IAPB Poster Mature Cataract Evaluation Pre Op

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 dense cataract. Peace, Read more:

Peripheral Iridotomy For Iris Prolapse

Peripheral Iridotomy For Iris Prolapse
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 certainly can be many causes for this --- a beginning choroidal hemorrhage ( rare ), to poor wound Read more:

First Do No Harm: Corneal Transplants In The Developing World

First Do No Harm: Corneal Transplants In The Developing World
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. It is not correct nor appropriate to operate on a developing world eye patient when the surgical Read more:

Treatment Of Bullous Keratopathy In The Developing World

Treatment Of Bullous Keratopathy In The Developing World
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, foreign body sensation, poor vision, etc., etc. In North America now days these bullous keratopathy Read more:

Poverty vs Blindness : Is There A Connection ?

Poverty vs Blindness : Is There A Connection ?
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 depressing predictions for future blindness rates [ stats ] especially in the developing world due to the increasing Read more:

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:

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