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Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Paul B. Freeman, O.D., Editor-in-Chief e-mail: pbfreeman@aoa.org (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
EDITOR'S PERSPECTIVE605 Diabetes education…or the lack thereof (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Will incentives help the bottom line?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Consumers love incentives and often will make buying decisions based on their receipt of discounts, gift certificates, and product giveaways. People like getting something for nothing, and unless the roast beef or pastrami is stale, the car exits looking as dirty as when it entered, or the room had bed bugs, many are willing to go miles out of their way to use those retailers who give away a free hero, car wash, or hotel room after punching their ticket for the eighth or tenth time. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Gary Gerber Tags: Practice Strategies Source Type: journals

Government updates LASIK programEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The U.S. Food and Drug Administration (FDA) has stepped up its efforts to ensure that patients and eye care practitioners receive accurate information regarding laser refractive correction. The new measures were outlined in a May 22, 2009, FDA Letter to Eye Care Professionals (see ). They are based on the recommendations of a public advisory panel, convened by the FDA on April 25, 2008, to consider patient input regarding their experiences with LASIK. In response to input from the public and LASIK experts during the panel meeting, the FDA has updated materials, Web services, and some LASIK-related standards. A summary of t...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

Surgical refractive correctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many practicing optometrists can still remember when laser vision correction was introduced in 1991. Pundits widely predicted the technology would render spectacles and contact lenses obsolete. Widespread publicity, aggressive marketing, and the sheer novelty of what seemed to many a miracle vision correction produced considerable public interest. By 2005, nearly a million refractive surgery procedures (virtually all laser procedures) were being performed annually in the United States alone. (According to surveys of members of the American Society of Cataract and Refractive Surgery, approximately 948,266 refractive surgery...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

High-efficiency optometryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Just about 2 years ago, the optometry clinic at Maxwell Air Force Base (AFB) (see ), near Montgomery, Alabama, was faced with a problem. The facility's ophthalmologist announced that he would be retiring, and the Air Force informed the clinic that because of personnel shortages he would not be replaced. Major Weilun Hsu, O.D., the clinic's optometry flight commander (Air Force parlance for clinic director), would become the sole eye care practitioner on the massive military facility. The Maxwell AFB clinic serves some 52,000 base personnel and dependents. The base does not have an ophthalmology facility, making the optomet...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

The Elder's Right to Sight Collaborative: A new model of eye care delivery for the elderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Vision and visual impairment have a significant impact on older adults' daily function and safety within their homes and communities. Yet many do not seek out the necessary care to address their visual health. Many older adults want to age in places that require a supportive environment to compensate for changes in abilities and to promote healthy aging and quality of life. The Elder's Right to Sight Collaborative (ERTS) was established to gain insight into the role of the environment in maintaining the functional independence and safety of older adults with visual impairment and to understand the barriers to obt...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Y.K. Gary Chu, Jennifer Kaldenberg, Karen Huefner Tags: Public Health Source Type: journals

Foveal versus eccentric retinal critical flicker frequency in mild traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Decreased sensitivity and increased variability in CFF measurements in the TBI population can be attributed to damage to the higher visual pathways. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Laura E. Schrupp, Kenneth J. Ciuffreda, Neera Kapoor Tags: Clinical Research Source Type: journals

Refractive error and axial length in nonarteritic anterior ischemic optic neuropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Axial length and refractive error may not be risk factors in NAION. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Khalil Ghasemi Falavarjani, Mostafa Soltan Sanjari, Mehdi Modarres, Farzaneh Aghamohammadi, Mohammad Reza Oladi, Mohammad Reza Razeghinejad, Zahra Nezamaldini Tags: Clinical Research Source Type: journals

Brain-derived neurotrophic factor in patients with normal-tension glaucomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We suggest that BDNF in the tears might be a useful biochemical marker for early detection of normal-tension glaucoma (NTG). (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Alireza Ghaffariyeh, Nazafarin Honarpisheh, Yadollah Shakiba, Sadollah Puyan, Tooraj Chamacham, Farzad Zahedi, Mojtaba Zarrineghbal Tags: Clinical Research Source Type: journals

Does the dynamic cross cylinder test measure the accommodative response accurately?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Background: The dynamic cross cylinder (DCC) test is a standard clinical procedure used to assess the accommodative response (AR) subjectively. However, because of potential problems arising from the ambiguous stimulus conditions, it is unclear whether this test provides an accurate measure of the AR. The aim of this study was to compare clinical subjective findings with objective measurements of the AR.Methods: Subjective findings to a 2.50-diopter (D) accommodative stimulus obtained with the DCC test (without fogging lenses) were compared with objective measurements of the AR obtained with a Grand Seiko WAM 550...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Jaclyn A. Benzoni, Juanita D. Collier, Kimberley McHugh, Mark Rosenfield, Joan K. Portello Tags: Clinical Research Source Type: journals

