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Biomedical subjects

D L Werner

Publications and source records attributed to D L Werner.

15 recordsLinked to original sources

Standards of care.

The health care community is quickly progressing in the direction of the development and acceptance of the concept of standards of care. Optometry has lagged behind other health disciplines in this process and must develop its own or face the likelihood of having to conform to standards created by others. The argument is no longer whether standards should be created, but rather the creation of appropriate standards and guidelines that will best serve the profession and the public.

Humans

Teaching clinical thinking.

Clinical thinking differs from scientific reasoning and educators have observed that some students have difficulty in transferring the one skill to the other. A review of the literature offers few concrete suggestions to teach this process. The author presents a technique that he has found successful with some interns who had problems with this process.

Clinical Competence

Wallenberg's syndrome: a first-person account.

As clinicians, we may be faced with the patient who has had a stroke with resultant visual and ocular manifestations. Often it is difficult to appreciate the implications of the symptoms and their effects on the quality of life. In this article the first author describes his experiences as a patient, with the hope that this account will assist others to understand this condition better, thus resulting in both enhanced care and sensitivity.

Eye Diseases

A case of Wallenberg's syndrome: ocular motor abnormalities.

Eye movements were measured objectively in a patient with Wallenberg's syndrome during the course of his 2-year recovery period. The patient exhibited a change in fixational and reading eye movement patterns consistent with concurrent reduction in symptoms. The results demonstrate the importance of clinical eye movement recordings in such patients to understand more fully the relationship between the visually related symptoms and the objective oculomotor correlates.

Eye Movements

Refractive surgery: keratomileusis and keratophakia.

This paper reviews the non-radial keratotomy surgeries that are being performed. The author reviews the literature and suggests an approach toward counseling patients who may be considering these approaches. The paucity of reported studies makes the choice of these alternate procedures somewhat risky, particularly in their refractive predictability.

Cornea

Refractive surgery: radial keratotomy.

Refractive surgery is here to stay and the technique of choice is radial keratotomy. Some authorities agree that the procedure appears safe and reduces myopia in virtually all cases, however the long-term effects are still to be observed. Another drawback is the inability to predict results in individual cases.

Astigmatism

Effectiveness of hypertension screening in an urban optometric clinic.

461 randomly selected eyecare patients were screened for systemic hypertension at the clinic of the University Optometric Center, State College of Optometry, State University of New York. The results of this survey showed 52 screening failures, 30 of whom had previously been identified as having hypertension. The study showed that the screening and follow-up added $2.00 per patient to the chair cost. The authors concluded that the information provided to our patients, students and practitioners warrants this cost.

Adult