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Optometry in the multidisciplinary health care setting.

A variety of health care delivery settings and models have been established in the 1980s. The multidisciplinary setting encourages comanagement and continuity of care, provides convenient consultation and communication, and is cost effective. It stimulates learning, helps to consolidate management strategies, and results in improved quality of care. Therefore, the patient and the provider both benefit from this environment. In 1978, the problem-oriented record keeping system (PORS) was implemented in the eye care service of a Boston neighborhood multidisciplinary health center. It facilitated learning, established guidelines for peer review, and improved patient care by assisting the eye care service to communicate patient problems to the other health center services effectively. We review the background of urban multidisciplinary health care settings and the PORS, as well as present several cases in which optometrists participated in patient comanagement with other health care specialists to develop a comprehensive management plan. The benefits of the multidisciplinary approach to both patients and providers are discussed.

Adult↗

Impact of new and emerging instrumentation in optometry.

Traditional tests of vision emphasize visual acuity, visual fields, and testing for hereditary color vision defects. New instrumentation for testing vision has proliferated due to advances in our knowledge of the visual system, the availability of new technologies, the introduction of computers into practice, and the expanded scope of optometric practice. Each is discussed in relation to the subsequent symposium papers by other authors.

Color Perception↗

Graduate education in optometry--what do we need?

Current needs in graduate education are addressed. In particular, the areas of biological sciences need to be addressed. Mechanisms to achieve a combined degree program are proposed.

Education, Graduate↗

Ocular components measured by keratometry, phakometry, and ultrasonography in emmetropic and myopic optometry students.

Ocular components were measured by keratometry, phakometry, and ultrasonography on 176 young adults. Refractive error was measured by retinoscopy. Mean vitreous depth was greater and the cornea was steeper in myopes than in emmetropes. There were no significant differences between myopes and emmetropes in mean anterior chamber depth, crystalline lens thickness, anterior crystalline lens radius, posterior crystalline lens radius, or crystalline lens power. Coefficients of correlation were calculated for each of the ocular components with refractive error for the entire group of 176 subjects. The components that showed statistically significant correlations with refractive error were vitreous depth and anterior corneal radius. Eyes with greater vitreous depths tended to have flatter anterior corneal surfaces. The slope of the principal axis relating these two variables was significantly different in emmetropes and myopes. Eyes with greater vitreous depths tended to have lesser crystalline lens power. Vitreous depth showed a statistically significant correlation with posterior lens radius, but not with anterior lens radius.

Adolescent↗