Dr Antigoni Koukkoulli

Ophthalmic Surgeon
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MBBS (London) MSc MEd (London) FRCOphth CCT (UK)
Ophthalmic Surgeon

Dr Antigoni Koukkoulli is an experienced Ophthalmic Surgeon with special interest in Neuro-ophthalmology, Oculoplastics and Lacrimal surgery based at Pantheo Eye Centre, Limassol. She qualified in 2004 from University College London (UCL) Medical School and graduated with a number of undergraduate prizes and merit awards.


She continued with a comprehensive training program in general ophthalmology based at Leeds Teaching Hospitals, followed by a two-year fellowship in neuro-ophthalmology, oculoplastics and lacrimal surgery at the Royal Free Hospital, London. Finally, she undertook a teaching/ adnexal fellowship at Moorfields Eye Hospital NHS Foundation Trust for a year.


Dr Koukkoulli has extensive experience in Medical Education and held lecturer posts both at University College London and Leeds Medical School. She has also gained a Masters in Medical Education from UCL and has written numerous papers in the field. She performs a wide range of ophthalmic procedures. She is a fellow of the Royal College of Ophthalmologists (RCO) and the American Academy of Ophthalmologists (AAO).


Special Expertise: Neuro-ophthalmology, Oculoplastics and Lacrimal Surgery 


• Emergency lateral canthotomy and cantholysis
• Repair of eyelid following trauma
• Temporary and permanent tarsorrhaphy
• Botox injection for blepharospasm
• Entropion and ectropion repair
• Excision of benign eyelid cysts and skin tags
• Excision and curettage of chalazion
• Excision of xanthelasma
• Excision of eyelid tumours and reconstruction (direct, flaps, grafts)
• Blepharoplasty of upper and lower eyelids
• Repair of acquired eyelid ptosis (anterior & posterior approach)
• Repair of congenital eyelid ptosis
• Anterior lamellar repositioning
• Lid lowering for eyelid retraction
• Lid lowering with Gold weight for VIIth nerve palsy
• Direct brow lift
• Temporal artery biopsy for giant cell arteritis


• Three-snip punctoplasty
• Probing and irrigation for congenital nasolacimal duct obstruction +/- tubes
• External and endonasal dacryocystorhinostomy with insertion of tubes
• Repair of canalicular system following trauma with insertion of tubes
• External dacryocystorhinostomy and Lester-Jones tube insertion
• Drainage of lacrimal sac


• Evisceration with orbital implant
• Enucleation with orbital implant
• Secondary orbital implant
• Anterior orbit biopsy of lesion


• Phacoemulsification and intraocular lens implant
• Pterygium excision and conjunctival autograft
• Intravitreal injections for age-related macular degeneration and diabetic retinopathy
• YAG laser capsulotomy and iridotomy
• Argon laser panretinal photocoagulation for diabetic retinopathy, retinal vein and artery occlusion
• Argon laser retinopexy for retinal tears


• Visual fields
• B-scan ultrasound of globeDr Koukkoulli works with colleagues specialising in other fields of ophthalmology and for enquiries and investigations outside her own areas of subspecialty expertise she will be happy to recommend an appropriate colleague for the particular problem.


Bridging the gap: Theory based design of a microsurgical skills course for ophthalmology resident.
A Koukkoulli, DG Ezra, A Chandra, H Sheth, N Okhravi, S Verma, P Sullivan
J Surg Educ 2015 Jul-Aug; 72(4): 585-91.


Perineural Spread of Cutaneous Squamous Cell Carcinoma Manifesting as Ophthalmoplegia. A Koukkoulli, N Koutroumanos, D Kidd Neuro-Ophthalmology 2015 Jun; 39(3)


Long-term outcomes of needle revision of failed trabeculectomy and deep sclerectomy blebs. A Koukkoulli, F Musa, N Anand Graefes Archives for Clinical and Experimental Ophthalmology 2015 Jan; 253(1): 99-106.


