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Dear Dr. Wong….

Social Media Improves Health Information on the InternetI want to share this with you.  It is a testament to how valuable a medical website, using social media, can be in terms of providing value…to both patients and doctors.

If you’ve been reading here for awhile, I firmly believe in the power of social media (a blog is the purest form of social media) and how it can improve public health information.

Amy and I founded a medical marketing company to share what we have learned and lecture/teach nationally on social media and medicine.

 

Dear Dr Wong

I am 60 years old and live in the UK. I discovered your blog while surfing for further info on prognosis following repeated retinal detachments and the use of silicone oil to stabilize. Your pages gave me so much comfort, and I felt much better after reading them. I had an epiretinal membrane problem and early cataracts diagnosed last year. My surgeon offered me vitrectomy, membrane peel, and lens replacement. The op was successful, a textbook case, and for a few days I could see like a newborn! Then the retina detached…..A second surgery 3 weeks later, (vitrectomy, gas bubble and cryo) was carried out. During this op there was, I gather, one of those moments when “the room goes quiet”. There was unexpected bleeding and the cornea became waterlogged. I had to have the lens removed, the iris retracted and the cornea removed. Not fun. Over the following weeks the cornea degraded and shredded twice, two trips to the ER for debridement (ouch). I had a little strip of blurred vision left, which narrowed daily and eventually disappeared, leaving me totally blind, no light perception. This was due to massive proliferative vitreo-retinopathy scarring and pulling the retina off again (macula off). Because of the state of the cornea my surgeon decided to leave the third surgery for an extra week, at the moment of seeing him it was inoperable. I had the surgery to try and save some vision (vitrectomy again, silicone oil fill) in March of this year. I was prepared to be blind in that eye for ever. I now have no peripheral vision on one side, no vision above eyebrow level, and huge distortion and blurring in that eye.

But – I can see SOMETHING!

Your writings gave me massive comfort, in my case the disease is winning, but I accept this. My surgeon is an excellent man, and a really nice guy too. The disappointment on his face each time the surgeries’ outcomes were not positive was plain to see. The final surgery was “successful” in that my retina is now attached, thanks to the silicone oil, and stable for the time being. Who knows what’s ahead!

So I’m just saying thanks to you and all of you guys who go the extra mile to try and save our sight. Without your care and expertise we would ALL be blind.  Disease of any kind is just bad luck, and retinal disease is such a bummer!

Cath Lamb

What Does This Mean?

This site now reaches over 15,000 new viewers every 30 days.  I’ve answered over 2500 comments/questions on the 400 or so articles I’ve written about retinal disease or my personal life.

I have readers from all over the world.  Many have become actual patients.  Over the past 3.5 years, I’ve experienced how this blog and social media have become so pivotal in forming relationships between patients and doctors.

Here’s how it works..

Every website, medical or otherwise, must create value. Websites without value are boring and receive no traffic.

The value of this site is the information I provide, for free, regarding eye disease.  Using my expertise as an eye doctor, I write articles regularly and on subjects relevant to my followers.

With value comes trust.  This doesn’t happen over night, but is evidenced by the numerous comments/questions generated by the posts (aka articles).

The most compelling aspect of a blog is when the doctor chooses to respond to the comments/question, thus generating the so-called “conversation.”

The conversation is compelling.  At first, it attracts other readers with similar questions/problems…they can identify.  Most powerful is when the doctor responds. It reveals practice philosophy, “bed-side” manner and some of our personality.

So, in the end, it’s the articles that gain attention, but it’s the “conversation” generated by the articles that are so powerful.

 

Back from the AAO

Amy and I got back from Orlando, last week.  We attended the American Academy of Ophthalmology annual meeting, the world’s largest gathering of ophthalmologists and those associated with our “industry.”  It’s our huge trade show.  For us, we got some national exposure for our new company.

Telling a Story

You may remember that we received a nice endorsement from the AAO earlier in the year.  The endorsement came in the form of acceptance of our lectures (4) and and invitation to address young doctors about marketing.

In short, we told everyone about what we are doing here at RetinaEyeDoctor.com.

We told the story of how we started, how it has benefited my practice (patients arrive internationally and nationally), how we use the site to educate patients (real and virtual) and it has become a valuable tool in developing relationships with my patients and my “tribe” (those that follow this site…um, that means you!).

