A wide array of corneal conditions are encountered on a daily basis in most optometric practices and appropriate diagnosis and management are vital to ensure good vision and promote ocular health. While many can be managed by practicing OD in their offices, a variety will require surgical intervention or at least a consult with a cornea or oculoplastics subspecialist.
Over the last few years, there have been radical changes in the treatments for corneal endothelial disease that have impacted the care optometrists provide to their patients. As our treatments evolve and become more effective for Fuchs’ dystrophy and other forms of endothelial dysfunction, intervention often occurs much earlier in the disease process. For instance, we sometimes perform Descemet’s membrane endothelial keratoplasty (DMEK) for patients with 20/20 vision in a dark room assessed with our typical high contrast Snellen charts.
Two blood tests can offer greater insight about whether an inflammation-causing eye condition is present.
The rare case of red eye that does not respond to treatment can have a disastrous outcome.
Q: I have a patient who had radial keratotomy (RK) many years ago who now needs cataract surgery. Are there any special considerations?
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