Systematic approaches and considerations in the management of diabetic retinopathy.
JSM Ophthalmol 2015; 3(3): 1035.


Unusual case of scedosporium apiospermum keratitis following phacoemulsification in a
systemically well patient.  
G Jutley, A Koukkoulli, J Forbes, V Sharma Journal of Cataract & Refractive Surgery 2015 Jan; 41(1): 230-3


The use of Densiron-68TM as a perioperative surgical tool.
A Koukkoulli, J Buchan, H Woon
Int Ophthalmol. 2014 Feb; 34 (1): 81-4.


An unusual presentation of aqueous misdirection.
A Koukkoulli, R Rahman
Eye (Lond). 2013 May; 27 (5): 675-6.


Oncocytic adenocarcinoma of the lacrimal gland: an unusual presentation.
G Kalantzis, J Norris, N El-Hindy, A Koukkoulli, P Chengot, BYP Chang
Eye (Lond). 2013 Jan; 27(1): 104-5.


Sentinel lymph node biopsy for malignant tumours of the eyelid and conjunctiva: literature review. P Vouzounis, A Koukkoulli, Oncology News 2013; 8 (2): 50-52.


Vitreomacular traction secondary to acute angle closure: could it be?
A Koukkoulli, O Rafiq, F Bishop
EyeNews 2012; 19 (3): 38.


Low vision and rehabilitation services: Age-related macular degeneration.
E Cabourne, A Weston, A Koukkoulli
Foundation Years Journal 2012; 6 (10): 32-36.


Iris neovascularisation in rhegmatogenous retinal detachment.
A Koukkoulli, B Khattan, H Woon
EyeNews 2012; 18 (6): 35.


A hairy affair: tarantula setae-induced panuveitis requiring pars plana vitrectomy.
A Hom-Choudhury, A Koukkoulli, JH Norris, B Mokete, O Backhouse
Int Ophthalmol. 2012 April 2012; 32 (2): 161-3.


Bacterial keratitis with multiresistant Stenotrophomonas maltophilia: a management challenge. A Koukkoulli, O Rafiq, E Mann, JL Ball, EyeNews 2011; 17 (4): 61.


Sudden painless loss of vision: Giant Cell Arteriti
S G Rajoo, A Koukkoulli, J Gandhewar
Foundation Years Journal 2010; 4 (6): 49-56.


The use of sedation in the radiology department
K Patatas, A Koukkoulli
Clin Radiol 2009 Jul; 64 (7): 655-63.


Surgical scrubbing: can we clean up our carbon footprints by washing our hands?
J.E.A. Somner, N Stone, A Koukkoulli, K.M. Scott, A.R. Field, J Zygmunt
J Hosp Infect 2008; 70 (3): 212-215.


Remission of Spondyloarthritis flare with low dose Infliximab (2.5mg/kg) for the 3 loading pulses, followed by as per required regime
A Koukkoulli, E Roussou, Annual European Congress of Rheumatology EULAR 2005: Congress Book


London Registry of Spondyloarthropathies (LoRoS) – observational registry program.
The registry includes patients with spondyloarthtropathies and the goal of the study is to collect clinical data related to disease expression in various ethnic groups.
A Koukkoulli, E Roussou, Clinical & Experimental Rheumatology Oct 2006


Asian patients have greater impairment in function assessed by BASFI than Caucasians
E Roussou, K Malik, A Koukkoulli, A Sagavits, J Channa
Clinical & Experimental Rheumatology Oct 2006


Delay in diagnosis and disease duration – Correlation with other disease factors (LoRoS)
E Roussou, K Malik, A Koukkoulli, N Shelli, J Channa
Clinical & Experimental Rheumatology Oct 2006


Acute retinal necrosis presumably caused by Epstein-Barr virus infection
A Koukkoulli, A Homchoudhury, O Backhouse
Accepted EyeNews
Eosinophilic cellulitis as a cutaneous reaction to the administration of bevacizumab intravitreal injection
A Koukkoulli, N Koutroumanos, H Henderson


