ioac.ymcdn.com/sites/ · pdf file9/7/2017 5 whowhatwhenwhyhow? acuity auto-refraction manifest...
TRANSCRIPT
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Scot serves as the medical director of Eye Consultants of Colorado.
He is the operating partner of Morris Education & Consulting Associates, a full-service practice management and clinical education consulting firm.
He is the co-founder of 4ECP’s, the leader in practice marketing and educational services.
Scot serves as the Chief Optometric Editor for Optometric Management and is a consultant for the US Department of Education-Council on Optometric Education and Residency Affairs.
In 2015, he was voted as one of the 50 most influential people in the eye care industry. In 2016 he was voted one of the 250 top innovators in eye care.
He is a member of the AOA, AAO, ABO and the COA.
Scot lectures extensively throughout North America on various ocular conditions, technology, and practice management for multiple pharmaceutical, ophthalmic equipment, and healthcare companies. He has published extensively in multiple ophthalmology and optometry journals, newsletters and book chapters. He also sits on multiple consulting boards inside and outside of the eye industry.
303.250.0376
@MorrisConsultingAssociates
@Scot Morris
@Scot Morris
@Morris Consulting
@Morris Consulting Associates
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In the last 24 months I have received honoraria from or in some other way been compensated by the following companies:
1. Every disease has a history
2. Most diseases have objective findings The Who, What, When, Why and How (WWWWH)
3. Most visits include multiple diagnoses
4. Most disease have a variety of traditional and alternative treatments
5. All visits need to be coded correctly
6. MOST IMPORTANTLY all disease state diagnosis and management options need to be explained in language the common person understands
7. We will cover all of the above for a lot of common disease states
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Disease States Simple Myopia
Simple Hypermetropia
Compound Myopia
Compound Hypermetropia
Mixed Astigmatism
Presbyopia
Accommodative Disorders
Diagnostics Acuity
Manifest Refraction
Topography
Aberrometry
Biometry
Accommodative Assessment (PRA/NRA/AA)
Management Solutions Glasses
Contacts
Refractive Corneal Surgery
Refractive Lens Surgery
Simple Myopia
Simple Hypermetropia
Compound Myopia
Compound Hypermetropia
Mixed Astigmatism
Presbyopia
Accommodative Disorders
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WhoWhatWhenWhyHow?
Acuity
Auto-refraction
Manifest Refraction
Cyclorefraction
Topography
Aberrometry
BiometryA-Scan
Accommodative Assessment (PRA/NRA/AA)
What do they tell you?
Management Options
Glasses
Contacts
Refractive Corneal Surgery
Refractive Lens Surgery
Alternatives Accommodative Visual
Training
Coding & Billing
Considerations
Fashion & Function Purpose & Expectations
Optics Design & Visual Perception
Candidacy & Results
Materials
Risk & Benefit
Utilization Barriers
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Disease States ET
Divergence Insufficiency (ET>ET’)
Convergence Excess (ET’>ET)
6th Nerve (D>N, > in toward paretic muscle)
XT
Convergence Insufficiency (XT’>XT)
Divergence Excess (XT>XT’)
Hypertropia
Brown’s Syndrome (V Pattern Can’t elevate)
Mixed
A Pattern (>ET upward OR >XT in down) (SO Overaction-chinup)
V-Pattern (>XT upward gaze OR >ET in down gaze) (IO Overaction-chin down)
X Pattern (>XT in up and down than primary)
3rd Nerve (XT, HO, Ptosis, Pupil??)
4th Nerve (contralateral head tilt
Diagnostics Cover Test
H-Test
Fixation Disparity
MRI
BP
CBC
Management Solutions Optical Prism
EOM Surgery
Visual Training
Time
Coding & Billing
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Disease States ET
Divergence Insufficiency
Convergence Excess
6th Nerve
XT
Convergence Insufficiency
Divergence Excess
Hypertropia
Brown’s Syndrome
Mixed
A Pattern
V-Pattern
X Pattern
3rd Nerve
4th Nerve
WhoWhatWhenWhyHow?
