Contact lens fitting should not be delegated to technicians.
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Contact Lenses↗
Biomedical subjects
L S Thal
Publications and source records attributed to L S Thal.
Retention of patient records.
Patient records are essential to provide patients with appropriate health care and to preserve patients' rights. Patient records are also vital to help practitioners defend lawsuits. Therefore, practitioners must maintain patient records in good order for as long as possible. This paper discusses the clinical and legal issues involved in record retention, including the relevant state regulations and record requirements in other health care fields, to provide guidelines for retention of optometric patient records. Based on the statutes of limitations, common practice and sound medical and legal advice, optometric patient records should be retained for a minimum of 10 years after the patient was last seen. Ideally, patient records should be retained forever.
Humans↗
The unification of European optometry: how the profession will change after 1992.
The economic integration of the European Community (EC) targeted for 1992 has the potential to change the course of the development of the optometric profession in Europe. One of the goals of this integration is to create within Europe an environment free of professional barriers, such that European professionals will be able to practice their skill anywhere within the Community. Because optometry is practiced so differently among the 12 EC countries, the development of a system of reciprocity for optometric credentials in Europe will be a difficult task. Currently, there exists a strong movement, headed by the Association of European Schools and Colleges of Optometry (AESCO), to unify the profession by creating a European-wide examination for optometry. The implications of such an examination are tremendous in that it will establish a standard for the delivery of optometric care not only for the 320 million people within the EC, but also world-wide. The purpose of this paper is to examine the current status of optometry in Europe, to review efforts by both the EC and AESCO to unify the profession, and to discuss the impact of recent developments on the future of optometry not only in Europe, but throughout the world.
Certification↗
Gates v. Jensen: another precedent for glaucoma testing.
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Adult↗
Paralysis of accommodation in infectious mononucleosis.
A case report of a 22-year-old patient with accommodative paralysis is presented including (1) the five-year history beginning with infectious mononucleosis; (2) recent clinical examination showing accomodative paralysis and reduced pupilary responses to light and near; (3) objective recordings confirming both the absence of any accommodation and the presence of pupillary responses to monocular and binocular near stimuli and to light, the latter with pupillary escape; and finally (4) neuropharmacological tests showing 7-diopter accommodative responses to pilocarpine (an acetylcholine substitute acting directly on the ciliary muscle receptor sites) and absent responses to demecarium bromide (a cholinesterase blocking agent which potentiates neurally released acetylcholine). Infectious mononucleosis includes ocular signs and symptoms. In young persons with accommodative difficulties, infectious mononucleosis should be suspected.
Accommodation, Ocular↗
Correcting high anisometropia: two case reports.
In the cases reported, the anisometropia had not been corrected previously. Despite the common belief that such a correction would induce intolerable symptoms in adults, both patients successfully adapted to the full correction within a few days, showing marked improvement in binocular vision skills.
Adult↗