A 36-year-old Caucasian female was referred for pre-septal cellulitis unresponsive to oral antibiotics. The patient reported a “bump” in the middle of her eyelid that became tender and swollen over 3 days. Her optometrist started her on Augmentin 875mg...
The World record of the highest myopia belongs to the Slovak, Jan Miskovic, with an impressive myopic degree measured at -108 Diopters.
Despite his visual disability, however, he is a true phenomenon who lives life to the fullest and has...
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+...
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...
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...
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...
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!
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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...