Today's Spotlight

A Growing Concern

Q: "I’ve recently seen some compelling data regarding the use of multifocal lenses for myopia control. What are the particular parameters that make this an effective treatment option and is there an ideal age at which I should consider using such a design?"

Click below for the answer.
Today's Spotlight

Today’s Contact Lens Materials and Designs

According to the Tear Film and Ocular Surface Society report on contact lens discomfort (CLD), the only CL material-related factor that demonstrates correlation with CLD is coefficient of friction.6 However, until researchers agree upon an industry-standard methodology to measure friction of CL materials, this remains a difficult area to study. Other material-related factors, such as oxygen transmissibility, wettability, modulus and lens dehydration, only display weak links with CLD. Lens replacement frequency, lens design, thickness/bulk and edge configuration also show some relationship to CLD.5 

Over the past few years, CL companies have debuted technologies aimed at developing lenses with surface and bulk properties that reduce discomfort. Some Silicone hydrogel (SiHy) materials even hope to address patient-related issues, such as digital eyestrain. This article reviews the latest SiHy materials that manufacturers hope will reduce patient discomfort as well as new CL materials and designs of other lens types.

Today's Spotlight

Time to Update Your Plaquenil Screening Protocols

Plaquenil (hydroxychloroquine, Sanofi-Aventis) has been used as anti-rheumatic drug therapy for conditions such as systemic lupus erythematosus and rheumatoid arthritis for years, despite its risk of irreversible macular toxicity. Historically, patients have been monitored using subjective measures such as visual field testing and objective findings during fundus examination, often leading to diagnosis of late-stage toxicity. However, it is crucial that clinicians identify the earliest signs of toxicity, as the risk of progressive vision loss extends even after discontinuation of Plaquenil. This is where new guidelines and advanced technology can help.

This article discusses the risks associated with Plaquenil therapy and the updated American Academy of Ophthalmology guidelines designed to help clinicians better detect and monitor macular toxicity associated with long-term Plaquenil use. Several diagnostic tools are key to detecting macular toxicity as early as possible to ensure discontinuation of the drug before adverse sequelae threaten patients’ vision. 

Today's Spotlight

The Right Fit for the Irregular Cornea: Smooth Things Over with Scleral Lenses

With today’s improvements and with the right fit, scleral lenses can help many patients obtain good vision, particularly those with irregular corneas. These fitting tips and tricks will put you on the path to success when fitting scleral lenses for irregular corneas. 
Today's Spotlight

2017 Office Design Contest

Do you hear "oohs" and "ahhs" when patients see your new high-tech equipment and sleek new office design? Our 2017 Office Design Contest this is the perfect opportunity for you to share your office upgrades and how they have improved your practice!
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Look Inside The Current Issue

August 15, 2017


Choosing the Right Contact Lens Modality

From daily disposables and two-week replacement to monthlies, options abound. How do doctors approach the decision today?

Horner’s Syndrome: A Positive Apraclonidine Test—Now What?

Diagnosis isn’t the challenge—finding the cause is.

Mapping Out Corneal Topography

Understanding the ins and outs of corneal imaging will help you better manage contact lens patients in your practice.

The Right Fit for the Irregular Cornea: Smooth Things Over with Scleral Lenses

New scleral designs can help patients with irregular corneas stay happy and healthy in contact lenses.

Time to Update Your Plaquenil Screening Protocols

The sooner you diagnose hydroxychloroquine-induced macular toxicity, the better, and new guidelines can help.

Today’s Contact Lens Materials and Designs

Understanding the makeup of these devices can help ODs select the right option for each patient.


A Growing Concern

New data shows that multifocal contact lenses may help to curtail myopia progression. But at what age should it be considered?

A New Era of Refractive Surgery

The recently approved SMILE provides a much-needed update to an already popular surgical procedure.

A Word on DEWS II

Go ahead and call it a watershed, a landmark or a sea change—or even a new paradigm. It deserves it.

Amblyopia: Ditch the Patch

Research argues in favor of binocular approaches.

Buried and Benign

Drusen can be associated with field loss. Does this justify lowering IOP? The literature offers no recourse.

Coding Long-term Medications

Understanding the fundamentals is key to a long and happy life of reimbursement.

Disc Hemorrhage Blues

Develop the skills to navigate this complication for glaucoma patients.

Land of Confusion

A young patient’s vision is worsening. Can you identify the cause?

Lenses for Life

A wellness approach may finally be the answer to contact lens dropout.

News Review

FDA Regulations | Neuropathy | Conjunctivitis | Diabetic Retinopathy

Put on Your Thinking Cap

You’ve gotta write those great ideas down—that’s the only reason I’m not a billionaire.

Watching for Change Over Time

An 82-year-old patient returns to the clinic after a long hiatus. Can we pick up where we left off?

Wrenching Up the Socket

ODs can help patients with orbital fracture through prompt diagnosis, prophylactic treatment and timely referral.


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.


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Review of Cornea & Contact Lenses

May/June 2017

Women in Optometry

Women in Optometry - June 2017