Theories underpinning the effectiveness of a patient as a teacher
A Koukkoulli, S Khan, R Mathew, M Virtanen, R Puertas, R Das-Bhaumik, N Okhravi


May 2016,  Let the expert teach
 A Koukkoulli, K Gallagher, P Fin, R Puertas, N Okhravi
The Royal College of Ophthalalmologists Annual Congress 2016, Birmingham


Feb 2015 YouTube and the expanding role of videos in ophthalmic surgery education
 A Koukkoulli, P Fin, K Gallagher, R Puertas, N Okhravi
Moorfields Academy Meeting


Nov 2014 Learning is Learnable
 A Koukkoulli, K Gallagher, P Fin, R Puertas, N Okhravi
Moorfields Academy Meeting


Sep 2014 Eosinophilic cellulitis
 A Koukkoulli, N Koutroumanos, R Jolly, H Henderson
ESOPRS 2014, Budapest


Oct 2013 How focused on sustainability is glaucoma research and development?
Somner JEA, Stone N, Koukkoulli A, Lascaratos G, Johannesson G, Das A, Sipkova Z, Bowes O, Jewsbury H, Perrott-Reynolds RL, Morris DS, Bourne RR, Cassels-Brown A, Cross V.
UKEGS 2013, Nottingham
22nd International Conference on Health Promoting Hospitals and Health Services, Barcelona 2014


Sep 2013 The role of a visual aid when assessing clinical activity in thyroid eye patients
 A Koukkoulli, A Holt, S Hanif, C Vize
32nd ESOPRS, Barcelona


Sep 2013 Functional and aesthetic outcomes of eyelid reconstruction following trauma: A staged and multi-disciplinary approach.
D Dunleavy, A Koukkoulli, S Hanif, C Vize, 32nd ESOPRS, Barcelona


Jun 2013 Intravitreal Ozurdex in treating posterior uveitis.
E Rostron, A Koukkoulli, I Zakhieb, P Alaghband, T James
North of England Ophthalmological Society


Jun 2013 Low vision and Rehabilitation Services: Age-related macular degeneration.
 E Cabourne, A Weston, K Cobb, A Koukkoulli
Vision UK 2013, London


Sep 2012 Deep sclerectomy augmented with Bevacizumab – a short term comparative case-control study with mitomycin C.
A Koukkoulli, F Musa, N Anand
6th International Congress on Glaucoma Surgery 2012, Glasgow


Sep 2012 Needle revision with subconjunctival bevacizumab.
 F Musa, A Koukkoulli, N Anand
6th International Congress on Glaucoma Surgery 2012, Glasgow


May 2012 To report on long-term comparative outcomes for Mitomycin C augmented needle revisions for failing deep sclerectomies and trabeculectomies.
A Koukkoulli, F Musa, N Anand, ARVO 2012, Florida, ESCRS 2013, Amsterdam


Sep 2011 Topography guided laser ablation for ametropia after autologous ipsilateral rotational keratoplasty. EuCornea 2011, Vienna
The Royal College of Ophthalalmologists Annual Congress 2012, Liverpool
A Koukkoulli, D Spokes, O Rafiq, J Ball


Sep 2011 Causes of failure of revision dacryocystorhinostomy surgery
 I Jeeva, A Koukkoulli, G Kalantzis, N El-Hindy, Laura Bagdonaite, T Fearnley, B Y Chang
ESOPRS 2011, Cernobio


Sep 2011 Successful management of adult rhabdomyosarcoma
I Jeeva, A Koukkoulli, G Kalantzis, N El-Hindy, T Fearnley, B Y Chang
ESOPRS 2011, Cernobio


Sep 2011 15 years experience of eyelid basal cell carcinoma managemen
I Jeeva, A Koukkoulli, G Kalantzis, I Azzam, G Stable, N El-Hindy, B Y Chang
ESOPRS 2011, Cernobio


