Today's Spotlight

Five Cases You Shouldn't Refer

Ongoing technological advances, new drug formulations and increased scope of practice have all collided to allow optometrists the opportunity to manage difficult cases that were once previously referred to our ophthalmology counterparts. These five disease presentations—vitreomacular adhesion (VMA) and traction (VMT), post-op cystoid macular edema (CME), neurotrophic keratitis (NK), traumatic brain injury (TBI) and glaucoma/ocular hypertension (OHTN)—are commonly evaluated in the optometric setting and can be managed successfully, in most cases, without referral. Case examples help illustrate how optometrists can independently treat and manage each condition.

Today's Spotlight

Treat the Front Before the Cut

Dry eye disease (DED) can have significant consequences to a patient’s lifestyle as well as on various aspects of cataract surgery. As primary care clinicians, optometrists need to take special consideration of the ocular surface health of every patient planning to undergo cataract surgery.

Today's Spotlight

Don’t Overlook Aqueous-deficient Dry Eye

While emerging treatments largely focus on evaporative dry eye (EDE), aqueous deficiency can exist independently or even concurrently in patients who have meibomian gland dysfunction (MGD). Make sure you don’t overlook this uncommon but impactful condition while evaluating a patient for dry eye. The following article reviews aqueous-deficient dry eye (ADDE) and corresponding diagnostic and management options.

Today's Spotlight

Diet: Why Dry Eye Hangs in the Balance

The past 10,000 years have given rise to many changes in our nutritional environment, with enormous implications. The connections between omega-3, omega-6 and inflammation are well documented in the medical literature, leaving some to speculate that this nutritional shift plays a role in the pathogenesis of dry eye disease (DED).

Today's Spotlight

Back on the Horse

A 57-year-old black female presented for an eye examination with a chief complaint of near blur. She explained she had lost her job two years earlier and, with it, her vision and health insurance. She had no history of previous ocular or systemic disease, took no medication and reported no allergies.
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The News Feed

Look Inside The Current Issue

June 15, 2020


Bring Concussion Care Into Your Practice

Adapt to the problems these patients present during treatment, and be an advocate for preventative measures.

Macula Exam Tips and Tricks

This small structure plays an important role in patients’ vision. Here’s how you can assess its health.

Racing the Rundle Against Thyroid Eye Disease

A new clinical approach to this condition may give patients a fighting chance at recovery.

Reconsider Your Approach to Diabetic Retinopathy

New findings may create protocols that minimize, or even prevent, vision loss.

Setting Patient Expectations for Anti-VEGF Therapy

Here’s how the primary care optometrist can make sure patients are ready for intravitreal injections.

Sizing Up Geographic Atrophy

Here’s how you can assist patients who have progressed to this stage of macular degeneration.

Tracing Clues Back to Retinitis Pigmentosa

Evaluating this condition can prove to be a genetic mystery.


A Case of Pediatric Prescribing

Here’s an example of how to approach vision care for these young patients.

A Family Affair

Three boys have poor night vision—can imaging of one explain its cause?

Back on the Horse

A patient returns after years away from the OD, perhaps just in the nick of time.

COVID Collateral

Digging into an anxious patient’s history and medication use often reveals the answer.

Don’t Run Afoul of Imaging Rules

Here’s why the CCI edits matter when coding for your high-tech retinal exam.

Grab BKC by the Horns

The severity of this case requires equally aggressive action.

Keep This MIGS On The Radar

Surgeons have much to gain when they add the Hydrus Microstent to their arsenal.

Masks Up, Shields Up

Keeping everyone safe during COVID-19 might kill some much-needed brain cells in the process.

Noninvasive Ptosis Management

Medical advances are offering more options for these patients.

Prescription Change

Optometric education has caught up with our annual drug guide, so it’s evolving to meet the needs of today.

Shift Focus to Must-see Patients

Even amid COVID-19 worries, caring for patients with retinal disease is a necessity.

The Dangers of DNR

In glaucoma, optometrists can do more than detect and refer.

Work-up and Wait

Although generally not treated, NAION requires close visual field monitoring.


Practice Pearls

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

OCCRS E-Newsletter

A quarterly e-newsletter by Optometric Cornea, Cataract and Refractive Society (OCCRS) covering the latest information on cornea, cataract and refractive surgery, comanagement and leading technologies.

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

May/June 2020

Women in Optometry

Women in Optometry - June 2020