along slowly – they said it could take up to a year.”
The artificial cornea has been compared to a contact lens. The device, which replaces the inner part of the cornea, is surgically attached to the eye by a single stitch and is put in place with a gas bubble.
Patients could see major impact
One of the biggest advantages of using artificial corneas is the huge reduction in waiting time for the procedure. It means patients on the elective backlog who risk further deterioration in their vision can be seen months earlier than they would waiting for a cornea transplant from an organ donor.
But at the moment the artificial cornea operation can only be carried out on patients who meet the “complex eye” criteria. These include patients whose previous human cornea transplant has failed.
Consultant ophthalmologist Tom Poole, who carried out the procedure, is confident the surgery can be rolled out to “virgin eye” patients in the future. These are patients with no previous history of eye surgery.
Mr Poole told me the international ophthalmology community was growing increasingly confident with artificial corneas which are relatively easy to make and their production could be scaled up quite easily.
He and his colleague Hanbin Lee at Frimley Health NHS Foundation Trust have already carried out three more operations since February.
The latest tests on Mr Farley suggest the procedure has been a success. Three more patients have been identified and are listed for surgery.
Only 200 people worldwide, including Mr Farley, have been fitted with an EndoArt so far, but there are hopes it can be more widely rolled out.
Organic cornea transplants usually come from deceased donors. A total of 4,719 were donated to the NHSin 2022/23, according to the latest available figures.
Consultant ophthalmologist Thomas Poole, from Frimley Health NHS Foundation Trust in Surrey, which carried out the procedure, described the artificial cornea as a “great advancement”.
He said there had been fears that Mr Farley was “kind of getting to [his] last hope” after a previous human transplant failed.
Image: Thomas Poole with Mr Farley. Pic: PA
Mr Poole said: “I had a very frank discussion with him before and I said: ‘Look, your graft has failed, you’re back on the waiting list. Because your other eye sees quite well, you’re not a high priority on the waiting list and you could be waiting for another year’.
“He’s in his 90s now and said ‘I just can’t wait that long. Is there anything else?’ And so this sprung to mind.
“I had just read a publication on very good reports from this artificial graft and it was that that made me think actually, maybe we could use this for John.”
Image: Cecil Farley said he was overjoyed he would be able to continue seeing his wife. Pic: PA
Mr Poole and his colleague Hanbin Lee have now successfully given four patients artificial corneas in the last two months and the initial results have shown an improvement in vision.
He added: “Looking forward to the future, I think this may end up replacing human corneas for certain types of corneal graft patients.
“In maybe 10 or 20 years’ time – this may become the norm where we don’t need a human cornea, and we can just take one out of the box.”
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MPs have voted to decriminalise abortion in England and Wales.
The amendment to the Crime and Policing Bill, abolishing the prosecution of women for terminating their pregnancy at any stage, passed by 379 votes to 137.
It represents the biggest shake-up in reproductive rights for almost 60 years.
Labour MP Tonia Antoniazzi, who tabled the so-called “New Clause One” (NC1), said it would ensure women do not face investigation, arrest, prosecution or imprisonment in relation to any pregnancies.
She said the current “Victorian” laws had been used against vulnerable women, citing cases such as Nicola Packer, who was prosecuted on suspicion of having an illegal abortion. She was found not guilty in May.
“Nicola’s story is deplorable, but there are many others,” Ms Antoniazzi said.
Abortion in England and Wales is currently a criminal offence but is legal with an authorised provider for up to 24 weeks after conception. The procedure is allowed after this time in very limited circumstances.
It is also legal to take prescribed related medication at home if a woman is less than 10 weeks pregnant.
Ms Antoniazzi said NC1 was “a narrow, targeted measure” that would not change how abortion services were provided or the rules under the 1967 Abortion Act.
Image: Pro-choice campaigners demonstrating for decriminalising abortion in the UK
She said: “The 24 [week] limit remains. Abortions still require the approval of signatures of two doctors, and women would still have to meet the grounds laid out in the Act.”
The MP said that meant healthcare professionals “acting outside the law and abusive partners using violence or poisoning to end a pregnancy would still be criminalised, as they are now.”
She added: “This piece of legislation will only take women out of the criminal justice system because they are vulnerable and they need our help.
“As I have said before, and I will say it again, just what public interest is this serving? This is not justice, it is cruelty and it has got to end.”
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16:48
Should abortion be decriminalised?
The change will not come into effect immediately as the Crime and Policing Bill is still making its way through Parliament.
A separate amendment, put forward by Labour MP Stella Creasy, went further with a measure to “lock in” the right of a person to have an abortion while protecting those who help them.
However, her amendment was not voted on because Ms Antoniazzi’s passed, as expected.
Conservative MP Sir Edward Leigh, speaking against both amendments, described them as “not pro-woman” and argued they “would introduce sex-selective abortion”.
How did MPs vote?
MPs were given a free vote on the amendment, as is typically the case with so-called matters of conscience.
