Comanagement

The introduction of micro-invasive glaucoma surgery (MIGS) has helped to successfully treat glaucoma patients. Take a look at why MIGS may be a useful treatment option prior to late-stage glaucoma.

At the Rosenberg School of Optometry at the University of the Incarnate Word, fourth-years get hands-on experience in care for patients pre- and post-surgery, preparing them for real-world comanaging relationships.

Study groups can help their members via group discussion and sharing. If you’re looking to form or join a study group, find out what leads to success.

Genetic testing is becoming more successful and is expanding in scope. Understand how the process works and how to guide your patients through it. Find out what is involved and how to manage genetic testing…plus access a list of resources for you and your patient.

A comanaging MD discusses what five traits should be part of any OD-MD comanaging relationship. Setting patient expectations on both ends is the underlying framework.

What is this age-defying modern technology that a young, nonmedical professional is applying to her face? It is a YAG laser combined with an intense pulse light (IPL).

As primary-care optometrists, we are the gatekeepers for baby boomers inquiring about cataract surgery. Today’s patients have treatment options available not only to address their lifestyle complaints but to provide them with better vision and possibly reduced dependence on glasses or contact lenses.

Patients don’t have to wait for 2020 to achieve 20/20 vision at near without spectacles or contact lenses. Rather, the advancements we have seen just in the past few years should be enough to help manage their expectations.

Before the new year gets too far along, let’s take a brief look at the happenings in the pages of Optometry Times during 2016.

I am again reminding you that optometry has a renewed purpose in the management of our cataract and refractive patients.

A U.S. patent was granted to Gholam A. Peyman, MD, in June 1989 for a method of modifying the corneal curvature of the eye. The surgical procedure involved cutting a flap in the cornea, pulling the flap back to expose the corneal bed, ablating the exposed surface and then replacing the flap. The current procedure of laser assisted in-situ keratomileusis (LASIK) was not FDA approved until 1999.

Treating and managing chronic glaucoma can be rewarding as an optometrist. The frequency of office visits to monitor this chronic disease provides ODs an opportunity to develop a close relationship with their patients while providing medical eye care.

Researchers have found a significant correlation between depression and visual field loss in patients with glaucoma, according to a study in Ophthalmology.

In a recent wave of drug price increases that can only be explained by pharmaceutical manufacturers’ desire for profit maximization and which doctors and patients may call price gouging, the drug price war has been brought to the doorsteps of many eyecare providers. As optometrists are increasing their practice of medical optometry, patients are now calling their doctors about prior authorizations and unaffordable drug copays.

Cataract surgery is one of the most successful surgeries performed in the United States. By 2020, it is estimated the number of people having cataract surgery will double, and by 2030 it will triple. The optometrist’s role in comanaging these patients will be of critical importance. Developing and maintaining your post-operative clinical care skills is imperative.

When a colleague or a patient utters the phrase “intelligent design” (ID), it is challenging for me to not roll my eyes as far back as some patients’ contact lenses get lost up there. Honestly, if we really think about it, the design of the ocular system is far from intelligent.

A new study recently published in Retina found that communication between a diabetic patient’s eyecare provider (ECP) and primary care physicians (PCPs) increased the likelihood that the patient would make and keep her eye exam appointment.

Historically, optometry and ophthalmology have worked in parallel universes with very little room to cross paths. Yet, this model didn’t provide the appropriate care necessary for our aging populace.

At present we are limited with our ability to treat presbyopes. Sure, we have progressives and multifocal contact lenses; however, from a surgical standpoint, monovision corneal refractive surgery is limited, and clear lens extraction is often extreme for emmetropes.

Cataract surgery has entered that technology zone enabling surgeons the opportunity to provide sutureless and bladeless surgery, in vivo axis orientation and aberrometry measurements, and now, remove the drops from this pervasive procedure.

Last month, I wrote about diagnosing my father-in-law’s branch retinal artery occlusion (BRAO) and then teaming up with a vascular surgeon for his subsequent carotid endarterectomy. After the successful “slam dunk” surgery, the nurse who discharged him advised him to “go to the ER” should he have any changes in vision, and in the process, dropped the ball.

It’s March Madness time, and the next few weeks will take college basketball fans on a roller coaster ride of synchronous alley oops and ill-timed, dribble-off-the-foot turnovers. I’m always looking for an apt sports metaphor to help pass the time and get me through the day. A guy can dream, can’t he?

Modern ophthalmic cataract surgery now employs sophisticated techniques to improve outcomes and patient satisfaction. This includes surgical systems providing better control, lasers to perform manual techniques, and intraoperative evaluation to evaluate surgical endpoints before the patient leaves the operating room (OR).

Years ago, I realized that a cataract is anomaly of the ocular system that should be eradicated at its earliest stages. Frankly, if you were in a relationship that was not going well and was destined to keep getting worse, would you stay?

When it comes to acronyms, there is no ophthalmic sub-specialty that compares to corneal surgical procedures. For example, let’s take a look at corneal transplants and therapeutic surface treatments. Among KLAL, DALK, PLK, LK, DLEK, DSEK, DSAEK, DMEK, and DMAEK, there is no wonder why there is so much confusion.

During the American Academy of Optometry's Academy 2014, Josh Johnston, OD, clinical director, Georgia Eye Partners, Atlanta, presented five pearls for successfully comanaging premium intraocular lens (IOL) patients.