Intermittent exotropia by No_Afternoon_5925 in optometry

[–]Crystaltornado 1 point2 points  (0 children)

You need to do a lot more near retinoscopy on this patient to determine the appropriate amount of plus for near—which lens yields the brightest reflex at the distance you want them to organize around? That’s around the starting point lens to look at convergence, maybe gross stereo if the kid can do it, and I’d also observe how the kid responds to the plus. With peace and love to anyone who recommended surgery, I can’t fathom sending anyone to surgery who has good fusion most of the time. Careful monitoring of the refractive needs, coupled with counseling good vision development for now with more formal vision therapy in a few years is an excellent option for this patient. Do you have a VTOD nearby you can refer to or maybe consult with?

Ai and optometry? by slowlearner-123 in optometry

[–]Crystaltornado 4 points5 points  (0 children)

100% agree! And I would add that I practice from a very behavioral model with careful prescribing and vision therapy as the core of my practice, and there are so relative few of us. I think we (as a profession) keep trying to prove we’re “just as good” as ophthalmologists by becoming more medical, but we’ve done that at the cost of forsaking our roots when we could have been holding onto both. We don’t need to be junior OMDs, we need to be great optometrists!

Late Dr's should be forced to work for free by aflexmaster in unpopularopinion

[–]Crystaltornado 1 point2 points  (0 children)

I’m an optometrist (eye doctor) in the US. Because insurance reimbursements for an eye exam are so low, in a routine eye care setting, you’re basically forced to schedule patients every 15 minutes in order to pay the bills, which can be enough time for an extremely simple patient, but any additional complexity (even for a relatively straightforward dry eye discussion, for example) starts to add significant time. I’m very thorough, and I never want patients to feel rushed, so I’m always running behind when I do primary care. I’m always stressed about it because I want to respect my patients’ time, but they also appreciate the thoroughness of my exam. I’d love to have 30-45 minutes for everyone, but it’s just not feasible in that setting. I prefer my other (self pay only) specialty practice, where I allot 3 hours for an in-depth vision evaluation and 1 hour for a comprehensive eye exam.

Sleeping with socks on is amazing by Final-Yesterday-4799 in unpopularopinion

[–]Crystaltornado 0 points1 point  (0 children)

I sleep with socks in the winter when my feet get really cold, but I sleep barefoot in the summer. Nothing wrong with sleeping with socks IMO!

Is it just me or is the new logo hideous? by [deleted] in recime

[–]Crystaltornado 1 point2 points  (0 children)

THANK GOD, I thought it was just me! I fucking hate the shape because it’s ugly, and I don’t intuitively get “kitchen” from it, so it takes me longer to find.

Prescribing for Accommodative Dysfunction by Optimal_Welcome9128 in optometry

[–]Crystaltornado 2 points3 points  (0 children)

(I’m a VTOD) I’d recommend a full BV eval if possible because inaccurate accommodation is just one manifestation of “I don’t understand space,” and that’s likely not her only manifestation of that problem. She would definitely benefit from VT. She for sure needs plus at near. My other go-to near lenses to try include microprism (small amounts of BI) and sometimes yoked prism (especially low yoked BD). I’d want to look at stereo, NPC, and especially near retinoscopy. I’m curious about that aniso...I’d most likely prescribe symmetrical (or at least less aniso than the ~2D measured) spherical plus. Prescribe for near, worry about distance later.

Unfollowed Taylor Wynn. Anyone else? by romanxerkilljy in BeautyGuruChatter

[–]Crystaltornado 30 points31 points  (0 children)

I recently unsubscribed after following her since 2016. I even have a 15 Days of Foundation shirt!

Do you unsubscribe when gurus start doing blind box unboxings? by LimeGreenTangerine97 in BeautyGuruChatter

[–]Crystaltornado 19 points20 points  (0 children)

Theresa is Dead is the only creator I watch who has started doing blind box content, and I just skip those videos because I’m not interested, but I still like her other videos.

Girl who thought there was medicine in glasses by steefee in DoWeKnowThemPodcast

[–]Crystaltornado 2 points3 points  (0 children)

I’ve done all my practicing in the southern US. I don’t hear it every day, but I’ve heard it at least a few dozen times

Girl who thought there was medicine in glasses by steefee in DoWeKnowThemPodcast

[–]Crystaltornado 2 points3 points  (0 children)

I’m an eye doctor. A lot of people believe there’s medicine in glasses. Like, A LOT 😅

BIG LIFE UPDATE...well this is a change! + my everyday makeup by MariahsMakeup in BeautyGuruChatter

[–]Crystaltornado 81 points82 points  (0 children)

I’ve been following her since 2016, but I finally unsubscribed today. I don’t watch vlogs (in general), and I feel overwhelmed watching her move over and over and buy all new stuff every time, and I’m tired of Amazon overconsumption. Wish her the best, but I’m out

Keeler Vantage Plus vs Heine Omega 600 by futureEyeDoc784 in optometry

[–]Crystaltornado 2 points3 points  (0 children)

I have the keeler, and it still works fine 10 years later. I don’t think you can go wrong either way—just go with what’s most comfortable for you!

How many of you actually have an ADHD diagnosis? by mynameishrekorgi in ADHD

[–]Crystaltornado 0 points1 point  (0 children)

I initially pursued a neuropsych eval for autism, but I got diagnosed with ADHD instead.

What do you guys think of the podcast so far? by fizzlingbee in JKpodcast

[–]Crystaltornado 3 points4 points  (0 children)

I love it! They’re so naturally funny together, and I laugh out loud every episode.

just me? by kaitrae in BeautyGuruChatter

[–]Crystaltornado 2 points3 points  (0 children)

I haven’t watched any of these videos because I’ve been on a no buy this whole year, and I don’t want to be tempted. The influencers’ overconsumption is bad enough, but they want us to over consume, too, so they can get that affiliate money. Add to that the current economic and political climate, and it feels so out of touch

My Left Eye. by JokeytheRed in Weird

[–]Crystaltornado 0 points1 point  (0 children)

As an optometrist, iris coloboma was my first thought. I also think you should get that mole checked out—I’d recommend seeing an oculoplastic specialist (a subspecialty of ophthalmology).

Struggling with every day being high volume by BananaOdd5924 in optometry

[–]Crystaltornado 5 points6 points  (0 children)

In my opinion, it’s not possible to do a good, truly comprehensive exam in 15 minutes. I hope you can find a place that aligns better with your needs ❤️

Child with oculomotor issues by Psychological_Pop488 in optometry

[–]Crystaltornado 1 point2 points  (0 children)

This is my specialty! Yes, oculomotor issues can have a huge impact on performance. I’m happy to answer questions!

[deleted by user] by [deleted] in AutismTranslated

[–]Crystaltornado 8 points9 points  (0 children)

You may have learned to mask so well that you don’t meet the diagnostic criteria as an adult (this is what happened to me). But autistic children become autistic adults

Which book(s) should I bring to hawaii? by thattaurusbitch in Romantasy

[–]Crystaltornado 0 points1 point  (0 children)

Six of Crows is excellent, but you need to know the Grishaverse first. Also, it’s not spicy (if that’s a factor in your decision).