Teaching More than SEO and Social Media

While the courses topics ranged from choosing a URL to implementing social media via a blog, we were advocating some very simple points;

1.  If You Have No Website, You Don’t Exist: Patients have become empowered by the Internet.  Long gone are the days where a patient will blindly take the “referral” of one physician from another.  Today, patients want to select their doctors based on their own criteria.  The easiest way to search is to use Google, but you (my readers) know this.  If a doctor has been recommended, but a website can not be found (or is old and stale), patients will never call to make an appointment.

2.  Doctors need Transparency: There are two types of transparency that physicians must display, personal and business.  Personal transparency means that a doctor must display some attributes of being human.  This personal transparency means that doctors should share a bit about their personal side to which patients (as other humans) can relate.  Patients want to relate to their doctors.

As an example, a doctor listing his/her hobbies is much more engaging than listing the elite academic achievements to which noone else can relate (even other doctors).

Every other business in every other industry, except medicine, opens itself to public criticism and evaluation.  Movies, books, restaurants all go under review of the public.  Doctors must get used to the notion of operating this type of transparent business.

3.  Serving the Public Good. The only way a medical practice can use a website as an effective marketing tool is to publish credible health information.  While over 80% of the public turns to the Internet first for health related questions, there is a paucity of reliable information (you know this, too!).

If every doctor were to publish/write on their own sites, they would get the rankings they want …and the public would get the answers they need.  Best of all, this means that the quality of health information available to the public improves.

What Does This Mean? We got validated.  We met so many doctors trying to learn how to engage the Internet, to make their websites useful and to learn how to build relationships.  We were appreciated and really became to feel that we are leading a movement…..maybe we are.

 

 

 

 

 

 

 

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Eye Drops to Help You Heal

After eye surgery, there are several eye drops to help you recuperate, and heal, quickly.  These eye drops usually include an antibiotic, anti-inflammatory, and sometimes, an eye drop to keep  you dilated for comfort.

There are many types of eye surgery; cataract, glaucoma, corneal, retina, etc.  In general, the post-operative medications/drops that we use are about the same.

Antibiotics

These usually come packaged in a bottle with a tan colored top.  It may be used 4 times a day.  The drop is clear and may be prescribed to be used 4 times per day.

Remember that eye drops do not penetrate the eye very well, so it is probable that the antibiotics really help the outside of the eye and the actual incision (i.e. place where your surgeon “cut” into your eye) from becoming infected.

One of the unfortunate complications of any intraocular surgery is endophthalmitis, an infection of the contents of the eye.  I doubt the topical drops actually fight any infection inside the eye per se.

Anti-Inflammatory Drops

These usually come in a white or pink capped bottle.  I prefer a steroid called prednisolone acetate 1% (e.g. Pred Forte, Omni Pred).  It is milky white.  This drop must be shaken prior to instillation.  It is really a suspension, that is, the drop contains microscopic particles of drug that settle out.

Other anti-inflammatories included Xibrom or Acular.  These are not steroids and probably not as strong.

Anti-inflammatory drops help the eye keep comfortable during the healing.  If we limit the post-operative inflammation, there should be less discomfort.

Dilating Drops

Some operations and some docs require dilating drops after the operation.  These are in a bright red topped dropper.  These are very similar to what is used in the office to dilate your eyes for examination.

Occasionally, it is helpful to keep the pupil dilated during the recovery period.  I like to use these drops at the end of an operation.  The drops I use will keep the pupil dilated for a day or two, but I don’t have to wait for dilation the next day for the follow-up exam.

Certain dilating drops can also cause “cycloplegia” in addition to simple pupillary dilation.  One of muscles inside the eye, the ciliary muscle, can sometimes spasm, causing severe pain and discomfort.  “Cycloplegia” prevents this from occurring and helps keep the eye comfortable.  The ciliary muscle also helps focus, so vision become blurry.

What Does This Mean? Most of the post-operative medicines we use are topical drops.  Oral medicines usually aren’t necessary.   Most of the drops are really used to promote smooth, comfortable healing, the antibiotics being the exception.

Oral pain relievers generally are not required.  I rarely have to prescribe anything by mouth regardless of the procedures I performed.  The operation I perform requiring the most tissue manipulation is a scleral buckle.  Even with this procedure, oral pain relievers are not necessary.  (Of course, this is surgeon dependent and reflects the way I practice only.)

