When I took my Mom in for cataract surgery, there was a scribe recording all of the values spoken by the ophthalmologist during the exam. I said, “oh, you have a Jonathan”. Everyone in the room started laughing because they all knew of Dr. Glacomfleken.
Still one of my all-time favorite patient stories... I'm a pediatrician, and I was seeing a patient for the first time for a well visit. I was looking at his PMH in the EHR and saw something about plastic in the eye. Mom tells me that there was a plastic chair that dad was going to throw away. He told the kid to take a hammer and break up the chair so it would fit in the garbage can. A piece of plastic flew into his eye and was protruding from the eye, resulting in a globe rupture. Because pediatricians are all about prevention and anticipatory guidance, I asked what everyone learned from all this. Mom starts talking about thinking about possible projectiles and wearing safety classes. The kid says, "Heh. I learned not to listen to Dad."
Your brown eye might need protecting. There's too many hormonally damaged shouldbe-men from eating Atrazine soaked corn. Think they are girls. And as most of us know, most girls believe us men can't be raped cause they believe we are always after any sex available.
My fun eyeball story, retired auto shop manager. Had this old school technician I hired who “never wore safety glasses” but of course our shop policy was to wear them at all times. I spot checked him for three weeks, finally he started wearing them 100 % of the time. The very next day, he was bench bleeding a brake master cylinder, applied too much pressure, and his entire face was plastered with brake fluid, except for his eyes! Made a believer that day!
My dad lost an eye as a child playing with wooden swords. When he caught me and my brother doing the same, he took his glass eye out and scared the living crap out of me, at least. To this day, I'm terrified of children and sticks and hopefully I carried that over to my sons who will pass it on to my granddaughter (so far).
I'm on the ophthalmology call team as a scrub nurse. When we get called in for ruptured globes, my husband and I like to make bets on whether it is a meth related punch to the face or an alcohol related fall. Those make up about 90% of the ruptured globes in my area.
I worked in chemical labs for years and always wore my safety glasses. Then I got an office job and managed to paper cut my cornea 🤦♀️ the pain was horrendous and I had issues with that eye for literally years after.
People think wearing safety gear in mundane locations is crazy, until you needed it :( I still consider wearing a hard hat when driving, I do not trust those lights…
@@nancylindsay4255 I was distracted in a meeting and tried to put on my reading glasses with a folded piece of paper in my hand. Resulted in a V shaped cut right in the centre of my eye.
I loved it!! I would like you to explain uveitis to your viewers, especially as an eight-year-old. I am forever having to explain it. My uveitis diagnosis came about because my daughter thought I was having a stroke: one was dilated differently than the other. I was also horribly light-sensitive so my hospital room was kept dark. Six doctors came in and flipped the lights on--I screamed, flashed a light in my eyes, my pupil size didn't change, and asked if I could see--yes I could. They were amazed. I think they were calling their friends to say, "Hey, come here. You gotta see this!" Finally, the ophthalmologist came and diagnosed me. She did not flick the lights on, by the way.
Yes! My husband had recurrent uveitis. ED doc initially said conjunctivitis, sent home with antibiotic drops, got worse, so back to ED 2 days later. This time a different ED doc said "let's get the ophthalmologist!". 3 bouts of uveitis later and he hasn't had another bout in 3 years.
My husband has a strong “eyeball phobia”. To him, an eyelash in your eye is a life-flight appropriate ICU medical emergency. In horrible irony, his father developed some sort of weird, severe macular degeneration type “eyeball emergency” requiring multiple surgeries, vision loss, etc. So seeing you moving to explain these issues might help dispel a bit of his phobia.
I know a few people that would literally gag if they caught me inserting or removing contacts. Hint: i was doing so in appropriate places with clean hands, not just randomly in public. I would also gag if i saw someone touching their eyes on a bus or subway!
True story my wife took a Nerf dart right to the eye went to the ER. They try to just send her home because we are both in medicine. We refused to leave unless ophthalmology saw her ophthalmology was not happy they tried to send her home and fun fact her progress note And the ED recommendations changed in the RMR once ophthalmology had a very stern talking with them
Next we're going to get "The Ophthalmologist Goes Paintballing". Or possibly, "The Ophthalmologist Attends Arts and Crafts Class". "Why aren't you wearing safety glasses?" "For oil pastels??" "Are you saying they *couldn't* get into your eye?" Anyway, I'm watching this while recklessly doing cross stitch without wearing safety glasses, or even a thimble!
