Fishman Blog

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A PRACTICAL GUIDE TO TELEMEDICINE IN EYECARE by Dr. Harvey A. Fishman, MD PhD March 14, 2020 Click here for the e-book! Tele-ophthalmology and telemedicine have been a passion of mine for the past 25 years. As a medical student at Stanford in the 90's, I was one of the first beta users of the then famous palm pilot app, ePoctrates. At Stanford Medical School, I tried[...] Read More
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Highlights from Dr. Galor’s article, “What can photophobia tell us about dry eye?” March 7, 2020 [vc_row][vc_column][vc_column_text]Dr. Fishman's comments: Light sensitivity is a very important symptom that occurs in a variety of ocular diseases including dry eye disease. Dr. Galor has done truly pioneering work in this area and has written many papers on this topic. At FishmanVision, Dr. Fishman is also been conducting research in[...] Read More
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Hordeolum Expression & Curettage March 2, 2020 [vc_row][vc_column][vc_column_text] [embed]https://youtu.be/oDc3vhvbuKI[/embed] This video shows a nice example of treating a hordeolum (also known as a stye) by first pre-treating the eyelid with a Mibo heating pad, then gentle expression, and finishing with curettage of the gland with a corneal spud. Hordeolums aka "styes" are infections of the glands in[...] Read More
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The disparity between the dry eye “DREAM” study results and real world clinical experience: Is the gut microbiome the missing link ? February 29, 2020 Dr. Fishman's comments on latest DREAM study publication: Why is there is a huge disparity between the clinical experience of most well-known dry eye and corneal specialists and the results that are emerging from the DREAM study? To cut to the chase, the study lumped together all of the many[...] Read More
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Death by Ipl February 26, 2020 [vc_row][vc_column][vc_column_text] [/vc_column_text][vc_column_text]Fishman comments: Our paper is the first to show direct evidence of "Demodex Death by IPL" using live video microscopy.   Honored to collaborate on this important work with Dr. Periman (aka @dryeyemaster) and Dr. Shah (@sfgotox). Click the below download button for the full PDF of the paper.  [...] Read More
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Regional Comparison of Goblet Cell Number and Area in Exposed and Covered Dry Eyes and Their Correlation with Tear MUC5AC February 23, 2020 Fishman comments: Another brilliant article by Dr. Pflugfelder and co-workers. Here, they show a correlation between tear MUC5AC concentration and GC area and suggests tear MUC5AC mucin can be used as a disease-relevant biomarker for conjunctiva GC health. Authors: Khimani, K.S., Go, J.A., De Souza, R.G. et al. Sci Rep[...] Read More
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Heart-Shaped Meibomian Gland February 23, 2020 [vc_row][vc_column][vc_column_text] Human anatomy often delights us with unexpected structures. This is a heart shaped meibomian gland in the upper eyelid of a patient. The meibomian glands are holocrine type exocrine glands. Estimates vary but there are ~20 to 30 meibomian glands on the lower lid and ~40 to 50 on the[...] Read More
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Innate Immune System Drives Dry Eye Disease February 22, 2020 Dr. Fishman shares his insights into how the innate immune system drives dry eye disease. While inflammation plays a key role in the development and amplification of dry eye, Dr. Fishman emphasizes finding the inciting etiology that stimulates the immune response. Often these stimulants can be overnight poor eyelid closure,[...] Read More
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MicroRNA Profiling in Benign and Malignant Conjunctival Melanocytic Lesions February 19, 2020 Fishman comments: The article says it best... "Conjunctival melanoma is a rare tumor with an incidence of 0.2 to 0.8 cases per 1 million people, although the incidence is increasing." "In daily practice, it can be very difficult to distinguish a benign from a malignant melanocytic lesion based on only[...] Read More
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Female mouse tears contain an anti-aggression pheromone February 17, 2020 Fishman comments: Super interesting article on the effects of female mouse tear fluid on male behavior. The authors found that female tears contain a factor that strongly inhibits inter-male aggression. Cavaliere, R.M., Silvotti, L., Percudani, R. et al. Female mouse tears contain an anti-aggression pheromone. Sci Rep 10, 2510 (2020). https://doi.org/10.1038/s41598-020-59293-9[...] Read More