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...
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...
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...
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...
346: New technology?
Several of the community eye care practices I compete with are investing in new technology; anterior and posterior...
345: Showing photographs
I have just opened my first community eye care practice. Things are going well but I want to make sure that the people...
344: High adds
I see a lot of older patients and many of them have cataracts and/or age-related macular degeneration causing them...
343: Dementia
I was having a discussion with another eye care specialist and she told me that there is a link between dementia and...
342: Trustworthy
I have just opened my first community eye care practice and I am the main eye care specialist working. I want to...
341: Sunlight
I work in community practice as an eye specialist and have noticed that my mood is low and I feel anxious about things...
340: Being nice
I work in community practice and want to make my patients feel comfortable with me during their eye examinations. I...
339: Typical symptoms
I work in community practice. I remember reading that around 70% of eye conditions can be diagnosed from the history...
338: Door handle symptoms
I work as an eye specialist in community practice. I’ve noticed that some of my patients tell me important eye...
337: Difficult boss
I’ve been working as an eye specialist in community practice for six months. My immediate boss is making my life very...
336: Multi anti-reflection coating and reading glasses
I work in community practice. The manager has encouraged me to recommend an anti-reflection coating to all patients...
335: Dealing with cataracts and age-related macular degeneration
I have recently seen several patients with reduced vision due to cataracts and/or age-related macular degeneration and...
334: Examination to dispensing handoff
I have noticed that only 50% of the patients in my practice that have a significant change in their prescription are...
333: Be different from your competitors
I have just opened my first community eye care practice. I want to be the best practice in the area. Do you have any...
332: Key performance indicators
I own a community eye care practice. I have worked hard on developing an excellent chairside manner and my staff are...
331: Low price eye examination
I have just opened my first community eye care practice. I’m thinking of attracting new customers by having a very low...
330: Improving my job interview technique
I had a job interview last week and was unsuccessful. I know the person that did get the job and they have much less...
329: Preparing for a job interview
I have a job interview next week. Do you have any tips on how I can prepare? With the start of a new year, some people...
328: Prevent negative word of mouth
I own a community eye care practice and am worried that some of my staff are not providing the best customer service....
327: Better than online
Some of my patients take their prescriptions from my practice and buy their glasses online. What can I do to stop...
326: Cost of glasses
I own my own community eye care practice. Patients often tell me that my glasses are too expensive and that they will...
325: Minimising patient anxiety during an eye examination
During the subjective refraction part of the eye examination, my patients sometimes interrupt me to say that they...
324: Benefits of aspheric lenses
What are the benefits of aspheric lenses? Aspheric lenses do have many advantages: Improved optics Better visual...
323: When to recommend mid- and high-index lenses
I work in community practice as an eye care specialist and I recommend spectacles to my patients. I’m never sure when...
321: Photochromic lenses and driving
Is it possible to get photochromic lenses that go darker in a car? Yes. Earlier generations of photochromic lenses...
322: Varifocal offering
I’ve just opened my first community eye care practice. I want to make sure I offer a variety of varifocal lenses. Do...
320: Photochromic lenses and cataract
Do photochromic lenses prevent cataract? When exposed to UV and/or sunlight photochromic lenses go darker than when in...
319: Clinical versus selling
I own a community eye care practice and employ two optometrists. I’ve noticed that one of them discusses lens options...
318: Cararacts and refractive error
I’ve noticed that my patients who develop cortical (spoke) cataracts seem to have astigmatic changes in their...
317: Domicillary eye care
I’ve opened a community eye care practice. We have a steady stream of new patients but there are gaps in our...
316: Panoptic ophthalmoscope
I’ve been using a direct ophthalmoscope in community eye care practice for 20 years and was wondering if there are any...
315: No significant change in rx
I own a community eye care practice. I have noticed that some of the eye care specialists that work for me only...
314: Don’t be a first mover
I work in a community eye care practice. My business partner says we should buy new technology as soon as it becomes...
313: No need to bad mouth the opposition
I work in my own community eye care practice. I’m reluctant to criticise the local competition but my business partner...
312: Patient instructions for direct ophthalmoscopy
Several of my patients are anxious about having their eye health checked with direct ophthalmoscopy. Do you have any...
311: Is the duochrome test useful?
One of my patients complained to me that as I didn’t use the duochrome test during subjective refraction that I was...
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