Host an ophthalmologist

Host an ophthalmologist
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 States and attending the AAO annual meeting. Each year our AAO / Rotary committee, chaired by Ken Tuck Read more:

Using Expired Eye Drops

Using Expired Eye Drops
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 never had a problem using expired drops. Off the record, most drug representatives will acknowledge Read more:

Treatment of Corneal Fungal Ulcers in the Developing World

Treatment of Corneal Fungal Ulcers in the Developing World
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 patient has a dense diffuse corneal abscess and perhaps a descemetocele at initial presentation. Read more:

Poor patients needing cataract surgery

Poor patients needing cataract surgery
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 weakening any eye care infrastructure already available in that community. Depending on where you are working, Read more:

Mannitol: Underrated and Underutilized

Mannitol: Underrated and Underutilized
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.
A capsular ring may be indicated but would also advise IV mannitol 2 - 2 - 2 : 20%, 200ml rapidly Read more:

Instructions for one week post op cataract patient

Instructions for one week post op cataract patient
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 but I am sure you can write out [ leave behind ] your own suggestions for the eye nurse or other Read more:

Fluorescein Strips

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 obviously add to your supply of fluorescein strips. Read more:

Fluorescein Drops

Fluorescein Drops
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 tetracaine. This will be the same concentration in the commercially prepared drops for checking IOP Read more:

Cataract Surgery Logistics for Poor Patients in the Developing World

Cataract Surgery Logistics for Poor Patients in the Developing World
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 cataract operation. In the States, no one requires lab work, EKG, chest X - ray, consultation on routine, healthy Read more:

Sutureless ECCE

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 is a written part [ text ] that is on the screen while the instructor is also speaking. Therefore an Read more:

Laser Pupilloplasty

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 a lot of viscoelastic and a long blade van ness scissors to do a pupilloplasty and reshape the pupil. I still Read more:

Hydroxypropyl methylcellulose

Hydroxypropyl methylcellulose
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 methycellose 2.5% drops with Optive artificial tears to make it last longer. I use a lot of methycellose as we have Read more:

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