A breakdown of the vote showed it was passed overwhelmingly by Labour and Lib Dem MPs.
Just eight Conservative MPs voted in favour, while all Reform UK MPs opposed the amendment, with the exception of the party’s leader Nigel Farage, who abstained.
Sir Keir Starmer was not present for the vote as he is currently in Canada for the G7 summit, but said earlier that his “longstanding in-principle position is that women have the right to a safe and legal abortion”.
The issue of women investigated by police over suspected illegal abortions has been in the spotlight due to several recent high-profile cases.
Ms Packer was cleared by a jury last month after taking prescribed abortion medicine at home when she was around 26 weeks pregnant, beyond the legal limit of 10 weeks.
In the Commons, Ms Antoniazzi cited another case of a young mother who was jailed for two years after she was forced to take illegal abortion medication by her abusive partner. He was never investigated.
Yellow heat health alerts have been issued for most of England – with temperatures forecast to hit highs of 33C (91F) this weekend.
Only the North East and North West are exempt from the UK Health Security Agency’s (UKHSA) latest warning, which comes into force at 12pm on Wednesday and expires at 6pm on Sunday.
The alert indicates that people with pre-existing health conditions, and those aged over 65, could be at higher risk.
Forecasters say the East of England is likely to see the highest temperatures, which wouldn’t be far off the June record of 35.6C (90F) set in 1976.
According to the Met Office, it will get progressively warmer as the week progresses – with the heat peaking on Sunday.
Deputy chief meteorologist Dan Holley said thundery showers may be possible heading into Saturday morning, with “tropical nights” a possibility as parts of the UK approach heatwave territory.
The forecast means we are likely to see the hottest day of the year so far – eclipsing the 29.4C (85F) recorded last Friday in Suffolk.
In a delicious twist, ice cream makers have said “it’s their Christmas time”, with some making fresh supplies around the clock.
This breaking news story is being updated and more details will be published shortly.
The UK-US trade deal has been signed and is “done”, US President Donald Trump has said as he met Sir Keir Starmer at the G7 summit.
The US president told reporters in Canada: “We signed it, and it’s done. It’s a fair deal for both. It’ll produce a lot of jobs, a lot of income.”
Sir Keir said the document “implements” the deal to cut tariffs on cars and aerospace, describing it as a “really important agreement”.
“So this is a very good day for both of our countries – a real sign of strength,” the prime minister added.
Mr Trump added that the UK was “very well protected” against any future tariffs, saying: “You know why? Because I like them”.
However, he did not say whether levies on British steel exports to the US would be set to 0%, saying “we’re gonna let you have that information in a little while”.
What exactly does trade deal being ‘done’ mean?
The government says the US “has committed” to removing tariffs (taxes on imported goods) on UK aerospace goods, such as engines and aircraft parts, which currently stand at 10%.
That is “expected to come into force by the end of the month”.
Tariffs on car imports will drop from 27.5% to 10%, the government says, which “saves car manufacturers hundreds of millions a year, and protects tens of thousands of jobs”.
The White House says there will be a quote of 100,000 cars eligible for import at that level each year.
But on steel, the story is a little more complicated.
The UK is the only country exempted from the global 50% tariff rate on steel – which means the UK rate remains at the original level of 25%.
That tariff was expected to be lifted entirely, but the government now says it will “continue to go further and make progress towards 0% tariffs on core steel products as agreed”.
The White House says the US will “promptly construct a quota at most-favoured-nation rates for steel and aluminium articles”.
Other key parts of the deal include import and export quotas for beef – and the government is keen to emphasise that “any US imports will need to meet UK food safety standards”.
There is no change to tariffs on pharmaceuticals for the moment, and the government says “work will continue to protect industry from any further tariffs imposed”.
The White House says they “committed to negotiate significantly preferential treatment outcomes”.
Mr Trump also praised Sir Keir as a “great” prime minister, adding: “We’ve been talking about this deal for six years, and he’s done what they haven’t been able to do.”
He added: “We’re very longtime partners and allies and friends and we’ve become friends in a short period of time.
“He’s slightly more liberal than me to put it mildly… but we get along.”
Sir Keir added that “we make it work”.
As the pair exited a mountain lodge in the Canadian Rockies where the summit is being held, Mr Trump held up a physical copy of the trade agreement to show reporters.
Several leaves of paper fell from the binding, and Sir Keir quickly stooped to pick them up, saying: “A very important document.”
Image: Sir Keir Starmer picks up paper from the UK-US trade deal after Donald Trump dropped it at the G7 summit. Pic: Reuters
The US president also appeared to mistakenly refer to a “trade agreement with the European Union” at one point as he stood alongside the British prime minister.
In a joint televised phone call in May, Sir Keir and Mr Trump announced the UK and US had agreed on a trade deal – but added the details were being finalised.
Ahead of the G7 summit, the prime minister said he would meet Mr Trump for “one-on-one” talks, and added the agreement “really matters for the vital sectors that are safeguarded under our deal, and we’ve got to implement that”.