Do you know CXL is an option?...
Corneal cross-linking (CXL) is proving to be a significant and exciting advancement in the treatment of infectious keratitis in terms of efficacy and favorable results. CXL enhances the structural integrity of corneal collagen, which in turn significantly accelerates re-epithelialization to improve healing rates vs our usual topical management.
It is being shown adjuvant CXL can lead to a reduction in corneal infiltrate size and shorter healing time. Of course this may vary based on the specific infectious source (fungal, etc), but with a safety profile showing no significant increase in complications such as corneal perforation or need for penetrating keratoplasty when compared to standard treatments we are familiar with.
Understanding the potential utilization of CXL in certain clinical scenarios matters in terms of enhancing visual outcomes in various forms of infectious keratitis - directing additional investigations and refinement of indications.
-JRM
Go the article in BMC Ophthalmology HERE.
5 Mistakes ODs Make That Undermine Their Medical Authority
OD's...Are you quietly giving your practice away?...
In daily practice, the biggest threat to patient retention isn’t dissatisfaction.
It’s perception - specifically, the perception your care has limits.
When your practice setting, clinical approach, communication, or referral habits suggest you’ll hand off the “serious stuff” - you’ve already given them permission to go elsewhere next time.
Most patients don’t disappear because you did something wrong. They leave and don't come back because you've unknowingly (or knowingly) gave them a reason to.
Let’s change that.
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