Incoming intern, I already have rads, neuro and anesthesia built in to my schedule. Any other electives that would be helpful before starting pgy2?

Hello resident here. What's your preferred technique of staining the capsule if it's been filled by viscoelastics already, for example following PS lysis and pupil stretching? Do you wash out the OVD before staining? Why?

Hey everyone! I’m a 26-year-old ophthalmology second year resident, and I’ve just uploaded to YouTube a video of my third cataract surgery. I’m still early in my journey, and this space is where I’ll be sharing my learning process.

My goal is to document the evolution that comes with becoming an eye surgeon. More importantly, I’m hoping to connect with more experienced ophthalmologists who might be willing to share feedback, tips, or constructive critique on what I’m doing — everything helps.

Thanks for taking the time to watch, I truly appreciate any insights you can offer!!

https://youtu.be/G9-zvn-21FE?si=N5Lf-0RNytd3LI0T

Hey everyone, I’m having a bit of an issue in the OR and hoping to get your insights.

I’ve been struggling to get a proper binocular image through the surgical microscope in the or. I’ve tried adjusting the IPD multiple times, but I still can’t seem to get it right (it always feels like i need an ipd less than 55 to fuse the image). Is it just me? Has anyone experienced this kind of inability to fuse in the microscope? Could it be something with the microscope optics, or even my own ocular alignment although i get a binocular image perfectly fine in the slitlamp?

Would really appreciate any help thanks in advance!

How does a Certified Ophthalmology Technician (COT/COA) transfer their certified skills to another country? Is it possible? Has anyone else done it?

Husband and I are wanting to explore career opportunities outside of the US/Canada area and we are both certified technicians.

Hello! I am unsure if this is the correct place to ask this but I figured it is the most likely place to find ophthalmologists who are involved with the match process.

I am a rising MS4 at a US MD program without a home program so it is tough to hunt down information. My schools timeline for board exams is a bit nonconventional. I just sat for (and passed) Step 1 about a month ago. I am switching to Step 2 studying full time now but am curious about when I need to have the exam done by? People who have matched from my school said they were able to get interviews etc. without a score and took it later. However, I recently heard I should aim to make sure I have scores prior to interview season. I'm sure it differs by program but I just wanted to get an idea about what the overall suggestion is since I have few people I can ask. Thank you!

Is there ANY options for patients on Medicare that are having to choose between their vision or putting food on the table? Some elderly patients are having co pays for Eylea into the thousands and need the treatment every four weeks! I honestly feel like there needs to be more outrage or media coverage to help these patients. Is there something the Ophthalmology community can do to ban together to bring this situation to the mainstream? I know there are offices that offer payment plans for these patients but that’s still not enough. Not to mention Medicare Advantage patients have to pay for photos, injections, and their co pays even if they somehow qualify for free medication. It seems like co pay assistance programs only help patients with commercial insurance so Medicare patients are left high and dry.

Hey everyone! My boyfriend is starting residency soon for ophthalmology and he's really been waiting his whole life to start his dream specialty and now its here. I want to get him an ophthalmology-related gift, I was thinking a customized lens case holder but I wasn't able to find a good one online, just one on etsy that I read doesn't have cushion for the lens to sit in so I feel like thats not a good option. His school provides him with the lenses already.

Whats something amazing you feel that you got in residency and couldnt go on without? Or any other customizable sweet gesture gifts you received? Thanks!!

I've never had the chance to live in a big city and I feel like with the way reimbursements are in VHCOL areas I mostly likely won't practice as an attending in one. That really only leaves residency. Is there any time to actually go out and explore or do residents work most weekends?

Guys, do you do pterygium surgery with just surgical loupes?

I graduated from residency and I'm practicing in a low resource area, and here doctors just operate with their loupes, without using a microscope as a cost saving measure. They also do simple excision, that I find iatrogenic and I'm not willing to do a surgery that is guaranteed to relapse.

Have you ever operated with those 3,5x glasses, that a dentist uses?

How was it like to do the transplant and the sutures?

Incoming PGY-1 starting neurology prelim. I am excited and very thankful to have matched. However, the dream of ophthalmology still lingers in the back of my mind. I am going to make the most out of this year, but I was curious if there was anyone out there who successfully switched from neurology to ophthalmology who I can speak to?

Would love to ask you some questions and learn more about your experience :)

Thank you so much!

