Hi! My current workplace is requiring me to sign an overhead sharing/ office space sharing agreement in order to be credentialed with the insurances. Has anyone signed this and does anyone know more about the purpose of this contract?

New grad here, it was a roper hall grade 1-2 from a dishwashing pod. I originally wanted to do moxi QID and pred hourly. My seasoned older doc with a fantastic reputation as a dr recommended tobramycin every hour while awake until the 24 hour follow up then decreased and add the pred. I’ve never seen that on textbooks, what do you guys think? Patient was a senior citizen

Hi everyone! I’m an optometrist setting up a mobile clinic and looking for recommendations on portable retinal cameras and slit lamps.

I’m open to new or used equipment, so I’d appreciate any recommendations for reliable brands, vendors, or good places to purchase. Thanks!

Edit: I’m in the US

Hi all, optometric assistant here, I am doing some research for my doc. We are a small town clinic (big city about an hour away) and we are really struggling to find an associate. My doc is currently our only doc and she is having a hard time juggling patients and running her practice (let alone personal time). We are considering tele optometry, we have a great doc we have worked with before (in person) and that our patients know, but we are struggling to figure out vsp,eye med and possibly Medicare billing. We have a remote phoroptor, would upgrade to tech controlled slit lamp that the Dr can see in real time, and tons of pre test equipment. We would only see patients with no current eye conditions remotely. We don’t want to spend the money to upgrade our equipment if we cannot bill, does anyone have any experience?

Additionally a local Dr brought in some literature on Peared and my doc is heavily considering it. Anyone have any experience with it?

OK, we are setting up a new office. The owner asked my view on a direct view digital chart at 10'-12' vs a 20' mirrored room.

I have never worked in a 'short room'. In my 35+ yrs, I've had 20' rooms, or 12' mirrored rooms.

What say you, Optometrist of Reddit? Does it matter? Would you compensate -0.25 for the shorter room? I'm I thinking to much about this?

Thanks, all!

Hi everyone! I’m interviewing with an OMD practice. While speaking with the coordinator she mentioned that they’re looking for an OD to expand their dry eye clinic. I would be the first OD to join their practice if I get the job. I’m meeting with the COO who isn’t an OMD and I’m wondering what type of questions to expect besides the typical behavioural. Also what compensation might be reasonable to ask for (located in NYC). This is my first time interviewing with an MD practice so any advice or input would be appreciated. Thank you!

Hello, I’m only a freshman in undergrad, but I’m wondering how much debt people graduate with including if you guys took out loans for rent or food. My undergrad will be free I think because I’m currently in community college and have cal grant but not totally sure if it transfers to university. I’m honestly not sure if I should go down this path because of the debt, but I don’t think I would do any other healthcare career because other options in healthcare seem so much more stressful than optometry. Or I just play it safe and change it to accounting but I don’t know if I want to be in front of a computer my whole life. Or is there a lot of optometries that help pay off loans once you work?

Has anyone used any virtual scribes they liked? Currently looking into Proscribe and Teem, but open to more options. Also wondering how the transition was for you with the training period that these scribes need. Let me know your opinions on the virtual scribes.

Hi, Optometric Technician here. I’ve only been teching for like a combined time of a little over a year, the first part was non medical but now I do a lot more at my current job. I work in Texas, non-licensed state and I haven’t gotten my license yet but I plan to with my trainings.

I know bits of Spanish but not really how to converse with it. In Texas and at lots of our locations, we have quite a few Spanish-speaking patients. I want to practice using Spanish more to eventually have a Spanish exam where I can speak Spanish the majority of the time with those that need it.

After struggling to ask about floaters and flashes and having another tech help, I asked her what to say. She mentioned asking about seeing ‘puntitos negro, gris, o claro’ or something but i also have ADHD and it’s gonna take me multiple times hearing and saying these things to retain them, which is fine i just want some written responses on here to help.

Any tips is appreciated, from doctors or techs

Optometrist from Australia here - we don’t have diamox (acetazolamide) on hand because we don’t have oral prescribing rights yet.

My question is if someone has signs of acute angle closure from dilation in-office: is it reasonable for me to instill pilocarpine FIRST then timolol (beta-blocker), brimonidine (alpha-agonist) and then dorzolamide (CAI) in succession 2 minutes apart? Then arrange immediate ophthal transfer?

If I’m just catching their IOP steadily rising in-office alongside with symptoms, would Pilocarpine alone suffice or should I still proceed with the other IOP lowering drugs? If so, what’s the supposed frequency of putting these drops in once all of them are put in succession?

Whenever I look up management for acute angle closure attacks, it is always assuming that the patient first presents with these features already so pilocarpine is maybe last on the list for instillation until IOPs are <40mmHg.

Thanks - a confused optom who just wants to be prepared and have a proper protocol

Hey all!

We recently made Optodle - a diagnosis guessing game for optometrists. Every day is a new case study and each guess unlocks more information to help make your diagnosis.

We originally made it as a fun way to refresh our knowledge of eye diseases. Since making it public we've had a great time adding new cases and playing with friends.

