Today's Spotlight

The Larry Alexander Resident Case Report Contest: Acute Syphilitic Posterior Placoid Chorioretinitis

In March 2016, the Centers for Disease Control and Prevention issued a clinical advisory for ocular syphilis due to a 12-case cluster reported in San Francisco and Seattle over four months. Although ocular involvement from syphilis is rare, increasing incidence rates suggest clinicians must consider syphilis on their list of differential diagnoses. This article describes a rare case of acute syphilitic posterior placoid chorioretinitis in an  immunocompetent female secondary to syphilis. It also provides a brief review of systemic syphilis and an in-depth review of the literature regarding ASPPC, as well as discusses the laboratory evaluation and treatment of confirmed systemic syphilis.

Today's Spotlight

Too Much of a Good Thing

A 74-year-old female with a >20-year history of Sjögren’s syndrome, epithelial basement membrane dystrophy and repeated episodes of recurrent erosions of the left cornea presented with a three-month history of decreased vision, foreign body sensation with discomfort, irritation and photophobia OS.
Today's Spotlight

Diabetes Care in the Age of Anti-VEGF

We all encounter patients with diabetes in our practice, so it’s incumbent upon us to keep up to date on the extent of its impact and the options available to help, especially in an environment where the research and clinical protocols are rapidly evolving. Retina specialists are busier than ever and expect the referring OD to play a vital role in early identification, patient education and ongoing—possibly lifelong—follow-up. So, let’s make sure we’re on the same page as our syringe-wielding colleagues to ensure patients get the best care possible.
Today's Spotlight

Deterring Discomfort Dropouts

Eye care professionals battle contact lens discomfort (CLD) management on a daily basis. According to one survey about discontinuation of contact lens wear, 45% of those surveyed dropped out of wear within the first year, and 47% cited discomfort as the primary reason for dropping out. Studies show that nearly 15% to 30% of contact lens wearers drop out each year. One of the most significant factors in CLD is dry eye, as approximately 50% of contact lens wearers report experiencing dry eye symptoms at least occasionally. This issue occurs with both soft and gas permeable lenses alike. Due to its multifactorial nature, we have no cure-all for CLD, and even with today’s technological advancements, CLD remains a leading cause of dropout in contact lens wearers. Ultimately, if CLD is not diagnosed and managed early, a patient may drop out of contact lenses permanently.
Today's Spotlight

Can an Eye Drop Eliminate Presbyopia?

Today, patients with presbyopia may be one step closer to correcting their vision by eye drop, as several different research teams are investigating an alternative, noninvasive treatment that some optometrists believe could be a game changer. Here’s a snapshot of the new generation of presbyopia-correcting drops under development.
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Look Inside The Current Issue

June 15, 2017


Advanced Imaging Techniques for Choroidal Disease

With new technology, optometrists can better target this previously stealthy structure.

AMD Mimickers: When to Suspect Macular Dystrophy

Some presentations are different than they appeared at first glance. Here's how to spot the differences.

Can an Eye Drop Eliminate Presbyopia?

New therapies under investigation have the potential to radically alter your approach to this age-old problem.

Diabetes Care in the Age of Anti-VEGF

These versatile drugs are rewriting the rulebook. Here’s what an OD should know.

Lifelong Contact Lens Success: Keep Allergy and Dry Eye at Bay

Armed with the right information, you can help patients of any age remain happy in their lenses.

The Larry Alexander Resident Case Report Contest: Acute Syphilitic Posterior Placoid Chorioretinitis

After an outbreak, ODs must consider the differential diagnosis for syphilis.


A Pop Fly Straight to the Eye

A refresher on hyphema management, just in time for wiffleball season.

A Suspicious Freckle

Findings in a 59-year-old hypertensive patient’s right eye may explain his blurry vision. How would approach diagnosis?

Coding For Concomitant Conditions

When dry eye, allergy and contact lenses collide, be sure to keep your record straight.

Coping with Rejection

Early recognition is the key to caring for patients with urgent corneal transplant issues.

CRAO: A New Way to Go

Research emphasizes emergent referral for retinal artery occlusion suspects.

Diabetes Gone Wild

New technology helps surgeons remove dense preretinal membranes in an eye with advanced PDR.

He Came By it Naturally

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

Look Before You Leap

Some practitioners are ordering OCTs at the drop of a hat if the visual acuity is reduced. But often, all you need to do is dilate.

News Review

Uveitis | Vision Benefits | DEWS II | Thyroid Eye Disease

Putting Pen to Paper

You don’t always need expensive proprietary systems to address your patient’s aniseikonia.

Puzzling Over Presbyopia

Would a new topical therapy weaken—or strengthen—the standing of corrective lenses?

Quarterbacking Retinal Disease

After years of being sidelined, today’s optometrist takes the snap.

Testing, Testing, 1, 2, 3…

I haven’t had a pop quiz in forever, and never in my optometric crime-fighting life, so here goes.

Through Thick and Thin

Don’t be afraid to be the last doctor the patient sees before they go blind.


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.


  • Optometrist
    Walmart/Sam's Club Health & Wellness
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    Buena Vista Eye Medical Center
  • Optician
    Riviera Opticare Inc
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Review of Cornea & Contact Lenses

May/June 2017

Women in Optometry

Women in Optometry - June 2017