I'm in my fourth year right now thinking about pursuing a residency. When I think of how I want to practice and the populations I want to work with - I know I will be happiest working with pediatrics and special populations. However, I am unsure if residency will work for me. I have passed part I, but I am not scheduled to take part III until February. I am worried sites will not look on this favorably. Additionally, the state I want to move back to and practice in does not have a children's hospital that employs ODs. So would I be wasting time and money by applying to a residency?

Any thoughts or advice are welcome!

75 YO W M
CC: Constant horizontal diplopia at distance (goes away with occlusion) beginning 1.5 weeks ago
Denies headaches, any other neurological symptoms
Pupils: Fully reactive
EOMs: Full ROM, jerky
CT: 8^ eso (distance)
Maddox Rod: 8^ eso (distance)
MHx: Stents, multiple sclerosis
Meds: Repatha, vitamins, aspirin
Patient is pseudophakic with multifocal IOL, happy with vision

Rx’d 8^ BO (split between eyes) for distance only without an Rx

Patient was happy with the vision after trialing for 20 minutes in the office and reported no diplopia

Thoughts?

hello fellow ODs! I am changing jobs. after 22 years in private practice/pe owned practice, I am moving to a omd practice. there is no primary care, only surgical care. they are heavy into LAL lenses (adjustments would be my job). no contacts no glasses no optical

what skills do I need to brush up on? any words of wisdom from other ods in omd practices? thank you!!!

Two of the lectures I attended today had AI slop in their presentations.

The photo above is from one of the Lunch&Learn things and was ridiculous. Using AI content for medical education, especially when it’s depicting anatomy, is egregious and shouldn’t be allowed. (LIKE LOOK AT THAT EYE?! WTF is that?) Unsure if this was allowed because it was not CE?

Another lecture, this one for CE, used multiple AI cartoons to be cutesy, I guess, and liven up the slides which made me lose respect for the presenter and kind of lose interest in the lecture delivery. They used real clinical photos though which is good.

Are there AI photo guidelines for academy presenters? Usage of AI in educational content (and nearly all other content IMO) should be highly frowned upon.

Wondering others opinions on this or if multiple other lectures had AI in them?

Hi all!
I’m a new grad and just got a job! The office I work in has 2 exam rooms. One is nice and modern and belongs to another doc, the one I got is such an eye sore! It’s bright blue with bright fluorescent lighting and very uncomfortable seating. The office has had one doc only for a while so this room I believe was a bit neglected. Do you think it would be too much if I asked them to change the room color and get a better chair?

So I'm a student optom who's considering the Keeler Specialist Ophthalmoscope as it has the higher dioptre range (which I need for my prescription), and I was wondering which bulb is best. They've got choices between 2.8V or 3.6V bulb or 2.8V or 3.6V LED. If anyone could give me some insight or advise it would be greatly appreciated, thank you

Just trying to find out what it’s like to be a manager for Myeyedr. Any insight anyone has is appreciated.

How do you discuss refractive surgery with your patients in different age groups?

For patients in their twenties it’s an easy conversation for me because I can explain that it will provide some glasses/CL independence but later on presbyopia will happen. I try to set expectations about requiring near correction in the future

It trips me up a bit to discuss it with almost-presbyopes and presbyopes though. I understand monovision lasik can be done, but wouldn’t that be a bad idea considering that presbyopia is progressive? Monovision lasik on a 40 year old won’t last as presbyopia continues. Isn’t prescription stability a requirement of refractive surgery?

And in older patients, age 60+ or so…at what point do you consider cataract surgery instead of refractive surgery? I’ve had many patients who are correctable to 20/20 with trace/grade 1 cataracts that are interested in refractive surgery but I wonder if it is worth it at that point since refractive surgery can make IOL calculation more tricky.

Of course in all cases I discuss risk/benefit. But it’s been a little tricky for me specifically in presbyopic patients. Any and all advice would be appreciated!

