How to handle ‘pain without stain’
Patients may describe ocular surface pain in a myriad of ways. For some reason, the corneal nerves are firing. It’s the physician’s job to figure out why, and in some cases, the reason is not so clear.
Browse articles on EyeWorld.org. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.
Patients may describe ocular surface pain in a myriad of ways. For some reason, the corneal nerves are firing. It’s the physician’s job to figure out why, and in some cases, the reason is not so clear.
Less than 10 years ago, the idea that you could preserve vision and achieve corneal clearance in a patient with Fuchs without donor tissue was met with skepticism. Now this idea is increasingly accepted and adopted. Descemet’s stripping only (DSO), where a descemetorhexis is made in Descemet’s membrane without keratoplasty, was introduced in the mid-2010s.
Nathan Radcliffe, MD, shared his thoughts on the management of glaucoma and previewed the articles in the section.
A tube shunt erosion or exposure is a complication that can occur oftentimes many years after surgery. Several experts discussed what to look for, why this complication occurs, and how to address it.
A patient may be at risk for a bleb leak after trabeculectomy, either in the early postop period or years after surgery. One surgeon shared considerations for this potential complication, how she monitors patients, and what to do if a bleb leak does occur.
Malignant glaucoma is a rare complication, but it’s still something surgeons need to be on the lookout for after surgery, especially in the early postoperative period.
When it comes to ophthalmic surgery, ergonomics play an important role. Two surgeons discussed how they consider ergonomics in everyday practice, equipment and strategies to help, and its role in glaucoma surgery.
While most practices have mastered the initial impact of COVID-19, a second phase of challenges has emerged. Staffing shortages, recruiting difficulties, and hostile patients are peaking as practices do their best to adjust to these new realities. Here are several ways to be well-prepared if hostility is directed at you by a patient.
There are many frameworks available to help facilitate cybersecurity plans and so much advice and material online that it can result in analysis paralysis. A good place to start is with a standardized, well-supported framework to give you a map and what to do along the way, like the National Institute of Science and Technology Cybersecurity Framework (NIST CSF).
Eric Donnenfeld, MD, EyeWorld chief medical editor, discussed EyeWorld’s 25-year history.