Ophthalmology

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Artificial Intelligence Creates Inroads to Ophthalmology Clinical Practice

Expanding opportunities to hone precision care, reduce burnout, improve patient satisfaction

May 07, 2023
ASCRS over a photo of the Seattle Convention Center in Seattle, WA.
Opinion
The Eye Surgery Turf War Isn't Serving Veterans

The VA should hold strong to its updated care guidelines

Dec 28, 2022
A photo of a male ophthalmologist standing in his office.
Eye Surgeons Divided Over Same-Day Bilateral Cataract Surgeries

New AAO guidelines urge caution, say patients should make final decision

Nov 15, 2021
AAO over a photo of the Ernest N. Morial Convention Center in New Orleans, LA.
Arkansas Ballot Issue Pits Ophthalmologists Against Optometrists

Ophthalmologists want to undo law allowing lesser-educated rivals to perform some laser surgery

Sep 11, 2020
A person lies covered in surgical cloth, their eye is held open by forceps, a surgeons gloved hands are moving.
Make the Diagnosis: What Do You Spy on This Eye?

Case Findings: A 64-year-old fisherman who hadn't seen his doctor in about a decade went in concerned about ocular pain. He had noticed a small raised area in the corner of his eye about 15 years earlier. Over time the area had slowly grown to a bulbar conjunctival plaque over a small area of his eye, but it had only ever caused a little bit of eye irritation. Now the pain and occasionally blurred vision made him worry that it would lead to a permanent loss of vision. Can you diagnose the patient?

Jan 29, 2018
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Make the Diagnosis: Red Eye, Green Discharge

Case Findings: A 17 year old male presents to your office with a red left eye. He says that last night he began having pain, redness, and irritation, and upon wakening today the symptoms were much more severe. At first the discharge was scant, but over the course of the day it worsened such that he has to continually wipe away "thick, green material. On exam, visual acuities are 6/6 in the right eye vs. 6/15 in the left eye. The right eye is not injected and normal on slit lamp examination. On examination of the left eye, there is severe injection and bogginess of the conjunctiva 360 degrees with abundant mucopurulent discharge. Peripheral corneal infiltrates and a 1+ cell reaction are also present. There is an enlarged preauricular lymph node on the left side. External appearance of the left eye is shown here. You suspect gonorrhea conjunctivitis and arrange for urgent antibiotic treatment. In addition to gonorrhea treatment, co-treatment of what infectious agent is recommended?

Jun 19, 2017
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Make the Diagnosis: A Toddler with Swollen Eyelids

Case Findings: A 4 year old male child is brought to your office by his mother who notes that his right eyelids have seemed red and swollen for the past 24 hours. She says that the child was outside playing in the backyard yesterday and thinks he was stung by a bee over the right upper eyelid. The redness and swelling began soon after. Although the child is in some discomfort, he seems otherwise well and is afebrile. On examination there is mild-moderate edema of the upper and lower eyelids but no apparent proptosis. Visual acuity is 20/20 bilaterally with normal extraocular movements, pupillary responses, and IOPs. What is the most likely diagnosis?

Jun 19, 2017
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Make the Diagnosis: Trip and Fall Corneal Conundrum

Case Findings: A 22 year old male presents for follow up of a corneal ulcer on the left eye. The patient originally came to your office 5 days ago after a fall in the woods while hiking. He says he tripped over a rock and fell face-first on the ground, scratching his left eye. He immediately had pain and photophobia in the eye, and presented to you hours later. His visual acuity was 20/30 in the left eye, and a small corneal ulcer was discovered. A corneal scraping was taken at the time and sent for culture and sensitivity, and the patient was sent home with antibiotics for the eye. Over the past 5 days, you have been following the patient each day and have noted that the ulcer is slowly growing in size and depth of penetration. Today, the eye is still erythematous with a persistent anterior chamber reaction. A slight hypopyon not documented at previous visits is also noted. The results of the culture and sensitivity came back today and were negative for bacterial growth. The picture here was taken on day 3 of treatment. What is the most likely diagnosis?

May 12, 2017
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Is 'Late Haze' Really Fibrosis? Ophthalmology Times

Also, the key to tear osmolarity testing

Apr 11, 2017
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Make the Diagnosis: Complications of Diabetes

Case Findings: A 65 year old female is referred to your practice for diabetes screening. She has not had an eye exam in 20 years. On examination, best-corrected visual acuities are 20/30- in the right eye vs. 20/40+ in the left eye. Both anterior segments are unremarkable apart from early nuclear sclerotic changes, but no neovascularization. Based on the fundus color, and fluorescein angiogram shown here, what is your diagnosis?

Mar 27, 2017
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AAO: High Myopia Corrected with Collamer Lens

Endothelial cell loss is minimal

Oct 20, 2016
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Make the Diagnosis: Select the Surgery

Case Findings: Which choice is the correct procedure for the patient's preoperative condition, based on the image shown?

Aug 30, 2016
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Make the Diagnosis: Vision Obscured

Case Findings: A 35-year-old woman who normally wears contact lenses visited the ED with ocular pain, photophobia, and blurred vision that had developed over the last several weeks in her right eye. Upon exam, the doctor saw a diffuse white infiltrate on her cornea. The doctor started her on antibiotic medication, but it did not help, and she returned to the ED after a few days. What is your diagnosis?

Apr 26, 2016
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Opinion
What Can Be Done to Reduce Operating Room Delays?

Solutions are often elusive, says Skeptical Scalpel

Feb 19, 2016
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