MedEye Minute Newsletter

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5 Mistakes ODs Make That Undermine Their Medical Authority...& How To Fix.

Are you quietly giving your practice away?... Just released: “5 Mistakes ODs Make That Undermine Their Medical Authority” It’s not what you don’t know that’s hurting your practice. It’s the habits you don’t realize are undermining how your patients and local medical community perceive your role...

by John R Martinelli MD OD FAAO — Apr 18, 2025

5 Mistakes ODs Make That Undermine Their Medical Authority...& Ho

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 ha...

by John R Martinelli MD OD FAAO — Apr 17, 2025

Common Meds & Retinal Function

Are you thinking deeper?... The effects of medications on electroretinogram (ERG) findings has been an important area of interest in understanding retinal function and potential compromised vision - in addition to the role of ERG for refined diagnostics. Various classes of medications, includin...

by John R Martinelli MD OD FAAO — Apr 16, 2025

Patients Over Profits

Are you inspired or are you influenced?... First of all, I will admit this is preachy - but this what I preach and remind myself of everyday. I believe we must all be very conscious of truthful empathetic practice, particularly the awareness of both short and long-term patient management decisi...

by John R Martinelli MD OD FAAO — Apr 13, 2025

Visual Pathway REDUX

Have we been wrong?... The organization of nerve fibers within the human optic nerve and chiasm is a complex interplay of anatomic characteristics which lead the way and adds to the miracle of our intricate sense of vision. While more than a million fibers traverse the optic nerve, nerve fiber ...

by John R Martinelli MD OD FAAO — Apr 12, 2025

Hemodialysis & Glaucoma

Do you know the dynamics?... The effects of hemodialysis on our glaucoma patients can be significant and should be part of our thought process as we continue to manage them. By understanding vascular dynamics which occur during hemodialysis sessions, individuals with glaucoma are more likely to...

by John R Martinelli MD OD FAAO — Apr 08, 2025

Cataract Surgery & The Opposite Eye Effect

Does the other eye really know?... It appears unilateral cataract surgery has a noticeable impact with respect to aqueous humor cytokines as well as metabolic changes of the contralateral or non-operated eye. This curious phenomenon reflects both systemic and local inflammatory responses which ...

by John R Martinelli MD OD FAAO — Apr 06, 2025

Gut Feelings to Data-Driven Decisions: The Role of Intuition & Algorithms in Medicine

Where are you on your journey?... I must admit, I am not a fan of algorithms. I have never used them, looked at them, or even paid attention to them - because I believe rote memorization teaches nothing. At least for me. In medical school, I often found myself chuckling at the complexity of our...

by John R Martinelli MD OD FAAO — Apr 04, 2025

Episcleral Venous Pressure & Glaucoma

Are your eyes on the floor?... Understanding episcleral venous pressure (EVP) is important for all of us in the management of glaucoma and is a significant determinant of intraocular pressure (IOP). Unfortunately, accurate measurement of EVP is challenging and perhaps not clinically practical c...

by John R Martinelli MD OD FAAO — Apr 03, 2025

Child Behavior & Axial Length

Is there a neurologic link?... There are associations between ocular development and behavioral patterns in children, particularly with axial length, neuroanatomic findings, and conditions such as attention-deficit/hyperactivity disorder (ADHD) among others. Just published today (4/1/25), explo...

by John R Martinelli MD OD FAAO — Apr 01, 2025

MEDICAL MODEL IN OPTOMETRY

How can it not be...is it really a choice?... In the 21st century, how can this possibly be (and has been) viewed as a separate and distinct mode of practice? Suddenly a whole person exists, therefore we can now miraculously choose to adopt a medical model? There is no choice. Adding to the con...

by John R Martinelli MD OD FAAO — Mar 29, 2025

Glaucomatous Optic Neuropathy's & Normal IOP

NTG: Can you spot the differences?... There are four anatomic optic disc appearances (phenotypes) recognized in glaucomatous optic neuropathy. Focal ischemic, myopic glaucomatous, senile sclerotic, and generalized enlargement. Recognizing the differences can matter considering there are a varie...

by John R Martinelli MD OD FAAO — Mar 27, 2025

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MedEye Minute Newsletter

Brief clinical reviews of things that matter.