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Navigating the Retinal Periphery FOCUS ON REFRACTION: A Life-Changing Use of Prism in a Parkinson’s Patient, P. 28 ® Annual DiagnosticOVER 90 PHOTOS! Skills Take& Techniques a guided tour of theIssue retinal periphery Retina • Diplopia • Eyelids OCT Page• Visual 58 Fields FEBRUARY 15, 2021 • www.reviewofoptometry.com Leadership in clinical care Navigating the Retinal Periphery BAUSCH + LOMB ULTRA ® MULTIFOCAL FORHere’s ASTIGMATISM a step-by-step look at many common conditions and features of this region, as described by an expert in the fi eld. Page 58 WHY MAKE 32 MILLIONINCLUDES OVER 90 CLINICAL* IMAGES PATIENTS WAIT? The time for same-day multifocal toric fitting is now. Unlike other brands, Bausch + Lomb ULTRA® Multifocal for Astigmatism is available in office to save time and reduce follow-ups. Prescribe the only multifocal toric lens with same-day convenience. *Estimated number of astigmatic presbyopes in the US. ALSO INSIDE: • Breaking Down Visual Fields in Glaucoma, P. 34 • An Action Plan for Assessing Double Vision, P. 42 • Take Macular OCT to a Whole New Layer, P. 52 • The Role of Eyelids in Health and Disease, P. 70 — EARN 2 CE CREDITS ®/™ are trademarks of Bausch & Lomb Incorporated or its affiliates. ©2020 Bausch & Lomb Incorporated or its affiliates. UMT.0128.USA.20 FOCUS ON REFRACTION: A Life-Changing Use of Prism in a Parkinson’s Patient, P. 28 ® Annual DiagnosticOVER 90 PHOTOS! Skills Take& Techniques a guided tour of theIssue retinal periphery Retina • Diplopia • Eyelids OCT Page• Visual 58 Fields FEBRUARY 15, 2021 • www.reviewofoptometry.com Leadership in clinical care Navigating the Retinal Periphery Here’s a step-by-step look at many common conditions and features of this region, as described by an expert in the fi eld. Page 58 INCLUDES OVER 90 CLINICAL IMAGES ALSO INSIDE: • Breaking Down Visual Fields in Glaucoma, P. 34 • An Action Plan for Assessing Double Vision, P. 42 • Take Macular OCT to a Whole New Layer, P. 52 • The Role of Eyelids in Health and Disease, P. 70 — EARN 2 CE CREDITS MOST. The contact lens with the most moisture among leading brands. MORE. The toric daily disposable with more parameters than any other. ONLY. Now, the fi rst and only daily disposable with -2.75 Cylinder available as a standard offering. -2.75 CYLINDER DAILY DISPOSABLE IS NOW AVAILABLE Fit the fi rst and only daily disposable with a -2.75 Cylinder offering—Biotrue® ONEday for Astigmatism. Most moisture and toric parameters among leading daily disposables Helps reduce halos and glare, even in low light1 Fast to fi t with excellent centration at dispensing and follow-up2 Now available as a standard offering for same-day fi tting. REFERENCES: 1. Results of an online survey with patients who completed an evaluation program for Biotrue® ONEday for Astigmatism contact lenses and wore their trial lenses for ≥4 days (n=1001). 2. Results from a 7-investigator, multi-site study of Biotrue® ONEday for Astigmatism contact lenses on 123 current non-daily disposable toric soft contact lens wearers. Lenses were worn on a daily wear basis for 1 week. ®/™ are trademarks of Bausch & Lomb Incorporated or its affi liates. ©2020 Bausch & Lomb Incorporated or its affi liates. BFA.0051.USA.20 Get the latest at news review www.reviewofoptometry.com/news Clinical, legislative and practice development updates for ODs. Stories post every weekday Vitamin B and DED, p. 6 >> Exercise causes Ocular Changes, p. 6 >> Retina responds to psych meds, p. 8 >> Migraine and RAO Risk, p. 8 >> VEE changes DAtes and Venue, p. 11 >> SMILE Good for High Myopes, p. 11 Glaucoma Unduly Burdens Blacks, Asians Study projects that the disease will primarily affect these ethnic groups by 2040. recent epidemiological Photo: glaucoma will be of Asian or African literature review of glaucoma Justin ethnicities, according to the review. Aand those it affects suggests Cole, Europeans, North Americans and more interventions are needed to OD, Oceanians will contribute to only lighten the burden posed by this and a small number of the increase in irreversible disease. Glaucoma is the Jarett POAG and PACG cases. Africa will second leading cause of blindness in Mazzarella, see a projected 130.8% increase in the world and is estimated to affect cases from 2013 to 2040. Asia will see approximately 76 million people today a 79.8% POAG increase and a 58.4% OD and as many as 111.8 million in the PACG increase in that same timespan. next 20 years. Stateside, one study estimated that The study found that 57.5 million Georgia’s population, which is heavily people are affected by primary open- Black, will have about 254,047 cases angle glaucoma (POAG) worldwide. Researchers recommend various of glaucoma among those aged 40 and interventions, such as telemedicine, In Europe, POAG affects 7.8 million older by 2050. regular glaucoma screening, genetic people. The team’s findings shed light testing, a stronger educational push and The economic burden of glaucoma on a potential genetic component of more medication/surgery studies to reduce in the United States is $2.9 billion. POAG. the risk. Studies reported