Practical, topical conversations with experts across the spectrum of ophthalmology. Subscribe for the latest information, evidence-based practice standards, and innovations in eye care, from the American Academy of Ophthalmology.
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Join Ophthalmology’s social media editors as they interview authors and editors of the American Academy of Ophthalmology’s journal family: Ophthalmology, Ophthalmology Retina, Ophthalmology Glaucoma, and Ophthalmology Science.
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Vodcasts including long-form and short videos on ophthalmology, uveitis, medicine, technology. These videos have an informal approach, and I welcome ideas for topics to cover. These are also available on other media: Youtube: https://www.youtube.com/@drnimaeye/featured Instagram: https://www.instagram.com/drnimaeye/ TikTok: https://www.tiktok.com/@drnimaeye Facebook: https://www.facebook.com/DrNimaGhadiri
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Bevacizumab in High-Risk Penetrating Keratoplasty
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23:19
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Dr. Matt Feng is joined by Dr. Thomas H. Dohlman to discuss the effectiveness of topical and subconjunctival bevacizumab in suppressing vascularization in graft and host bed after high-risk corneal transplantation, from his Ophthalmology Science article “Suppression of Neovascularization by Topical and Subconjunctival Bevacizumab After High-Risk Co…
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Stickler Syndrome and Preventive Treatment
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33:06
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33:06
Drs. Emmanuel Chang and Eric Nudleman join host Dr. Ben Young to review Stickler syndrome, when to suspect, and how to diagnose this condition that can lead to significant systemic manifestations and severe vision loss. The panel also discusses the role and evidence for prophylactic treatments to reduce the rate of retinal detachment, which can occ…
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What does hearing dysfunction have to do with an ophthalmology podcast? Listen up and find out as Dr. Drew Carey interviews Dr. Jamie A. Keen and Dr. Erin M. Shriver on the risks of using teprotumumab to hearing function in treatment of thyroid eye disease. From their article “Frequency and Patterns of Hearing Dysfunction in Patients Treated with T…
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Host Dr. Jay Sridhar welcomes Dr. Gareth Lema to discuss his group's recent study published in Ophthalmology that quantified the amount of eye drop waste in ophthalmic clinics and the implications for practice. When handled appropriately, argues Dr. Lema, eye drops can be used until the FDA-regulated expiration date, and thus help reduce both their…
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Recurrent Retinal Redetachment after Cataract Surgery
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23:59
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Dr. Matt Feng interviews Drs. Bita Momenaei and Jason Hsu on the incidence, timing, risk factors, and outcomes of recurrent retinal detachment after phacoemulsification, from their Ophthalmology Retina article, “Incidence and Outcomes of Recurrent Retinal Detachment after Cataract Surgery in Eyes with Prior Retinal Detachment Repair.” Incidence and…
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Medical Mistakes and What Doctors Can Learn From Pilots
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33:21
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Dr. Tamara Fountain joins host Dr. Ben Young to discuss strategies to avoid medical mistakes, how to recognize cognitive biases that can lead to diagnostic error, and what we can learn from the airline industry to improve patient safety. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.…
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G2211 Add-On Code and the Patient–Physician Relationship
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The Centers for Medicare and Medicaid Services (CMS) created the new G2211 add-on code to address the resource cost and effort to build patient relationships with those impacted by chronic and complex conditions. Use of this new add-on code is dependent on ophthalmologists building strong long-term relationships with patients to benefit their longi…
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Private Equity & Ophthalmology: Spending and Services After Acquisition
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27:46
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Private equity (PE) firms acquired over 200 ophthalmology and optometry practices in the United States from 2021 through 2019. Dr. Rajesh Rao interviews author Dr. Gary Joseph Lelli about the implications of this trend and influence of PEs on care use and spending, from his Ophthalmology article, “Association of Private Equity Firm Acquisition of O…
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Spaceflight-Associated Neuro-Ocular Syndrome (SANS)
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23:37
