25 February 2015
  856  

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 ...

 856 

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 ...

25 February 2015
 20 December 2014
  906  

International Council Of Ophthalmology

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

 906 

International Council Of Ophthalmology

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

20 December 2014
 16 December 2014
  925  

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 ...

 925 

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 ...

16 December 2014
 10 August 2014
  9963  

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

 9963 

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

10 August 2014
 02 August 2014
  5075  

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 ), ...

 5075 

Section 2 Methodology was useful for the novice, such as myself, in epidemiology ---- what are cross - sectional studies, bias, cluster sampling, ...

02 August 2014
 25 July 2014
  1970  

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. ...

 1970 

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

25 July 2014
 01 June 2014
  1230  
Recently I again traveled to Haiti alone to work as a volunteer with some local Haitian ophthalmologists ( friends ). I have visited Haiti 10 times the last 30 years and my ophthalmic colleagues ...
 1230 
Recently I again traveled to Haiti alone to work as a volunteer with some local Haitian ophthalmologists ( friends ). I have visited Haiti 10 times ...
01 June 2014
 31 May 2014
  741  


The Cataract Surgical Rate (CSR) varies greatly from country to country depending often primarily on surgeon supply.  In China the CSR is approximately 772 cases/million/year.  One major ...
 741 


The Cataract Surgical Rate (CSR) varies greatly from country to country depending often primarily on surgeon supply.  In China the CSR is ...
31 May 2014
 19 April 2014
  1839  

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 ...

 1839 

Glaucoma  is the second leading cause of blindness worldwide, cataracts being  number one.  Unfortunately glaucoma is often poorly ...

19 April 2014
 13 April 2014
  1202  

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 ...

 1202 

From the RANZCO Congress - November 2013 (Royal Australian and New Zealand College of Ophthalmologists - http://www.ranzco.edu/), comes the ...

13 April 2014
 13 April 2014
  1464  


     I would recommend the Global Ophthalmology ( GO ) Guide website < www.aao.org/GOGuide >: topics concerning developing world ophthalmic issues, Vision 2020, ...
 1464 


     I would recommend the Global Ophthalmology ( GO ) Guide website < www.aao.org/GOGuide >: topics concerning ...
13 April 2014
 09 April 2014
  9592  
I have spoken about this previously but I continue to see patients in Belize and elsewhere in the developing world who have been hurt by having a penetrating keratoplasty. Recently I saw again a 16 ...
 9592 
I have spoken about this previously but I continue to see patients in Belize and elsewhere in the developing world who have been hurt by having a ...
09 April 2014
 09 February 2014
  11784  
   Recently I have been using K-Y Jelly as my gonioscopic gel. After applying proparacaine drops, I use it just as you would any gonioscopic gel agent. Cheaper than GonioGel and more ...
 11784 
   Recently I have been using K-Y Jelly as my gonioscopic gel. After applying proparacaine drops, I use it just as you would any ...
09 February 2014
 09 January 2014
  1943  


   I recently wrote this up for the African Vision website and thought I would share with my Global Alliance colleagues. I have never seen this type of severe advanced corneal abscess in ...
 1943 


   I recently wrote this up for the African Vision website and thought I would share with my Global Alliance colleagues. I have never ...
09 January 2014
 10 December 2013
  856  

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 ...

 856 

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 ...

10 December 2013
 05 December 2013
  2177  

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 ...

 2177 

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

05 December 2013
 05 December 2013
  1062  

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 ...

 1062 

Dr. Michael and Jessica Feilmeier from the Univ. of Nebraska, Global Blindness Prevention Division ( OpeningEyes Curing Blindness ) have established ...

05 December 2013
 20 October 2013
  1282  
   Some of the suggestions listed below should be taught when overseas. Please teach / train. Leave behind knowledge.
  #1.  As a general rule, corneal transplants do not do well ...
 1282 
   Some of the suggestions listed below should be taught when overseas. Please teach / train. Leave behind knowledge.
  #1.  As a ...
20 October 2013
 21 September 2013
  1583  
Working overseas in a situation where there is no vitreoretinal backup can sometimes be daunting.

In the case of a dropped nucleus, the situation can be dire. A patient with a dropped nucleus usually ...
 1583 
Working overseas in a situation where there is no vitreoretinal backup can sometimes be daunting.

In the case of a dropped nucleus, the situation can ...
21 September 2013
 17 August 2013
  1289  
This will be the final excerpts of John Cheatham's booklet Reaching The Blind Poor.      The subject of cost of surgery to the poor is highly controversial to many. To me, it is very ...
 1289 
This will be the final excerpts of John Cheatham's booklet Reaching The Blind Poor.      The subject of cost of surgery to the poor ...
17 August 2013
 07 August 2013
  1278  

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 ...