that glaucoma pa- East Asians under the age of 40 are tients incur, on average, an additional more likely to be affected by primary disease generally increases with age, $2,903 in annual total healthcare costs angle-closure glaucoma (PACG) than and POAG is strongly correlated with and higher outpatient costs by $2,599 European and Afro-Caribbean people. it; the investigators reported higher compared with those without the Those of the Igbo tribe of Nigeria—a prevalences of glaucoma in older His- condition. Treating and preventing very homogenous ethnic group—have panic and Latinx (18%), Black (15%), glaucoma costs approximately $5.8 bil- the highest prevalence of glaucoma in white (7%) and Asian (5%) individu- lion per year in the United States, and the world. als. They also found that males are this number is expected to rise to $12 “The severity of glaucoma begins at 36% more likely to develop glaucoma billion by 2032 and $17.3 billion by an earlier age and at a more aggressive than females. Males are at higher risk 2050. Prescription drugs are the main course in Black people than in white for POAG, while females are at higher reason for the high cost. people and Asians,” the researchers risk for PACG. “Detection at earlier stages is vital noted in their study. However, this Reporting rates of glaucoma in to prevent the progression of glau- may not be due entirely to genetic African countries tend to be lower coma,” the study authors concluded factors but partially “a result of a lack since “surveys in African countries in their paper. They suggest a number of early diagnosis and poor access to may have a limited diagnostic capac- of interventions, including telemedi- treatment,” they added. They noted ity.” Overall, West Africa tends to have cine efforts (especially for rural areas), that one study indicated that glaucoma a higher prevalence than South Africa, regular glaucoma screening, genetic service is affected by socioeconomic which has a higher prevalence than testing, a stronger educational push, differences and inequalities. East Africa. Glaucoma prevalence in more medication/surgery studies and Glaucoma’s prevalence in those over Nigeria is higher than that of Brazil, more diverse health care providers. 40 is highest among Black people, at Iran, Qatar and the indigenous popula- Allison K, Patel K, Alabi O. Epidemiology of glaucoma: 5.7% compared with 2.2% in white tions in Australia. the past, present and predictions for the future. Cureus. individuals. The prevalence of the By 2040, most of those with November 24, 2020. [Epub ahead of print]. 4 REVIEW OF OPTOMETRY | FEBRUARY 15, 2021 COMPREHENSIVE SERVICE SOLUTIONS Repairs & Maintenance Protection Plans Umbrella Policies Equipment repairs, lane tune-ups, Extended coverage for an Comprehensive coverage for cleaning, re-upholstery, and more individual instrument your entire practice GET PEACE OF MIND with full protection, prompt service, and ongoing support CONVENIENT Just one phone number to call for all of your repair and maintenance needs EXPERIENCED Manufacturer-trained technicians who are highly experienced in diagnostic and lane equipment repairs AFFORDABLE Major savings over individual service repairs from manufacturers SERVICES WE COVER MORE SO YOU WORRY LESS Canon • Haag-Streit • Reliance • Heidelberg • Keeler • Lombart • Marco Reichert • S4Optik • Topcon • Zeiss • And more! Contact your local representative or call us directly for fast, reliable support. 855-777-2020 One Alliance • Six Industry Leaders • Hundreds of Years Experience NEWS REVIEW | Get the latest at www.reviewofoptometry.com/news Vitamin B Combo Provides DED Relief hile omega-3s are com- Photo: nificant differences in foreign body monly used to treat dry Paul sensation between one and two Weye, a new study suggests Karpecki, months of treatment. Additionally, oral vitamins B1 and mecobalamin, Group 4 patients noted significant OD, a form of B12, can also relieve symp- and improvements in pain, blurred toms, including dryness, pain and Jeff vision and total symptom scores at photophobia. Krall, one month after treatment. Investigators from China enrolled OD The researchers also observed 152 eyes of 76 patients who were an improvement in corneal nerve fiber average of 55 years old and divided density between baseline and one them into four groups based on and two months after treatment in treatment regimen: both of the groups taking vitamin • Group 1: artificial tears Dry eye symptoms improved significantly at two B1. • Group 2: corticosteroid eye months following treatment with supplements and “These observations suggest that drops and artificial tears artificial tears. oral vitamin B1 and mecobalamin • Group 3: oral vitamin B1, me- can help nourish and repair the cobalamin and artificial tears body sensation, burning, average corneal nerve layer to some extent, • Group 4: same regimen as TBUT and patient satisfaction thereby alleviating burning and photo- Group 3 with the addition of scores between months one and two phobia,” the study authors concluded corticosteroid eye drops following treatment.
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