/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

13,106 Subscribers

1

Stereopsis Issues

Hi does anyone here became a successful ophthalmologist but with stereopsis issues?

I am currently an ophtha resident but I just knew that I have stereopsis issues when I got into the program. I tested myself with titmus fly test and stereocircles and got negative for all.

However, I have good monocular visual cues I was able to do FB removal and Pterygium cases. But I still do not know how will my visual cues work when I start doing ECCE or phaco.

Thank you for answering.

1 Comment
2024/04/18
08:40 UTC

9

Will reimbursements ever go up in the future in ophthalmology?

Had a talk about reimbursements recently amongst medical specialties and it, of course, was brought up that ophthalmology takes one of the largest hits with cataract surgery for example and potentially injections moving forward.

I would assume that eventually if cataract reimbursements fall, ophthalmologists won't want to keep doing them which then would prevent further decreasing reimbursements. In the mean time, do ophthalmologists have to resort to increasing their volume every year (which not only is taxing to the body but also takes on a lot of liability and complications that is innately a/w surgery) or trying to sell specialty lenses/elective procedures?

Not to put an emphasis on making money for the sake of making money or becoming filthy rich, but revenue is important because there are overhead costs and bills to keep a practice open and sustainable for all employees. Personally I haven't let the predictions of reimbursements really impact my specialty choice but I'm wondering if I should be reading more into current events surrounding reimbursement models and rates in the US

sincerely,

an M4 applying ophtho this year despite people telling me that ophtho has left its glory days behind

5 Comments
2024/04/18
03:10 UTC

9

How much do OKAPS scores matter?

PGY3 here. Not trying to cover up and make excuses but-our program truly, truly has no subspecialty exposure. It is literally a bunch of Comprehensive Clinic, and we are told to lie to the ACGME about it (some of our attendings, while specialized in cornea/glaucoma/retina, choose to practice general, but ACGME doesnt know the latter part). My co residents and I studied very hard-we got through all of BCSC once in PGY2, again PGY3, did ophthoquestions and also another Q bank yet scored poorly on OKAPS.

How much does it matter for the future? Appreciate honest responses. Also responses from those who may have tips on how to do better

7 Comments
2024/04/18
00:39 UTC

4

Upbeat Nystagmus : How To Examine A Patient With Nystagmus

1 Comment
2024/04/17
12:49 UTC

4

Moderate Sedation

Is anyone billing for directing RN mod sed during cataracts? Does Medicare pay for this? Do they decrease reimbursement for the procedure if you also bill sedation like they do for some GI cases?

I’m the medical director of a growing ASC and we’re having trouble getting anesthesia coverage for all our cataracts.

Thanks.

9 Comments
2024/04/17
11:57 UTC

6

slit lamp fundoscopy vs. ophthalmoscopy

Is there any advantage (beside combining several tools in one) of using a slit lamp for fundoscopy instead of direct ophthalmoscope or binocular indirect ophthalmoscope? It seems to me that using a slit lamp for fundoscopy just approximates one of the other tools and is more difficult to use.

EDIT: I am an optics engineer.

5 Comments
2024/04/17
08:06 UTC

3

If anyone would like to share some advice regarding fundus photos

I'm currently studying to be an optometrist (UK) and working through some case studies - i'm looking for advice on describing the right fundus appearance? Any help would be appreciated.
Px is male, mid 60s - T1DM since teenage years. BCVA 6/5, R. L + OU. Pressures and fields unremarkable.

https://preview.redd.it/tbjsknp6tzuc1.png?width=946&format=png&auto=webp&s=8f03e12c24481497ad3a373e15ffc7b06b12c8af

3 Comments
2024/04/17
07:36 UTC

7

Depressed

I am an R3 Ophtha resident And I think my knowledge is weak in ophthalmology, I tried to read more but I have a problem with my memory I forgot everything

Please if there is any advice to solve my problem because I feel depressed about that 😞

9 Comments
2024/04/16
23:38 UTC

2

New ophthalmology resident looking for some guidance

Hi! I will try to keep this short, I have just started my residency and without getting too much into the details - we have been told that our exposure to the wet lab will be limited, and indirectly been told we are left to practice our skills at home.. and as a recent med school graduate I am quite broke so I cannot afford any super duper fancy equipment.

I have done some googling and found some interesting reddit posts about being able to practice several skills at home, from getting mock retina for fundus exam, expired sutures and using stereo microscopes.
But to be honest I am still lost, so if anyone has some time to spare to write down good practice tools that are worth buying (while my budget is limited I don't see point buying something super cheap just for it to break on me after few uses.. for example those microscopes - I have no idea what kind is a good representation of a real surgical microscope).

Any help will be greatly appreciated. Thank you in advance!

TL;DR - what are some good eye surgery practice tools for home practice? do you have any tips for a new resident?

PS. sorry for the grammar mistakes, English is not my first language. cheers!

8 Comments
2024/04/16
20:40 UTC

3

Retinal Dystrophy Survey

Hi! I'm conducting a survey regarding Retinal Dystrophies for research purposes. Could you please fill it out if you're dealing with one? Or share it with someone who does have it? It would help out our research a lot! Thank you!!

https://forms.gle/VmsGB654EjSSi9kr9

2 Comments
2024/04/16
16:55 UTC

1

Does anyone have an account with Cardinal/McKesson/Cencora?

