25 February 2015
  918  

I recently attended the Widows and Orphans annual banquet which is a 165 year old medical society in Charleston, SC. The guest speaker was Rudolph Rustin, MD who recently completed 1 1/2 years ...

 918 

I recently attended the Widows and Orphans annual banquet which is a 165 year old medical society in Charleston, SC. The guest speaker was Rudolph ...

25 February 2015
 20 December 2014
  982  

International Council Of Ophthalmology

The International Council of Ophthalmology ( ICO ) Course for Ophthalmic Educators mentioned an available Australian grading program for diabetic ...

 982 

International Council Of Ophthalmology

The International Council of Ophthalmology ( ICO ) Course for Ophthalmic Educators mentioned an available ...

20 December 2014
 16 December 2014
  1001  

What I would like to do is summarize my experiences at the Academy this October. What I learned and took away from the Academy which might be useful in a developing world setting. As usual I will not ...

 1001 

What I would like to do is summarize my experiences at the Academy this October. What I learned and took away from the Academy which might be useful ...

16 December 2014
 10 August 2014
  10049  

Chapter 16 Corneal And External Diseases has sub-sections on microbial keratitis, viral infections, keratoconjunctivitis, acanthamoeba --- ocular manifestations, vernal keratoconjunctivitis, ...

 10049 

Chapter 16 Corneal And External Diseases has sub-sections on microbial keratitis, viral infections, keratoconjunctivitis, acanthamoeba --- ocular ...

10 August 2014
 02 August 2014
  5150  

Section 2 Methodology was useful for the novice, such as myself, in epidemiology ---- what are cross - sectional studies, bias, cluster sampling, rapid assessment of avoidable blindness ( RAAB ), ...

 5150 

Section 2 Methodology was useful for the novice, such as myself, in epidemiology ---- what are cross - sectional studies, bias, cluster sampling, ...

02 August 2014
 25 July 2014
  2059  

In the next several blogs I would like to review and summarize : Epidemiology Of Eye Disease 3rd edition by Gordon Johnson, Darwin Minassian, Robert Weale , and Sheila West. Imperial College Press. ...

 2059 

In the next several blogs I would like to review and summarize : Epidemiology Of Eye Disease 3rd edition by Gordon Johnson, Darwin Minassian, Robert ...

25 July 2014
 01 June 2014
  1282  
Recently I again traveled to Haiti alone to work as a volunteer with some local Haitian ophthalmologists ( friends ). I have visited Haiti 10 times the last 30 years and my ophthalmic colleagues ...
 1282 
Recently I again traveled to Haiti alone to work as a volunteer with some local Haitian ophthalmologists ( friends ). I have visited Haiti 10 times ...
01 June 2014
 31 May 2014
  787  


The Cataract Surgical Rate (CSR) varies greatly from country to country depending often primarily on surgeon supply.  In China the CSR is approximately 772 cases/million/year.  One major ...
 787 


The Cataract Surgical Rate (CSR) varies greatly from country to country depending often primarily on surgeon supply.  In China the CSR is ...
31 May 2014
 19 April 2014
  1899  

Glaucoma  is the second leading cause of blindness worldwide, cataracts being  number one.  Unfortunately glaucoma is often poorly diagnosed and managed.  With the next several ...

 1899 

Glaucoma  is the second leading cause of blindness worldwide, cataracts being  number one.  Unfortunately glaucoma is often poorly ...

19 April 2014
 13 April 2014
  1268  

From the RANZCO Congress - November 2013 (Royal Australian and New Zealand College of Ophthalmologists - http://www.ranzco.edu/), comes the Hollows lecture given by Dr. Nitin Verma as a must see ...

 1268 

From the RANZCO Congress - November 2013 (Royal Australian and New Zealand College of Ophthalmologists - http://www.ranzco.edu/), comes the ...

13 April 2014
 13 April 2014
  1520  


     I would recommend the Global Ophthalmology ( GO ) Guide website < www.aao.org/GOGuide >: topics concerning developing world ophthalmic issues, Vision 2020, ...
 1520 


     I would recommend the Global Ophthalmology ( GO ) Guide website < www.aao.org/GOGuide >: topics concerning ...
13 April 2014
 09 April 2014
  9649  
I have spoken about this previously but I continue to see patients in Belize and elsewhere in the developing world who have been hurt by having a penetrating keratoplasty. Recently I saw again a 16 ...
 9649 
I have spoken about this previously but I continue to see patients in Belize and elsewhere in the developing world who have been hurt by having a ...
09 April 2014
 09 February 2014
  11837  
   Recently I have been using K-Y Jelly as my gonioscopic gel. After applying proparacaine drops, I use it just as you would any gonioscopic gel agent. Cheaper than GonioGel and more ...
 11837 
   Recently I have been using K-Y Jelly as my gonioscopic gel. After applying proparacaine drops, I use it just as you would any ...
09 February 2014
 09 January 2014
  2018  