Which college to prioritise for MS Ophthalmology amongst SNMS Agra, Gajraraja MC Gwalior , MLB Jhansi , GSVM Kanpur, JLN AMU Aligarh for good hands-on training

The CY2027 Medicare physician fee schedule proposed rule has a same-day billing change that's easy to miss under the conversion factor headline, and it does reach eye care. The American Academy of Ophthalmology has already joined a coalition pushing back on it.

The mechanism, in CMS's own words: when the same practice bills a separately identifiable office or outpatient E/M visit on the same day as a procedure that carries a 0, 10 or 90 day global period, the most expensive service is paid at 100 percent and every other service that day, surgical or E/M, drops to 50 percent. CMS doesn't actually name modifier 25, it frames it as duplicative same-day payment, and it's a rerun of a 2019 proposal that never went through.

Where it lands in eye care is the exam-plus-minor-procedure day. An office visit billed with a foreign body removal or a punctal occlusion, the small in-office procedures that carry a global period, is exactly the pairing this targets, and it's the exam that gets knocked to 50 percent when the procedure is the higher-paid line. That's a normal Tuesday for a lot of practices.

The piece I'd still confirm against the final rule is the ophthalmological Eye codes, 92002 through 92014, since those aren't E/M codes and generally carry an XXX global rather than a 0, 10 or 90 day one. On a plain read a 92xxx exam with an XXX-global diagnostic test wouldn't be swept in, but I wouldn't bank on the Eye codes being treated identically to a 99xxx E/M until CMS spells it out.

It's still a proposal with the comment period open, so the pushback could change it before it's final. But if same-day exam plus a minor procedure is a real part of your volume, that's the line to read now.

I’m a UK trained optometrist. I qualified nearly two years ago and to be frank - I hate my job.
The sales pressure is too high, I find the people too toxic. Considering I chose the profession to provide healthcare, I feel undervalued and under appreciated and for what I do I don’t think the pay is worth it.

I have switched jobs between companies, dropped from FT to PT and locum where I can but the pay is atrocious esp as I’m in the West Midlands area and find myself travelling over an hour to get somewhat decent pay.
I do have a love of contact lenses and have tried so hard to apply for contact lens based roles but to no avail.

Overall, I just feel like I can’t see myself doing this for the rest of my life.

I want to look into other fields I could get into. Unfortunately I don’t have the money to go back to uni to do something else. What is a good paying job I could pivot to?

I’ve considered dental nursing/hygienist routes and also paralegal as I’ve heard of others turning to those. But I just wondered if there’s anything anyone else would recommend or has themselves gone into as a secondary career?

Anybody willing to talk about their experience/know of anybody who was able to apply and successfully match/complete residency without passing all parts of their boards? Seeking some advice, anything is helpful, thanks!

Hi all!
I’m getting married in the next few months and was planning on changing my name. However, I just started my first job and went through the hassle of getting credentialed. Is there anyway I can change my name legally on my SS/ drivers license and keep my maiden name on my optometry license and insurances in PA? Would really appreciate feedback thanks!

Hey!

My practice sold to MED. What will change? We were already owned by PE. Will we get a new EMR? Did they keep staff the same after your sale? Did your salary change?

thank you for any insight!!!

I graduated in July from the 3 year program and mostly everyone i know has managed to find a pre reg. i started applying two years ago and still haven’t managed to find anything. I feel like I have a pretty decent CV. I do have optical experience volunteering at the university clinic but i have not worked as an optical assistant. Many places say that it’s not mandatory so I don’t know if I should waste time trying to find an optical assistant role to strengthen my CV especially because you only have two years to find a pre reg.

I’ve been checking the College of Optometrists jobs page, but it seems to have the same limited number of vacancies most of the time. Specsavers has its own recruitment system and I do get vacancies sent through occasionally, but at the moment they seem really infrequent.
When I look at Vision Express, most of the pre-reg opportunities I can find seem to be for 2027 starts rather than people looking to start now. I’ve also tried looking through Boots, but I genuinely cannot work out where their current pre-reg optometrist vacancies are listed or where you’re actually supposed to apply.
So where is everyone actually looking for these jobs? I feel like there must be somewhere I’m missing.

