Eye Floaters Differential Diagnosis

Steven Katz MD Neuro Ophthalmology

My name is Steven Katz, and I'm an associateprofessor of ophthalmology. I am the division director for orbital disease, ocular plastics,and neuroophthalmology. And I have done two fellowships, one was in neuroophthalmologyand the other was in orbital disease and ocular plastics, both at the University of British Columbiain Vancouver. I'm very interested in orbital surgery forone. I am interested in patients with orbital tumors and diseases of the orbit, such asthyroid eye disease. And I'm very interested in a disease called pseudotumor cerebri, andI have done a lot of work pioneering a technique to do optic nerve sheath fenestrations. Sowe see patients from all over the country

for that disease. After my residency, I went away for two yearsof fellowship training, and I picked two areas that are less common, so there are onlyabout 430 neuroophthalmologists in the country, and so there's a need for more people in thatspecialty. So I felt that it is one of the more interesting specialties, and it seemedthat it would be a great service to provide. And the other area, ocular plastics and orbitaldisease, there's less of a shortage but there are less people in that specialty that wantto go into academics, and not do purely cosmetics. But it seemed to me there are a lot of sickpatients that need reconstructive surgery,

something beyond less complicated eyelid surgery,like droopy eyelids and malpositioned eyelids, and the academic setting provides a greatopportunity to help in that regard. I feel that my job in dealing with patientsis to educate them so that they can make an informed choice. Using the term quot;personalizedquot;is critical, because with all of the constraints going on in healthcare and budgetary constraintsand government and insurance company involvement, there's a tendency for some people to thinkthat there is a paradigm that fits everybody. And everyone has different genetics and everybodyhas different environmental influences and nobody responds the same way to a disease,and the diseases don't read textbooks and

always present classically. So there is not a one size fits all approachto medicine.

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