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    Why aren’t ODs referring to each other?


    Dry eye treatment

    Dry eye is an area of eye care that is evolving quickly. Advanced technologies have changed the way ODs diagnose and treat this condition. We both graduated from optometry school in an era in which the only treatments for dry eye were artificial tears and warm compresses through things such as rice in a sock or boiling an egg and placing it in a wash cloth.

    Today we have remarkable options including:

    • Advanced topical therapeutics

    • Oral nutrition

    • Scientifically designed warm compresses

    • In-office thermal delivery systems

    • Punctal occlusion

    • Ways to clean the lid margin like never before

    Additionally, insights into diagnostics, including point of care testing for inflammation and osmolarity; imaging technologies that image the meibomian glands, lipid layer and eyelid dynamics; and advanced slit lamp examination techniques; give us unique perspectives on the health of the ocular surface. Incorporating these technologies allows us to provide more appropriate and targeted therapies to our dry eye sufferers.

    Related: It’s about ocular health, not sales

    Future of intraprofessional referrals

    The remarkable thing about all that has been discussed is that it has been embraced by the optometric community. As our scope has evolved, we have embarked on the challenge to better care for our patients. Many of these technologies are seen in optometric practices that have vested into advanced ocular care for their patients.

    Several things are evident within the coming years. The population is aging, and baby boomers are in need of advanced ocular care. Optometry is appropriately equipped to handle the medical care of a number of these patients as ophthalmology’s role continues to become increasingly surgical in nature.

    Know those optometric colleagues locally who have invested both time and money into the technologies and educated themselves on contemporary care algorithms.

    Additionally, if you have advanced technologies to care for patients, make sure to educate your local colleagues so that they know you are a resource for these services when indicated for their patients.

    It is only with a true team effort within the optometric community that our patients will receive the best care possible.


    1. National Eye Institute. Results--Ocular Hypertension Treatment Study (OHTS). Available at: https://nei.nih.gov/glaucomaeyedrops/ohts_backg. Accessed 6/12/17.

    Read more of our blogs here

    Mile Brujic, OD, FAAO
    Dr. Mile Brujic practices in Bowling Green, OH. He also owns Optometric Insights, a service providing career coaching to optometrists.
    David Kading, OD, FAAO, FCLSA
    Dr. Kading owns a two-location, three-doctor practice in Seattle. He specializes in dry eye and contact lenses with an emphasis on ...


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