Today's Spotlight

Positive Visual Phenomena: Etiologies Beyond the Eye

Often, clinicians assume a patient’s complaint of bright lights or flashes in vision are associated with vitreous detachment, retinal break or retinal detachment. However, it is critical that ODs carefully differentiate the source of these symptoms, as positive visual phenomena may indicate serious—even life-threatening—systemic health concerns. This article discusses how to identify less common—but higher risk—etiologies of positive visual phenomena.
Today's Spotlight

Intruder Alert: Diagnosing Corneal Infiltrative Disease

Conquering corneal infiltrates is something clinicians have attempted to do for decades. Despite continued research and elevated clinical acumen, if you were to put 20 clinicians in front of 20 slit lamps and ask them to properly distinguish between sterile and infectious corneal infiltrates (whether bacterial, viral, fungal or protozoan), you would hear many differing opinions.

Optometrists must rely on patient history, symptoms and clinical presentation when determining the type of corneal infiltrate. Once we know what we are dealing with, only then can we choose the proper treatment and management regimen. Here is a look at the processes that lead to infiltrates and how to distinguish the various types you will encounter in your practice.
Today's Spotlight

Fixing a Hole: How to Heal Persistent Epithelial Defects

Corneal metabolism and wound healing are crucial to properly maintaining the cornea’s integrity and functionality. When an insult occurs to the corneal surface, creating an epithelial defect, the complex re-epithelialization process involves limbal stem cells, cell differentiation, proliferation, migration and remodeling of the extracellular matrix. Researchers believe growth factors involved in the process include epidermal, keratinocyte, hepatocyte and basic fibroblast growth factors. In normal, healthy corneas, supportive therapy can help the body resolve an epithelial defect rapidly. However, healing may be delayed or halted altogether in compromised conditions, leaving the underlying stroma exposed and vulnerable to further trauma, infiltrates, infection, scarring or perforation. A persistent epithelial defect, defined as a defect that has not resolved after two weeks of standard treatment, is a significant long-term management problem for ODs.
Today's Spotlight

An OD’s Guide to Corneal Transplant Options

The term corneal transplant is no longer synonymous with full-thickness penetrating keratoplasty (PKP). It is now divided into subcategories with different tissue layers. This family of procedures includes traditional PKP, deep anterior lamellar keratoplasty, Descemet’s stripping endothelial keratoplasty, Descemet’s membrane endothelial keratoplasty and pre-Descemet’s endothelial keratoplasty.

This article reviews these options, what patients need to know and the optometrist’s role in comanagement.
Today's Spotlight

Slaying the Giant Cell Arteritis

Giant cell arteritis is a rare, but urgent and potentially life-threatening, presentation that can have ocular consequences. This course details how to tell which patients are likely to have it based on their history and symptoms as well as how to test for it using both imaging and lab work, and reviews the optometrist’s role in treating and comanaging these patients. 

 
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The News Feed

Look Inside The Current Issue

November 15, 2018

Features

Checking Under the Hood: How to Evaluate the Lid and Ocular Surface

Recognizing minor signs of underlying ocular surface or lid disease requires a thorough evaluation. Here’s a guide to a comprehensive exam of the ocular surface.

Dry Eye Disease: Know Your Comorbidities

Dry, irritated eyes can be one of the trickiest clinical findings. These systemic associations may be the key.

Dry Eye Therapy: Keeping it Simple

Not everything you recommend has to cost a fortune. These low-budget tricks can help patients combat dry eye and stay on budget.

Familiarize Yourself with Point-of-care Tools for Dry Eye

A plethora of new tools are rewriting the anterior segment disease monitoring protocol.

Master the Maze of Artificial Tears

Having so many choices can be overwhelming,but knowing what each one offers can help you steer patients in the right direction.

The Dilated Exam in the Age of Ultra-widefield Imaging

The technology’s pros and cons have made it a hot topic in recent years. Here’s where it currently stands in clinical practice.

Departments

A Hazy, Shaded Vision

A young, otherwise healthy patient is suddenly beset by floaters.

Breaking Down Resistance

While non-responsiveness to drugs like acyclovir during herpes simplex treatment is rare, doctors must know how to proceed if they run into this problem.

Hiding in Plain Sight

Dry eye patients are everywhere—and yet, too often we fail to get them identified and treated.

Hydrops it Like it’s Hot

If you can quickly resolve edema in these cases, you’ll reduce the need for a transplant.

ION: Low Pressure, High Risk

Infarction of the optic nerve has many systemic implications to guard against.

Take on Point-of-care Testing

Follow the proper certification steps and benefit from its impact on clinical outcomes.

The Many Methods of MGD

More options for cleaning and treating the lid margins and meibomian glands means better patient care.

The Neuroimaging Dilemma

Progress and proper detection can offer early diagnosis and other benefits.

The Revolution that Wasn't

Expect artificial intelligence to come to optometry gradually. In fact, it’s already here.

Wanted: An Eye For Business

I feel bad for all of you who thought knowing how to perform a refraction was the key to optometry.

Why SVP Matters

In medicine as in life, it’s good to be spontaneous.

Widefield Tech Not a Solo Act

Don’t get complacent with ultra-wide imaging alone; remember to dilate and avoid trouble.

E-Newsletters

Practice Pearls

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

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.

Continuing Education

November 2018 • 2.00 Credits

Dry Eye Disease: Know Your Comorbidities

October 2018 • 2.00 Credits

The ABCs of Radiologic Testing

September 2018 • 2.00 Credits

Slaying the Giant Cell Arteritis

August 2018 • 2.00 Credits

Scleral Lenses Boom, Don't Bust

Additional Publications

Jobs

Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

November/December 2018

Women in Optometry

Women in Optometry - November 2018