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In the realm of eye care, surgical co-management has emerged as a collaborative approach that aims to provide patients with comprehensive and seamless treatment. This concept involves the joint efforts of optometrists and ophthalmologists, each bringing their unique expertise to the table. By working together, these eye care professionals strive to enhance patient outcomes and deliver exceptional care.
 

The Role of Optometrist and Ophthalmologist in Surgical Co-Management

Surgical co-management is built upon the unique skill sets and areas of expertise of optometrists and ophthalmologists. By understanding their respective roles, you can appreciate the synergy that this collaborative approach fosters.

Optometrists are primary eye care professionals who specialize in the examination, diagnosis, and non-surgical treatment of vision disorders. Their responsibilities in surgical co-management include:

• Performing comprehensive eye examinations and evaluations

• Monitoring and managing pre-existing eye conditions

• Providing pre-operative and post-operative care

• Educating patients on surgical procedures and aftercare

• Collaborating with ophthalmologists to ensure continuity of care
   

Ophthalmologists are medical doctors who specialize in the diagnosis, treatment, and surgical management of eye diseases and disorders. Their role in surgical co-management encompasses:

• Evaluating patients' candidacy for surgical interventions

• Performing complex surgical procedures

• Providing specialized medical and surgical care

• Collaborating with optometrists to ensure seamless patient care

• Monitoring and managing post-operative complications

• By combining the expertise of optometrists and ophthalmologists, surgical co-management ensures that patients receive comprehensive and coordinated care throughout their treatment journey.

How Surgical Co-Management Works

Surgical co-management is a well-orchestrated process that involves several key steps. Understanding how it works can help you navigate this collaborative approach with confidence.

• Initial Evaluation: The process typically begins with an optometrist conducting a comprehensive eye examination. During this evaluation, the optometrist assesses the patient's visual needs, identifies any potential issues, and determines if a surgical intervention is necessary.

• Referral and Consultation: If surgery is recommended, the optometrist refers the patient to an ophthalmologist for further evaluation and consultation. This step ensures that the patient receives specialized medical advice and a thorough assessment of their suitability for the proposed surgical procedure.

• Pre-operative Care: The optometrist plays a crucial role in providing pre-operative care, which may include managing any existing eye conditions, ensuring the patient understands the surgical process, and addressing any concerns or questions they may have.

• Surgical Procedure: The ophthalmologist performs the necessary surgical intervention, leveraging their specialized training and expertise in surgical techniques.

• Post-operative Care: After the surgery, the patient's care transitions back to the optometrist, who closely monitors the recovery process and provides post-operative care and management. This may involve follow-up appointments, monitoring for any complications, and ensuring the patient adheres to the prescribed treatment plan.

• Ongoing Collaboration: Throughout the entire process, the optometrist and ophthalmologist maintain open communication and collaborate closely. This ensures that the patient's care is seamless, and any concerns or issues are promptly addressed by the appropriate healthcare professional.

Whether people like it or not, fine lines and wrinkles go hand in hand with the aging process. However, they typically appear sooner and look worse for those who spend time in the sun. Fortunately, TempSure Envi offers a solution that improves the skin’s appearance and health.

Instead of having invasive surgery, experts in the field of aesthetics can offer their patients something better. Not only is TempSure Envi non-invasive, but it’s also safe and effective. Simply put, it provides optimal improvement without any pain or discomfort.

Beyond Fine Lines and Wrinkles

Eliminating fine lines and wrinkles is just one of many benefits associated with TempSure Envi treatments. This same treatment works incredibly well to reduce the appearance of cellulite. Overall, it smooths skin, making it look more youthful.

However, even leading ophthalmologists and optometrists rely on TempSure Envi to treat patients with dry eye disease. Usually caused by Meibomian Gland Disease or MGD, the combination often makes a person look tired. In addition to dealing with uncomfortable symptoms, this causes bags to form beneath the eyes.

