HSV1 in Blood Donors

A friend asked me if he could donate blood even though he has an active cold sore on his lip. Below are the recommendations by the World Health Organization on who can give blood.  Since he has an active cold sore, he has to wait 28 days. He already has positive antibodies to HSV 1, […]

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Best Mascara & Make Up for Dry Eyes

Recommendations below: My sister is head of oculoplastics at Stanford and this is the mascara she uses and recommends: https://amzn.to/3eeSRG3 blinc Mascara Amplified And 1. Avoid soaps or liquid makeup removers anywhere near the eyes. Be precise with your cleansers, avoiding the area inside the bony rim.     2. Avoid waterproof makeup. Avoid eyeliner

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PanOptix Literature & references

This study used a short quality of vision (QoV) questionnaire (19 items) to assess patient-reported outcomes based on presence of visual disturbances and lifestyle activities, choice of IOL, and spectacle independence. Complete spectacle independence was achieved by 96% of patients with only 1 patient (1/27) reporting the use of spectacles for far distance. In all,

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What is the Best Cataract Surgery Option and Intraocular Lens for 2019

The vast majority of surgeon globally believe that the Femtosecond Laser-Assisted Cataract Surgery (FLACS) is the best way to remove a cataract. I fully agree. FLACS has a long track record of decreasing complication risks and there is data to show the recovery time is faster, particularly in advanced cataract cases. But there are many

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How to Diagnose Diabetes

This is a great article below which goes through best practices to diagnose Diabetes. SLC JAMA Diagnostic Test Interpretation September 12, 2019 Point-of-Care Hemoglobin A1c Matthew J. O’Brien, MD, MSc1,2,3; David B. Sacks, MB, ChB4 Author Affiliations Article Information JAMA. Published online September 12, 2019. doi:10.1001/jama.2019.14063 Summary: Hemoglobin A comprises approximately 97% of total hemoglobin and undergoes glycation with the nonenzymatic attachment of a

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New Procedure for Secondary IOL or Placement of an IOL without Capsular Support: Sutured IOL vs Sutureless IOL

What is the best way to place an IOL if there is no capsular support?  This is a great question. There are many published techniques. The issue with most is the centration of the IOL and the time it takes to place the IOL.  My favorite technique is becoming a modified version of the below

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References on the Benefit of Tea Tree Oil

For the record: Rinastiti M, et al. Int J Oral Maxillofac Surg. 2006; 35:247-251. Jin CZ, et al. Tissue Eng. 2007; 13:693-702. Niknejad H, et al. Eur Cell Mater. 2008; 15:88-99. He H, et al. J Biol Chem. 2009; 284:20136-20146. Data on file, Bio-Tissue, Inc., 2012. http://www.iovs.org/content/46/11/4079.full.pdf. Sambursky R, O’Brien TP. MMP-9 and the perioperative management of LASIK surgery. Curr Opin

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Albumin Drops for Dry Eye

I met my first patient who has used Albumin drops for dry eyes.  He came in because he believes a recent new surge of styes and chalazia were caused by his use of albumin drops. He had used a compounding pharmacy in Michigan. Initially, he asked if they could send him autologous serum but in

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FDA’s warning letter to MiBo

Many of our patients have asked about MiBo. I know many patients in the US have had MiBo. No one has done a study to compare MiBo to Lipiflow so we really do not know which one is better long term to save meibomian glands. Lipiflow has many more studies to show its effectiveness. I

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Best PRP protocols

This is a great review article on all the published methods to make PRP. The key point is the following– – At present, there is no all-encompassing and universally accepted system to allow classification of platelet-rich plasma (PRP) and other autologous blood preparations. Activated PRP seems to be the best.  SLC Classification systems for platelet-rich

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