Jun 2010 How accurate is clinical and radiological evaluation of orbital lesions in comparison to orbital biopsy?
A Koukkoulli, S Arora, J Norris, G Kalantzis, N El-Hindy, B Chang, K Patatas
World Ophthalmology Congress, Berlin, BOPSS, Edinburgh


Jul 2008 How successful is two-stage excision and reconstruction for malignant eyelid tumours?  G Lascaratos, A Koukkoulli, A.T. Murray, Oxford Ophthalmological Congress


Jun 2008 Corneal melt due to Group C Streptococcus.
 A Koukkoulli, Trainees’ Prize meeting, The Royal Society of Medicine


May 2008 Can we clean up our carbon footprints by washing our hands.
J Somner, KM Scott, N Stone, A Koukkoulli
The Royal College of Ophthalmologists Annual Congress 2008


Oct 2006 Asian patients have greater impairment in function assessed by BASFI than Caucasians. E Roussou, K Malik, A Koukkoulli, A Sagavits, J Channa5th International Congress of Spondyloarthropathies, Gent

Oct 2006 Delay in diagnosis and disease duration – Correlation with other disease factors. E Roussou, K Malik, A Koukkoulli, N Shelli, J Channa, 5th International Congress of Spondyloarthropathies, Gent


Apr 2006 31/62 Are we there?
 A Koukkoulli, S Achawal, J Ainsworth, R Bradford
Society of British Neurological Surgeons 148th meeting


Apr 2016 - Congenital nasolacrimal duct obstruction and the surgical challenges
Pantheo Eye Center Annual Congress 2016
Feb 2015 - Career in Ophthalmology
 St George’s Ophthalmological Society
Feb 2015 - Duke Elder Revision Course (Adnexal & Neuro-Ophthalmology)
 Moorfields Eye Hospital NHS Foundation Trust
Nov 2014 - Learning is Learnable
 Moorfields Academy Meeting
Sep 2013 - Tisseel in the world of oculoplastic and lacrimal surgery
32nd ESOPRS, Barcelona
Jun 2013 - Beware of the very silent sinus syndrome
British OculoPlastic Surgery Society (BOPSS), Bristol
32nd ESOPRS, Barcelona

Oct 2012 - Modified technique of anterior lamellar repositioning (video)
North of England Ophthalmological Society, Video competition


Oct 2011 - Topography guided laser ablation for ametropia after autologous ipsilateral rotational keratoplasty
UKISCRS XXXV Annual meeting, Southport


May 2010-12 - ENT & Ophthalmology Day
 Invited speaker by AR MEDICS Ltd, Marriot Hotel Mancheste


Jan 2008 -What does erysipelas has in common with corneal melt?
Roper Hall Prize Competition, Birmingham


Teaching Fellowship, Moorfields Eye Hospital NHS Trust Foundation:


  • Weekly structured small group tutorials to 5th year medical students from Barts
  • Weekly teaching of clinical skills for 5th year medical students from UCL
  • Contributed to the organization and delivery of courses for undergraduate medical students interested in ophthalmology: Duke Elder revision course; Microsurgical skills course for medical students; Patient as teacher day symposium
  • Delivered lectures to large audiences of undergraduate medical students at Barts-UCL
  • Undertaken research projects and published in medical education
  • Attended career fairs and given talks with aim of promoting ophthalmology as a specialty
  • Evaluating teaching skills with regular feedback, peer-to-peer assessment and self-reflection


Honorary Lecturer in the Leeds Institute of Medical Education, Faculty of Medicine & Health:
  • Ophthalmic lead responsible for designing and implementing the new Special Senses Curriculum 2012 (Ophth/Derm/ENT) for 250 third year medical students. A two-year project of planning the new module, coordinating with three different Trusts the student allocation and developing online learning material.
  • Regular Ophthalmology lecturer.
  • Examiner at end of year OSCEs for Year 3 & Year 5.
  • Contributed to the written exam papers (EMQs/MCQs) and OSCE stations (Ophthalmology component).
  • Clinical lead for Ophthalmology undergraduate teaching at St James’s University Hospital 2009-11.


