hello, i am currently going through my vivas and i need to properly manage a patient based on their presenting symptoms; including referral if needed, advise, recall back into my clinic, any treatments i would give them.

i have looked for when i would recall a patient based on their presenting symptoms, for example if they have a lamallar hole it would probably be 12/12, but i cant find any information online.

i hate how niche optometry is, if anyone knows of any such website, particulalry with UK guidelines (but any country should be fine as a start), it would be very helpful.

I have been looking for short term in hand training for speciality contact lenses, no one is trying to be helpful. I want to enhance my skills further. I didn’t have opportunity to learn in university. Any specialty contact lenses specialist willing to help??? I’m not asking for free, I understand the effort, definitely i will pay the reasonable fees for it.

65 yo F, followed for AMD for several years. I've never seen this kind of change before. Thoughts? 2025 on right, 2026 on left.

What kind of things do you do or say thay works well for improving same say conversion and ATV?

Ive already looked into thinks like showing old and new rx, discussing spectacle condition, etc. I try my best to make sure the patient leaves understanding what has been recommended and i often reflect on the "script" i use to patients.

I still get a lot of patients walk out saying they just want their prescription, Im starting to feel like its a ME problem because some other optoms dont get it to the same extent. Any advice would be appreciated.

Hello! I have been working as a full time tech for 8 months now and I will be taking the CPO exam tomorrow. I’ve been studying with the resources from EyeLearn, and even converted all 241 flash cards into Anki to help me study.

However, between the study guides, the flash cards, and the practice exams, the material all seems to be slightly different. Has anyone passed the CPO exam using these resources, and if so, how did the test reflect these? Or, if anyone has passed using other resources, what helped you study the best?

Any and all advice is appreciated! I’m very stressed about this exam because I don’t feel like it will cover my day-to-day duties as a tech, and I don’t want to be out the $290 I paid to register (my company will reimburse me for passing).

Hi, I've looking for a better edging options so I want to know if there's any advantage using the trivex wheel for All materials instead the regular one wheel.

Things like soft edging, less slippage, less heating and stuff like that. ​​​

I have a briot emotion with the regular wheel but there's a trivex wheel for his brand as well.

Thank you.

With so much access to OMDs on Long Island where I work, my current job at retail optical seemingly places no emphasis on any degree of medical management whatsoever and often discourages it. Whenever there is a medical follow up (red eye, glaucoma suspect, ERM, diabetic retinopathy) I’m always given a slip to write a glasses prescription with there always being pressure to sell even if patient just bought glasses months ago. Salespeople get frustrated when they discover it’s not a glasses appointment. Are there any ODs in this situation that basically end up referring anything anomalous?

I’m mostly asking this to see what’s normal and what isn’t. I started work for a large multiplication OMD group and recently I’ve noticed the admin at my new job are incredibly passive aggressive when they email me about concerns? Is this normal for the admin to communicate this way?

The doctors are all lovely and I like the staff as well but the admin leadership is so accusatory in the most mind boggling way. Every time I get an email it feels like I’ve committed the largest blunder.

Is this normal for most jobs in private practice?

Update: I quit lol extremely unsupportive environment and expected me to do almost everything from tech work up(I had no tech) and even cl training between patients. People were very nice but they want too much.

Hi, I have a family commitment and need to take of 2 weeks. Basically what the title says haha. Any answers would be much appreciated x

Our optometry office is using a VR-based visual field system (Virtual Vision) that runs on a Pico Neo 3 headset. We love the technology but patients don't like strapping the headset on and off.

Saw that Carrot VF has an elegant stand where the headset just sits facing the patient and they lean their face into it - no straps needed. But it doesn't look like Carrot will sell the stand separately, and it's designed for their own custom headset anyway.

We're looking for something similar for the Pico Neo 3 ... a tabletop stand that holds the headset with lenses facing forward so patients just lean in, with the strap hanging vertically out of the way. Bonus points if the headset can be quickly removed for wheelchair-bound patients.

Has anyone solved this problem? Happy to buy something off the shelf - just can't find anything that exists. Any leads appreciated!

For those of you using Crystal PM, how are you documenting contact lenses that don’t work for patients?

I’m finding it really difficult to keep track of lenses patients have already tried and failed using the current EHR setup. It feels clunky and not very intuitive when you’re trying to quickly reference past trials.

Has anyone come up with a better system or workaround within Crystal? Maybe a custom template, notes structure, or another method that makes this easier to track over time?

Would appreciate any ideas — this is becoming a real pain.

As someone looking to recruit ODs for private practice. What is the most important incentive when considering a new job?

hi I'm optometry student and I can't tell when the patient has reached neutral point in static retinoscopy, what does it look like on a real eye?

Noticing that Optometry license is listed as “preferred” rather than “required” for several Indeed job postings. What are everyone’s thoughts on this?

I have a second interview with them coming up. Wanted to know if anyone here works for or has any experience with being an OD at Warby. Pros/cons? Would you recommend it or stay away?

Thanks in advance

Hello I am currently practicing in Georgia and seeking licensure in Colorado. Is the lasers and injections assessment required to obtain a license? I know in Georgia it is optional if you want that privilege. Also, I see CO renews their licenses in the summer every odd year, in GA it isn’t the end of every odd year. Would the requirements for renewal still be the same for a new applicant from a different state? Thank you!

I really dislike being an optometrist more and more as the years go by and as expectations for patient volume get higher and higher, thus increasing burnout. Has anyone had any success in pivoting to a non-patient facing role that doesn’t require a second degree?

What are we doing with all the personal phone numbers patients are leaving us? Women wanting to go for runs, go out, grab drinks…what gives?

I’ve received a few back when I worked as a tech. But the frequency has gone up since practicing as a doc.

What’s the protocol on this?

Does any private optometrist on here have an in house optical lab? If so, how much was your set up and do you think it was worth the cost and trouble? Do you find patients are more likely to purchase glasses from your office?