Meanwhile I was done cleaning and ran out of alcohol wipes. I gave the bottle a quick shake to see if there was any liquid inside to pour out on the table and ended up with alcohol all over my eye. Glasses did nothing to stop it. I immediately rinsed out my eye for a minute under the faucet. Eye protection is a bit annoying with glasses. I do have safety goggles that go over my glasses but are scratched up and fog up after 15 seconds of use.
That "You can if you want, though!" was delivered with a similar enthusiasm as the dermatologist who looked at an unpleasant fungal infection on my hands and went, "That is awesome." Some people would find that weird. I was just glad to have someone who loved their job working on me.
@sherimcmahon1410 sort of. It's high fluid pressure inside the skull for an unknown reason. The usual reasons are brain tumor, brain bleed, or hydrocephalus, but IIH isn't like hydrocephalus other than that we also have too much CSF (fluid around the brain and spinal cord). One of the serious outcomes of IIH is blindness, which is what happened to me because my stupid insurance refused to authorize an ONSD/ONSF or a shunt for months and months.
Partly right, not quite. Hypertension refers to Cerebrospinal fluid. It used to be called pseudotumor cerebri...that is what is was called when I was diagnosed in 1980.. :)
I worry that this may be too heavy or complicated to talk about in 30 minutes, but as someone who is fully blind with no light perception in either eye, I would like to know what the modern outlook on blindness is for ophthalmologist. I've heard some real horror stories from other blind people about dealing with getting actual support after their diagnosis, but I've also heard some really awesome stories about ophthalmologists who push them to get on with their lives and gave them lots of resources. it all digs into the medical versus social model of disability, doctor struggling with patient outcomes, patients dealing with the mental health trauma of losing vision, lots of heavy stuff. But I would really love to know your point of view.
The day I was scheduled for my detached retina surgery, the surgeon was delayed all day on an emergency surgery for a guy who was working on his motorcycle. I was obviously not given the details, but the one thing I was told was the fact that he needed to perform an emergency extraction of a pair of needle-nose pliers from an eyeball.
Would love an episode about dry eyes, especially with hormones! I had to stop wearing contacts when I was pregnant because of dryness, but I've heard that can be an issue as someone approaches menopause too. I really want vision correction surgery because I'm SO tired of wearing glasses and I still can't wear contacts for a full day, but I know dry eyes can be a contraindication. I do the drops and warm compresses and it helps, but when I'm having a flare up (?), it's just hellish.
I appreciate your support for wearing safety glasses during basically any activity; it makes me feel better about wearing them while cleaning my own house 😂 especially when I’m cleaning something that is particularly gross or anything that involves a risk of something splashing up towards me
I wear glasses so I wear those chemistry goggles when working with my 120,000 rpm rotary tool plus a mask. I get laughed at, but avoiding eye injury & inhaling eggshell powder is important!
Do they fog up? I have one i bought a while ago for class but they fog up way too quick. So, my eyes might be protected, but i can’t see what my hands are doing. Incredibly annoying. I did try using them once for cutting onions but the tiny vents in it allows the stinging onion gas to enter. I also tried swimming goggles once for that, but my eyesight is too bad to cut onions safely with them. The safety goggles are still useful though if i’m spraying some bleach on the walls and ceiling to keep mold from forming in bathroom.
@@popenieafantome9527there are special anti fog wipes you can use to stop the fogging!! You might need to use them multiple times, but much better than losing an eye
Whenever I use a diamond saw bit on my flex shaft I wear a full on face shield because it is SO scary. Especially when cutting stone since it has to be wet
I had an eye problem that probably nearly qualifies as being a pants patient. I had a retinal detachment (I am 35 yo) that I probably had for months. I almost didn't have any symptoms, otherwise I would have gone to my eye doctor. I just mentioned it during my yearly checkup (I go yearly because of severe nearsightedness) that when I looked at a straight vertical line (for example edge of a door) I saw like a small squiggle in the middle of that vertical line before it continued vertical again. Eye doctor sent me straight to the hospital, surgery the next day. They put heavy oil in my eye because the retinal detachment was at the bottom. Surgery some months later to remove the heavy oil again. The retina is ok now. Now I have cataract in the center of that eye as a consequence of the surgery.
