Stand Alone Streamline and iStent Infinite

I. Paul Singh, MD

Eyetube

I. Paul Singh, MD, presents a case of standalone Streamline Surgical System (New World Medical) and iStent infinite (Glaukos). The patient has a history of selective laser trabeculoplasty, cataract surgery, and was taking three topical medications with compliance issues. Dr. Singh shares why he considers this an ideal MIGS standalone case, combinig viscodilation and stenting to maximize the potential to reduce the drop burden with as little trabecular meshwork disruption as possible. Financial Disclosure: Consultant (Glaukos, New World Medical)

A Place for House Calls in Optometry

Consider delivering eye care where it’s needed most.

Damaris Raymondi, OD, FAAO

Modern Optometry

As optometrists, we stand at the forefront of eye care, uniquely positioned to significantly affect our patients’ lives. I had one experience that I will never forget, and it all began when a gentleman came in for his annual eye exam. After going through my pre-testing room, he asked me if the office was wheelchair-accessible, to which I replied in the affirmative. He explained that his father is in a wheelchair and that they were just at an eye clinic where they were told he couldn’t be seen. He asked if I would see his father and I of course said yes. I could not imagine a situation where a patient would be told they could not be examined, simply due to their mobility issues. Fast-forward to the day of his father’s appointment. THE CASE A 70-year-old male patient with progressive supranuclear palsy (PSP) presented for a comprehensive eye exam with no complaints. He arrived in a wheelchair, although I was informed that most of the time he was bedbound. He was nonverbal, wearing medical safety mittens, and was fully dependent on caretakers.

Shielding Your Wealth From Potential Liability

The basics of a solid asset protection plan.

David B. Mandell, JD, MBA

Modern Optometry

Many optometrists are right to be concerned about potential liability. Life and work as a physician, practice owner, and parent bring with it many types of liability risks, including malpractice, employee claims, HIPAA violations, contract disputes, slip-and-falls, and car accidents. To shield wealth from these potential claims, eye care practitioners have the option to implement asset protection planning. A Sliding Scale As an initial step, an asset protection professional will approach a client with unprotected assets much in the way that a physician approaches a patient. Like physicians, asset protection professionals will first try to get a client to avoid bad habits. For a medical patient, bad habits might mean smoking, drinking too much, or a poor diet. From an asset protection standpoint, bad habits might include owning property in a physician’s own name, owning it jointly with a spouse, or operating any medical practice with business assets exposed. Beyond bad habits, asset protection specialists will try to structure assets so they have the best protection that is reasonably possible under the circumstances, which can include how much the client wants to spend, the value of the asset, and the client’s marital status, state of residence, and interest in estate planning. Each asset protection tool has certain efficacy and costs/benefits. The most common misconception that physicians have regarding asset protection is thinking that an asset is either “protected” or “not protected.” In reality, each asset is shielded from liability to a certain degree.