Fishman Blog

IMAGE
“Review. Neuropathic Pain and Dry Eye” by Dr. Anat Galor August 4, 2020 Fishman comments: Dr. Galor continues to be one the TOP academic physician/ researchers in the area of dry eye and neuropathic pain. This article from 2017 by Dr. Galor et al. does a terrific job of summarizing the mechanisms, treatments and challenges of neuropathic pain and dry eye and how[...] Read More
IMAGE
Conjunctivochalasis Displacing Tears July 29, 2020 Shown here is a segment of video showing conjunctivochalasis. Conjunctivochalasis (CC) as described by EyeWiki is "redundant, nonedematous conjunctiva that causes a wide variety of symptoms ranging from completely asymptomatic, to worsening of an unstable tear film, and when severe, a real mechanical disruption of tear flow."  As a part[...] Read More
IMAGE
Dry eye & Glaucoma July 29, 2020 synechiae after angle closure glaucoma This is a short video snippet of synechiae after angle closure glaucoma. Glaucoma patients often suffer from several mechanisms of DryEye. Iatrogenic causes of dry eye are too often the culprit and prostaglandins (Latanoprost, etc) are one of the greatest offenders. Through their role in[...] Read More
IMAGE
Subconjunctival hemorrhage July 26, 2020 Impressive case of subconjunctival hemorrhage. An under appreciated cause of subconj hemorrhage is conjunctivochalasis. Other causes of subconj hemorrhage include micro trauma from dry Eye disease , inadvertent eye rubbing and a multitude of systemic diseases , oral medicines and supplements. Fortunately, most causes are benign , but in the[...] Read More
IMAGE
Remove that “pea” from my eye! July 17, 2020 Concretions are tiny little "micro pea" sized deposits in the conjunctiva of the eyes. More precisely (from the EyeWiki), they are "degenerating epithelial cells and proteinaceous secretions [and lipids (oils)] from conjunctival glands. This cellular debris becomes trapped and can undergo calcification."  It is an often underappreciated source of discomfort[...] Read More
IMAGE
Corneal Verticillata July 13, 2020 Slit lamp video of a patient with corneal verticillata also know as vortex keratopathy, whorl keratopathy, or Fleischer vortex.  Corneal verticillata are these whorl like opacities in the cornea. As shown in the below video, they appear dramatic, but generally cause no decrease in vision or glare to the patient.[...] Read More
IMAGE
Blue Sclera July 13, 2020 The below video snippet is a case of blue sclera. Blue sclera isn't really blue but can be from either thinning of the sclera which causes a bluish hue on examination or pigmentation deposits that can also appear to give a bluish hue to the sclera.   [embed]https://youtu.be/mxsAb0dmPEg[/embed]   Blue[...] Read More
IMAGE
Electrovestibulography (EVestG) for Post-concussion syndrome (PCS) July 12, 2020 Fishman comment:  Post-concussion syndrome (PCS) is a very debilitating condition in which individuals suffer from symptoms including "headaches, dizziness, fatigue, irritability, reduced concentration, sleep disturbance, memory loss, sensitivity to noise or light, double or blurred vision, nausea, anxiety and depression." Electrovestibulography (EVestG) is an objective diagnostic tool for PCS. It is an[...] Read More
IMAGE
Platelet-rich Plasma (PRP) may reduce pain by an Endocannabinoid-Related Mechanism July 8, 2020 Fishman Comment: I have been very impressed with the use of serum tears in the treatment of neuropathic corneal pain. At FishmanVision, we use a subset of serum tears called Plasma Rich in Growth Factors (PRGF). PRGF is itself a subset of PRP. Compared to other modalities, patients appear to[...] Read More
IMAGE
Tape Stripping: A Novel Noninvasive Method Using RNA Sequences for Diagnosing Ocular Surface Diseases of the Eye and Eyelid June 17, 2020 Fishman comment: This is our recent work on a new method for measuring the mRNA on the ocular surface. The implications for this research range from microbiome analysis to point of care testing for infectious diseases. Abstract: Harvey Fishman MD PHD, Jonathan Mansbridge, Vera Morhenn; Tape Stripping: A Novel Noninvasive[...] Read More