Ophthalmology

Apple Podcasts: Library → ⋯ → Follow a Show by URL → https://nh-ophtho.pages.dev/podcast.xml

Week 1, Part 1: The eight-point eye exam

All eight parts in order, with a tip and a pitfall for each: vision, pupils, motility, pressure, fields, external, slit lamp, fundus.

Week 1, Part 2: Grading cataract the WHO way

The WHO simplified system: exam conditions, nuclear, cortical, and posterior subcapsular grades with their cutoffs, and how it differs from LOCS III.

Stop and Chop prep, Part 1: Stop and chop, step by step

The stop and chop sequence, the four classic beginner errors, surge control, and pump logic.

Stop and Chop prep, Part 2: The broken posterior capsule

Timing-based plans for a capsule tear, conversion to extracapsular surgery, anterior vitrectomy rules, and the close-out.

Stop and Chop prep, Part 3: Lenses and backup lens plans

Bag, sulcus, and anterior chamber lenses: power changes, optic capture, sizing, materials, and an upside-down three-piece.

Stop and Chop prep, Part 4: Refractive lecture pearls

Microkeratome flaps, overcorrection, central islands, corneal power, pellucid, and ectasia treatments.

Stop and Chop prep, Part 5: Complications rapid-fire quiz

Twelve quick questions: striae, DLK stages, PISK, central toxic keratopathy, sterile infiltrates, and keratoconus.

BCSC 13, Ep 1: Lasers, Wavefronts, and Ablation Depth

5 refractive surgery questions. Next episode: refractive surgery candidate selection, corneal topography, keratometry limits, and systemic contraindications.

BCSC 13, Ep 2: Who Is a Candidate

5 refractive surgery questions. Next episode: incisional keratotomy, radial keratotomy trauma risks, post-RK cataract shifts, and penetrating keratoplasty laser timing.

BCSC 13, Ep 3: Incisions, RK, and Grafts

5 refractive surgery questions. Next episode: PRK wound healing, mitomycin C timing and toxicities, subepithelial haze timelines, and ocular surface disease.

BCSC 13, Ep 4: PRK Haze and Healing

5 refractive surgery questions. Next episode: LASIK flap architecture, microkeratomes versus femtosecond lasers, flap adherence forces, striae, and epithelial ingrowth.

BCSC 13, Ep 5: LASIK Flaps

5 refractive surgery questions. Next episode: post-LASIK infectious keratitis, transient light sensitivity, nonhealing epithelial defects, diplopia vs striae, and retinal detachment risks.

BCSC 13, Ep 6: When LASIK Goes Wrong

5 refractive surgery questions. Next episode: post-refractive ectasia risk, residual stromal bed calculations, rigid gas-permeable lenses, SMILE parameters, and post-refractive IOL calculations.

BCSC 13, Ep 7: Ectasia, SMILE, and IOL Math

5 refractive surgery questions. Next episode: presbyopia solutions, monovision targets, corneal inlays, conductive keratoplasty, multifocal IOL dysphotopsias, and piggyback lens opacification.

BCSC 13, Ep 8: Presbyopia and Lens Surgery

5 refractive surgery questions. That wraps up our eight-part BCSC Refractive Surgery series covering laser optics, candidacy, incisional surgery, surface ablation, LASIK flaps, complications, ectasia, SMILE, and presbyopia.

Week 2, Part 1: MUTT 1, natamycin vs voriconazole for fungal ulcers

The Mycotic Ulcer Treatment Trial I: topical natamycin beat topical voriconazole for filamentous fungal keratitis, especially Fusarium.

Week 2, Part 2: MUTT 2, adding oral voriconazole

The Mycotic Ulcer Treatment Trial II: oral voriconazole added to topical therapy did not reduce perforation or keratoplasty in severe fungal ulcers, and it caused more adverse events.

Week 4, Part 1: OHTS, confirming visual field loss

Ocular Hypertension Treatment Study: most abnormal visual fields in ocular hypertension were not confirmed on retest, so confirm before you diagnose glaucoma.

Week 4, Part 2: What we learned from the Optic Neuritis Treatment Trial

ONTT: IV methylprednisolone speeds recovery, oral prednisone alone raises recurrence, and brain MRI predicts multiple sclerosis risk.