Today's Spotlight

An OD’s Guide to Postoperative Cataract Care

Providing care for your patients during their recovery from cataract surgery can be exciting and gratifying. Few experiences will cement patients to your practice like regaining their vision; it will also help your clinic operate at the peak of its capacity. Most patients have a straightforward recovery, and only a few require more attention. If any serious problems present, your surgeon is standing by, ready to assist.

Each month, our clinic and the community optometrists we serve see hundreds of cataract patients through their healing process. This article describes the sequence and elements of an uncomplicated recovery from cataract surgery and then discusses how to handle some of the more common complications.

Today's Spotlight

An Eyelid Tuck

Clinicians can often treat mild ectropion, at least initially, with lubrication in the form of artificial tears or ointments, or temporary lid taping. Once it progresses further, however, it’s time to refer patients for surgical intervention.
Today's Spotlight

Managing Microbial Keratitis

Infectious keratitis is a prevalent source of vision loss. While data from the 1990s report incidence as 30,000 cases per year in the United States, a newer study suggests this number has more than doubled. A small but significant percentage of these eyes go on to require corneal transplantation; between 2% and 6% will require an urgent transplant and an even higher percentage will require surgery to ameliorate resultant scars. A smaller number, perhaps as high 1.8% of ulcers seen at academic centers, go on to require enucleation or evisceration.

Because of the potential for severe vision loss, microbial ulcer management requires critical thinking at nearly all junctures, as well as careful and thoughtful follow-up. Based on the severity of infection upon diagnosis, the degree of virulence of the particular microbe and patient-specific features, corneal infections can sometimes progress despite aggressive and appropriate intervention. The good news, however, is that when these infections are identified and treated early, the odds of a favorable outcome are much greater.

Today's Spotlight

Managing Corneal GP Complications

The advent of soft disposable contact lenses permanently altered the contact lens landscape, resulting in the decline of corneal gas permeable (GP) lens fitting. GP lenses are increasingly relegated to patients with complex prescriptions or high vision demands, and specialty designs such as custom soft toric, hybrid and scleral lenses are now widely available and steadily growing in popularity. Consequently, corneal GP lenses are often overlooked as a first choice. 

Thanks to today’s technology, complications related to contact lens overwear and poor lens-to-cornea alignment can be identified early on to help avoid permanent corneal damage. It is important to be aware of common GP lens complications and understand how to troubleshoot in order to maintain good corneal health and lasting comfort.

Today's Spotlight

Let’s Make It Less Complex

Specialty contact lens designs help us restore significant visual function in patients with difficult prescriptions and corneal conditions. As these designs have flourished, so too have available options for these individuals. Several lens manufacturers aim to provide designs that improve predictability and efficiency in the fitting process. 

Scleral lenses in particular have seen a number of advancements over the past several years. These lenses are intended to clear the cornea and are separated from it by a nonpreserved saline solution. As our knowledge of scleral lens fitting improves, the process has become easier. Here, we discuss the factors that have simplified scleral lens fitting for today’s practitioners.

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Look Inside The Current Issue

December 15, 2017

Features

2017 Income Survey: A Mixed Bag

Optometry made some major strides in 2016, but how did the field fare in 2017?

An OD’s Guide to Postoperative Cataract Care

Practical advice for both routine and complex cases.

Refractive Surgery: Smiles All Around

Small incision lenticule extraction is changing a field long in need of an update. But is it all it’s cracked up to be?

Seeing Cataract Patients Through a Different Lens

Patients present with visual needs that reflect their unique lifestyles. Let these factors lead your assessment and lens recommendation.

The Complicated Cataract: Up Your Referral Game

A cataract referral isn’t always as easy as it sounds. These cases demonstrate the importance of knowing when—and to whom—you need to refer.

When Tech and Luxury Collide

Review’s 2017 Office Design Contest had a slew of fantastic entries. With this year’s winners, “wow” starts long before the office visit.

Departments

An Eyelid Tuck

A few snips and these malpositioned eyelids are back to protecting the globe.

Blood Omen

Patients with polycythemia vera should be given special consideration prior to considering corneal refractive surgery.

Cataracts: Nobody Does it Better

An OD knows more about the patient’s vision—and expectations—than a surgeon ever will. Let’s use that strength for the good of all involved.

Coding Cataract Comanagement

What you do determines how you code it—and get paid.

Coming to America

In her first visit to a medical professional, a patient gets set on the right track.

Finally, a Treatment for EKC?

After years of only palliative therapy, a new approach is taking shape.

Have a Seat, If You Dare

It’s odd that a column called “Chairside” has never mentioned anything about the importance, in optometry, of chairs.

Have As Many As You Want

Just because you identified one possible cause of vision loss doesn’t mean others aren’t lurking.

It Was a Very Good Year

No, not 2017—good riddance to it. But in 1995, laser refractive surgery became a reality, and ODs stepped up.

News Review

Glaucoma | AMD | Persistent Epithelial Defects | Gene Therapy

Product Review

Contact Lenses | Diagnostic Technology

Take It to the Limit

In the pursuit of the best visual acuities for our patients, overminusing can do more harm than good—in the long run.

The Diagnosis Was a Flop

When a patient presents with an unresponsive, irritated eye, don’t head straight for the slit lamp.

When Things Get Tense

Imaging shows a case of computer eye strain is more than meets the eye.

E-Newsletters

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

Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

Nov/Dec 2017

Women in Optometry

Women in Optometry - November 2017
  • Top 10 Design Stories of 2017: Part 1

    As the year comes to a close, we are recounting our most-read design stories from 2017. Here are #10 through #6!

  • Epic Talent

    By Marjolijn Bijlefeld—At the second annual Theia Awards for Excellence, the spotlight was, deservedly, on the three winners…

  • Can Purposeful Work Alleviate Your Frustrations?

    A recent Women In Optometry Pop-up Poll showed that 46 percent of the respondents said that if they were starting their careers over again, they would not choose optometry.