Tips4EyeDocs Daily for 12/17/2011 No. 4 Poor Weather Driving + More

FROM THE EDITOR

What kind of the eye sight is needed to drive in inclement weather.

This morning while I was driving to work, I faced a deep bank of fog. I thought about how sharp my vision needed to be in order drive in this condition. I quickly realized that th key to driving in this fog was to discern both headlights and shapes.

I think doctors who practice in aress work poor weather is expected should talk about driving in these conditions with their patients.  Sometimes special tints can assist drivers by enhancing contrast or sharpness in poor lighting and weather.  Do you talk to your patients specifically about driving in poor weather or at night?

PRACTICE MANAGEMENT (Curated)

RT @DrRobMelendez: New York State report showing downward trend of demand for graduating ophthalmology residents when compared with… http://fb.me/Tp4KtOLi

Pew Internet via @SusannahFox trough @mobilehealth: A whopping 64% of 18-29 yr-old cell phone owners access internet on their phone: http://pewrsr.ch/vbt7eJ

Via @VisionMonday: How Are ECPs Using New Google+ Pages? http://t.co/PHsnyZla #googleplus #socialmedia #optical

The first two are for Tips4EyeDocs via @jameshutto: “Three Small Biz Books Worth Reading”  http://bitly.com/ux1PdB

BBLIOGRAPHY

Prasher P. “Acute Corneal Melt Associated With Topical Bromfenac Use.” Eye Contact Lens.  2011 Dec 13; [Epub ahead of print] 

Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, India.

PURPOSE:: To report a case of acute corneal melt associated with use of bromfenac ophthalmic solution.

METHODS:: Case report.

RESULTS:: A 61-year-old man developed acute corneal melt 5 days after having combined cataract and pterygium surgery in his left eye. Postoperatively, he had been using bromfenac eyedrops four times daily along with the combination of ofloxacin and dexamethasone six times and timolol eyedrops twice daily. Ocular examination revealed the presence of asymptomatic dry eyes. He was managed conservatively with topical antibiotics, lubricants, and bandage contact lens application. The corneal melt healed completely with best-corrected visual acuity of 20/30 at 4 weeks postoperatively.

CONCLUSIONS:: The current case suggests that corneal melt can occur as a complication of inadvertent excessive use of topical bromfenac in the presence of preexisting ocular surface disorders. However, good visual outcome can be achieved by prompt conservative treatment if accurate diagnosis is made at an early stage.

PMID: 22169877 [PubMed – as supplied by publisher]

About Richard Hom OD, MPA

Dr. Hom holds Doctor of Optometry and Masters in Public Administration degrees and practices family eye care and consults on public policy, health information technology and program evaluation.
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