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OPT-ISM Eye Care Blog
Helpful eye care tips, vision education, and modern optometry insights from OPTISM in Tampa, FL.


Radial Keratotomy: The Early Refractive Surgery That Came Before LASIK
Before LASIK, radial keratotomy used spoke-like corneal incisions to reduce nearsightedness. Although many patients initially achieved clearer distance vision, RK can cause prescription changes, irregular astigmatism, glare, and fluctuating vision decades later.

David B. Sabin
Oct 87 min read


Multiple Sclerosis and Your Eyes: Early Signs, Vision Changes, and Eye Tracking Problems
Multiple sclerosis can affect the eyes by causing optic neuritis, double vision, shaky vision, poor eye tracking, and trouble with color or contrast. Learn the early signs and when to schedule an eye exam.

David B. Sabin
Oct 66 min read


Gonioscopy: How We Measure the Eye’s Drainage Angles and Assess Glaucoma Risk
Gonioscopy allows your eye doctor to examine and measure the eye’s drainage angles. Learn how the test identifies narrow or closed angles, evaluates glaucoma risk, and reveals important angle structures.

David B. Sabin
Sep 233 min read


Retinitis Pigmentosa: An Optometrist’s Guide to OCT, FAF, ERG, Visual Fields, Genetics, and Referral
Retinitis pigmentosa is a genetically diverse group of rod-cone dystrophies that requires more than recognition of classic bone-spicule pigmentation. This clinical guide reviews OCT, fundus autofluorescence, visual fields, ERG, genetic testing, treatable complications, referral considerations, and practical follow-up for optometrists.

David B. Sabin
Sep 2111 min read


FSA and HSA: How to Use Your Benefits for Eye Care
Have FSA or HSA funds available? Learn how you may be able to use them for eye exams, prescription glasses, contact lenses, prescription sunglasses, and medical eye care.

David B. Sabin
Sep 24 min read


Ehlers-Danlos Syndrome and Your Eyes: What Patients Should Know
Ehlers-Danlos syndrome affects connective tissue throughout the body, including parts of the eye. Here’s what patients should know about vision changes, dry eye, corneal problems, and warning signs.

David B. Sabin
Sep 14 min read


Blog 1: Patient-Friendly Version: Pituitary Tumors and Your Eyes: What Patients Should Know
Pituitary tumors are usually benign, but they can affect side vision when they press on the optic nerves. Learn the symptoms, how common they are, and why an eye exam can help detect early warning signs.

David B. Sabin
Aug 273 min read


Patient Friendly Version: Altitudinal Visual Field Defects: Why the Pattern Matters
An altitudinal visual field defect means the top or bottom part of vision is missing. This pattern often respects the horizontal midline and may point toward disease in the eye, retina, or optic nerve. Brain-related visual field defects more often respect the vertical midline, making the pattern of vision loss an important diagnostic clue.

David B. Sabin
Aug 264 min read


Optometrist Guide to Adie’s Tonic Pupil: Diagnosis, Symptoms, and Treatment With Glasses and Contacts
Adie’s tonic pupil is a condition where one pupil becomes larger and reacts slowly to light, often causing glare, light sensitivity, and near focusing problems. This guide explains how optometrists diagnose Adie’s pupil, rule out more serious causes of anisocoria, and manage symptoms with reading glasses, bifocals, tinted lenses, polarized sunglasses, and specialty contact lenses.

David B. Sabin
Aug 1810 min read


What Is an Eye Freckle? Choroidal Nevus vs. Conjunctival Nevus vs. Iris Nevus
Eye freckles are usually harmless pigmented spots, but they should be monitored. Learn the difference between choroidal, conjunctival, and iris nevi, how doctors photograph them, and which warning signs need attention.

