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Q: Gurus I have been asked to defend the ophthalmic surgeons request to use multidose eye drops for dilating patients in pre op prior to ophthalmic surgery Our pharmacy and risk management  leaders are against this despite the recent and seemingly never ending shortage and high cost of single use dropsPlease see article enclosed What […]

Q: There being no hard evidence that postop antibiotics reduce the incidence of endophthalmitis, we do this because it makes some logical sense, and if challenged we can say we did “something” to prevent endophthalmitis postop. But, we could also make a defensible argument that they are not necessary. That said, there is no “perfect”

Q: Dear Not sure if this topic has already been discussed (and if so, can somebody please forward me the conclusion of that discussion?) If you receive a post LASIK Ectasia in one eye after bilateral LASIK treatment, would you do CXL only in the affected eye or would you do it “prophylactically” also in

Comment from another MD Evan’s post  was asking “anyone had issues with poor epithelial healing (or even corneal melting) with Besivance”.  My response is based on my clinical referral practice and the attached document. Please note this section from the attached document: These medications contain vehicles that have the potential to be sequestered beneath a

Q: Anyone had issues with poor epithelial healing (or even corneal melts) with Besivance? A: I’ve heard of this but think it’s BS because I’ve done literally 1,900 LASEKs using Besivance so if there was a true association I’d notice it by now as melts would be more common in ASA than in LASIK The

Q: Was a bit surprised that OMIC has granted liability coverage for same day bilateral cataract surgery. They have suggestions but not underwriter requirements/ restrictions. Certainly a refusal to cover this could have discouraged ophthalmology from going further in that direction. I know same day cataract surgery has been discussed on kera–net with proponents for it. I

I used to use MMC for Rx above -5, then had some late (>3 mo out) haze for -4, and rarely had it for -3 something so i reduced my limit for MMC (since it is really perfectly safe if diluted properly and applied on a sponge) to > -3 this depends where you are,

Q: a 49 year old presents 2 months ago; she had Lasik in Ecuador early, 2014 and still doesn’t see well her exam shows an interface as to what appears an incomplete flap OU, just nasal to the visual axis and many nests of old epithelial cells in the interface OU also out of the

Q: The conventional teaching for lid margin disease is to use an antibiotic oint to the lid margins at bedtime along with other therapy. If we continue ointment once alone for a long period, for maintenance, are we not using a subtherapeutic dosage and will this not promote drug resistance. Would it be better to

Q: I have a 26 yo healthy female (only med is a birth control pill, which she has been on for years) with the following refractive error:Current wear in glasses:OD:  -2.50+1.00×83OS:  -1.75+1.25x96Manifest June 2014:OD: -2.25+1.75×80OS: -1.75+1.50×100Manifest Dec 2014:OD: -2.50+1.00×85OS: -1.75+1.25×95Her topos from June and December 2014 are attached in pdf format.  The inferior portion of