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    Why you can’t separate refraction from pathology

    The views expressed here belong to the author. They do not necessarily represent the views of Optometry Times or UBM Medica.

    I’ve been thinking a lot about technology lately and how it’s going to—um, scratch that—how it already is impacting eye care.

    In particular, I’ve had refraction on my mind. Maybe it’s that company in New York City that sends those young, earnest eye missionaries with the sleek portable equipment out to your airy, loft office in their cool little cars to refract you in the blink of an eye so you barely have to look up from your computer screen as you launch your second startup in the past three years.

    Related: Blink in-home vision test worries ODs

    Or that Web-based refraction tool that touts itself as an “alternative” to Stone Age eye doctors who interrogate you senseless with a barrage of “Which is better, one, or two?” before getting all up in your grill with those horrible drops and blinding lights that make you totes late for your afternoon latte with your friends at the corner coffeehouse.

    Related: Eyecare community raises red flags over Opternative

    The operating assumption it seems, is that refraction can somehow be separated from the “eye health” exam, everybody will see great, and we can just call it a day.

    Next: Not so fast

    Michael Brown, OD, MHS-CL, FAAO
    Dr. Brown has practiced medical optometry in a comanagement center and with the U.S. Department of Veterans Affairs Outpatient Clinic in ...


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