   I recently wrote this up for the African Vision website and thought I would share with my Global Alliance colleagues. I have never seen this type of severe advanced corneal abscess in ...
 2018 


   I recently wrote this up for the African Vision website and thought I would share with my Global Alliance colleagues. I have never ...
09 January 2014
 10 December 2013
  891  

Don't miss this exciting video produced by PBS in their series called Rx for Survival.  This feature tells the story of how Dr. Al Sommer while studying night blindness discovered how important ...

 891 

Don't miss this exciting video produced by PBS in their series called Rx for Survival.  This feature tells the story of how Dr. Al Sommer while ...

10 December 2013
 05 December 2013
  2257  

Below are some random information / suggestions from subspecialty symposiums , courses, etc. plus my input. Authors ( credit ) will not be acknowledged.

 

Bromfenac ( Xibrom ) 0.09% and ...

 2257 

Below are some random information / suggestions from subspecialty symposiums , courses, etc. plus my input. Authors ( credit ) will not be ...

05 December 2013
 05 December 2013
  1120  

Dr. Michael and Jessica Feilmeier from the Univ. of Nebraska, Global Blindness Prevention Division ( OpeningEyes Curing Blindness ) have established a web site (www.openingeyes.org) that will ...

 1120 

Dr. Michael and Jessica Feilmeier from the Univ. of Nebraska, Global Blindness Prevention Division ( OpeningEyes Curing Blindness ) have established ...

05 December 2013
 20 October 2013
  1336  
   Some of the suggestions listed below should be taught when overseas. Please teach / train. Leave behind knowledge.
  #1.  As a general rule, corneal transplants do not do well ...
 1336 
   Some of the suggestions listed below should be taught when overseas. Please teach / train. Leave behind knowledge.
  #1.  As a ...
20 October 2013
 21 September 2013
  1640  
Working overseas in a situation where there is no vitreoretinal backup can sometimes be daunting.

In the case of a dropped nucleus, the situation can be dire. A patient with a dropped nucleus usually ...
 1640 
Working overseas in a situation where there is no vitreoretinal backup can sometimes be daunting.

In the case of a dropped nucleus, the situation can ...
21 September 2013
 17 August 2013
  1351  
This will be the final excerpts of John Cheatham's booklet Reaching The Blind Poor.      The subject of cost of surgery to the poor is highly controversial to many. To me, it is very ...
 1351 
This will be the final excerpts of John Cheatham's booklet Reaching The Blind Poor.      The subject of cost of surgery to the poor ...
17 August 2013
 07 August 2013
  1330  

I wanted to continue my review of Dr. John Cheatham's booklet "Reaching The Blind Poor". John died in 2009 and his obituary ( "A Life Without Furniture" ) is posted here on Global Sight Network. His ...

 1330 

I wanted to continue my review of Dr. John Cheatham's booklet "Reaching The Blind Poor". John died in 2009 and his obituary ( "A Life Without ...

07 August 2013
 02 July 2013
  43879  
 Over the next several blogs, I would like to review / summarize the booklet produced by John Cheatham, MD ( Reaching The Blind Poor ) about ten years ago. John passed away unexpectedly  in ...
 43879 
 Over the next several blogs, I would like to review / summarize the booklet produced by John Cheatham, MD ( Reaching The Blind Poor ) about ten ...
02 July 2013
 15 May 2013
  1875  

Below is my check list when visiting rural or isolated eye clinics. This is not a list for the O.R. but rather for outreach activities when seeing patients with or without other eye health workers. ...

 1875 

Below is my check list when visiting rural or isolated eye clinics. This is not a list for the O.R. but rather for outreach activities when seeing ...

15 May 2013
 06 April 2013
  6205  

Many years ago while serving as a general medical officer at the National Leprosarium ( Carville ), I was privileged to work with Dr. Margaret Brand, British ophthalmologist, who had spent over 25 ...

 6205 

Many years ago while serving as a general medical officer at the National Leprosarium ( Carville ), I was privileged to work with Dr. Margaret Brand, ...

06 April 2013
 12 February 2013
  2359  

Here are some tips that I'd like to offer anyone who finds them useful.  They are in many different areas that I have found helpful.

   1. With juvenile cataracts be careful with ...
 2359 

Here are some tips that I'd like to offer anyone who finds them useful.  They are in many different areas that I have found helpful.