Because TempSure Envi is a gentle and safe treatment, it’s ideal for giving people with dry eye disease from MGD a fresher appearance.

How Does TempSure Envi Work?

This treatment uses a radiofrequency that gently and safely heats the skin for a specific amount of time. The body naturally reacts by producing new collagen. Because the new fibers are tighter and denser, they fill in voids in the form of lines, wrinkles, and cellulite. It also diminishes bagginess associated with dry eye disease from MGD.

Benefits of TempSure Envi

Experts in the field of aesthetics can use TempSure Envi on many different parts of the body. At the same time, optometrists can use it on patients with dry eye disease.

Most people notice an improvement after just one session. Initially, their skin looks more toned and feels tighter. With each treatment, new collagen will continue to grow. To achieve optimal results, most individuals need at least four sessions.

Additionally, the Food and Drug Administration (FDA) approved TempSure Envi as a viable treatment for all the reasons mentioned. Specifically, it stated that even as a non-invasive solution, TempSure Envi is capable of rejuvenating a person’s appearance, and with no downtime.

Keep in mind that everyone responds somewhat differently. It may take a few more sessions to see desired results. However, most enjoy tighter and more youthful-looking skin for about six months after just four sessions.

To maintain their appearance and continue the cycle of collagen growth, people can have additional TempSure Envi treatments done without any problem. Usually, people have much the same experience. That consists of redness that appears in roughly a day or two. However, it goes away quickly.

The Bottom Line

TempSure Envi is an FDA-approved and non-invasive treatment that helps people achieve tighter and more toned skin. Additionally, it doesn’t cause any real side effects, and it doesn’t involve any recovery time. Many individuals who opt for this treatment can have it done during their lunch break and return to work with better looking skin appearance.

Visual field testing is an important part of most standard comprehensive eye exams. Also sometimes known as perimetry testing, Visual field testing is a method to measure the entire scope of vision of an individual, including their peripheral/side vision.
 

The importance of visual field testing

Visual field testing is one of the most effective diagnostic treatments in the detection of glaucoma. This is because when patients are affected by glaucoma, it is usually the peripheral vision that is affected by their condition first. However, it can also be used to detect central or peripheral retinal diseases, eyelid conditions such as drooping, optic nerve damage and conditions that affect the visual pathways from the optic nerve to the area of the brain where this information is processed into vision.
 

Visual field testing is also an important part of monitoring for people who are considered to be at risk for vision loss from disease and other problems, including those who have been diagnosed with the following:

• Multiple sclerosis

• Hyperthyroidism

• Pituitary gland disorders

• Central nervous system problems (such as a tumor that may be pressing on the brain)

• Stroke

• Diabetes

• High blood pressure
   

What to expect from visual field testing

There are a variety of methods that can be used to perform visual field testing, including:
 

Static automated perimetry. This is where a machine is used to quantify how well the patient is able to detect flashing lights of varying size and brightness in different areas of their visual field, while they concentrate on a central point. The patient responds by pushing a button when they see the light.

Kinetic perimetry. This involves points of light that are fixed in size and intensity and are presented along the patient’s peripheral vision, before being gradually moved inwards to determine their field of vision. 

Visual field testing is non-invasive, painless and doesn’t require patients to have their eyes dilated. The results, which are usually presented in a series of charts, are digital and sent directly to your eye doctor for interpretation. Depending on the outcome of your results, you may be recommended for further diagnostic testing which could include blood tests. If you have been diagnosed with glaucoma, you will probably be recommended to have several visual field tests each year, which will help your eye doctor to monitor the progression of your condition and recommend treatments to slow it.

If you would like more information about visual field testing, or if you have concerns about your peripheral vision, please don’t hesitate to schedule an appointment with our experienced and knowledgeable eyecare team today.

Dry eye is a common condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. There are several factors that can contribute to dry eye, including environmental factors, hormonal changes, and certain medications. Additionally, conditions such as meibomian gland dysfunction and blepharitis can also lead to dry eye.
 

