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cover of episode Knock Knock Eye: What Are All Those Machines at the Eye Doctor's Office?

Knock Knock Eye: What Are All Those Machines at the Eye Doctor's Office?

2025/1/16
logo of podcast Knock Knock, Hi! with the Glaucomfleckens

Knock Knock, Hi! with the Glaucomfleckens

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Will Flannery (Dr. Glockenflecken)
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Will Flannery (Dr. Glockenflecken): 我认为60岁以上的人不适合做LASIK手术,因为白内障手术能提供更好的长期视力改善,且风险更低。LASIK手术的收益会随着年龄增长而递减,60岁以后,人们通常会患有白内障。白内障手术中,我们可以使用更先进的晶状体,例如可以矫正远视和近视的晶状体,甚至可以在植入后根据患者需求进行调整。这些都是LASIK手术无法实现的。此外,LASIK手术也存在一些潜在的严重副作用,例如严重的干眼症,虽然这种情况比较少见,但仍然存在风险。而且,即使做了LASIK手术,日后仍然可能需要进行白内障手术。因此,对于50岁以上的人,我不建议进行LASIK手术。 我能够通过观察患者几秒钟来诊断多种眼部疾病,例如眼睑癌、斜视、眼睑下垂、突眼、白内障、贝尔氏麻痹、结膜炎、过敏性皮炎、皮肤松弛症、眉毛下垂和瞳孔不等大。这些疾病中,有些是比较严重的,需要及时治疗。 眼科诊所应该为残疾患者提供便利,例如使用便携式裂隙灯和替代性检查方法。残疾患者的舒适度和检查体验不应该由他们自己负责,而是诊所和医生的责任。我们应该尽一切努力为他们提供安全、全面的检查。虽然有些检查可能因为患者的残疾而无法进行,但我们仍然可以采取其他方法来评估他们的视力状况。例如,对于无法保持头部静止的患者,我们可以使用便携式裂隙灯,或者采用其他方法来进行检查。对于无法进行主观测试的患者,我们也可以采取其他方法来评估他们的视力功能。

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Shownotes Transcript

In this episode I answer viewer questions about eye care, including when LASIK is worth it and when to skip it. I also dive into the eye conditions I can diagnose just by looking at someone, from ptosis to third nerve palsy, and reflect on the challenges patients with disabilities face during eye exams. Lastly, I get into all the equipment and machines we use in the eye doctor's office!

Takeaways:

LASIK Is Not for Everyone: Dr. Flannery advises against LASIK for patients over 50, explaining why cataract surgery provides better long-term vision improvement with fewer risks.

Diagnosing Eye Conditions at a Glance: He lists common conditions ophthalmologists can spot immediately, including ptosis, strabismus, thyroid eye disease, and eyelid cancers, and discusses the potential dangers of ignoring these signs.

The Power of Second Opinions: Dr. Flannery emphasizes the importance of getting a second opinion on expensive treatments like LASIK to ensure patients make informed decisions.

Advocating for Patients with Disabilities: He highlights the need for ophthalmology practices to accommodate patients with disabilities, from portable slit lamps to alternative testing methods, and stresses that it’s the doctor’s responsibility to make the exam comfortable.

Advocacy in Eye Care: Through humorous anecdotes, Dr. Flannery underscores the importance of self-advocacy in healthcare, encouraging patients to ask questions and ensure they receive the best possible care.

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If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken

If you want more information on models I use:

Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link:  Anatomy Warehouse) Plus for 15% off use code: Glaucomflecken15

Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out.

Produced by Human Content

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