Today's Spotlight

Dry Eye and Systemic Disease: What’s the Association?

Our understanding of dry eye disease (DED) has grown tremendously in recent years. As the prevalence of associated systemic conditions grows, optometrists must be aware of the connections between systemic conditions and DED. Autoimmune diseases such as Sjögren’s syndrome (SS), rheumatoid arthritis and systemic lupus erythematosus are often linked to DED, for example. Diabetes mellitus (DM) also is an important systemic cause of dry eye. Consequently, both DM and SS are key systemic conditions clinicians should explore when examining DED patients. These clinical clues can help optometrists intervene sooner to provide the best management options.
Today's Spotlight

Downsize Your Technology to Enhance Your Practice

In optometric practice, the push toward electronic health records and better technological integration has spurred innovation in diagnostic and patient management devices, including for refraction, intraocular pressure measurement and imaging of pathologies and anatomic variants, just to name a few.

But with these new technologies comes increased expenses. In addition, each instrument has a footprint that has to fit into our sometimes-cramped office spaces with an ideal position for efficient use of time and space—not to mention designed with patient convenience and comfort in mind. That’s where portable technologies come in.
Today's Spotlight

How Early Diagnosis Can Improve AMD Outcomes

There’s plenty that optometrists can do to help patients with early-stage AMD. With an early diagnosis, ODs can take potentially life-altering steps long before patients hit the intermediate stage and are forced to struggle with vision loss. The longer clinicians can keep these patients from advancing to wet AMD and needing injections, the better off they will be. This article describes the value of diagnosing AMD in its earliest stages using functional tests and how you can bring these methods into your clinic today.

Today's Spotlight

A Closer Look at Corneal Inlays

A 50-year-old Caucasian female presents to the clinic reporting that she is tired of her reading glasses. She has perfect ocular health, no distance vision complaints and a distance manifest refraction of -0.5D in both eyes. She wants to know what her options are to reduce her dependence on reading glasses. This scenario is not unusual, and with the recent increased interest in reducing reading spectacle dependence, it will become even more common.

Among the newer additions for presbyopic correction are corneal inlays, which feature their own unique array of benefits and limitations. This article focuses on corneal inlays in the marketplace and how they are making a difference in the lives of presbyopic patients.
Today's Spotlight

Combining Optics and Comfort: Piggyback and Hybrid Lenses

With the recent boom of scleral lenses, practitioners are flooded with a range of lens designs to choose from. Although scleral lenses are the new hot trend, some patients might do better with alternative options such as piggybacking and hybrid contact lenses to improve vision and comfort and maintain long-term corneal health.

The piggyback system consists of a gas permeable (GP) lens fit on top of a soft contact lens. It offers the optics of a GP lens with the comfort of a soft contact lens. Hybrid lenses have a GP lens center surrounded by a soft contact lens skirt. They are similar to the piggyback system in that they, too, provide the optical quality of a GP lens with the comfort of a soft contact lens; but, unlike the piggyback system, they do so in one contact lens. Both of these options can be used as an alternative to conventional lenses. Here, we review the piggyback system and hybrid contact lenses and how they have progressed over the years.
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Look Inside The Current Issue

September 15, 2017


Downsize Your Technology to Enhance Your Practice

Here’s a look at the many handheld devices that can provide significant benefits for your practice.

Dry Eye and Systemic Disease: What’s the Association?

As principal gatekeepers, we need to be able to spot these cases right away.

How Early Diagnosis Can Improve AMD Outcomes

Functional tests are giving optometrists the ability to diagnose earlier and more precisely than ever.

Modernize Your Exam of Glaucoma Patients and Suspects

Additional testing can help you customize your glaucoma workup.

Rhegmatogenous Retinal Detachment: How to Detect, How to Manage

Timely management is critical to successfully treating the most common form of detachments.

Understanding Today's State-of-the-art OCT Technology and Anticipating Tomorrow's

This family of devices has changed the way ODs diagnose and monitor disease. This guide explains when to use which application.

Your Phoropter on Steroids?

High-tech refraction systems tout greater accuracy, comfort and time savings. Skeptics ask if such gains justify choosing this over other practice-enhancing investments.


Combining Images, Not Codes

With new OCT technology comes new coding do’s and don’ts.

Crank Up Your Clinic

It may be time to upgrade your tools to help you stay ahead of online competition—and ocular disease progression.

Do APDs Matter? It’s All Relative

Here are the staple points to consider about this important clinical marker.

Headbanger’s Ball

A patient experiences vertical double vision following a recent fall, but the neuroimaging is normal. What’s causing his diplopia?

Keep Your Enemies Close

Finally! I can justify snooping online at work—and you can, too.

Make Your Brown Eyes Blue

A review of cosmetic procedures suggests that vanity often has a high cost.

Managing Migraine Headache

Migraine headache frequently has ocular symptoms and associations, and ODs need to be ready to care for these patients.

News Review

Line-field OCT | Floaters | Brand Medications | Eye Infection

No Case Too Small

Can you diagnose a 68-year-old female who presented to the clinic for an ocular health check with a chief complaint of difficulty reading?

Product Review

Contact Lenses | Devices and Equipment | Artificial Tear

Rise of the Machines

Four decades on, optometry still hasn’t bested its fears of automation. And that’s a good thing.

Through the Eyes of a Child

Can these images of a child with suspected poor distance vision reveal a diagnosis?

Tonic Pupil? Loosen Up

Often, practitioners are alarmed by acute isolated dilated pupils. This need not be the case.


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