#237 Ophthalmology for Primary Care

Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary!   Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).    Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!   Credits Written, Produced, and Infographic by: Carolyn Chan, MD Cover Art: Kate Grant Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com Guest: Dr. Nisha Chadha   Sponsors:   National Internal Medicine Day Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential. VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.   Time Stamps Sponsor – National Internal Medicine Day, The American College of Physicians Sponsor – VCU Health Continuing Education 00:30 Intro, disclaimer, guest bio   03:21 Guest one-liner, Carolyn’s Pick of the Week  09:05  Picks of the Week* 10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology  17:09  Ocular complications of diabetes 20:22 Screening for diabetic retinopathy; Reports and Abbreviations 26:07 Counseling Patients: The eye is a camera; Clinical symptoms of ocular complications  32:07 Fluorescein Stain; Treatment Options for Diabetic Eye Disease: NPDR, PDR, VH, and RD  41:16 Eye Vitamins for Macular Edema 43:35 Cataracts  47:22 Missing Glaucoma Drops  50:50 Periop Optimization for Cataract Surgery, Anticoagulation and Other Medical Management  58:14 Take Home Points, Plug: 20/20 Sim; Outro Sponsor – VCU Health Continuing Education     Links* Mindset: The New Psychology of Success by Carol S.  Dwek  Crackdown Podcast 20/20 Sim Site   *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.   Goal Listeners will discuss screening, counseling, and management of common ocular diseases seen within primary care.    Learning objectives After listening to this episode listeners will…   Define and assess the three vital signs of ophthalmology.  List ocular complications of diabetes. Counsel a patient on a new diagnosis of  diabetic retinopathy. Describe treatments for diabetic retinopathy. Define proliferative retinopathy, non-proliferative retinopathy, and macular edema. Compose a perioperative medication management plan for cataract surgery   Disclosures Dr. Chadha reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.    Citation Chan C., Chadha N., Okamoto E., Watto MF. “#237 Ophthalmology for Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date October 19, 2020.   Tags Eye, ophthalmology, ophtho, optometry, glaucoma, diabetes, diabetic retinopathy, macular edema, cataracts, cataract surgery, perioperative management, physical exam,  primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student