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It is 4PM on a Friday afternoon. A 67 YO patient walks into your office with loss of vision. Two days earlier they noticed sudden, painless vision loss in their left eye. You find an acute central retinal artery...
As the coronavirus disease 2019, COVID-19, starts to sweep across America the three states most affected are still New York with 4,100+ outbreaks, Washington with 1,000+ outbreaks, and California with 800+ outbreaks. Coming in fourth on the list with 700+...
A patient is livid with his eye doctor after having difficulty inserting and removing contact lenses—and may have reported him to the board. Is this patient justified in his actions towards an OD after the OD tried to help...
  Massage guns have become trendy recently and are apparently very efficient in helping muscle pain but what if a patient decided to use them on his eyes? Sounds improbable? Read this case to find out! A 35-year-old male presented to...
An urgent care diagnosis didn't sit right with this OD. After careful examination, the patient was sent immediately to the ER for an MRI. Great save by an OD as it turned out to be a brain hemorrhage! Read &...
A low myope walks into an optometry clinic… To many, this may sound like the beginning of a successful patient encounter. Correct myopia with a distance prescription; you’ll have a happy patient and a happy practice. In my clinic,...
How do you price contact lenses? With all the big box retailers and commoditization of contact lenses, optometrists are having to lower their prices to compete. This got me thinking, “How do most optometrists price contact lenses?” In retail, such...
Making a Case for the History There are ever-growing, high-tech diagnostic methods available to us, but the simple case history usually provides 90% of the useful information, with eye examination and diagnostic tests used to confirm the diagnosis.  The clinical evaluation...
When I evaluate patients for ocular surface disease, I always inquire about the main symptom. “If you could describe your main symptom with one word, what would it be? Redness, itching, pain, something in it, dryness, anything like that?” I liken...
Greetings fellow vision enthusiasts! Have you ever watched the eyes a friend or family member glaze over when you try explaining to them how a component of human vision works? Have you ever gotten the sense that people think you...