In this episode I give listeners a behind-the-scenes look at my call week as a private practice ophthalmologist. With a mix of routine calls and complex cases, I go into unexpected consults for Kaiser-Fleischer rings related to Wilson's disease, diagnosing giant cell arteritis, and managing diplopia with no clear cause. I also share my diagnostic process for distinguishing between common post-surgery floaters and more serious retinal issues. For anyone curious about the daily challenges of eye care on call, this episode offers both humor and insight into the life of an ophthalmologist.

Takeaways:

Kaiser-Fleischer Rings and Wilson's Disease: Dr. Flanary shares a rare consult for a Kaiser-Fleischer ring to help diagnose possible Wilson’s disease, highlighting the role of ophthalmologists in identifying systemic conditions through eye exams.

Floaters After Cataract Surgery: He discusses common post-surgery floaters and the importance of differentiating them from signs of retinal detachment, which may require urgent attention.

Giant Cell Arteritis and Vision Loss: A past patient with biopsy-negative giant cell arteritis raises questions on how best to assess for potential vision-threatening conditions and the typical diagnostic approach for such cases.

Diagnostic Process for Diplopia: Dr. Flanary walks through his approach to a challenging case of double vision (diplopia), outlining potential causes from cranial nerve palsies to myasthenia gravis and thyroid eye disease.

The Life of On-Call Ophthalmology: Balancing sleep disruptions, complex patient calls, and intricate diagnoses, Dr. Flanary shares the ups and downs of ophthalmology on call, giving a humorous and realistic view of the role.

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