The Ophthalmic Physician Newsletter

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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

Fluorescence Lifetime Imaging Ophthalmoscopy

Do you know FLIO?... Fluorescence lifetime imaging ophthalmoscopy, aka FLIO, is positioned to revolutionize neuro-ophthalmology and neurology by providing unprecedented insights into metabolic processes of the retina. The technology behind FLIO has demonstrated advanced potential in diagnosing ...

by John R Martinelli MD OD FAAO — Mar 25, 2025

TIME.

Are your patients teaching you to be the best you can be? When we work with patients, real people, a tactful 5 minute investment in conversation can yield an exponential return on many levels. We can often have a top differential in our head in even less time, sometimes seconds, before actually...

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

Corneal Microneedle Treatment

Does it hurt?... An annular corneal microneedle patch will likely become a significant advancement in minimally invasive ophthalmic drug delivery, designed specifically to address the challenges faced with traditional topical eye drops. This innovative solution offers several key advantages, ma...

by John R Martinelli MD OD FAAO — Mar 20, 2025

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The Ophthalmic Physician Newsletter

Building A New Class Of Physician.