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Evidence-Based Clinical Practice Guideline: Comprehensive Pediatric Eye And Vision Examination, American Optometric Association

Optometric Clinical Practice

Republished with the written permission granted from the American Optometric Association, October 2, 2020.

Developed by the AOA Evidence-Based Optometry Guideline Development Group

Approved by the AOA Board of Trustees February 12, 2017

Diane T. Adamczyk, O.D., Chair – State University of New York, College of Optometry, New York, New York

John F. Amos, O.D., M.S. – University of Alabama at Birmingham School of Optometry, Birmingham, Alabama, Dean and Professor Emeritus

Felix M. Barker, II, O.D., M.S. – W. G. (Bill) Hefner VAMC, Salisbury, North Carolina

Benjamin P. Casella, OD – Private Practice – Casella Eye Center, Augusta, Georgia

Linda …

Metachronous Eyelid Basal Cell Carcinoma On Opposite Eye And Lid: A Case Report, Danielle C. Kalberer Od, Faao, Matthew A. Delmauro Md

Optometric Clinical Practice

Background: Basal cell carcinoma (BCC) is the most common eyelid malignancy, accounting for approximately 90% of malignant eyelid lesions.¹ Despite its high occurrence rates, it is frequently misdiagnosed as one of the benign “lumps and bumps” that can be present on the eyelid. In the present case, a patient with a past BCC on the right upper eyelid presented with a left lower eyelid lesion which persisted for months before the patient sought evaluation by an eyecare provider. This benign-looking lash-line lesion was the only external sign of the malignancy found on the deep surface of the eyelid and …

Case Report: The Dilemma Of Imaging An Isolated Sixth Nerve Palsy, Shannon Santapaola Od, Faao, Cheryl Haskes Od, Richard Sui Od, Faao

Optometric Clinical Practice

Background: Traditionally, eyecare providers employ a wait-and-see approach with respect to older patients presenting with a presumed vasculopathic isolated sixth nerve palsy. However, given review of recent literature and the potential of morbidity in these patients, acute neuroimaging should be strongly considered. Eyecare providers are often faced with challenging decisions when patients present with acute isolated oculomotor nerve palsies. This case highlights the diagnostic dilemma of an older patient with significant vasculopathic risk factors who presents with an isolated sixth nerve palsy. For patients older than 50, a vasculopathic etiology is the most likely cause, however, a small but significant …

Optic Disc Pits: A Case Report And Review, Jeffrey A. Sterling Od, Faao, Fsls

Optometric Clinical Practice

Background: Congenital optic disc pits (ODP) are a rare clinical finding affecting approximately 1 in 11,000 people. Affected individuals are generally asymptomatic unless fluid accumulates in the macula resulting in severe vision loss. The management of ODPs depends mostly on clinical findings and can range from observation to surgery. Optometrists need to be aware of clinical presentations and possible complications of ODPs.

Case Report: This report will review a case of an asymptomatic optic disc pit and discuss the potential treatment options if complications arise.

Conclusion: Although rare, congenital optic disc pits need to be accurately assessed and diagnosed. Symptoms …

The Art Of Prescribing Low Amounts Of Prism, Leonard J. Press Od

Optometric Clinical Practice

Expanding the Box

Why Don't More Of Us Write Scholarly Papers?, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor-in-Chief

Beauty For Ashes: Reflections On Aesthetic Experience And Suffering, Douglas Gilmour

Verbum Incarnatum: An Academic Journal of Social Justice

In this essay, I examine the relationship between aesthetic experience and suffering, and I specifically explore how and why the former can potentially serve to meliorate the severity of the latter. Of course, that art and beauty can provide a certain measure of comfort and healing to the afflicted is a universally acknowledged truth; however, the reasons why this should be so could be considered an equally universal mystery. “I feel we understand too little about the psychology of loss,” writes Arthur Danto, “to understand why the creation of beauty is so fitting a way of marking it.” By exploring …

Music Therapy As A Treatment For Female Adolescents With Childhood Abuse, Janice M. Dvorkin Psy.D, Acmt, Sierra Belmares

Verbum Incarnatum: An Academic Journal of Social Justice

This article describes the preference to using receptive music therapy as a modality for helping an adolescent who has PTSD from childhood abuses. Adolescence is a difficult period during the life span. The second stage of separation/individuation provides challenges to almost all adolescents. This article contains a description of the adolescent behaviors of someone who is experiencing the consequences of PTSD. Along with an explanation of why receptive music therapy is an effective therapy with this population is a case study.