/ /

Marc R. Bloomenstein, OD, FAAO
How technology changed optometry’s role in cataract comanagement
Cataract surgery has entered that technology zone enabling surgeons the opportunity to provide sutureless and bladeless surgery, in vivo axis orientation and aberrometry measurements, and now, remove the drops from this pervasive procedure.
Why wait to recommend cataract surgery?
Years ago, I realized that a cataract is anomaly of the ocular system that should be eradicated at its earliest stages. Frankly, if you were in a relationship that was not going well and was destined to keep getting worse, would you stay?
Sagging lids and conjunctiva are an OD’s responsibility
I recently read that the restaurant in Tampa, which licenses the name Hogan’s Beach from the professional wrestler Hulk Hogan, is under fire for its controversial dress code. One area of concern for us optometrist is the fourth item on this controversial dress code: “No excessively baggy attire.” You may be questioning how this is germane to comanagement or, frankly, what this has to do with the doctoring of the eyes.
Dr. Marc Bloomenstein discusses crowd-sourced learning at Vision Expo West
Heading to Vision Expo West 2014 in Las Vegas? Dr. Marc Bloomenstein invites you to participate in the crowd-sourced learning classes.
Managing the non-surgical aspect of comanagement
The lines between a surgical management and non-surgical management are more defined in states where surgery is performed by only ophthalmologists. However, the non-surgical management of our patients can be a little blurred and subject to your own personal acumen.
Choosing not to comanage PVD
Since the baby boomers have boomed, the syneresis process seems to be moving as fast as the polar ice cap is melting. I understand the sudden appearance of a large dark object is worrisome and needs to be managed in our offices. Yet, can we overdo it? What is really the most appropriate time frame to get these patients in for a look and when should they be seen again?
Punctal occlusion may improve visual acuity for contact lens patients
A healthy ocular surface is critical for the visual acuity and comfort of soft contact lenses. Despite this, treating dry eye is often an afterthought. Instead, contact lens practitioners may make multiple changes to the lens material, lens modality, and/or cleaning solution in an attempt to improve comfortable wear time and avoid dropout.
Comanaging with confidence
The end game of any comanagement arrangement is providing patients with the best possible care they can receive. This seemingly obvious conclusion is sometimes clouded by the perception that optometry and ophthalmology are not working in tandem, and patients may be left confused and unsure about what is the best option for their ophthalmic care.
Clinical implications of corneal hyperfluorescence
Otolaryngologists (ENTs) have it easy. They can instruct their patients not to stick anything in their ears that is smaller than their elbows, and not only is it sound medical advice, but it has a fairly high rate of compliance. Eyecare professionals (ECPs) who fit contact lenses, on the other hand, have a more difficult hill to climb because we purposely put materials in our patients’ eyes, an impossible feat without biocompatible products.
Refer to your optometric colleagues
It fills me with a sense of pride when I think about working with another physician to either complement the care of my patient or obtain services I cannot perform. Let’s face it, we are not capable of doing everything for our patients and thus we have to seek the guidance of those who are better at specific skills. We as a profession need to have our pulse on what other physicians are providing for our patients. This is the essence of comanaging our patient—it is not a financial agreement, it is a “what’s in your patients best interest” agreement.