Diagnostics
Cover Test with Prism
H-Test
Parks
Fixation Disparity
Stereo Tests
Imaging (MRI
BP
Blood Tests
What do they tell you?
Disease States ET
Divergence Insufficiency (ET>ET’)
Convergence Excess (ET)
6th Nerve (D>N, > in toward paretic muscle)
XT
Convergence Insufficiency
Divergence Excess (XT>XT’)
Hypertropia
Brown’s Syndrome (V Pattern Can’t elevate)
Mixed
A Pattern (>ET upward OR >XT in down) (SO Overaction-chinup)
V-Pattern (>XT upward gaze OR >ET in down gaze) (IO Overaction-chin down)
X Pattern (>XT in up and down than primary)
3rd Nerve (XT, HO, Ptosis, Pupil??)
4th Nerve (contralateral head tilt)
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Management Options
Management Solutions
Optical Prism
EOM Surgery
Visual Training
Time
Coding & Billing
Considerations
Disease States ET
Divergence Insufficiency (ET>ET’)
Convergence Excess (ET)
6th Nerve (D>N, > in toward paretic muscle)
XT
Convergence Insufficiency
Divergence Excess (XT>XT’)
Hypertropia
Brown’s Syndrome (V Pattern Can’t elevate)
Mixed
A Pattern (>ET upward OR >XT in down) (SO Overaction-chinup)
V-Pattern (>XT upward gaze OR >ET in down gaze) (IO Overaction-chin down)
X Pattern (>XT in up and down than primary)
3rd Nerve (XT, HO, Ptosis, Pupil??)
4th Nerve (contralateral head tilt
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Disease States
Retinal Disease
Optic Nerve Disease
Chiasmal Disease
Optic Tract/LGN
Cortical Issues (Amblyopia, Basiliar Artery issues)
Diagnostics
Perimetry
ERG
Management Solutions
Treat underlying disease state
Disease States
Retinal Disease
Optic Nerve Disease
Chiasmal Disease
Optic Tract/LGN
Cortical Issues (Amblyopia, Basiliar Artery issues)
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WhoWhatWhenWhyHow?
Diagnostics
Perimetry
ERG
What do they tell you?
Disease States
Retinal Disease
Optic Nerve Disease
Chiasmal Disease
Optic Tract/LGN
Cortical Issues (Amblyopia, Basiliar Artery issues)
Management Options
Management Solutions
Treat underlying disease state
Coding & Billing
Considerations
Disease States
Retinal Disease
Optic Nerve Disease
Chiasmal Disease
Optic Tract/LGN
Cortical Issues (Amblyopia, Basiliar Artery issues)
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Lids, Lacrimal, Orbit, Nodes
Lids Closure (lagophthalmos, edema,
myogenic/neurogenic)
Appositional (ectropion, entropion)
Inflammatory (Blepharitis x2), Hordeolum)
Infectious (Ant. Bleph, Viral, Preseptal, FES)
Mechanical (Ptosis, blepharochalasis)
Neurogenic (Bell’s)
Neoplastic (BCC, SqCC, SebCC benigns)
Trauma
Lacrimal Inflammatory.Infectious (Dacryocystitis,
Canaliculitis, Dacryoadenitis)
Mechanical (NLD)
Lashes Trichiasis
Facial Rosacea
Orbit Pre-septal/Septal Cellulitis
TED
Orbital Pseudotumor
Exophthalmos
Blunt Trauma
Orbital Fracture
Nodes
Diagnostics
Lid Imaging
Lacrimal outflow tests
Imaging: (MRI/CT/X-Ray)
Blood Work
Microbiology Laboratory Assessment
Management Solutions
Surgical Lid
Surgical Lacrimal
Medical Lid
Medical Lacrimal
Orbital Surgical
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Lids
Closure (lagophthalmos, edema, myogenic/neurogenic)
Appositional (ectropion, entropion)
Inflammatory (Blepharitis x2), Hordeolum)
Infectious (Ant. Bleph, Viral, Preseptal, FES)
Mechanical (Ptosis, blepharochalasis)
Neurogenic (Bell’s)
Neoplastic (BCC, SqCC, SebCC benigns)
Trauma
Lacrimal
Inflammatory.Infectious (Dacryocystitis, Canaliculitis, Dacryoadenitis)
Mechanical (NLD)
Lashes Trichiasis
Facial Rosacea
Orbit Pre-septal/Septal Cellulitis
TED
Orbital Pseudotumor
Exophthalmos
Blunt Trauma
Orbital Fracture
Nodes
WhoWhatWhenWhyHow?
