/r/Ophthalmology

Photograph via snooOG

This is a forum for professional-level discussion between and amongst ophthalmologists and ophthalmology trainees. Optometrists, ophthalmic photographers, and other allied eyecare health professionals are welcome to join discussions as well.

This is NOT a forum for questions about your own eye condition, or that of your relatives or friends. For those, try r/eyetriage (but even then, please contact your own ophthalmologist or optometrist, as medical advice without an exam is unethical).

A reddit corner for all ophthalmologic questions , doubts or information. Feel free to come and participate! Please , don't forget: As always, speak to your healthcare professional for answers specific to your condition.

Technical terminology in eye world

Ophthalmologists are medically and surgically trained, and can pick up on a wide range of diseases. In addition, they can help address problems inherent to the eye itself.

Optometrist are health care professionals who provide primary vision care ranging from sight testing, diagnosis, treatment and management of vision changes.

Opticians are technicians who are trained to design, verify, fit lenses, contacts and frames.

Related subreddits

/r/Ophthalmology

15,643 Subscribers

14

People were afraid we were going to lose cataracts, laser, and refractive surgery to optometry back in 2012. How much ground have optoms actually made since then?

This prediction aged poorly

I think some states allow optoms to do some lasers but definitely not cataracts or lasiks or intravits yet?

17 Comments
2024/11/30
22:44 UTC

4

Ophthalmology residency in UK: Does the 7 year CCT include subspecialty training?

I've looked into the Ophthalmology ST pathway in UK and it's the longest in the world at 7 years! After looking at the info on the college website, I still can't figure out whether this period includes sub specialisation.

For example in the US, Ophtho residency is 3 years followed by separate subspecialty fellowships.

Is this fellowship stage built into the ST pathway in the UK, or do you CCT as a general/ comprehensive ophthalmologist and then spend even more years doing fellowships?

Hoping a UK ophthalmologist can clarify this!

10 Comments
2024/11/30
17:54 UTC

7

Any red flags to look out for in offer letter/contract? What do you wish you had asked?

PGY4 going on the job search. I know next to nothing. So would much appreciate any tips. What should I be looking for? What should I ask?

And for things like "4 year contract"-just wondering what happens if someone does leave after say 1 or two years?

23 Comments
2024/11/30
15:17 UTC

26

Pupillary makeover, tilt and chop, cough attack

This patient had a history of multiple episodes of herpetic keratouveitis, which led to the intricate posterior synechiae pattern seen here. Dissection of synechiae is demonstrated in this video. The lens is approached using a tilt and chop technique. Also, the patient had a sudden and violent cough attack during cortex aspiration! Fortunately all went well.

1 Comment
2024/11/30
08:36 UTC

24

Modmed AI scribe

Anyone have any recs for an AI scribe that works well with ModMed? I have templates but it still takes me forever to finish notes.

10 Comments
2024/11/29
23:31 UTC

8

What is the name for this finding?

Hope this passes rule 1 since there is no patient, but I sometimes see conjunctival tissue growing over the eyelid margin and onto the eyelid replacing keratinized skin (usually SJS, OCP, burn). Does this have a name, or does it fall under the umbrella of ectropion? Extra appreciation if there is a cool greek/latin name.

6 Comments
2024/11/29
19:09 UTC

1

ASRS meeting for comprehensive ophthalmologist?

I’m a comprehensive ophthalmologist who provides some retina care such as intravitreal injections and laser retinopexy. I am looking to spend my CME allowance. Would ASRS be a good meeting in my case or it mostly gear towards retina trained providers?

3 Comments
2024/11/29
16:47 UTC

11

Subspecialty options - looking for perspectives

Would really appreciate if anyone's willing to provide their perspective on how they chose to go into their specific subspecialty (including comprehensive)? What factors were most important to your decision?

Current resident trying to sort it out, and feel like I shuffle back and forth every few days between retina, glaucoma, cornea, and comp

12 Comments
2024/11/29
15:19 UTC

1

Volk 90D vs Superfield lens

PGY-1 here, purchasing my first lens and i am torn between the 90d and the superfield. initially i was going with the superfield, but seeing most residents, fellows (and even attendings) use the 90d in their daily practice made me hesitate, we were also advised to start with the 90d as a begginer and for its sharper details (vs the superfield). Any help on which one i should get as a first lens to start with ?

13 Comments
2024/11/29
09:44 UTC

13

Pursuing Ophthalmology vs Radiology (specifically Breast)

This might be a niche question but I am currently a second year medical student thinking about which specialty to pursue. I have shadowed in many different areas, and I really love both Ophthalmology and Radiology for a multitude of reasons. I specifically really enjoyed shadowing mammography because of the patient interaction as well as the procedural (biopsy) aspect. Could anybody in either field give more insight into the pros and cons of their career choice. I would also appreciate advice from any doc in choosing between the two. Both would give me the quality of life I want, and I truly love all of medicine, so I would be happy seeing patients in either field.

13 Comments
2024/11/29
01:19 UTC

4

COT practicals?

I’m studying for the COT at the moment. Anyone take it recently? Wondering how the practicals went and what to expect. JCAPHO doesn’t really explain how that will be handled.

Is it an all day thing? How flexible is it with scheduling? Is it done in a practice setting?

Just want to know what to expect

2 Comments
2024/11/28
15:15 UTC

6

Sapphire crescent blades?

