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Author: Advanced Ocular Care
Take Your DED Strategy to the Next Level
Patients with moderate to severe dry eye disease
(DED) experience consistent discomfort, and as a
result, actively seek new treatment options beyond
traditional therapies. We as eye care professionals
must use a strategic approach to treating …
Differential Diagnosis of Optic Nerve
Working in a glaucoma subspecialty clinic, I
have come to appreciate the various appearances
that an optic nerve can take on, be
they acquired, congenital, or physiologic. A
thorough stereoscopic optic nerve examination is the first
step in m…
Defining and Understanding Legal Blindness
Patients who are visually impaired often ask whether
they qualify as legally blind. Some patients ask
because they are aware of the benefits they might
be entitled to when classified as such; for others,
the question may arise over a concern …
The Use of Visual Fields in Moderate to Advanced Glaucoma
Visual fields are used to assess an individual’s
functional vision. Perimetry and the evaluation
of the optic nerve and retinal nerve fiber
layer are the keys to diagnosing and monitoring
glaucoma. Perimetry helps clinicians to recognize
g…
Sjögren Syndrome: Looking Deeper Into Dry Eye
Is there a perception in the optometric community
that Sjögren syndrome is uncommon and that we
rarely examine a patient with the condition? Do eye
care professionals mistakenly believe that Sjögren syndrome
is a disease of such gravity tha…
Perimeter Technology for Early Glaucoma Detection
Primary open-angle glaucoma is
currently incurable, but glaucoma
subspecialists agree that
early diagnosis and treatment
are essential to controlling the disease
and reducing vision loss. The diagnosis
of glaucoma requires a multifaceted
a…
Point-of-Care Ocular Allergy Testing
Red, itchy eyes are one of the most common chief
complaints provided by patients at office visits of
eye care professionals, and it has been reported that
up to 40% of the population in the United States
has experienced ocular allergy symptoms…
Are You Really a Good Student Clinician?
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The 2000s have delivered much in the way of
smartphones and social networking. We live in a
more connected—and more distracted—society
than previous ye…
Does It Really Matter What We Call It?
As clinicians, we use the term emocular surface disease/em loosely—for some, it means dry eye disease
(DED), and for others, the term encompasses
DED, meibomian gland dysfunction, allergy, other
lid conditions, and more. Personally, I thi…
Multicolor OCT: Improving Diagnostic Ability and Educating Patients
Results from multicentered clinical trials have
shown that reducing intraocular pressure (IOP) in
patients with open-angle glaucoma significantly
delays progression.sup1/sup Although few ophthalmologists
doubt these recommendations, early …
Sidebar: Therapeutic Device for DED Treatment Uses Thermoelectric Heat
Cataract and refractive surgeons have recognized that their
success in the OR depends on the effective management of
dry eye disease (DED). The media, once enamored with LASIK,
directs most of its attention to a so-called epidemic of DED.
The …
Potential Dangers From Zinc (and Copper) Supplementation: Implications for Alzheimer Disease and AMD
Alzheimer disease (AD) is an age-related neurodegenerative
disease characterized biochemically by
an abnormal buildup of amyloid β (Aβ) protein.sup1/sup
BACKGROUND ON AD
The divalent cations zinc (Zn++) and copper (…
Sidebar: The Severity of Sjögren Syndrome and its Relevance to Eye Care
Patients with Sjögren syndrome often present first with
dry eyes. Therefore, identifying patients when they present
to an eye care professional is important for many reasons.
First, clinicians can evaluate patients for and subsequently
treat …
Dark Adaptation: Shedding New Light on AMD
In the United States, an estimated one out of every
10 adults over the age of 60 years has age-related
macular degeneration (AMD).sup1/sup Most patients are first
diagnosed with AMD only after having already suffered
irreversible visual a…
Welcome Allergy Patients to Your Practice
Up to 40% of the US population experiences allergic
rhinitis.sup1/sup Not only is the prevalence of allergy
greater than we once thought, but approximately
three out of four of those allergy sufferers have
ocular symptoms.sup2/sup The…
Advances in Toric Contact Lens Design
Keeping toric soft contact lenses rotationally stable
on the eye has always been a challenge for lens
designers. Traditionally achieved by differential
weighting or prism ballasting, stabilization now
relies on better ballasting and stabiliza…
Dry Eyes and Contact Lenses
Many patients find it difficult to wear contact
lenses due to dry eye disease (DED). It is estimated
that 10% to 30% of patients drop out
of contact lens wear each year. Several studies
have shown that dry eye and/or lens discomfort is the
le…
The Phoenician Connection: Translating the Emerging Diagnostics for OSD
Is it the chicken, the turkey, or the turducken? This
portmanteau is quite apropos considering many
optometrists and ophthalmologists have been debating
for decades on whether to choose history, signs,
test results, or a composite as their met…
Not Just Another Day at the Hospital
Over the past 2+ years, I have had the opportunity
to provide optometric care in a hospital that
serves those needing rehabilitation following various
types of injuries and illnesses. It has been a
pleasure to use my knowledge of the visual pr…