Diagnostics
External Exam
Lid Imaging
Lacrimal outflow tests
Imaging: (MRI/CT/X-Ray)
Blood Work
Microbiology Laboratory Assessment
Exophthalmometry
What do they tell you?
Lids
Closure (lagophthalmos, edema, myogenic/neurogenic)
Appositional (ectropion, entropion)
Inflammatory (Blepharitis x2), Hordeolum)
Infectious (Ant. Bleph, Viral, Preseptal, FES)
Mechanical (Ptosis, blepharochalasis)
Neurogenic (Bell’s)
Neoplastic (BCC, SqCC, SebCC benigns)
Trauma
Lacrimal
Inflammatory.Infectious (Dacryocystitis, Canaliculitis, Dacryoadenitis)
Mechanical (NLD)
Lashes
Trichiasis
Facial
Rosacea
Orbit
Pre-septal/Septal Cellulitis
TED
Orbital Pseudotumor
Exophthalmos
Blunt Trauma
Orbital Fracture
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Management Options
Management Solutions
Environmental Lid
Surgical Lid
Surgical Lacrimal
Medical Lid
Medical Lacrimal
Orbital Surgical
Coding & Billing
Considerations
Lids
Closure (lagophthalmos, edema, myogenic/neurogenic)
Appositional (ectropion, entropion)
Inflammatory (Blepharitis x2), Hordeolum)
Infectious (Ant. Bleph, Viral, Preseptal, FES)
Mechanical (Ptosis, blepharochalasis)
Neurogenic (Bell’s)
Neoplastic (BCC, SqCC, SebCC benigns)
Trauma
Lacrimal
Inflammatory.Infectious (Dacryocystitis, Canaliculitis, Dacryoadenitis)
Mechanical (NLD)
Lashes
Trichiasis
Facial
Rosacea
Orbit
Pre-septal/Septal Cellulitis
TED
Orbital Pseudotumor
Exophthalmos
Blunt Trauma
Orbital Fracture
Nodes
Cornea, Conjunctiva, Sclera
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Disease States
Infectious (bacterial, chlamydial, viral, fungal, insects, protozoan)
Mechanical (RCE, Abrasion, LWE, Lymphgiectasia/cysts, filaments)
Dystrophy (EBMD, FED, Stromals,
Allergic (AKC, VKC, SKC, Toxic, GPC)
Trauma (Blunt, laceration, burns, SubConj Heme, pterygium, SPK)
Inflammatory/Hormonal (AQDE, Chemosis, Follicles vs. Papillae, SLK, Sterile PUK, Rosacea, Episcleritis,Pannus, IK, Scleritis, OCP, SJS)
Neoplastic (CIN,SCC, others)
Congenital/Developmental (microcornea)
Ischemic (Neo, CLARE, telangiectasia)
Neurologic (neuroparalytic, desensitization/sensory neuroadaptation)
Degenerative (Arcus, SND, LSCD, KCN, PMD,TMD, pinguecula)
Diagnostics
Photography
Topography
Staining Patterns
Infectious (bacterial, chlamydial, viral, fungal, insects, protozoan)
Mechanical (RCE, Abrasion, LWE, Lymphgiectasia/cysts, filaments)
Dystrophy (EBMD, FED, Stromals,
Allergic (AKC, VKC, SKC, Toxic, GPC)
Trauma (Blunt, laceration, burns, SubConj Heme, pterygium, SPK)
Inflammatory/Hormonal (AQDE, Chemosis, Follicles vs. Papillae, SLK, PUK, Rosacea, Episcleritis,Pannus, IK, Scleritis, OCP, SJS)
Neoplastic (CIN,SCC, others)
Congenital/Developmental (microcornea)
Ischemic (Neo, CLARE, telangiectasia)
Neurologic (neuroparalytic, desensitization/sensory neuroadaptation)
Degenerative (Arcus, SND, LSCD, KCN, PMD,TMD, pinguecula)
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WhoWhatWhenWhyHow?
