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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...
Corneal infections still keep me awake at night and I am sure I am not alone. While most infections can be successfully treated using a topical antibiotic and close monitoring, some require culturing for pathogen identification and treatment specificity. Standard...
We have all heard and likely used an amniotic membrane for anterior segment disease management in practice at some point in our careers, and if you have yet to handle a membrane, what an intimidating and yet exhilarating experience...
Statistics regarding keratoplasty rates for keratoconus typically are quoted to be somewhere between 10% and 25%, however, it seems that rates significantly vary between countries and ranges from 16% in Canada to 47% in Italy (Fasolo et al. 2006)....
The most common form of dry eye disease is evaporative disease. The most common cause of evaporative dry eye is meibomian gland dysfunction (MGD). MGD may be triggered by skin disorders such as Acne Rosecea, blepharitis, microbial infection and ocular...
The mantra of modern keratoconus management is: diagnose early, stop progression, rehabilitate vision. There are a number of diagnostic instruments that are used to diagnose and monitor keratoconus. The corneal topographer is one such instrument and essentially it maps out...
Rosacea and the effects on the eye. Rosacea is a chronic, sensitive skin condition often involving inflammation of the cheeks, nose, chin, forehead, and eyes. Rosacea sufferers may experience skin and lid sensitivities, keratitis, chronic infections, and recurrent hordeola. Other...
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...
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