Protecting Sight #173: What we don’t understand about trust. Multifocal IOL in a high myope and AI advances for glaucoma diagnosis. Learning to label pain and promote empathy.

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, podcast, or significant work.

Here’s today’s list:

1. Ted Talk – Onora O’Neill: What we don’t understand about trust. “Trust is on the decline, and we need to rebuild it. That’s a commonly heard suggestion for making a better world … but, says philosopher Onora O’Neill, we don’t really understand what we’re suggesting. She flips the question, showing us that our three most common ideas about trust are actually misdirected.” (

2. Cataract Surgery – Uday Devgan MD – PanOptix IOL in a Highly Myopic Patient. Dr. Devgan writes, “This patient has a high degree of myopia (well over -10 diopters) and an axial length of more than 30 mm. The patient is also a physician and she wants the wide range of vision (without glasses) that a trifocal IOL can provide. Fortunately, her retina status, including the macula and periphery, is excellent and we even had her examined by a retinal specialist before cataract surgery.”

Excellent case and I enjoy Dr. Devgan’s approach to minimize barotrauma on vitreous base.

3. Efficacy of a Deep Learning System for Detecting Glaucomatous Optic Neuropathy Based on Color Fundus Photographs. Li, Zhixi et al. Ophthalmology, Volume 125, Issue 8, 1199 – 1206.

This 2018 article is one of the trending articles on Ophthalmology online. AI continues to advance and will transform ophthalmology in the years ahead.

4. Chris Voss and Tahl Raz, Never Split the Difference. Chapter 3. Voss discusses labeling pain, tactical empathy, and reinforcing positive dynamics.

A shout-out to Tahl Raz, who also co-authored Never Eat Alone with Keith Ferrazzi. One of my favorite networking books.

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