Bitemporal hemianopia arising from a suprasellar craniopharyngiomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: To facilitate early diagnosis and treatment, eye care professionals should be aware that craniopharyngiomas can present with decreased visual acuity and bitemporal hemianopia. Visual deficits can arise from both the aggressive nature of craniopharyngiomas as well as the therapeutic intervention. Patients treated for craniopharyngiomas are at risk for recurrence and need to be followed up on a long-term basis. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Cynthia Overly Tags: Clinical Care Source Type: journals

Infection control guidelines—An update for the optometric practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report provides recommendations to optometrists for the prevention of in-office disease transmission. It is an update of “Infection Control: Guidelines for the Optometric Practice” that was published in the December 1993 issue of Journal of the American Optometric Association. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Keith N. Tyhurst, Debbie L. Hettler Tags: Issue Highlight Source Type: journals

Guidelines for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optometry—Journal of the American Optometric Association is the official publication of the American Optometric Association (www.aoa.org). The journal is provided to all AOA members as a membership benefit. Optometry is also provided to libraries, schools and colleges of optometry, medical libraries, hospitals and government agencies. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Tags: Guidelines for Authors Source Type: journals

The elusive low vision patientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Having read your editorial “The elusive low vision patient,” I am compelled to share a personal story of my father's vision loss. Not that it resulted in what we might consider a successful clinical amelioration of his visual handicap but rather to share 2 lessons that I learned from his misfortune: first, how important it is to continue the vision care of low vision patients and strive to preserve whatever visual functioning that remains and second, focusing on the tasks the patient desires to accomplish and looking for innovative approaches. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Bob Owens Tags: Letters Source Type: journals

Intravitreal administration of infliximab in 3 patients with neovascular age-related macular degenerationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The intravitreal delivery of antivascular endothelial growth factor (anti-VEGF) agents has revolutionized the treatment of neovascular age-related macular degeneration (AMD). Recent histopathologic findings have suggested an immune-mediated response in AMD lesions consisting of macrophages, lymphocytes, and mast cells. Macrophage infiltration initiates angiogenesis by releasing cytokines such as vascular endothelial growth factor and tumor necrosis factor (TNF). Along with anti-VEGF agents, those that inhibit the action of TNF may have a therapeutic benefit in neovascular AMD. Infliximab (Remicade; Schering-Plough, Athens,...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Shital Mani Tags: Medical Abstracts Source Type: journals

TremorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optometrists often see patients with movement disorders, like trembling hands and head, and may or may not ask about them. And while we are conversant with the ocular tremor of nystagmus, we should be aware of the other conditions in the set of neurological disorders that create tremors. This group of disorders is described in an October 27, 2008, article titled “Movement disorders” in Advance for Nurses, by Richard Robinson and Joy B. Leffler. The article's subtitle further explains: “Conditions that impair movement are common, but often treatable.” (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Byron Y. Newman Tags: Health Notes Source Type: journals

Diabetes education…or the lack thereofEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In September, I had the opportunity to participate in a Diabetes Expo in Pittsburgh, Pennsylvania, along with a few of my optometric colleagues. We were staffing a booth for the PA Diabetic Eye Health Alliance and charged with answering any questions, in a general way, about eye care, vision, and diabetes, as well as to hand out informational literature on diabetes and the eyes. Of course there was ample opportunity to educate attendees about what optometrists do and their role as members of the diabetes management team. Because this was the first time I had ever experienced being on the business side of a booth, I was lef...
Source: Optometry - Journal of the American Optometric Association - October 26, 2009 Category: Opthalmology Authors: Paul B. Freeman Tags: Editor's Perspective Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Paul B. Freeman, O.D., Editor-in-Chief e-mail: pbfreeman@aoa.org (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
EDITOR'S PERSPECTIVE535 Something for everyone (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Positioning the optometric practice in the eye care marketEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optometrists are increasingly important providers of a wide range of eye and vision care services, according to the AOA Research and Information Center's latest Scope of Practice Survey. Among the survey's findings: optometrists, over a typical 6-month period, now diagnose an average of 104 cases of anterior segment disorders—including 24 cases of glaucoma—providing all of the treatment for 80% of those anterior segment patients and two thirds of the glaucoma patients. As a result, optometrists now prescribe or dispense pharmaceuticals to patients more than 400 times over a typical 6-month period (and more than 1,600 t...
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Gary Gerber Tags: Practice Strategies Source Type: journals

