Slide Eyelid surgery

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					                                                         A DIFFERENT VIEW:
                                        SHADOWING EYE PHYSICIAN AND COSMETIC EYELID SURGEON
                                                                                                        Anting Hsiung
                                                                                  College Park Scholars – Earth, Life, and Time Program
                                                                                       Biological Science: Cell Biology and Genetics
                                                                                            University of Maryland, College Park
                                                                                                    athsiung@umd.edu
                                                                                                         May 2, 2008



                              Service Site                                                                             Activities
Dr. Banyong Chakshuvej, M.D. practices ophthalmology in College                      I shadowed Dr. Chakshuvej during patient visit, and my activities include:
Park, Maryland. He provides service for routine eye check, treatments                •Observe and assist Dr. Chakshuvej
for problems and diseases with eyes, and cosmetic eyelid surgery. Its                •Observe the diagnosis and treatments given by Dr. Chakshuvej
mission is to bring better and comfortable life for patients through the             •Observe the use of medical equipment, such as Slit Lamp Biomicroscopy
medication for eyes. In addition, Dr. Chakshuvej also provides                       and Phoroptor/Refractors.
cosmetic eyelid surgery to bring beauty people want.                                 •Adjust the mirror for visual examination
                                                                                     In addition, I also had chance to observe and assist Dr. Chakshuvej for
                             7305 Baltimore Avenue                                   some minor in-clinic procedures. I had saw Botox injections, for medical
                                     Suite 101                                       and cosmetic reasons, and removing nodules around the eye. Sometimes,
                             College Park, MD 20740                                  during the procedures, I needed to hold the patients steady, which gave
                                  (301) 779-0884                                     me an opportunity for a closer look on the procedures.




                                                                                      Observation – Most common reasons for visiting Dr. Chakshuvej
                                                                                   1. Eye examination
                                                                                      As suggest by the doctor, people should have eye examination every
                                                                                      year, and people with diabetes or family history of glaucoma need to
                                                                                      come more frequently. Many people came for glasses and contact lens
                                                                                      prescription.
                                                                                   2. Diabetes check
                                                                                      People with diabetes have higher risks of bleeding in the retina, which
                                                                                                                                                                                   A poster in the main examination room called the Human Eye.
                                                                                      can result in the loss of eye sight if the bleeding is severe. Some
                                                                                      possible treatments include laser surgery, but it is only efficient if given
                                                                                      early enough.
                                                                                   3. Glaucoma                                                                                                        Impact
                                                                                      Glaucoma is an eye disease that can damage the eye’s optic nerve and           Eyes are the widow of the soul. During this shadowing experience, I
                                                                                      result in vision loss and blindness. The symptom of this disease is            learned more about various diseases associated with eyes, treatments
                                                                                      usually unnoticeable, so patients with family history need to visit the        for the diseases, and ways to prevent it. This gave me more insight
                                                                                      doctor regularly. The check up includes eye pressure and sometimes             and information about how to care my eyes and vision. I chose
                                                                                      visual field test.                                                             shadowing a doctor because I am interesting in entering the medical
                                                                                   4. Cataract                                                                       fields. However, after the practicum, I do not feel the same way. Being
                                                                                      Cataract is a clouding of the lens in the eye that affects vision. It is a     a doctor requires patient, care, and concentration to bring the best
                                                                                      very common in the elders. To prevent cataracts, people need to avoid          medication for patients, and I do not think this profession is suitable for
                                                                                      looking directly at the sun light and wear sunglasses. If the lens is too      me.
                                                                                      cloudy, patients can have surgery to replace the lens with permanent
                                                                                                                                                                                                 Acknowledgments
                                                                                      intraocular lens implant.
                                                                                                                                                                     I would like to thank my site supervisor, Dr. Banyong Chakshuvej, and
                                                                                   5. Cosmetic eyelid surgery
                                                                                                                                                                     his receptionist, Alice Tsay, for allowing me to shadow and assist in the
                                                                                      Dr. Chakshuvej is specialized for cosmetic eyelid surgery, and many
                                                                                                                                                                     office. I would also like to thank Dr. Holtz and Dr. Merck along with the
                                                                                      people, men and women, come to Dr. Chakshuvej for the surgeries. Dr.
                                                                                                                                                                     College Park Scholars and Earth, Life, and Time Programs for their
    The examination room in Dr. Chakshuvej office. The seat was for the               Chakshuvej also provides Botox injections.
    patients and the equipment on the right is called Slit Lamp Biomicroscopy .
                                                                                                                                                                     guidance and support throughout the practicum project.

				
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