Today's Spotlight

Pressure Watcher

A 32-year-old African-American female presented to the office in January with complaints of fluctuating vision and blurriness in both eyes that tended to wax and wane. The symptoms started approximately two weeks earlier, and had a slightly progressive nature to the intensity and duration of the visual disturbances, prompting her urgent visit.
Today's Spotlight

Prepping Your Diagnostic Toolbox

Today’s diagnostic technology is growing rapidly; not long ago, time-domain optical coherence tomography (TD-OCT) revolutionized the way we looked at certain ocular conditions such as glaucoma. Now, affordable high-resolution spectral-domain OCT performs everything from retinal nerve fiber to ganglion cell analysis, and even non-contact pachymetry and anterior segment angle evaluation, depending on the instrument. Here’s a look at traditional and innovative glaucoma diagnostics and how to incorporate them into daily clinical practice.
Today's Spotlight

Missed Connections

An 88-year-old Caucasian female presented to the clinic with acute onset of pain and swelling around her left eye. She stated that about a week prior she had an upper respiratory infection, and after blowing her nose, she noted her left eye had become red and swollen. She also had a headache localized behind the left eye that persisted after the illness passed. She mentioned the onset of a “whooshing” sound in her left ear and double vision that gradually worsened in intensity over the past week. Her extensive medical history included hypertension, high cholesterol, congestive heart failure, chronic obstructive pulmonary disease, deep vein thrombosis, hypothyroidism, anxiety/depression and a history of lung cancer about 30 years ago.
Today's Spotlight

MIGS: Getting Better All the Time

A 55-year-old woman under management for primary open angle glaucoma for the past 15 years presented for a checkup. Her peak intraocular pressures were 31mm Hg OD and 26mm Hg OS. She had moderate glaucomatous damage to each optic disc.
Today's Spotlight

Home on the Range

Optometric educators may have noticed a disturbing trend developing. It seems optometry students are under the misconception that a single, ideal refraction—the refraction, let’s call it—exists for each individual, and that the goal of what we teach students is to find it. Once found, the refraction can be prescribed with impunity. If the patient has trouble with their glasses, it is assumed, the refraction could not be blamed.

How many times have we heard, “These are the wrong glasses” or “Who thought this prescription would be right for you?” In fact, refractive procedures should not spit out a single ‘correct’ number, but rather, a range of lenses. The key is recognizing what to do with that range.

Jun 22
Jun 21
Jun 20
Jun 19
Jun 18

The News Feed

Look Inside The Current Issue

June 15, 2018

Features

Busted Barriers: Triaging Retinal Hemorrhages

While uncommon, this clinical finding can be a harbinger of bigger issues. Here’s what you need to know.

Prepping Your Diagnostic Toolbox

Caring for this population takes more than an IOP check these days. Here are some must-have diagnostic strategies.

The Bugs Behind Infectious Retinitis

Be prepared to find the etiology behind a patient’s inflamed retina.

Warding off the Blues

Blue light has its pros and cons. Here’s how to help your patients manage it for the best systemic and ocular outcomes.

Departments

A Coding Crystal Ball

The comprehensive error rate testing program can provide valuable claims data to help you stay ahead of the game.

Clear the Air—and the Vitreous

PPV for floaters is controversial. But maybe it’s time to take a closer look at this management strategy.

Fend Off the Supervillain

Here’s how to protect a vulnerable cornea from opportunistic threats that might make a bad situation even worse.

Home on the Range

There’s no one ideal refraction. Prescriptions are as diverse as the patients in your chair.

If It’s Not One Thing It’s Another

When a cataract patient presents with unexpected DME, the case becomes a balancing act. Here’s how to handle the situation.

MIGS: Getting Better All the Time

Studies show these techniques are evolving and leading to improved outcomes.

Missed Connections

A carotid cavernous fistula can present with a number of ocular findings—be ready to refer and follow.

Pressure Watcher

Worried about glaucoma, a patient presents with complaints of visual disturbances.

Sherlock Holmes With a Lab Coat

Put your thinking cap on—it’s time to solve some ocular mysteries.

Snip and Squeeze: Canaliculitis

Surgery may be the best option for patients with this condition.

Sure I’m Sure, Aren’t You?

As docs, we have to at least pretend we know what’s going on around here.

Welcome to the Jungle

The contact lens market is growing again! But newbies are beset by conniving retailers. Look out for them.

White: Not Just for Brides

The FDA recently approved a new over-the-counter alpha-adrenergic receptor agonist designed to clear your patients’ red eyes.

E-Newsletters

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

June 2018 • 2.00 Credits

Warding off the Blues

April 2018 • 2.00 Credits

Frontline Ocular Surface Disease Care

Jobs

Jobs Powered By Local Eye Site

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