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At least 631 records · Page 35Linked to original sources
PubMed1993

Brain tumors, malpractice, and optometry.

Intracranial tumors affecting the visual system are a source of malpractice claims involving optometrists. Signs and symptoms of disease, such as papilledema, optic atrophy, decreased visual acuity, headache, loss of visual field, acute onset incomitant strabismus, and gradually worsening coordination, should prompt optometrists to rule out the possibility of an underlying intracranial lesion. Appropriate optometric and medical evaluation should be provided. Co-management of care with other health care practitioners should be scrupulously coordinated and documented.

Brain Neoplasms↗
PubMed1993

Optometry and the carotid artery.

BACKGROUND: Carotid artery disease may directly cause stroke and is an important indicator of other forms of cardiovascular disease. Patients with carotid artery disease often have visual symptoms as the first sign of their illness and therefore may present to the optometrist as they enter the health care system. METHODS: The previous ophthalmic and medical literature was evaluated and organized into a cohesive review of the literature and recommendations for treatment and management of patients with carotid artery disease. RESULTS: Ocular findings include retinal emboli, retinal artery occlusion, amaurosis fugax, hypoperfusion retinopathy, and the ocular ischemia syndrome. Each of these has a different relative risk for stroke and vision loss and must be managed accordingly. CONCLUSIONS: The optometrist as a primary provider of eye and health care may well be the first health practitioner to evaluate a patient with carotid artery disease. The ability to recognize, differentiate, and manage the variety of presentations of this disease can preserve sight, quality of life, and even life itself.

Carotid Artery Diseases↗
PubMed1977

Psychological factors in pediatric optometry.

There are many special considerations and unique approaches applicable in the optometric care of children. In pursuing diagnostic procedures, the behavioral adjustment and responsiveness of the child during the examination proceedings may be optimally managed through an appropriate atmosphere and demeanor. Malingering and other interrelationships of behavioral anomalies and visual disorders may be understood and analyzed in relevant contexts. In pursuing procedures in treatment, approaches in prescribing lenses may be associated with resistance on the part of the child or parent, and may relate to personality characteristics and changes. The application of thoughtful techniques may facilitate maximal progress in a therapy program of visual training. Furthermore, complex psychological problems may coexist with visual disorders in learning disabilities, where broad aspects of development are of concern. Finally, the effective care of routine cases or of learning disabled children requires careful communication and counseling with parents.

Child↗
PubMed1996

Medicaid, managed care and optometry: a review.

BACKGROUND: Significant changes are restructurng the U.S. health care delivery system. National health reform is now extending itself into the public sector. Increased health and medical costs by federal and state governments are forcing a reevaluation of major entitlement programs, especially Medicaid. METHODS/RESULTS: Because Medicaid is the single largest item in many state budgets, states are now enrolling Medicaid patients into managed and coordinated care arrangements as a means to control costs and increase access to care. HMOs are not only competing for private patients but also actively seeking the Medicaid population. Nationally, almost one-fourth of all Medicaid patients are now enrolled in managed care plans. Various models and approaches have been developed by individual states. CONCLUSIONS: Because managed care enrollment in the Medicaid program has increased substantially in recent years, selected services including vision care are no longer rendered by any practitioner willing to accept Medicaid fees. Freedom of choice is now restricted to pre-selected and panel practitioners participating with the managed care program. The rules, regulations, billing procedures, fees, and program requisites will differ under managed care programs. Private optometric practitioners must consider entering economic and organizational relationships and linkages that make them attractive to managed care organizations.

Humans↗