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The article discusses the impact of online refraction and telehealth on optometry. It acknowledges the benefits of improved access and convenience for patients, but also raises concerns about the loss of important aspects of patient care and the bypassing of regulations by online retailers. The article emphasizes the importance of maintaining the doctor-patient relationship and the value of a comprehensive eye exam. It also discusses the influence of cost containment and the role of online retailers in the future of optometry. The document includes various sources related to smart glasses, virtual reality in eye care, and telemedicine appointments for vision care. [Extracted from the article]

The article focuses on conducting pediatric eye examinations and highlights the importance of considering visual development and specific visual demands at different stages of childhood. It emphasizes the need to address visual skills and potential issues such as refractive error and strabismus, rather than focusing solely on disease.

The article celebrates the 50th column milestone of "Focus on Refraction" by revisiting key topics explored over the years. Topics discussed include prescribing strategies for children, therapeutic uses of prism and occlusion in managing brain injury-related vision issues, and the efficacy of custom-tinted lenses in treating photosensitivity, all aimed at enhancing vision care practices.

The article discusses various ways of assessing vision and visual acuity and distance charts of both high and variable contrast for optometrists and dispensing opticians. Clinical vision assessment includes high contrast visual acuity, LogMAR scoring, and chart viewing distance. It explores the evolution of vision assessment and answers common questions about the implementation of test charts in practice based on the author's experience of developing test chart software.

The article provides an overview of current attitudes and beliefs relating to presbyopia and contact lens (CL) correction, as of August 2021. Topics covered include the reluctance of eye care professionals to offer multifocal contact lenses (MFCL) to their patients, the requirements for CL correction for presbyopes and overview of current MFCL design. It also discusses the pros, cons and performance of monovision CL as compared with MFCL.

The article focuses on a case study where a young woman's declining vision could have been indicative of keratoconus, a progressive corneal condition. Topics include clues that could have prompted earlier detection, such as difficulty achieving 20/20 vision, significant increases in astigmatism between annual visits, and abnormal autorefractor readings, emphasizing the importance of recognizing signs to expedite diagnosis and treatment and potentially prevent further vision loss.

"For instance, a trifocal lens will use about 50 percent of the light to focus for distance, and 25 percent each for intermediate and near, so if you put a lens like that in a compromised eye, you may not have the image quality that you'd have in a healthy eye." "Don't promise intermediate vision", says Dr. Goes, referring to the Eyhance, "but do tell the patients that their intermediate vision will be better than it would be with a normal monofocal lens, and that the landing zone of the lens is also better." While not an EDOF lens, Johnson & Johnson says Eyhance does deliver true intermediate vision, and that its designation as a monofocal lens will benefit patients looking for more range of vision but who may not be able to afford an EDOF. 7 Researchers assigned 116 consecutive eyes undergoing phacoemulsification for cataract to either Eyhance (n=71 eyes) or the monofocal (n=45 eyes). INSET: OUS Non-multifocal Option for Extending Range of Vision. [Extracted from the article]

The article discusses, the primary purpose of a medical assessment is to diagnose and treat conditions with a view to preserve and restore health. In the optometric practice, this concerns ocular health in the first place, optometric practice concerns ocular health in the first place, but it also includes general health. For example, a retinal examination may reveal ocular disease but may also reveal signs of general health conditions.

The article informs about the prevalence of binocular vision and accommodative issues in various populations, highlighting the potential benefits of using plus lenses for conditions like accommodative insufficiency, convergence excess, and basic esophoria. Topic include It also discusses the advantages of using contact lenses, specifically bifocal contact lenses, as an option for patients who require near vision correction without wanting to wear traditional reading glasses.

The article informs that medical history provides enough information in about 75 per cent of patient encounters to make the diagnosis even before the physical examination and additional testing is completed. It mentions Brain Injury Vision Symptom Survey (BIVSS) aims to help make that connection and allow the doctor to grade the severity of the visual symptoms.

The article informs about binocular vision testing, and how one optometrists can avoid common pitfalls and ensure patients of all ages receive the care. Topics include patients with developmental disabilities and a history of traumatic brain injury; and onset and non-comitant deviations should prompt a careful consideration of whether the strabismus has a pathologic etiology.

The article offers information on the discusses the correction of presbyopia with contact lenses. It discusses that motivation plays a major factor in contact lens fitting and the practitioner should ensure their patient is aware of the advantages and disadvantages of all options prior to fitting; and It is important to establish ocular dominance in order to determine which eye to correct for distance vision when fitting monovision and for adjustments when fitting a simultaneous lens design.

The article considers the common reasons for non-adaptation of progressive power lenses and how they can be avoided with point suitable for optometrists and dispensing opticians. Topics include Lens design has moved on considerably since the introduction of the first rudimentary designs; and effect experienced with earlier designs was reduced as the wearer now perceived objects bending in the same direction.

