Reflections on Fellowship So Far

With half a year behind them, current glaucoma fellows share their favorite pearls to date.

Viviana Barquet, MD; Gio Campagna, MD; Teresa Horan, MD; and Timothy Truong, MD

Glaucoma Today

VIVIANA BARQUET, MD Glaucoma fellowship is an exciting and challenging time that goes by faster than some may realize. As I embark on the second half of my fellowship, I am armed with several useful takeaways from my experience so far. Ask Questions During fellowship, you work very closely with your attendings, whether in clinic or the OR. Knowing the reasoning behind their preferences, treatment paradigms, and interpretation of glaucomatous disease will influence your own reasoning. Do not be afraid to ask questions or discuss challenging cases. Mix It Up Each attending has their own surgical approach, and, as a fellow, it is important to learn their different techniques. Not only will this allow you to curate your own preferences, but it will also be beneficial if you are faced with a case in which you must deviate from your standard approach. Additionally, familiarizing yourself with various surgical instruments and materials is important, as you may have different equipment available to you in practice. Developing a toolbox with a variety of skills and techniques will help you manage unexpected situations. Hit the Books Study and prepare for a case by reading operative reports or pearls you have jotted down, watching videos, or practicing in the wet lab as if you were going to do the case on your own.

Papilledema Associated With Meningioma

Even if you suspect idiopathic intracranial hypertension, it’s important to order appropriate imaging and workup to rule out more serious causes of papilledema.

Christopher J. Borgman, OD, FAAO, and Rick Savoy, OD, MPH

Modern Optometry

A 45-year-old Black female was referred to us for a second opinion on possible edematous optic nerves after being seen 1 week earlier. The patient reported having headaches that worsened over the past year. She denied trauma and changes to her vision; her ocular history was unremarkable. She also denied systemic medical issues and allergies and was taking only a daily multivitamin. EXAMINATION FINDINGS The patient’s entering VA was 20/20 OU. Her pupils were equal, round, and reactive to light, without afferent pupil defect. Extraocular motilities showed full range of motion OU, and the patient denied experiencing diplopia. Confrontation visual fields were full to counting fingers OU. Color vision was normal with Hardy-Rand-Rittler testing OU. The patient’s anterior segment was also normal for her age OU.

Comparing AI-Generated Answers to Patients’ Eye Care Questions With Ophthalmologists’ Responses

Robert T. Chang, MD; and Neda Shamie, MD

Eyetube

Robert T. Chang, MD, joins Neda Shamie, MD, to discuss a cross-sectional study that assessed the quality of ophthalmology advice generated by a large language model chatbot (ChatGPT, OpenAI) compared to advice written by an ophthalmologist. How did the responses stack up? To access the full review, please visit the link here: https://pubmed.ncbi.nlm.nih.gov/37606922/