Today's Spotlight

Flex Your Core Muscles

Recently, I saw a patient who was on three topical anti-inflammatory medications (lifitegrast, cyclosporine and an ester-based steroid), two oral treatments (antibiotic and omega fatty acid), an artificial tear and gel, lid scrubs, a Bruder mask and he had Lipiflow done two months ago. He also walked into the lane carrying a small plastic bag that contained a set of scleral lenses. Talk about a shotgun approach to therapy! This poor gentleman could get no relief despite toting around nearly every remedy his doctors could provide.

He informed me he’d had dry eye symptoms since his LASIK surgery one year ago. He was being managed by the dry eye center at the surgical practice and he didn’t want them to know he was seeking a second opinion before purchasing the sclerals. He estimated he had spent over $10,000 between the surgery, procedures, treatment options and now the cost of the scleral lenses.
Today's Spotlight

Discretion is the Better Part of Valor

This month’s column title quotes Falstaff from William Shakespeare’s Henry IV, Part I, and it’s apt for the topic at hand: to adhere to the Hippocratic oath and do no harm, sometimes practitioners must ignore a sacred cow of our training. Optometric education has drilled into us the notion that the goal is clear, single binocular vision. However, in this patient’s case, meeting this goal could have caused more harm than good.

Ultimately, making the patient happy and enabling them to function again are paramount and take precedence over other clinical goals. 

Today's Spotlight

Overcoming GP Lens Obstacles

The advent of soft disposable contact lenses permanently altered the contact lens landscape, resulting in the steady decline of corneal gas permeable (GP) lens fitting. At one point, it was even opined that GP lenses would be rendered obsolete. Although this prediction has not come to fruition entirely, GP lenses are increasingly relegated to patients with complex prescriptions or high vision demands. Additionally, specialty designs such as custom soft toric, hybrid and scleral lenses are now widely available and steadily growing in popularity. Consequently, corneal GP lenses are often overlooked as a first choice for our patients.

Research shows GP lenses can provide superior vision quality compared with soft lenses. Their smooth refracting surface in combination with the post-lens tear layer delivers crisp, stable optics, especially for patients with corneal astigmatism. Despite this advantage, practitioners are still hesitant to fit GP lenses. Let’s address a few reservations practitioners may have.
Today's Spotlight

All for Nothing... and Everything

In August, a 62-year-old black female was referred to our office for evaluation of her eyes, by a well-respected diabetes clinic that treats patients who cannot afford care and have no insurance or means to pay for services. It’s also known for encouraging timely eye care.

The patient reported that she had noticed difficulty with her distance and near vision since losing her glasses approximately six weeks earlier. She reported that her last visit to an eye care provider was four years earlier.

Click below for more.

Today's Spotlight

Know Your Systemic Drugs

We are very familiar with the potential of certain oral medications to cause ocular sequelae such as hydroxychloroquine, prednisone, topiramate, tamoxifen and amiodarone. But could lesser-known medications cause ocular side effects? How would you know? Click below for more.
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Look Inside The Current Issue

October 15, 2017


Kids and Pharmaceuticals: How to Tailor Your Therapy

Treating infections in a pediatric population can be tricky. These tips and tricks can help.

Managing Amblyopia: Can Vision Therapy Cut It?

New technologies are making this once-controversial treatment option more viable.

Motivate Your Patients with Meibomian Gland Imaging Techniques

Take a lesson from how this specialty practice uses imaging to help combat dry eye disease.

Testing Children for Accommodative and Convergence Disorders

To obtain accurate test results for pediatric patients, consider these clinical strategies.

Trendy Diets: Do They Put Your Patients at Risk?

Some prioritize a single goal over all others. Here’s how to ensure your patients are caring for their ocular and systemic health.

Weak in the Knees: Miller Fisher Syndrome

While rare, this Guillain-Barré variant has distinct clinical characteristics, and good outcomes often prevail.

When Dry Eye Disease is a Secondary Condition

Identify the source of ocular surface dryness by considering these common instigators.


A Nerve-racking Experience

The need to distinguish true papilledema from a benign anomaly puts our diagnostic skills to the test—while the clock is ticking.

A Sector-Specific Approach

This option can give practitioners more control when fitting sclerals–and improve some patients’ success.

All for Nothing... and Everything

Just how much testing is necessary for a glaucoma suspect in need? All you can offer.

Discretion is the Better Part of Valor

A decompressive surgery patient makes strides in vision that come short of binocularity. Sometimes, good is good enough.

Flex Your Core Muscles

Although the medical model is critical to the profession, we shouldn’t forget our elemental knowledge of vision testing—it’s a real life-saver for patients.

Get the Picture: Coding MGD Imaging

Is educating patients with ocular surface imaging billable to carriers?

Gettin’ Old Has Its Perks

Dreams do come true if you work hard enough—or, in my case, wait long enough.

Getting the Lay of the Land

Before cataract surgery, detect problems and ensure proper calculations with corneal topography.

Is That an IOL on Your Retina?

IOLs can dislocate for any number of reasons, and patients will need your expertise to see them through the complicated fix.

Master Uveitis Prescribing

We have numerous options, but cost, efficacy and access can vary considerably.

News Review

Macular Disease | Retina | Stem Cell Clinics

Product Review

Devices & Equipment | Software | Vitamins | Contact Lenses & Lens Care

Status Update

Developments in neurology could radically change the daily life of the optometrist.

Worm Your Way Out of This

What’s lurking behind this young woman’s vision loss?


Practice Pearls

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

RCCL e-News

A quick read of the best pearls from the current issue of Review of Cornea & Contact Lenses, with links to full articles.

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.


Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

September/October 2017

Women in Optometry

Women in Optometry - September 2017
  • Six Steps to Distinction in Eye Care

    Certain words and ideas rise to the top when you’re trying to define your distinctive strategy.

  • From One Kind of PD to Another

    For several years, Megan Jones, OD, had considered relocating Pendleton Family Optometry in Pendleton, Indiana.

  • We're Open!

    In 2012, there were 9,966 women-owned ODs offices, according to the U.S. Census Bureau data, compared to 20,217 male-owned optometric offices.