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.
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30:30
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30:30
Case Review: White Dot Syndromes (Part 1)
Jordan Deaner, MD, vitreoretinal surgeon and uveitis specialist at Wills Eye Hospital, talks to Ogul Uner, MD, about white dot syndromes, a group of inflammatory chorioretinopathies. In the discussed case, a 35-year-old woman presented with photopsias in both eyes, and dilated examination showed 1+ vitreous cells and gray-white lesions in both eyes. Dr. Deaner explains what additional questions he would ask about this patient’s history and how he would start to build a differential diagnosis. Drs. Uner and Deaner further discuss the typical presentations of white dot syndromes, including acute posterior multifocal placoid pigment epitheliopathy (APMPPE), multiple evanescent white dot syndrome (MEWDS), and others.
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26:26
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26:26
Case Review: Dermatochalasis, Periorbital Rhytids, and Mid-Face Volume Loss
Julie Woodward, MD, oculoplastic and orbital surgeon, joins host Sila Bal, MD, MPH, to discuss surgical and nonsurgical treatment options for facial aesthetics and rejuvenation. In the case discussed, a 62-year-old woman presented with complaints of looking tired and was interested in rejuvenation options. Examination revealed mild dermatochalasis, periorbital rhytids, mid-face volume loss, and jowling. Dr. Woodward shares insights into determining the most appropriate treatment approach for patients like this.
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