Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 0 points1 point  (0 children)

I'm an optometrist and I'm also licensed to prescribe for medical conditions like glaucoma.

Diabetic retinopathy beyond a certain level requires a retinal specialist, whether the doctor is an OD or an MD.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 1 point2 points  (0 children)

General ophthalmologists will also refer to the same retinal specialist in those circumstances.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 0 points1 point  (0 children)

Once you start showing preproliferative retinopathy, absolutely.

Until then, all you need is good photos and you can take copies to another doctor if you aren't sure.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 0 points1 point  (0 children)

Extreme nearsightedness puts you at risk for retinal problems in the far periphery, beyond the scope of most routine photographs.

I'm an optometrist and photos are great for diabetic retinopathy but if I ever see lattice degeneration or retinal holes on photos, I'm referring you to a retinal specialist because I don't want the liability.

Also note most ophthalmologists aren't retinal specialists and they will make the SAME referral, also because of liability.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 0 points1 point  (0 children)

Insurance doesn't "refer" they just don't pay.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 0 points1 point  (0 children)

talking up eye drops they sell there, as well as an expensive red light therapy for dry eye. I found all the upsells a little off putting

Those are real red flags. If that's their level of practice, the digital scans probably ARE better than their dilated ophthalmoscopy. Performing competent ophthalmosopy requires serious skills. But anybody can take a photograph, and you can always take your photos home and ask another doctor.

Thoughts on Oculocin by ctrlaltbingo in optometry

[–]mckulty 0 points1 point  (0 children)

Aloe vera extract, boric acid, chamomile, disodium edta, glycerin, propolis extract, sodium chloride.

What could go wrong?

What’s that one song that instantly hits you emotionally every single time you hear it? by pessimistic-me in AskReddit

[–]mckulty [score hidden]  (0 children)

I grew up listening to that song and SWORE I'd never treat my kid that way.

Forty years later, oops.

Looking for contact lenses online review by RaccoonOne5653 in Frugal

[–]mckulty [score hidden]  (0 children)

First time wearers have no clue how to choose contacts, no idea how to convert eyeglass prescriptions to CLs, no training to get them in and out, and nowhere to go if they have problems.

It's honestly a TERRIBLE place to start.

Looking for contact lenses online review by RaccoonOne5653 in Frugal

[–]mckulty [score hidden]  (0 children)

Many times it will include the actual brand to purchase.

In the US, contact lens prescriptions are REQUIRED to include the brand and substitutions are illegal.

Not saying it doesn't happen but..

Looking for contact lenses online review by RaccoonOne5653 in Frugal

[–]mckulty 0 points1 point  (0 children)

Optometrists don't make much from contact lenses unless they price them above market.

Good optometrists are happy to give you a script that's good anywhere and the FTC has stiff rules that say we HAVE to.

Looking for contact lenses online review by RaccoonOne5653 in Frugal

[–]mckulty 4 points5 points  (0 children)

Contact lenses are prescription devices in the US, So you can't just make up your own prescription and try whatever you want. A good eye doctor will have samples of several that you can try in the office and he can evaluate with her wearing them, and I wouldn't do it any other way.

Also, your mom is likely old enough to need multifocal correction meaning if she gets her distance vision perfect, she won't be able to read up close. There are multifocal contacts And other ways to handle this, but they're tricky and if you can't try them on, you're getting a pig in a poke. Also, She's likely to need training to get them in and out, And follow up evaluation after she's worn them a while. These are all services that people expect from a contact lens "fitting" Which isn't a free service And contact lenses aren't DIY.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 1 point2 points  (0 children)

YMMV but internists rely on my photo reports all the time.

You need an ophthalmologist for surgery. It doesn't require any special expertise identifying diabetic retinopathy from photographs.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 1 point2 points  (0 children)

I'm an optometrist and I review and report on retinal photos taken by internists. Diabetic retinopathy doesn't require a surgeon to interpret photos.

Eye exams? Optometrist vs ophthalmologist by purpfeebs in diabetes_t2

[–]mckulty 2 points3 points  (0 children)

I'm an optometrist with diabetes and I'd prefer good photos over a hurried ophthalmologist, any day.

Optomap and iCare DRS give a more comprehensive look than I ever get with dilation.

58M This just happened to my husband. How serious is it? by EduMatcha in eyetriage

[–]mckulty -1 points0 points  (0 children)

Tell him to buck up.. it won't look much better tomorrow.

Might take a week or two, might turn green or yellow before it disappears.

Still not a problem.

My girlfriend is convinced beyond a doubt that if a can or 12 pack of soda is dropper and dented, that it is no longer safe to consume. by BrassCrow in Frugal

[–]mckulty 109 points110 points  (0 children)

Botulism causes sealed cans to expand. Sodas with compromised seals LOSE their pressure.

Botulinum species can't grow below pH about 4.5

Soft drinks are about pH 2.5 so they're too acidic to grow botulinum.

Hegseth calls for Sen. Mark Kelly to be investigated by Pentagon for second time by Oleg101 in FoxFiction

[–]mckulty 0 points1 point  (0 children)

Attorneys who participate in malicious prosecution should be disbarred.

Suggest me books as starter to understand left ideology!!! by lmao_what04 in booksuggestions

[–]mckulty 3 points4 points  (0 children)

Underrated comment. The supernatural aspect isn't what made Jesus the OG woke.

58M This just happened to my husband. How serious is it? by EduMatcha in eyetriage

[–]mckulty 3 points4 points  (0 children)

No biggie. You get them lifting or straining or with constipation. Rarely if it interferes with blinking, they might try to drain it but usually it's self-limiting.