The Role of Meibomian Gland Dysfunction and Blepharitis in Dry Eye

Meibomian gland dysfunction occurs when the meibomian glands, which are responsible for producing the oily layer of tears, become blocked or do not function properly. This can result in the tears evaporating too quickly and not providing enough lubrication for the eyes. Blepharitis is an inflammation of the eyelids that can cause redness, itching, and a gritty sensation in the eyes. Both meibomian gland dysfunction and blepharitis can contribute to dry eye by disrupting the natural tear film.
 

Recognizing the Symptoms of Dry Eye

Dry eye can cause a variety of symptoms, which can vary in severity from person to person. Some common symptoms of dry eye include:
 

• Dryness: The most common symptom of dry eye is a feeling of dryness or grittiness in the eyes. This can make it uncomfortable to wear contact lenses or spend long periods of time looking at a screen.

• Redness: Dry eye can cause the blood vessels in the eyes to become more prominent, leading to redness and irritation.

• Itching: Some people with dry eye may experience itching or a burning sensation in their eyes.

• Excessive tearing: Dry eye can also cause excessive tearing. This is the body's response to the irritation caused by the lack of lubrication in the eyes.
   

If you are experiencing any of these symptoms, it is important to consult with an optometrist for a proper diagnosis and treatment plan.

Urgent eye care encompasses prompt evaluation and treatment of sudden or severe eye-related issues, including foreign object removal, chemical exposure, corneal abrasions, sudden vision loss, eye trauma, acute glaucoma, chemical burns, and eye infections. Seeking immediate professional attention from an optometrist is vital to prevent further damage and preserve vision.
 

Common Eye Emergencies or Urgent Eye Care Appointments

Eye emergencies can manifest in various forms, and it is essential to be able to identify them quickly. Some common eye emergencies include:
 

• Foreign Object in the Eye: Particles, debris, or small objects can become lodged in the eye, causing pain, redness, tearing, and potential damage to the eye's surface.

• Corneal Abrasions or Scratches: Injuries to the cornea, such as abrasions or scratches, can cause severe eye pain, light sensitivity, and a feeling of something in the eye.

• Sudden Loss of Vision: Any sudden and unexplained loss of vision requires immediate attention to determine the underlying cause and initiate appropriate treatment.

• Eye Trauma or Blunt Force Injury: Injuries to the eye from impact, trauma, or accidents can lead to serious complications, including retinal detachment, hemorrhage, or intraocular foreign bodies.

• Chemical Burns: Exposure to caustic substances or chemicals can cause serious damage to the eyes, resulting in pain, redness, and potential vision loss.

• Eye Infections: Infections such as conjunctivitis (pink eye) can cause redness, discharge, and discomfort in the eyes.
   

Recognizing these symptoms and seeking urgent care can prevent further complications.
 

The Importance of Basic Red Eye Exams in Urgent Care

Red eye exams are a fundamental part of urgent eye care. They help identify the cause of redness and determine the appropriate treatment. Basic red eye exams involve a comprehensive evaluation of the eye, including examining the eyelids, conjunctiva, cornea, and iris. These exams aid in the diagnosis and treatment of various conditions, such as conjunctivitis, uveitis, dry eyes, and corneal abrasions.

Corneal refractive therapy, also known as CRT, is a simple, painless treatment for refractive eye errors like myopia and has two core benefits. First, it can be used to help patients see clearly during the day without using glasses or contact lenses, giving them the freedom and flexibility that they need to live life to the fullest. Second, CRT has been shown to help slow the progression of myopia, keeping prescriptions under control and potentially reducing the likelihood of patients developing serious eye health problems associated with high myopia in the future. 

Here’s everything that you need to know about corneal refractive therapy and what it means for you. 

