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


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
1 day ago6 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
2 days ago8 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
3 days ago6 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
4 days ago10 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
5 days ago6 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


The Eye Exam After 40: What Changes and What Your Doctor Is Looking For
Your eye exam after 40 is about more than updating your glasses. It helps detect early signs of presbyopia, glaucoma, dry eye, cataracts, retinal disease, and health conditions like diabetes or high blood pressure.

David B. Sabin
Aug 135 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


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


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


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


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


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 2: Why Reading Gets Harder in Your 40s: The Lens, Hyperopia, and Presbyopia
Presbyopia happens when the natural lens inside the eye loses flexibility, making it harder to focus up close. Farsighted patients may notice symptoms earlier because their eyes have been using extra focusing effort for years.

David B. Sabin
Jul 293 min read


Part 1: Why Some Babies’ Eyes Turn In: Focusing, Farsightedness, and Accommodative Esotropia
Some babies and children develop an inward eye turn because they are farsighted and focusing too hard. This is called accommodative esotropia. Plus-power glasses can relax the focusing system and often help straighten the eyes without surgery.

David B. Sabin
Jul 283 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
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3825 Henderson Blvd, Suite 103, Tampa, FL 33629
813-843-2653
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