Mistakes: My Teacher

Author: Deepak Bhojwani (India)

Co-authors: Shail Vasavada, Rinal Pandit, Abhay Vasavada

Purpose

To highlight some of the common errors committed by the specialized eye doctors and to imbibe practice forming habits to avoid such future encounters.

Setting/Venue

Raghudeep Eye Hospital , Ahmedabad

Methods

This illustrative video highlights four common clinical case scenarios. Case 1: A straightforward case of retinal detachment in a pseudophakic patient with a surprise element of 2 IOLS. Mistake made was inadequate peripheral retinal examination and negligence on IOL details. Case 2: A simple case of planned silicone oil removal with intraop IOL drop. This time we were aware of IOL details and so we had a happy ending. Case 3: A case of Brown cataract. with a dome shaped mound on Ciliary body (!melanoma) which the B-scan was not able to pick up preoperatively. Mistake made was CB imaging was ignored. Case 4: A case of uncontrolled glaucoma caused by a metastatic CB mass. Luckily we did image the CB preoperatively and that saved our day.

Results

This educational video illustrates few mistakes we commonly commit while performing intraocular surgery. It shows 4 different clinical scenarios of intraocular surgery wherein the surgeon finds a surprise element intraoperatively. The video also highlights how to avoid these mistakes by comprehensively examining the eye ball as a whole and performing all necessary imaging investigations preoperatively before taking the patient in OR.

Conlusions

Mistakes are a part of being human. Precious lessons in life are always learnt in a hard way. And so if we comprehensively examine the eyeball in toto we can avoid these mistakes or human errors.

Financial Disclosure

NIL