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Spaceflight-associated neuro-ocular syndrome (SANS) is a constellation of findings that often present in astronauts who have undergone long-duration space flight in microgravity environments. Astronauts with SANS may have disc edema, choroidal folds, cotton wool spots, nerve fiber layer thickening on OCT, globe flattening, and hyperopic shift. In t…
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Efficacy of Carbonic Anhydrase in Patients with X-Linked Retinoschisis
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X-linked retinoschisis is a relatively common inherited retinal degenerative disease that almost exclusively affects males. No curative medical therapy is available for this condition, however topical and oral carbonic anhydrase inhibitors have been used for the management of cystoid fluid collections. Dr. Drew Carey interviews authors Dr. Jonathan…
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The Impact of Declining Reimbursements for Retinal Procedures
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26:41
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Episode Description Drs. Avni Finn and Yoshi Yonekawa join host Dr. Jay Sridhar to discuss the current state of retinal reimbursements and the impact that the cost of certain diagnostic and surgical procedures is having on the delivery of patient care. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.…
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Aqueous Macrophages Contribute to Conserved CCL2 & CXCL10 Gradients in Uveitis
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Uveitis is a heterogenous group of inflammatory eye diseases for which current cytokine-targeted immune therapies are effective for only a subset of patients. Dr. Edmund Tsui is joined by Dr. Lynn M. Hassman and MD/PhD student Joseph B. Lin to explore potential common underlying mechanisms that exist for immune cell recruitment in uveitis in their …
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Retinal Artery Occlusions: To tPA or Not to tPA?
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With increasing awareness that a retinal artery occlusion (RAO) is a type of stroke, ophthalmologists must be able to plan the next steps of care when an RAO is identified on exam. Drs. Amanda Henderson and Michael Carper join host Dr. Amanda Redfern to guide us through their recommendations and various tricky scenarios, notably whether or not to a…
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Vitamin A deficiency is the leading cause of preventable childhood blindness worldwide, but how does this deficiency present itself in a clinical setting? Dr. Drew Carey finds out as he interviews Dr. Nieraj Jain, author of “Characteristics of Vitamin A Deficiency Retinopathy at a Tertiary Referral Center in the United States.” Characteristics of V…
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How do ChatGPT and other large language models (LLMs) work, and how might ophthalmologists harness their power for use in clinical practice? Drs. Peter Campbell and Travis Redd join host Dr. Amanda Redfern to discuss the advent of generative AI and its current and future implications for the practice of ophthalmology. For all episodes or to claim C…
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Outcomes and Complications after IOL Exchange
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35:19
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An analysis of the IRIS® Registry shows IOL exchanges are increasing over time with vision improving 60% of the time, but worse visual outcomes associated with greater age, worse baseline vision, Black race, Hispanic ethnicity, Medicaid insurance, smoking, and concurrent vitrectomy. Dr. Matt Feng sits with authors Drs. David F. Chang and Fasika A. …
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Dr. Chris Leffler, pediatric ophthalmologist and medical historian, joins host Dr. Andrew Pouw to discuss his study of the history of ophthalmology, ranging from the origin and use of the term "glaucoma," to the evolution of cataract surgery from antiquity to the modern era. For all episodes or to claim CME credit for selected episodes, visit www.a…
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Ophthalmology Workforce Projections, 2020-2035
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15:15
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The Department of Health and Human Services, Health Resources and Services Administration’s Health Workforce Simulation Model forecasts a sizeable shortage of ophthalmology supply relative to demand by the year 2035, with substantial geographic disparities. Dr. Edmund Tsui is here with author Dr. Sean T. Berkowitz to breakdown the implications of t…
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Surgical Anxiety and Performance in Ophthalmology
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Drs. Annie Wishna and Royce Chen join host Dr. Jay Sridhar to discuss their experiences teaching trainees with surgical anxiety. Throughout the episode, our guests share their personal anecdotes, measures to overcome surgical anxiety, and how to foster a culture that supports psychological improvement. For all episodes or to claim CME credit for se…
