The Ophthalmic Physician Newsletter

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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 — 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 — 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 — Nov 08, 2024

Sleep Apnea & AMD

Would you or would you not expect a link?... A recent national cohort study found a 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 — 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 — 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 — 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 — 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 — 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 — Oct 24, 2024

Are We Overtreating Glaucoma?

Maybe we shouldn't be so defensive... Are we sometimes guilty of being overzealous in pursuing glaucoma treatment and management? This question needs to be addressed when understanding certain risks of overtreatment in our glaucoma patients. And it was a topic of conversation at this years Americ...

by John R Martinelli MD OD FAAO — Oct 20, 2024

Glaucoma & Migraine

Is there a common denominator?... A twelve-year nationwide retrospective Korean cohort study published this week in the Journal of Glaucoma has shown a significant association between migraine and open-angle glaucoma (OAG). This research suggests individuals with a history of migraines have an e...

by John R Martinelli MD OD FAAO — Oct 15, 2024

Macular Degeneration & Rheumatoid Arthritis

Is there a connection? An article published recently in Nature found potential immnunopathologic links between age-related macular degeneration (AMD) and rheumatoid arthritis (RA). A large-scale nationwide cohort study in South Korea found individuals with AMD had an 11% higher risk of developing...

by John R Martinelli MD OD FAAO — Oct 14, 2024

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The Ophthalmic Physician Newsletter

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