The Ophthalmic Physician Newsletter

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Refractive Lens Exchange & Retinal Detachment

Your Patient Is Not A LASIK Candidate. What Do You Tell Them?... Induced retinal detachment (RD) is always a risk with invasive ophthalmic procedures - and in terms of purely elective refractive lens exchange (RLE) vs medically necessary cataract surgery, how do we approach our patients? Just r...

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

Cataract Surgery & Diabetes

Elevated A1C...Do You Schedule or Hold Off? Many of our cataract patients have diabetes (DM), with our standard-of-care to delay surgery until blood glucose levels are well controlled. The thinking being individuals with uncontrolled DM have less predictable or effective immune function which o...

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

Medical Writing & Publishing...Why?

Reflections & Motivations Recently I was asked to join an advisory board for a well-known up and coming pharmaceutical company many of you would recognize. To be honest, I was a bit humbled and flattered anyone in that world even took notice of my writing or anything I do. Flashes of imposter s...

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

PVD & Ischemic Optic Neuropathy

Are you surprised there might be a connection?... There appears to be an interplay between Posterior Vitreous Detachment (PVD) and Ischemic Optic Neuropathy (ION), particularly non-arteritic anterior ischemic optic neuropathy (NAION). This altered physical relationship between the vitreous and ...

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

Glaucoma Progression & Target IOP

Are you certain it matters?... In our management of glaucoma, we need to first and always prioritize progression vs purely depending on intraocular pressure (IOP) to dictate changing or adding to our usual topical approach. While it's true IOP remains the #1 modifiable risk factor in glaucoma, ...

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

It's All About People

Do we really practice psychology?... My father (an OD) and I often joke about how we actually practice psychology all day - nothing to do with eye care - and it's often very true! Because it's all about people. The clinical stuff becomes second nature after a while... In our world of medicine a...

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

Corneal Cross-Linking for Infectious Keratitis

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 accele...

by John R Martinelli MD OD FAAO — Apr 24, 2025

Epiretinal Membrane & Systemic Inflammation

Did you think it's just about vitreous?... It's fascinating to learn blood derived inflammatory markers have been found with individuals diagnosed with idiopathic epiretinal membrane (iERM) - pointing to underlying non-ocular system wide inflammatory processes contributing to or initiating its ...

by John R Martinelli MD OD FAAO — Apr 22, 2025

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...& How To Fix.

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

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