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


RGP Contact Lens Fitting: A Practical Guide When You Only Have a Keratometer
RGP lenses can provide sharp, stable vision for patients with astigmatism, keratoconus, and irregular corneas. Learn how eye doctors evaluate lens movement, fluorescein patterns, comfort, and corneal health during an RGP fitting.

David B. Sabin
4 days ago9 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
6 days ago4 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
7 days ago4 min read


Why Your Eyes Water When They Are Actually Dry
If your eyes water all day but still feel dry, you may have tear film instability or meibomian gland dysfunction. Learn why dry eye can trigger reflex tearing and how treatment can help restore comfort.

David B. Sabin
Aug 216 min read


What Is a Cover Test? How Eye Doctors Check for Eso, Exo, Hyper, Tropias, and Phorias
A cover test is a simple but powerful eye alignment test that helps detect hidden or visible eye turns. Learn what eso, exo, hyper, tropia, and phoria mean during an eye exam.

David B. Sabin
Aug 208 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


The History of Progressive Lenses: How No-Line Bifocals Changed the Way We See
Progressive lenses may look like regular glasses, but inside the lens is a carefully designed blend of prescriptions that helps your eyes see clearly at far, intermediate, and near distances.

David B. Sabin
Aug 146 min read


Why Your Glasses Prescription Can Change Even When Your Eyes Are Healthy
A changing glasses prescription does not always mean something is wrong with your eyes. Age, dry eye, blood sugar changes, cataracts, screen use, and normal refractive shifts can all affect how clearly you see. Here’s why your prescription may change even when your eye health is normal.

David B. Sabin
Aug 125 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


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


What’s the Difference Between Vision Insurance and Medical Insurance?
Confused about whether your eye exam should be billed to vision insurance or medical insurance? You are not alone. Vision insurance typically helps with routine eye care, glasses, and contact lenses, while medical insurance is used for eye health concerns such as dry eye, red eye, diabetes, glaucoma, cataracts, or sudden vision changes. At OPT-ISM Eye Care in South Tampa, we help patients understand the difference so their visit is scheduled and billed appropriately based on

David B. Sabin
Jul 206 min read


Slow Dark Adaptation: What It Can Reveal About Ocular Blood Flow — With a Key Clinical Pearl
Slow adjustment to light and dark can sometimes be related to reduced blood flow to the retina or optic nerve. Learn why temporary dimming, graying, or loss of vision should be taken seriously and when carotid artery testing may be important.

David B. Sabin
Jul 156 min read


Understanding Your Pupils: Key Insights for Eye Care
Your pupils can tell your eye doctor a lot about your eye health, nerve function, and how your eyes respond to light. Learn what is normal, what may need attention, and when to schedule an eye exam.

David B. Sabin
Jun 275 min read


Blue Light Glasses: Do They Really Help?
Blue light glasses may make screens feel more comfortable for some people, but research shows they are not a cure for digital eye strain. Here’s what patients should know.

David B. Sabin
Jun 255 min read


Clinical Guide to Color Vision Deficiency: Types, Testing, Medications, and Neurologic Causes
Color vision deficiency is not always simple “color blindness.” Learn how clinicians test color vision, distinguish congenital from acquired defects, and recognize medication, retinal, optic nerve, and neurologic causes of color vision changes.

David B. Sabin
Jun 1812 min read


Part 6 | How to Read an OCT RNFL: Understanding Optic Nerve and Glaucoma Testing
Learn how OCT RNFL scans help evaluate the optic nerve and glaucoma risk by measuring retinal nerve fiber layer thickness, quadrants, clock hours, TSNIT curves, and progression.

David B. Sabin
Jun 176 min read


What an Optometrist Needs to Know When a Patient With a Recent Concussion Presents for an Eye Exam
Concussion patients may see 20/20 but still struggle with focusing, eye teaming, reading, light sensitivity, and dizziness. Here is what optometrists should know and do during a post-concussion eye exam.

David B. Sabin
May 317 min read


Advanced Clinical Test | Parks-Bielschowsky Three-Step Test: How To Use It
The Parks 3-step test helps eye doctors evaluate vertical double vision by narrowing down which eye muscle may be causing the misalignment. This clinician-focused guide explains how to use the test, interpret hypertropia patterns, and recognize when findings may point to a superior oblique palsy or another cause of diplopia.

David B. Sabin
May 223 min read


Clinical Guide for Doctors: Diplopia Evaluation, Cranial Nerve Palsies, and Diabetes
Diplopia requires a systematic clinical approach. This doctor-focused guide reviews how to separate monocular from binocular double vision, localize cranial nerve and eye muscle patterns, recognize urgent red flags, and understand how diabetes can contribute to microvascular ischemic cranial nerve palsies.

David B. Sabin
May 216 min read
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3825 Henderson Blvd, Suite 103, Tampa, FL 33629
813-843-2653
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