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Retina Surgery is "Same Day" Surgery

Retinal eye surgery, either vitrectomy or scleral buckle, is usually performed while the patient is awake and as an outpatient, allowing you to go home the “same day.”  Usually, there is absolutely no pain with retina surgery and recovery takes place in the comfort of your own home.

In most cases, operations are performed under “local sedation.”  This term varies, but at our surgical center local sedation involves giving a sedative through the intravenous (I.V.).  This puts the patient in “la la land” for a few minutes during which the eye is then numbed using an injection.  When the patient awakes, the eye is numb and can’t move.

Pain is transmitted via nerves.  The anesthetic prevents the perception of pain by blocking nerve conduction.  The nerves that control the eye muscles are also blocked, thus, the eye can not move.  Both pain and movement are controlled.

The eye remains in the eye socket during the operation.  The eye lids are held wide open with a wire clamp, or speculum, to allow maximum exposure of the eye for the surgery.

The time for surgery depends on the retinal procedure and the amount of work required, but the anesthesia will work for several hours.

Vitrectomy eye surgery involves minimal cutting on the eye.  The use of 25-gauge instruments for vitrectomy eliminates cutting tissue on the outside of the eye, thus, there isn’t much discomfort any way.  Scleral buckle surgery for retinal detachments creates the most discomfort due to increased cutting on the outside of the eye, but this method of anesthesia is still very effective.

Most of the time, my patients are completely awake…and comfortable.  We can talk and listen to music.  On occasion, patients will report they are able to see the instruments moving inside the eye!

On rare occasion general anesthesia is required.  This may be due to the age of the patient (i.e. child), anxiety, claustrophobia, etc.  We usually prefer the patient fully awake or slightly sedated.  The recovery is much faster, easier and safer without general anesthesia.

What Does This Mean? In most cases, technology has improved retina surgery to be completed much faster, and safer, than even 10 years ago.  The reduction in operating times, the time it requires to perform an operation, has allowed “local” anesthesia to become preferred by many doctors.

Along with shorter operating times, and less general anesthesia, most surgery is easily performed as an outpatient as the time it takes to recover from “anesthesia” is much shorter.

Many practices choose to operate in a surgical center, a freestanding outpatient surgical site,  – usually maximizing efficiency…and time.

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Medical Blogger: What's in a Name?

Am I a Medical Blogger?

A “blogger” is someone who blogs.  “Blogging” is the act of writing articles, usually about a personal opinion, or posts, and publishing them on a blog.  A “medical blogger”  is usually a doctor that blogs about medical issues.  I am not sure where I fit in.  I am a blogger and I am a doctor, but I try to keep my opinions to myself.

Blogging is Writing to Persuade

As I discussed last time, blogs have become quite popular for a variety of reasons.  From a bloggers perspective, publishing an essay on the Internet, using blogging software, is a snap; both easy and fast.

I spend most of my time, sometimes as often as 5 days a week, creating content for RetinaEyeDoctor.com.  It has become a passion of mine for almost a year (I started April 2009).

While I am technically a blogger, there is a true distinction between myself and other bloggers.  I intentionally avoid expressing my opinion.   I try, as best as I can, to write objectively in order to teach.

Most other bloggers write to persuade.  I believe this to be a huge difference.

Medical Blogging

There are some notable medical bloggers.  Dr. Val, KevinMD and DrRob to name some popular ones.  They, too, are doctors and bloggers.  They are typical “medical bloggers.”

Most of their blogging is focused on politics and trends in medicine.  Often there may be an article offering a glimpse into a doc’s life, but still their writing is mostly opinion, perspective and persuasion.

I don’t think I really can run with these guys.

I Need a Home

I actually need a name.  I need to create my own name.  I need  a name that accurately, and fairly describes what I am doing;

I am a doctorblogger but I don’t write normal doctor blogging stuff.  I write about accurate health information regarding two causes of blindness.

Any suggestions?

Using a Blog to Teach

My true objective is to teach and provide health information.  I just use a blog as a format.  If blogs are synonymous with web sites, and from a reader’s perspective, they are the same, then I am creating an authority web site focused on eye disease; diabetic retinopathy and macular degeneration.

A physician is an authority on health and medicine.  I aim to use this knowledge and authority to promote better health info on the web.

So, who am I?

What Does This Mean? We need to carve out a niche and distinguish ourselves from true “bloggers,”  medical or otherwise.  It may be too early to really define a new term describing what I do here, but perhaps, in the near future, more and more will catch on.

