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- Number of pages: 153
- Format: PDF
- File Size: 36,68 MB
- Authors: Mohamed Omar
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It’s a notebook
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It’s a notebook
Infectious endophthalmitis is a serious and vision-threatening complication of commonly performed intraocular surgeries such as cataract surgery. The occurrence of endophthalmitis can result in severe damage to the uveal and other ocular tissues even among patients undergoing an uncomplicated surgical procedure. If the infections result from common factors such as surgical supplies, operative or operation theater-related risks, there can be a cluster outbreak of toxic anterior segment syndrome (TASS) or infectious endophthalmitis, leading to several patients having an undesirable outcome. Since prevention of intraocular infections is of paramount importance to ophthalmic surgeons, the All India Ophthalmological Society (AIOS) has taken the lead in the formation of a National Task Force to help ophthalmic surgeons apply certain universal precautions in their clinical practice. The Task Force has prepared a handy checklist and evidence-based guidelines to minimize the risk of infectious endophthalmitis following cataract surgery.
This is a brief overview of the primary management of ocular wounds for general and comprehensive ophthalmologists. It started as a learning resource for trainees in my own hospital. The style of the book reflects the strong visual learning preferences pos- sessed by most ophthalmologists. The iPad version is designed to be dipped into and skimmed through rather than read end to end. The dots at the bottom of the screen in chapter view allow navigation between chapters. The vid- eos are of sufficient quality to be played full screen. This can be done with a spreading touch. Many of the illustrations are also in- teractive. To navigate you can tap to maximize and use a pinching touch screen gesture to minimize. For a more extensive review of microsurgical techniques in ophthal- mology the reader is referred to Georg Eisnerâs âEye Surgery: An Introduction to Operative Techniqueâ or Marian Macsaiâs âOphthal- mic Microsurgical Suturing Techniquesâ. For a comprehensive re- view of all aspects of ocular trauma the reader is referred in particu- lar to Ferenc Kuhnâs âOcular Traumatologyâ. To anyone reading this a a pdf: an interactive book with many more interactive features is available from the Apple iBookstore. This book is very didactic in tone. This is because the target audi- ence is ophthalmology trainees. Some controversial aspects of pene- trating ocular trauma have been glossed over and any experienced ophthalmologist is likely to find at least one statement they dis- agree with. I would like to thank my colleagues at Moorfields Eye Hospital for some of the videos and illustrations in this book particularly Mr Bill Aylward and Mr Julian Stevens. A web site is currently in development which will host educational material which may be of interest if you enjoy this book as well as details of further All versions of this book are completely free. If you find it useful please consider a donation to a charity such as Moorfields Eye Charity, Fight For Sight or the Halo Trust which work in various ways to reduce the burden of avoidable blindness due to trauma.
We are surrounded by largely invisible electromagnetic radiation. Only a minor portion of these rays are responsible for the world as we see it – the visible light. Light plays a pivotal role in ophthalmology. Patients with ocular diseases experience reduced reception and processing of light. Ophthalmologists use light to diagnose and treat ocular disorders. Photography, literally âwritings in lightâ, is a central diagnostic tool to investigate diseases of the retina. The interaction of light with the unhealthy retina yields surprisingly beautiful patterns that may be recognized as the signature of a specific disorder. However, retinal imaging is more than just photography. Light reflected by and interacting with the retina allows us to assess structural and metabolic changes. New imaging techniques are crucial for our understanding of the mechanisms of retinal disease and continue to point us to new ways to help to restore vision. This book is written by someone fascinated by light writings of the eye and the insights they provide. I am convinced that this book and its illustrations will convey this enthusiasm.
Physicians today want to practice evidence-based medicine so that we can diagnose and treat patients using the best available data. To accomplish this, we usually refer to randomized clinical trials in which carefully matched groups of patients are studied comparing an intervention, a drug or a surgery. Unfortunately, this level of data exists for very few medical decisions and, even when it does, it may not be helpful when considering options for an individual patient who doesnât have the exact same characteristics as those who were enrolled in the clinical trials. Another way to examine the effectiveness of our clinical practice involves studying outcomes. How effective are we, the Mass. Eye and Ear and Harvard Medical Schoolâs (HMS) Department of Ophthalmology, when we treat patients with wet or neovascular age-related macular degeneration? How well do our patients see after cataract surgery? How often do patients develop post-operative infections? In other words, how well do our doctors, nurses and health care professionals manage their patients? At Mass. Eye and Ear and HMSâs Department of Ophthalmology, we have more than a century of experience in leading the world in innovative approaches to eye disease. We founded subspecialty training in cornea, retina and glaucoma, and have developed new treatments for diseases ranging from retinal detachment to corneal scarring to macular degeneration. Now we aim to lead the medical community in the development of outcome measures in ophthalmic care. How are we doing today and how can we improve patient outcomes in the future? This Quality and Outcomes Report is a first, but important step. I would like to thank the Department of Ophthalmologyâs Chief Quality Officer, Teresa C. Chen, MD, for her leadership in this project, as well as her team of faculty, administrators and trainees who helped initiate and contribute to this important endeavor. For more information about Mass. Eye and Earâs Quality Program or the Department of Ophthalmology, please visit our website at www.masseyeandear.org.
At the beginning of the academic year 2017/2018, our department adopted a revolutionary approach to undergraduate teaching of ophthalmology. Following the principles of outcome-based medical education (OBME), we focused on arming the future clinician with useful knowledge and practical skills. This book was only one item on a long list of changes that the department made to the entirely new undergraduate curriculum. The first edition of this book was very well received by our colleagues and our students. Few other ophthalmology departments in Egypt and abroad have aspired to adopt a similar approach in their undergraduate teaching. The positive feedback that the department received, plus some constructive criticism, encouraged us to thoroughly revise the book before sending the second edition to the printing press. In the second edition, we omitted a few points that we felt to be too specialized for the future general medical practitioner, who is our primary target. Some points were added, and others clarified. Most importantly, however, is that the majority of the figures in the previous edition were replaced with photos belonging to our department and its staff members. While many subtitles were highlighted to facilitate memorization, the logical new sequence of topics, as modules, remained the same. The reader-friendly, clear, and concise format was kept, and the size of the bqok rïżœmained unchanged. We hope that this edition will be welcomed as warmly as its predecessor. The editor
No doubt about it, starting a residency is very difficult. As a new first-year resident, the recurrent theme seems to be “I wish I had known this sooner” or “I wish someone had told me that.” This guide is designed to do just that. It is to be a quick stop for information. We intend for it to be as concise and practical as possible. References are provided when appropriate. Obviously, it is not complete by any stretch of imagination, and you will definitely need to consult the abundant reference materials available in our great C.S. O’Brien Library. This is designed to be a foundation on which we hope you will build. We review the manual on a yearly basis in order to make it as up-to-date as possible. As you go through the year please, think about additions or deletions that may be appropriate and suggest these changes for future editions. Two key things to remember when youâre starting call: 1) Donât blind anyone â if you are ever unsure what to do (âShould I go in or not?â) err on the side caution. Just see the patient. 2) Youâre never alone â thereâs always back-up available. Every senior resident has at one time been a first-year. Welcome to Iowa! As you will soon find out, this is a great department with a profound and far-reaching legacy of ground-breaking research and excellent patient care. You are now a part of that family â and weâre happy to have you!