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Welcome to the Ophthalmic Photographers' Society Blog! The posts on this blog are authored by a myriad of individuals in Ophthalmology. Posts are not always authored by those directly affiliated with the Ophthalmic Photographers' Society and opinions may not be those of the OPS; however, all posts are submitted to a review process and have been approved by the OPS before being posted. Comments are open to the public. New posts are added every Friday, so make sure to check back often!

 

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I Stent

Posted By Taylor Pannell, Friday, April 18, 2014
Updated: Friday, April 18, 2014

I stent.

The iStent is a new technology that is used to help alleviate the symptoms and prevent blindness due to open angle glaucoma. This titanium tube, measuring 1mm length, .33mm in height with a 120um opening, is the smallest medical device to be approved by the FDA. It is implanted into the trabecular meshwork to help regulate Intraocular Pressure in patients with open angle glaucoma.

 

At the Flaum Eye Institute in the University of Rochester, some of our doctors are starting to use this new device in their cataract/glaucoma surgeries. Our photographers are taking post-operative photos so that the doctors can teach this new technique, explain the benefits, and prove that the device is correctly implanted and properly functioning.

The istent is implanted into the trabecular meshwork during cataract surgery.

 

 

Sometimes the eyes we photograph do not have the clearest corneas.

The haze to the left is due to a cloudy cornea. In order to get around this opacity we switched mirrors.

 

Sometimes you can see where the stint was placed just by looking at the reflection under the limbus.

 

 

After the surgery, we are interested in the placement of the stent.

 

We want to make sure that the stent is properly positioned in the trabecular meshwork.

 

If the doctor examines the patient with a gonio lens before sending them for photos, we will notice that the cornea is hazy and it is harder to get good focus on the area of interest. Luckily, none of the images in this article can be shown for example.

Depending on the severity of glaucoma, some patients may have multiple stents implanted in one or both eyes.

 

References:

http://wqad.com/2013/05/16/tiny-device-offers-big-relief-to-some-glaucoma-patients-with-cataracts/

http://www.glaukos.com/istent

http://www.glaukos.com/patients/howitworks

http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm312053.htm

 

Imaging credits:

Brittany Richardson, Taylor Pannell  CRA, OCT-C, Rachel Hollar CRA, OCT-C

All gonioscopy images have been taken at the Flaum Eye Institute at the University of Rochester

 

Tags:  blog  cute  education  Gonio  I Stent  Ice Breakers  PDC  Slit Lamp 

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My Experience Attending the Ophthalmic Imaging Crash Course, OPS New Orleans 2013

Posted By Melissa Ward, Friday, December 6, 2013
Updated: Friday, December 6, 2013

Two days before heading to New Orleans to attend JCAPHO, my office manager asked if I had signed up for any imaging classes. When I signed up for this conference about 3 months before, I had not really been doing much imaging in the retina clinic where I work, just OCTs here and there. About 2 months after registering for my classes, another tech and I were chosen to start learning how to do fluorescein angiography. I was really excited because I knew that this would open so many doors. I am involved in a few clinical trials at our clinic, doing the lab draws and other tasks. I love this part of my job and I know that a lot of our retina studies involve fluorescein angiography as part of screening subjects, monitoring them throughout the study. I knew that mastering fluorescein angiography would make me a better tech in the clinic as well as being able to use those skills in clinical research.

Friday morning, I found the hotel where the OPS conference was being held and easily registered for this Ophthalmic Imaging Crash Course on site. I was very surprised and pleased to find that there were only about 15 people in this course.

 

Photo by Sarah Moyer

The way that this all-day crash course was set up was extremely educational. There were 30 minute lectures with 1 hour workshops to follow each lecture. The workshops were absolutely my favorite part as I am a hands-on learner. I was lucky enough to have a great teacher to assist with the hands-on training. Tony Medina was very knowledgeable and made the learning atmosphere very comfortable and inviting. I came out of this crash course feeling confident that I could go back to my clinic in Silverdale Washington and practice the skills that I learned. I could also share my new knowledge with my fellow tech in training.

 

 Photo by Sarah Moyer

During the OCT workshop, Tony taught us the basics of OCT imaging and showed us a few tricks for hard-to-capture patients. During the Fundus Photography and Fluorescein Angiography workshops, we were shown the basics on the same instrument we have in our clinic.

 

Photo by Sarah Moyer

When I came back to work, I shared my experience with our new lead technician and he is now very excited to teach us to be great photographers. My fellow tech and I are practicing as much as we can, watching the veteran photographers, and familiarizing ourselves with the equipment often. Now two weeks out from attending this course, I have been taking a lot of fundus photos and have done three assisted angiograms, utilizing both machines I used during the Crash Course.