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The Effect of Scleral Buckle Surgery on Glaucoma Risk
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25:53
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Scleral buckling is a common surgical procedure for the repair of rhegmatogenous retinal detachment. The association between scleral buckling and angle-closure glaucoma is well-documented. However,the influence of scleral buckling on the development and progression of open-angle glaucoma is less well understood. Dr. Lori Provencher interviews Dr. A…
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Harnessing the Power of Social Media for the Ophthalmologist
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38:49
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Drs. Rupa Wong and Dagny Zhu join host Dr. Amanda Redfern to share their experience and expertise using social media to successfully promote their ophthalmic practices and enhance their professional careers. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
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Neuro-ophthalmology consultations are critical to the diagnosis and management in the hospital setting. Prompt consultation prevents diagnostic errors and improves patient outcomes. The scarcity of neuro-ophthalmologists means that the increasing outpatient demand cannot be met, prompting many emergency department referrals by non–neuro-ophthalmolo…
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Ocular Side Effects of Checkpoint Inhibitors
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33:35
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Drs. Meghan Berkenstock, Stella Kim, and Lauren Dalvin join the show again to teach us about immune checkpoint inhibitors: game changers in oncology, but with a host of ocular side effects. All eye providers will be seeing more patients on this class of medication, and our panel teaches us what to look for and how to manage it. Additional resources…
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Presentation & Outcomes of Acute Syphilitic Posterior Placoid Chorioretinopathy
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16:45
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Syphilis is often known as the “the great masquerader” because it can mimic symptoms and look like a wide array of other diseases. Dr. Edmund Tsui interviews Dr. Michael Huvard to get to the bottom of how acute syphilitic posterior placoid chorioretinopathy presents itself in eyes and the outcomes for these patients, from his Ophthalmology article …
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Socioeonomic Determinants of Corneal Health
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30:03
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30:03
Drs. Fasika Woreta and Ekjyot Gill join host Dr. Jay Sridhar to discuss the literature and their experiences surrounding socioeconomic determinants of corneal pathology, and how social risk factors impact access to necessary corneal treatment and surgery. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.…
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Stem Cell Transplantation and Optic Nerve Regeneration
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30:44
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Dr. Drew Carey sits down with Dr. Thomas V. Johnson to discuss the work of the RReSTORe Consortium in the field of regenerative medicine as applied to optic neuropathies from his Ophthalmology Science article, “The Retinal Ganglion Cell Repopulation, Stem Cell Transplantation, & Optic Nerve Regeneration (RReSTORe) Consortium.” For more of the Ophth…
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The Lasker Award for Optical Coherence Tomography
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36:44
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Dr. David Huang joins the show to share his story of developing optical coherence tomography (OCT), for which he, Dr. James Fujimoto, and Eric Swanson won the National Medal of Technology, the highest award for innovators in the United States, as well as the 2023 Lasker–DeBakey Clinical Medical Research Award, often called "America's Nobel Prize." …
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Endothelial keratoplasty (EK) procedures have become the preferred method of corneal transplantation in the United States. As the frequency of EKs increase, so do associated costs. Dr. Matt Feng interviews Drs. David S. Portney and Shahzad I. Mian about their recent analysis to assess for differences in surgical costs and surgery length based on ty…
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Private Equity Ownership and Hospital Adverse Events
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39:36
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Host Dr. Jay Sridhar invites Drs. Sneha Kannan and Zirui Song to discuss their research group's recent publication in JAMA analyzing the association between private equity ownership and the rate of hospital adverse events, and what the results could indicate for ophthalmologists and other physicians. For all episodes or to claim CME credit for sele…
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Outcomes of Glaucoma Reoperations in the Primary Tube Versus Trabeculectomy
