Ophthal Surg Las Im
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Ophthal Surg Las Im · Jul 2008
Teaching and assessing competency in retinal lasers in ophthalmology residency.
The Accreditation Council for Graduate Medical Education has mandated that residency programs teach and assess six specific competencies (ie, medical knowledge, patient care, communication and interpersonal skills, professionalism, practice-based learning, and systems-based learning). To the authors' knowledge, there is no standardized and widely used curriculum for teaching and assessing resident competencies in retinal lasers. ⋯ Retinal laser competency can be taught and assessed in ophthalmology residency training programs. Future research will be needed to provide evidence that these teaching and assessment tools produce improved educational and patient outcomes and provide verifiable, reliable, and valid evidence of resident competence in retinal lasers.
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Eyes with scleral rupture after blunt trauma are often complicated by proliferative vitreoretinopathy. A 56-year-old man sustained blunt trauma to his left eye. Visual acuity was light perception. ⋯ No retinal detachment developed. Two years postoperatively, visual acuity increased to 12/20. This case shows that retinal detachment and proliferative vitreoretinopathy may not complicate extensive scleral ruptures under certain circumstances.
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Ophthal Surg Las Im · May 2008
Case ReportsEpithelial ingrowth within the interface following traumatic corneal lamellar laceration.
A 45-year-old patient with a traumatic corneal lamellar laceration who was treated conservatively initially developed an epithelial ingrowth within the flap-stroma interface, causing diminished vision. Confocal microscopy revealed highly refractive bodies without cellular elements at the flap-stroma interface. ⋯ At the last follow-up examination, vision had improved and there was no recurrence of epithelial ingrowth. Proper primary management of a traumatic corneal lamellar laceration can provide good visual outcome and prevent rare complications such as epithelial ingrowth.
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Ophthal Surg Las Im · May 2008
The efficacy of retrobulbar block anesthesia only in pars plana vitrectomy and transconjunctival sutureless vitrectomy.
To evaluate the adequacy of retrobulbar block anesthesia only in vitreoretinal surgery. ⋯ Vitreoretinal surgery, particularly 25-gauge transconjunctival sutureless vitrectomy, can be safely and efficiently performed under retrobulbar block anesthesia only. Retrobulbar block anesthesia only could become a more acceptable anesthesia for vitreoretinal surgery for selected patients.
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Ophthal Surg Las Im · Mar 2008
Case ReportsThe use of anterior segment optical coherence tomography in glaucoma drainage implant surgery.
Anterior segment optical coherence tomography is a rapid, non-contact method of assessing anterior segment structures and has high reliability and repeatability. Three cases are presented to illustrate how this technology can be used in the assessment and management of a glaucoma drainage implant. ⋯ This proved to be useful in the case of postoperative hypotony. The non-contact advantage is useful in pediatric patients.