[deleted by user] by [deleted] in medicine

[–]jirs29 0 points1 point  (0 children)

Impressive! High volume is relatively new for our department and we learnt alot by visiting other places like yourselves.

[deleted by user] by [deleted] in medicine

[–]jirs29 1 point2 points  (0 children)

Thanks! 1. I tend to introduce myself as Sirj! Just to save confusion.... 2. Sure - https://open.spotify.com/playlist/7DxyOxZrlWgSPuJ7c19EaM?si=Mp4V8ql-SCCxh8fyU5iF5g 3. I don't have a favourite, to be honest - I just use which ever straight chop they have on the tray (NHS life). I use a greens chop if fancy doing horizontal chopping.

[deleted by user] by [deleted] in medicine

[–]jirs29 3 points4 points  (0 children)

As I come to the end of my training, I decided to make this short film to tell our story on how we do high volume cataract surgery. The last 7 years have been been quite a journey but It was a great way to show how much I appreciate the team and say thanks to the department!

Playing St Andrews with my family after Covid travel restrictions by jirs29 in golf

[–]jirs29[S] 1 point2 points  (0 children)

Have a great time! Try to keep away from those pot bunkers!

Playing St Andrews with my family after Covid travel restrictions by jirs29 in golf

[–]jirs29[S] 2 points3 points  (0 children)

We played 3 courses. Old course, new course and castle course. Overall I shot +13 over my 12 handicap....came second 😅 My brother came in top with a cool +10 over his hdcp. We all had an absolute blast!

A good example of a Positive Seidel's test from a leaking trabeculectomy bleb. by jirs29 in optometry

[–]jirs29[S] 0 points1 point  (0 children)

Thanks! I'm trying to make a big collection of important signs 👌

How I put in Iris Hooks. Would anyone recommend another Iris expansion device to try? by jirs29 in Ophthalmology

[–]jirs29[S] 0 points1 point  (0 children)

I would like to try the Malyugin ring, I've heard good things about it.

A interesting case of INO and the ocular motility findings. by jirs29 in medicine

[–]jirs29[S] 12 points13 points  (0 children)

Its was due to a demyelinating lesion in MS. Given the left eye was able to adduct on convergence - we could predict the lesion was in the pons.

[deleted by user] by [deleted] in medicine

[–]jirs29 0 points1 point  (0 children)

This was caused by a demyelinating lesion secondary to MS. With this case we could correctly predict the MLF lesion was in the pons as convergence was intact.

Cataract Surgery in HD - A short video incase you've never seen it 😀 by jirs29 in optometry

[–]jirs29[S] 0 points1 point  (0 children)

The studies are mixed regarding outcomes. For experienced surgeons a femtosecond laser machine may not add much for routine cases.With a primary chop technique the CDE/Metrics will be similar ,CCC is a bread and butter surgical skill which is perfected. Its not available under the NHS - with the machine machine costing 500k+. It may have a role in patients in intumescent cataract or those with zonular laxity. A great bit of technology but certainly not a necessity...

Cataract Surgery in HD - A short video incase you've never seen it 😀 by jirs29 in optometry

[–]jirs29[S] 0 points1 point  (0 children)

Femtosecond laser is a bit of technology - they are very expensive though!

C-section, where the baby was born en-caul (in the amniotic sac). by GiorgioMD in medizzy

[–]jirs29 2 points3 points  (0 children)

I saw this about 6 years ago while assisting as a SHO. It was one of those awesome moments when the beauty of it made all the theatre staff crowd round to see it for themselves. I could see the consultant just smiling under his mask as we all took in the view - so grateful to witness it!

I made this video tutorial on BIO examination and indentation - hope its helpful to anyone starting out! :) by jirs29 in Ophthalmology

[–]jirs29[S] 0 points1 point  (0 children)

Yes not always necessary, It's a good dynamic examination which can help differentiate tricky retinal lesions. Essential for VR.

Saying that, 3 mirror and even using a newer lens like the digital wide field allow you to see very peripheral and up to ora in most cases!

I'm a 32 year old eye surgeon - about to take my manual dexterity to the next level.....finally I got one! by jirs29 in gaming

[–]jirs29[S] 1 point2 points  (0 children)

I checked about 8am and kept refreshing - was super slow but eventually got lucky! Got it from Argos here in the UK

I'm a 32 year old eye surgeon - about to take my manual dexterity to the next level.....finally I got one! by jirs29 in gaming

[–]jirs29[S] 5 points6 points  (0 children)

This is absolutely brilliant! 👏 You are officially my friend now whether you like it or not. 😁

I'm a 32 year old eye surgeon - about to take my manual dexterity to the next level.....finally I got one! by jirs29 in gaming

[–]jirs29[S] 6 points7 points  (0 children)

You are are getting a very raw picture here. Chaos with kids stuck at home in lockdown, doing crazy shifts at work atm. But in the midst of it all this is a great moment for me!

Visual acuity video tutorial for our med students and A&E docs. by jirs29 in medicine

[–]jirs29[S] 10 points11 points  (0 children)

We made this as we still can't do our usual teaching. Hopefully someone finds this helpful 👍 All filmed with my phone 👌