  ...
12 February 2013
 02 February 2013
  1819  

...

 1819 

Cable News Network featured a story on river blindness in the world and how the Carter Center has been helping with the effort to eliminate the ...

02 February 2013
 27 January 2013
  2793  

Indian Journal of Ophthalmology

Vol. 60, No.5 / Sept 2012

Free Full Text at <www.ijo.in>
   
  In conjunction with the 9th General Assembly 2012 of the Int. Agency for the ...

 2793 

Indian Journal of Ophthalmology

Vol. 60, No.5 / Sept 2012

Free Full Text at <www.ijo.in>
   
  In conjunction with the 9th ...

27 January 2013
 14 December 2012
  3027  
  1. Barriers to cataract surgery:     Unaffordable cost ( surgery / IOL , consultations, lab / EKG, transportation, accommodation, etc.  ). Family concerns ( no one to accompany ...
 3027 
  1. Barriers to cataract surgery:     Unaffordable cost ( surgery / IOL , consultations, lab / EKG, transportation, accommodation, ...
14 December 2012
 28 November 2012
  16091  

IAPB, 9th General Assembly
Eye Health : Everyone's Business
September 17-20, 2012 Hyderabad, India

The IAPB is an umbrella coordinating organization of over 120 members which was founded in 1978 by ...

 16091 

IAPB, 9th General Assembly
Eye Health : Everyone's Business
September 17-20, 2012 Hyderabad, India

The IAPB is an umbrella coordinating organization ...

28 November 2012
 11 October 2012
  2446  

The Tilganga Eye Center has produced a "Standard Operating Procedure Manual For: Modern Small Incision Cataract Surgery (SICS)." This is a NON-Phaco procedure.

A special thanks to all ...

 2446 

The Tilganga Eye Center has produced a "Standard Operating Procedure Manual For: Modern Small Incision Cataract Surgery (SICS)." This is a NON-Phaco ...

11 October 2012
 06 October 2012
  2031  
This was a poster that I shared at Hyderabad in the most recent IAPB General Assembly.  I'm interested in your comments on other signs or reasons that you might not do cataract surgery for a ...
 2031 
This was a poster that I shared at Hyderabad in the most recent IAPB General Assembly.  I'm interested in your comments on other signs or ...
06 October 2012
 20 August 2012
  4644  

Over the last 15 years plus of operating on mature cataracts, I have not uncommonly encountered an iris prolapse during the operation. Usually this is near the beginning of the operation. There ...

 4644 

Over the last 15 years plus of operating on mature cataracts, I have not uncommonly encountered an iris prolapse during the operation. Usually this ...

20 August 2012
 19 July 2012
  6312  

Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital

Aravind Haripriya, MD, David F. Chang, MD, Mascarenhas Reena, MS, Madhu Shekhar, MS
Click ...

 6312 

Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital

Aravind Haripriya, MD, David F. Chang, ...

19 July 2012
 11 June 2012
  5578  
I have spent many years in many developing countries living and working as an ophthalmologist / ophthalmic surgeon. I have seen, as we all have, many patients who have had one eye operation too many. ...
 5578 
I have spent many years in many developing countries living and working as an ophthalmologist / ophthalmic surgeon. I have seen, as we all have, many ...
11 June 2012
 11 June 2012
  3086  
The most common serious post op intraocular complication is a permanent bullous keratopathy. As we all know, patients with corneal edema are not happy campers --- discomfort, tearing, redness, ...
 3086 
The most common serious post op intraocular complication is a permanent bullous keratopathy. As we all know, patients with corneal edema are not ...
11 June 2012
 27 April 2012
  1753  

     Last year the IAPB and WHO released the latest figures for world blindness. The good news is the world blindness numbers have turned downward. There previously had been rather ...

 1753 

     Last year the IAPB and WHO released the latest figures for world blindness. The good news is the world blindness numbers have ...

27 April 2012
 16 April 2012
  1579  

I am writing concerning the AAO / Rotary Host an Ophthalmologist program which has existed for ten years and has resulted in 73 young ophthalmologists from developing world countries visiting the ...

 1579 

I am writing concerning the AAO / Rotary Host an Ophthalmologist program which has existed for ten years and has resulted in 73 young ...

16 April 2012
 08 April 2012
  2398  

We were 4 surgeons performing 580 cataracts and 5 minor procedures. We started at 8.30 Am and finished at 8 PM, we had one hour lunch time. Besides that we are performing 350 to 400 surgeries every ...

 2398 

We were 4 surgeons performing 580 cataracts and 5 minor procedures. We started at 8.30 Am and finished at 8 PM, we had one hour lunch time. Besides ...

