Sulcus Placement of Glaucoma Drainage Device

Ahmed Samir, MD

Eyetube

In this case, 10-0 flanged prolene sutures were used to guide precise placement of an Ahmed valve in the sulcus.

Vision Correction Guidelines for Patients Approaching Presbyopia

Boost your multifocal contact lens fitting rates with effective patient engagement.

Osama Said, OD

Modern Optometry

As your patients in their 40s creep closer to a point where presbyopia starts to become noticeable, they are going to want to know their vision-correction options. Everyone is aware of multifocal spectacles and monovision contact lenses, but there’s a good chance not all of your patients know that multifocal contact lenses exist. Mastering the subtleties of patient engagement can help you educate your patients about presbyopia symptoms and introduce them to the benefits of this presbyopic vision correction modality. UNDERSTANDING PATIENT NEEDS Patient education encompasses more than simply sharing information on disease states, conditions such as presbyopia, or the latest contact lens features. It’s about building a rapport with your patients by fostering a supportive and understanding environment and allowing them to drive the conversation and decision-making. Ask patients open-ended questions about the symptoms they are experiencing and what they feel has changed about their vision needs. Many patients become aware of the need for reading correction when their working distance vision changes or they notice difficulty seeing print in dim lighting conditions. Because the effects of presbyopia are gradual, patient comfort plays a key role in determining when to intervene. Factors such as daily activities and the onset of symptoms should also guide the decision-making process. For patients who had perfect distance vision before the onset of their presbyopia symptoms, admitting that they need reading glasses can be difficult.

The Four S’s of Clinic Flow Optimization

Improve patient care by addressing space, staffing, systems, and scheduling.

Jane T. Shuman, MSM, COT, COE, OCS

Modern Optometry

Have you ever remarked, “Today was a good day. Let’s do it again,” but found it impossible to replicate? It may be that all the puzzle pieces just happened to align perfectly on that day. For optimal clinic flow, four puzzle pieces must interlock seamlessly. I refer to these elements as the four S’s: space, staffing, systems, and scheduling. A close examination of each reveals the impact they have on one another. Efficiency is defined as the capacity to achieve a goal with minimal wasted time and effort. The concept is applicable to at least two of the four puzzle pieces. 1. Space Clinic flow is largely influenced by the office’s layout.