Up until now I have always used disposable steel crescent blades. However, the clinic I just moved to does not have these blades. I plan to start using “sapphire” blades instead. What are their pros and cons? I am talking about crescent blades. I will use them when opening scleral tunnels. Sometimes I will use them in pterygium surgery.

2 Comments
2024/11/27
20:52 UTC

7

Medical retina vs Surgical Retina prospects in the UK and Abroad

Hi All,

Would be grateful for some advice for anyone with opinion on the matter. I am an ophthalmology trainee/resident in the UK.

With regards to subspecialty I’m quite interested in either medical or surgical retina and my CV is headed in this direction.

I do really enjoy operating.

Surgical retina/retinal is appealing however the lifestyle is a question mark.

Medical retina the other hand seems to have a more relaxed lifestyle however with the advancements in AI etc, would this be a bad decision to go into this field?

An important factor for me is the ability for me to be able to move to say Australia, America or the Middle East in particular following my training.

I wonder if anyone has had the same thoughts down the line and would care to provide a young trainee some guidance on the matter. I’d be extremely grateful for any of your comments.

8 Comments
2024/11/27
16:36 UTC

6

Workflow/load & efficiency

Hi everyone, I'm an ophthalmic photographer COA & OSC

I’m looking for advice on optimizing workflow and improving efficiency in our private cataract and refractive surgery practice. Specifically, I’m interested in strategies like:

  • Streamlining appointment types
  • Implementing protocols to prevent bottlenecks in testing or patient flow
  • Efficient use of staff during pre-op and post-op evaluations
  • Any other practical tips or tools you’ve found effective

We keep running into a bottleneck in our diagnostic testing either from initial flow of patient work up or from missed, and often preventable, testing that should have been done the first time around. All of our equipment is located in one central room and we can't seem to figure out an easy workaround to increase workload and flow unless we address that.

We want to ensure smooth operations while maintaining high-quality patient care. Any insights or examples from your own practice would be greatly appreciated.

Thanks in advance!

6 Comments
2024/11/27
01:49 UTC

4

Topical losartan for TGF-B induced lattice corneal dystrophy?

I found this recent research https://pubmed.ncbi.nlm.nih.gov/36877777/

and now it is distributed off-label as an ophthalmic solution: https://newdrugloft.com/ophthalmic-compounding-of-losartan/.

What do you think about this treatment in situations when a corneal transplant is not an option?

6 Comments
2024/11/27
01:08 UTC

5

can't decide which SimulEye to get for BIOM training

Hello dear ophthalmologist, i'm seeking your help for choosing which SimulEye model to get for training to focus on the retina with the surgical microscope (Zeiss and Leica) using the OCULUS BIOM

I have found two model in the simuleye website, one for the PPV (posterior vitrectomy) and one specially designed for red reflex training, the problem is that the second is much more expensive

here are the two model :
1- PPV eye : https://www.simuleye.com/products/p/simuleye-ppv
2- BIO (red reflex) eye: https://www.simuleye.com/products/p/simuleye-bio

Which one do you recommand to actually master the use of the BIOM for posterior segment surgery?
Thank you dear redditors :)

3 Comments
2024/11/26
18:16 UTC

0

Ophthalmology residency

Good am, may i ask if someone here knows how to take residency ophthalmology in taiwan?

I am from philippines, if I go to taiwan will it be possible

2 Comments
2024/11/25
11:01 UTC

3

Eye Wiki

Hey! Med Student here.

I am currently working on a scientific thesis doing a literature review. Do you think Eye Wiki (from AAO) can be used as a source? Or is it too “unscientific" as it is not peer-review and stuff?

6 Comments
2024/11/25
08:29 UTC

0

Lost my indirect ophthalmoscope charger

Title says it all. Don’t know where or how I misplaced it while packing for a trip. I have a keeler vantage plus wireless indirect ophthalmoscope and was wondering if the charger that’s like $1000 on the official site is the only way to charge the LED battery? Or if there’s any other tool or thing I can use to charge it? Tryna avoid paying for another super expensive charger if possible but if that’s the only thing that’ll work then no brainer

Sincerely

  • a broke resident
2 Comments
2024/11/25
03:38 UTC

6

Goldmann applanation tonometry

I’m started a new job as an ophthalmic tech about a month ago (w no prior experience working in medicine). Over the course of the month, I observed many applanations and watched some YouTube videos, but only got trained to perform it my self last week. During this “training session” I was able to practice applanating only 3 times on another technician. After this “training” I am now expected perform GAT by myself on patients. I feel like I wasn’t trained sufficiently and am not sure how to move forward. Am I crazy or does the lack of training seem absurd? Any advice on how to get better would be appreciated!

12 Comments
2024/11/25
01:26 UTC

3

Demystifying the Haidinger's Brush phenomenon

1 Comment
2024/11/24
23:47 UTC

1

DHA exam for ophthalmologist

Hi there,

I’m wondering if there are any question banks from previous DHA ophthalmology exams for free? I did my google research, and everything that I found was either for fee (with doubtful quality which can’t be evaluated prior to buying) or a combination of a couple question examples either on YouTube, Facebook etc. ChatGPT couldn’t seem to help.

Thanks,

1 Comment
2024/11/24
12:40 UTC

0

Neos conference 2024

North of England ophthalmological society conference 2024

Vishanna

1 Comment
2024/11/23
22:21 UTC

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