Protecting Sight #73: The tyranny of merit. A uveitic white cataract, loose zonules, and giant fornix syndrome.

Welcome to my daily learning journal. My daily goal is to watch one Ted Talk and one cataract surgery. I also 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 – Michael Sandel – The tyranny of merit. “What accounts for our polarized public life, and how can we begin to heal it? Political philosopher Michael Sandel offers a surprising answer: those who have flourished need to look in the mirror. He explores how “meritocratic hubris” leads many to believe their success is their own doing and to look down on those who haven’t made it, provoking resentment and inflaming the divide between “winners” and “losers” in the new economy. Hear why we need to reconsider the meaning of success and recognize the role of luck in order to create a less rancorous, more generous civic life.” (

This was just posted to I was the 8th viewer this afternoon and now the talk has 140,000+. Warren Buffett often says he was lucky to be born in the US (which he describes as the “ovarian lottery” here). Professor Sandel talk is compelling.

2A. Cataract Surgery – Uday Devgan MD – Uveitic Dense White Cataract. I wish all cases could take 2 minutes! High yield pearls as always.

2B. Cataract Surgery – Dr. Telegin on Instagram – Watching Dr. Telegin is like watching a great symphony. He shares wonderful surgical techniques on Instagram.

Patient presented with recurrent left eye ptosis, erythema, blepharedema, chronic discharge, and knifelike pain over the past 4 years (arrowhead).

3. Journal article – To J, Macsai M, Phelps PO. Chronic Conjunctivitis in an Older Patient With Ptosis. JAMA Ophthalmol. 2020;138(1):97–98. doi:10.1001/jamaophthalmol.2019.4439

This case reminds me of a previous blog post which made me social media famous (for about 5 seconds!). Read the case above then my blog post on a case which made international news. I wrote a blog about the case, and the UK authors and NHS asked if they could quote my post on the NHS website as they were getting overwhelmed with media inquiries. (2017 blog post here.)

4. Book Chapter – Walden, and On The Duty Of Civil Disobedience by Henry David Thoreau., SparkNotes, and Gutenberg. Chapter 10.

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