 1278 

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 ...

07 August 2013
 02 July 2013
  43832  
 Over the next several blogs, I would like to review / summarize the booklet produced by John Cheatham, MD ( Reaching The Blind Poor ) about ten years ago. John passed away unexpectedly  in ...
 43832 
 Over the next several blogs, I would like to review / summarize the booklet produced by John Cheatham, MD ( Reaching The Blind Poor ) about ten ...
02 July 2013
 15 May 2013
  1825  

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. ...

 1825 

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 ...

15 May 2013
 06 April 2013
  6159  

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 ...

 6159 

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

06 April 2013
 12 February 2013
  2308  

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.

   1. With juvenile cataracts be careful with ...
 2308 

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.

  ...
12 February 2013
 02 February 2013
  1787  

...

 1787 

Cable News Network featured a story on river blindness in the world and how the Carter Center has been helping with the effort to eliminate the ...

02 February 2013
 27 January 2013
  2743  

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 ...

 2743 

Indian Journal of Ophthalmology

Vol. 60, No.5 / Sept 2012

Free Full Text at <www.ijo.in>
   
  In conjunction with the 9th ...

27 January 2013
 14 December 2012
  2982  
  1. Barriers to cataract surgery:     Unaffordable cost ( surgery / IOL , consultations, lab / EKG, transportation, accommodation, etc.  ). Family concerns ( no one to accompany ...
 2982 
  1. Barriers to cataract surgery:     Unaffordable cost ( surgery / IOL , consultations, lab / EKG, transportation, accommodation, ...
14 December 2012
 28 November 2012
  16049  

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 ...

 16049 

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

The IAPB is an umbrella coordinating organization ...

28 November 2012
 11 October 2012
  2408  

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 ...

 2408 

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

11 October 2012
 06 October 2012
  1990  
This was a poster that I shared at Hyderabad in the most recent IAPB General Assembly.  I'm interested in your comments on other signs or reasons that you might not do cataract surgery for a ...
 1990 
This was a poster that I shared at Hyderabad in the most recent IAPB General Assembly.  I'm interested in your comments on other signs or ...
06 October 2012
 20 August 2012
  4596  

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 ...

 4596 

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

20 August 2012
 19 July 2012
  6225  

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 ...

 6225 

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

Aravind Haripriya, MD, David F. Chang, ...

19 July 2012
 11 June 2012
  5531  
I have spent many years in many developing countries living and working as an ophthalmologist / ophthalmic surgeon. I have seen, as we all have, many patients who have had one eye operation too many. ...
 5531 
I have spent many years in many developing countries living and working as an ophthalmologist / ophthalmic surgeon. I have seen, as we all have, many ...
11 June 2012
 11 June 2012
  3037  
The most common serious post op intraocular complication is a permanent bullous keratopathy. As we all know, patients with corneal edema are not happy campers --- discomfort, tearing, redness, ...
 3037 
The most common serious post op intraocular complication is a permanent bullous keratopathy. As we all know, patients with corneal edema are not ...
11 June 2012
 27 April 2012
  1714  

     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 ...

 1714 

     Last year the IAPB and WHO released the latest figures for world blindness. The good news is the world blindness numbers have ...

27 April 2012
 16 April 2012
  1527  

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 ...

 1527 

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

16 April 2012
 08 April 2012
  2355  

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 ...

 2355 

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 ...

08 April 2012
 08 April 2012
  1789  

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 ...

 1789 

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

08 April 2012
 03 April 2012
  2812  

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 ...

 2812 

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 ...

03 April 2012
 03 April 2012
  5996  

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 ...

 5996 

Unfortunately corneal fungal ulcers often present quite late in the developing world. There is usually a history of minor injury [ abrasion ] to the ...

03 April 2012
 03 April 2012
  1412  

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 ...

 1412 

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

03 April 2012
 03 April 2012
  3834  

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.


...

 3834 

In cases of subluxated lens, zonular dehiscence, vitreous in A.C. pre op, or the need for secondary lens exchange with a  posterior capsule ...

03 April 2012
 03 April 2012
  2552  
If you are operating for a limited time overseas, it may be helpful to leave written instruments  [ check list ] on seeing the one week post op cataract patient. Here are some of my suggestions ...
 2552 
If you are operating for a limited time overseas, it may be helpful to leave written instruments  [ check list ] on seeing the one week post op ...
03 April 2012
 03 April 2012
  1578  

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 ...