Understanding refractive eye problems

Refractive eye problems like nearsightedness, farsightedness and astigmatism are extremely common, with nearsightedness – also known as myopia – being the most common of all. Patients with myopia can see nearby objects clearly, but those further away become progressively more blurred. Refractive eye errors occur when the shape of the clear dome covering the front part of the eye, called the cornea, impair the light-bending and focusing process in your eyes. This leads to the light ending up in the wrong place inside the eye, and the message that is sent to our brain from our eyes is muddled, causing blurred vision. 
 

What is corneal refractive therapy?

Corneal refractive therapy was initially developed as a treatment to correct and slow the progression of nearsightedness. However, it has also been found to be effective at controlling other refractive errors, including farsightedness, astigmatism and an age-related refractive condition called presbyopia.

CRT is a non-invasive, painless and straightforward method of correcting patient vision so that they don’t need to wear contacts or glasses, and they don’t need laser vision correction surgery to see clearly. CRT uses special contact lenses that are worn overnight and apply light pressure to the cornea in order to reshape it so that light is refracted correctly, and the image sent from the eyes to the brain is clear. The cornea is able to retain this new shape even after the contact lenses are removed the next morning, meaning that you can continue to see clearly for several hours. The more consistently you wear your CRT lenses overnight, the longer your eyes will learn to retain their new shape and eventually, patients can enjoy up to 48 hours of clear vision without using prescription lenses. However, the effects aren’t permanent so if you stop wearing the lenses, your vision will gradually return back to normal over the course of a few days. 

Slowing the progression of myopia with corneal refractive therapy

Another key benefit of CRT is that it can actually help to slow the progression of myopia. Most people who are nearsighted find that their eyesight gets progressively worse as they get older. This deterioration may not be rapid, but it can end in patients requiring high prescriptions. Studies have found that patients who have high myopia are more likely to develop serious eye problems in the future, including glaucoma, macular degeneration, cataracts and a detached retina. Regular use of your corneal refractive therapy lenses could help keep your prescription stable and lower your risk of developing these problems. 

Am I a candidate for corneal refractive therapy?

You may be a candidate for corneal refractive therapy if you:

• Have a myopia prescription within specific parameters

• Have a prescription for hyperopia, presbyopia or astigmatism within specific parameters

• Have stable vision, which means that your prescription hasn’t changed during the last two years

• Are not a suitable candidate for laser vision correction

• Have a job that makes it impractical or unsafe to wear glasses or contact lenses

• Enjoy hobbies that make it impractical or unsafe to wear glasses or contact lenses

• Have healthy eyes and are generally in good health

For more information, please contact our friendly and knowledgeable team today.  

Millions of people suffer from eye and vision-related problems. For some, the solution is as simple as wearing prescription eyeglasses or contact lenses. However, others face challenges that aren’t as easy to rectify. That’s where Lumenis comes into play.

As a world leader in minimally invasive clinical solutions for both ophthalmology and aesthetic markets, it’s making a significant difference. Not only does Lumenis develop advanced energy-based technologies, but it also commercializes them.

The company continues to find innovative solutions. However, it’s already provided the fields of ophthalmology and aesthetic with remarkable technologies. OptiLight is just one example.

Eye and Vision-Related Solution

The company invented the first and only technology to treat individuals for dry eye disease caused by MGD. Not only is it approved by the Food and Drug Administration (FDA) but also patented. Optimal Pulse Technology (OPT) makes it easier to successfully manage this particular eye disease. Overall, OptiLight is safe, precise, comfortable, and effective.

Managing Symptoms

According to recent statistics, roughly 22% of the U.S. population suffers from dry eye disease along with MGD. That combination leads to an array of uncomfortable symptoms.

Dry eye occurs when a person’s eyes don’t produce adequate tears to keep them lubricated or when tears don’t work the way they should. MGD is a condition that affects the small glands in the eyelid responsible for making the oil layer for tears.

