260: UV protection
I know that UV (ultraviolet light) is harmful to the external and internal structures of the eye. Which patients are...
259: Dealing with emerging presbyopia
One of my patients is 36 years old. He doesn’t need spectacles for distance but complains of visual discomfort and...
258: Binocular vision symptoms and contact lenses
Many of my myopic patients who wear contact lenses complain of what sounds like dry eye symptoms, but on examination I...
257: Fitting contact lenses for low levels of astigmatism
I have recently qualified and am working in my first practice where we have a lot of contact lens patients. One of the...
256: Face shape and frame selection
How can I use a person’s face shape to get better at advising on frame style selection? Frame style selection is...
255: Frame selection
I’ve just opened my first practice. I know that poor frame choice for a patient is likely to lead to a complaint and a...
254: Determining the dominant eye
I have a patient who wants who has successfully worn single vision soft contact lenses for many years. He is now...
253: How do soft progressive contact lenses work?
I want to supply soft progressive contact lenses to my patients. How do they work? I will focus here on progressive...
252: Progressive contact lenses
I want to start promoting soft progressive contact lenses in my practice. Friends in another practice have stopped...
251: Upgrading progressive lenses
I have a lot of older patients whom I have seen for many years. They are wearing older design progressive lenses and I...
250: Three option system for progressive lens selection
I am just about to open my own practice as an optometrist. I want to provide a good range of lenses and especially...
249: Determining a near add
Recently several of my patients have returned complaining that their reading prescription is too strong or not strong...
248: Boost near vision before presbyopia
When my patients become presbyopic some of them find it very difficult to adapt to progressive lenses. Is there any...
247: Finding the optimum sphere power
During an eye examination, one of the key points is to find the best spherical lens in the prescription. I am often...
246: Trail frame set up
I know how to set up a trial frame and I also know that if I don’t set it up properly I may end up recommending a...
245: Managing suspect raised intracranial pressure.
One of my patients complains of a constant throbbing headache which is worse in the morning and when she coughs. She...
244: Identifying cluster headaches
One of my patients complains of a headache on the left side of his head. He has it most days for three weeks and...
243: Identifying tension headaches
Many of my patients complain of headaches. I’m never quite sure how to tell the difference between headaches...
242: Setting up a visual field analyser
I often find that my patients struggle to perform visual field testing and the results I get are not useful as they...
241: Starting a low vision service
There are many people with low vision in my region and I would like to set up a low vision service. How should I...
240: Advising computer progressive lenses
I’ve heard a lot about computer progressive lenses and some of my patients have asked for them. How do computer...
239: Building a patient base
I’ve set up a new practice and only see a few patients per week. How can I build may patient base and improve the...
238: Do blue-blocking lenses work?
One of my patients asked me for my opinion on whether ‘blue-blocking’ lenses will help reduce the eye ache he...
237: The importance of retinoscopy and a trail frame
I’ve just finished my optometry diploma and have been in my first job for a week. When I was studying in optometry...
236: Older patient recall period
I know that the refractive error in children can change over short periods of time so an eye examination every 6 to 12...
235: Three-second lens choice
How long should I give patients when it comes to choosing which view is best when choosing between different spherical...
234: My eyes burn
Some years ago, I visited a friend of mine who was working as an optometrist in a community private practice in the...
233: Being a good eye care specialist
I'm just starting out as an optometrist in my first job since leaving college. Do you have any tips as to how I can be...
232: Explaining to the patient what is required during the Jackson cross-cyl test
When I’m carrying out the Jackson cross-cyl test as part of the subjective refraction my patients seem to get confused...
231: Working in a short room.
I work in an examination room that is 3 m long. My visual acuity chart has been calibrated for 3 m so I know my visual...
230: Measuring near vision and visual acuity
I’m setting up my own practice. It’s my first and although I’m pretty sure what general equipment I need, I’m really...
229: Measuring vision and visual acuity
One of the other eye specialists in the practice where I work measures visual acuity with the room lights low. I was...
228: Eliminating simple mistakes
Can you recommend a protocol to follow for that will help me eliminate simple mistakes that lead to mine and patient...
227: Vitamin D and eye health
I’ve recently read that there is a link between low levels of vitamin D and eye diseases. Is this true? Low levels of...
226: Dealing with non-tolerance
I recently got my college diploma and am working in my first job. Many of my patients are coming back to complain that...
225: Changing from bifocal glasses to multifocal contact lenses
I started a 48-year-old bifocal spectacle wearer on multifocal soft contact lenses. He was getting on very well with...
224: Computer vision syndrome
My last patient spends about 7 hours per day working at a computer screen and several hours on top of this looking at...
223: Retinal detachment or problems with varifocals?
I prescribed a new patient with varifocals. He had no general health problems, no suspicious symptoms or signs had 6/6...
222: diabetes and refractive error
I have just examined one of my patients. He complained of poor distance vision when wearing his glasses which were...
221: Benefits of retinoscopy
In my practice and optical assistant carries out auto-refraction and passes the results to me. Many times the results...
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