Ogul Uner, MD, invites Ta Chen Peter Chang, MD, a pediatric glaucoma specialist, to review a case of a 9-month-old boy who presented with significant photophobia in both eyes. Examination showed IOP of 32 mm Hg in the right eye and 29 mm Hg in the left eye with moderate optic nerve cupping in both eyes. Dr. Chang shares what additional information he would look for to make a diagnosis of pediatric glaucoma. He also shares insights from the Childhood Glaucoma Research Network, a consortium of glaucoma specialists that has developed a consensus of diagnostic criteria.
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35:25
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35:25
Case Review: Acute Anterior Uveitis
Kareem Moussa, MD, speaks with Ogul Uner, MD, about a case in which a 30-year-old man presented with pain, redness, and photophobia in his right eye for 3 days. The patient reports that the pain was sudden, worsening, and similar to a previous instance 1 year prior in his left eye that had been treated with drops. Dr. Moussa explains the information he would need to determine a diagnosis and recommend treatment for this patient. He emphasizes the importance of considering potential systemic conditions that can cause eye inflammation and shares the clinical findings of anterior uveitis, its treatments, and potential risks.
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29:35
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29:35
Astigmatism Management During Cataract Surgery
In this episode, instead of reviewing just one case, Sila Bal, MD, MPH, invites Neda Shamie, MD, to share her insights into challenging cases of astigmatism management during cataract surgery. Dr. Shamie explains how modern patients have higher expectations for optimized refractive outcomes and reviews her preferred techniques for astigmatism management in these cases. They discuss limbal relaxing incisions, arcuate incisions, and toric IOLs, and when to consider each approach based on the severity of astigmatism.
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33:19
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33:19
Case Review: Retrobulbar Optic Neuritis
In this episode, John Chen, MD, PhD, joins Ogul Uner, MD, to share his experience in neuro-ophthalmology. In the case discussed, a 32-year-old woman presented with decreased vision and pain in her right eye for 1 week, and examination revealed a rapid afferent pupillary defect. The patient also mentioned she had experienced numbness in her right arm 1 year ago. Dr. Chen explains why he would suspect retrobulbar optic neuritis in this case, and what his next steps would be to confirm that diagnosis and treat the patient.
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34:53
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34:53
Case Review: Diagnosing Neovascular AMD
Katherine Talcott, MD, joins Ogul Uner, MD, to review a case of a 70-year-old woman with a history of intermediate dry age-related macular degeneration (AMD). The patient now presented with wavy lines in her vision in the right eye, and dilated exam showed several large drusen in both eyes with no retinal hemorrhages. OCT of the right macula showed fibrovascular pigment epithelial detachments with retinal pigment epithelium and fluid. Dr. Talcott describes her initial thoughts about the case and the additional information she would look for to make a diagnosis of neovascular AMD. She also discusses her management approach for patients with wet AMD.
See one. Do one. Teach one.
A case-based podcast hosted by Sila Bal, MD, MPH, featuring all stages of the journey through ophthalmology, from first year residents to the leading experts. Learning by sharing.
New Zealand