CataractCoach™ 2274: podcast 70: Shannon Wong MD
Вставка
- Опубліковано 10 вер 2024
- Dr Shannon Wong is an ophthalmologist specializing in cataract and refractive surgery in Austin, Texas, USA and he also maintains a very active and popular UA-cam channel @ShannonWongMD where he educates both patients and surgeons. I have personally visited his beautiful practice, Austin Eye, and I was even a guest on his podcast 2 years ago. In this podcast we cover so many interesting topics besides the UA-cam videos and we get an insight into improving our own practices. Shannon even gives his refractive surgery advice for treating my -2.00 of myopia as a presbyope. I am sure you will enjoy this conversation and find pearls to help you succeed in your career.
We feature a new podcast every week on Sundays and they are uploaded to all major podcast services (click links here: Apple, Google, Spotify) for enjoying as you drive to work or exercise. I am really excited to share these amazing podcasts with you. The full video of the podcast is here on CataractCoach as well as on our UA-cam channel. Our podcast is sponsored by Harrow, Inc and we are thankful for their support.
Thank you Uday for always being so thoughtful and including me on your channel. Wishing you continued success and happiness. Let's enjoy the journey!
Fantastic podcast
Thanks Shannon! Always a pleasure.
20:42 You are so right, Dr. Wong! Some of us are listening and sharing both of your channel’s content with colleagues, techs, and even patients! Thanks so much for what you leaders do.
Thank you 😊
My favorite podcast cataract coach podcast!! I am a -1.5 myopic, and I agree myopia is a gift for an ophthalmologist!
Thank you 😊
Few comments:
1. Shannon states that he doesn't used Vivity IOLs. This is touted as a "compromise lens" by Alcon for patients with not ideal corneas (mild Map-Dot-Dystrophy) or maculas (early AMD, mild ERMs). What is your experience with this IOL and why aren't you using it? Should we "power through" with multifocal lenses (or default to monovision) in these patients and set expectations that vision will be compromised in the eye with the minor pathology? I've mostly utilized this lens when there is a mild ERM in one eye. Results have been underwhelming.
2. Uday, keep giving younger ophthalmologists true, unfiltered feedback. You are the Cataract COACH. Not the Cataract Motivational Speaker. Our generation needs more Nick Saban like coaching in the ophthalmology field. Hold us to the standard of high quality cataract surgery.
3. What are you opinions on LRIs only with the Femtosecond laser? I see value for high astigmatism (3.0D-4.0D) patients who want a multifocal IOL (Panoptix). Are you defaulting to manual LRIs in these situations? I think there needs to be more conversation on the weaker capsulorrhexis with the femtosecond laser. There are many well known cataract surgeons who appear to be dishonest on the superiority of femtosecond cataract surgery with other ophthalmologists and patients.
Thanks George -- great input. I like the Vivity in eyes with normal corneas, maculae, etc. It is not great in eyes with compromised tissues. I still use the Vivity IOL for patients who want a wider range of focus and will accept a relateively mild amount of contrast lost.
I will try to keep giving honest, earnest feedback -- especially when it is a totally anonymous video. I agree, I want to be your coach, not your best friend.
For anything 1 diopter or above, I prefer a toric IOL. Now if your max toric power is 2.5 D and you want a 3.5 D treatment, then a bi-optics approach of max power 2.5 D toric IOL plus a 1.0 D LRI is a good choice.
There is no doubt in my mind that a femtosecond laser gives a weaker capsular opening when compared to a capsulorhexis. Reminds me of this older video cataractcoach.com/2021/07/03/1153-is-femto-laser-phaco-better/
There is a big fan of Giants Wisdom, thank you, it's great to see two in one🤩
All good information, and Dr. Wong was correct in that his comments about DEI are inappropriate. Dr. Devgan is correct in that there are generational differences that affect overall attitudes, and that participation trophies awarded now for almost everything could turn out problematic down the road. BUT that is not the same as DEI initiatives, which merely seek equity and inclusion, after years of racial discrimination, and continued racial isolation in some workplaces. Diversity is always a plus, not a minus. Troubling to hear comments alluding to some individuals being unqualified and/or unintelligent in looking at their accomplishments solely because of DEI initiatives, which are never looking to put unqualified people in performing eye operations or in flying planes. Further, sadly, U.S. Presidents have had attempts on their lives several times in our nation's past, and all of them could have been checked off as a failure on Secret Service's part, which was historically only composed of white males. The fact is, Trump wasn't killed nor even severely injured, so there's that; and investigations are underway as to any alleged failures, much more than just looking at video clips on social media sites as to any particular person's incompetencies. I would think men of your education/intelligence would know that.....despite your political leanings.
We are listening. 2 ears and 1 mouth, well said!
Dr Devgan--I respectfully disagree with Dr Wong about your refractive target--I would leave you -2 with monofocal IOL of your choice and let you pick out some snazzy small framed new glasses for distance correction.
Agree. I don’t have cataracts and I correct to 20/15 with -2.00sph. Small frame glasses are the best since I can look under them for near work.
Great to see u in the comments section Jason, hope/trust all is well brotha 💪🏻
@@soccer24six same to you buddy!
you have fan from algeria thank you
GOOD.
Ohhhhhhhhhh snap 🫰 - this is gonna be a good one, can’t wait to listen!
A really good one!