I look forward to this whole series as an emergency medicine PA. This is super duper helpful because I feel like the ophthalmology training that non-ophthalmologists get is really minimal and definitely not enough to practice successfully in emergency medicine.
Recovery room RN- retired 3 years now from a large trauma center. Of all of the on call surgeons I will say that the ophthalmologists were the most pleasant to the patients, families and peri operative staff. They always came into the recovery room to complete their documentation and order entry and speak to the staff in person regarding any issues and post-op care considerations. They made sure that the anesthesiologists pre-treated for nausea/vomiting and left aggressive orders for post-op treatment. Wear your safety glasses! My craziest eye injury story is the kid who was carving a pumpkin with a drill…. It was a LARGE pumpkin and he was using the drill inside the hollowed out pumpkin- when he poked it directly into the eye of his brother who was holding it. Not a good outcome.
My granddaughter has retinitis pigmentosa, so i'm really happy that you're mixing things up a bit with your regular videos. Those are fab, but a bit of actual eye education is really great. 🙂
Went back to the dr to review updates on treatments for RP and as of 5 years ago (when we went) there are no new methods that have shown any real long term improvments. Sorry😮
Thank you,@@debbyengland7512. The gene involved in her RP is the CRB1. Currently, there are no treatments for it here in the states, but Paris and the Netherlands have some patented gene therapy treatments for the gene. So there's always hope, i suppose. Still, we can't count on that, so we just take things a day at a time, preparing her for a good, happy, productive life without her sight.
I think I've posted this before but I'll repeat it again: Wearing eye protection is very important, but ALSO make sure it's WELL FITTING eyepro. I found out the hard way when a spark from a grinder bounced off my cheek, under my safety glasses and straight into my eye. I got extremely lucky that it didn't stick or go into my eye but it still involved a lot of bright lights, dye, a visit to the ophthalmologist and some numbing eye-drops. Had to escort someone else to the doctor (and then the hospital for an emergency ophthalmology consult) for a similar issue (but no eye pro whatsoever in his case). He had to have a tiny spec of metal embedded in his sclera removed. I did not need to know about the existence of a tool called an opthalmic burr (basically a tiny die grinder ball end) but let's just say it's a good motivator to wear the dang safety glasses and my own experience also a good motivator to spend a bit and find a pair of well fitting glasses that actually close most of the gaps.
I'd love to hear you talk about detached retinas - I knew a middle schooler whose retina had detached when she was younger, and she had no vision in that eye. And then one of my aunts was sobbing really hard, and suddenly started seeing lines coming down like a waterfall, and it turned out to be a detached retina. She, fortunately, got into surgery pretty quickly, and her vision was saved
I’ve been copyediting the AAO Annual Meeting and Subspecialty Day stuff for over 25 years. Big fan, and I’m happy to see you trying this new venture. Possible fun fact topics: What actually is a bleb and how does it work in glaucoma? What’s it like to get an injection in your eye? What are higher order aberrations? Who knew there were so many layers in the eye? How many are there? How do you visualize these tiny eye structures during surgery? What do your favorite surgical tools look like and what do they do? How do they put on the thing that keeps the eye open during surgery? Also How did anyone come up with the idea for all the wacky eye procedures, like CXL, autologous tenon capsule plug, any laser vision correction technique? OOKP!?! What was that guy on? For viewers who have migraine, what do visual auras typically look like and, and when is a visual disturbance something to ask your doctor about? Also I bet you’d do great impersonations of the different ophthalmology subspecialists. I’ll stop here. Good luck with this series!
Story time. In Afghanistan, we had a guy get hit with some shrapnel from a rocket. It hit directly into his safety glasses and deflected into his forehead, causing minimal injury. A scar with a purple heart is 1000x better than losing an eye and potential brain injury.
I had a metal shard go up under my safety glasses into my eye once. After that, I wore both safety glasses and a full face shield when using the grinder.
