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Sun Pharma launches Cequa for dry eye

Sun Pharmaceutical Industries announced the U.S. launch of Cequa, a topical ophthalmic treatment indicated to increase tear production in patients with keratoconjunctivitis sicca. Cequa (cyclosporine ophthalmic solution 0.09%), a calcineurin inhibitor immunosuppressant, is delivered with nanomicellar technology to improve the bioavailability and physicochemical stability of cyclosporine to improve ocular tissue penetration, the company said in a press release. Recent results from a multicenter, ...

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An advisor can help take the emotion out of investing

by Sanjeev Bhatia, MD , and David B. Mandell, JD, MBA This is the first of a three-part series on how a physician will get investment advice during his or her lifetime. This article focuses on the decision to use a professional advisor. In the second installment, we will discuss the one fundamental issue doctors must understand when choosing an investment advisor. The final article will outline the various types of financial advisors and describe the pros and cons of each type. At some point, yo...

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Reflections on early detection of AMD

In the last a few decades there has been a flurry of newer tests trying to build on some physiological properties of vision. The goal is to predict the onset of the pathology sometimes by a few years. A recent article in Primary Care Optometry News presented a case where a dark adaptation test (Routine visit leads to asymptomatic diagnosis, March 2019, pages 23, 21 and 22) was used. The author, Amanda S. Legge, OD, postulated that dark adaptation is the only biomarker for early AMD, and that any...

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Patient with diabetes has reduced vision

A 63-year-old Native American female was referred to the electrodiagnostics clinic for an OCT, ERG and visual-evoked potential, if needed, due to the patients unexplained decreased vision. She was best corrected to 20/50 OD, OS. The patient had a 20+ year history of poorly controlled diabetes, with a last known A1c of 11.0, and was on various oral diabetic and hypertensive medications, which included: glipizide one tablet daily, pioglitazone one tablet daily, metoprolol half a tablet twice a day...

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MGD may be culprit in contact lens intolerance

It is often assumed that contact lens intolerance is an unavoidable consequence of aging, and that patients will drop out of contact lens wear as they become older. In many cases, however, contact lens wearers are able to sustain successful wear well into older age -- if underlying ocular surface disease is appropriately addressed. A recent patient is a great example of this. This 65-year-old female high myope had successfully worn gas permeable (GP) contact lenses for 50 years but had been stru...

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Follow fitting guides, manage expectations with multifocal contacts

Presbyopia is on the rise as our worlds population matures. By next year, the worldwide prevalence is expected to be 1.37 billion (Fricke et al.). As this represents 1,800 presbyopes for each optometrist, it is likely that presbyopic patients will make up a significant part of your practice over the next decade and beyond. A 50-year-old female patient comes to your practice inquiring about multifocal contact lenses. She has never worn them but is highly motivated to do so. You may be concerned w...

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Impression-based contact lenses expand treatment options for challenging cases

Millions of people worldwide suffer from debilitating conditions that impair their vision and require them to wear specialty contact lenses. Unfortunately, there are times when these custom devices may not work. In addition, clinical and practical challenges exist with fitting scleral lenses. Indeed, widespread adoption of these lenses is limited due to a relatively steep learning curve for fitters and the time-intensive tting process involved. However, as the following case illustrates, newer m...

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