TS

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[TS @Shazlytmd]

@eyemd76 For low risk of re-exposure, the Patch Tuck technique is an excellent solution. I wish I knew about it before a case I did last week on a patient with brand newly discovered Afib (could not stop Eliquis) and extremely poor quality conj. I will definitely give it a shot!

[TS @Shazlytmd]

@n8radcliffe Absolutely, would add uveitic patient, dense ERM, post ERM peels, chronic hypotony if RNFL was relatively preserved before hypotony developed to the partial list of this OCT appearance.

[TS @Shazlytmd]

@INU_Tokens @CoinMarketCap what was the request for?

[TS @Shazlytmd]

@n8radcliffe Thanks a lot for sharing. An eye opening story was one I heard of a post trab lady using Prednisolone q1h and atropine bid after a trab. Flipped caps and ended up in the ICU with an acute MI as 90 year old hears do not like HR of 150!!

[TS @Shazlytmd]

@NatHarooni @n8radcliffe PI at this stage will likely spike IOP further and is less likely to open much of a functional angle and is less time senstive after PAS form. Makes sense to start max therapy and do it on as low of IOP as medically achievable. If angle is all PASed CE+a glaucoma procedure.

[TS @Shazlytmd]

@n8radcliffe Makes sense! Would get baseline HVF+/-OCT and AScan if no corneal edema. Max therapy including pilo. RTC in 1-2 days, would PI that is mostly appositional or less severe glaucoma and schedule CE+ a glaucoma procedure based on many factors. May skip PI alltogether OU.

[TS @Shazlytmd]

@n8radcliffe That is next level depressed fundus exam. Feeling retinal swelling and plugging retinal tears first hand/first finger!

[TS @Shazlytmd]

@n8radcliffe Elf B is not just very vertically efficient, but can also examine the eye through one slitlamp ocular like a cyclops! efficiancy is the name of the elf game!

[TS @Shazlytmd]

@n8radcliffe Classic! Retina-trained elf A is using Iridex TX-cell laser to PRP elf B for his PDR (too much candy) befor his glaucoma partner CPC/tube him. Elf A is using a pattern scanner laser (state of the art) efficiently as he sits on the micromanipulator! Ouch!!

[TS @Shazlytmd]

@n8radcliffe Multiple PIs, some look like Argon + Yag suggests uveitic seclusio pupillae/bombe which (independant from refraction), microspherophakia and ant dislocated lens are associated with myopia and need PIs 180 apart, Plateau Iris is third, needs one PI before plasty but who knows!

[TS @Shazlytmd]

@pepecoineth It is just a meme. I understand it is a joke, but worship the creator who gave you life and created heavens and earth and everything conceivable and not.

[Dr Hammad Nasti @HammadNasti]

This is what the inside of our eyes look like. Millions of vessels distributed at the right places so that we can see. It never stops to astonish me every time I look at them. How beautiful is this creation of the Almighty. #Ophthalmology #retina

[TS @Shazlytmd]

@MalikKahook @DavidSmits_MD @OpenAI I think ChatGPT was playing nice buy ordering different forms of glaucoma based on frequency rather than severity which is not possible! So I guess it picked plan B!

[TS @Shazlytmd]

@MalikKahook @CUEyeCenter @OpenAI But for other aspects of medical care especially at subspeciality level, like encounter notes loaded with abbrev that are normally sequestered in EMR. Chat GPT seems to struggle much more!

[TS @Shazlytmd]

@MalikKahook @CUEyeCenter @OpenAI Agree ! However, the model is as good as it is trained. GPT3.5 trained on many open access dictation/OR note templates as part of its large online data.

[TS @Shazlytmd]

@eyemd76 Thanks for sharing. Agree! when oil is not emulsified and worse, filling the whole AC, it can be very difficult to see. gonio of inf angle for a sleeve of aqueous works. Even slicker, swinging the slit beam sideways aiming at iris, at the correct angle, it shine like a mirror!

[TS @Shazlytmd]

@OGdukeneurosurg Does not have to scopolamine, cycloplegic migraine! pupil can be round or irregular, one or both are mydriatic

[TS @Shazlytmd]

@eyemd76 The best idea/advice ever!