David B. Sabin
Aug 176 min read


Eye Coloboma: A Clinician-Level Guide to Embryology, OCT Findings, Retinal Detachment Risk, and Management
Ocular coloboma results from incomplete closure of the embryonic fissure, classically producing inferior or inferonasal defects involving the iris, lens zonules, chorioretina, optic nerve, or multiple ocular structures. Clinical evaluation should distinguish typical uveal coloboma from atypical coloboma-like lesions, assess macular and optic nerve involvement, document OCT findings, and monitor for complications such as amblyopia, choroidal neovascularization, and retinal det

David B. Sabin
Aug 119 min read


Eye Coloboma: What It Is, How It Affects Vision, and When to See an Eye Doctor
Eye coloboma is a condition present at birth where part of the eye does not fully form. It can affect the iris, retina, optic nerve, lens, or eyelid, and its impact on vision depends on which part of the eye is involved. Some people with coloboma see very well, while others may need glasses, specialty lenses, retinal monitoring, or support for reduced vision. A comprehensive eye exam helps determine whether the coloboma is mostly cosmetic, visually significant, or needs long-

David B. Sabin
Aug 75 min read


Thyroid Eye Disease: Symptoms, Causes, and Treatment Options
Thyroid eye disease can cause dryness, bulging eyes, eyelid changes, and double vision. Learn what causes it, how it is treated, and when to seek urgent eye care.

David B. Sabin
Aug 65 min read


Clinical Guide for Doctors: Ocular Myasthenia Gravis, the Neuromuscular Junction, and In-Office Testing
Ocular myasthenia gravis affects the neuromuscular junction and can cause fluctuating ptosis, intermittent double vision, and variable eye muscle weakness. This clinical guide reviews in-office tests optometrists can use to evaluate suspected ocular MG.

David B. Sabin
Aug 47 min read


Patient Friendly Guide to Myasthenia Gravis and the Eyes: Why Droopy Eyelids and Double Vision Can Be Important Clues
Myasthenia gravis can cause droopy eyelids, double vision, blurred vision, and eye fatigue that often worsen throughout the day. Learn how this condition affects the eye muscles and when symptoms need medical attention.

David B. Sabin
Aug 35 min read


Part 3: What Is a Cataract? How the Lens Becomes Cloudy and How Cataract Surgery Works
A cataract is a clouding of the natural lens inside the eye. As the lens becomes harder, yellow, and cloudy, vision may become blurry or glary. Cataract surgery removes the cloudy lens material and replaces it with a clear implant.

David B. Sabin
Jul 303 min read


Part 2 | How to Read Corneal Topography and Pentacam Tomography in Keratoconus and Corneal Thinning Disorders
Corneal topography and Pentacam tomography provide detailed information about corneal shape, elevation, and thickness. This clinician-friendly guide explains how to interpret each map, recognize patterns of keratoconus and other thinning disorders, evaluate progression, and avoid common diagnostic mistakes.

David B. Sabin
Jul 2411 min read


Clinical Guide for Doctors | Ocular Herpes Simplex vs. Herpes Zoster Ophthalmicus
Ocular HSV and herpes zoster ophthalmicus can both cause keratitis, uveitis, trabeculitis, and elevated IOP. This clinical guide reviews key exam findings, Hutchinson’s sign, oral antiviral treatment, and steroid use in inflammatory high-pressure cases.

David B. Sabin
Jul 226 min read


Patient Friendly | Ocular Herpes Simplex vs. Herpes Zoster: What’s the Difference?
Ocular herpes simplex and shingles around the eye can both cause redness, pain, light sensitivity, and vision changes. Learn how they differ and why early eye care matters.

David B. Sabin
Jul 216 min read


Subconjunctival Hemorrhage: Why Is There a Bright Red Spot on My Eye?
A bright red spot on the white of your eye can look scary, but it is often caused by a subconjunctival hemorrhage. Learn why it happens, how long it takes to heal, and when it needs an eye exam.

David B. Sabin
Jul 173 min read
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3825 Henderson Blvd, Suite 103, Tampa, FL 33629
813-843-2653
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