Academy of Medical Educators Annual Meeting
Educating for quality improvement in patient care


The Royal College of Obstetricians & Gynaecologists, 2014
MBBS Examiner Workshop UCL, 2014Examined MBBS OSCE UCL, July 2014
Trains, Trainees & Trainers


Bausch & Lomb, York, 2013
PACES Revision Course: Ophthalmology OSCE


St James’s University Hospital Leeds
Annual Ophthalmology ST Interview Skills Course


Founder and speaker, 2009 - 2015
Ophthalmology Revision Course MBBS 5th Year (invited speaker)


Glasgow University Medical School, June 2007 & January 2009
Scrubscourse: UCL MBBS 5th Year (invited speaker)


Ophthalmology Section, St Mary’s Hospital London, July 2008
Teaching Skills Course for Doctors


The Royal Society of Medicine, December 2007
Medical Education Research Development

3rd Annual Yorkshire Regional Meeting, University of Leeds, June 2010


Leadership & Team-working skills in Medical education
Moorfields Eye Hospital NHS Foundation Trust
  • Weekly meetings of the undergraduate educational team to discuss ongoing projects, medical students teaching, planning of courses.
  • Organising and delivering courses for undergraduate students: Duke Elder exam revision course, Microsurgical skills course, Moorfields Academy days, Patient as a Teacher symposium.
  • A mentor supporting junior doctors and undergraduate students interested in a career in Ophthalmology.


Ophthalmology Administrative SpR
St James’s University Hospital, Mar 2010 – Sep 2010
  • Responsible for organizing timetables, on-call rotas, study/ annual leave for 14 trainee doctors.
  • Negotiating clinical cover during absences.
  • Attending regular departmental meetings: discussing and resolving any on-going issues (complaints, critical incidences, near misses, staff constraints); recommendations on improving services.
  • Organised discussion sessions on how to improve our eye casualty services as to cope with the increasing number of patients. We audited our services, including patient experience, and identified ways of increasing efficiency, improving GP correspondence and reducing patient waiting time. The recommendations were implemented and had a significant impact.


Yorkshire Eye Research (YER)
Member of the Committee, Trainee Representative/ Fundraiser
  • Raising awareness of treatable yet blinding eye conditions via community projects and public health campaigns.
  • Organising events to raise the profile of research among Yorkshire Ophthalmology trainees such as a seminar on Delivering excellence in clinical research (Good clinical practice) and an annual symposium on clinical research opportunities in the region.
  • Organiser of the annual Eye Factor charity night and other fundraising events.



Midlands Ophthalmic Trainees Association (MOTA)
ST1/ST2 Representative, 2007-2008

Management & Leadership development module
Yorkshire and Humber Postgraduate Deanery, May – July 2012


Management Skills training course: Influencing others
Birmingham, 2008



YouTube and the expanding role of videos in ophthalmic surgery education
A Koukkoulli, K Gallagher, P Lin, R Puertas, N Okhravi (QIPP Number: QP14/EDU/06)


Patient as teacher projects: Age-related macular degeneration, Thyroid Eye Disease, Diabetic Retinopathy, A  Koukkoulli, K Gallagher, P Lin, R Puertas, N Okhravi
(QIPP Number: QP14/EDU/07)



June 2011 Compliance with best practice of consent for common elective eye procedures (Forward Plan), Scarborough General HospitalWe recognised that the consenting process for laser procedures and cataract operations at our Trust was not as efficient as in other Trusts so we decided to audit it and determine whether we complied with best practice and whether we could identify any ways of improving it. As a result of the audit, we now have pre-printed consent forms for high throughput procedures, such as lasers and cataract surgery, and all patients receive a yellow information leaflet in advance of day of surgery and this is recorded in the consent form.

