For the past 35 years I have dedicated my clinical and research efforts to the meibomian glands. With the passing of the years, dysfunction of the meibomian glands has been shown to be the root cause of almost all so-called dry…
Author: Advanced Ocular Care
Round Table: Managing Contact Lens Wear in Patients With Diabetes
For years, the prevalence of diabetes has been on the rise. In 2012, according to the American Diabetes Association, 29.1 million Americans—9.3% of the population—had diabetes, and the incidence was 1.7 million…
Meibomian Glands: The Nerve Fiber Layer of the Anterior Segment
A dry eye disease (DED) epidemic is upon us. You can choose to recognize this and actively seek out patients to treat or you can miss an opportunity for practice growth by ignoring it. If you look, you will find that the majorit…
Helping Patients Achieve Reading Goals
Reading is the primary functional concern of low vision patients, a recent study found.1 More than 65% of 819 patients in the Low Vision Rehabilitation Outcomes Study reported problems with readi…
Improving Treatment for Blepharitis
Blepharitis is one of the most common eye diseases seen by doctors, if not the most common. A 2009 survey by Lemp and colleagues found that the prevalence of blepharitis in the United States is between 37% and 47%.span class=”s…
How to Use Facebook Search Bar to Your Marketing Advantage
The Facebook search bar is a tool designed to help Facebook users discover people, places, and products that they may be searching for, and to find new connections based on the shared content on their Facebook page. People can u…
Five Things Every Cataract Surgeon Must Know About the Retina
Cataract surgery is the most common intraocular procedure performed worldwide. Because cataract surgery is usually performed on elderly patients, many of whom are at risk for retinal disease, it is important that the surgeon be…
New Technologies Reach Outside the Office
Technology permeates every aspect of our lives, affecting the way we socialize, communicate, work, and play. Ophthalmology has witnessed a rapid evolution in the role technology contributes to the daily practice of medicine. For…
Femtosecond Laser Features: My Rankings
In our busy surgery center, my colleagues and I perform
more than 200 laser cataract procedures each month.
There is no doubt in my mind that laser cataract surgery
has been a great addition to our practice, both clinically
and financially. Ge…
An Insider’s Look at Sunscreen Ingredients and Formulation
Photoaging, characterized by rough skin texture,
dilated pores, poor skin tone, skin laxity, blotchy skin
color, brown spots, sallowness, telangectasia (sometimes
called broken blood vessels), fine lines, and
wrinkles, results from repeated ul…
Choosing the Right Implant in Presbyopia-Correcting Cataract Surgery
One of the most important and challenging decisions
that surgeons face is choosing the right
implant technology for each patient when correcting
presbyopia and attempting to deliver a
spectacle-free refractive solution at the time of cataract …
How to Create a Successful Dry Eye Practice
Managing dry eye disease (DED) and ocular surface
disease are among the greatest practice
opportunities today. Operating a successful
DED practice requires a commitment to both
staff and patient education on the importance of ocular
surface h…
Why I Am Glad My Cataract Surgeon Offers Dropless Cataract Surgery
During my tenure as center director of a large
comanagement practice, I decided it was time
to bring together the cataract surgeons at our
practice and our local key opinion leaders in
optometry in hopes of reaching a consensus on one
periope…
In Search of the Best Topical Treatment for Allergic Conjunctivitis
The incidence of allergies and allergic disease is
on the rise in the United States and globally.
Seasonal and perennial allergies affect at least
20% of the population, and 70% to 80% of these
patients report that their allergies include ocul…
Sidebar: Wound Leakage and Comanagement of Cataract Surgery
The aging of the baby boomer generation has heightened the demand
for cataract surgery,sup1/sup and busy surgeons are always trying to find ways to
work more efficiently and help more patients. The result is an increase
in coordinated care …
Medical Marijuana for Glaucoma Therapy
Over the past year, media coverage and
national awareness of the legalization of
marijuana for medical and recreational use
have increased. Twenty-one states plus
Washington, DC, have enacted laws that allow the use
of medical marijuana with …
Are We Ready to Embrace Nutrition?
When I first experienced dry eye disease
(DED) during menopause, I could not find
an eye doctor who would pay attention
to my complaint nor a treatment better
than common eye drops. I knew that as the baby boom
generation aged, the demand for…
UV Protection From the Patient’s Perspective
In a recent survey of American consumers, 86% of
respondents said they know that sunscreen helps
prevent skin cancer when used with other protection
measures, yet the majority do not use sunscreen on
a regular basis. Reasons consumers gave for…
What Is Astigmatism? A Review
We have all had patients in our clinics asking
us if they have “stigmatism,” “stigmata,” or
“a stigmatism.” Astigmatism is a condition
that many patients misunderstand. What
can be even more confusing to patients are all the
optio…
Cosmeceuticals: Sunscreens
Repeated exposure to ultraviolet (UV) light
can be directly correlated to premature facial
aging, the development of cancerous lesions,
immunosuppression, and matrix degradation.
Just one blistering sunburn in adolescence can
double the risk …