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Dealing with the scariest complication in cataract surgery Ian Francis Surfing : Leonardo era un pittore straordinario First : the most important word in the English language : Ontological : do you believe what you just saw ?? ONTOLOGICAL : “ The way things really are …”
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: do you believe what you just saw ??
“ The way things really are …”
FOR EXAMPLE :
2. Your spouse
3. Your children
9. Refractive surgery
10. Neuro-ophthalmology …………
Why ?? ….
because much as anyone
may or may not like it :
The eye bone is connected to
1. the brain bone
2. the body bone
Only happens because someone has been operated !!
Everyone in Medicine should read this….
“ Misdiagnosis of acute eye diseases by
primary health care providers: incidence and implications “ ….
1. Michael O. Statham: RMO: MB BS(Hons), BAppSci(Optom)(Hons)
2. Anamika Sharma : Registrar : BmK BS(Hons), BMedSci(Hons)
3. Anthony R. Pane : VMO : MB BS(Hons), MMedSc, FRANZCO
It is of supreme importance not to
1. underdiagnose E
2. misdiagnose E
3. treat E as of little consequence
1. Is either local or metastatic
2. May requires lots of medical work to confirm
3.May be life-threatening….
YOU MAY BE IN
THE BOX SEAT
1. Vast majority have had cataract surgery
2. Within a few days of the operation, things head south,
3. Day 1: vision 6/4 or 6/12 vision
4. Vision on day 4 : HM or worse
6. Loss of the red reflex
Is getting the instructions for the postoperative drops correct really important ?……
Don : DOB 280726
280704: R phaco Wednesday : uneventful
290704 : Thursday : Day 1 pop : VAR : 6/4
020804 : Monday 7.40pm : Day 5 pop :
VAR : PL
All stops pulled out by the VR team ……..
Athena Roufas MBBS (Hons), MM (Ophthal Sci)
Vivek B. Pandya MBBS (Hons), MM (Ophthal Sci)
Edwin C. Figueira MBBS, MSc, MS (Ophthal)
Shahriar Amjadi B Sc (Hons), MBBS
Gaurav Bhardwaj BMed
Katherine Masselos MPH, MB, BS (Hons)
Fiona Stapleton PhD
Sarosh Batliwalla BEc, MEc, MIntS, FIAA
Katherine E. Francis BE (Hons)
Rahul Dubey MBBS (Hons)
Jeanie Chui B Med Sci (Hons) MBBS PhD
Ian. C. Francis FASOPRS, PhD
NSW has a rate (1998-2004)
of 0.823%: >8/1000
Is this really true ??
Hatch WV et al
Emanuel Rosen FRCSE
Manchester , England