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22:56
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The Primary Tube Versus Trabeculectomy Study is a multicenter randomized clinical trial comparing the safety and efficacy of tube shunt surgery and trabeculectomy with mitomycin C in eyes without previous ocular surgery. Dr. Lori Provencher sits down with authors Dr. Sara J. Coulon and Dr. Steven J. Gedde to discuss the results of this trial from t…
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Host Dr. Andrew Pouw and Dr. Chris Johnson, a leading authority on visual field research, discuss the advent of virtual reality (VR) visual field perimetry, its advantages over conventional bowl perimetry, and how this new diagnostic technology will impact the care for patients with glaucoma. For all episodes or to claim CME credit for selected epi…
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Predictors of Poor Visual Outcome in MOG-related Optic Neuritis
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Myelin oligodendrocyte glycoprotein-related optic neuritis is typically associated with good visual outcome in most patients, but poor outcomes are reported in 15% to 36.8% of patients. Dr. Drew Carey sits down with Dr. Edward Margolin to discuss the possible factors associated with poor outcomes, from his Ophthalmology article, “Predictors of Poor…
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Ergonomics in the Clinic and Operating Room
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31:24
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Recent surveys have shown that a majority of ophthalmologists report musculoskeletal pain in the neck, back, and shoulders. Those who regularly use surgical loupes or perform clinical exams that induce neck flexion—such as when examining for retinopathy of prematurity (ROP)—may be at even higher risk for chronic pain and disability. In today’s epis…
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Live at AAO 2023: Six Myths of the Anterior Segment
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Recorded live at AAO 2023 and we’re myth busting common ophthalmologic misconceptions of the anterior segment. Drs. Drew Carey and Matt Feng interview Dr. Todd Margolis on his recent Ophthalmology editorial, “Six Myths of the Anterior Segment: Misunderstandings and Critical Thinking in Ophthalmology.” He shares bonus myths not in the editorial, and…
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Drs. Natalie Homer and Andrea Tooley share some major can’t-miss diagnoses in the lids and orbit that carry significant morbidity and mortality, including sebaceous cell carcinoma, orbital tumors, and infectious processes such as mucormycosis and necrotizing fasciitis. Strategies for imaging, histopathology, and management are also discussed. For a…
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Ophthalmologist Turnover in the United States
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18:46
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One-third of US ophthalmologists left at least one practice from 2014-2021. What are the factors behind this high turnover rate, how does this affect patient care, and what can be done to stabilize the workforce? Dr. Rajesh Rao interviews Dr. Ravi Parikh about his Ophthalmology article, “Ophthalmologist Turnover in the United States: Analysis of Wo…
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A surgical team from NYU Langone Health recently made history when it performed the world's first whole-eye and partial-face transplant in a patient who survived a high-voltage electrical accident. In today's episode, host Dr. Ben Young welcomes Dr. Vaidehi Dedania, a retina specialist and the primary ophthalmologist involved in the case, to discus…
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Video Short: Ordering specific tests in Uveitis – Avoiding a scattershot approach
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Ordering specific investigations in uveitis involves a systematic approach to identify the underlying cause and guide appropriate treatment, with the initial evaluation typically including a comprehensive eye examination, detailed medical history, and assessment of symptoms, carefully analysing risk factors and clues to diagnosis.This short discour…
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Adhering to an eye drop regimen can be difficult—especially for elderly patients with glaucoma. Those same patients often face an unexpected additional barrier to care when they run out of their medication and are denied early refills by a pharmacy or coverage by their insurance carrier. In today’s episode, Dr. Kevin McKinney talks about how his ow…
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MERIT Trial Results: Intravitreal Therapy for Uveitic Macular Edema
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20:55
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What treatments are effective for uveitic macular edema? Drs. Nisha R. Acharya and Douglas A. Jabs of the MUST Research Group discuss with Dr. Edmund Tsui the landmark findings of the MERIT Trial in their recent Ophthalmology article, “Intravitreal Therapy for Uveitic Macular Edema—Ranibizumab versus Methotrexate versus the Dexamethasone Implant.” …
