Keratoprosthesis

A few patients have mentioned K-Pros to me. These are basically artificial corneas that can be used when normal cornea transplants haven’t worked or typically don’t work (for example in situations with extensive destruction of the ocular surface). The upside for these artificial corneas is that they often give good clarity of vision in the…

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Checklists

When we operate, we are required to go through a checklist in order to make sure that everybody agrees about the surgery, specifically about things like identifying the patient and identifying which eye to treat. This is pretty important in order to make sure that the correct eye gets operated on, because wrong eye surgery…

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What color is my eye?

Many patients are very particular about making sure that the color of their eyes is correctly identified. “My eyes aren’t green; they’re gray-green with hints of hazel!” When we look at eyes really closely, we find that there are many different colors in the iris. The iris is the part of the eye that people…

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Cataract Surgery Anesthesia

I recently heard about an insurance company that decided that it was going to stop paying for anesthesia services for cataract surgery. Personally, I have experienced many situations in which a patient gets anxious or uncomfortable during surgery, which causes that person to move around. A moving patient during microsurgery is not a good situation.…

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New ways to stop surgical infections?

Recently an article was published that was actually able to show a statistically significant reduction in infections after cataract surgery. The reason that it is very hard to show any significant changes in infection rates is that the rates are so low that you have to have a ton of patients to be able to…

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Numbing Drops

Almost every patient I see has a numbing drop placed in the eye. Numbing drops can make eyes feel “heavy” or otherwise strange. It can sometimes help with the examination, especially in a patient who comes in for evaluation of eye irritation. These people absolutely LOVE the numbing drops! “Can I take those home with…

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Headaches and Eye Pain

Frequently, we see patients who say they have a pain in their eyeball. Certainly, there are many occasions in which eyes can hurt due to primarily eye-related issues, with diagnoses like inflammation in the eye. However, sometimes, there is no specific eyeball related issue that causes the pain. These patients will often complain that they…

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Those bright lights!

While I personally find going to the dentist to be a much scarier prospect than going to the eye doctor, there are many people who don’t like the eye doctor’s office. Why? Those bright lights! We use very bright lights during our examination, and we dilate patients to make the situation even worse. Why do…

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Why do I see squiggly lines with bright light in my eye?

Patients often notice that lights during an eye exam are really bright. Sometimes, people notice a pattern of lines that they only see with bright lights shining in their eyes. This pattern of squiggly lines is always the same, but these people don’t notice the lines when there aren’t any bright lights. What are they?…

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How high are cataract surgery expectations?

We can do wonders these days with cataract surgery. In the right patients, implantation of certain lenses can make them almost completely glasses free. (It is important to note that this cannot be done for ALL patients). However, I think that we have gotten to the point where the expectations for insurance-covered surgery need to…

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