The article focuses on many still struggle with some concepts of prism, and as their least favourite area of competency, perhaps safe in the knowledge that tricky cases can always be referred to an orthoptist instead of being resolved in primary eye care. Topics include the aim of this first article on the subject is to revise some core aspects of eye movements and binocular vision and the manufacturing tolerances and standards relating to prescribed and induced prism when supplying spectacles.

The article focuses on how getting to know a patient outside of the clinic can aid in creating an effective treatment strategy. It mentions the three cases are used to illustrate the importance of taking a comprehensive patient history, including talking with the patient and understanding their daily life activities, to better serve the patient's visual needs.

The article offers an assessment of binocular status with a detailed look at comitant heterotropia, a tropia that is not dependent on position of gaze. Topics covered include the role that optometrists play in the management of non-pathological, comitant tropias in adults and children, the developmental issues that can result in heterotropia, and the basic investigation and management of recent onset heterotropia in adults and children.

The article offers information on the assessment of binocular status with a detailed look at stereopsis and its measurement. It discusses that it is clinically important to understand not just the advantage of measuring stereo, but also of both the limitations of the tests that provide us with the measure and the significance of that measure; and mentions that this temporal displacement generates positive retinal disparity and is always associated with an object nearer than the fixation point.

The article offers information on the series on the assessment of binocular status with a detailed look at the cover test. It discusses that successful cosmetic squint surgery may result in good alignment of the visual axes but without restoration of sensory fusion; and mentions that three variations of the cover test involve the insertion of an occluder over one eye, followed by either removal of the occluder or swapping the occluder over to the other eye.

The article discusses binocular vision assessment, which includes assessing the level of heterophoria, stereopsis, and measures to be taken on decompensation of heterophoria. It reports the relationship of the vergence mechanism with misalignments. It also emphasizes refractive errors, fixation disparity, fusional reserves, and cover test recovery. Management includes eye exercise, spherical manipulation of the refractive correction, and prism prescription.

The article discusses the underlying principles of normal binocular status. It describes binocular vision as the condition where, with regards to the monocular visual fields, there is a large area of binocular overlap which is used for the coding of depth. It highlights the importance of understanding motor and sensory fusion and their interactions.

Over the past several years I've really come to enjoy hearing from you, the reader, with feedback on my editorials. Perhaps I enjoy hearing some feedback more than others, but I'd much rather converse with fellow ODs rather than have my editorials passively absorbed. I'll be in the vibrant and culturally rich city of New Orleans for a few days for the American Academy of Optometry's annual conference in October celebrating my 14th year of fellowship, meeting with industry and authors, getting top-notch continuing education, and soliciting feedback from you as to what we can do to better serve our mission of providing practical chairside advice. [Extracted from the article]

The article presents several tips, tricks and techniques to aid patients in obtaining clear, single, binocular vision. Topics discussed include information on impact of maximum visual acuity at distance on reading speed or comprehension level; use of open chart from 20/70 to 20/40 with half of the letters shown in red and half in green after retinoscopy; and use chart 11, an 8x8 block of 20/20-sized letters for phoria testing.

The article presents the discussion on multiple elements capturing, focusing, and processing light for making sense of the visual environment. Topics include visual satisfaction being also influenced by factors such as contrast sensitivity, stereoacuity, and visual fields as well as visual acuity; and providing a measure of the transient impact of biological and environmental factors on vision satisfaction.

The article offers information regarding myopia management. Topics mention including educating patients and family about the implication of progressive myopia, selection of appropriate treatment, screening the at-risk patients, advanced technology which are used in managing myopia and importance of binocular vision and accommodation.

The article offers information about the tools to improve patient vision and quality of life. It discusses about a patient who had undergone decompression surgery for thyroid eye disease and developed subsequent noncomitant diplopia. It also discusses about the outside-the-box approach to double vision.

The article discusses several clinical strategies for optometrists to test children for accomodative and convergence disorders and obtain accurate test results. These strategies include engaging the patient by asking questions to ensure adequate fixation in a binocular vision exam, using retinoscopy racks/sciascopy bars in patients who will not sit behind phoropter, and using a penlight in performing near point of convergence test.

The optometrist was writing to ask whether anyone knew a reputable glaucoma specialist in the patient's area to whom a referral could be made. I must have been having a lucid interval in my day, because I read into the language used in the emails: One optometrist used the term "glaucoma specialist" whereas the other used the term "ophthalmologist." However, "ophthalmologist" was not the term used by the optometrist looking for a glaucoma specialist. [Extracted from the article]

The article highlights on right approach for pre and postoperative caring of Intraocular lens (IOL) technology. Topics discussed include dysfunctional lens syndrome (DLS) which occur in the crystalline lens after about age 42; Monofocal monovision which provides monofocal quality of vision; and examine for signs of infection or increased inflammation after surgery.