Certainly there is an unmet need for providing good health content on the web.  At some point, other docs will realize that they, too, can contribute and meet their own patients here!

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Your Retina Sees Backwards

Images on your retina are reversed.  Your retina “sees” everything backwards.  Your brain reorients you.  This image reversal is an adaptive advantage providing us with tremendous peripheral vision and the ability to view objects much larger than just a few millimeters.

Image Becomes Reversed

Everything is Upside Down…and Reversed

The simplest illustration of how your retina sees is shown above.  If you look at the eye chart, it gets turned upside down and reversed on the retina.

The image the retina “sees” is completely reversed.

The brain has to then reorient the image to allow you to see things “right side up” (and re-reversed).

Keyholes are Actually Pupils

Imagine you were looking through a keyhole trying to spy on someone inside a room.  As you are scanning the room, looking at the right side of the room to the left side of the room, you really need to move your head/body in the opposite direction.  This is the only way you can “see” the entire room.

The important point is that you can see the entire room through a very tiny hole.  In the eye, the analogous part is the pupil.

Images need to be reversed so we can see objects much larger than the size of our pupil and so that we may have peripheral vision.

The Washington Monument is Upside Down

Using an example of the Washington Monument may help a bit.  The image of the top of the monument must travel through your pupil and is focused on the inferior, or bottom, portion of your retina.  The image of the base of the monument is focused (along with all the flags) on the superior, or top, portion of your retina.

Light Rays Converge and Cross

What Does This Mean?

By reversing the image, we are able to visualize objects much larger than our eye.  If you look at the light rays, colored in blue (see above), you will notice that the distance between the light rays emanating from the top and the bottom of the chart get closer together as they approach the eye. At some point, they actually cross and reverse.

The image of the eye chart is getting smaller, too.  The light rays get smaller allowing the entire image to fit through the pupil and form a complete image on the retina, albeit upside down and reversed.

Without this reversal, we would have a very limited view of our world.  It would be similar to viewing the world through a drinking straw.

(Note:  For those of you who have had retinal detachment surgery involving gas injection, or macular hole surgery with gas or an intravitreal injection with an air bubble, this explains why the “gas/air” appears toward the bottom of your vision when looking straight ahead.  With your head erect, the gas rises to the top of your eye, giving you the impression that the gas is on the floor,)

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It's Not What You Look At, It's What You Look For

Making a diagnosis can be difficult.  Diabetic retinopathy and macular degeneration are easy to diagnose, but you have to know to look for it to see it.  The diagnosis then becomes pretty obvious.  Knowing what to look for is essential to making a correct medical diagnosis.  Retinal disease, such as ARMD and diabetic retinopathy, is easy to diagnose as we can also “see” the eye.

I just read about a 59 year old male who had all the common symptoms of diabetes for several years, yet his doctor treated each symptom separately.  His weight loss was treated with high calorie supplements, his frequent urination was treated as a prostate problem and his multiple nighttime trips to the bathroom were treated with sleeping meds.

He switched doctors and was diagnosed with Type II diabetes.

Just Browsing, But Not looking

Was his first doctor stupid?  Not necessarily, but he failed to “look” for diabetes.  He failed to look for the one diagnosis that could bring all the symptoms together.  He didn’t look for a common denominator.  Had he “looked” for diabetes, he would have checked sugar levels, and then, solved the puzzle.  This doctor was similar to a shopper who is “just browsing.”

Problem Oriented Thinking

The second doctor practiced ‘problem oriented’ medicine.  He was able to find the common denominator of all the “problems” and then knew what tests to order to prove himself correct (namely, serum glucose and hemoglobin A1C).  This doctor was the shopper that went shopping with a finite list of items.

Diabetic Retinopathy and ARMD is Even Easier to Diagnose

Diabetic retinopathy and macular degeneration are even easier to “see.”  Why?  Because I can also “look” at the eye and determine the presence, or absence, of either disease.  Sometimes it takes no testing.

I can rely on my examination for establishing a diagnosis because I, too, know what to “look” for.

In diabetics, I look for blood, microaneurysms, macular edema, exudates, neovascularization and retinal detachments.  Having some of these findings will establish the diagnosis.

So, too, in macular degeneration.  I look for characteristic scarring of the macula, bleeding underneath the retina, drusen and leakage, etc.

Most of the time, if not always, we are able to make a diagnosis by direct examination.  Testing can confirm our suspicions.