Sarah Moyer had asked me if I would change anything about this crash course. Honestly, this course is designed to be helpful for someone like me who is just being introduced to ophthalmic imaging as well as someone who hasn’t even touched a camera in the clinic. Therefore the outline of this course is great! Maybe students can be organized in groups by skill, which would make the workshop time for productive and useful. First time users have different questions than intermediate techs. On the other hand, perhaps at the end of the program the teachers could stick around to answer those personalized questions.

Overall I am grateful to be one of the first to experience this new course and I am excited to share my experience with other prospective ophthalmic photographers. All of the speakers and teachers were wonderful and very insightful. Thanks to the speakers and workshop instructors: Kirsten Locke, Melanie Zuckero, Laura Savage, James Soque, Michael Kelly, Sarah Moyer, Tony Medina, Jaclyn Pisano, and Beth Koch!

 

 

Photo by Jaclyn Pisano

 

Melissa Ward, Certified Medical Assistant/Ophthalmic Technician, Silverdale, WA  

Tags:  AAO  blog  cute  education  Educational Meeting  Fluorescein Sodium Dye  Ice Breakers  Interactive  Meaningful Use  New Orleans  New Orleans Interactive  Study  Travel 

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Facebook and the "Week of Montage"

Posted By The Gnomes Behind the Curtain, Friday, October 18, 2013
Updated: Friday, October 18, 2013

Each week, the Professional Development Committee's Facebook team publishes a challenge on Facebook. These are posted with the purpose of fostering the community and sparking dialogue about ophthalmic imaging. It also gives us the opportunity to share our work with the society (and Facebook stalkers at large). As it goes with most challenges, the more the merrier --  This week, in the wacky land of Facebook, retinal periphery is all the rage. Make sure to check out the fantastic montages that are being created and posted for all to ooo and awe over.

Have you got an amazing montage of your very own??? Then don't be selfish - show it to the rest of us!! Send your images to ops.fb.challenge@gmail.com. Be sure to check back often as the theme does change on a weekly basis.  Check out the October - December line up below.  

Oct 7 -  Random Ophthalmic Questions You Have Always Wanted To Ask - Amy
Oct 14 -  Montages- Chuck
Oct 21 -  Are YOU Ready for New Orleans? - Sarah 
Oct 28 -  Halloween, Spooky Faces, etc - Noelle
Nov 4 -  Name that Diagnosis - Amy
Nov 11 -  Favorite Anterior Segment OCT images- Chuck
Nov 15 -  LIVE from New Orleans-  Rona (starting Friday)
Nov 25 -  Happy Thanksgiving!  Facebook Team is off this week.
Dec 2 -  Share Your Personal Photos from Thanksgiving - Amy
Dec 9 -  Pictures from OPS Annual Program in New Orleans- Sarah
Dec 16 -   FA Descriptive Interpretation -Noelle
Dec 23 -   Merry Christmas! Facebook Team is off this week.
Dec 30 -   Best FB images of 2013 - Noelle 

If you haven’t had a chance to check out the Facebook page, here’s the link: 

www.facebook.com/pages/Ophthalmic-Photographers-Society/281978208503871

OR --> Download a free QR app and check us out...

Tags:  blog  cute  education  Facebook  funny  Interactive  Meaningful Use  PDC  Professional Development Committee  Social Media 

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What is Pinterest?

Posted By Noelle Pensec, Friday, October 4, 2013
Updated: Friday, October 4, 2013

With the social media explosion that’s been going on for the last few years, it’s no easy task to keep on top of all the newest web crazes. Most of you have probably heard of Pinterest, but maybe you aren’t too sure what really makes it special and sets it apart from the hundreds of other social networks. Not to mention all the fancy lingo that people tend to use when "in the know” about the site (pins? repins? boards? hashtags? followers?) it can all get a bit confusing.

So let’s get started with the basics. What is Pinterest? Pinterest is a social networking bookmarking site. Imagine a virtual pin-board of all of your favorite things. If you’ve ever delved into scrapbooking this might feel a little more familiar to you. Each registered user creates specialized boards where they can organize their pins into categories however they choose. Here’s the catch: Pinterest is an entirely visual experience, so all pins must contain an image of some kind. (This is a good thing!) Images can be pinned from any website, as well as uploaded from your own computer. When you post a pin, it shows up in your Home Feed, as well as that of your followers. The more followers you have, the further your posts will reach! The majority of Pinterest users (over 70 million worldwide) use the site to post anything from recipes, home decor, hobbies, crafts, fashion, or other inspirational content. Basically, you name it, it’s being posted to Pinterest.

To make things easier for those beginners out there, here’s a list of all the Pinterest "lingo”:

Pin - A pin is a post on Pinterest. Pins are images found anywhere on the internet or uploaded from a personal computer, with added text. When you see a pin from a website (the above image was uploaded directly) double-clicking the image will bring you directly to the source page.

Repin - Repins are basically the "share” function of Pinterest. When you see an interesting post from someone you’re following, you can repin it to one of your own boards. This will share the post with everyone that’s following you. Soon enough the post could go viral!