Information on nutrition and eye healthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conjunction with the pending release of the newly revised American Optometric Association (AOA) Optometric Clinical Practice Guidelines on Care of the Patient with Age-Related Macular Degeneration (AMD), the AOA Communications Group has expanded its line of patient education materials on the importance of proper nutrition. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

Macular pigment and healthy visionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lutein and zeaxanthin are carotenoids that filter harmful, high-energy blue wavelengths of light and act as antioxidants in the eye, helping protect and maintain healthy ocular tissues. Of the 600+ carotenoids found in nature, only 2 are deposited in high quantities in the retina (macula) of the eye: lutein and zeaxanthin. These 2 carotenoids comprise the macular pigment, which is responsible for the characteristic yellow coloration of the macula. Lutein and zeaxanthin are distinguished biochemically from other carotenoids by the presence of a hydroxyl group at each end molecule. This characteristic allows lutein and zeaxa...
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

What eye care patients should know about nutritionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A growing body of evidence suggests certain nutrients help maintain healthy vision by reducing the risk of age-related eye disease and even improve visual function. Age-related eye disease is a growing problem in the United States. Advanced age-related macular degeneration (AMD) affects more than 1.75 million individuals in the United States. Because of the rapid aging of the U.S. population, this number will increase to almost 3 million by 2020. In addition, cataracts affect nearly 20.5 million Americans age 40 and older. More than half of all Americans over the age of 80 have cataracts. (Source: Optometry - Journal of th...
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

Nutrition counseling in the optometric practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The third edition of the American Optometric Association (AOA) Optometric Clinical Practice Guidelines on Care of the Patient with Age-Related Macular Degeneration (AMD), scheduled for release early next year by the AOA Clinical and Practice Advancement Group, calls on optometrists to take a new approach in caring for this sight-threatening condition by incorporating counseling on the benefits of proper nutrition into patient visits. Fighting age-related vision loss has become a top priority for federal health agencies like the National Eye Institute (NEI). An NEI-sponsored study projects the number of Americans with AMD w...
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

A descriptive study of lutein and zeaxanthin in optometric practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Optometrists felt informed about lutein and zeaxanthin and eye health and recommended spinach or antioxidant supplements for age-related macular degeneration. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Tara Larson, Janice Coker Tags: Public Health Source Type: journals

Ocular metastasis of cutaneous malignant melanomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The primary care optometric setting, by the way a patient's visual symptoms present or the appearance of fundus abnormalities, can offer the capability of first detection and referral for the discovery of metastatic lesions. Although orbital metastasis is considered a terminal finding in these cases, timely diagnosis enables, while limited, the best options for management. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Tehseena Ullah, Andrew S. Gurwood, Marc D. Myers Tags: Clinical Care Source Type: journals

Acquired abducens nerve palsy secondary to tuberculosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Tuberculosis is a mediating factor for abducens nerve palsy in children. Understanding the relationship between the disease process and ocular ramifications is imperative for competent management. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Daniel E. Smith, Ashley Blasi Tags: Clinical Care Source Type: journals

Advancements in anti-inflammatory therapy for dry eye syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Anti-inflammatory pharmacologic agents have shown great success in patients with moderate to severe dry eye when compared with alternative treatment modalities. A deeper understanding of the link between inflammation and dry eye validates the utilization of anti-inflammatory therapy in everyday optometric practice. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Erin McCabe, Srihari Narayanan Tags: Issue Highlight Source Type: journals

Guidelines for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optometry—Journal of the American Optometric Association is the official publication of the American Optometric Association (www.aoa.org). The journal is provided to all AOA members as a membership benefit. Optometry is also provided to libraries, schools and colleges of optometry, medical libraries, hospitals and government agencies. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: Guidelines for Authors Source Type: journals

How do visual and cognitive impairments affect health-related quality of life in nursing home residents?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Visual and cognitive impairments have been documented to be more prevalent among older adults residing in long-term care facilities compared with the same population living independently at home. These impairments have been proven to have a negative impact on an individual's health-related quality of life (HRQoL). Researchers in this cross-sectional study attempted to determine how visual and cognitive impairments impact the HRQoL in nursing home residents. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Stephen Hess Tags: Medical Abstracts Source Type: journals