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How do you advise patients who need an intraocular tamponade but also plan to travel into areas of high altitude or by air? When should the surgeon opt for silicone oil instead of gas or air? Drs. Sarah Read and Jack Stringham share their experiences and pearls for managing retinal surgery in these challenging cases. For all episodes or to claim CM…
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News broke in early 2023 of several deaths related to use of contaminated over-the-counter artificial tear products resulting in FDA and CDC warnings and a product recall. Dr. Matt Feng reviews what transpired and discusses lessons learned with Dr. Gary Novack, author of the Ophthalmology editorial, “Infections from Over-The-Counter Artificial Tear…
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The Ophthalmologist's Guide to Guide Dogs
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55:59
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Where do guide dogs come from? How are they trained, and how do they functionally support patients with visual impairment or blindness? What steps should you follow to "prescribe" a guide dog? Which patients qualify, and how much does it cost? In today’s episode, host Dr. Ben Young invites Jake Koch and his dog Forli from Guide Dogs for the Blind t…
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Risk of Pseudophakic Cystoid Macular Edema in Cataract Surgeries
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14:51
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Cataract surgery is one of the most commonly performed surgeries globally. What are the risk factors for patients developing pseudophakic cystoid macular edema after cataract surgery? Dr. Edmund Tsui sits down with Dr. Ahmed B. Sallam to discuss the findings of his Ophthalmology article, “Risk of Pseudophakic Cystoid Macular Edema in Fellow-Eye Cat…
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Ocular Side Effects of Antibody-Drug Conjugates
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Antibody-drug conjugates (ADCs) are new chemotherapeutic agents that can cause significant ocular side effects. Drs. Meghan Berkenstock, Lauren Dalvin, and Stella Kim review this new class of drugs and how they can affect the eye, providing essential tips for what to look for, when to screen, and how to treat the side effects. Prescribing informati…
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Video Short: Anterior Uveitis & Axial SpA - HLA-B27 Testing, Features, Support? (feat Detective Pikachu & others)
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The most common type of Uveitis (inflammation in the eye) is anterior uveitis, or iritis, and almost 50% of patients with this condition test positive for the genetic marker HLA-B27. Having a positive result could potentially help establish the diagnosis, guide treatment, and provide information about prognosis. It can help avoid unnecessary diagno…
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Reduced Cone Density in Multiple Sclerosis
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21:27
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Does multiple sclerosis contribute to the degeneration of the outer retinal layers? Dr. Drew Carey interviews Dr. Imre Lengyel on his recent Ophthalmology Science article, “Reduced Cone Density Is Associated with Multiple Sclerosis.” Reduced Cone Density Is Associated with Multiple Sclerosis. McIlwaine, Gemma et al. Ophthalmology Science, Volume 3,…
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Modern Approaches to Diagnosing and Treating Retinoblastoma
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33:06
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Drs. Maura Di Nicola and Basil Williams sit down with host Dr. Jay Sridhar to review how retinoblastoma treatments have evolved, including discussion of intra-arterial and intravitreal chemotherapy and liquid biopsy using aqueous humor samples. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.…
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Video Short: Unlocking Uveitis mysteries - History, Examination, or Lab Tests?(Pingu X Indiana Jones X Fast Show)
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All three of history, examination and lab tests have important roles to play in diagnosing Uveitis. This short (featuring a league of extraordinary defectors including Pingu, the Fast Show tailor, Indiana Jones and Sherlock Holmes) focuses on the importance of uncovering the patient's history to identify potential underlying triggers or associated …
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A Review of RCT Ophthalmic Papers 2020-2021
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How can we improve the design and reporting of ophthalmic randomized controlled trials? Dr. Edmund Tsui discusses this with Dr. Gui-shuang Ying author of Ophthalmology Science’s “Characteristics of Design and Analysis of Ophthalmic Randomized Controlled Trials.” Characteristics of Design and Analysis of Ophthalmic Randomized Controlled Trials. Dong…
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