Lateral Tarsal Strip Procedure for Right Lower Eyelid Entropion
John Lee, MD
Boston Vision
The lateral tarsal strip procedure offers several advantages, including addressing the fundamental underlying cause of involutional entropion, providing long-lasting correction, causing minimal postoperative discomfort, and having a low recurrence rate compared to other procedures. Additionally, it can be combined with other procedures when indicated. The accompanying video provides a detailed, comprehensive description of this surgical technique with visual demonstration of each step. This video will be particularly beneficial for ophthalmologists, oculoplastic surgeons, and trainees seeking to refine their understanding and surgical skills in the management of entropion.
Irrigation and pH Check for Unknown Substance in the Eye
Alexander Martin, OD
Boston Vision
When an unknown substance has entered the eye, diagnostic measurement of ocular surface pH and therapeutic irrigation of the eye are essential steps to minimize the risk of long term consequences. These procedures are demonstrated here and represent critical interventions in emergency eye care. When properly executed, they serve as both diagnostic and therapeutic measures. Their simplicity and effectiveness make them essential skills in emergency and primary care settings, where rapid intervention can prevent permanent ocular damage. Time to irrigation is the most critical factor in determining outcomes, with each minute of delay potentially increasing the risk of permanent visual impairment as this can lead to permanent scarring.
Corneal Staining with Fluorescein
Alexander Martin, OD
Boston Vision
Patient ocular complaints often center around discomfort, foreign body sensation, and/or recent trauma. Determining the cause of the ailment is not always straightforward, and the use of fluorescein can provide valuable information that aids in clinical diagnosis. Many corneal conditions and emergencies can be identified with the aid of fluorescein such as corneal erosion, superficial punctate keratitis, corneal abrasion, foreign bodies, and tracking patterns of foreign bodies. This article and video will demonstrate proper technique to instill fluorescein and examine ocular tissues, as well as some examples of staining defects characteristic of compromised ocular tissues.
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