Optometric Resources

    OV: Edu pt on condition & findings. RTC for an evaluation/appointment sooner than scheduled follow up if condition worsens including but not limited to increased ocular redness, discomfort, or reduction in vision occur. Pt understood all instructions. Provided pt with BEVC office number for same day appointment scheduling & number for on-call doctor after hours.  If applicable, parent/guardian was also educated on the above information. ------------- Edu pt on condition & findings. RTC for an evaluation/appointment sooner than scheduled follow up if condition worsens including but not limited to increased ocular redness, discomfort, or reduction in vision occur. Pt understood all instructions. Provided pt with BEVC office number for same day appointment scheduling & number for on-call doctor after hours. Edu patient on importance of returning to clinic for scheduled follow ups & obtaining required diagnostic testing in order to prevent permanent oc...

  Laboratory testing may be directed toward identifying blood dyscrasias, clotting disorders and other hematological abnormalities. Suggested testing may include (but is not limited to) the following:  ●        Complete blood count with platelets (CBC with differential and platelets) ●        CMB - comprehensive metabolic panel ●        Prothrombin time (PT) ●        Activated partial thromboplastin time (PTT) ●        Activated partial thromboplastin time (APTT)  ●        An international ratio (INR) to rule out over-anticoagulation in patients taking blood thinners ●        Antiphospholipid antibodies ●        Homocysteine level, particularly in young men ●        Assay for natural anticoagulants such as ...

  https://docs.google.com/document/d/1_BWFutSJenVKJ37eoOlVMEcgJgpw2i6f4fChSp9b3QE/edit?usp=sharing  

Sweeny Eye Associates how to send referral for cataract surgery Fax # for optometrist referrals:  972-203-8910 Include in fax:  Name, DOB,  insurance info  Most of the time, they don't accept any HMO plans, only PPO.

  https://www. glassesforthecolorblind.com/ resellers-order for patient - this is where you would order from ^^ the above link order the dark purple one    COLOR : PU-1 (we have this one in the office that the pt can try and see if they like it) No login is needed, there's a spot on the website where you can place the order. Pt has option of doing clip on vs. making glasses that are purple in  color  - cost is similar but pt may want to do clip on instead since they may not want purple looking glasses to wear full time. cost ranges from $200 to $300 - similar cost for the clip and the glasses. On rev, if you go to inventory--> products --> then type in the search "colormyglasses" you can see all the different options --- Order the purple one PU-1: works for most color vision problems

  If they have not met their deductible, then you look at their copay (if they have both copay and coinsurnace). But if they have met detuctible  then look at coinsurnace.  If they don’t have copay, then look at detuctible, If they haven’t met, then pay the $90 (our office). If met, pay the coinsurnace percentage. 

  https://docs.google.com/document/d/1qzR_QurY0T16ro_S1v5PovZWZBAmQVWDJeXVbbAqj4w/edit?usp=sharing

  LINK TO INFO:  https://docs.google.com/document/d/1q2gGQc0N-terPnWK9fHqi7_2ylfUAsDenRWgtOmjq54/edit?usp=sharing 

https://www.aao.org/Assets/d164655a-8036-4617-b2bb-a8d3478d0cd5/637140915350000000/posterior-vitreous-detachment-retinal-breaks-and-lattice-degeneration-ppp-2019-pdf

 MiSight is very expensive, not a good option. Naturevue MF CLs are really good option for myopia control but there's  no toric option for this. Biofinity MF is also an option and it comes in toric powers (good if pt has really high toric powers) but it's not nearly as good as the Naturevue or MiSight, so this is the last option. Ortho-K is good for +2.00 to -6.00 but not for powers outside of that.

CROSSROADS PHARMACY WYLIE TEXAS Ph:  (972) 442-4277 615 S, S State Hwy 78 Suite 200, Wylie, TX 75098 LINK TO RX SHEET: https://docs.google.com/document/d/1XD88CgLz5MNEC3ge2kw4kO808aAClXzz/edit?usp=sharing&ouid=103892962379041488884&rtpof=true&sd=true  FAX NUMBER (can send rx to this fax number) - also give patient a hard copy: 972-442-4278 Items to include when you fax rx to them for Atropine: Pt name, DOB, pt phone Drug name, directions, quantity (always will be 6 mL with crossroads), refills Doctor's name, NPI, and signature also include clinic phone number

  MALE SCHOOL EXCUSE WITH DILATION: https://docs.google.com/ document/d/ 1uRiDEs1z0jZRzTKiCrBLU- eg75fgJDcjFHXjEz0q1UM/edit? usp=sharing    FEMALE SCHOOL EXCUSE WITH DILATION: https://docs.google.com/ document/d/ 1IrvBAfoRJjHpGVTY1BQeYfZNZZl9V ekWHj5TpQecb8A/edit?usp= sharing  

 https://docs.google.com/document/d/1pXrvUzAV0y9dIbzHhq0PoI2-q2W-EQ_wINBraJZlfEE/edit?usp=sharing 

  Laboratory testing may be directed toward identifying blood dyscrasias, clotting disorders and other hematological abnormalities. Suggested testing may include (but is not limited to) the following:  Complete blood count with platelets (CBC with differential and platelets) CMB - comprehensive metabolic panel Prothrombin time (PT) Activated partial thromboplastin time (PTT) Activated partial thromboplastin time (APTT)  An international ratio (INR) to rule out over-anticoagulation in patients taking blood thinners Antiphospholipid antibodies Homocysteine level, particularly in young men Assay for natural anticoagulants such as protein S and protein C, antithrombin III, factor V Leiden Beta-glycoprotein HIV Virus titers Anticoagulation panel for lupus if suspected autoimmune condition Sjogren’s testing panel If African American, sickle cell panel Patients taking warfarin (Coumadin, Bristol-Myers Squibb) or dabigatran (Pradaxa, Boehringer Ingelheim Pharmaceuticals) or aspir...

 Link to this information/article: https://www.optometrystudents.com/clinical-guide-to-degenerative-myopia/  OTHER LINK: https://www.reviewofophthalmology.com/article/how-to-manage-pathologic-myopia --------------------------------------------------------------------------------------------------------------------------- Usually >6 D is what qualifies as degenerative myopia Several studies were conducted, and it appears that a majority of high myopes possess diffuse atrophy and fuchs spots. FUNDUS SIGNS It is important as primary eye care providers to be cognizant of the signs of degenerative myopia which commonly include: Tilting of the optic disc Peripapillary chorioretinal atrophy Vascular straightening Lacquer cracks Round, subretinal hemorrhages that clear spontaneously Fuchs spots + CNV Posterior staphyloma WSP Paving-stone degeneration and lattice degeneration Hole formation in the peripheral retina Elongation and atrophy of the cilliary body POAG Other signs: Tigroi...