350: Early keratoconus

I work in an area where there is a lot of keratoconus. I don’t have any sophisticated technology. Do you have any tips on how I can detect keratoconus as early as possible? You don’t need any sophisticated technology to detect early keratoconus. Here are my favourite...

349: Fly-over blood vessel

I work with a lot of older people and am worried that I might miss the presence of glaucoma because my older patients are unable to undergo a visual field test. Do you have any tips? I won’t go into increased and/or high cup-to-disc ratios, optic disc margin...

348: Don’t change it

I’ve noticed that when I change the prescription of a person (because I have found a change during refraction) who is happy with their vision and has no symptoms they often complain of problems with the new prescription. Do you have any advice? I was reading a...

347: Customer service versus new technology

I’m planning to open my own community eye care practice. Should I invest in a lot of technology? Technology can be useful in building a practice but make sure you have the basics in place first. If people don’t come to your practice or don’t come back after their...

346: New technology?

Several of the community eye care practices I compete with are investing in new technology; anterior and posterior OCT, fundus cameras, corneal topographers, and patient databases and clinical record-keeping systems. My practice is two years old and is prosperous....