Having to deal with one of these problems is bad enough. However, living with both can prove debilitating for some people. Thanks to OptiLight, people with the two conditions get much-needed relief. Here are the ways this advanced technology helps:
 

• Reduces inflammatory mediators, which, thereby, prevents inflammation

• Improves tear breakup time that, in response, decreases osmolarity

• Alleviates abnormal blood vessels that commonly cause inflammation

• Restores meibomian glands so they function properly

• Decreases demodex mites that cause infection and the accumulation of bacteria on the eyelids

What Does OptiLight Consist Of?

As part of this revolutionary system, ophthalmologists and optometrists can select different devices based on their needs.
 

Patented OPT Handpiece

Not two people have identical faces. Even among twins, facial contours differ, even if slightly. To ensure excellent results, this handpiece allows ophthalmologists and optometrists to customize treatments to cover every curve.

Ergonomic IPL Handpiece
 

To treat a broader area, Lumenis recommends this option. Patented with SapphireCool technology, it breaks the cycle of inflammation associated with dry eye disease caused by MGD.

Opti-Tip

For maximum energy control, the Opti-Tip focuses light energy on more delicate areas. As with the other Lumenis devices, it’s safe and effective. At the same time, the Opti-Tip is 100% hygienic.

Key Benefits of OptiLight

OptiLight utilizes embedded settings that adhere to strict protocols, making it safe and effective tool.
 

Additionally, they use Optimal Pulse Technology (OPT), which transforms light-based therapy. As a result, ophthalmologists and optometrists can treat the eyes with absolute precision and control. That’s because while this technology provides optimal energy, it never has spike inconsistencies.
 

Doctors can treat a patient in just 15 minutes. Specifically for dry eye disease with MGD, it provides an improvement in just four sessions.
 

The Bottom Line

Lumenis dedicated years to develop OptiLight. Now, eye doctors can incorporate a system into their practice to provide better patient care.

Strabismus is a relatively common condition, affecting about 2-4% of the population worldwide. It is one of the most frequent eye disorders seen in children, though it can also develop in adults due to conditions like stroke or trauma. In the United States alone, it is estimated that around 12 million people are affected by strabismus, with varying degrees of severity. Early diagnosis and treatment are essential, as untreated strabismus in children can significantly impair visual development.

What is Strabismus?

Strabismus, commonly referred to as crossed eyes, is a condition in which the eyes do not properly align with each other when looking at an object. One eye may turn in, out, up, or down, while the other eye focuses correctly. This misalignment can be constant or intermittent and may affect one or both eyes. Strabismus occurs when the muscles controlling eye movement do not work together correctly, leading to difficulty in focusing both eyes on a single point. This condition can lead to visual issues such as double vision and, in some cases, can result in amblyopia (lazy eye) if left untreated.

How Does Strabismus Develop?

Strabismus develops when there is a disruption in the coordination of the muscles that control eye movement, leading to a misalignment of the eyes. This disruption can result from various causes, including genetic factors, neuromuscular conditions, or problems with the nerves that transmit signals to the eye muscles. In some cases, it may be present at birth, while in others, it can develop later in childhood or adulthood due to conditions such as cerebral palsy, Down syndrome, or even trauma to the eye or brain.

Signs and Symptoms of Strabismus

The primary symptom of strabismus is the visible misalignment of the eyes. However, there are other signs and symptoms that may indicate the presence of this condition:

• Blurred or double vision

• Headaches or eye strain

• Difficulty with depth perception and spatial awareness

• Reduced visual acuity in one eye

• Frequent eye rubbing or squinting

• Tilting or turning the head to compensate for the misalignment

Medical eye exams are comprehensive evaluations of the health and function of the eyes, essential for maintaining optimal vision and preventing potential eye conditions. Regular medical eye exams are fundamental for proactive eye health management and ensuring ongoing visual wellness.
 

What is a Medical Eye Exam?

A medical eye exam is a comprehensive examination of your eyes conducted by an optometrist. This examination goes beyond a routine vision test and delves into the overall health of your eyes. During a medical eye exam, various tests will be performed to assess your visual acuity, peripheral vision, eye movement, and the health of your eye structures.
 