What Does This Mean? Because eye docs are able to directly visualize most aspects of your eye, we’re able to tell you with a high degree of certainty, especially with diabetic retinopathy and macular degeneration, if you have the disease or not.  There is usually no beating around the bush.

If there is any doubt, additional testing may be helpful.  To you, the patient, we can offer assurance about the state of your retinal disease.

We know what to “look” for and what to “look” at.

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Mom Should Have Washed Your Eye With Soap!

Your eye is as dirty as your mouth.  The bacteria found on the eyeball and in the nose and mouth are very similar.  The three areas are all connected anatomically and bacteria are free to roam to and fro.  While each organ does have its own particular defense system to fight infection, the eye, by no means is “clean.”

It’s Why Your Nose Runs When You Cry

When you cry, you need to blow your nose.  When you use ophthalmic drops, you get a funny taste in your mouth.  The reason?  The tears drain right into your nose, or rather, your nasal cavity.

Tear system: a. tear gland / lacrimal gland, b...
Image via Wikipedia

The Anatomical Pathway of the Tears to Your Nose

a.  Lacrimal gland – resides in the upper/outer portion of the upper eyelid

b/e.  Punctum (“tear duct”) – small pinpoint openings on upper and lower lids, near your nose

c/f.  Canaliculus – connect each puncta to the lacrimal sac

d.  Lacrimal sac – internal collection point of the tears, located on the side of your nose, just below the bridge

g.  Nasolacrimal duct – connects the lacrimal sac to the internal portion of your nasal cavity, tears empty here.

That’s proof that the two areas are connected.  Bacteria can travel in the reverse direction.

There are Two Ways to Clear Your Nose

One of the more common ways to clear your nose is by using a tissue.  The other method, preferred by all boys in the Wong household, is the reverse of blowing your nose.

The “suck” method avoids the use of the tissue and allows internal disposal of the secretions by…um, well swallowing.

My point?  It demonstrates a clear connections between nose, mouth and ….eye.

What Does This Mean?

There are a few  practical advantages to now admitting that your eye is dirty.  It helps me guide my patients with respect to their post-operative care.

First, after retinal surgery, there are always concerns about washing hair and taking a shower.  What happens if water gets in my eye?  After a reminder that the three structures are all connected, it is clear that getting water in your eye during bathing is probably pretty safe (check with your own doctor for his opinion, please).

Also, there is a fear that something may get into your eye while at work.  Remember, your eye is as clean as your nose and mouth!

Mother nature has also supplied the eye with a few ways to fight infection.  Within the tears are lysozyme, immunoglobulin and lysin – all natural elements that combat bacteria and other foreign agents.

In addition, we also recommend antibiotic drops.

So, while your eye may have the potential to be laden with dirty organisms from your nose and mouth, it is unlikely you will get anything in there that is…dirtier.  If in fact you do, mother nature and your antibiotic drops are there just in case!

“Randy”

Randall V. Wong, M.D.

Ophthalmologist, Retina Specialist
Fairfax, Virginia

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Blood in the Retina: You Make the Call

A patient of mine returned this morning with complaints of decreased vision in the right eye.  She is 84 years old, has a history of smoking and noted some “blurriness” in the right eye for the past few months.  With both eyes open, however, she sees pretty well.

Retinal Blood, Right Eye
Blood, Right Eye

The first thing we did was examine her.  This is a retinal photograph of the right eye.  What do you see?  There is blood distributed underneath the retina.  The white areas are signs of chronic leakage and are called exudates.  The left eye, pictured below is normal.  What do we need to do next?

"Normal" Left Eye

The next step is to perform a fluorescein angiogram.  The retinal hemorrhage is characteristic of bleeding due to “wet” macular degeneration.  The fluorescein angiogram should show evidence of neovascularization and provide evidence of the correct wet macular degeneration diagnosis.

Fluorescein Angiogram

What Does This Mean? The first picture is typical (although exaggerated) of patients with wet macular degeneration.  While most do not bleed, the blood doesn’t cause any further permanent damage.  The fluorescein angiogram is the best test to confirm “neovascularization” in the retina, the source of bleeding.  Years ago (say around 2000) there would be nothing to do.  Laser photocoagulation would not be helpful as there is too much blood.  Now, the best choice is to consider intravitreal injections of Avastin (anti-VEGF).

I’d recommend an initial course of three injections of Avastin.  We’ll be starting within the next week.

