Welcome to day #30 of my daily learning journal. My goal is to watch one Ted Talk and one cataract surgery each day. In addition, I plan to read one journal article and read/listen to a book chapter, short story or significant work.

Here’s today’s list:

1. Ted Talk – The profound power of an authentic apology. Eve Ensler. “Genuine apology goes beyond remorse, says legendary playwright Eve Ensler. In this frank, wrenching talk, she shares how she transformed her own experience of abuse into wisdom on what wrongdoers can do and say to truly repent — and offers a four-step roadmap to help begin the process. (This talk contains mature content.)” (ted.com)

This was a Ted recommendation. As powerful a Ted talk as I have ever experienced.

2. Cataract Surgery – Richard J. Mackool, MD – The Deep Set Eye (Episode 3). “This month I demonstrate the use of the Trendelenburg position in order to gain adequate access to a “deep set” eye during cataract-implant surgery with toric IOL implantation . The pupil dilates only moderately, and possible pharmacological causes of poor dilation are discussed: several techniques that increase and/or maintain pupil size are demonstrated, as are methods to chop the nucleus and protect the posterior capsule during subincisional cortex removal.”

Cataract surgery videos are often filled with pearls, and Dr. Mackool’s narration is superb.

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3A. Journal – Vavvas, D.G., Sarraf, D., Sadda, S.R. et al. Concerns about the interpretation of OCT and fundus findings in COVID-19 patients in recent Lancet publication. Eye (2020). https://doi.org/10.1038/s41433-020-1084-9. With thanks to friends who posted this article on Instagram. I usually look to Twitter for the latest articles.

Vavvas et. al state, “They localized these findings to the inner plexiform and ganglion cell layers; however, the images provided indicate localization to the ganglion cell layer.” Retina colleagues take the inner plexiform layer very seriously.

The article they cite is below.

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3B. Marinho PM, Marcos AAA, Romano AC, Nascimento H, Belfort
R. Retinal findings in patients with COVID-19. Lancet. 2020.
https://doi.org/10.1016/S0140-6736(20)31014-X.

4. Book Chapter – Herman Melville – Moby Dick. Listened to Chapters 64-67 via LoyalBooks.com. See also Sparknotes (narration) and Gutenberg (book text). Quite detailed on a whale’s kill, feast, and processing.

See Protecting Sight Daily Learning posts here.