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Nancy Groves
Wearable electronic system offers subjective refraction
A new wearable adaptive refractor (VisionFit; Adaptica, Padova, Italy) for subjective refraction combines the features of trial frames and manual and automated phoropters. With this mobile device, patients can be examined while sitting or standing, and the unit itself can be easily transported.
How often do you prescribe glasses in very young children?
The glasses prescribing patterns of a pediatric ophthalmology group differed from the guidelines issued by the American Academy of Ophthalmology for infants less than age 1 year but were similar for children age 1 to 3 years, a study found. The study also demonstrated the efficacy of using electronic medical records for assessing physician decision-making.
New treatment options revise the prognosis for keratoconus
Understanding of keratoconus and the resulting dramatic changes in management in recent years have given rise to treatment paradigms that would have been unrecognizable to ophthalmologists a generation ago. The new landscape features a wider range of treatment options, better diagnostic and monitoring tools, and better understanding of the underlying pathology of the disease.
To improve compliance in glaucoma patients, keep it simple
Noncompliance with glaucoma medication is a familiar issue. There is no one-size-fits-all solution, but aiming for simplicity, consistency, and stability from the start of treatment could help more patients adhere to their treatment plan.
Solution reduces pain after cataract, IOL replacement surgery
Patients treated with Omidria (phenylephrine and ketorolac injection 1%/0.3%, Omeros) reported significantly less early postoperative pain following cataract surgery or IOL exchange than patients treated with placebo and also had significantly lower analgesic use. These findings suggest that use of Omidria could help improve patient satisfaction with these procedures.
CME rates lower with intravitreal transzonular antibiotic than topical NSAIDs
The rate of postoperative cystoid macular edema was lower in a recent study of nearly 1,000 cataract surgery patients at two sites using intravitreal transzonular antibiotic and steroid prophylaxis than in previous studies with topical administration.
Teleophthalmology aims to improve eye health among Latinos
A community-based teleophthalmology program providing diabetic retinopathy screening is helping to improve the eye health of the Latino population in Milwaukee.
Functional vision loss in children: What to say to parents, the patient
Functional vision loss in children is a relatively common problem. Although physicians may be hesitant to delve into conversations with children and parents when there is no evidence of organic disease, it is better to probe for cause of stress, anxiety, or depression stemming from issues with family, school, outside activities, or friends, and to identify for the patient and parents areas for attention that may be previously unknown or overlooked.
Be part of the vision rehab team for your pediatric patients
Ophthalmologists who treat children with a diagnosis of vision loss can help with the near-term adjustment and long-term pursuit of goals by providing information about rehabilitation programs, support groups, and other resources.
Tips to switch your practice from branded to generic eye drops
Switching from brand to generic eye drops for surgical prophylaxis following cataract surgery caused no difference in endophthalmitis rates and resulted in substantial cost savings in a single-center comparison.


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