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


Mid-Peripheral Retinal Hemorrhages: A Warning Sign of Carotid Artery Disease and Ocular Ischemic Syndrome
Isolated mid-peripheral retinal hemorrhages are an important retinal clue to ocular ischemic syndrome and severe carotid artery disease. This clinician-focused review explains the characteristic fundus findings, how to differentiate OIS from retinal vein occlusions and diabetic retinopathy, and why prompt carotid evaluation can preserve vision and reduce stroke risk.

David B. Sabin
Sep 225 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


Photochromic Lenses: Are Transition Lenses Worth It?
Photochromic lenses are a convenient lens upgrade that automatically darkens outdoors and clears indoors. They offer UV protection and comfort, but they may not fully replace polarized sunglasses, especially for driving.

David B. Sabin
Sep 104 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


Guillain-Barré Syndrome and the Eyes: Why Vision Changes Can Happen
Guillain-Barré syndrome is a rare nerve condition that can affect more than the arms and legs. In some patients, it can cause double vision, droopy eyelids, trouble moving the eyes, and dry eye from poor blinking. Here’s what patients should know about the eye-related warning signs.

David B. Sabin
Aug 314 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


Horner’s Syndrome vs. Congenital Horner’s Syndrome: What Eye Doctors Look For
Horner’s syndrome can cause a smaller pupil, mild droopy eyelid, and sometimes a lighter-colored iris when present from birth. Learn how optometrists compare acquired Horner’s syndrome with congenital Horner’s syndrome, what red flags require urgent evaluation, and why pediatric cases need careful monitoring for vision development.

David B. Sabin
Aug 196 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


Co-Managing Cataract Surgery: What to Expect at Your 1-Day, 1-Week, 1-Month, and Final Follow-Up Visits
Cataract surgery follow-up care is essential for safe healing and clear vision. Learn how optometrists co-manage cataract surgery and what is checked at each post-op visit.

David B. Sabin
Aug 105 min read


Myopia, Hyperopia, and Astigmatism: A Clinician-Friendly Review of Refractive Error
Myopia, hyperopia, and astigmatism are often described simply as “nearsightedness,” “farsightedness,” and “blur,” but clinically they reflect different optical relationships between axial length, refractive power, accommodation, and corneal or lenticular curvature. This clinician-friendly review breaks down how each refractive error changes the focal point of light, why symptoms may vary between patients, and what optometrists should consider when prescribing lenses, evaluati

David B. Sabin
Aug 57 min read


How Doctors Can Recommend Glasses and Sunglasses in the Exam Room Without Sounding Salesy
Doctors do not need to “sell” glasses in the exam room. They need to connect the patient’s prescription, symptoms, lifestyle, and eye health needs to a clear eyewear recommendation. Here’s how to recommend glasses, lens upgrades, and prescription sunglasses in a way that feels educational, ethical, and patient-centered.

David B. Sabin
Jul 317 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 3 | Corneal Cross-Linking for Keratoconus: What Patients Should Know
Corneal cross-linking is a treatment used to strengthen the cornea and help slow or stop keratoconus progression. Learn how it works, who may need it, and why early monitoring is important.

David B. Sabin
Jul 274 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


Part 1 | Keratoconus: When the Cornea Changes Shape and Vision Becomes Distorted
Keratoconus is an eye condition that affects the cornea, the clear front window of the eye. In a healthy eye, the cornea has a smooth, dome-like shape. With keratoconus, the cornea gradually becomes thinner and steeper, causing it to bulge forward into a cone-like shape. This change can distort how light enters the eye, leading to blurry, shadowed, or irregular vision. Keratoconus often starts in the teenage years or early adulthood, but it can be diagnosed at different ages.

David B. Sabin
Jul 235 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
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813-843-2653
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