“Randy”

Randall V. Wong, M.D.
Ophthalmologist, Retina Specialist
Fairfax, Virginia

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A "Toy Story"…………Stories that Blind

Most retina specialists are also surgeons.  We operate on retinal detachments, advanced diabetic retinopathy………….and trauma.  Trauma includes careless accidents involving projectiles………..like toys.  This holiday season, think about eye safety.

Airsoft with Safety Eyeware
Airsoft with Safety Eyeware

Paintball – I hate this one.  A compact canister fired at a high rate of speed.  The fancier the gun, the faster the projectile.  These things even can even travel around corners!  The size of the paintball is a perfect fit between your brow and cheekbone.  Thus, ALL the force is absorbed to the eye.  I think the safety/protection is satisfactory, but the accidents happen “off the field” when the players are not expecting a shot to be fired.

I had a 14 year boy several years ago who developed a retinal detachment, had surgery and still went blind.  The impact of the pellet was so severe, it detached his retina and severed his optic nerve.  The other problem with paintball is that the age group is old enough to know right from wrong and may lie to conceal the truth to avoid punishment.  Had I originally known a paintball was involved, we might have approached him differently.

Pocket Knife – I know many people that carry them for small odd jobs around the house; cutting string, small screw drivers, etc.

Airsoft Rifle and Safety Mask
Airsoft Rifle and Safety Mask

Then there was this “kid,” who tried to see how many times he could throw his knife and get it stuck into a tree.  The knife bounced off the tree and landed in his right eye.  The tip of the knife went right through the center of the cornea.  While his retina never detached, the knife cut his natural lens and ruined his cornea.  He needed a corneal transplant, removal of the damaged lens and a possible implant.  He’ll need life long follow up.  The “kid” was 19.

BB Gun – Believe it or not parents, BB guns are either fired on purpose at a “friend” or go off accidentally.  I have had several cases (the term we substitute for “patients”) where the BB went directly into the eye.  Most times it doesn’t penetrate the eye, but can still cause permanent damage.

Blood can fill the front of the eye and is called a hyphema.   My 12 year old boy developed a cataract and is at lifelong risk for developing glaucoma; all due to the trauma.

The kids don’t think that these low-speed projectiles are dangerous and don’t bother to don safety glasses.  They usually don’t even penetrate the skin, so the feeling is these are “safe.”

I have no opinion about “Air Soft.”

“Nerf Gun” That spongy material that has been around for generations can be blinding.  My worst “toy story” is the kid who shot a Nerf dart at a friend.  The Nerf dart had a suction cup at one end which was designed to stick to flat surfaces (e.g. window, refrigerator door, etc.).  This guy modified the suction cup with a straight pin.  I don’t think he meant it to get stuck right in his buddies eye.  They were 9 years old.

The right eye of our little patient has now undergone at least 5 retinal surgeries.  The cornea may need replacing soon due to the original accident and repeated surgeries.  The visual potential?  Legally blind, at best.

What Does This Mean? I am not advocating changing your shopping list.  I am not advocating anything.  All of these “toy stories” are true and have horrible endings.  All of these patients were young and old enough to know better. They are unfortunate.

We have five kids.  Our only rule – no real guns.  They are the same ages of everyone one of my stories.

We have everyone one of the “toys” listed above except the high-velocity paintball guns.  We encourage them about safety (especially eyes).  We encourage them to have fun with their toys and to use them as they were meant to be used.  We try not to over control.   Accidents will happen.

“Randy”

Randall V. Wong, M.D.
Retina Specialist, Ophthalmologist
Fairfax Virginia

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offices

Currently, I see patients with retinal diseases; macular degeneration, retinal detachment, macular holes, macular pucker within several different practices.....it's a different arrangement, but it allows more continuous care with many eye specialists. In addition, I am very accessible via the web. To schedule your own appointment, call any of the numbers below.

Capital Eye Consultants
Randall V. Wong, M.D.
Contact: Brigitte O’Brien

A: 3025 Hamaker Court, Suite 101 • Fairfax, Virginia 22031
Ph: 703.876.9630
F: 703.876.0163
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Dressler Ophthalmology Associates, PLC
Randall V. Wong, M.D.
Contact: Andrea Armstrong (Surgery/Web)
Chrissy Megargee (Web)

A: 3930 Pender Drive, Suite 10 • Fairfax, Virginia 22030
Ph: 703.273.2398
F: 703.273.0239
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