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I am a bit of an over-achiever. I want all my patients to have perfect outcomes, and I don’t like surprises. When I send a patient for surgery, I make a note in my referral letter as to what the...
Over the past few years, there seems to be an explosion of attention given to meibomian gland dysfunction/disease (MGD). First described by Dr. Donald Korb and associates (what’s new? He has brought us GPC, lid wiper epitheliopathy, and a...
Amniotic membranes have become a popular choice among practitioners for corneal related issues. These stem cell contact lenses can be used for dry eye, corneal abrasions, recurrent corneal erosions, corneal ulcers, filamentary keratitis, corneal ulcers, chemical burns, and more!...
Keratoconus prevalence: Much more common than previously thought Previously, the frequency of keratoconus was most commonly reported to be 1 in 2,000, a value based on a registration study in Olmsted County, Minnesota, conducted 1935-1982; the study reported a prevalence...
Babyboomers are aging, and they have high expectations for their vision. They want to see everything and are more willing to pay for it. As premium surgeries continue to increase and expectations continue to be set high, we need...
Diagnose Early, Stop Progression, Rehabilitate Vision The new mantra of keratoconic care is: Diagnose early, Stop progression, Rehabilitate vision. Currently, in the stop progression category, there is only 1 FDA approved treatment to stop progression of keratoconus, corneal crosslinking (CXL)....
Corneal collagen cross-linking (CXL) has increasingly become the hot topic of nearly every conversation amongst corneal experts around the globe. When effective, the procedure provides the best opportunity for arresting or slowing the ectatic progression of the irregular cornea....
We all realize that vision starts with our tear film. It is the first refractive surface that is involved with the eventual focus of light on to the retina. Interest in the impact of the ocular surface on vision and...
The 2 most common questions I hear on a daily basis in the CLEI Center for Keratoconus are: Is my keratoconus getting worse? Do/Will I need a cornea transplant? Clearly, these concerns are on the minds of many patients affected...
There is nothing more maddening as a specialty contact lens practitioner than being 100% certain that the fit and Rx are correct and watching the patient fail because the lens surface clouds faster than a bathroom mirror. For years...

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