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    Reliving the joy of your first corneal foreign body


    Something was off

    But there came a time when my own confidence in performing delicate procedures around the eye began to wane. It was during that period a few years back when my retinas started to go rogue. A vitrectomy had given me a runaway nuclear cataract and myopic shift which produced several diopters of anisometropia.

    I tried compensating for my decreased stereopsis with contact lenses and by adjusting the oculars, but something was off a hair. It gave me sympathy for those patients who couldn’t put their nagging symptoms into words.

    More from Dr. Brown: Experiencing retinal detachment as an OD

    My tech would watch through the teaching scope while holding the lid with a cotton-tip applicator and the patient’s head against the headrest. We had a code: whenever I started to miss the mark, he would clear his throat—“Ahem!”

    Two cataract surgeries and a scleral buckle later, the induced anisometropia and retinal aniseikonia made me wonder if I’d have to give up procedures for good. I didn’t have to wait long to find out.

    Next: Got it

    Michael Brown, OD, MHS-CL, FAAO
    Dr. Brown has practiced medical optometry in a comanagement center and with the U.S. Department of Veterans Affairs Outpatient Clinic in ...


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    Optometry Times A/V