08 April 2012
 08 April 2012
  1825  

Rengaraj Venkatesh and David Chang et al have just released a report in the Asia-Pacific Journal of Ophthalmology March/April issue reviewing the safety and efficacy of manual small incision cataract ...

 1825 

Rengaraj Venkatesh and David Chang et al have just released a report in the Asia-Pacific Journal of Ophthalmology March/April issue reviewing the ...

08 April 2012
 03 April 2012
  2873  

Although I would not recommend using expired drops in the States or if other choices are available, I have used expired eye drops in many eye situations in many countries over many years. I have ...

 2873 

Although I would not recommend using expired drops in the States or if other choices are available, I have used expired eye drops in many eye ...

03 April 2012
 03 April 2012
  6053  

Unfortunately corneal fungal ulcers often present quite late in the developing world. There is usually a history of minor injury [ abrasion ] to the eye with plant or vegetable material. Often the ...

 6053 

Unfortunately corneal fungal ulcers often present quite late in the developing world. There is usually a history of minor injury [ abrasion ] to the ...

03 April 2012
 03 April 2012
  1460  

Ideally the visiting eye team / surgeon should be seeing and operating on poor  patients rather than middle class patients. If you are operating on middle class patients than you might be ...

 1460 

Ideally the visiting eye team / surgeon should be seeing and operating on poor  patients rather than middle class patients. If you are operating ...

03 April 2012
 03 April 2012
  3880  

In cases of subluxated lens, zonular dehiscence, vitreous in A.C. pre op, or the need for secondary lens exchange with a  posterior capsule rent, I would strongly recommend pre op IV mannitol.


...

 3880 

In cases of subluxated lens, zonular dehiscence, vitreous in A.C. pre op, or the need for secondary lens exchange with a  posterior capsule ...

03 April 2012
 03 April 2012
  2600  
If you are operating for a limited time overseas, it may be helpful to leave written instruments  [ check list ] on seeing the one week post op cataract patient. Here are some of my suggestions ...
 2600 
If you are operating for a limited time overseas, it may be helpful to leave written instruments  [ check list ] on seeing the one week post op ...
03 April 2012
 03 April 2012
  1629  

Your supply of fluorescein strips can be extended [ prolonged ] by cutting each strip in half lengthwise. See attachment. Each " half " strip is enough to check the IOP in both eyes.This will ...

 1629 

Your supply of fluorescein strips can be extended [ prolonged ] by cutting each strip in half lengthwise. See attachment. Each " half " strip is ...

03 April 2012
 03 April 2012
  1321  

Fluorescein drops can be made in the eye clinic by adding 0.4 ml of a 10% fluorescein solution [ such as what is used for IV fluorescein angiography ] to a 15 ml eye drop bottle of proparacaine or ...

 1321 

Fluorescein drops can be made in the eye clinic by adding 0.4 ml of a 10% fluorescein solution [ such as what is used for IV fluorescein angiography ...

03 April 2012
 03 April 2012
  1525  

My deceased good friend, John Cheatham MD, used to get upset how many times  poor patients in the developing world were required to come back, over and over, prior to having a local ...

 1525 

My deceased good friend, John Cheatham MD, used to get upset how many times  poor patients in the developing world were required to come ...

03 April 2012
 03 December 2011
  1368  

 I recently received a copy of Dr. William Dean's DVD " Sutureless ECCE " which is excellent. His DVD shows clearly the manual small incision cataract extraction technique. One nice thing, there ...

 1368 

 I recently received a copy of Dr. William Dean's DVD " Sutureless ECCE " which is excellent. His DVD shows clearly the manual small incision ...

03 December 2011
 03 December 2011
  7869  

 

Seeing patients with markedly updrawn pupils, for whatever reason, is not rare in the developing world. When living previously in east Africa, I used to operate on these patients,  using ...

 7869 

 

Seeing patients with markedly updrawn pupils, for whatever reason, is not rare in the developing world. When living previously in east Africa, ...

03 December 2011
 27 November 2011
  1586  

I am currently in Belize and  last week was almost out of all goniodrops with no possible in country replacement for any hydroxypropyl methycellose.   I was actually  diluting the ...

 1586 

I am currently in Belize and  last week was almost out of all goniodrops with no possible in country replacement for any hydroxypropyl ...

27 November 2011
 08 November 2011
  2019  

 Here are a great list of very useful websites for reference of for teaching ophthalmology.  Some of them have excellent resources for the developing world. 

 
#1. ...
 2019 

 Here are a great list of very useful websites for reference of for teaching ophthalmology.  Some of them have excellent resources for the ...

