The Laura Dowling Experience

Beyond 20/20: An Ophthalmologist's Guide to Eye Health and Surgery


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Ophthalmic surgeon Dr. Micheál O'Rourke takes us through the fascinating world of eye health, sharing insights from cataracts and macular degeneration to aesthetic procedures and vision preservation.

• Eyes constantly move and blink even during sleep, requiring high energy and thin skin for optimal function
• Cataracts are an inevitable part of aging, involving protein misalignment in the lens requiring surgical removal and prosthetic lens replacement
• Macular degeneration comes in dry (less treatable) and wet (treatable with injections) forms that affect central vision but preserve peripheral sight
• Blepharoplasty (eyelid surgery) is becoming popular at younger ages, removing excess skin around the eyes for a refreshed appearance
• Women experience a dramatic drop in tear production during menopause, making HRT one of the most effective treatments for menopausal dry eye
• Increased screen time reduces our blink rate and contributes to vision problems including the evolutionary shift toward myopia in children
• Thyroid eye disease primarily affects young women, causing protruding eyes and altered appearance that can be addressed with surgery
• Eye floaters result from changes in the eye's jelly-like vitreous humor and should be evaluated if they suddenly increase or appear with flashing lights
• The eye cannot be temporarily removed during surgery as once believed, as nerve tissue damage is permanent

For more eye health insights, follow proper eye protection practices, get regular check-ups, and be aware of symptoms that might indicate serious conditions.


Thanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations.

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The Laura Dowling ExperienceBy Laura Dowling

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