As a certified ophthalmic technician, I love the idea and presentation of this new series and that you're focusing more on ophthalmology! Content is great information for the general public but also adds enough for those in the medical field and ophthalmology. The topic of open globes and the "don't do that" segment reminds me of a case with a local farmer that I once worked up. He was doing woodwork without eye protection and ended up with a staple in his eye. He just pulled it out on the spot and continued on with his day. Three days later wife finally forced him into our clinic. Only symptoms he would report were that his eye was 'a little painful' and 'leaking' a bit. Open globe, and lets just say the eye had lost some of its internal contents. Pro tip: If something big enough for you to see is stuck in your eye, maybe don't pull it out
I love this idea! I'm excited to see your expertise put to use c: For future episodes, I am an astigmatism haver! I'd love to hear more about why god has cursed me in this way or, more specifically, auto manufacturers. I know I got my astigmatism from my father and I know mine is slowly getting worse over time, but I don't understand too much about why they exist in the first place or why they're so different from near-sightedness or far-sightedness. I know that's way less interesting that traumatic injuries, but I'm sure it's something you deal with probably daily with patients. Or maybe not, not sure how common astigmatism is. Thanks, Dr. Glaucomflecken!
Love this! I actually mentioned your channel to my ophthalmologist (I have diabetis-related retinal edema in both eyes) and he heard of you! So I asked him, "do you have a Jonathan?"
I love your advice about safety glasses, in my experience there are two kinds: really cheap pairs and really expensive pairs and they both work. The expensive pairs are if you need to wear them all the time for long periods and need something comfortable, the cheap pairs are when you just need a bunch lying around so that when you do pick up that odd tool every now and then (or hair curler) they are right there to go with it and keep you safe. There's no reason not to have safety glasses.
There have been two NHL players recently whose careers were ended by taking a stick to the eye. For one of them it was a freak accident--an opponent's stick went under his visor in a 1-in-a-million chance. The other one was known for not wearing his visor correctly (as in, actually covering his eyes--he has even been penalized for it in the past), and got hit during practice. Eye protection matters.
I was once a pants patient - being attacked by a magpie will do that. Unfortunately it happens to a few kids in Australia every year. Extraordinarily i still have a decent level of vision in my injured eye. Look up some Aus ophthalmologists, a segment on magpies would be great as most people still think hats are the best protection. Sunglasses in spring is mandatory in my house!
I’m a patient placement RN. I listen in on the phone consults between outside hospitals and my hospital’s ophthalmologist on-call for consults and possible transfers overnight. I think I’ve only heard them recommend transfer to our ED twice in the last 6 months. Everything else has been, “We’ll see them in clinic”.
I was once using a wire brush attachment on an angle grinder on a cast aluminum sculpture I had made. I was wearing both safety glasses AND a face shield and still managed to get a little sliver of aluminum in my eyeball. That thing was in my eye for hours before the eye doc could get me in. He numbed my eye and started coming toward me with a rather sharp looking pokey tool and I blinked the darn thing out. My eye said "nope" and got it out after about 10 hours of that little bit of aluminum hangin' out.
I love that I first thought that it's "knock, knock, I", because it's just you without Lady G, but then realized, that it's also and mostly "knock, knock, eye". I just love wordplay. And second I hope I remember all your medical advice should I ever again be able to work as an emergency doctor. I started my residency, but then post-Covid made me too sick to work and I don't really know if I'll ever really will get back to work, but I'm hoping.
This is such a cool series, I'm glad you're doing it! My cat has cancer in front of her eye and as a result I have learned about and seen some Very Horrifying eye things (fortunately she's still doing well for the time being). My life has never been the same since learning that Horner's syndrome exists and that's a function cats (and apparently also humans!!!!!!) just have and eyes can do that
I have a coworker with seesaw nystagmus- he was diagnosed as a toddler and is now in his 20’s. He’s been seen and treated by a doctor at the Cleveland Clinic. His father is a doctor and he goes to health fairs where she sees ophthalmology residents who look at his condition because it’s so rare that most schools don’t talk about it.
