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Dedicated ocular surface appointments

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8 years 2 months ago #10 by Andrew D Price
First let me get my declaration out of the way! I help practices set-up their 'Dry Eye Clinics'. There having said that I will pose these questions and leave it up to others to discuss.

Are we, as a profession, still trying to push everything (addressing dry eye etc etc) into the 'sight-test', if we are, is that in the patient's interest, our practice interest or indeed our legal interest?

Should we look on an ocular surface exam as we do with a contact lens exam as separate entity, did I hear someone say "but we squish that in"?

Is it more relevant in 2017 to adopt the dental practice model, where my dental surgeon looks on a separate fee paying appointment with the dental hygienist as not only more clinically effective and professional, but more profitable as well.

I know Optometrist out there will say, its easy for you as a CLO, but the patient expects their problems solved in one visit. I take the approach with my CL patients, that if I believe their CLD is more due to ocular surface problems than the current CLs they are wearing, I bring them back for an ocular surface exam, it works for me and I'm sure for them.

Your thoughts ....

Andrew D Price FBDO(Hons)CL MBCLA
The ADP Consultancy
Text/Call: +44 (0)752 898 6280
Email: adpconsultancy@gmail.com
eyedropsdatabase.co.uk/
www.linkedin.com/in/adpconsultancy

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8 years 2 months ago #12 by Prab Boparai
I fully agree with you Andrew.
We need to stop giving advice for managing MGD / blepharitis within a standard eye exam. Bring the patient back for a dry eye assessment and explain in detail the cause and treatment for their OSD. It is only fair for patient and practitioner alike.
A standard GOS test does not pay us for this.

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