Putting Add Power to the Test

Some practitioners have been taught that the MEM and the FCC test are interchangeable, and you can do one or the other to measure the lag or lead of accommodation. In reality, the two could not be more different.

Put a Red Eye Back in the Pink

A 42-year-old black male reported to the office with a chief complaint of red, irritated eyes that was present in both eyes, but worse in his left than his right. He explained that the redness had been progressively getting worse and was only temporarily relieved by an over-the-counter anti-allergy drop.  His systemic and ocular histories were unremarkable and he denied exposure to chemicals or allergies of any kind.

Challenge Accepted

Shingles has devastated the corneal sensation in one of my patients who has a persistent corneal defect from the resulting neurotrophic cornea. I’ve tried serum tears and amniotic membranes twice to no avail. How should I approach this?

Sensory Motor Testing Defined

Primary eye care practices often encounter issues relating to the neurological system. One of the first signs of a serious neurological issue may, in fact, be extraocular muscle (EOM) abnormalities that manifest during diagnostic testing. While basic sensory motor testing is part of any comprehensive ophthalmic examination, performing extended testing is not—but that doesn’t mean it doesn’t have a place in optometric practice.