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Working with Dr. Chynn as a refractive fellow at PAL is a great experience I will never forget. It’s very hard to summarise all what I gained in such few words. At PAL all staff are multifunction, well trained and continuously educated. Any mistake is analysed in front of all so nothing there is kept […]

Q: I would be most thankful if you could give me your precious input in this case. The 35 yo patient had a LASIK in both eyes 8 months ago, in her 1st post op day, she had both eyes dislocated flaps and epithelial ingrowth after that. However, the bilateral weird lesions were found in addition to the epithelial

A college of Dr. Chynn inquired about the new SMILE ReLEX procedure Q: I have a friend in London with myopia (-1.75 & -2.75, Aet ~ 40 & female) considering refractive surgery. Is it time for SMILE (1,2) or if it were your family member would you do LASIK … or PRK? Any recommendations re surgeon

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,