Diagnostics
Photography
Topography
Staining Patterns
Culture
What do they tell you?
Infectious (bacterial, chlamydial, viral, fungal, insects, protozoan)
Mechanical (RCE, Abrasion, LWE, Lymphgiectasia/cysts, filaments)
Dystrophy (EBMD, FED, Stromals,
Allergic (AKC, VKC, SKC, Toxic, GPC)
Trauma (Blunt, laceration, burns, SubConj Heme, pterygium, SPK)
Inflammatory/Hormonal (AQDE, Chemosis, Follicles vs. Papillae, SLK, PUK, Rosacea, Episcleritis,Pannus, IK, Scleritis, OCP, SJS)
Neoplastic (CIN,SCC, others)
Congenital/Developmental (microcornea)
Ischemic (Neo, CLARE, telangiectasia)
Neurologic (neuroparalytic, desensitization/sensory neuroadaptation)
Degenerative (Arcus, SND, LSCD, KCN, PMD,TMD, pinguecula)
Management Options
Management Solutions
Environmental
Mechanical
Nutritional
Pharmaceutical
Anti-infectives
Anti-inflammatory
Hormonal
Pain Management
Surgical
Coding & Billing
Considerations
Infectious (bacterial, chlamydial, viral, fungal, insects, protozoan)
Mechanical (RCE, Abrasion, LWE, Lymphgiectasia/cysts, filaments)
Dystrophy (EBMD, FED, Stromals,
Allergic (AKC, VKC, SKC, Toxic, GPC)
Trauma (Blunt, laceration, burns, SubConj Heme, pterygium, SPK)
Inflammatory/Hormonal (AQDE, Chemosis, Follicles vs. Papillae, SLK, PUK, Rosacea, Episcleritis,Pannus, IK, Scleritis, OCP, SJS)
Neoplastic (CIN,SCC, others)
Congenital/Developmental (microcornea)
Ischemic (Neo, CLARE, telangiectasia)
Neurologic (neuroparalytic, desensitization/sensory neuroadaptation)
Degenerative (Arcus, SND, LSCD, KCN, PMD,TMD, pinguecula)
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Disease States
Mechanical (PAS, PS, PDS, PXF,AAC)
Trauma (Recession, cyclodialysis, iridodialysis)
Inflammatory (iritis variants)
Neoplastic (cysts, nevi and nodules)
Congenital/Developmental (heterochromia, coloboma, PPM ARP & ICE syndromes)
Neurologic (Horner's, Adie's, AR)
Diagnostics
Photography
UBM
Gonioscopy
A Bright Light
Management Solutions
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Disease States
Mechanical (RCE, Abrasion, LWE)
Trauma (Iridonesis,)
Inflammatory
Neoplastic
Congenital/Developmental
Neurologic (Horner's, Adie's)
Degenerative
WhoWhatWhenWhyHow?
Diagnostics
Photography
UBM
Gonioscopy
A Bright Light
What do they tell you?
Disease States
Mechanical (RCE, Abrasion, LWE)
Trauma (Iridonesis,)
Inflammatory
Neoplastic
Congenital/Developmental
Neurologic (Horner's, Adie's)
Degenerative
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Management Options
Mechanical
Pharmaceutical
Anti-inflammatory
Pain Management
Surgical
Considerations
Disease States
Mechanical (RCE, Abrasion, LWE)
Trauma (Iridonesis,)
Inflammatory
Neoplastic
Congenital/Developmental
Neurologic (Horner's, Adie's)
Degenerative
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Disease States
Infectious (endophthalmitis)
Mechanical (Pupil Block AC)
Trauma (Hyphema, hypotony, UGH)
Inflammatory (Non-Pupil Block, iritis variants)
Diagnostics
UBM
AC Tap
Management Solutions
Mechanical (Compression Gonio)
Pharmaceutical
Surgical (LPI, Trab, Shunt, Stent)
Disease States
Infectious (endophthalmitis)
Mechanical (Pupil Block AC)
Trauma (Hyphema, hypotony, UGH)
Inflammatory (Non-Pupil Block, iritis variants)
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WhoWhatWhenWhyHow?
