Saturday, March 16, 2013

Computer Eye Strain Explained (and How to Avoid It)

Computer Eye Strain Explained (and How to Avoid It)

...Ever spent more than two consecutive hours looking at a computer screen? Us too. Computers can make us more productive, but the bad news is they could also lead to something called Computer Vision Syndrome. More recognizable as that tired, strained feeling those eyes get after a day in front of a screen, the condition packs a punch: 64 to 90 percent of office workers suffer from CVS. Read on to learn how to spot the symptoms of Computer Vision Syndrome — and what to do about them.....

Adjustment versus no adjustment when using adjustable sutures in strabismus surgery

Adjustment versus no adjustment when using adjustable sutures in strabismus surgery

.....Of the 89 patients, 53 (60%) were adjusted and 36 (40%) were tied off. Success rates were similar between patients who were simply tied off immediately after surgery and those who were adjusted. At 6 weeks, the success rate was 64% for the nonadjusted group versus 81% for the adjusted group.... At 1 year, the success rate was 67% for the nonadjusted group versus 77% for the adjusted group....

Comments: So once again, even if you use adjustable sutures, the failure rate of strabismus surgery is about 1 out of 3. A 30% failure rate may be acceptable in some professions (actually if you are way below this in baseball you are still considered a great player!), but should not be acceptable in a learned profession like medicine. Go to http://COVD.org to find doctors who can help. DM

Thursday, March 14, 2013

Brain Injury Journal: Optometry's Role in Brain Injury

Free Journal

Brain Injury Journal: Optometry's Role in Brain Injury


The Flipboard for medical journals


The Flipboard for medical journals

Using a mobile device to access the medical literature via an app is a new development in the medical app market....Several apps currently exist, and QxMD has recently released a new app to help easily read journal articles....One thing that QxMD is trying to do is create a very user friendly app to help navigate medical journals easier and intuitive for users....

Create a Vision Therapy Niche


Create a Vision Therapy Niche

Prepare for VT patients while growing your practice’s bottom line.

....Optometrists can’t be all things to all patients. But we would be wise to embrace specialty areas of care within optometry such as [optometric] vision therapy (VT) by choosing to either refer to other optometrists or become one of those optometrists providing VT....Millions of children and adults suffer from binocular vision disorders. It is estimated that one out of four kids have vision problems. Also, about 60% of children with learning difficulties have visual problems, according to the American Optometric Association....

Comments: My friend and colleague, Dr. Lynn Hellerstein, wrote a great article on how to start a practice that offers optometric vision therapy in a recent edition of  Optometric Management. Over the past year, I have helped about 6 to 10 former students and other new optometrists so that they could start to offer this unique service to their patients. Awesome! Click on the title to read all about it! DM

Wednesday, March 13, 2013

SPOT on! AOANews story about this autorefractor

There are few (ok none) autorefractors that really did the job I wanted. I work with a wide variety of patients including children and those with special needs. This maybe the first autorefractor useable with these populations. Read the story. Try it out. Let me know. DM

Monday, March 11, 2013

Just Cool!


Head Injury=Vision Problems

If you have had a head injury, you also probably have vision problems. 


Click here to learn more.

Comparison of clinical features between two different types of exotropia before 12 months of age based on stereopsis outcome

Comparison of clinical features between two different types of exotropia before 12 months of age based on stereopsis outcome


The age at the stereopsis test was 6.8 years in the EIE group and 6.4 years in the PIE group (P=0.41). There was no statistical difference in the mean preoperative exodeviation ... and postoperative deviation at the stereopsis test .... The reoperation rate was 33% in the EIE group and 27% in the PIE group .... 

Comment: I'm not too sure about the differences between the 2 types of exotropia, but I am sue that once again it is obvious that 1/3 of strabismus surgeries require a second operation! Isn't it about time for our OMD colleagues to begin to work with the developmental optometrist to improve outcomes? I would strongly suggest pre-surgery vision therapy and then post surgery vision therapy. Let's see what kind of outcomes occur if we do this. Are there any Chicago-land OMDs who want to work with me on this? Let me know. DM


Sunday, March 10, 2013

Hillary Clinton's Eyeglasses a Medical Necessity

Hillary Clinton's Eyeglasses a Medical Necessity

Do you remember this story? If you have traumatic brain injury or other forms of  brain injury, we can help using these special lenses. Please feel free to contact me at the Illinois Eye Institute or at Lyons Family Eye Care for more information. DM