Today's Spotlight

STUMPED: Demystifying Congenital Corneal Anomalies

Many can attest to the anxiety that comes with nearly any corneal abnormality, let alone an anomalous finding in a pediatric patient. The sympathetic nervous system causes the influx of a dizzying cocktail of chemicals that evokes a “fight or flight” response. As responsible practitioners tasked with the care of our patients, we have to resist flight and choose to fight. The acronym STUMPED can be a successful tool to help clinicians recall the various diagnoses.
Today's Spotlight

How Antibiotics Work—and Why They Sometimes Don’t

Since their introduction, antibiotics have revolutionized our approach to treating, controlling and preventing human and animal infectious diseases. However, the emergence and spread of antibiotic resistance has become a major problem. Evidence is mounting that much of the problem is rooted in the inappropriate and excessive use of these life-saving therapeutics, and that one of the most effective countermeasures is to dole out antibiotics in a prudent and judicious manner. In light of the evidence, we will cover strategies and information to empower clinicians with the resources and information they need to make sound decisions pertaining to antibiotic use.
Today's Spotlight

Get to Know Your Dystrophies

Corneal dystrophies are typically defined as hereditary, bilateral, progressive alterations to the cornea not associated with systemic disease or prior inflammation. IC3D classification of corneal dystrophies is anatomically based and divided into four categories: epithelial and subepithelial dystrophies, epithelial-stromal transforming growth factor beta-induced dystrophies, stromal dystrophies, and endothelial dystrophies. This article provides an overview of signs and symptoms associated with various corneal dystrophies and explores options to manage patient symptomology.
Today's Spotlight

Glaucoma Therapy: Finding the Right Combination

As a progressive eye disease, glaucoma is on every optometrist’s radar, especially primary open-angle glaucoma (POAG), the most common form. The main therapeutic goal for patients diagnosed with POAG is slowing disease progression and the rate of visual field loss. These days, however, medical therapy isn’t as simple as prescribing eye drops and sending patients on their way. Clinicians mainly prescribe from one of four classes of IOP-lowering medications: beta blockers, carbonic anhydrase inhibitors, prostaglandin analogs and alpha 2-adrenergic agonists. Each class can cause local and systemic adverse reactions, and clinicians must take all of them into consideration when choosing the right therapy for each patient. And when patients don’t see the IOP lowering effects they need with one class of drug, clinicians can add a second or even a third drug, which further complicates the treatment plan.
Today's Spotlight

News Review

All clinicians know the importance of monitoring patients with age-related macular degeneration (AMD) for disease progress. What fewer think about is keeping an eye on patients’ psychological status. One research team at the Ohio State University College of Optometry sought to better understand how stress levels for patients with AMD could affect their health status. But first, they had to prove the best method for monitoring patient stress in this population.
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Look Inside The Current Issue

April 15, 2017


Anti-inflammatories: Sort Out Your Many Steroids and NSAIDs

With so many medications out there, treatment can get complicated. Here is a rundown of your options and when to use them.

Don't Be Stumped by These Lumps and Bumps

Most eyelid lesions are benign, but some can lead to severe clinical outcomes if not caught early.

DRY EYE: Master the Science Beneath the Surface

Learn how inflammatory mediators govern the disease course—and provide an avenue to treatment.

Glaucoma Therapy: Finding the Right Combination

Understanding the basic pharmacology for each glaucoma medication can help you sort out which ones work well together for combination treatment.

How Antibiotics Work—and Why They Sometimes Don’t

Before reaching for the Rx pad, know the drug, the patient and the disease.

Resist the Itch: Managing Allergic Conjunctivitis

Flowers may be blooming, but this season leaves many ODs seeing red.



A 57-year-old reports following blunt trauma to his left eye caused by a falling 2x4. How would you approach diagnosis?

Caring for the Chronic Patient

The changing care model is making these patients more challenging than ever.

Dollars and Sense

We need to recognize that our responsibility to patients doesn’t end at the Rx pad.

Extend Your Patient’s Vision

The Symfony intraocular lens could provide significant benefits for presbyopic patients in need of cataract surgery.

Find the Nerve to Fight Diplopia

When a patient’s double vision is caused by a cranial nerve palsy, ODs must act quickly.

Haters Gonna Hate

It’s a complex emotion reserved for rare occasions—you know, no shows, online glasses sales and patients presenting with a complaint.

Imaging for Unilateral Proptosis

Clinical findings alone won’t always be enough to make the diagnosis. Here’s advice on radiologic testing and what it may reveal.

It’s Like Pulling Teeth

The dental model of practice has long been touted as an inspiration for optometry. Is it finally starting to work?

Low-Tech TBI Rehabilitation

Often, binasal occlusion with a small piece of tape can be a huge help for stroke and brain injury patients.

News Review

AMD | Retinal Disease | Laser Procedures | Stem Cells

Product Review

Lens Technology | Diagnostic Technology

Scrambling For a Diagnosis

Combining old and new images may explain this patient’s vision loss.

The Compliance Conundrum

Sustained-release delivery aims to keep patients adherent.

Tonometry: To Dye For?

Even fundamental techniques deserve skepticism and reinvention.


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

Review of Cornea & Contact Lenses

March/April 2017

Women in Optometry

Women in Optometry - March 2017