Diagnostics
UBM
AC Tap
What do they tell you?
Disease States
Infectious (endophthalmitis)
Mechanical (Pupil Block AC)
Trauma (Hyphema, hypotony, UGH)
Inflammatory (Non-Pupil Block, iritis variants)
Management Options
Mechanical (Compression Gonio)
Pharmaceutical
Surgical (LPI, Trab, Shunt, Stent)
Considerations
Disease States
Infectious (endophthalmitis)
Mechanical (Pupil Block AC)
Trauma (Hyphema, hypotony, UGH)
Inflammatory (Non-Pupil Block, iritis variants)
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Disease States Mechanical (Phacolysis, Marfans?, Osmotic, Dislocation)
Trauma
Congenital/Developmental (Ant. Polar, cortical, vacuolar)
Dystrophy (PXF)
Degenerative (Presbyopia, NS)
Diagnostics Photography
UBM
Acuity
Glare/BAT
Transillumination
Aberrometry
A Slit Lamp
Management Solutions Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
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Disease States
Mechanical (Phacolysis, Marfans?, Osmotic)
Trauma (Cataract)
Congenital/Developmental (Ant. Polar, cortical, vacuolar)
Dystrophy (PXF)
Degenerative (Presbyopia, NS)
WhoWhatWhenWhyHow?
Diagnostics
Photography
UBM
Acuity
Glare/BAT
Transillumination
Aberrometry
A Slit Lamp
What do they tell you?
Disease States
Mechanical (Phacolysis, Marfans?, Osmotic)
Trauma (Cataract)
Congenital/Developmental (Ant. Polar, cortical, vacuolar)
Dystrophy (PXF)
Degenerative (Presbyopia, NS)
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Management Options
Management Solutions
Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
Considerations
Disease States
Mechanical (Phacolysis, Marfans?, Osmotic)
Trauma (Cataract)
Congenital/Developmental (Ant. Polar, cortical, vacuolar)
Dystrophy (PXF)
Degenerative (Presbyopia, NS)
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Disease States Infectious (Papillitis)
Mechanical/Vascular (POAG, LTG, PTC, Papilledema)
Trauma
Inflammatory(Optic Neuritis, AION)
Neoplastic (Melanocytoma/Angioma/Glioma, hamartomas)
Developmental (Pits, Drusen, colobomas, Tilted Disc Syndrome)
Ischemic (NAION)
Diagnostics Photography
OCT
Perimetry
Management Solutions Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
Disease States
Infectious (Papillitis)
Mechanical/Vascular (POAG, LTG, PTC, Papilledema)
Trauma
Inflammatory(Optic Neuritis, AION)
Neoplastic (Melanocytoma/Angioma/Glioma)
Developmental (Pits)
Ischemic (NAION)
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WhoWhatWhenWhyHow?
Diagnostics
Photography
OCT
Perimetry
What do they tell you?
