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Greetings from San Francisco!

One of the most important things that I think that we do as clinicians is keep up with others doing the same job. That way, none of us becomes too isolated in our thinking and loses track of the good ideas and trends that are out there. That is one reason that I love to…

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Have you ever heard of PRK?

In the past, laser vision correction was limited to PRK. The PRK laser procedure changed the shape of the cornea to decrease the need for glasses. Eventually, a version of laser vision correction developed that involves a flap of the cornea, which is LASIK. In the early days of PRK and LASIK, PRK lost some…

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Doing your own work

I have found a small community of ophthalmologists who are all quite crazily meticulous with their calculations. When we do cataract surgery, we place lens implants in the eye to replace the natural lens of the eye that we remove. In order to place the correct lens implant for the correct patient, one has to…

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Minor Procedures?

After even very simple procedures, I tend to use eye drops for a short period of time. I have heard of other physicians who do not use any post-operative eye drops in similar situations. Most of the time, there are no issues. But once in a while, I hear a story about how a patient…

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What’s the Harm?

As ophthalmologists, we sometimes see things that are harmful done by non eye care professionals. The issue is that there are many practitioners who are primary care providers. They have about the same amount of time of training to treat the whole body as some of us do for just one little part of the…

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Comments in Threads

I am sad to note that I will no longer be able to respond to any comments in response to my blog posts or through the contact us page. The issue is that I am now receiving ~10,000 spam comments per week, and there is no way that I can comb through all of those…

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Cosmetic Contact Lenses

One thing that is very important to know about contact lenses is that contact lenses are medical devices. They need to be fitted to the eyeball to make sure that they are proper for that individual person. People also need instructions on how to use them. Using contact lenses improperly (especially those that may fit…

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Cataract Surgery Really Works

I recently heard another ophthalmologist who told me something that stopped me in my tracks. He said that ten years ago a patient tried to sue him for giving her too many wrinkles during cataract surgery. Obviously, this suit was unsuccessful. But what really happened? She really could see better, and she started noticing things…

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What do you believe?

I recently saw a video that said that we should all start with “why.” In the context of the video, it seemed to mean that we should tell people what we believe in, since that is what motivates us to do what we do. Rather than telling people “what” we do, we should tell them…

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Weill Marchesani

Recently, on an ophthalmology forum, I found a discussion about Weill Marchesani syndrome. It is an interesting disease. The most obvious part of the syndrome is that patients are short and stubby. It is amazing that patients also have a “short stubby” lens in their eye! Weill Marchesani patients have a lens that is smaller…

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