Chapter 124 - Part E: When the Eye Cannot Be Saved

About this episode

This episode discusses the critical decision-making process in ophthalmic surgery regarding when to stop saving the eye and prioritize patient comfort.

In this BoardsCast episode, we finish Tobias Chapter 124 — Basic Ophthalmic Surgical Procedures with the hardest (and highest-level) decision in ophthalmic surgery: When do you stop saving the globe… and start saving the patient from the globe? This episode builds a clear, board-ready decision framework for end-stage eyes that are blind, painful, and failing—where continued “salvage” is no longer medicine, it’s prolonged suffering. You’ll learn: The 3-question hierarchy Tobias emp...

Topics covered

• ophthalmic surgery
• decision making
• end-stage eyes
• patient care
• surgical procedures

Keywords

• ophthalmology
• surgery
• blindness
• pain management
• medical ethics

Mentioned in this episode

Books & works: Tobias Chapter 124

More episodes of Simini Boards Cast

• Chapter 125 - Part B: Save the Wall Before You Save the Vision · June 11, 2026 · 21 min
• Chapter 125 - Part D: The Eye Is an Optical Alignment System · June 11, 2026 · 21 min
• Chapter 125 - Part E: Tissue Dies on a Clock · June 11, 2026 · 21 min
• Chapter 125 - Part A: The Eye Is a Machine Under Pressure · June 11, 2026 · 21 min
• Chapter 125 - Part C: The Outside Protects the Inside · June 11, 2026 · 17 min
• Chapter 124 - Part D: Save the Surface: Why Corneal Surgery Exists · June 3, 2026 · 21 min