Diagnostic Errors of The Ocular Surface
Anchoring & Ambiguous Diagnostic Terminology
This was the topic of an article in JAMA Ophthalmology last week.
Diagnostic errors of the ocular surface pose a significant issue, with far-reaching implications for patient care and safety. Misdiagnosis of dry eye, overlooking underlying conditions, ...
by John R Martinelli MD OD FAAO โ
Nov 22, 2024
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Listen to The Conversation: Is it Muscle, Nerve, or Brain?
Differential Diagnosis in Neuro-Ophthalmic Disorders: Listen to the discussion concentrating...
by John R Martinelli MD OD FAAO โ
Nov 21, 2024
Amblyopia & Hearing Loss
Mom asks if there is a link...what do you say?
There is an interesting association between amblyopia and an increased risk of hearing loss, particularly sensorineural hearing loss (SNHL). A propensity-matched analysis showed children with amblyopia have a 9% higher overall risk of experiencing he...
by John R Martinelli MD OD FAAO โ
Nov 17, 2024
Uveitis & Glaucoma Treatment
Do you hesitate to start that prostaglandin?...
The Sight Outcomes Research Collaborative (SOURCE) data has given us some unexpected insight on the incidence of uveitis following the start of various glaucoma medications.
In a study involving 67,517 patients, only 0.87% developed uveitis within ...
by John R Martinelli MD OD FAAO โ
Nov 15, 2024
Alcohol & AMD Risk
Another glass of wine...or not?
Recent conclusions from AREDS2 Report 34 gives us some interesting insight into the relationship between alcohol consumption and Age-Related Macular Degeneration (AMD).
The findings revealed a mixed picture, with alcohol's impact varying based on consumption patte...
by John R Martinelli MD OD FAAO โ
Nov 14, 2024
Nocturnal IOP Reduction Matters
Do you understand the dynamics?...
Nocturnal intraocular pressure (IOP) reduction is key in managing glaucoma, particulary normal tension glaucoma (NTG). There is a not too surprising link between expected elevated nocturnal IOP and glaucomatous progression, emphasizing the importance of understa...
by John R Martinelli MD OD FAAO โ
Nov 08, 2024
Sleep Apnea & AMD
Would you or would you not expect a link?...
A recent national cohort study found aย relationship between obstructive sleep apnea (OSA) and age-related macular degeneration (AMD). The research focused on prevalence rates and risk factors, revealing a significant correlation between these two condi...
by John R Martinelli MD OD FAAO โ
Oct 31, 2024
Central Serous Chorioretinopathy Update
Does treatment really even matter?...
Central Serous Chorioretinopathy (CSCR) presents a unique challenge in our practices, characterized by subretinal fluid accumulation beneath the macula. As the fourth most common retinal condition, it requires careful consideration when we approach management...
by John R Martinelli MD OD FAAO โ
Oct 30, 2024
Yag Capsulotomy Timing
Do you know why & when it's best to pull the trigger?...
Determining the optimal timing for a YAG capsulotomy following cataract surgery requires understanding several factors to ensure safety and quality outcomes.
Considerations include complete resolution of post-operative inflammation, positi...
by John R Martinelli MD OD FAAO โ
Oct 28, 2024
The Slit Lamp is Living Histopathology
A wonderful review...even if you're not a student!
Written by Paul A. R. Meyer, a very impressive review of the slit-lamp was recently published in Nature: Eye. Whether your a seasoned clinician or not, this is a fantastic article celebrating the instrument we use everyday.
The slit-lamp biomicr...
by John R Martinelli MD OD FAAO โ
Oct 26, 2024
Persistent Pain after Refractive Surgery
How do you explain it?...
Chronic or delayed ocular pain following refractive surgery, even with a seemingly perfect surgical outcome is a concern for us, often presenting complex diagnostic and management challenges.
Post-operative pain can stem from various sources. The severity and duration o...
by John R Martinelli MD OD FAAO โ
Oct 25, 2024
Worsening Retinopathy & Improved Blood Glucose
Your patient asks you why...what will you say?
Recent advances in diabetes management have introduced powerful new treatments, including GLP-1 receptor agonists like semaglutide and SGLT2 inhibitors such as empagliflozin.
While these novel agents offer improved glycemic control and additional be...
by John R Martinelli MD OD FAAO โ
Oct 24, 2024
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