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RT Asks: Have you ever accidentally given a patient an over-optimistic prognosis? How did you handle the situation?

Yes, unfortunately. The patient had recovered good VA despite an oil fill after multiple surgeries for retinal detachment. Due to subsequent cataract progression, combined surgery was performed to remove the cataract and oil, but the patient’s VA did not improve as anticipated. In retrospect, I was over-optimistic, deviating from the adage of “underpromise and overdeliver” that I usually adhere to. Yet the reality is that managing expectations can be tricky, and a misalignment between prognosis and outcome can occasionally occur. I handled this particular situation by choosing to spend chair time listening. I expressed that I shared his disappointment. I have found that sincerity and empathy can be more meaningful than scientific explanations; they are the foundation of the patient-doctor relationship.

—Allen Chiang, MD

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CORRELATION OF OCT ANGIOGRAPHY AND MICROPERIMETRY IN WET AMD
By Manish Nagpal, MS, DO, FRCS(Edin); Jayesh Khandelwal, MS; Rakesh Juneja, MS; and Navneet Mehrotra, MBBS, DNB (Ophthalmology), FRF

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About Retina Today

Retina Today is a publication that delivers the latest research and clinical developments from areas such as medical retina, retinal surgery, vitreous, diabetes, retinal imaging, posterior segment oncology and ocular trauma. Each issue provides insight from well-respected specialists on cutting-edge therapies and surgical techniques that are currently in use and on the horizon.