178: I have read that young people with low amounts of myopia and a near esophoria are at greater risk of myopic progression. Is this correct?
It has been suggested that near esophoria is associated with more rapid myopia progression than for people with...
177: Are there any links between binocular vision anomalies and myopia management?
My favourite topic in eye care is binocular vision. My new interest is myopia management so I’m very pleased that...
176: Get some sleep
I work in a practice in a shopping mall. I start work at 9 am and work until 9 pm for six days a week and sometimes...
How to perform the Brückner test.
This test is used to assess the symmetry of binocular fixation by comparing the brightness of the red reflex in each...
How does B-scan ocular ultrasound work?
One type of ocular ultrasound is B-scan. It is a quick, non-invasive test used to assess the structural integrity of...
Measuring eye pressure without using drops or a puff of air-rebound tonometry.
iCare tonometers are easy-to-use, hand-held, battery-operated devices that require only minimal training. All iCare...
How do I examine the structures of the anterior chamber angle?
Gonioscopy is a technique that allows accurate evaluation of the width of the anterior chamber angle and detailed...
How can I examine the mid- and far retina?
Negative powered diagnostic contact lenses in conjunction with the slit-lamp biomicroscope can be used to view the...
How does OCT work?
OCT is short for Optical Coherence Tomography. The concept is quite simple. This technology involves directing light...
175: Dealing with different sized pupils
I’ve been told by a hospital-based eye specialist that I am over referring patients with anisocoria. All the patients...
174: Dispensing opticians are very important
I work in a practice where I conduct eye examinations and the dispensing of glasses. During the dispensing process, I...
173: How to write a good referral letter
My boss in the practice who is also an eye specialist has conducted a review of some of my clinical records. She has...
172: Sport and contact lenses
One of my patients has a son who is very keen on football and plays in goal. He is almost 12 years old. He plays...
171: First day in a new practice
Next week I’m starting my first job as an eye specialist following completion of my college course. I’m worried I...
170: Double-tasking
I’m overwhelmed with work and have found myself double tasking. I’ve read that some people can do this and do both...
169: Discussing myopia management with parents
I want to start discussing myopia management with the parents of young children with myopia. Where do I start? I turn...
168: Offering a myopia management service
I would like to offer a myopia management service in my practice but don’t know where to start? What should I do? I’ve...
167: A myopia pandemic
It seems that there are many more children now coming through my practice that have myopia from around the age of 6...
166: Confused about myopia management?
I’ve just listened to an online lecture on myopia management and now I’m confused. The speaker mentioned that...
165: What is pre-myopia?
One of my patients who has myopia asked me if their 6-year-old daughter had pre-myopia. What is that? Pre-myopia is a...
164: A case of hypothyroidism?
One of my patients has just attended for a routine eye examination. When I asked about her general health she told me...
163: A case of hyperthyroidism?
One of my patients has just attended for a routine eye examination. When I asked about her general health she told me...
162: A case of thyroid eye disease?
One of my patients complains of dry and watery eyes, gritty eyes and thinks her eyes are more ‘sticking out’ than in...
161: Driving towards a low Sun.
One of my patients complains of glare from a low Sun in the morning when she drives to work. What can I do? I don’t...
160: A case of trichotillomania?
One of my female patients is 13-years-old. She came into the practice wearing a woollen hat on a hot day. She wears...
159: Should I under correct patients with myopia?
When I was at optometry school there was mention that some practitioners would under correct people with myopia in...
158: Which direct ophthalmoscope should I buy?
I’ve just started at optometry school and I have been advised to buy my own direct ophthalmoscope. There are several...
157: Is a lens rack useful?
I’m taking part in a child vision screening clinic in the next few weeks. How can I be more efficient with my...
156: How much kale is good for the macula?
The retina, and in particular its photoreceptors are constantly bombarded by light, and in our younger years, they are...
155: Providing an eye service in poor rural areas.
I work in a farming area where there are many villages. Some of my patients are teachers and they tell me that many of...
154: What does it mean to be professional?
During a staff meeting in my practice, the owner said in order to be better than the competition we needed to be more...
153: Treating anisometropic amblyopia after the age of 7.
One on my patients, a 13-year-old boy, has right +0.50 DS and left -9.00 DS. He does not wear glasses nor contact...
152: Increased risk of angle-closure glaucoma following pupil dilation.
Why are people at more risk of acute angle-closure glaucoma when a tropicamide and phenylephrine combination is used...
151: What tests should I do before pupil dilation?
Should I conduct van Herick’s technique and measure pre- and post-dilation intraocular pressures before using dilating...
150: Using tinted lenses to treat pattern glare.
One of my patients, a 10-year-old boy has been advised by his teacher to have an eye examination. He is an intelligent...
149: How can I treat pattern glare?
One of my patients, a 10-year-old boy has been advised by his teacher to have an eye examination. He is an intelligent...
148: What is pattern glare?
One of my patients, a 10-year-old boy has been advised by his teacher to have an eye examination. He is an intelligent...
147: Why is my child struggling with school work?
One of my patients, a 10-year-old boy has been advised by his teacher to have an eye examination. He is an intelligent...
146: Are laser pointers dangerous?
One of my patients is a police officer. She told me that some of her colleagues had a laser from a laser pointer shone...
145: Give me a break.
I work in a busy practice and exam around 30 patients most days. Full eye examinations; contact lens fits; contact...
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