Today's Spotlight

A Death in the Family

By now you’ve heard about the death of Frank Fontana, universally known as ‘Uncle
Frank’ throughout optometry. Many of us who were close to him—and that’s hundreds of people at least— are taking it pretty hard. Because Uncle Frank truly did feel like a member of the family.

Today's Spotlight

The Many Hats of Herpes

HSV is the most common infectious cause of blindness in the developed world.1 Risk factors for HSV activation or recurrence include stress, ultraviolet exposure, trauma, menstruation and illness.1,2 Herpetic eye disease (HED) is typically unilateral and recurrent in the same eye. Patients with history of atopy, immune-compromise or immunosuppression can present with bilateral or more recurrent herpetic disease.2

Today's Spotlight

Manic (Foveal) Depression

A 73-year-old Hispanic female presented with blurry vision and distortion in her right eye, which she said began about five years earlier. She reported a slow, steady progressive loss of vision in that eye.

Today's Spotlight

The Day I Became My Own Patient


I (Dr. Kabat) must have burned my tongue on something. That was the only logical explanation. I was eating a delicious dinner on my 54th birthday, but it didn’t taste right. In fact, it barely tasted at all. Maybe some more salt? Nope…well, this is depressing. It’ll be better tomorrow, I thought.

Breakfast the next morning was equally bland. At work, I noticed that my right eye was tearing excessively, and that was unusual. Did I injure it somehow? Well, the eye felt a little bit scratchy. Some artificial tears should take care of it. Unfortunately, it kept on tearing throughout the day, and my eye felt… funny. Not painful, but almost like I had put a drop of tetracaine in my eye. Boy, this really isn’t my week.

It wasn’t until I started shaving on the third day that I realized what was going on. As I tried to puff out my cheeks, I found myself sputtering and spitting on the mirror. I looked closer at my face. I smiled a wide grin, and to my astonishment, only the left side of my face responded.

Today's Spotlight

That’s a Foul

A 32-year-old Caucasian male reported to the clinic with a chief complaint of vision loss in his left eye following trauma received during a basketball game. He explained that he had been hit around the left eye by an elbow during a game, saw an impressive flash of light and now felt some of the floor was missing or foggy. His systemic and ocular histories were unremarkable and he denied exposure to chemicals or allergies of any kind.

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The News Feed

Look Inside The Current Issue

October 15, 2018

Features

Expanding Scope of Practice: Lessons and Leverage

With 20 years of success to tout, the tactics —and the results—are changing.

Glaucoma: From Landmark Studies to Modern-day Care

While it’s important to remember where you come from, it’s also important to embrace where you’re going.

Should You Sell to Private Equity?

With an upward trend in buyouts, private practice ODs have even more to consider when planning for their futures.

The ABCs of Radiologic Testing

Clinicians should be prepared to order CT and MRI should the need arise. Patients’ lives may count on it.

The Why and How of Hospital Privileges

Don’t shy away from this patient care—and practice boosting—opportunity.

Will Remote Refraction Tarnish Telemedicine?

Competitive efforts risk alienating ODs from a new mode of care that holds much potential for good.

Departments

A Death in the Family

Everyone who knew Frank Fontana was enriched by our connection to him. We’re all going to miss him dearly.

A Red Eye Fight

Ocular trauma during a basketball game sent this patient to our office for much-needed help.

Break Up With Your Lid Bumps

With a chalazion and a concurrent pyogenic granuloma, conservative therapy will not provide relief.

Buckle Down

Recognize the situations when a surgeon would consider using scleral buckle procedures.

Customize Your Steroid Choice

A glaucoma patient undergoes cataract surgery and develops elevated intraocular pressure. What is the best way to manage this situation?

Delaying the Inevitable

With persistent epithelial defects, referring to a specialist may ultimately be the best option.

In Your Practice…and Wallet

How you make your money now affects your practice value long-term.

It's a Small World After All

Prolonged near-point tasks shrink a patient’s visual horizon to their immediate surroundings, overtaxing vergence and accommodation.

Light at the End of the Tunnel

How can this pediatric patient’s family history inform his diagnosis?

RAO: Keep Calm and Refer On

Blockages are an emergency, but some in-office therapies might help if you see patients in time.

Re-think Autologous Serum

Clinicians are turning to this therapy earlier and more frequently, as new products make serum-derived tears easier to obtain and use.

Stressed Out

When “type A” patients come under pressure, their eyes can pay the price.

The Lesson of Online Refraction

It may be convenient, but it leaves our patients at risk. With new technologies, we can beat it at its own game.

Trust Your Intuition

Patients can be confusing; but if you know what to look and listen for, you’ll know what’s up.

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.

Continuing Education

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

Jobs

Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

September/October 2018
  • Corneal Ulcers: Sterile But Not Benign

  • Your Corneal Infection Care Questions—Answered

    Microbial keratitis is a well-known condition that has the potential to cause visual impairment and blindness. However, treating corneal infections is fraught with challenges and uncertainties that can make a clinician hesitant to move forward with any one management plan, even when confident of the diagnosis. This article addresses several of these roadblocks to help you treat microbial keratitis patients promptly and correctly. 
  • Climb on the Health Bandwagon

    Despite these perceived drawbacks, GP lenses are still highly regarded for their ocular health profile.
  • Take the Anxiety out of Specialty Lens Fittings

    This article walks through five key steps clinicians should take to successfully complete a specialty contact lens fitting and explains how several newer diagnostic instruments can be clinically helpful for novices and veterans alike.

  • Conjunctivitis: Making the Call

    Here, we take a look at what we know—and what remains to be resolved—about conjunctivitis and how best to distinguish between the condition’s various forms.

  • Fighting Corneal Infections With CXL: A New Ally?

    On paper, corneal collagen crosslinking (CXL) for microbial keratitis, a treatment known as photo-activated chromophore for infectious keratitis (PACK-CXL), checks all of these boxes. In application, PACK-CXL, vaguely recognized by optometry as a treatment option for infectious keratitis, has several limitations that stymie its widespread use.

Women in Optometry

Women in Optometry - September 2018
  • The Debt Effect

    Most optometrists end up borrowing some money for optometry school.

  • POP-UP POLL: Are You Planning on Having Kids?

    It can sound so friendly, one of those "tell me about yourself and your goals" kinds of questions.

  • C’est Magnifique

    Ana Vargas, OD, was working as an associate OD at L A Optometrique in Sherman Oaks, California, for about five years when the owners offered her the opportunity to buy the office.