Medical eye exams can detect early signs of eye conditions that may not present noticeable symptoms in their initial stages. By diagnosing these conditions early, you have a greater chance of successful treatment and preventing further deterioration of your vision.
 

Medical eye exams can also identify underlying health conditions that may manifest in your eyes, providing an opportunity for early intervention and management.
 

Common Conditions Detected During a Medical Eye Exam

During a medical eye exam, several common eye conditions can be detected, even before noticeable symptoms occur. One such condition is age-related macular degeneration (AMD), which affects the central part of the retina responsible for sharp, central vision. By examining the retina, your optometrist can identify early signs of AMD and recommend appropriate treatment to slow its progression.
 

Another condition that can be detected during a medical eye exam is cataracts. Cataracts occur when the lens of your eye becomes cloudy, leading to blurred vision. Through a comprehensive examination, your eye doctor can assess the severity of your cataracts and recommend the most suitable treatment option, which may include surgery to remove the cloudy lens.
 

Hypertension is a common health condition that can have serious consequences if left untreated. The health of your eyes can provide valuable insights into your cardiovascular health. During a medical eye exam, an optometrist can observe changes in the blood vessels of your retina, such as narrowing or leaking. These changes can indicate underlying hypertension.

Wearing contact lenses gives patients the flexibility and freedom to live life to the fullest, without some of the difficulties presented by wearing glasses. Many people who choose contact lenses do so because they don’t like the way that glasses look or feel, or because wearing glasses compromises their ability to perform certain tasks or activities, such as sports or jobs that require the use of safety goggles. 

There are lots of different contact lenses to choose from, with two of the most popular being daily disposables and toric lenses. 
 

Disposable Lenses

As their name suggests, these daily contact lenses are disposable. This means that they can and should be discarded at the end of each day rather than re-worn. Disposable lenses do tend to be a little more expensive than some repeat-wear varieties, but the benefits usually outweigh the cost. 

Some of the advantages of choosing daily disposable contact lenses include:

• You don’t have to clean them, which saves patients a great deal of time and hassle. It also helps save money in terms of the ongoing cost of cleaning solution. 

• Disposable lenses are also great for people with eye allergies. This is because with ordinary lenses, there’s an opportunity for deposits and microorganisms to build up. With daily disposables, allergens have less chance to attach themselves to the lenses and cause irritation and other allergy symptoms. 

• You don’t need to schedule regular replacements either, which makes wearing contact lenses easier on your schedule. 

• Disposable contact lenses are particularly good for people who have busy lives and are likely to cut corners when it comes to caring for their eyes or contacts since there is no cleaning or maintenance required.

Daily disposable contact lenses are available in a wide range of prescriptions, including those for patients with nearsightedness and farsightedness. Your eye doctor will be able to advise you if you are a candidate for disposable contact lenses. 
 

Toric Lenses

Toric contact lenses are recommended for patients who have a refractive eye problem called astigmatism. Patients with astigmatism have corneal abnormalities that cause the refraction of the eye to be different between the vertical and horizontal planes, causing blurred vision and difficulty seeing fine details. Toric contact lenses are shaped in a particular way that creates the different focusing powers needed in each part of the lens to correct your vision. For this reason, it’s essential that Toric lenses are placed into the eyes in the correct position.

Fortunately, manufacturers design Toric lenses with features that help them to stay in place, including:

• Thin/thick zones

• Creating areas of the lens that are thicker or heavier which helps secure it in position 

• An area where the bottom of the lens is slightly cut off 

To keep them stable, Toric lenses are a little firmer than conventional soft lenses. This means that some patients can find them a little less comfortable, but the superior vision they obtain outweighs this. Your eye doctor will be able to advise you if you are a good candidate for Toric contact lenses and which variety would best suit you. 

To find out more about daily contact lenses, speak to our friendly and knowledgeable team.