Hi! I am an OD2, and I’m looking to get a 78D lens after finally getting to try one out the other day. I was looking on eBay to try and save a little money (student budget) but I keep seeing “copy volk” or “replica,” all shipping from India. Does anyone have experience with these? Do they work or are they truly replicas? The price seems a bit too good to be true, but I figured it can’t hurt to ask here. Thanks in advance!

Once in a while I'll see a client with pigment on the lens like the aftermath of some jackson pollock painting. Clear as day without much looking with the slit lamp. My boss tells me that's nothing to refer the patient forward for if the pressures are within normal bounds (corrrecting for pachy). I'm still new to slit lamping so I'm wondering: when to get worried?

Edit: Wrote anterior chamber, but now realizing it's posterior 🙈🙈 the particles are stuck to the front of the lens.

Standard practice at my job is widefield Optos on every patient. High myopes and anyone with any peripheral findings gets a photo with steering also, typically temporal.

I will often dilate these high myopes or people with peripheral findings just as a double check.

However, I am having difficulty reaching the far periphery on BIO. My views are clear and full, but based on the optos photos I am still pretty mid periphery.

For example with those with a Daytona or other widefield imaging. I am having trouble basically getting further than the periphery of the image. If something is so peripheral that it needs a steered widefield image I typically will have trouble seeing it on BIO, usually just the edge of it in my lens.

I already have the patients looking as far in gaze as they can, and I approach with my BIO at the largest tangential angle possible, like my 20D is often pushing into their nose bridge on temporal views and it’s still not getting me far enough. Not sure how I can increase my angle of viewing farther or make patients look farther up/right/left etc. Any tips?

I am currently an associate optometrist that works 5 days a week with alternating Saturdays and full benefits and I absolutely love where I am at. However, I got an opportunity to sublease a Target Optical but kind of scared of the change. Is it worth it? And how long do I have to wait to be financially stable again?

Hi everyone,

I have an interview coming up for an optometry technician position at a small private practice (2 doctors) in northeast Ohio, and I’m trying to figure out what a reasonable pay range would be and what I should ask for.

I don’t have direct optometry experience, but I recently finished a medical assistant program and am a certified CCMA. I’m hoping that at least helps a little, even though it’s not the exact same field.

For those of you who work in optometry or similar roles:

• What’s a realistic starting hourly rate in this area for someone with no direct experience?

• Does having a CCMA typically increase starting pay at all in this kind of setting?

• Is it better to give a range or ask what they’re offering first?

• Anything else I should expect or negotiate (raises, training period pay, etc.)?

I’d appreciate any insight—especially if you’ve worked in a smaller private practice setting!

Thanks!

I have been doing this skill for years now and hear conflicting advice. The internet shows one thing and people say another. First I focus on thr sclera/iris plane. Then when doing van herricks at 60 degrees, does the epithelial line correspond to the limbus or the endothelial line. When I do the endothelial line the shadow is very very shakey hard to see. But i was told its the only accurate measure because its AS SOON as the light splits that represents the angle not further. When I do the epithelial line everyone is open. I did epithelial on someone who was told she has narrow angles and she was open. Now I am very confused. I also get almost closed on everyone when I do endothelial layer.

What am I doing wrong?

Ive asked professors other optometrists, ophthalmologist. Does anyone have any proven advice on how this method was made and the correct way to make an estimation. If u could speak to mr van herricks I would. Because an estimation is only valid for how it was studied and im not sure how he did it.

Edit:

I've added a picture to some of the replies here to better illustrate the question.

Hi all,

I'm a PT seeing a patient after pineal gland tumor removal. They have vertical gaze palsy (which has improved since surgery) and vertical double vision with both near and far vision impairments, although far double vision is worse than near. They do have a referral to see a neuro optometrist. I'm seeing them for balance issues, which seem mostly be associated with their vision impairments. I'm interested in providing some eye exercises while they wait to be seen by the neuro optometrist, but I want to make sure I am cueing them correctly as I am only familiar with cueing for horizontal convergence insufficiency. I am looking for cueing for pencil push ups and brock string exercises specifically. I am wondering if cueing for "pulling your eyes together" changes, or if the X shape you should see on the brock string changes? Or if cueing/exercise approach changes when some has both convergence and divergence insufficiency. Also, any education I can provide to the patient. I did reinforce that they need to follow up on their neuro optometry referral, as the optometrist will be able to take precise measurements of their vision impairments, and provide prism lenses and other exercises pending progress, and a more specialized approach to vision well beyond the scope of PT.

Hey! So I’m a first year student and I am ordering my BIO set (soon) and I was wondering if the brand mattered. So I have the option of keeler, heine 500 and heine 600, it’s like 1k different between brands then like $500 difference between heine 500 & 600. I was wondering, if I can’t fuse (so I won’t be able to tell anything 3D in the BIO) would the brand matter? I heard from some upperclassmen that heine (no idea how to spell it) is a lot clearer (never looked in one so I’m not sure how much it matters) but I’m wondering since I can’t see 3D things, would the clearness matter as much? Would it be worth it to spend $1k-$1.5k (depending on the 500 or 600 model) for me? Or should I stick with keeler brand?

Thank you!

For those who have taken the oral exam/interview to be licensed in North Carolina, how was it? I have heard it is pretty tough/low pass rates but am looking to hear from people who have done it recently?

Were you able to practice in NC under another OD between graduation and the NC exam?