Pants patient here! I was pitching in a softball league and took a line drive to the face last year. My eye basically exploded from impact and I completely lost sight even after 3 surgeries from one of the top eye hospitals in the country. Wish I took eye protection more seriously... Anybody with glasses needs to have polycarbonate lenses. And no matter how lame you think youll look with sports goggles, trust me, having 2 working eyes outweighs it! I never thought about how many ways you could lose an eye until after my incident and now I see it so often in daily life. Love your usual comedy vids btw and didnt even know this was your specialty. Keep it all coming!!!
I was overjoyed to see this new video. I love when you talk about eyeballs. I am picturing your children with their tiny safety glasses at the zoo. I would like you to talk about congenital glaucoma in a little bit of depth. It is a topic that is of interest to me because I was once engaged to a man who was blinded by that and his brother had the disorder as well but the brother was only legally blind (he was younger). That isn't a pants patient but I would enjoy the content. 🚪🤛👁
Cool new addition Doc, enjoyed it. Id be interested in the history of Opthalmology and eye surgery especially as regards pre 20th century stuff and how its different from today?
I'm in EMS. Would you be able to go over the parts of an eye exam you do which don't involve external equipment (maybe other than a penlight)? I'd like to learn more about ophthalmology assessment for my patients.
Thank you Dr. Bill Bill for the eye raising facts. My dad once had a lovely eye injury from mowing the “grass” which led to a rock to make fast friends with his face. I am a funeral director by trade and I always enjoy talking with the folks from the Lions Eye bank when they come to do their thing.
Defo do an episode on contacts. I see so many people who use contacts way longer than they should (usually cost saving), or sleep with them, or swim with them, or panic when they can’t take it out.
I had a broken orbital in grade school and it took some really excellent work to heal it, including an opthalmologist making sure my eye was okay. Still very grateful for that.
My friend worked making eyeglasses some years ago. She made a pair of safety glasses for a police officer. Shortly afterwards, someone shot a his face. The bullet hit the bottom edge of his safety glasses and diverted through his cheek. He would have been dead. She said for years afterwards, she never had to worry about getting ticketed in the county.
Lovee this... I for one would really like more special vids about eyeball health and diseases (visual snow for one, which I have). Since that IS your specialty, I think a lot of folks would appreciate in--depth eyeball stuff. You should consider interviewing Molly Burke about her blindness.
Doctor G, I love your pants patient videos because I had a traumatic cataract when I was 19. I got hit in the eye with a bungee cord and was a super unique case because I had no corneal or sclera injuries, it was explained to me as it basically just bonked everything into my lens without damaging the outer stuff. I loved how everyone on staff at both my optometrist and Opthamologist offices would poke their heads into my many many appointments (I had to wait to get my cataract surgery done, I think it had something to do with my interocular pressure? Unclear, it was 11 years ago) to get a look at my eye like I was a medical oddity. My Opthamologist ended up taking a pic of the lens for me through his like lens thingy with his eye phone so I could see it and it was super neat. I’m now an expert eye doc patient, I know what to do at all the machines, I know all about which eye drops to use and I’m a pro at putting them in and being sanitary about it. Anyway, these vids give me a better perspective on the fact that they had to page the Opthamologist on call at the ED and I was definitely a pants patient because he got there very quickly lol. Let me know if you wanna see the picture of my lens lol 😂
I remember a woman calling into the local radio to recount her story of eye trauma. She was playing cops and robbers as a child, someone got her in the eye with a stick and all the goop came out. I remember feeling bad cause she said as soon as that happened all the other children ran away - which is understandable, but I can imagine standing in the park with your eye goop on the ground would be really hard to deal with.
I work in Occupational Health and Safety, and I'm thrilled you're doing this!!! I support very smart people, and you'd be surprised (probably not) at how many of them don't think to wear safety glasses when they're around other people who are working with chemicals 🤦🏻♀️ I have a suggestion for a future episode: lasers and eyes. Maybe narrowed down to safety as it pertains to the public, since powerful lasers are common these days in all sorts of settings, and you can even buy class 4 laser pointers online.
Sooo many of my favourite makers on youtube need to be better with safety gear! Colin Furze should be wearing a hardhat and goggles when he's digging his tunnel, Adam Savage has talked about wearing them when he's working with his mill and lathe, but still misses most of the time. For a good role model, Alec Steele is great, he wears a full face respirator when grinding. I hope creators get more on the ball with safety gear, and get people to know prescription safety glasses exist! Some even look pretty stylish.
