Episode 68: Open Globes Part 2 with Dr. Grayson Armstrong

We return with Dr. Grayson Armstrong, recent chief resident at Mass Eye and Ear, where he ran the trauma service and did most of the globe repairs in New England, to learn surgical tips and tricks, run through a few globe cases, and how to handle intraoperative and post-operative challenges. Both clinically relevant and high yield board review material abound!

 Grayson also tells us about an free app he helped develop to help new residents and trainees learn the maze of ophthalmic acronyms: https://ophthalmicedge.org/physician/ophthalmic-acronyms-app-available-now/#

Image credit: American Academy of Ophthalmology Media Library (link here). Still frame from video courtesy of Sidney A Schechet, MD, Megan Rose Silas, MD, Rahul Komati, MD, Asadolah Movahedan, MD, Asim V Farooq, MD, Seenu Hariprasad MD.

Image caption from AAO website: “In this video, Dr. Sidney Schechet and colleagues manage a patient who was hit by a baseball bat, resulting in orbital fractures, an open globe and retinal injuries. Two weeks after repairing an 11-mm limbal-scleral laceration, he had bare light perception vision, a traumatic cataract, dense vitreous hemorrhage and retinal detachment on B-scans. During surgery, surgeons performed a pars plana lensectomy, aspirated the blood and flattened the retina using PFO. At postoperative day 1, the patient’s vision was 20/200 (aphakic, oil). By postoperative week 1, his retina showed remarkable improvement and he had a pinhole vision of 20/70.”