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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Northamptonshire Police has admitted it failed Harry Dunn and his family after a report found officers prioritised the welfare of the suspect in the case over the investigation.
The 19-year-old died in 2019 after US state department employee Anne Sacoolas – who was driving a car on the wrong side of the road – hit his motorbike near RAF Croughton in Northamptonshire.
However, Sacoolas was not immediately arrested following the crash and was able to flee the country, claiming diplomatic immunity, because police did not believe a “necessity test” had been met.
An independent report, published on Wednesday, has now criticised the force’s senior leadership for their handling of the case – including describing its former chief constable as having a “detrimental” impact.
Harry Dunn’s mother Charlotte Charles said she welcomed the findings.
She told Sky News: “Unfortunately, we were treated extremely poorly. All the authorities wanted to shut us down…
“This report does validate everything, of the way we felt and everything that we’ve been put through. To be treated as we were, as the victims of a serious crime, we were let down really, really badly.”
Following a long fight for justice by Mr Dunn’s family, Sacoolas eventually pleaded guilty to causing death by careless driving via video link at the Old Bailey in December 2022.
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From 2022: Anne Sacoolas pleads guilty
Following the report, Assistant Chief Constable Emma James said in a statement: “On behalf of Northamptonshire Police, I want to apologise to Harry’s family for what is now clear was a failure on our part to do the very best for the victim in this case, Harry, and his family who fought tirelessly in the years that followed to achieve justice for him.
“The picture which emerges is one of a force which has failed the family on a number of fronts”.
She also added: “It was vitally important that Northamptonshire Police conducted this review into the most high-profile case in the force’s history, a case where clear and significant shortcomings have now been properly and independently unearthed.”
Image: Assistant Chief Constable Emma James
The report, which has 38 recommendations, found that Nick Adderley, who was sacked as head of the force last year after lying about his military record, had caused a breakdown in relations with Mr Dunn’s family.
It also revealed that his “erroneous statements” about Sacoolas’s immunity status led the Foreign Office to contact the force asking him not to repeat them.
Danielle Stone, the Police, Fire and Crime Commissioner for Northamptonshire, said Mr Adderley’s behaviour was “unfathomable”.
She added that the report “makes really clear his culpability.”
Image: Danielle Stone said Mr Adderley’s behaviour was “unfathomable”
The report also said Northamptonshire Police potentially had a culture of not arresting suspects “in circumstances such as these, which could lead to evidence not being obtained”. It recommended that the force adopt an “investigative mindset” over serious road crashes.
Regarding the decision not to arrest Sacoolas, the report said the decision had not been “explained in enough detail”. It added: “The overriding factor in the decision appears to be the welfare of the suspect and her suffering from shock, with little to no consideration around the full necessity test under the Police and Criminal Evidence Act.
“A prompt and effective investigation was not considered or articulated. The view is that in these circumstances the suspect could and should have been arrested to assist the evidence-gathering process.”
The report continued: “The duty (police sergeant) made the decision not to arrest.
“The rationale was largely based on a belief that the necessity test was not met, and information received that Anne Sacoolas was in shock.
“Whilst the welfare of any person is a concern for officers, this should not have prevented the arrest of Anne Sacoolas.”
Ms Charles, who was recently honoured with an MBE after her campaigning efforts led to road safety improvements near US airbases, said: “I don’t think you’re ever done grieving. There’s never any closure to losing a child. You live with it, it’s so profound.
“So the only thing I would ever say to anybody else who feels that they’ve got a fight ahead of them, dig deep, do your best, because you just never know the resilience that you’ve got until you absolutely have to find it.”
Plans for cuts to benefits which will impact more than three million households will be published today – as the government faces a battle to convince dozens of Labour MPs to back them.
Liz Kendall, the welfare secretary, has set out proposals to cut £5bn from the welfare budget – which she has said is “unsustainable” and “trapping people in welfare dependency”.
Disabled people claiming PIP, the personal independence payment which helps people – some of them working – with the increased costs of daily living, face having their awards reviewed from the end of next year.
An estimated 800,000 current and future PIP recipients will lose an average of £4,500 a year, according to a government assessment.
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Government’s battle over welfare reforms
The government also intends to freeze the health element of Universal Credit, claimed by more than two million people, at £97 a week during this parliament, and cut the rate to £50 for new claimants.
