Today's Spotlight

The Bugs Behind Infectious Retinitis

Infectious retinitis, while rare, can have dire visual consequences. Many causes exist, including viral, bacterial, tick-borne, parasitic and fungal. Successful management of these patients requires prompt recognition to quickly initiate treatment and refer, though the outcome may still be unfavorable. This discussion of the various etiologies can help you hone your differentials and properly diagnose these patients in a timely manner.
Today's Spotlight

Snip and Squeeze: Canaliculitis

Although primary lacrimal canaliculitis accounts for only 2% to 4% of lid pathologies, it is important to recognize, as misdiagnosis may result in delayed treatment and worsening infection.

Topical and oral antibiotics, warm compresses and digital manipulation are common initial therapy, although the time between presentation and accurate diagnosis often leads to concretions deep within the canaliculus. Complete removal of the infection and any concretions requires surgical intervention.

Today's Spotlight

Sherlock Holmes With a Lab Coat

Being an optometrist can feel a lot like being a detective. A patient presents with reduced vision—and it could be almost anything. Sleuthing out the underlying cause is often what makes our clinic experience so enjoyable and challenging. 

The importance of diagnosis is pervasive this month in our 9th Annual Retina Report and part two of our new series, Take Charge of Glaucoma. Here’s a preview.

Today's Spotlight

Pressure Watcher

A 32-year-old African-American female presented to the office in January with complaints of fluctuating vision and blurriness in both eyes that tended to wax and wane. The symptoms started approximately two weeks earlier, and had a slightly progressive nature to the intensity and duration of the visual disturbances, prompting her urgent visit.
Today's Spotlight

Prepping Your Diagnostic Toolbox

Today’s diagnostic technology is growing rapidly; not long ago, time-domain optical coherence tomography (TD-OCT) revolutionized the way we looked at certain ocular conditions such as glaucoma. Now, affordable high-resolution spectral-domain OCT performs everything from retinal nerve fiber to ganglion cell analysis, and even non-contact pachymetry and anterior segment angle evaluation, depending on the instrument. Here’s a look at traditional and innovative glaucoma diagnostics and how to incorporate them into daily clinical practice.
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Look Inside The Current Issue

June 15, 2018


Busted Barriers: Triaging Retinal Hemorrhages

While uncommon, this clinical finding can be a harbinger of bigger issues. Here’s what you need to know.

Prepping Your Diagnostic Toolbox

Caring for this population takes more than an IOP check these days. Here are some must-have diagnostic strategies.

The Bugs Behind Infectious Retinitis

Be prepared to find the etiology behind a patient’s inflamed retina.

Warding off the Blues

Blue light has its pros and cons. Here’s how to help your patients manage it for the best systemic and ocular outcomes.


A Coding Crystal Ball

The comprehensive error rate testing program can provide valuable claims data to help you stay ahead of the game.

Clear the Air—and the Vitreous

PPV for floaters is controversial. But maybe it’s time to take a closer look at this management strategy.

Fend Off the Supervillain

Here’s how to protect a vulnerable cornea from opportunistic threats that might make a bad situation even worse.

Home on the Range

There’s no one ideal refraction. Prescriptions are as diverse as the patients in your chair.

If It’s Not One Thing It’s Another

When a cataract patient presents with unexpected DME, the case becomes a balancing act. Here’s how to handle the situation.

MIGS: Getting Better All the Time

Studies show these techniques are evolving and leading to improved outcomes.

Missed Connections

A carotid cavernous fistula can present with a number of ocular findings—be ready to refer and follow.

Pressure Watcher

Worried about glaucoma, a patient presents with complaints of visual disturbances.

Sherlock Holmes With a Lab Coat

Put your thinking cap on—it’s time to solve some ocular mysteries.

Snip and Squeeze: Canaliculitis

Surgery may be the best option for patients with this condition.

Sure I’m Sure, Aren’t You?

As docs, we have to at least pretend we know what’s going on around here.

Welcome to the Jungle

The contact lens market is growing again! But newbies are beset by conniving retailers. Look out for them.

White: Not Just for Brides

The FDA recently approved a new over-the-counter alpha-adrenergic receptor agonist designed to clear your patients’ red eyes.


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

June 2018 • 2.00 Credits

Warding off the Blues

April 2018 • 2.00 Credits

Frontline Ocular Surface Disease Care


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Review of Cornea & Contact Lenses

May/June 2018
  • Get Started with Sclerals

    If you’re new to sclerals, don’t worry. This start-up guide can help you learn how best to approach a scleral lens fitting.
  • Foggy with No Chance of Moisture

    This article discusses the causes of these two frustrating complications in scleral lens wear—and how you can combat them in your practice.
  • Post-keratoplasty: Consider Sclerals

    Many post-keratoplasty patients experience issues with soft or GP contact lens options. In these cases, scleral lenses may be able to help.
  • Why Contact Lens Care Still Matters

    We can serve our contact lens patients best by understanding the spectrum of lens care options and how to educate wearers.
  • Lend Color to the Fit

    This case highlights one of the common challenges associated with switching a soft lens aphakic patient to GPs: comfort.
  • CXL: A First-line Therapy for Keratoconus

    Today’s access to CXL shatters the binary treatment path and opens the door to a whole new mindset and therapy regimen.

Women in Optometry

Women in Optometry - March 2018