It’s Wednesday! Hope everyone’s week is going well so far! Mine has been pretty great since I’ve been in the ophtho clinic for the past 2 days. This whole month, I’m on my ophthalmology elective and I am spending my days in the resident run clinic with one of the first year residents and a few of the chief residents.
I think it’s going to be a wonderful month because it’s super laid back but I also get to see a lot and hopefully learn some skills before residency starts in July! I’ve already started seeing patients on my own which is good. But let me tell you- some of this stuff is SO hard to see!
I saw cells in the anterior chamber for the first time on my own yesterday which was a big accomplishment for me! I hadn’t been able to appreciate them before but now that I’ve seen them, I think I will recognize them more in the future.
To see cells in the anterior chamber (which are often indicative of inflammatory conditions- normally you shouldn’t have cells there) I’ve been told to think about pointing a flashlight at something and then looking at the beam of light for tiny specks of dust floating. You don’t want to look directly at the light as it comes out from the flashlight, and you don’t want to look directly at the light as it hits whatever it is you’re shining the flashlight onto. You want to look at the beam in the middle. Does that make sense?
These two pictures are really good. Look in between the two lights and look at the little specks in the middle. Those are cells.
I also got to identify quite a few different corneal lesions! Some bacterial, some viral, some inflammatory. Pretty cool! This one is a bacterial infiltrate:
This is disciform herpes simplex keratitis with central epithelial and stromal edema.
I’m learning that the cornea is super complex. (I think I already knew that… but wow!) Look at all the layers:
And all the things that can go wrong:
So before I run off to eye clinic today, I want to post my latest youtube video here. I am starting a new project of posting a video every Monday that addresses a reader email. What do you guys think of this idea?
Have a great day!!