Optical coherence tomography is a viable instrument to quantitatively and qualitatively distinguish optic disc edema from optic nerve drusenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optic disc edema (ODE) is a clinical sign associated with many optic neuropathies including papilledema and papillitis. The clinical diagnostic dilemma often occurs when patients present with disc elevation secondary to optic nerve drusen (OND). Clinical testing, including computed tomography, b-scan ultrasonography, and fluorescein angiography, can be costly to the patient or invasive. The authors in this study investigated if optical coherence tomography (OCT) could distinguish the difference between ODE and OND. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Mark H. Sawamura Tags: Medical Abstracts Source Type: journals

Healthy home/healthy lifeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
“The science is very, very clear. Healthy homes lead to healthier lives,” said Acting Surgeon General Steven K. Galson, M.D., M.P.H., who is also a Rear Admiral in the U.S. Public Health Service. He released his strategic plan at a news conference titled “The Surgeon General's Call to Action to Promote Healthy Homes.” The American Public Health Association newspaper, The Nation's Health, covered the strategic plan in its August 2009 edition. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Byron Y. Newman Tags: Health Notes Source Type: journals

Seeing Through New Eyes: Changing the Lives of Children with Autism, Asperger Syndrome and Other Developmental Disabilities Through Vision TherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Researchers estimate that now 1 in 150 children has a pervasive developmental disorder, up from 1 in 10,000 a generation ago. Many autistic behaviors are visual: poor eye contact, staring at lights or spinning objects, side viewing, or flicking fingers in front of the eyes. No wonder parents are seeking optometric opinions with increasing frequency. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Patricia S. Lemer Tags: Book Notes Source Type: journals

Fixing My Gaze: A Scientist's Journey into Seeing in Three DimensionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dubbed “Stereo Sue” in a New Yorker article by famed neurologist Oliver Sacks, Susan R. Barry, Ph.D., has accomplished what many of us hoped one of our patients would achieve one day. Uplifted by her optometric vision therapy experiences but perturbed by the lack of awareness about vision therapy, Sue embarked on a personal campaign to give optometry its due accord. Part memoir and part science, Fixing My Gaze is a tribute to the determination of a patient and her optometrist in challenging conventional wisdom and dogma. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Leonard J. Press Tags: Book Notes Source Type: journals

Constitution and BylawsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Delegates Representing Affiliated Associations. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: From the AOA Source Type: journals

From the AOAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In accordance with Article V. Section 2 of the AOA Bylaws, the Judicial Council has studied and reviewed the 2 resolutions and 2 substantive motions approved by the House of Delegates at the 112th Annual Congress in Washington, D.C. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Tags: From the AOA Source Type: journals

President's addressEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I am honored and humbled to stand before you today as the 88th president of the American Optometric Association (AOA). I am very privileged indeed to serve with such a fine group of AOA Trustees and officers who spend countless hours on work, e-mails, phone conference calls, and board meetings. Your board spends about a thousand days on the road over the time they serve on the AOA Board. We do it because we love our profession. I am especially thankful for the leadership of President Peter Kehoe, O.D., and Immediate Past President Kevin Alexander, O.D., Ph.D. Kevin, your intellect and guidance have been an inspiration to m...
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Randolph E. Brooks Tags: President's Address Source Type: journals

Something for everyoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I think it is safe to say that current economic woes have affected most businesses and, to some extent, all health care practitioners. A recent article in the Wall Street Journal describes how dentists are “feeling the pinch” of the financial slowdown as the scope and certainty of job-related insurance coverage becomes evermore precarious. In response, they are beginning to pay more attention to business strategies designed to attract and retain patients. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - September 30, 2009 Category: Opthalmology Authors: Paul B. Freeman Tags: Editor's Perspective Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Paul B. Freeman, O.D., Editor-in-Chief e-mail: pbfreeman@aoa.org (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
EDITOR'S PERSPECTIVE465 “History doesn't disclose her alternatives” (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Tags: Frontmatter Source Type: journals

Managing staff is no easy taskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Few optometrists choose to get into eye care because they necessarily enjoy managing people. In fact, many rate it low on the scale of things they like doing most or feel they do best. Dealing with the whims and complaints of staff can be tiresome and annoying and distract at times from the most important things, like patient care. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Gary Gerber Tags: Practice Strategies Source Type: journals

