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Time to rethink LP for typical mild IIH cases. Diagnostic criteria needs to be modified to avoid these uncessary LPs. #IIH #neurotwitter

PSA: Get a CBC on all new cases of papilledema since severe anemia is temporally associated with fulminant IIH cases. Treatment with anemia can be enough to normalize the ICP #NeuroTwitter cambridge.org/core/journals/…

The 6th eye injury in an NHL goaltender in the past 8 seasons. This can be prevented. @CanJOphth Jonathan Micieli NHL pubmed.ncbi.nlm.nih.gov/31712037/ #NHL #eyeinjury #goaltender #sportsmedicine

Ontario has a two-tier blood test system. Those who get their blood test in a hospital do not pay whereas those who get the same medically necessary test at Lifelabs pay. (eg AChR Ab, NMO and MOG-IgG). Makes no sense to me.

Our Ophthalmology paper demonstrates the term "papilledema" is widely misused [Among 722 case reports a total of 482 errors (66.8%) were found]. We recommend higher peer-review standards and improvement in medical education in this area. Brendan Tao aaojournal.org/article/S0161-…

#papilledema indicates disc edema from elevated #ICP, but during 2011-2022 "papilledema" misused in journal articles in 40% authored by #ophthalmology, 73% by #neurology, & 84% by #neurosurgery. Jonathan Micieli Kensington Health Unity Health Toronto University of Toronto ow.ly/glcz50L2ajS #eyetwitter

Another reason not to get COVID19: You could bleed from your nose uncontrollably and then go blind. This is an unfortunate case documented here: cambridge.org/core/journals/… #BringBackMasks

Ontario has filled all its pediatric ICU beds as reported by Dr Warner. ⁦Michael Warner⁩ We need a mask mandate now. Let me repeat - we have no pediatric ICU beds. Let that sink in. thestar.com/news/gta/2022/…

Sure, using #TextToImage AI to create avocado armchairs is cool, but maybe we can also do more. See our brief letter that describes some medical applications, with one example applied to visual snow syndrome: cambridge.org/core/journals/… Jonathan Micieli OpenAI Midjourney Stability AI

Can Lumbar Puncture Be Safely Deferred in Patients With Mild Presumed #IIH?: JNO Article: bit.ly/JNO_Defer_LP_I… #brain #eye #vision #research #NeuroTwitter #NeuroOphth #EyeTwitter #MedTwitter #Papilledema #LumbarPuncture Jonathan Micieli @kensingtonHlth Unity Health Toronto University Health Network University of Toronto

NANOS members, Edward Margolin and Jonathan Micieli, and colleagues found that term #papilledema was used incorrectly 67% of the time in the literature. This study reminds us that it is important to use the correct terminology. aaojournal.org/article/S0161-… #newknowledge #intracranial

New optic disc hemorrhage in setting of #papilledema from Idiopathic Intracranial Hypertension #IIH, leading to a vitreous hemorrhage, possibly exacerbated by a neck massage. Jonathan Micieli Kensington Health Unity Health Toronto University Health Network University of Toronto #eyetwitter #neurotwitter ow.ly/M8kY50MVgsu

New episode of #OphthalmologyJournal #Podcast out now! Are you misusing the term "papilledema?" Find out in this week's episode. Drew Carey, Eye MD Jonathan Micieli aao.org/education/audi…

This work is important. In a condition that is cared for by #ophthalmology #neurology #neurosurgery #interventionalneuroradiology #neuroophthalmology let’s start to speak the same language IIH UK UKNOSoc EUNOSsociety NANOS Jonathan Micieli Eye Journal pubmed.ncbi.nlm.nih.gov/36928224/

I agree. Absolute pet peeve to see even patients with known intracranial pathology such as tumours or meningitis labeled as “features consistent with IIH” on imaging reports. We need to apply and understand definitions consistently.

Listen to the latest #OphthalmologyJournal #Podcast. What is the definition of “#papilledema?” Drew Carey, Eye MD and Jonathan Micieli discuss the widespread misuse of the term “papilledema.” ow.ly/czva50Norza

This comprehensive review explores the intricate neuro-ophthalmic manifestations of #HerpesZoster and provides a practical approach to these manifestations. #NeuroOphthalmology #MedicalResearch #MedicalEducation #Ophthalmology nature.com/articles/s4143… Brendan Tao Jonathan Micieli