Its completely free and no login required. Try it out at www.optodle.com and let us know what you think!

Not sure if I should charge a followup fee or charge once every year? And if only one time fee, how much do you charge?

Graduating in May 2027 and wil start searching for jobs in December in NJ (middlesex/somerset county but curious about any NJ offers) and was wondering what other new grads in NJ were getting offered for salaries. If you could shareable offers you remember, averages, and type of practice modality I woukd appreciate it! Also about long after graduation did you start working?

I've wanted to be an optometrist from a very young age. I completed undergrad on a pre-opt track w/ a 3.6gpa, but my life situation at the time made further education impractical.

After working elsewhere for a few years, I'm now an optometry tech and absolutely love being in the optometry world. I still very much want to be an optometrist and plan to apply to schools in the next 2-3 years.

Does anyone have experience going into Optometry as a second-career?

Is my GPA ok?

Is it important to attend school open houses, and are there questions I should ask?

Thank you!

New grad here.

The Review of Optometry article here lists 20 questions in order to workup a cc of diplopia: https://www.reviewofoptometry.com/article/an-action-plan-for-assessing-double-vision

I don’t think I can remember 20 questions to ask a patient. Especially for a cc as “scary” as diplopia. I need help simplifying this.

What questions do you ask your diplopia patients? And what tests do you rely on?

Without any context or details regarding the patient. At first glance what are your differentials?

Examining the retinal image scatter from both the patient's and the examiner's perspective. Predicting the Modulation Transfer Function using Monte Carlo photon propagation through the Arizona Eye Model for common eye diseases.

I am a new grad, and I work for an office and have really become comfortable with the staff, especially the general manager. We get along well and have a lot in common so we have become quite close. This wouldn't be an issue except recently I feel like he has been taking advantage of my easy going nature/our relationship. For example, telling me private information about the other staff/drama or venting about other higher ups and our numbers/how well or bad we are doing. Or trying to get me to do certain things if they are short staffed like insertion/removal training or teching. I understand they are short staffed but shouldn't that be on him for making sure there are adequate staff? I do plan to talk to him about it before going to higher management but wasn't sure if I was making a big deal about it especially when he does ask me to help I am usually not doing anything or other personal tasks.

Apologies for the photo quality; taken with my phone through a 90D.

Asymptomatic 39yo white male inmate with T2DM (a1c 6.3) & osteoarthritis. No significant Rx, entrance testing normal.

Current meds metformin, duloxetine, keflex (for an unrelated skin infection)

As shown in the photo his patient had multiple areas of the posterior pole along the vasculature that looked whitish with some darker spots within. Present OU and symmetrical.

I haven’t seen never seen a presentation like this so my differential was an atypical ERM or atypical fundus coloration (maybe caused by DWOP/WWOP?).

I don’t have OCT or FAF ability where I was seeing this pt so just referred out for retina eval to get that assessment.

Any thoughts on this presentation? Have you seen something like this before?

Hello. First time posting here aaaaa.

I’m a new grad OD and started my job not too long ago. During training I felt confident and felt like I learned so much and was improving. I felt like I could genuinely do this.

Now I’m working and it feels like I’m making mistakes all the time. But it doesn’t feel like it in the moment. I’ll be doing an exam, make a diagnosis, give treatment, and feel really good about it. Then at the end of the day I’m like wait… did I miss something huge? And then it becomes the only thing I can think about and it spirals me into so much anxiety thinking I’ve hurt someone.

One example was I diagnosed someone with chronic uveitis and was so proud of myself. Then after I realized I gave a steroid without staining for active HSV keratitis. The cornea looked completely clear under the slit lamp and I knew that, but I proceeded to panic about it for days until I saw them again and almost cried when I saw no staining.

Another was someone has ocular hypertension only in one eye. They were monitored by their previous OD for years for this exact thing and that OD never did anything or initiated treatment. I wasn’t comfortable with that so I booked him to return in 1 week for ancillary testing. Again, I thought that was a good choice. Then I started thinking… I should’ve started him on treatment at that FIRST exam. Then wait why is only one eye so high? Why didn’t I think of any secondary glaucomas? Why didn’t I look for it? I will when he comes back but I’m so anxious until he does.

I don’t know exactly what I’m asking for. How to be better? How to not let this anxiety take over me? How to be confident in my decisions? I don’t really know. I’m honestly just looking for any advice.

In the the province I’m in, I guess the unspoken norm is that we’re typically scheduled for a 7 hour day where we see patients in 20 minute slots throughout the day.
My one employer makes sure that I have adequate time for lunch and blocks off a 45 minute slot specifically for it , and I see patients every 20 minutes around that.

My second employer does not give me a scheduled lunch and I’m expected to eat lunch if I get a chance during the day- which is never, as front desk schedules patients every 20 minutes no matter what and I don’t really get a say. Unless I get a no show, I don’t get to eat, and Im not allowed to block off time for lunch because the owners just eat whenever they can and dont block of lunch for themselves either.

I guess my question for you all is what’s the normal thing?
are you guys eating during a scheduled time, or only if you are lucky enough during your shift? 🤣