Clinical Quandaries

Advice on how to handle tricky clinical dilemmas, especially involving comanagement with ophthalmology or another specialty. Edited by Paul C. Ajamian, OD

Not Cut and Dry

Optometrists must continue to discuss the risk of conversion with patients in the early stages of AMD.
01/15/2023

Little Jack Horner

Calmly assess the possible underlying causes of this condition.
12/15/2022

A Hiccup or a Burp?

Some may hesitate, but this technique can provide immediate pressure lowering and symptomatic relief to the patient.
11/15/2022

Valsalva Salvo

This type of retinopathy presents with dramatic preretinal hemorrhages and sudden, painless vision loss.
10/15/2022

Giving Up the Ghost

Don’t provide a cataract referral without first considering corneal rehabilitation.
09/15/2022

When to Dread the Red

Sectoral injection may mean episcleritis, but scleritis should be on your differential as well.
08/15/2022

Two-for-one Deal

When encountering bilateral macular lesions, think about retinal dystrophies, but keep other conditions in mind.
07/15/2022

Cataracts in IMAX

An innovative new visual technology can benefit the surgeon in the OR.
06/15/2022

RP Prognostication

Genetic testing can provide patients better perspective on how to handle this heritable disease.
05/15/2022

Assuming the Worst

Careful observation and history taking is paramount when evaluating a swollen eyelid.
04/15/2022