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Presbyopic patients are forever in search of the Holy Grail. Or perhaps it is the fountain of youth. Their inability to find either source results in them taking out their frustrations on their eye doctor whose inability to give them...
Looking back.... When I first entered private practice over 27 years ago now I thought that presbyopes were a rare breed. Most of the patients I was seeing at that time were in their late 20’s to early 30’s. Yes,...
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...
Keratoconus in the U.S. was classically a “wait and see” corneal disease. Though improvements in vision could be obtained, traditionally with rigid gas permeable lenses, we as practitioners could do nothing to intervene and stop the progressive nature of the...
I was not hired to fit specialty contact lenses. That was not part of the deal. My position within our practice happened quite by accident. Plus, I was the new guy and we all know how the new guy gets...
Digital devices in the workplace and home While eyestrain associated with computer use has been addressed with various ergonomic suggestions, smartphones and tablets carry new recommendations that directly affect eye care providers. Our office workspaces are less likely to be cubicles...
Referring to our colleagues As optometrists we aim to treat each patient to the best of our ability, offering compassionate, personalized and evidence-based care. Our patient's trust, that as vision and ocular health professionals, we can solve any problem pertaining...
It is my honor and pleasure to serve as associate editor for the cornea and anterior segment section for odsonfb.com. When asked to serve in this role by our fearless leader, Dr. Alan Glazier, I wondered what I would...
Topography has become an indispensable tool in cataract surgery. Originally developed for keratorefractive procedures, it is now used to determine candidacy for corneal as well as cataract procedures. Preoperatively, it was used to determine if the keratometry readings are appropriate...
Remember when we referred for cataracts surgery when the vision is significantly subjectively affected by lens opacification (in other words, “Ripe”)? They met the magic limit of 20/40. No glare testing, no densitometry were used to qualify, and we used brightness...

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