July 2010 Vertical rectus muscle transposition for chronic sixth nerve paralysis: success and complication rates, St James’s University HospitalThe aim of the audit was to determine whether our surgical outcomes compared favourably to those of recognised published series. There was concern, as we performed this complex procedure infrequently with 5 cases in 7 years; that our results and complication rates would differ to those of specialised centres. Our audit results showed a satisfactory reduction of esotropia comparable with that achieved in other series. Our complication rate was lower than standard and the majority of our patients exhibited increase range of BSV.



To study the incidence and risk factors of significant intraocular pressure elevation during the 1st post-op day in patients undergoing VR surgery - Dec 2009, St James’s University Hospital


Ptosis Surgery Audit: Do we meet BOPSS ptosis criteria?
Nov 2009, St James’s University Hospital


Compliance with best practice of consent for common elective eye procedures (Forward Plan), Mar 2008, Sandwell General Hospital


Management of anaphylaxis in the A & E department
Mar 2006, University College London Hospital


Education & Training of Junior Doctors
Feb 2006, University College London Hospital


Department of Neurosurgery Mortality Audit
Dec 2005, Royal Free Hospital

Associated Hospitals / Clinics




  • Consultant Ophthalmic Surgeon  (Mar, 2017 - Current)

    Pantheo Eye Centre Limassol Cyprus

  • Honorary Ophthalmic Surgeon  (Feb, 2017 - Current)

    Royal Free Hospital NHS Foundation Trust, London

  • Oculoplastics, Lacrimal and Neuro-ophthalmology Fellow  (Feb, 2024 - Feb, 2024)

    Royal Free NHS Foundation Trust London

  • Teaching & Adnexal Fellow  (Sep, 2015 - Jul, 2016)

    Moorfields Eye Hospital NHS Foundation Trust

  • Yorkshire Deanery   (Aug, 2008 - Jul, 2013)

    Leeds Teaching Hospitals / Hull & East Yorkshire

  • Undefined  (Aug, 2007 - Jul, 2008)

    Birmingham Eye Centre

  • Undefined  (Dec, 2006 - Aug, 2007)

    Tennent Institute of Ophthalmology, Glasgow

  • Accident & Emergency Senior House Officer  (Feb, 2006 - Aug, 2006)

    University College London Hospitals

  • Neurosurgery Senior House Officer  (Aug, 2005 - Feb, 2006)

    Royal Free Hospital NHS Foundation Trust

  • Pre-registration House Officer  (Aug, 2004 - Aug, 2005)

    King George Hospital Ilford


  • Royal College of Surgeons Edinburgh  

  • University College London Medical School  

  • MBBS   (Feb, 1999 - Feb, 2024)

    University College London Medical School

  • MRCSEd Ophth  (Dec, 2009 - Current)

    Royal College of Surgeons Edinburgh

  • FRCOphth   (Nov, 2010 - Current)

    Royal College of Ophthalmologists

  • Certificate Med Ed  (Feb, 2024 - Feb, 2024)

    University College London

  • Diploma Med Ed  (Feb, 2024 - Feb, 2024)

    University College London

  • MSc Med Ed  (Feb, 2024 - Feb, 2024)

    University College London

  • CCST Ophthalmology  (Feb, 2024 - Feb, 2024)

    Royal College of Ophthalmologists

Honours & Awards

  • Bunzl and Hart Prize in Psychiatry (1st)  (February 28, 2024)

  • Certificate of Merit in Neurology & Psychiatry  (February 28, 2024)

  • Certificate of Merit in Obstetrics & Gynaecology  (February 28, 2024)

  • Certificate of Merit Year 4 Clinical  (February 28, 2024)

  • Certificate of Merit Year 3 Clinical  (February 28, 2024)

  • Medical tutor award UCL  (February 28, 2024)

  • Medical Educators Bursary Award  (February 28, 2024)

  • Brian Harcourt Memorial Fund Award   (February 28, 2024)

  • 1st Prize Junior Doctors Annual Research Competition Tennent Institute of Ophthalmology, Glasgow  (February 28, 2024)

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    6 years ago

    Thank you for the wonderful service! Highly recommended!


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