Protecting Sight #226: Need a new idea? Start at the edge of what is known. Cataract surgery & a major scleral buckle in a monocular patient. The Iliad.

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 is today’s list:

1. Ted Talk – Vittorio Loreto: Need a new idea? Start at the edge of what is known. “‘Where do great ideas come from?’ Starting with this question in mind, Vittorio Loreto takes us on a journey to explore a possible mathematical scheme that explains the birth of the new. Learn more about the “adjacent possible” — the crossroads of what’s actual and what’s possible — and how studying the math that drives it could explain how we create new ideas.” (

Excellent Ted Talk. The “adjacent possible” is filled with opportunities.

2. Cataract Surgery – Uday Devgan MD – considerations for monocular patients. Dr. Devgan writes, “Monocular patients present a special situation that can differ from a routine case in a patient with two eyes. We always want to achieve clean draping, a balanced incision, and a great capsulorhexis, but how should we adjust the refractive outcome? What are the appropriate IOL options? What about medications? There are some important issues that are discussed in this video.”

Excellent pearls which help all surgeons on the mission of protecting sight.

Figure thumbnail gr1

3. Journal article – Gascon, Pierre et al. Major Scleral Buckle. Ophthalmology, Volume 128, Issue 1, 151. Abstract states in part, “A 76-year-old patient experienced a car accident several years earlier that resulted in the loss of his right eye (ocular prosthesis) and a retinal detachment in the left eye, treated with a scleral buckle.”

Both the monocular cataract surgery patient and high myope retinal detachment patient have unique challenges. I’ve never before seen a scleral buckle positioning such as this, and wonder what the axial length measures.

Achilles tending the wounded Patroclus
(Attic red-figure kylix, c. 500 BC)
(via Wikipedia)

4. Iliad by Homer – Book 8. Listening to the LoyalBooks free podcast version. (Wikipedia | Spark Notes)

Leave a Reply