{"title":"Co-management of refractive eye surgery.","authors":"P Lopez, M G Orr, K L Waltz, W E Whitson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An onslaught of publicity about refractive surgery has led to considerable patient interest in this corrective procedure. Regardless of the optometrist's cautious view of refractive surgery, it is here to stay. We may not be providing appropriate care to our patients if we discuss only its disadvantages. It is imperative that we, as primary eye care providers, educate ourselves as to the advantages and disadvantages of refractive surgery so we can better educate our patients. It is our responsibility to help them decide if they are, indeed, candidates for refractive surgery. This paper provides basic knowledge to familiarize the practicing optometrist with radial keratotomy and excimer laser photorefractive keratectomy. Patient selection, preoperative evaluation and counseling, and postoperative care are discussed. Communication between the co-managing optometrist and refractive surgeon is imperative.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 2","pages":"25-41"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of contact lens prescriptions.","authors":"J G Classé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient's access to information in an optometrist's record is regulated by an amalgam of federal and state laws and judicial decisions. The inspection of records by patients is permitted except under extraordinary circumstances, and optometrists who refuse access in contravention to legal requirements face disciplinary action from regulatory boards. Although contact lens prescriptions are part of an optometrist's record, the obligation to release prescriptions is restricted to 17 states. Optometrists in these states must comply with the requirements of state law; in other states, optometrists should establish an office policy for the release of contact lens prescriptions, communicate this policy to patients at the start of the doctor-patient relationship, and ensure that it is properly administered.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 1","pages":"93-102"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contact lens disinfection.","authors":"P D Bergenske","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Contact lens disinfection plays an important role in both patient education and office management. Several methods of disinfection are available for protecting the contact lens wearer from contamination by a variety of organisms, but no one system is best suited to all lenses, patients, or situations. Furthermore, these disinfection agents are only one component in an effective lens care system. Essential also is thorough lens cleaning and rinsing as well as preventing lens case contamination. The practitioner needs to educate each patient for optimal lens care compliance at home, and to instruct staff on maintaining safe trial lenses in-office.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 1","pages":"47-60"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extended-wear RGP contact lenses: a viable alternative to refractive surgery.","authors":"C M Schnider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rigid gas-permeable (RGP) extended-wear lens offers a unique alternative to the hydrogel extended-wear lens as well as to refractive surgery. In suitable patients it can provide almost maintenance-free visual correction for a wide variety of refractive errors. With prudent patient selection, use of high-permeability RGP materials, sound lens design and fitting principles, and conservative follow-up procedures, RGP extended-wear lenses can have success rates exceeding those of either hydrogel extended-wear lenses or refractive surgery, with fewer complications. The complications that do occur are often predictable after a short period of daily wear, and the remainder can often be managed with small changes to lens design.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 1","pages":"13-23"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating disposable or planned replacement lenses into contact lens practice.","authors":"P Farkas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disposable and planned replacement lenses have become increasingly popular options for contact lens wearers. Optometrists must devise management strategies to avoid the many problems that have emerged from the use of these lens modalities: inappropriate patient selection, reduced frequency of eye examination, oversupply of lenses, improper policies for the release of contact lens prescriptions, and inadequate documentation of service contracts. Suggestions are offered to avoid these common management problems.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 1","pages":"61-8"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-management of patients with glaucoma.","authors":"J B Gelvin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Glaucoma is a condition that challenges even the most experienced clinicians. Diagnosis may be straightforward and relatively simple, or difficult and trying. Management options include medication, laser, and surgery, alone or in combination. The care of patients with this chronic condition can be successfully delivered by a thoughtfully created glaucoma cooperative management team that includes providers who can address the various stages of glaucoma therapy based on the needs of the patient. Communication among team members is a key to success. Described in this paper is a potential model for the development and implementation of a successful glaucoma co-management team.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"4 2","pages":"81-100"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexually transmitted diseases.","authors":"T Harkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the last decade, the incidence of sexually transmitted diseases in the United States has significantly increased. This paper discusses the systemic and ocular manifestations of several of them, specifically AIDS, syphilis, gonorrhea, and chlamydia. Its primary objective is to assist the clinician in establishing an accurate diagnosis and recommending appropriate therapy.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"3 4","pages":"129-56"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18919508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infectious and inflammatory diseases.","authors":"S A Primo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The systemic conditions described in this paper are (1) sarcoidosis, (2) tuberculosis, (3) toxoplasmosis, and (4) histoplasmosis. The lung is the primary target organ of granulomatous involvement for each of these disorders. This and other similarities may confuse the diagnostic picture; however, appropriate understanding of clinical, epidemiologic, pathophysiologic, immunologic, radiologic, and serologic features assists in clearly establishing a diagnosis. The goals of this paper are to help the clinician develop a working knowledge of these four conditions, as well as an understanding of which tests are appropriate to order, how to interpret their results, and which treatment and management strategies to consider.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"3 4","pages":"99-127"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18919518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Initiating a sports vision practice.","authors":"B Coffey, D Teig","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"3 1","pages":"183-91"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19310515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ophthalmic lenses for athletes and sportsmen.","authors":"T A Woods","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes a protocol for prescribing and dispensing ophthalmic products to athletes and sportsmen and provides a description of lens characteristics and properties that are generic for the needs of sports-minded patients. Technical information on lens materials, treatments, dyes, and coatings essential for the prescribing and dispensing of ophthalmic products to athletes are discussed in the context of this protocol. Knowledge of ophthalmic lens standards, especially those that pertain to impact resistance and radiant energy attenuation, are also described. A sports lens selection checklist is provided for dispensers who apply this protocol to the selection of appropriate eyewear for athletically inclined patients.</p>","PeriodicalId":77312,"journal":{"name":"Optometry clinics : the official publication of the Prentice Society","volume":"3 1","pages":"33-55"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19312429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}