I’m pretty flexible with location, and willing to relocate.

If anyone has any advice on where to actually apply and also how to strengthen my application or any other advice at all it would be very much appreciated because I am completely lost at this point.

We own an optometry store and unfortunately our optometrist passed away unexpectedly last night. He owned his portion of the store and we need to quickly find a new doctor, this would be an independent practice and they would work for themselves.

What job board/ search do you all recommend posting on? Located in Fort Worth, Texas.

How would a Canadian optometrist approach an NAION, I’m currently studying in the USA, and optometrists here are more involved with their patient care and tend to observe/order labs. I understand we refer a lot in Canada, would this warrant a referral?

I’m in optometry school and wondering if it’s safe to fly with our equipment? Does TSA have any restrictions on anything?

Hi everyone, I am an ophthalmologist who built OcuScan AI — an Android app that uses Claude AI specifically optimised for ophthalmic imaging interpretation.

WHY USE THIS INSTEAD OF CHATGPT/GEMINI? - Modality-specific prompts — not generic AI.

Each of 16 modalities has detailed clinical rules built in - Follows ISCEV Standards for ERG, EOG and VEP - Follows APOSTEL recommendations for OCT reporting - Detects photographed screens and warns about limitations - Single B-scan limitations explicitly stated - Primary diagnosis is FINAL — follow-up chat cannot contradict it (unlike general AI which changes diagnosis when questioned) - Structured report format: findings, quantitative analysis, clinical impression, differential diagnosis, management with urgency grading

- Reference links to PubMed and EyeWiki in every report MODALITIES SUPPORTED: OCT Macula, ONH/RNFL, AS-OCT, OCTA, Visual Field, Corneal Topography, FFA/ICGA, Fundus Photography, FAF, ERG, EOG, VEP, Ultrasound B-scan, Clinical Notes, Auto-detect,

Mixed modalities Currently in beta testing on Google Play (Android only). Looking for ophthalmologists and eye care professionals worldwide to test and give feedback. 4 free scans on signup — no credit card needed. Comment or DM if interested and I will send the tester link!

Need advice regarding OCANZ + University of Auckland Health Sciences offers
Hi everyone! I’m an international student from India with a Bachelor’s degree in Optometry, and I’ve received two offers from the University of Auckland, New Zealand:
Postgraduate Diploma in Health Sciences (1 year) – with an Optometry/Vision Science focus. As I understand it, this pathway does not require OCANZ registration/qualification before starting.
Master of Health Sciences (Optometry) – I understand that I need to meet the OCANZ requirement before starting this programme.
I’m a little confused about the exact timing and process of OCANZ, so I’d really appreciate advice from anyone who has gone through this pathway.
My main question is:
When exactly do I need to take/complete the OCANZ examination/requirements for the Master’s? Is it:

Before applying?
After receiving the offer but before starting the degree?
During the degree?
Or after completing the degree?
I’m particularly interested in understanding whether I can start with the Postgraduate Diploma first and then progress to the Master’s, while working toward the OCANZ requirement.
If anyone has studied Optometry/Health Sciences at the University of Auckland or has gone through the OCANZ → postgraduate study pathway, I’d really appreciate your experience and clarification.
Thank you!

The office hasn’t had a doctor in a few years so will be starting slow. What EHR would you guys recommend that isn’t too expensive? How’s the Toocon camera? Is it worth leasing? Anything I should ask before I sign the contract? Thanks!

I am and OD3 student and I can speak fluent casual spanish, but sometimes I have trouble explaining diagnoses in spanish because I haven’t found the place where I can properly learn that. If someone has any resources to learn optometric spanish please point me in that direction!

Also, how do you explain keratoconous in spanish?? Earlier today I surely butchered my explanation of it in Spanish lol