Katherine Talcott, MD, joins Ogul Uner, MD, to review a case of a 70-year-old woman with a history of intermediate dry age-related macular degeneration (AMD). The patient now presented with wavy lines in her vision in the right eye, and dilated exam showed several large drusen in both eyes with no retinal hemorrhages. OCT of the right macula showed fibrovascular pigment epithelial detachments with retinal pigment epithelium and fluid. Dr. Talcott describes her initial thoughts about the case and the additional information she would look for to make a diagnosis of neovascular AMD. She also discusses her management approach for patients with wet AMD.
--------
30:30
Case Review: White Dot Syndromes (Part 1)
Jordan Deaner, MD, vitreoretinal surgeon and uveitis specialist at Wills Eye Hospital, talks to Ogul Uner, MD, about white dot syndromes, a group of inflammatory chorioretinopathies. In the discussed case, a 35-year-old woman presented with photopsias in both eyes, and dilated examination showed 1+ vitreous cells and gray-white lesions in both eyes. Dr. Deaner explains what additional questions he would ask about this patient’s history and how he would start to build a differential diagnosis. Drs. Uner and Deaner further discuss the typical presentations of white dot syndromes, including acute posterior multifocal placoid pigment epitheliopathy (APMPPE), multiple evanescent white dot syndrome (MEWDS), and others.
--------
26:26
Case Review: Dermatochalasis, Periorbital Rhytids, and Mid-Face Volume Loss
Julie Woodward, MD, oculoplastic and orbital surgeon, joins host Sila Bal, MD, MPH, to discuss surgical and nonsurgical treatment options for facial aesthetics and rejuvenation. In the case discussed, a 62-year-old woman presented with complaints of looking tired and was interested in rejuvenation options. Examination revealed mild dermatochalasis, periorbital rhytids, mid-face volume loss, and jowling. Dr. Woodward shares insights into determining the most appropriate treatment approach for patients like this.
--------
22:48
Case Review: SICS for Bilateral Dense Cataracts
Jeff Pettey, MD, MBA, joins the podcast to review a case of a 75-year-old woman who presented with blurred vision. She had nuclear sclerosis with uniform brunescence in her right eye, an intumescent white cataract in her left eye, and poor red reflex in both eyes. Dr. Pettey reviews this patient’s options for cataract removal and explains the indications and key steps of small-incision cataract surgery (SICS).
--------
36:40
Case Review: Rhegmatogenous Retinal Detachment
Ogul Uner, MD, invites Scott Oliver, MD, to the podcast to review a case of a 60-year-old man who presented with new flashes, floaters, and blurriness in his inferior field of vision in his right eye. The patient is a high myope with a relative afferent pupillary defect and pigmented cells in the anterior vitreous, with OCT imaging showing a macula-off retinal detachment. Dr. Oliver shares his approach to this case, reviews risk factors for retinal detachments, and shares insights into treatment.
See one. Do one. Teach one.
A case-based podcast hosted by Sila Bal, MD, MPH, featuring all stages of the journey through ophthalmology, from first year residents to the leading experts. Learning by sharing.
Ireland