Happy Thanksgiving!

Each year, this Holiday gives us a moment to reflect on what we are thankful for. Certainly there are stressors in the pandemic era, but I am still very grateful and happy to be in the profession that I am in and to be able to have discussions with other ophthalmologists so we can continue…

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Catarocks

Sometimes we as ophthalmologists try to remove really dense cataracts. When those cataracts are really hard, trying to break them up to remove them is like trying to drill into a rock! I have often heard of these types of cataracts referred to as “catarocks.” Needless to say, we don’t prefer operating on catarocks. This…

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Thick glasses?

Sometimes I have been asked, “what are the thickest glasses you’ve ever seen?” I don’t know if I am forgetting anyone, but I recently had a patient was has -25.0 D glasses! Keep in mind that some people even find -3.0 D and -4.0 D glasses to be thick. These were 6-8 times more powerful.…

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What is a hyphema?

Sometimes we use language that is very unique to ophthalmology. If we tell a patient, “you have a hyphema,” the appropriate response is almost certainly, “what is a hyphema?” A hyphema is blood in the space between the cornea and the iris. The cornea is the very front of the eye, like the “windshield” of…

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What’s in a warm compress?

I often tell my patients: “do warm compresses.” If warm compresses are in a regimen with other treatments, I often find that they are the first things left out. I guess warm compresses are low tech and don’t have to be purchased, so patients don’t think that they are valuable? The truth is that warm…

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Winged Eyeball

One of my most common surgeries is removal of a pterygium. You might ask, “what is a pterygium?” A pterygium is a growth on the surface of the eyeball. It is really like an overgrowth of existing tissue (but there is obviously an alteration of the normal tissue which relates to its overgrowth). The name…

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Fancy Lenses

I recently was on a forum of ophthalmologists, and someone posted a question about a patient. This patient did not have a normal cataract surgery lens placement, though the author did not describe why. In any case, the patient is not happy and wants the lens implant exchanged but also wants all the bells and…

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What’s a sulcus?

When we perform cataract surgery, we take the cataract out of its capsule and then use the capsule as a way to stabilize the lens implant. Sometimes we use a different word for the capsule, which is “bag.” Sometimes we even call it a “capsular bag.” The capsule is behind the colored iris of the…

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Sleeping in Contact Lenses

I have written before about sleeping in contact lenses, but I feel that it is a topic that should be addressed frequently. Very frequently, I am surprised when I talk to patients about contact lenses. The common refrain is “Nobody ever told me that before!” There isn’t any great insight here, but just a very…

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Dislocated Intraocular Lenses

We do cataract surgery all the time, and at the time of cataract surgery, we place intraocular lens implants. One thing that can happen to lens implants over time is that they can move out of place. It is very rare for this to happen, but it is definitely possible. One of the most common…

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