Today's Spotlight

Don’t Berry this Clinical Finding

Tuberous sclerosis complex (TSC) is an inherited, multisystem disorder characterized by hamartomatous growths that can occur in virtually any organ or tissue. Ophthalmic features associated with TSC can be divided into retinal and non-retinal. This case highlights a classic presentation of posterior segment findings in a young patient with TSC.

Today's Spotlight

Managing Dry Eye for the Long Haul

When we think of conditions that require long-term management, diabetes, hypertension and glaucoma often come to mind. Like these chronic conditions, dry eye disease (DED) also requires both ongoing management for lasting positive outcomes and an awareness that success lies in the long-term collaboration of the practitioner and patient. Ultimately, successful DED management necessitates a shift in perspective of the doctor and patient from short-term treatment goals that result in temporary relief to a comprehensive chronic care plan for a more permanent resolution. Armed with the right strategies and approaches, clinicians can give their dry eye patients a lifetime of relief.
Today's Spotlight

Proceed With Caution: Low Vision and Driving

ODs have a duty to properly assess and counsel patients with congenital or acquired visual impairments who would like to acquire driving privileges or who will become non-drivers because of their vision loss.

Here, we discuss the complexities of the current vision and licensure standards, how they affect patients with vision loss and what ODs can do to properly evaluate and counsel patients who are visually impaired and want to drive.
Today's Spotlight

Fresnel Prism to the Rescue

Perhaps the most common complaint we encounter is double vision. This occurs for a multitude of reasons, including muscle and nerve injury, and can be quite severe. In these situations, the extent may vary depending on the gaze and head position. In the short term, we often use occlusion—either binasal or spot—to eliminate the double vision and evaluate the visual system weeks later as the visual, and cognitive and control systems come back online. For comitant diplopia, we often investigate the use of prism to attempt to restore single vision. The two cases presented here demonstrate how the use of temporary Frensel prism can get your patients on the road to recovery quickly and effectively.
Today's Spotlight

One Size Won’t Fit All: Treating Ocular Infection

Due to their complexity and temperament, ocular infections can be a pain to treat. Finding the right antibiotic requires a thorough understanding of the most likely causative organisms, resistance patterns, patient-specific data and pharmacologic information that may impact the patient’s response to the drug. And we have to do it all while the clock is ticking—the earlier treatment begins, the better the prognosis. However, sometimes, less is more. Exercising discretion in situations where the infection is most likely to be caused by a virus, such as in non-purulent infectious conjunctivitis, has been proven to decrease the spread of resistant organisms.
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The News Feed

Look Inside The Current Issue

July 15, 2018


A Guide to Applying IOP-lowering Drugs

Several classes of pharmaceutical agents can address glaucoma patients’ needs. Here’s a primer.

Comanaging Invasive Glaucoma Surgeries

When the easy options aren’t enough, it’s time to call in the heavy artillery. Here’s what surgeons can do for those patients most in need.

Glaucoma Care with Laser Precision

Trabeculoplasty, performed early in the disease course, may prevent more invasive surgical intervention for certain glaucoma patients.

Glaucoma: Lifestyles of the Antioxidant Rich and Famous

Nutrition and other health choices can affect your patients’ risk of disease and progression. Here’s what you need to know to educate them properly.

MIGS Madness: An Atlas of Options

With so many choices, it’s a challenge to properly educate patients. These pointers and illustrations can help.


A Bloody Mess

A game of racquetball goes wrong when a player winds up with a case of traumatic hyphema.

Concerns About the Choroid

Here are three important things to look for.

Don’t Berry this Clinical Finding

Retinal astrocytic hamartomas are the most common ocular finding in tuberous sclerosis complex.

Everyone's a Comedian

Guess I won’t be quitting my day job with these wise-crackers waiting in the wings to take over.

Minor League Coding

With increased scope of practice comes increased risk; let’s revisit the rules pertaining to minor surgical procedures?

PTC Revisited

Recognize when all the signs add up to a rare condition.

Push the Button

Glaucoma requires a leap of faith, in your clinical abilities and in the efficacy of intervention. Accept it and move on.

Step Up to Glaucoma

With new therapies at our disposal and a boom in MIGS procedures, it’s time to take the reins for our glaucoma patient’s sake.

The Gene Genie

A patient has experienced vision troubles all his life. Could he come by it naturally?

The Incredible Shrinking Eye

A patient's family brought her in because they felt her left eye was “shrinking.”


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


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Review of Cornea & Contact Lenses

May/June 2018
  • Get Started with Sclerals

    If you’re new to sclerals, don’t worry. This start-up guide can help you learn how best to approach a scleral lens fitting.
  • Foggy with No Chance of Moisture

    This article discusses the causes of these two frustrating complications in scleral lens wear—and how you can combat them in your practice.
  • Post-keratoplasty: Consider Sclerals

    Many post-keratoplasty patients experience issues with soft or GP contact lens options. In these cases, scleral lenses may be able to help.
  • Why Contact Lens Care Still Matters

    We can serve our contact lens patients best by understanding the spectrum of lens care options and how to educate wearers.
  • Lend Color to the Fit

    This case highlights one of the common challenges associated with switching a soft lens aphakic patient to GPs: comfort.
  • CXL: A First-line Therapy for Keratoconus

    Today’s access to CXL shatters the binary treatment path and opens the door to a whole new mindset and therapy regimen.

Women in Optometry

Women in Optometry - March 2018