Today's Spotlight

A Confounding Corner of the Eye

A long-standing glaucoma patient presented in March for her regularly scheduled follow-up visit. We scheduled her for anterior segment OCT, gonioscopy, and ultrasound biomicroscopy (UBM), as well as the standard intraocular pressure (IOP) check and nerve evaluation. She is a 71-year-old Caucasian woman who has seen me for many years. She has glaucoma in her right eye and is a glaucoma suspect for her left eye. 
Today's Spotlight

Identify and Manage Retinal Vascular Tumors

Ocular vascular tumors are rare, and you may have few opportunities to diagnose one. However, when present, they may be the initial finding of one or more serious systemic deficits, which will require you to mobilize and perhaps even lead a multidisciplinary team to provide collaborative patient care.
Today's Spotlight

Contact Lenses and Comfort: It’s a Material World

Influenced by clinical feedback that discomfort is the number one cause of dropout, the latest contact lenses have evolved significantly to improve ocular comfort. Researchers have been trying to improve comfort by increasing water content, decreasing the modulus, lowering contact angle hysteresis and adding surface coatings and plasma treatments. They are also unsure if lubricity is the only variable that correlates well with in vivo contact lens comfort. So while new, more comfortable materials emerge (though older materials are not eliminated), patients are benefiting from newer, more comfortable silicone hydrogel contact lens materials. With wider parameters and replacement modalities, more patients than ever are finding successful contact lens designs that fit their daily needs. This article discusses the latest silicone hydrogel contact lens materials and how they affect patient comfort.
Today's Spotlight

Going Old School: A Refresher on Retinoscopy

Retinoscopy began to be used on a regular basis approximately 100 years ago. In the past decade or so, for many practitioners an autorefractor has replaced the use of the retinoscope to objectively determine a patient’s refractive error. However, there are still a variety of patients who are better served by an evaluation using something other than an autorefractor or a phoropter. 
Today's Spotlight

Five Ways to Connect Lens Care with Comfort

Whether you’re working with a first-time contact lens patient or an existing wearer who is having difficulties, you need to play every card you hold if you want to win them over to long-term lens wear. During the contact lens fitting process, the influence of case systems on comfort is often sidelined for a proper fit and correction, and with a 24% contact lens dropout rate directly due to discomfort, it can feel like a no-win scenario. However, choosing the right lens care system can help minimize discomfort. Here are some of the most important things to keep in mind when recommending an effective and comfortable lens care system for your patients.
May 27
May 26
May 25
May 24
May 23

Look Inside The Current Issue

May 15, 2017


A Comprehensive Look at Dry Eye Therapy

With such a robust dry eye toolbox, knowing the best approach can be tricky. This run-down of options will help clarify the treatment strategies at your disposal.

Corneal Crosslinking: Managing Keratoconus Beyond the Surface

This new treatment modality is changing the way we care for our irregular cornea patients.

Disrupt the Disrupter: Keeping Patients in the Age of Online Refractions

By emphasizing expedience, these sites reveal their own shortcomings—and your strengths.

From Alpha to Omega: How Fatty Acids Fight Dry Eye

A better understanding of the mechanisms of action can help you prescribe these supplements—and educate patients.

Going Old School: A Refresher on Retinoscopy

Refracting without an autorefractor or a phoropter has its advantages for some patients. Brush up on your skills with these case examples.

Identify and Manage Retinal Vascular Tumors

This rare presentation can lead to a larger systemic diagnosis, if you know what to look for.

Less is More: What You Need to Know About Dropless Cataract Surgery

Postoperative drops place a significant cost and compliance burden on our patients, but injectable medications can improve the experience.

Orbital Mucormycosis On the Attack

Not all cellulitis cases are what they seem. Know when you may be facing this rare but ravaging pathogen before it’s too late.

Slay Severe Dry Eye

When a patient’s ocular surface disease is particularly nasty, ODs need to rethink the approach.


A Confounding Corner of the Eye

A 71-year-old glaucoma patient presents for a scheduled follow-up—and is headed to the OR for cataract surgery.

A Spectre Over this Sector

Some cases of sector injection are not episcleritis, and you may have to jog your patient’s memory to find the true cause.

Ain’t It the Pits?

A 74-year-old black male reported to the office with a chief complaint of blurry vision and a black spot in his left eye’s field of vision.

Behind RVO: Virchow’s Triad

One simple concept can help you successfully treat retinal vein occlusions and prevent serious associated systemic conditions.

Canalicular Rolling Stones

Stop this rare infection while time is on your side.

Concussion, CTE and the Visual System

Current research suggests a role for optometric care on the playing field and in other settings where concussion and traumatic brain injury are prevalent.

Good Walls Make Good Patients

Can these images help explain this patient’s blurry vision?

Keeping Up With the Codes

Denying and rationalizing bad coding decisions are just putting your practice at risk.

News Review

FECD | Pediatric Guidelines | Diabetes Research | Vitamin A

Product Review

Lens Technology | Diagnostic Technology

Watch Out for Those Gnats

I’ve got a good punctum story for y’all, if you stay with me.

Which Trends are Our Friends?

Heightened dry eye awareness is definitely a friend to optometry, but the jury is still out about online refraction and our ultimate role in corneal crosslinking.

Zen and the Art of Dry Eye

A new definition stresses the need to achieve balance among the many forces at work on the ocular surface.


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.

Additional Publications


Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

May/June 2017

Women in Optometry

Women in Optometry - March 2017