Like - Another option with interesting posts is to Like them. Posts that you Like on Pinterest will show up in a separate tab on your user profile, easy to access. Liked posts will not be re-posted to the home feed.

Hashtag - A #hashtag is a label which is used in many social media platforms for grouping and searching posts. On Pinterest it works as a quick search link. Some of the main hashtags used by the OPS Pinterest page are #Ophthalmology and #OphthalmicPhotography. These help our posts to become more visible and bring users back to our boards, and eventually, our website.

Board - Boards are sub-categories where you place your pins to keep them organized. In the above image (and of course when you visit http://www.pinterest.com/theopsociety/) you can see the many boards that are active on the OPS page.

Followers/Following - You can choose to follow a user which will automatically follow all of their boards. You can also choose to follow individual boards. Any pins posted to boards you are following will populate your home feed. When you pin something, this is of course published to anyone following you and/or your board.

Home feed - The home feed is where you will find all of the recent pins from users and boards that you are following. It is constantly updated as new content is pinned.

Click through - Any images pinned from web pages will direct you to the source page by double clicking on the pin. This is known as a "click through”.

So you may be wondering, where does the OPS fit in to all of this? The OPS has been building up a strong presence on Facebook, where we have a very successful page with over 850 viewers. While the Ophthalmology community on Pinterest isn’t as huge as, for instance, crafts or fashion, it is definitely out there, active, and growing. The content that is posted on the OPS Pinterest page is widespread and includes eye health information and news, general photography tips, science photography, as well as OPS specific news items, promotions, blog updates, articles, and of course, the best Ophthalmic images we have to offer.

With this outreach we are continually opening up new doors for our organization and our field. The page has been taking off since it was started earlier this year and only keeps growing. As we gain more followers and more users repin and like our pins, we will rank higher in the search function bringing more viewers back to our boards and in turn, the OPS website.

So how can you help the OPS Pinterest page? Check it out yourself! What we need most are active users liking and repinning our content so it looks "more important” to Pinterest’s search algorithms. This will help our content to get seen which will help us to reach the maximum amount of people, and promote the OPS message. Creating an account on Pinterest is easy and quick, and who knows, you may find yourself a new internet addiction! (Just kidding on that last part...haha) Another great way to help is to submit content to be pinned. What better way to help promote the OPS than by sharing our own amazing images! If you have any images or content in mind for any of our categories, please do not hesitate to email them to npensec@gmail.com.

Check out http://www.pinterest.com/theopsociety/ today!

Noelle Pensec

Editor, OPS Pinterest page

Member, Professional Development Committee

Noelle Pensec has been working as an Ophthalmic Photographer at Columbia University Medical Center in New York City for 3 years. She graduated in 2010 from Rochester Institute of Technology with a Bachelors of Science degree in Biomedical Photographic Communications. Not much of a city girl, Noelle enjoys spending time outdoors hiking, biking, and breathing fresh air.


Tags:  blog  cute  education  funny  Ice Breakers  Interactive  Meaningful Use  Pinterest  Social Media 

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Ophthalmology – An eye app review

Posted By Rachel A. Hollar CRA OCT-C, Thursday, September 19, 2013
Updated: Friday, September 20, 2013
I do not know if you all realize it or not but we hold in our hand/pocket/car coffee holder the compendium of the world's knowledge – anything we need to know, right at the tip of our fingers! On our smart phones!


I refer to the act of rooting for answers on my phone as "consulting the oracle”. Since it is so incredibly easy to become distracted by cute puppies lost (distracted?), developers have clumped together like-topics into apps, so that we all can better focus on what we need to do.


There are so many applications out there for ophthalmology the Eye Handbook is probably the most comprehensive (dense) app I have seen. However, that is not what I will be reviewing here...

The app simply named, Ophthalmology, available for android platforms only, is what I have spent some time looking into. It is a very simple to use program that provides what I would call a cursory overview of some of the more common issues med-students would encounter, either in the clinic setting or on exam. There are three main segments to the program: Ocular Disorders, Ocular Examinations and a Quiz.

There are many sub-menus under ocular disorders and ocular examinations. Each of these sub-menus is broken down further into more specific topics. These sub topics often present? a note-card style delivery of brief facts that allows the reader to quickly familiarize themselves with that particular issue. Some of these notes also include diagrams, links to YouTube videos or even photos, illustrating the concept or issue being discussed.

The quiz is broken down into two sections: MCQs and Slide Shows. The list of multiple choice questions works on a self-grading system. The software presents the question, listing the answers below. The viewer takes the time to choose an answer and can ask the program to reveal the answer, or move onto the next question.

This free app seems like a great start to a useful reference tool. It is nowhere close to complete or comprehensive but the information is well organized and concise – a good foundation.


Take a look – what do you all think?

 

Tags:  app  blog  cute  education  Ice Breakers  Interactive  Meaningful Use  PDC  Vision app 

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