A Day in the Life: My Ophthalmology Point of View

My Ophthalmology rotation just ended a few days ago. From benign external diseases to the dreaded emergency cases, here I will share with you my Opthalmology point of view.

My first stop: The Eye Center. In here, showcased were cases of proliferative and nonproliferative types of diabetic retinopathy, retinal detachments, vitreous hemorrhages, retinopathy of prematurity, open and close angle type of glaucomas, cases of foreign body incidents to the eye, red eye diseases and more external diseases. Cases of correction of Error or Refraction (EOR) were also brought in here. Got to observe in a Foreign Body Removal within the cornea; it looked so awesome! The fine motor skills should be very precise so as not to cause trauma to the rest of the area. Pretty cool outpatient procedure!

EOR Corrective Lenses

Pieces of apparatus were also introduced to us such as perimetry to check for visual field, slit lamp to assess the anterior aspect of the eye, refractors, B-Scan which acts as an eye ultrasound, Optical Coherence Tomography to see layers of the eye, Fluorescein Angiography to observe retinal blood vessels and surrounding borders, and different lasers such as Argon and YAG to perform, for instance, panretinal photocoagulation and cataract capsulotomy, respectively, to name a few.

Autoref Keratometer this is!
Second Stop: Operating Room. Got to observe and appreciate the eye in a new perspective. Not just things written on the book, diagrams and pictures sketched on journals and such. REAL eye surgeries. Real Eyeball. Real everything! During my rotation, a couple of cataract surgeries were scheduled. Learned how the technique works. 

Phacoemulsification Procedure
The concurrent stop was Ward Rotation. What I really appreciated in my ward rotation was my chance to shadow residents and consultants who do procedures to patients. One of the unforgettable moments would definitely be that time when my co-clerk and I assisted in the work-up for ROP of twins! Learned a thing or two about the ROP guidelines and its criteria which is composed of the ff: Age of Gestation, Weight of the baby, Post-Conceptional Age, and/or presence of a stormy clinical course.

On some duty nights, I would find myself wanting a cup of coffee; hence on those nights, I'd walk up a plight of stairs to enter a coffee shop. After a drink, I would get all energetic, starting to go and do my own rounds, seeing patient charts and monitoring them. A couple of co-clerks would see me roam around at an ungodly hour, and boy do I love saying hello to them at those times. The energy is definitely not something with ENERGY GAP!!! *end of commercial*

Last stop: OPD. Had a lot of interesting cases in here. Doctors were so amicable, approachable. They teach and let us appreciate what they were doing. At times I'd go observe how they do it. I don't know if they get bugged by me by staying so close to them, haha, but I appreciate how they'd get me in the zone and let me see through the slit lamps whenever time permits. How those green, blue, yellow lights would work or how a graft would look like after post-op pterygium excision, zoomed-in!

Prism Adaptation for Strabismus Cases
Get to see a couple of removal of sutures post-op pterygium excision, or trauma near the eye. Get to learn even more of strabismus with our patients who needed convergence exercises to keep up as they age. Also got a certain case with a blue-tinged reddish eye which was to be considered as a case of scleritis, and many more.

Stereo Fly Test to check depth perception
Throughout my OPD rotation, I believe I've gotten majority of the pedia patients which I truly adored;  I'm curious on how they would be managed, hence my predilection.

Visual Acuity Testing
Of course, basic physical examination and visual acuity testing were also part of the checklist of things that matter and must be mastered! 

Lecture on Glaucoma to all OPD Patients
We also celebrated Glaucoma Week . This meant FREE GLAUCOMA SCREENING! Yay!

Learning about the Eye Refractor!
Our professors-consultants also reinforced our third year lectures such as Red Eye Diseases, Glaucoma and True Emergencies of the Eye every start of the day. On our free times, we would try out how the pieces of apparatus would work. Our doctors were there to gladly help us understand the system. Haha.

On random free nights, I got myself rekindling my love for baking. Not a pro, but I definitely love experimenting just like the good old days when I'd imagine my barbie doll do the same, bake something delicious at her kitchen set! LOL.

Definitely, a great opthalmology point of view. If I'd be in this specialty, God-willing, I believe I'd create a good work-life balance in this arena. At this point in time, all I'm asking is God's guidance as I go beyond my own borders! 

'Til then. 

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