Today's Spotlight

Expanding Scope of Practice: Lessons and Leverage

Optometry is a legislated profession” is a refrain ODs hear over and over throughout their education and into their careers. The entire scope of practice is dependent on the passage of statewide bills. As a result, optometry has become 50 slightly different professions throughout the country, with 50 different menus of procedures and indications available. These variations are decided by lawmakers, but often reflect the whims of a powerful medical lobby that pushes skepticism about optometry. 


Today's Spotlight

Light at the End of the Tunnel

An eight-year-old Caucasian male presented with gradually progressive blurry vision in both eyes and the added difficulty seeing at night since early childhood.

Today's Spotlight

Slaying the Giant Cell Arteritis

Giant cell arteritis is a rare, but urgent and potentially life-threatening, presentation that can have ocular consequences. This course details how to tell which patients are likely to have it based on their history and symptoms as well as how to test for it using both imaging and lab work, and reviews the optometrist’s role in treating and comanaging these patients. 

Today's Spotlight

The Day I Became My Own Patient

I (Dr. Kabat) must have burned my tongue on something. That was the only logical explanation. I was eating a delicious dinner on my 54th birthday, but it didn’t taste right. In fact, it barely tasted at all. Maybe some more salt? Nope…well, this is depressing. It’ll be better tomorrow, I thought.

Breakfast the next morning was equally bland. At work, I noticed that my right eye was tearing excessively, and that was unusual. Did I injure it somehow? Well, the eye felt a little bit scratchy. Some artificial tears should take care of it. Unfortunately, it kept on tearing throughout the day, and my eye felt… funny. Not painful, but almost like I had put a drop of tetracaine in my eye. Boy, this really isn’t my week.

It wasn’t until I started shaving on the third day that I realized what was going on. As I tried to puff out my cheeks, I found myself sputtering and spitting on the mirror. I looked closer at my face. I smiled a wide grin, and to my astonishment, only the left side of my face responded.

Today's Spotlight

A Red Eye Fight

A 27-year-old female patient reported to the office with a chief complaint of red, itchy eyes for three months. She explained that she had been placed on Pataday (olopatadine hydrochloride ophthalmic solution, Novartis) QD, PRN by her internal medicine doctor but did not get sustained relief. Her ocular history was non-contributory. 

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The News Feed

Look Inside The Current Issue

October 15, 2018


Expanding Scope of Practice: Lessons and Leverage

With 20 years of success to tout, the tactics —and the results—are changing.

Glaucoma: From Landmark Studies to Modern-day Care

While it’s important to remember where you come from, it’s also important to embrace where you’re going.

Should You Sell to Private Equity?

With an upward trend in buyouts, private practice ODs have even more to consider when planning for their futures.

The ABCs of Radiologic Testing

Clinicians should be prepared to order CT and MRI should the need arise. Patients’ lives may count on it.

The Why and How of Hospital Privileges

Don’t shy away from this patient care—and practice boosting—opportunity.

Will Remote Refraction Tarnish Telemedicine?

Competitive efforts risk alienating ODs from a new mode of care that holds much potential for good.


A Death in the Family

Everyone who knew Frank Fontana was enriched by our connection to him. We’re all going to miss him dearly.

A Red Eye Fight

Ocular trauma during a basketball game sent this patient to our office for much-needed help.

Break Up With Your Lid Bumps

With a chalazion and a concurrent pyogenic granuloma, conservative therapy will not provide relief.

Buckle Down

Recognize the situations when a surgeon would consider using scleral buckle procedures.

Customize Your Steroid Choice

A glaucoma patient undergoes cataract surgery and develops elevated intraocular pressure. What is the best way to manage this situation?

Delaying the Inevitable

With persistent epithelial defects, referring to a specialist may ultimately be the best option.

In Your Practice…and Wallet

How you make your money now affects your practice value long-term.

It's a Small World After All

Prolonged near-point tasks shrink a patient’s visual horizon to their immediate surroundings, overtaxing vergence and accommodation.

Light at the End of the Tunnel

How can this pediatric patient’s family history inform his diagnosis?

RAO: Keep Calm and Refer On

Blockages are an emergency, but some in-office therapies might help if you see patients in time.

Re-think Autologous Serum

Clinicians are turning to this therapy earlier and more frequently, as new products make serum-derived tears easier to obtain and use.

Stressed Out

When “type A” patients come under pressure, their eyes can pay the price.

The Lesson of Online Refraction

It may be convenient, but it leaves our patients at risk. With new technologies, we can beat it at its own game.

Trust Your Intuition

Patients can be confusing; but if you know what to look and listen for, you’ll know what’s up.


Practice Pearls

Expert clinician Paul Karpecki, OD, provides practical insights and management strategies for a wide array of ocular conditions.

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

October 2018 • 2.00 Credits

The ABCs of Radiologic Testing

September 2018 • 2.00 Credits

Slaying the Giant Cell Arteritis

August 2018 • 2.00 Credits

Scleral Lenses Boom, Don't Bust


Jobs Powered By Local Eye Site

Review of Cornea & Contact Lenses

November/December 2018
  • Fitting the Surgically Compromised Cornea

    Here, we discuss the contact lens fitting considerations clinicians must keep in mind when fitting patients after incisional and laser refractive surgery, intrastromal corneal ring implantation and various keratoplasty techniques.

  • Spice it Up With Specialty Lenses

    Ultimately, if you have the passion to change lives with specialty lenses and the desire to grow your practice, patients will find you.
  • Unique Lenses for Unique Patients

    Contact lens dropout rates remain high due to factors such as discomfort and vision-related problems. This makes it more important than ever to prioritize patient comfort and quality of care by taking the time to exercise basic contact lens exam principles and gather appropriate patient information upfront, thereby reducing contact lens problems down the road and increasing overall patient success and satisfaction.

  • The Ins and Outs of Wavefront Aberrometry

    Irregular astigmatism, often seen in corneal ectasia, can cause significant visual distortion in patients. The most common primary ectasia—keratoconus—presents challenges for eye care providers and patients alike.

  • Making Sense of Scleral Lens Materials

    ODs also have a wide array of lens materials at their disposal in this modality, but many may not know how to select the best option for their scleral lens patients, especially with the significant increase in their use for both irregular and normal corneas. This article discusses how ODs can improve their scleral lens fittings with a better understanding of lens material choices.

  • Do You Follow These Fitting Principles?

    These fitting guides often provide unique insights into the products that contact lens fitters uncover during beta testing, which can save significant chair time during the fitting process.

Women in Optometry

Women in Optometry - November 2018
  • Great Success Stems from Small Start-up Budget

    Allison Toler, OD, FAAO, of Clermont, Florida, took a lease in a Target Optical location in 2011, after a few years of filling in for other leaseholders. As her business grew, she started to see more and more children who were excellent candidates for vision therapy.

  • Honoring Excellence

    The annual Theia Awards of Excellence are a highlight of the year at Women In Optometry. Here are the 2018 winners.

  • The Debt Effect

    Most optometrists end up borrowing some money for optometry school.