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  1. Thread: Vsp…..

    by OHPNTZ
    Replies
    23
    Views
    42,759

    I am referring to the conundrum of "medical" and...

    I am referring to the conundrum of "medical" and billing with VSP's manual. I know vision therapy is not covered, but simply implementing a home therapy through HTs home program, parents balk all...
  2. Thread: Vsp…..

    by OHPNTZ
    Replies
    23
    Views
    42,759

    I deal with this day in and day out. It gets old...

    I deal with this day in and day out. It gets old real fast. The worst part is dealing with the kids with amblyopia. I really care about the kids. It's dealing with the idiotic parents who...
  3. Replies
    5
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    3,499

    1. Agree with the concern about "just had" a...

    1. Agree with the concern about "just had" a baby. She needs at minimum 3 months post delivery to stabilize.
    2. Throw out the CL rx. You are assuming too much about it. Don't forget vertex...
  4. Thread: Vsp…..

    by OHPNTZ
    Replies
    23
    Views
    42,759

    The pride of providing the less privileged wears...

    The pride of providing the less privileged wears off rather quickly as the strains on covering chair cost are difficult to maintain with such low reimbursements. Factor in the challenge that most...
  5. Replies
    17
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    5,187

    Playing devil's advocate: Are you 100% sure the...

    Playing devil's advocate: Are you 100% sure the eye pain/headache is optically related? There is an outside chance that it may not be...

    That being said, I personally would respect the opinion...
  6. Replies
    86
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    31,140

    Ahhh...the "race to save VSP" replies!!! The...

    Ahhh...the "race to save VSP" replies!!! The best. They can do no wrong!!!

    With an approximate 90% post rate only to posts about VSP, and no other contributions!!!
  7. Thread: OptoMap

    by OHPNTZ
    Replies
    19
    Views
    15,326

    It wasn't a dig at you. Just want to enlighten...

    It wasn't a dig at you. Just want to enlighten those who are around the device. It should never replace dilated exam. That's all...
  8. Thread: OptoMap

    by OHPNTZ
    Replies
    19
    Views
    15,326

    The above statement is a little scary. So few...

    The above statement is a little scary. So few dilations a week...isn't good. The Optomap has major limitations. Just 3 months ago, my wife (also an O.D.) and I were in a colleague's office who had...
  9. Replies
    10
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    5,522

    80 k for what? Something that takes peripheral...

    80 k for what? Something that takes peripheral pictures of the temporal retina? Not an attack on you, but you could get an OCT for that much...
  10. I would say tread lightly. Looking back, I am...

    I would say tread lightly. Looking back, I am not so sure I would do it again. I have been out 8 years, and it isn't exactly what I originally pictured.

    what is your motivation in becoming an...
  11. Replies
    8
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    12,426

    Lots of unanswered questions...depends on...

    Lots of unanswered questions...depends on acuities, is this an accommodative problem (excess, infacility,etc?)? What do you find on retinoscopy?
  12. Replies
    10
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    3,595

    I wouldnt neglect any distance correction. ...

    I wouldnt neglect any distance correction. Advise him about the benefits of having his vision as sharp as possible when watching a dry fly float down stream.. Also talk to him about various lens...
  13. Replies
    3
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    9,406

    Are you referring to peripapillary atrophy? ...

    Are you referring to peripapillary atrophy? Specifically alpha and beta zones?


    To the OP, it depends on the context or diagnosis. Changes in rpe can occur for many different readons...
  14. Replies
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    10,780

    I think the dK of Proclear is about 26 give or...

    I think the dK of Proclear is about 26 give or take... I usually try to have patients in the 10-12 hour range with lower Dk lenses.


    Lenses can feel good because your corneal sensitivity can...
  15. Replies
    40
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    10,780

    Better option would be a scleral lens.

    Better option would be a scleral lens.
  16. Replies
    40
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    10,780

    16 hours a day in Proclear will definately create...

    16 hours a day in Proclear will definately create a hypoxic cornea...wouldn't be surprised to see some Neovascularization if not now, but in the near future.
  17. Replies
    6
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    4,686

    Fit spheres only. I agree with non-compliance...

    Fit spheres only. I agree with non-compliance and also hygeine issues...sounds like alot of headaches and keratitis/ulcers to me. The state assistance pts who pay for CL in NY are the absolute...
  18. Replies
    40
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    10,780

    Assumed you were based on your "list" of av2...

    Assumed you were based on your "list" of av2 wearers...

    No biggie... So may I ask what your top 3 go to contact lenses are for dry eye patients? What solution or rewetting drops work for you?
  19. Replies
    40
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    10,780

    Again, what are your K readings? The...

    Again, what are your K readings?

    The slightly flatter BC and larger diameter of the toric Biofinity is what you may be noticing... Since you like the Biofinity, you may want to try the Avaira...
  20. Replies
    40
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    10,780

    Have you personally tried a monocular trial? Try...

    Have you personally tried a monocular trial? Try it on your staff, or even have Optiboarders here try it...

    Why fit the AV2 anyways? At this day and age there are many more contacts out that can...
  21. Replies
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    10,780

    I say no way on Acuvue 2 being more comfortable ,...

    I say no way on Acuvue 2 being more comfortable , especially for dry eye. Do a monocular trial on 20 patients, if the majority take Acuvue 2, you can call me crazy...

    Try it on yourself. I think...
  22. Replies
    40
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    10,780

    There is alot of info that you have neglected to...

    There is alot of info that you have neglected to provide or analyze:

    What is your rx?
    What are your K readings?
    Is your astigmatism corneal or lenticular?
    What is your corneal diameter?
    What...
  23. Hey, you forgot cover test, phoria, accomodative...

    Hey, you forgot cover test, phoria, accomodative amplitude, etc...

    Just had a great example 6 weeks ago. 15 yr old comes in for exam. Last year other OD determined rx at about +1.75. During...
  24. Thread: Dry eye Drops

    by OHPNTZ
    Replies
    10
    Views
    6,033

    [QUOTE=oxmoon;439892]Sounds like a cool idea. ...

    [QUOTE=oxmoon;439892]Sounds like a cool idea. Are there any dry eye drops that are just sterile saline rather than having preservative and other sorts of unknown chemicals in them?[/QUOTE

    Many...
  25. Thread: Dry eye Drops

    by OHPNTZ
    Replies
    10
    Views
    6,033

    If you have an OD on board, it may be easier. ...

    If you have an OD on board, it may be easier. First try online signup for drop shipment once a month. The other is track down the Alcon rep who is in your territory, once you are acquainted, they go...
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