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

Heroes and Shields

Q: I have an 11-year-old patient with refractory severe vernal keratoconjunctivitis (VKC) and significant corneal staining, mostly in the left eye. I tried the typical topical agents such as low-dose steroids and mast-cell stabilizer/antihistamine drops. There is no shield ulcer yet, but I’m concerned it might happen. Are there any heroic options for this case?

Click the link below to read one expert's response.
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

Dry Eye Gone Awry

Q: I have a Sjögren’s disease patient with a dry eye flare up and complications. No topical treatments have helped. What’s next?

Follow the link below for some expert input. 
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.
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Look Inside The Current Issue

January 15, 2018


An OD’s Guide to Corneal Transplant Options

Optometrists can play a significant role in preparing patients for these procedures and safeguarding against complications.

Fixing a Hole: How to Heal Persistent Epithelial Defects

Clinicians have a robust arsenal for treating this reccurring condition. Knowing where to start and when to switch it up is key.

Intruder Alert: Diagnosing Corneal Infiltrative Disease

The age-old question, “is this sterile or infectious?” may be an oversimplification. This review will help you find the underlying cause of your patient’s issue.

Positive Visual Phenomena: Etiologies Beyond the Eye

Prepare to investigate the many non-ocular events that cause patients to see flashes or bright lights.

Your Top 12 Crosslinking Questions—Answered!

New to corneal collagen crosslinking? This Q&A guide from Wills Eye Hospital will help prepare you to manage keratoconus patients in the new era.


2018: What’s in View for You

A new year is an exciting time to contemplate what lies ahead. Many key technologies could greatly affect how we practice.

Dry Eye Gone Awry

When you try every topical therapy in the book and still can’t get resolution, you may need a systemic agent—and an ally in another field.

Heroes and Shields

Because VKC occurs mostly in children, swift, aggressive treatment is crucial.

Leak Investigation

A recent cataract surgery patient showed some unusual findings in a postoperative exam, but is it related to the procedure?

News Review

CXL | Glaucoma | AMD | Macular Damage

Quiet Down!

This year, I’m going to shut my mouth. Or, more likely, I’ll forget and use these words more often.

Smart Phone, Dumb App

Valuing convenience and cost savings over expertise and results enables bad habits that could prove harmful.

Spot the Dot

When an OD notes this unusual presentation, it’s time to spring into action.

Streaks of Concern

Although uncommon, angioid streaks often have a systemic cause and warrant prompt attention.

The Purpose of Prostaglandins

Two decades ago, these drugs revolutionized glaucoma therapy. Use this refresher on how they work to understand what makes the newest entrant fit in.

What Are You Worth?

Timely fee analysis and periodic restructuring is essential to practice success.


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.

Continuing Education

December 2017 • 2.00 Credits

Advancements in LASIK


Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

Nov/Dec 2017

Women in Optometry

Women in Optometry - November 2017