Warning: Some of the images below are graphic and viewer discretion is advised. Images consist of ocular injections and laser procedures.
What do third years do in lab now that we are all pros at clinical exams? We practice all types of injections on each other and try out different lasers (not on each other). Lets just say, labs during the last quarter of third year are not for the faint of heart, especially for those afraid of needles.
Injections lab started by learning how to perform subcutaneous, intramuscular, and intradermal on the arm. This lab left a few people bruised, and we all left with some cool Band-Aids. The next lab was intravenous, which left some people feeling a bit faint and in need of sugar. Our last lab, in my opinion, was the most exciting. We finally made our way to injections near the eye. We were split up into groups of three or four (patient, doctor, assistant, and paparazzi). We all got to be each position and performed an intralesional injection (pretending there was a chalazion) and a subconjunctival injection. This time there were only a few cases of subconjunctival hemorrhages.
As for lasers, there was thankfully no blood and our patients were not real. If you recall from an earlier post, before boards we had a lab where we performed LASIK, Microkeratometry, and PRK. At our last lasers lab, we performed YAG Capsulotomy and ALT/SLT. The best patient was a pair of pantyhose that we performed the YAG laser on.
Optometrists being able to perform lasers and injections depends on the state or providence you live in. I think after this quarter, with a little practice, we could become proficient enough that our patients would trust and believe in us.