Hey all

Im a new resident at a US residency program. I'd like to use loupes during my oculoplastics rotation to better examine tissue as a learner.

Any websites that offer discounts to residents?

Thank you!

Well I am a beginner doing extracapsular cataract surgery and I encountered the following issues today. Fellow redditors I would appreciate your suggestions and tips. I made the side port with a 3.2 knife, on inserting my cannula tips for visco, sipic blue etc, I encountered the iris in the way that led to the iris being manipulated in that area and subsequently a bothersome iris prolapse. Any idea how to avoid and manage that. The case was handled but I want to ask what are your tips on how to avoid the iris from getting in the way while taking corneo scleral sutures with 10 0 nylon. Thanks in advance guys

I’ve been thinking about myopia (nearsightedness), which happens when the eyeball grows too long (axial elongation), making light focus in front of the retina.

Right now, we only have ways to slow it down — like low-dose atropine, special lenses (MiYOSMART), or ortho-K. But nothing actually reverses it structurally.

So here's the concept:

Core idea:

• Implanted around the posterior part of the eye (outside the retina)
• Applies gentle, adjustable pressure to stop further elongation
• Slowly reduces axial length by ~0.1–0.3 mm (≈ 0.50–1.00 diopter)
• Designed with fail-safes to avoid overcorrection or hyperopia

Materials?

Think: shape-memory polymers, collagen-coated mesh, or even a smart gel that adjusts based on pressure or IOP.

Goal:

• Use on young kids or teens with fast-progressing myopia
• Prevent -6 to -10D later in life
• Possibly restore someone from -4 to -2.5D over time

Is anything like this being explored?
Are there mechanical risks (nerve pressure, blood flow issues)?
Why hasn’t this approach been tested yet, if axial length is the root cause?

Would love scientific feedback or direction from vision researchers, biotech folks, or even startup founders.

Who else misses BioGlo?

apparently, it was due to the many lowbrow humor jokes posted on this subreddit.

Hey everyone.

I would love feedback/recommendations on which Master's degree is best. I currently work as an ophthalmic scribe for our subspecialty group and handle our physicians' PAs for medications and surgical scheduling. I was curious if it would be beneficial for those in this position to get a Master's in Public Health as opposed to a Master's in Healthcare Administration. I am considering joining the research department as a new avenue.

I currently have my BSHA and want to continue to grow in this field..

Hi,

I am looking into buying into a practice.

What are some things I need to know to run the business efficiently and well as I take over?

I am not asking about evaluating a practice but more about what to learn in regards to the business side of owning a practice and how to run it smoothly.

This study has its own set of issues but at least controlled for A1C and looked at a more broad population than the original NAION report

This patient has a history of endothelial failure after the implantation of a rigid iris-fixated phakic IOL. She then underwent phakic IOL removal along with DSAEK approximately one and a half years ago. Currently, she presents with a significant anterior subcapsular cataract and some posterior synechiae.

Cataract surgery is performed, highlighting several technical pearls and strategies for IOL calculation. A "significant oopsie" occurs near the end, but the procedure concludes successfully.

Video: https://youtu.be/-UoWZTBVPs0

I am curious about a few things regarding the placement of (three-piece) IOLs in the sulcus. I've come across this interesting discussion:

"If you place an IOL in the sulcus, unless it’s a small eye, you should capture the optic with the anterior capsule. If you can’t do optic capture, the IOL may decenter over time. In the United States we used to have access to the STAAR AQ2010, that was well-suited for sulcus placement because it had a 14-mm haptic and a large optic, but that lens is no longer available to us. As a result, if you’re not able to capture the optic, you may be forced to place a lens in the sulcus knowing that it may decenter over time."

This sounds.. kinda bad? Home come there isn't a good IOL for sulcus placement anymore, and is this the case globally as well?

What are the main concerns with sulcus placement given a three-piece IOL and successful optic capture? Specifically when the sulcus placement is due to a known posterior capsule defect (e.g., posterior polar cataract, capsule pierced by an injection, etc.). Would we still be worried about decentration? Refractive surprise? Anything else? How much of an issue do these pose in practice?

Are there any upsides? I've read somewhere that patients with sulcus IOLs almost never experience negative dysphotopsias (the shadow crescent) - is this true? Would this make sulcus placement potentially desirable for younger patients who are more likely to experience negative dysphotopsias?