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

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.
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The News Feed

Look Inside The Current Issue

December 15, 2018

Features

2018 Income Survey: Where Do You Stand?

Optometry experienced breakthroughs and setbacks this past year. Check out our report to see if you followed the trends, or bucked them.

Corneal Compromise: How to Assess the Risk of Post-LASIK Ectasia

Before recommending laser vision correction, optometrists can spot patients likely to suffer complications.

Excise and Conquer: Adding Minor Surgical Procedures to the Optometric Office

Learn the basics of these treatment options to provide patients more extensive care.

MIGS: Follow the Fluid Trail

While promising, much remains unknown about these devices and their long-term effect on ocular anatomy.

The Preoperative Ocular Surface Checkup

Before any invasive procedures, ODs need to clear the patient and pretreat underlying issues.

Understanding the Role of IOL Optics in Postoperative Vision Complaints

The more you know about the causes and characteristics of dysphotopsias, the better you’ll be at responding to patients’ concerns.

Departments

A Second Opinion on Surgery

A patient looks for a medical option to avoid an operation.

Blast From the Past

A childood course of VT helped slow myopia progression in this high-risk patient, but inattention to proper spectacle correction brought it back.

Matching Glaucoma Drugs with Kids

Treating young patients requires special knowledge of their unique physiology.

Minor Surgery, Major Progress

Some ODs are quietly dropping the ‘co’ from ‘surgical comanagement.’ And they just got a surprise new ally.

Speaking of Speaking

Optometrists must face down fears of making a public address. Just picture the audience without their glasses on.

Spot Remover

Cut it, burn it, freeze it, laser it—there are plenty of ways to tackle xanthelasma.

Surgical Success Begins with You

Long before they enter the OR, these patients begin their journey—in your office.

The Plot Thickens

If things are not what they seem, follow your intuition and explore all options.

With a Cherry on Top

Is this unusual-looking presentation tied to the patient’s sudden vision loss?

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