Fishman Blog

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Dynamic OCT of a Floater September 18, 2020 Dynamic OCT of a floater. At FishmanVision, Dr. Fishman will often personally perform the testing (giving his techs a much needed break). The OCT doesn’t record the “taking” of the test , but as shown here , watching the test in progress can be very revealing and super helpful to[...] Read More
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Periocular BoTox on Tear Film Homeostasis September 16, 2020 Fishman comments: The effect of Botox on ocular surface disease is seriously under appreciated. While the cosmetic benefit of Botox is widely known, Botox use was actually "invented" by an Ophthalmologist (Dr. Alan Scott) to treat strabismus (eye muscle misalignment) in kids. BoTox does have some other less well known[...] Read More
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4 dead Demodex September 12, 2020 The below video snippet is an example of dead Demodex mites on a lash. We see no leg movement on video microscopy and presume mite death.  Demodex mites are parasites with a length ranging from 200-400 microns (1) . One study suggests that six or more Demodex mites per 16 lashes[...] Read More
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Derm Findings in Complex Regional Pain Syndrome August 31, 2020 Title: "Dermatological Findings in Early Detection of Complex Regional Pain Syndrome" JAMA Dermatology June 2014 Volume 150, Number 6 Authors: Rameez Kabani, BSc; Alain Brassard, MD, FRCPC Fishman comments: This is an extremely complex condition and the question for dry eye specialists is whether some of the eyelid and eye[...] Read More
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Lash Plucking August 29, 2020 Epilation. Sometimes it’s the small things in life that can really make a difference in the patient’s life. However don’t forget to consider eyelid carcinoma in any misdirected lash. #squamouscellcarcinoma #basalcellcarcinoma #trichiasis #sebaceouscellcarcinoma #rosacea #dryeyes #ipl #blepharitis #demodex #mgd #meibomianglanddysfunction Read More
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Dry eye and Menopause August 29, 2020 Prevalence of ocular surface disease symptoms in peri- and postmenopausal women Garcia-Alfaro, Pascual MD; Bergamaschi, Luciana MD; Marcos, Celia MD, PhD; Garcia, Sandra BSc; Rodríguez, Ignacio MScAuthor Information Menopause: September 2020 - Volume 27 - Issue 9 - p 993-998 Conclusions: Sixty-four percent of the pre- and postmenopausal women studied[...] Read More
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Meibomian Gland Incision August 25, 2020 An obstructed meibomian gland that becomes acutely inflamed is called an internal hordeolum. It is typically the result of infectious inflammation and the organism most commonly involved is Staphylococcus. Antibiotic therapy is thus the typical first step along with relief of the obstruction which can be achieved by using warm[...] Read More
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Live View of a Retinal Hole August 22, 2020 Shown here in this video snippet is an operculated hole in the periphery of the retina. Clearly seen is the operculum floating above the pigmented edge of the hole (a lattice spot). This hole occurred in response to a posterior vitreous separation pulling on the retina. Retinal hole Holes can[...] Read More
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Glaucoma and dry eye August 13, 2020 Patients with dry eye disease need to be screened for glaucoma. It is not uncommon for steroids to be used in dry eye disease and is often used in a "pulsed" type fashion. As a result, while the pressure may be measured as "normal" in the office, the intra-ocular pressure[...] Read More
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Multifocal lenses and dry eye August 13, 2020 Multifocal intraocular lenses are particularly sensitive to small irregularities on the corneal surface. Dry eye disease in its many different manifestations can alter the ocular surface and significantly degrade the image quality for the patient. Read More