• Pearls for Ocular Prosthetics

    December 19, 2011 | POSTED BY | Clinical Pearls

    1. Test EOMs: prosthetic should move fairly well in comparison to the intact eye 2. Hirschberg test: to verify alignment of prosthesis 3. Remove the prosthesis: Check for hygiene! Patients must be advised to clean the device once a...

  • Basics of Diabetic Retinopathy

    November 23, 2011 | POSTED BY | Clinical Pearls

    Type 1 ~ 10% of cases Beta cell destruction Immune mediated Absolute Insulin deficiency Tx Exogenous insulin for survival 100% will have DR / 56% PDR @ 20 years Type 2 ~ 90% of...

  • Central Vein Occlusion Study

    | POSTED BY | Clinical Pearls

    Central Vein Occlusion Study (1995) Vein occlusion is likely ischemic if... Abnormal ERG +RAPD Large amounts of hemes VA is equally as good about telling us about ischemia as IVFA. 20/200 to start...

  • Vascular Sheathing in Hypertension

    November 17, 2011 | POSTED BY | Clinical Pearls

    Sheathing and widening of the vessel "light reflex" due to a deposition of hyaline and inflammatory cell debris within blood vessels walls. This is a body mechanism to keep lumens of arteries constricted (reducing blood flow) so that...

  • Epidemiology of Vascular Anomalies

    October 27, 2011 | POSTED BY | Clinical Pearls

    Diabetic retinopahy is the most common retinal vascular condition seen by Optometrists and 2nd is retinal vein occlusions. Branch retinal vein occlusions are about 3x more common than Central retinal vein occlusions. Also, most BRVO are...