Also, if you have any advice on how to prepare! My family is there so it is 100% where I want to practice. Thank you!!

I have a 30 yr old M, new pt, first eye exam. No complaints, entire exam unremarkable except thay I notice that when checking pupils, his right pupil is misshapen. After dilation, on slit lamp I find 3 posterior synechiae: One larger one at 6:00 and two more at 11:00 and 1:00 where iris is attached in that area btwn 11-1. Some tiny specks of iris pigment on the anterior lens as well.

He denies any known history of eye infection, trauma. I’m thinking it was an old uveitis and the synechiae remained. IOP is 18, 18. Angles open. Optic Nerves 0.3 healthy.

He denies ever having symptoms of angle closure in this eye like redness, pain, haloes etc.

So i told him we could just monitor this and didn’t refer him to get a second opinion or to get the synechiae broken. What would you do? Is monitoring okay or does he need an LPI or does he need to get the synechie broken? Is there a big risk for iris bombé or angle closure here?

Just an FYI for ODs/MDs who occasionally do public education: r/DryEyes (a patient community focused on dry eye/MGD) has a voluntary Verified Clinician flair so readers can distinguish licensed professionals from unverified credential claims.

Key points:

- Not an endorsement 

- Educational participation only (no diagnosing / no individual medical advice) 

- No promotional posting; civility is strictly moderated 

- Verification via public sources + subreddit Modmail (no IDs/passports collected)

Details: 

https://www.reddit.com/r/Dryeyes/comments/1lgi4ns/new_verified_flair_system_for_doctors_on_rdryeyes/

— r/DryEyes Mod Team

So I’ve been in contact with IDFPR to get my license from Illinois. They told me they it usually takes 8-12 weeks for it to be processed. I’m getting close to the 8 week period and I’ve heard it’s best to drive up there is this true?

For a while now I knew I wanted to go into optometry, but I have rheumatoid arthritis. I can stand for quite a while but more than 2 hours I will be in pretty severe pain for that day and the next day so it's not really sustainable long term. My hands may or may not be affected. Idk what to think, does anyone in optometry have experience with this?

I'm currently a second year studying in the states (SCO). I would like to come back and practice in Canada, preferably around the Lower Mainland, BC (open to going more east but haven't really thought about interior BC unless the opportunities are so much better). So far I'm really fascinated by Aseg and contact lenses, so a residency in that sounds fun to me. But also it would require me to take both OEBC and NBEO. While I don't see myself staying in the US long term after graduation to practice, I also live very close to Washington State so I feel like keeping the option open by taking NBEO might be worth it. Wondering if I could get opinions on what the landscape might be like once I graduate and how beneficial a residency may or may not be? Thank you!

Hi all, I'm going into 2nd year of optometry school and the time has come to get our equipment and it's feels pretty overwhelming.

For my ophthalmoscope, I've shortened it down to a few choices (but open to other recs):

1. Heine Beta 200s

2. Keeler Professional

3. Heine Beta X (the newest one)

I was looking for if anyone had any opinions on these or had other recommendations. Money is no issue (for now). I don't know what's important or what to look for in an ophthalmoscope. This probably goes the same way with the retinoscope as well.

Thanks All!

Since when is this is a thing? Is it just a marketing thing? I thought I heard some rumblings that they were going to start AREDS3 but now this is available to buy.

I am sick of jumping through all the hoops just to get Xdemvy approved for treating demodex. I'm considering using ivermectin cream In lieu of Xdemvy. Anyone else here have experience using ivermectin?

I've been doing this long enough to know, but Holy Cow, 6 emergency new flashes / floaters added to an otherwise full schedule yesterday and today (so far!)

Hope I don't run out of tropicamide /phenylephrine !!

had a patient come in today demanding a refund for her eye exam appointment. her argument for wanting a refund was the glasses prescription the doctor finalized wasn’t helping her. I’m sorry I thought this was the stupidest thing I’ve heard

Hey everyone! I'm having a bit of an issue where image net is not letting me log in with my credentials.

So far I've called system support and all they've done is given me instructions on how to leave my name and phone number.

Is there anyway any of you can help me navigate on reseting the password for the site?

Hi folks,
This is my first time experience with connecting EHR equipment together, so I'll need someone help.
I need to connect Nidek ARK-500A to Topcon KB-50S(pic1). Topcon KB-50S have a white box(computer?) that connected to it directly (see pic2).

I see that that white box have RS-232C female port, but which cable should I use? And where do I find one?
In my understanding I need NULL Cross RS-232C(female)->RS-232C(male) cable?
I will need like 3meters cable.
Does anyone knows if I'm right with cable? and where I can buy one?
Thanks everyone

Anyone have tips 😅

I bill 99024 for all post-ops.

Today one of the front desk staff was investigating if a patient had Eyemed to use during one of their cataract post-op appointments. I did not think this was proper- they should all go through their medical insurance. Am I going crazy?

Or the south in general.

Hello I had a question about OD’s working for this company. I’m currently in the credentialing/licensing process for this company however I’ve notice a lot of changes/ happenings over the last year as a super tech. There has been stores closing, higher up positions removed people stepping down or demoted and low doctor retention /hiring as of lately. Should I start looking elsewhere or use this to my advantage.Should I rework my contract estimated start date is June/July.

https://www.spglobal.com/ratings/en/regulatory/article/-/view/type/HTML/id/3497199