I just wanted to know what the volume discounts are on Iheezo (Chloroprocaine HCl 3%) and Akten (Lidocaine HCL 3.5%) and can't check. DM is fine and thanks in advance!

1 Comment
2024/04/16
15:38 UTC

0

Ophthalmology Influencers...

Hi Guys,

I made an iPhone app and want to get the word out. I don't have a social media presence. Does anyone know any 'ophthalmology influencers' that would be interested in doing a sponsored post for my app? I envision just sharing any profits made from the app the post generates.

Thanks for your help!

*edit* Here is a link to the app for those that asked. I've discussed it before on here and didn't want to come across spammy. This sub has been incredibly supportive! If you have a social media presence and are interested, please DM me!

20 Comments
2024/04/16
13:23 UTC

3

Away Rotation in November/December

Is it worth it to do an away rotation in November/December or would this be considered too late? I am an average applicant who could benefit from the in-person interaction, but am worried how I will be viewed if I have to take off a few days for interviews.

3 Comments
2024/04/16
01:34 UTC

5

OphthoQuestions group discount

I am currently looking for people interested in buying the 12-months OphthoQuestions.

10 people are needed to get a discount of 25%

Anyone interested add your email: https://forms.gle/RrBRg4hQS8wXen7b8

1 Comment
2024/04/15
18:38 UTC

2

Myelinated Retinal Nerve Fiber Layers

1 Comment
2024/04/15
11:12 UTC

9

Literature for Techs?

Hi! I don’t know if this is the best place for this question but here goes. Currently I’m an ophthalmic tech/scribe, looking to deepen my knowledge of the eye and its structures. I know this is a fairly open-ended question but any recommendations? Thanks

11 Comments
2024/04/15
00:48 UTC

3

Residency in germany

Looking for someome to give me feedback how to pursue ophthalmology residency in germany and give me feedback about the surgical experience and what hospitals to aim for it. Got an EU medical degree, with experience in residency in another surgical specialty and currently learning german. DM pls

4 Comments
2024/04/14
20:04 UTC

1

ASCRS 2024 on demand meeting sessions

Hi Reddit I need access to one session from ASCRS that occurred last Sunday. I attended the meeting but missed that session. I thought I would be able to access it on demand but the replay is only for physicians. Are there any physicians that attended that would be able to help me out?

1 Comment
2024/04/13
21:09 UTC

1

Conceptual question about optic disc OCT X campimetry correlation

An inferior defect in OCT would correlate to superior visual defect.

A superior defect in OCT would correlate to inferior visual defect.

Does the same apply to horizontal defect? A temporal defect in the right eye = nasal campimetry defect?

2 Comments
2024/04/13
17:43 UTC

5

Cataract surgery with asteroid hyalosis and Fuchs’ dystrophy

This patient was referred for a visually significant cataract. A denser than usual asteroid hyalosis is noticed, which somewhat impaired visualization. The patient also has Fuchs' dystrophy so both dispersive viscoelastic and a low energy phaco technique were employed.

1 Comment
2024/04/13
15:19 UTC

5

Advice on knowledge/skills to study to move into Ophtho tech.

Good morning, friends,

I would like your input on subject matter/skills needed/desired for moving from Optometric technician to Ophthalmic technician.

I am currently practicing manual and auto refracting, Van Herricks and using a manual lensometer, studying for a more in depth understanding of eye diseases/conditions- primarily Glaucoma, cataracts, diabetic retinopathy, corneal issues, and their common medication/treatments.

I have experience with OCT, HVF, Adapt DX, GAT, ERG, iLux, prokera, (obviously)AR, Optomap, VA’s patient health and history, confrontation and gross perimetry, icare, nct, perla and with cover tests. A general understanding of optics, but limited experience with contacts.

Is there anything for a new Ophthalmic technician that would be necessary/helpful to know or be able to do that I am missing?

Thank you, TD.

7 Comments
2024/04/13
14:31 UTC

1

UGH Syndrome By A 1 Piece Hydrophobic Acrylic Foldable IOL In The Ciliary Sulcus

3 Comments
2024/04/13
13:17 UTC

9

Sell me VR surgery

1st year ophtho here. Have been on a VR firm, love operating (just phacos so far and some sclerostomies for VR cases), and think the surgery is really cool. Indented exams are hard but slowly getting the hang of it and feels very rewarding finding the tear, lasering them etc.

I know it’s probs too early but I’m thinking of doing VR surgery as a subspecialty due to these experiences. Concerned however that the work life balance is tricky to get right. Can anyone sell me the subspecialty (or dissuade me)?

11 Comments
2024/04/12
18:17 UTC

10

Any US MDs with experience practicing abroad?

SO’s parents and family live abroad. I’d love to hear from any US trained ophthalmologists who have set up shop somewhere else. Thanks.

3 Comments
2024/04/12
01:58 UTC

2

Away Rotations

I haven't received one yet :( Part of me understands why; I didn't know about the rolling admissions process and applied slightly late for most of the rotations. I have a few applications on VSLO still open and I'm hoping one will come through.

All in all this feels not great and I'm not entirely sure what to do. Any advice from people who have maybe gone through/are going through the same thing?

1 Comment
2024/04/12
00:02 UTC

12

Optics Of Indirect Ophthalmoscopy

3 Comments
2024/04/11
16:36 UTC

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