Injections Forever? Really?
The line between therapeutic vigilance and financial over-treatment is becoming increasingly blurred.
Honesty is at the heart of medicine. Yet, in modern ophthalmic practice honesty is increasingly competing with profit - and too often profit is winning.
Patients automatically told they need intravitreal injections for the rest of their lives - or it just happens to never stop.
Not because the...
Painful Diplopia. What Will You Do?
Patient in Your Chair...
64yo gentleman, your 1st px of the day, called your answering service overnight. Left a message describing intense pain around his left eye, blurred vision, and difficulty opening that eye.
You have him come in immediately.Ā Slight ptosis OS with limited adduction + diplopia on right gaze. You didn't even need to look at his pupils and you knew what to do within 30 seco...
Are We Diagnosing More & Understanding Less?
A recent opinion piece in JAMA "The Impact of Definitions of Disease on Overdiagnosis" describes our culture in which expanded diagnoses and commercially driven health models have led to too much medicine - for which more tests, more diagnostic labels, and more prescriptions does not equate to better care.
Nowhere is this more apparent than in modern eye care.
Dry eye disease, ocular surface d...
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