Somebody posed this interesting question: Just wanted to know if anyone is using avastin in Neovascular glaucoma- intravitreal/intracameral. any advantage of intracameral over intravitreal ( ofcourse coupled with PRP)? any specific precaution to be taken while giving intracameral in this situation? The responses were varied and interesting from leading practicing eye doctors in India: 1.… Read More »
I never fail to emphasize that a doctor is also a scientist. He must have a questioning, skeptical mind and a clear, rational thinking. Experimentation and publication in peer-reviewed journals is critical to scientific progress. Got our work published in the Jan 2014 issue of the Indian Journal of Ophthalmology. ORIGINAL ARTICLE Year :… Read More »
How to plan for your first multi-focal, toric IOL It is a good option, if the patient has more than 0.75 D CORNEAL astigmatism. He should have a strong desire to have good vision without spectacles. Those who are happy wearing glasses, should be left to do that! You should be sure of your surgeon induced… Read More »
Dilate exam Question The incidence of RD after cataract surgery is around 1% ( ref: http://www.ncbi.nlm.nih.gov/pubmed/12759852), while the incidence of retinal detachment after LASIK is around 0.25% (http://www.revophth.com/content/d/retina/c/22877/). Some studies quote an even lower rate for RD after LASIK Looking at these stats, will it be safe to assume that cataract surgery poses a similar… Read More »
We shall discuss three questions here: 1. OT fumigation in Indian setting 2. Intra cameral antibiotics as prophylaxis for endophthalmitis 3. Intra ocular surgery in pathological myopic eyes 1. As we know formalin used for fumigation of OT is carcinogenic so what is good & economical alternative for fumigation. Also from whom (manufacturer details)… Read More »
Adenoviral conjunctivitis Etiology: Epidemic keratoconjunctivitis (EKC) is one of the most common ocular viral infections caused by adenoviruses. Adenovirus family consists of different serotypes. Serotypes 8, 11 19 and 37 are held responsible for EKC and it is known that especially serotypes 8 and 19 cause epidemics [1,2]. Clinical Presentation: Disease presents itself after an… Read More »
In this blog, I shall discuss two different topics: 1. Astigmatism arising due to IOL tilt 2. The role of lasers in the era of anti-VEGF Intravitreal injections We shall discuss the first one in the form of an actual case. The second topic will be discussed in general. This type of discussion brings out… Read More »
Diabetic Macular Edema (DME) Today, many general ophthalmologist are practicing medical retina and are managing diabetic retinopathy by themselves (not referring to vitreo-retinal surgeons). But is are no hard and fast rule on its management and different physicians tackle it differently. There was a question posed and following were the responses: Does anybody practice combining… Read More »
Here, I wish to share with you a video of a surgery being performed by Dr. Mohamed Salih from Sudan. http://www.youtube.com/watch?v=HRuw9lLtDqY The point is to show you how easy it is to combine trabeculectomy with SICS. The beauty is that you complete the whole SICS cataract surgery. Then with 2 cuts, you convert the tunnel… Read More »
In this blog, we shall discuss 2 questions. Question 1. How does one differentiate between posterior polar cataract (PPC) from central posterior subcapsular cataract (PSCC) ? PPCs are different from PSCCs in following ways. The PPCs are typically punched out well demarcated in the central posterior capsule. Posterior polars have concentric rings (onion whorl patterned) around… Read More »