#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 | thecurbsiders@gmail.com | Free CME!

• 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

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.

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.

• 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

1. Mindset: The New Psychology of Success by Carol S.  Dwek 
2. Crackdown Podcast
3. 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.

After listening to this episode listeners will…  

1. Define and assess the three vital signs of ophthalmology. 
2. List ocular complications of diabetes.
3. Counsel a patient on a new diagnosis of  diabetic retinopathy.
4. Describe treatments for diabetic retinopathy.
5. Define proliferative retinopathy, non-proliferative retinopathy, and macular edema.
6. Compose a perioperative medication management plan for cataract surgery

Dr. Chadha reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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.

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