Protecting Sight #112: The global learning crisis. Decentered LASIK flaps, stromal hydration, vitreoretinal lymphoma, HSV keratitis, and the end of Leaves of Grass.

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 – Amel Karboul: The global learning crisis — and what to do about it. “The most important infrastructure we have is educated minds, says former Tunisian government minister Amel Karboul. Yet too often large investments go to more visible initiatives such as bridges and roads, when it’s the minds of our children that will really create a brighter future. In this sharp talk, she shares actionable ideas to ensure that every child is in school — and learning — within just one generation.” (

Our most valuable assets are our children. Good Ted Talk.

“Education is the civil rights struggle, it’s the human rights struggle of our generation. Quality education for all: that’s the freedom fight that we’ve got to win.”

Amel Karboul (Ted Talk)

2A. Uday Devgan MD – Cataract surgery & decentered LASIK flap. Dr. Devgan writes in part, “there is a very decentered LASIK flap and it precludes us from making our usual temporal phaco incision. We shift the incision to a different location and then use an innovative way to address the corneal astigmatism.” Nice technique.

2B. Uday Devgan MD – Corneal Phaco Incision Hydration. Dr. Devgan writes in part, “The stromal hydration should be done using a 27g blunt cannula and a 3 cc syringe filled with balanced salt solution. We must remember to properly hold the hub of the cannula using this technique to avoid iatrogenic damage to the delicate ocular structures. The amount of hydration is mild and should be performed across the width of the incision, with care taken to stay away from Descemet’s layer to avoid inadvertent dissection. ” Great pearls.

3A. Journal – AAO One Network – Diagnose This: 63-year-old woman with recalcitrant, unilateral, intermediate uveitis. These are excellent cases (like the JAMA Ophthalmology Clinical Challenges).

3B. Journal – Bleeding Under an Established Laser-Assisted In Situ Keratomileusis (LASIK) Flap. Ophthalmology Pictures & Perspectives| VOLUME 127, ISSUE 10, P1302, OCTOBER 01, 2020. Very good case.

Walt Whitman, steel engraving, July 1854.jpg

4. Book Chapter – Walt Whitman – Leaves of GrassSparknotesWikipedia, and Gutenberg. Book 35. DONE!! I would go back and listen to Book 22 on President Lincoln. Other than that, and after Henry David Thoreau and Walt Whitman, I think I’m ready for some modern genres.

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