My ophthalmology fun fact: safety glasses with side shields are recommended in radioactive environments. The reason is because Beta Radiation doesn't travel in straight lines, so you need protection on the sides to block particles that sneak around, which can cause cataracts.
I love your videos and am excited to hear more about opthalmology from you! I have esotropia in both eyes and didn't get correction as a kid, so I have no stereoscopic vision. As an adult I had surgery to straighten the position of my eyes, and for about a week I saw the world as a kind of X-shape whileyl my brain adjusted to the new position of my eyes. It was weird and cool. I still cant see in 3D, though. My doc saidy brain wasn't plastic enough to be able to do it as an adult. I would love to hear more about esotropia and whether correcting it in childhood is the only way a person could gain stereoscopic vision. Thank you for bringing joy and laughter to so many people!
I’m married to a retina specialist. I don’t bat an eye to a picture of a bloody eyeball anymore with my husband constantly showing me his surgical videos. 🤪
As I was watching this, it occurred to me that stress eating granola and searching radiopeadia for "smooshed grape sign" is probably grounds for wearing safety glasses...
things I'd like to hear you talk about on your channel: anything you think is worth talking about things I don't like to hear you talk about: justification for why you're talking about what you're talking about yes that's a contradiction. it's always fascinating and worthwhile to hear an expert talk about their area of expertise - you've got this :)
You know when you're like...little to no interest in [thing], but then you come across someone on YT who makes funny or just somehow engaging videos, and all of a sudden you really wanna learn about squished eyeballs. And it's just like, idk how I got here, man, but I'll listen to you talk about the human eyeball all day.
Safety glasses everywhere might sound excessive, but it makes sense. I walked out of a supermarket once and I was suddenly surprised to be walking by a guy doing metal work just outside the sliding doors. There were small sparks and metal shards flying everywhere, and one of them could have hit my eye. He wasn't wearing safety glasses. So I told him "hey, this isn't safe for the people walking out of the market or yourself". His response, "so shop someplace else". His arrogant response really caught me off guard. I didn't say anything else but thought to myself, "it's only a matter of time before he learns his lesson".
My normal glasses have protected my eyes from a flailing toddler so so many times, so yes for eye protection in normal life haha. My teeth haven't been has lucky against toddlers...
as soon as you said "this is my creative outlet, I don't want to talk about this stuff outside of my work as I do it all day" I immediately clicked like. IDK why, but that statement resonated
I am so excited to learn more about eyeballs! As icky as eyes are, I am glad there are ophthalmologists out there that like them. Do you think you could cover a subject near an dear to my heart? Strabismus! Wonky eye havers unite! :)
I was waiting for you to put safety glasses on to emphasis your point of always wear them. Missed opportunity! I'll certainly make sure zofran and moxi are placed asap by trauma if I see a probable open globe noted in the chart. Love this new segment! FYI please get allergy info when you place those orders, pharmacy will be calling shortly :)
As someone who has had bad myopia since forever, I am super excited! (Also, how did you know I exclaimed, "What?!?!" when you mentioned people murdering each other with VISENE????) Re: safety glasses -- Do my sunglasses count? i.e. I always wear them when driving and out and about (the zoo example). What about prescription glasses?
In principle yes, but it would do no good. Eyes are an extension of the brain (basically brain cells extruding through the skull to the surface of the body to get a better view of the surroundings - with some added protective layers), and if you transplant an eye you would have to cut the ophthalmic nerve, severing the connection to the brain, which can not be repaired (think of it like a severed spinal cord). You can transplant the cornea (the clear, front part of the eye), though.
Regarding explaining it like you're 8: when I started my first nursing job in oncology they sent us to this education day and had all of the oncologists come explain their specialties. I'll never forget how I felt listening to the multiple myeloma person explain MM. I decided then and there that I'll never understand multiple myeloma, and so far that's remained true.
I remember my workshop instructor telling us: "Always wear safety glasses, I can now find the ER on the other side of the street, blind, because I'm a morron. I had to had slag scraped off my eyeballs, twice. Nice people there, but don't be me, wear glasses while working"