08 November 2011
 20 September 2011
  4183  

In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and pc IOL insertion. This is a fine operation that ...

 4183 

In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and ...

20 September 2011
 16 September 2011
  1997  

 

If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ] wrapped around an implant, then help may be ...

 1997 

 

If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ...

16 September 2011
 16 September 2011
  9718  

Use one needle and two syringes. I prefer a 27gauge 1 1/4 inch needle which is usually readily available and much cheaper than the retrobulbar needles.

The first syringe should contain 4 ml Xylocaine ...

 9718 

Use one needle and two syringes. I prefer a 27gauge 1 1/4 inch needle which is usually readily available and much cheaper than the retrobulbar ...

16 September 2011
 13 June 2011
  4671  

Ophthalmic Pearls for on the field

Corneal ulcers with a perforation and a positive Seidel test often represent an ocular emergency if the eye is to be saved.  In developing countries, corneal ...

 4671 

Ophthalmic Pearls for on the field

Corneal ulcers with a perforation and a positive Seidel test often represent an ocular emergency if the eye is to ...

13 June 2011
 04 June 2011
  5595  

 If you are ever operating and find yourself without a working cautery, there are some options. You can simply use a muscle hook and heat it up with a candle. The candle gives off carbon which ...

 5595 

 If you are ever operating and find yourself without a working cautery, there are some options. You can simply use a muscle hook and heat it up ...

04 June 2011
 04 June 2011
  2058  

In the developing world, mitomycin can be frozen and stored for up to one year. Mitomycin comes as a 5 mg powder. Add 20 ml sterile water and this will make a 0.25 mg/ ml concentration. You can then ...

 2058 

In the developing world, mitomycin can be frozen and stored for up to one year. Mitomycin comes as a 5 mg powder. Add 20 ml sterile water and this ...

04 June 2011
 04 May 2011
  1981  

 

I was taught and have find that SIMCE is a viscoelastic operation. I use a lot of viscoelastic material to protect the endothelium. The incidence of Fuch's / guttata /  bullous ...
 1981 

 

I was taught and have find that SIMCE is a viscoelastic operation. I use a lot of viscoelastic material to protect the endothelium. The ...
04 May 2011
 16 March 2011
  1807  

KCCO Provides New Manuals  

KCCO has now received copies of the following two manuals.

 

 

 

 

Childhood Cataract in Africa (French edition)

 

The very popular ...

 1807 

KCCO Provides New Manuals  

KCCO has now received copies of the following two manuals.

 

 

 

 

Childhood Cataract in ...

16 March 2011

GSA Education

Notes on Glaucoma

Notes on Glaucoma
Visual Field testing ( perimetry ) is useful but often the first test is unreliable. Someone should stay in room with patient and have them look straight ahead. The test is worthless if patient is looking all around. The patient needs to be instructed on how to take the test. Give patient a Read more:

General Cataract Advice

General Cataract Advice
#1. If the V.A. is 20/60 or 20/70 with both eyes open without glasses then that may be sufficient vision. Everyone does not need to see 20/30 at distance. Many patients know their numbers but not their letters. May need to have patient read numbers rather than letters. #2. If the Read more:

Suggestions concerning MSICS - Part 2

Suggestions concerning MSICS - Part 2
This is the second part ( continuation ) of MSICS suggestions after the SEE course. After hydrodissection / hydrodelineation and a capsulotomy, if possible spin the nucleus  before you rotate  it up through pupil into A.C.  If unable to spin then just rock nucleus east / west and north/ Read more:

Eye Examination of a Small Child

Eye Examination of a Small Child
#1. Get a history from the mother. What is the eye problem? Was the child born pre-mature. ? Does the mother think the child can see? Has any other eye doctor seen the patient. What was their opinion? Ask the child some easy questions. Establish eye contact with the child. #2. Let the child sit Read more:

Evaluation of Pre-op Patient with Dense Cataract

Evaluation of Pre-op Patient with Dense Cataract
#A. Get a good history. Did the patient use to see well in that eye or always poor vision ( lazy eye). Any hx of old trauma? #B. Check IOP. Look at that eye with slit lamp.Is the cornea OK? Is the cataract displaced ( subluxated )? Below is three step evaluation for a mature cataract Read more:

Post-Ebola Survival Eye Clinic In Liberia Part 1

Post-Ebola Survival Eye Clinic In Liberia Part 1
Well here I am. I finally made it.
All my ophthalmic life I have wanted to work for / with Medecins Sans Frontieres ( MSF ) / Doctors Without Borders. Recently MSF, NYC told me I was the first ophthalmologist they have ever recruited. Currently I’m here in Monrovia, Liberia seeing post-Ebola Read more:

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