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A Cultural Divide  3/15/2018

When managing possible microbial keratitis, the first critical step in determining treatment is deciding whether you should culture the ulcer or not.
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Breaching the Border  2/15/2018

A 47-year-old male presented with a red, irritated left eye one month after being fit in scleral lenses to address visual disturbances from post-LASIK ectasia. He was diagnosed with herpes simplex virus (HSV) limbitis/stromal keratitis and started on fluorometholone (FML, Allergan) and valacyclovir (Valtrex, GlaxoSmithKline), both BID.
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Double Trouble in Keratoconus  2/15/2018

Typically, patients with significant lenticular astigmatism are not the best candidates for non-toric rigid gas permeable lenses (RGPs). However, RGPs are often ideal for patients with keratoconus—leaving the clinician with some tough decisions when it comes to fitting contact lenses for patients with both conditions.
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MK: A Stealthy Opponent  2/15/2018

Differentiating microbial keratitis isn’t always cut-and-dry. These tips can help.
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What’s New with Uveitis  2/15/2018

Not much has changed in the management of anterior uveitis over the last several decades. However, researchers have been studying the pathophysiology of the condition to better understand what could alter the disease course.
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Managing Microbial Keratitis  11/15/2017

Early identification and treatment is crucial when dealing with these infections.

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Treating Herpes Simplex Virus  11/15/2017

Round out your HSV know-how by mastering its treatment.
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News  9/15/2017

In a recent study, researchers at the University of Illinois at Chicago identified the chief molecule responsible for herpes simplex virus-1 (HSV-1) infection-related corneal inflammation. According to the findings, heparanase, a corneal enzyme that degrades heparan sulfate, becomes significantly upregulated during an HSV-1 infection. As a result, the enzyme triggers inflammation, lasting even ...
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Watch Out for HSV Endotheliitis  9/15/2017

Herpes simplex virus (HSV) can affect the anterior cornea in a wide variety of patterns. Dendritic disease sets up the cornea for the many manifestations of inflammatory herpes stromal keratitis (HSK). However, once dendritic disease has occurred, the posterior cornea may just as easily become involved. The posterior cornea is a big target and its involvement presents so differently from its ...
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Don’t Let HSK Heterogeneity Fool You  5/15/2017

Although it’s estimated that roughly 20% of patients with herpes simplex virus (HSV) keratitis will develop herpes stromal keratitis (HSK), I’d estimate 50% of HSV patients referred to our cornea clinic from ODs have HSK. This suggests we are more comfortable identifying and treating dendritic keratitis than we are with HSK. And it’s not surprising, given ...
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Highlights from ARVO 2017: Abstract Review  5/15/2017

It’s a fast-paced world, for sure. Health care is advancing daily, and we—and our patients—continue to enjoy the fruits of researchers’ labors. Recently, investigators presented a full year’s worth of findings at the Association for Research in Vision and Ophthalmology’s (ARVO) meeting, held in Baltimore. Don’t you ...

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Too Much of a Good Thing  5/15/2017

A 74-year-old female with a >20-year history of Sj√∂gren’s syndrome, epithelial basement membrane dystrophy and repeated episodes of recurrent erosions of the left cornea presented with a three-month history of decreased vision, foreign body sensation with discomfort, irritation and photophobia OS.

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Dendrites: Misdiagnosis Not Permitted  3/15/2017

Their presence could play an important role in diagnosing and treating herpetic disease.
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Myopia on the Move  2/15/2017

Steady growth in the prevalence of this deceptively simple condition will expose half the world’s population to visual impairment. Here’s what to expect and what we should do.
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News  2/15/2017

Corneal Collagen Crosslinking | Meibomian Gland dysfunction | Descemet’s Membrane Endothelial Keratoplasty
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Solving Scleral Contact Lens Induced Pingueculitis  11/15/2016

The simplest option is often the best solution.
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Beat the Blepharitis Blues  10/15/2016

To understand and treat this common lid condition, make sure you’re clear on its many different presentations.
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Don’t Forget to Check the Lids  10/15/2016

While always important to lens wear, the eyelids also play a vital role in GP lens success.
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Lids, Friction and Contact Lens Wear  10/15/2016

Does a relatively new phenomenon help explain contact lens discomfort?


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The Chicken-and-Egg Problem of MGD and Contact Lens Wear  10/15/2016

Which came first, the dysfunction or the discomfort? Researchers aren’t sure, but clinicians need to manage them simultaneously.


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Treating the Ocular Surface: Resistance is Futile  9/15/2016

The human microbiome supports our existence, but it also serves as the source of infection. Resistance is on the rise, and clinicians have to prescribe carefully. 
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Medically Necessary Contact Lenses: Medical Plan or Vision Plan Responsibility?  6/15/2016

Do you know how to work with insurance companies to achieve the biggest bang for your buck?
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Study on SPK Lesion Size May Lead to Better Equipment  6/15/2016

Research on lesion size in superficial punctate keratitis could mean better technology.

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Considering Keratitis: Critical Questions in Disease Management  10/10/2015

Your approach to these four clinical challenges will influence the course of therapy and its outcome.
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