Today's Spotlight

The Dangers of DNR

A 62-year-old Caucasian male presented to our office with concerns about his changing vision. Years before, he had a melanoma in his right eye, which was irradiated and treated with plaque therapy. He noted gradually changing vision in both eyes, and that prompted him to see another optometrist in the area earlier, but that doctor said that he “had too many things going on” and referred the case to a glaucoma surgeon. The patient found his way to me first, and it’s a good thing he did because, despite the many factors complicating his glaucoma, he wasn’t yet a surgical patient—so why send him to a surgeon?

Today's Spotlight

A Case of Pediatric Prescribing

In our last installment of this column, we presented the evidence base and theoretical foundation for our approach to prescribing for young children. Now, we give an example to illustrate the points we have covered thus far to help you put them into practice.

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.
Today's Spotlight

Grab BKC by the Horns

A six-year-old Caucasian male presented with severe blepharokeratoconjunctivitis (BKC) associated with photophobia, watering, irritation and reduced acuity. He had significant corneal insult with vascularization and scarring. What are my options?

Today's Spotlight

Don’t Run Afoul of Imaging Rules

As technology for retinal imaging improves, the very nature of the retinal exam continues to change. While the standard of care remains the dilated eye examination to assess retinal health, better image capture technology and even the advent of artificial and augmented intelligence are changing the way optometrists approach diagnostic testing for retinal conditions.  

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The News Feed

Look Inside The Current Issue

July 15, 2020


A Practical Approach to Angle-closure

Learn to triage these patients and how to intervene appropriately with in-office treatments or swift referrals as needed.

Glaucoma: The Perils of Progression

Controlling this disease requires a long-term, fluid management plan. These six tips can help you navigate the complicated road ahead.

Optometry’s Role in the Diabetes Epidemic

If you can get all patients—but especially those at risk—to focus on these five lifestyle modifications, the benefits would be immense.

Satisfying the Complicated Presbyope

Concurrent issues such as dry eye, prior surgery or binocular disorders can compromise visual quality. Optometrists can help restore it.

Seven Ways Glaucoma Care is Changing

Better drugs, safer surgeries, smarter diagnostics and new approaches are easing the burden on patients—and their ODs.

What’s Your Disc Diagnosis?

These cases can help you better differentiate tough optic disc abnormalities.


A Bitter Pill

Taking the profit out of contact lens sales looks to be devastating. But could it also be liberating?

An Optic Neuritis Outlier

This condition, as well as MS, can still affect patients outside the typical age demographic.

Coding a Suspect

The rules differ when monitoring a patient who hasn’t converted to glaucoma—yet.

Glaucoma Updates Post-COVID

The pandemic hasn’t slowed progress in new care options.

He Kept His Eye on the Ball

A patient develops worsening near vision three years after a blunt trauma.

Navigating Retinal Necrosis

This rare, acute disorder can be tied to a number of systemic diseases.

PPE: Tales From the Trenches

These safety measures have proven tricky, but I’ve got a few pointers.

Riboflavin vs. Rose Bengal

When considering photodynamic therapy, make sure to evaluate the efficacy of each photosensitizer.

RVOs: Detour Ahead

The formation of collateral vessels may help you understand the severity of the occlusion.

When Facial Paralysis Strikes

Diagnosing and managing Bell’s palsy requires optometrists to rule out any underlying condition that could be triggering a patient’s signs and symptoms.


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