I am a Clinical Senior Lecturer at the University of Liverpool and Honorary Consultant Ophthalmologist at St Pauls Eye Unit. I have established an independent, translational research programme focused on complex interventions for retinal disease. In Liverpool I am working with biostatisticians, medical imaging experts, diabetologists and industry partners to study the epidemiology and treatment outcomes for people with diabetic retinopathy. In partnership with Malawian Ophthalmologists, I undertook the first prospective cohort study of diabetic retinopathy in Sub-Saharan Africa. Ongoing research in Malawi focuses on strategies for case detection and management in a low-resource environment whilst building capacity for service delivery and research in the region.