The article discusses how using a standardized protocol helps optometrists to approach each refraction in a sequential and logical manner. It mentions that standardized protocol can help clinician to verify eligibility for driving, monitor the effect of disease progression, and verify eligibility as legally blind. It also offers information on retinoscopy, cylinder power search, and binocular balance.

The article focuses on the fundamentals of prescribing involves using all of your data points, not limiting yourself to one, to arrive at a solution. Topics discussed include the decision of whether or not to fit a keratoconic cornea with a specific lens design depends on the refraction, topography, visual acuity, available lens materials and a host of other concerns; and the decision to refer to a specialist is based on the accumulation of data as well.

In this article, the author offers a personal insight into her experience of accessing the eye care pathway, both as a practitioner and then as a patient. Topics discussed include rise in High street opticians using OCTs routinely; opportunity for careful examination came from subsequent discussion with optometric colleagues; and confidence to return to practising as an optometrist.

The article informs that the General Optical Council (GOC) plans to be more proactive in its approach to provide clarity over illegal supply from online retailers has blighted the industry for well over a decade now. The main changes being proposed in the GOC included setting out the approach to illegal online sales to be more proactive by building relationships with online platforms and introduction of a process for test purchases to obtain evidence of suspected illegal sales.

A calendar of events across US from March 1 to March 29, 2015 is presented which includes Great Lakes Optometric Congress, Binocular Vision and Pediatrics Forum, and International Vision Expo East.

The article previews several optical products, including Scene & Scene Plus antifatigue single vision lenses from Lenstec, the SeeMax Technology lens customisation device from Nikon, and the biometric intelligent glasses (BIG) lenses from Rodenstock.

The article reports that entertainment world has numerous virtual reality (VR) headsets for gaming and exploring, optometry has similar and exciting opportunities for use of this tech in visual field (VF), macular degeneration and objective testing. Topics include sit for a significant amount of time and use monocular testing, which increases time and anxiety; and factors contribute to patient fatigue and can lead to a decreased sensitivity and reliability, resulting in multiple tests.

Diagnostic equipment. New Non-Myd Camera Aims for Ease Practices looking for a new retinal camera without a steep learning curve might want to consider the Ezer EFC2600, says manufacturer US Ophthalmic. Essilor also says the VisionR 700 offers a wider field of view, which eliminates the need for superposition of lenses as in traditional phoropters, giving the patient a more comfortable viewing experience without the effect of tunnel vision. contact lenses Two-Week Multifocal Allows Pupil-Independent Fits If you have successful Acuvue Oasys patients who are reaching presbyopic age, now you can offer them a correction in the same lens family, as Johnson & Johnson Vision recently introduced Acuvue Oasys Multifocal in the same material (senofilcon) and also for two-week replacement. [Extracted from the article]

The article presents the cases of a 10-year-old girl who complained of distance blur with her glasses and a 13-year-old female who was presented due to asthenopia at near, particularly during high computer use during her virtual schooling, to discuss the benefits of low hyperopia and exophoria to the eyes. Also cited are how exophoria serves as buffers to limit the effects of visual stress.

In this article the author offers basic information on binocular vision assessment and management and modules of near vision C16784. She informs that 'Convergence' is the inward rotation of both eyes to retain binocular single vision for near viewing. While 'Accommodation' anatomically refers to the increase in convexity of the crystalline lens that enables our eyes to focus clearly on a near target.

The article presents an overview of the assessment of heterophoria compensation and management of poorly controlled deviations. Decompensated heterophoria is one of the most common anomalies of binocular vision to present in daily practice. The main optical cause of decompensation is uncorrected refractive error.

The article presents information on the procedure of cover test (CT) for assessing binocular vision. As stated, CT compares and interprets eye movements at near and distance and in different positions of gaze. It distinguishes between heterotropia, and heterophoria. Details on its apparatus, step-by-step procedure, and interpretation of results, are given. A table and several figures illustrating various observations and aspects of cover test, are also presented.

The article explores with Vuity (Allergan) recently hitting the market—the first FDA-approved eye drop to treat presbyopia—and another low-dose pilocarpine that is preservative-free potentially coming in 2022, we have to anticipate the presbyopia opportunity, especially since there are about 32 million patients who have never seen an optometrist and use reading glasses.

The article offers information on the types of lenses and designs available for the normal power range. A spectacle lens is an optical device with the purpose of altering the vergence of pencils of light transmitted from the lens to the eye. However, spectacle lenses are also used to correct binocular vision anomalies, reducing the amount of light that reaches the eye or to provide mechanical protection. A best form spectacle lens is designed to minimise the effects of oblique astigmatism.

The article outlines the tests that might be included in assessing an athlete's vision and how to undertake a vision task analysis for the athlete's given sport. Performance vision evaluation is designed to evaluate not only eye health and visual acuity but also visual quality and efficiency. Basic visual function tests can be divided into visual acuity and contrast sensitivity, followed by tests for stereopsis. For athletes, vision tests include visual acuity, binocular vision tests and accommodation, among others.