Developments bring new promise for corneal reshapingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Corneal reshaping is in the midst of a renaissance, according to S. Barry Eiden, O.D., chair of the American Optometric Association (AOA) Contact Lens and Cornea Section (CLCS). Long touted as a potential way to provide corrected vision without appliances or surgery, corneal reshaping is now beginning to live up to its promise, Dr. Eiden believes. New products and techniques have already made corneal reshaping more practical, more predictable, and faster. With the procedure, corrected vision “while you sleep” has literally become a reality for many patients, the manufacturers of corneal reshaping lenses note. And Dr. E...
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

Premium intraocular lensesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(IOLs) are the big news in surgical refractive correction today, according to Paul Karpecki, O.D., chair of the American Optometric Association (AOA) Contact Lens and Cornea Section's Refractive Surgery Project Team. Premium IOLs were developed a decade ago to help replace some of the accommodative ability lost by cataract patients with the removal of their crystalline lenses. They have since proven “very successful” from a clinical standpoint, Dr. Karpecki says. However, they have not achieved the market acceptance that manufacturers initially anticipated, he acknowledges. The IOLs may offer older adults the highly a...
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Tags: Practice Strategies Source Type: journals

What DSAEK is going on? An alternative to penetrating keratoplasty for endothelial dysfunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Corneal endothelial dysfunction is a problem more commonly seen in the middle-age and elderly populations. Until recently, the only option available for these patients was a full-thickness PK. DSAEK is a promising new alternative that preserves the normal healthy cornea, allowing a faster and more stable recovery. This article discusses the indications, procedure, and management of DSAEK and comparisons to PK. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Kathryn Mau Tags: Literature Review Source Type: journals

Ocular fixation, vestibular dysfunction, and visual motion hypersensitivityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Subjects with VMH made significantly more refixational eye movements and had higher levels of dizziness than those in the other 2 diagnostic groups. There were abnormalities of binocular function in both the VMH and vestibular dysfunction groups compared with the control group. Individuals with VMH were unable to maintain stable gaze and inhibit eye movements to background motion. The large number of subjects with diagnosis of fluctuating vestibular function in the VMH group compared with the vestibular dysfunction group may indicate that VMH is a maladaptation of the system. (Source: Optometry - Journal of the...
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Patricia A. Winkler, Kenneth J. Ciuffreda Tags: Clinical Research Source Type: journals

Discordance between structure and function in glaucoma: Possible anatomical explanationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The majority (88%) of glaucoma cases show concordance between structural loss and functional deficits. The primary proposed explanations for discordance include (1) visual field sampling and test selection limitations (i.e., the SS24-2 samples only axons that are anatomically connected to photoreceptors in the central retina, whereas the GDx samples virtually all axons) and (2) GDx measurement limitations in the papillo-macula bundle (i.e., the GDx has difficulty differentiating the normally thin RNFL from the pathologically even thinner RNFL). Tests of both structure and function are recommended in glaucoma su...
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Jerome Sherman, Samantha Slotnick, Juliana Boneta Tags: Clinical Research Source Type: journals

Reduction of symptoms in binocular anomalies using computerized home therapy—HTS™Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Automated vision therapy delivered by the HTS system improved convergence and divergence amplitudes with a concomitant reduction in symptoms. The HTS system should be used on those patients with symptoms associated with an accommodative/vergence anomaly when in-office vision therapy supplemented with home therapy is not practical. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Jeffrey Cooper, Jerome Feldman Tags: Clinical Research Source Type: journals

Lacrimal canaliculitis as a cause of recurrent conjunctivitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: It is important to consider the diagnosis of lacrimal canaliculitis in any patient with chronic or recurrent conjunctivitis. Greater awareness of this condition would prevent misdiagnosis and delays in referral for definitive treatment. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Sidath E. Liyanage, Michael Wearne Tags: Clinical Care Source Type: journals

Nonsurgical treatment for esotropia secondary to Arnold-Chiari I malformation: A case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A 14-year-old girl with diplopia and esotropia secondary to Arnold-Chiari I malformation was surgically treated with Arnold-Chiari I malformation decompression (suboccipital craniectomy), C1 and partial C2 laminectomy, and duraplasty. The residual esotropia was treated with compensatory prisms and vision therapy more than 1 year after Arnold-Chiari malformation surgery. The esotropia was resolved after approximately 3.5 months of treatment. Five years later, the patient continued to maintain fusion without compensatory prism. (Source: Optometry - Journal of the American Optometric Association)
Source: Optometry - Journal of the American Optometric Association - August 31, 2009 Category: Opthalmology Authors: Curtis R. Baxstrom Tags: Issue Highlight Source Type: journals