Haven't read about PPS Maculopathy? Just because it isn't in your BCSC yet doesn't mean you won't need to learn about this newly described disease. We learn about it here from the man who first discovered it, Dr. Nieraj Jain, vitreoretinal surgeon and ophthalmic genetics expert at the Emory Eye Center. Learn how he came to realize he was seeing a previously undescribed disease associated with a commonly used drug, how you can recognize it, and some of the techniques Dr. Jain used to show the strength of the association.

This week, we return to acute angle closure and discuss how to manage this challenging disease. All residents will eventually need to know how to tackle this in the ED!


We reference this video during the episode, a demonstration of the Argon Laser Peripheral Iridoplasty technique, by Dr. Christopher Teng: https://www.youtube.com/watch?v=l2NYixE_0xQ


He also has videos demonstrating the traditional Laser Peripheral Iridotomy technique as well:


Learn about angle closure, from fundamentals, to a deep dive into mechanisms of what makes angle closure occur. Plus, intro and intermediate gonioscopy tips!

April 29, 2021

AREDS and AREDS2 Trials

This week we review the Age-related Eye Diseases Studies (AREDS) which resulted in the AREDS and AREDS2 vitamin supplements for patients with age-related macular degeneration. Learn the finer points of when to actually prescribe them, the evidence behind them, and what to do in those odd edge cases.

With the massive changes in non-urgent patient care caused by the COVID-19 pandemic, ophthalmology was one of the most affected specialties in the US and the World, with significant drops in patient volume with the initial shutdowns, and difficulty adapting as many other specialties did by delivering care remotely; ie with telemedicine.

Dr. Grayson Armstrong is the first and only telemedicine fellow in ophthalmology at Mass Eye and Ear, and so has made it his job of trying to solve the problem of teleophthalmology. Join us as he takes on a tour of where we're at now, tips on how to do effective tele-ophtho starting today, and where we're headed in the near future. 

We discuss the Minorities in Ophthalmology Mentorship (MOM) Program, an academic program supported by the AAO and AUPO, with executive committee members:

  • Dr. Keith Carter, past president of AAO and AUPO, Chair of Ophthalmology at the University of Iowa, and Chair of MOM Executive Committee
  • Dr. Paul Lee, president elect of AUPO, Research Liaison for MOM, and President of NAEVR/AEVR and Chair of the Kellogg Eye Center at the University of Michigan

We discuss some of the challenges of diversity within academic ophthalmology, and the benefits and mentorship that the MOM program offers to students looking to apply to our very competitive field.

If you are interested, or if you know a medical student you think would be a good candidate for the MOM program, submit your application by April 12th, 2021 for early decision at:


If you'd like to learn more, go to:



This week we delve into orbital lymphatic malformations, also commonly called lymphangiomas. Learn the diagnostic pearls to identifying this potentially dangerous pediatric orbital tumor, and what's so tricky about their management.

March 9, 2021


This week we cover the life and times of toxoplasmosis in the eye, including a breakdown of toxoplasmosis' complex life cycle, the many manifestations it may have in the eye, diagnostic tests, and management paradigms.

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/#

This week we learn about the diagnosis and pre-operative management with Dr. Grayson Armstrong, who recently completed his chief residency at Mass Eye and Ear, where he ran the trauma service, and thus did many of the globe surgeries of New England. Even if you've managed a number of globes, you'll have a lot to learn with Grayson. Keep your eyes peeled for next week when we come back for part 2 to go through trauma cases and learn surgical tips!

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