Today's Spotlight

Dueling Pandemics

The COVID stories that consume most of our attention concern its tragic death toll and the anxiety that pervades our efforts to respond to the threat, or even just live through it. But a global phenomenon also brings with it second-order effects—unanticipated “consequences of consequences” playing out in the background. 

Today's Spotlight

A Family Affair

A 17-year-old Chinese male presented for evaluation of a presumed inherited retinal dystrophy. He had a longstanding history of poor night vision and carried a clinical diagnosis of retinitis pigmentosa (RP) since age six. The patient had two younger brothers, who shared the same biological parents and symptom of poor night vision. The parents denied consanguinity.
Today's Spotlight

Noninvasive Ptosis Management

Patients frequently present with bothersome blepharoptosis, but in the absence of pharmacologic options, optometrists could historically do little to improve their appearance or functioning. However, late last year, the FDA accepted a promising New Drug Application that, if approved, may soon alter the landscape of ptosis care as we know it.

Today's Spotlight

Work-up and Wait

A 54-year-old female presented to the emergency room with a new onset of painless vision loss in her left eye. She stated that she noticed a shadow in the upper left quadrant of her left eye about one week ago. She has a history of an overactive bladder and three months prior was started on Myrbetriq (mirbegron, Astellas Pharma); however, she was then switched to Vesicare (solifenacin succinate, Stellas Pharma) as the Myrbetriq caused headaches. 
Today's Spotlight

The Dangers of DNR

A 62-year-old Caucasian male presented to our office with concerns about his changing vision. Years before, he had a melanoma in his right eye, which was irradiated and treated with plaque therapy. He noted gradually changing vision in both eyes, and that prompted him to see another optometrist in the area earlier, but that doctor said that he “had too many things going on” and referred the case to a glaucoma surgeon. The patient found his way to me first, and it’s a good thing he did because, despite the many factors complicating his glaucoma, he wasn’t yet a surgical patient—so why send him to a surgeon?

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Look Inside The Current Issue

August 15, 2020


911 In the Exam Lane

Handling medical emergencies in the office can be stressful. Here’s how to be prepared.

Add Multifocals to Your Myopia Toolbox

These contact lenses are proving themselves to be an excellent treatment option. Here’s what you need to know.

Are You Making the Most of the Newest Soft Lenses?

Improvements in function, comfort and design can make the wear experience better for patients.

Don’t Let the Scleral Surge Pass You By

There’s no better time than now to take advantage of the rising demand for this lens modality.

The Building Blocks for a Specialty Contact Lens Practice

There’s no better time than now to take advantage of the rising demand for this lens modality.


A Little VT Goes a Long Way

This pair of cases highlights the technique’s usefulness in those patients who could never get by with lenses alone.

Curtain Call

Understanding a vision loss patient’s symptoms clearly will help identify TIA.

Don't Strain Yourself

This patient cannot remember what led to this change in his vision.

Dueling Pandemics

Will COVID-driven changes in behavior accelerate myopia development?

It’s Not Your Imagination

She said she recently started “seeing spots” and losing vision. We soon learned why.

KCN Options: Stiff Competition

If the obvious choices don’t suit your patient, alternatives can expand your capability to manage ectasia and its consequences.

Special Rules for Special Lenses

Carriers and contract language dictate how you handle the paperwork for medically necessary contact lenses.

Stop the Drop?

Newer drug options are quickly making a name for themselves when it comes to post-op care.

The Art of Juggling

Put your thinking cap on when determining how to best manage different patients and conditions simultaneously.

Updates Come in Threes

Consider replacing or upgrading tests patients and doctors dislike.

When to Treat Ocular Hypertension

Consider many factors, but don’t rely on any one measurement alone before you make your move.

You’ve Won an Island Getaway!

Just kidding, but working in private practice is more like being on a deserted island than you might think.


Practice Pearls

Expert clinician Paul Karpecki, OD, provides practical insights and management strategies for a wide array of ocular conditions.

OCCRS E-Newsletter

A quarterly e-newsletter by Optometric Cornea, Cataract and Refractive Society (OCCRS) covering the latest information on cornea, cataract and refractive surgery, comanagement and leading technologies.

Optometric Retina Society E-Newsletter

Keep up to date on the latest research and clinical findings in retinal disease care with this quarterly publication from the ORS.

Optometric Physician E-Journal

A weekly e-journal edited by Art Epstein, OD, featuring incisive commentary, timely research summaries and late-breaking news.

Review of Cornea & Contact Lenses

May/June 2020

Women in Optometry

Women in Optometry - June 2020