The EyeNinja

I just discovered a video from Dr. Lawrence Tenkman, the EyeNinja. He is an incredible communicator and very funny! The video that I saw was definitely mostly directed toward ophthalmologists, but when people are that good at communication, it seems a shame to keep the audience so limited. It is a good lesson to all…

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Minutiae

As ophthalmologists, we pay attention to detail. I suppose it is true that most professionals do, but I was reading some forum posts from ophthalmologists about very subtle aspects of cataract surgery. They were discussing and debating over the course of thirty or forty posts, mainly focusing on different techniques that arguably would make no…

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Changing Eye Color

In the August 2022 edition of the Journal of Cataract and Refractive Surgery, there is an article edited by Nicole Fram about a patient who had BrightOcular iris implants placed to change her iris color. There is a lot of technical discussion in this article, but the important message from the article is that this…

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Keep it in the Middle!

Recently, an ophthalmologist mentioned that the lens implant he put in during cataract surgery did not look properly centered. For those uninitiated, whenever we take cataracts out of an eye, we usually try to replace it with a lens implant. For some types of lens implants, a lack of perfect centration isn’t the end of…

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Will you be on TV?

Something that is on the horizon with cataract surgery is the use of “heads up” displays. Currently, the way I operate employs the use of a microscope that I look into during surgery. It is an actual physical microscope that is above the patient during surgery, and I look directly into the eyepieces. This is…

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Netarsudil and Puncta

One of the things about glaucoma eye drops is that they can be pretty nasty to the surface of the eye. Unfortunately, we mostly have to live with this for our glaucoma patients, because the alternative to taking drops is often progressive vision loss to the level of no light perception. A relatively new glaucoma…

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Glaucoma Surgery

As the years go by, there are more and more surgical options to treat glaucoma. In my opinion, this is a great thing, because, historically, glaucoma treatment has involved a lot of eye drops–eye drops that patients must use every day, often multiple times per day. I hope that there are continued improvements in the…

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Irregular Corneas

I recently learned that there may be something coming out soon to help us with cataract surgery in irregular corneas, which is very exciting! But wait… what is an irregular cornea? It’s actually a little bit harder to explain that I thought it would be, because there are different patterns of regularity. The cornea is,…

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Neovascularization

I have mentioned it before in my blog, but neovascularization is such a big problem when it happens that I can’t keep my mouth shut about it. The word is a combination of “neo” (meaning “new”) and “vascularization” (meaning growth of blood vessels). One of the major complications of diseases of the eye, especially retinal…

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Lens of the Eye?

There is a part of our eyes called the lens, which, seemingly appropriately, people commonly believe is responsible for focusing light coming into the eye onto the retina. However, having done a cornea fellowship, I would be remiss if I did not point out that more of the focusing of light coming into the eye…

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