 1578 

Your supply of fluorescein strips can be extended [ prolonged ] by cutting each strip in half lengthwise. See attachment. Each " half " strip is ...

03 April 2012
 03 April 2012
  1273  

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 ...

 1273 

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 ...

03 April 2012
 03 April 2012
  1477  

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 ...

 1477 

My deceased good friend, John Cheatham MD, used to get upset how many times  poor patients in the developing world were required to come ...

03 April 2012
 03 December 2011
  1324  

 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 ...

 1324 

 I recently received a copy of Dr. William Dean's DVD " Sutureless ECCE " which is excellent. His DVD shows clearly the manual small incision ...

03 December 2011
 03 December 2011
  7771  

 

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 ...

 7771 

 

Seeing patients with markedly updrawn pupils, for whatever reason, is not rare in the developing world. When living previously in east Africa, ...

03 December 2011
 27 November 2011
  1525  

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 ...

 1525 

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

27 November 2011
 08 November 2011
  1962  

 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. 

 
#1. ...
 1962 

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

08 November 2011
 20 September 2011
  4133  

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 ...

 4133 

In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and ...

20 September 2011
 16 September 2011
  1956  

 

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 ...

 1956 

 

If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ...

16 September 2011
 16 September 2011
  9651  

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 ...

 9651 

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 ...

16 September 2011
 13 June 2011
  4636  

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 ...

 4636 

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 ...

13 June 2011
 04 June 2011
  5554  

 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 ...

 5554 

 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 ...

04 June 2011
 04 June 2011
  2024  

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 ...

 2024 

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 ...

04 June 2011
 04 May 2011
  1934  

 

I was taught and have find that SIMCE is a viscoelastic operation. I use a lot of viscoelastic material to protect the endothelium. The incidence of Fuch's / guttata /  bullous ...
 1934 

 

I was taught and have find that SIMCE is a viscoelastic operation. I use a lot of viscoelastic material to protect the endothelium. The ...
04 May 2011
 16 March 2011
  1772  

KCCO Provides New Manuals  

KCCO has now received copies of the following two manuals.

 

 

 

 

Childhood Cataract in Africa (French edition)

 

The very popular ...

 1772 

KCCO Provides New Manuals  

KCCO has now received copies of the following two manuals.

 

 

 

 

Childhood Cataract in ...

16 March 2011

GSA Education

Notes on Glaucoma

Notes on Glaucoma
Visual Field testing ( perimetry ) is useful but often the first test is unreliable. Someone should stay in room with patient and have them look straight ahead. The test is worthless if patient is looking all around. The patient needs to be instructed on how to take the test. Give patient a Read more:

General Cataract Advice

General Cataract Advice
#1. If the V.A. is 20/60 or 20/70 with both eyes open without glasses then that may be sufficient vision. Everyone does not need to see 20/30 at distance. Many patients know their numbers but not their letters. May need to have patient read numbers rather than letters. #2. If the Read more:

Suggestions concerning MSICS - Part 2

Suggestions concerning MSICS - Part 2
This is the second part ( continuation ) of MSICS suggestions after the SEE course. After hydrodissection / hydrodelineation and a capsulotomy, if possible spin the nucleus  before you rotate  it up through pupil into A.C.  If unable to spin then just rock nucleus east / west and north/ Read more:

Eye Examination of a Small Child

Eye Examination of a Small Child
#1. Get a history from the mother. What is the eye problem? Was the child born pre-mature. ? Does the mother think the child can see? Has any other eye doctor seen the patient. What was their opinion? Ask the child some easy questions. Establish eye contact with the child. #2. Let the child sit Read more:

Evaluation of Pre-op Patient with Dense Cataract

Evaluation of Pre-op Patient with Dense Cataract
#A. Get a good history. Did the patient use to see well in that eye or always poor vision ( lazy eye). Any hx of old trauma? #B. Check IOP. Look at that eye with slit lamp.Is the cornea OK? Is the cataract displaced ( subluxated )? Below is three step evaluation for a mature cataract Read more:

Post-Ebola Survival Eye Clinic In Liberia Part 1

Post-Ebola Survival Eye Clinic In Liberia Part 1
Well here I am. I finally made it.
All my ophthalmic life I have wanted to work for / with Medecins Sans Frontieres ( MSF ) / Doctors Without Borders. Recently MSF, NYC told me I was the first ophthalmologist they have ever recruited. Currently I’m here in Monrovia, Liberia seeing post-Ebola Read more:

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