I recently attended the Widows and Orphans annual banquet which is a 165 year old medical society in Charleston, SC. The guest speaker was Rudolph Rustin, MD who recently completed 1 1/2 years ...

International Council Of Ophthalmology

The International Council of Ophthalmology ( ICO ) Course for Ophthalmic Educators mentioned an available Australian grading program for diabetic ...

What I would like to do is summarize my experiences at the Academy this October. What I learned and took away from the Academy which might be useful in a developing world setting. As usual I will not ...

Chapter 16 Corneal And External Diseases has sub-sections on microbial keratitis, viral infections, keratoconjunctivitis, acanthamoeba --- ocular manifestations, vernal keratoconjunctivitis, ...

Section 2 Methodology was useful for the novice, such as myself, in epidemiology ---- what are cross - sectional studies, bias, cluster sampling, rapid assessment of avoidable blindness ( RAAB ), ...

In the next several blogs I would like to review and summarize : Epidemiology Of Eye Disease 3rd edition by Gordon Johnson, Darwin Minassian, Robert Weale , and Sheila West. Imperial College Press. ...

Glaucoma  is the second leading cause of blindness worldwide, cataracts being  number one.  Unfortunately glaucoma is often poorly diagnosed and managed.  With the next several ...

From the RANZCO Congress - November 2013 (Royal Australian and New Zealand College of Ophthalmologists - http://www.ranzco.edu/), comes the Hollows lecture given by Dr. Nitin Verma as a must see ...

Don't miss this exciting video produced by PBS in their series called Rx for Survival.  This feature tells the story of how Dr. Al Sommer while studying night blindness discovered how important ...

Below are some random information / suggestions from subspecialty symposiums , courses, etc. plus my input. Authors ( credit ) will not be acknowledged.

Bromfenac ( Xibrom ) 0.09% and ...

Dr. Michael and Jessica Feilmeier from the Univ. of Nebraska, Global Blindness Prevention Division ( OpeningEyes Curing Blindness ) have established a web site (www.openingeyes.org) that will ...

I wanted to continue my review of Dr. John Cheatham's booklet "Reaching The Blind Poor". John died in 2009 and his obituary ( "A Life Without Furniture" ) is posted here on Global Sight Network. His ...

Below is my check list when visiting rural or isolated eye clinics. This is not a list for the O.R. but rather for outreach activities when seeing patients with or without other eye health workers. ...

Many years ago while serving as a general medical officer at the National Leprosarium ( Carville ), I was privileged to work with Dr. Margaret Brand, British ophthalmologist, who had spent over 25 ...

Here are some tips that I'd like to offer anyone who finds them useful.  They are in many different areas that I have found helpful.

...

Indian Journal of Ophthalmology

Vol. 60, No.5 / Sept 2012

Free Full Text at <www.ijo.in>
   
  In conjunction with the 9th General Assembly 2012 of the Int. Agency for the ...

IAPB, 9th General Assembly
Eye Health : Everyone's Business
September 17-20, 2012 Hyderabad, India

The IAPB is an umbrella coordinating organization of over 120 members which was founded in 1978 by ...

The Tilganga Eye Center has produced a "Standard Operating Procedure Manual For: Modern Small Incision Cataract Surgery (SICS)." This is a NON-Phaco procedure.

A special thanks to all ...

Over the last 15 years plus of operating on mature cataracts, I have not uncommonly encountered an iris prolapse during the operation. Usually this is near the beginning of the operation. There ...

Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital

Aravind Haripriya, MD, David F. Chang, MD, Mascarenhas Reena, MS, Madhu Shekhar, MS
Click ...

     Last year the IAPB and WHO released the latest figures for world blindness. The good news is the world blindness numbers have turned downward. There previously had been rather ...

I am writing concerning the AAO / Rotary Host an Ophthalmologist program which has existed for ten years and has resulted in 73 young ophthalmologists from developing world countries visiting the ...

We were 4 surgeons performing 580 cataracts and 5 minor procedures. We started at 8.30 Am and finished at 8 PM, we had one hour lunch time. Besides that we are performing 350 to 400 surgeries every ...

Rengaraj Venkatesh and David Chang et al have just released a report in the Asia-Pacific Journal of Ophthalmology March/April issue reviewing the safety and efficacy of manual small incision cataract ...

Although I would not recommend using expired drops in the States or if other choices are available, I have used expired eye drops in many eye situations in many countries over many years. I have ...

Unfortunately corneal fungal ulcers often present quite late in the developing world. There is usually a history of minor injury [ abrasion ] to the eye with plant or vegetable material. Often the ...

Ideally the visiting eye team / surgeon should be seeing and operating on poor  patients rather than middle class patients. If you are operating on middle class patients than you might be ...

In cases of subluxated lens, zonular dehiscence, vitreous in A.C. pre op, or the need for secondary lens exchange with a  posterior capsule rent, I would strongly recommend pre op IV mannitol.

...

Your supply of fluorescein strips can be extended [ prolonged ] by cutting each strip in half lengthwise. See attachment. Each " half " strip is enough to check the IOP in both eyes.This will ...

Fluorescein drops can be made in the eye clinic by adding 0.4 ml of a 10% fluorescein solution [ such as what is used for IV fluorescein angiography ] to a 15 ml eye drop bottle of proparacaine or ...

My deceased good friend, John Cheatham MD, used to get upset how many times  poor patients in the developing world were required to come back, over and over, prior to having a local ...

 I recently received a copy of Dr. William Dean's DVD " Sutureless ECCE " which is excellent. His DVD shows clearly the manual small incision cataract extraction technique. One nice thing, there ...

Seeing patients with markedly updrawn pupils, for whatever reason, is not rare in the developing world. When living previously in east Africa, I used to operate on these patients,  using ...

I am currently in Belize and  last week was almost out of all goniodrops with no possible in country replacement for any hydroxypropyl methycellose.   I was actually  diluting the ...

 Here are a great list of very useful websites for reference of for teaching ophthalmology.  Some of them have excellent resources for the developing world. 

In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and pc IOL insertion. This is a fine operation that ...

If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ] wrapped around an implant, then help may be ...

Use one needle and two syringes. I prefer a 27gauge 1 1/4 inch needle which is usually readily available and much cheaper than the retrobulbar needles.

The first syringe should contain 4 ml Xylocaine ...

Ophthalmic Pearls for on the field

Corneal ulcers with a perforation and a positive Seidel test often represent an ocular emergency if the eye is to be saved.  In developing countries, corneal ...

 If you are ever operating and find yourself without a working cautery, there are some options. You can simply use a muscle hook and heat it up with a candle. The candle gives off carbon which ...

In the developing world, mitomycin can be frozen and stored for up to one year. Mitomycin comes as a 5 mg powder. Add 20 ml sterile water and this will make a 0.25 mg/ ml concentration. You can then ...

KCCO Provides New Manuals  

KCCO has now received copies of the following two manuals.

Childhood Cataract in Africa (French edition)

The very popular ...