Under pressure from Labour MPs concerned particularly that changes to PIP will drive families into poverty, Ms Kendall will announce new protections in the bill today.
Sky News understands they include a 13-week transition period for those losing PIP; a higher rate of Universal Credit for people with the most serious conditions; and a commitment that disabled people who take a job will not immediately lose their benefits.
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Some 40 Labour MPs have signed a letter refusing to support the cuts; and dozens of others have concerns, including ministers.
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Benefits cuts explained
Ms Kendall is determined to press ahead, and has said the number of new PIP claimants has doubled since 2019 – at 34,000, up from 15,000.
Ministers say 90% of current claimants will not lose their benefits; and that many people will be better off – with the total welfare bill set to continue to rise over this parliament.
To keep the benefit, claimants must score a minimum of four points out of eight on one of the daily living criteria.
Ministers say claimants with the most serious conditions, who cannot work, will not face constant reassessments.
A £1bn programme is proposed, intended to give disabled people who can work tailored support to find jobs.
Some Labour MPs have angrily opposed the reforms – which will be voted on later this month.
Last night in a parliamentary debate, Labour MP for Poole Neil Duncan-Jordan disputed the Department for Work and Pensions (DWP) figures.
He said: “We already know that PIP is an underclaimed benefit. The increase in claims is a symptom of declining public health and increased financial hardship disabled people are facing.
“We have the same proportion of people on working-age benefits as in 2015. This is not an economic necessity, it’s a political choice.”
Image: Liz Kendall
Rachael Maskell, Labour MP for York, called the proposals “devastating “. She said: “We must change direction and not proceed with these cuts.”
Disability groups say they fear an increase in suicides and mental health conditions.
The government’s own assessment forecast an extra 250,000 people could be pushed into poverty – including 50,000 children. It did not include the impact of people moving into work.
Ms Kendall was urged by MPs on the Commons Work and Pensions committee to delay the reforms, to carry out an impact assessment, but wrote back to the committee saying the reforms were too urgent to delay – and that MPs would be able to amend the legislation.
The grieving mother of a Scottish teen who vanished for a month has told Sky News she believes a “third party” was involved in her son’s death.
Cole Cooper, 19, was discovered dead in woods near Falkirk earlier this month following a missing persons inquiry his relatives don’t believe was taken seriously enough by police.
He was last seen on CCTV in May after leaving a house party, but police later revealed a former school friend had spoken to Cole a few days later nearby.
Speaking exclusively to Sky News, his mum Wendy Stewart, 42, has revealed her son had “various arguments” in the days and hours before he disappeared.
Image: Cole’s mum Wendy (L) and his aunt Aimee
In an emotional interview, she said: “He was only 19, he should never have been taken. I am never going to see him again. I never got a chance to give him a last cuddle and hold his hand.
“Someone has taken that away from me far too soon. Whether it be intentionally or unintentionally, I do believe there has been some involvement by a third party and the result is the death of Cole.”
The family, who organised a local vigil in Cole’s memory last weekend, have vowed to get “justice”.
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Asked what that means, Ms Stewart told Sky News: “Finding the culprit and getting justice that way. Finding the person that is responsible for the death of my child.”
Police previously said 400 residents were spoken to during door-to-door enquires and more than 2,000 hours of CCTV footage was collected.
Image: Cole Cooper’s mother Wendy at a vigil in Banknock. Pic: PA
Cole’s aunt Aimee Tennie, 32, revealed the family’s anger over the police handling of the case as they attempt to find out what happened.
She said: “We are aware of small details surrounding the weekend leading up to it with arguments. He had a few arguments over that weekend. We want the details re-examined thoroughly.”
Sky News put all of the family’s concerns and allegations to Police Scotland.
The force swerved our questions and responded saying: “Enquiries remain ongoing.”
Wendy Stewart claimed the probe has been handled “shockingly” with a failure to take her son’s disappearance seriously.
The 42-year-old said: “I have had to scream and shout from rooftops to be heard by the police. I don’t think they have handled it well.
“The police really need to take accountability and listen to families, they are reporting a missing child and understand the family knows their child best.”
Cole Cooper’s loved ones still have not been told when his body will be released to allow them to lay him to rest.