Disease States
Infectious (Papillitis)
Mechanical/Vascular (POAG, LTG, PTC, Papilledema)
Trauma
Inflammatory(Optic Neuritis, AION)
Neoplastic (Melanocytoma/Angioma/Glioma)
Developmental (Pits)
Ischemic (NAION)
Management Options
Management Solutions
Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
Coding & Billing
Considerations
Disease States
Infectious (Papillitis)
Mechanical/Vascular (POAG, LTG, PTC, Papilledema)
Trauma
Inflammatory(Optic Neuritis, AION)
Neoplastic (Melanocytoma/Angioma/Glioma)
Developmental (Pits)
Ischemic (NAION)
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Disease States Infectious (bacterial, viral, fungal, insects, worms, protozoan)
Mechanical (PVD, RD, VMT, Schisis, Holes, ERM)
Dystrophy (CHRPE, RP, Bests, Stargardt’s )
Trauma (VitHeme, FB, Hole, tear, RD, Solar, Radiation commotion, High risk drugs)
Inflammatory/Hormonal (ICSC, CME, White dots-[APMPPE, Birdshot, MCP, MEWDS])
Neoplastic (Melanoma, hemangiomas, CHRPE, Lymphoma, RB)
Congenital/Developmental (asteroid, colobomas, vascular masses, ROP, myopic )
Ischemic/Vascular (HTN, DM, VO, AO, OIS, blood anomalies, Macro aneurysm, choroidal effusion/heme )
Neurologic
Degenerative (AMD, Lattice, Pavingstone)
Diagnostics Photography/Angiography
Perimetry
Tomography
Electrodiagnostic (VER, EOG, ERG,
Staining Patterns
Management Solutions Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
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Disease States Infectious (bacterial, viral, fungal, insects,
worms, protozoan)
Mechanical (PVD, RD, VMT, Schisis, Holes, ERM)
Dystrophy (CHRPE, RP, Bests, Stargardt’s )
Trauma (VitHeme, FB, Hole, tear, RD, Solar, Radiation commotion, High risk drugs)
Inflammatory/Hormonal (ICSC, CME, White dots-[APMPPE, Birdshot, MCP, MEWDS])
Neoplastic (Melanoma, hemangiomas, CHRPE, Lymphoma, RB)
Congenital/Developmental (asteroid, colobomas, vascular masses, ROP, myopic )
Ischemic/Vascular (HTN, DM, VO, AO, OIS, blood anomalies, Macro aneurysm, choroidal effusion/heme )
Neurologic
Degenerative (AMD, Lattice, Pavingstone)
WhoWhatWhenWhyHow?
Diagnostics
Photography/Angiography
Perimetry
Tomography
Electrodiagnostic (VER, EOG, ERG,
Staining Patterns
What do they tell you?
Disease States Infectious (bacterial, viral, fungal, insects, worms,
protozoan)
Mechanical (PVD, RD, VMT, Schisis, Holes, ERM)
Dystrophy (CHRPE, RP, Bests, Stargardt’s )
Trauma (VitHeme, FB, Hole, tear, RD, Solar, Radiation commotion, High risk drugs)
Inflammatory/Hormonal (ICSC, CME, White dots-[APMPPE, Birdshot, MCP, MEWDS])
Neoplastic (Melanoma, hemangiomas, CHRPE, Lymphoma, RB)
Congenital/Developmental (asteroid, colobomas, vascular masses, ROP, myopic )
Ischemic/Vascular (HTN, DM, VO, AO, OIS, blood anomalies, Macro aneurysm, choroidal effusion/heme )
Neurologic
Degenerative (AMD, Lattice, Pavingstone)
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Management Options
Management Solutions
Environmental
Mechanical
Nutritional
Pharmaceutical
Surgical
Coding & Billing
Considerations
Disease States Infectious (bacterial, viral, fungal, insects,
worms, protozoan)
Mechanical (PVD, RD, VMT, Schisis, Holes, ERM)
Dystrophy (CHRPE, RP, Bests, Stargardt’s )
Trauma (VitHeme, FB, Hole, tear, RD, Solar, Radiation commotion, High risk drugs)
Inflammatory/Hormonal (ICSC, CME, White dots-[APMPPE, Birdshot, MCP, MEWDS])
Neoplastic (Melanoma, hemangiomas, CHRPE, Lymphoma, RB)
Congenital/Developmental (asteroid, colobomas, vascular masses, ROP, myopic )
Ischemic/Vascular (HTN, DM, VO, AO, OIS, blood anomalies, Macro aneurysm, choroidal effusion/heme )
Neurologic
Degenerative (AMD, Lattice, Pavingstone)
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Patient History
Vision
Pain & Recovery
The Experience
Clinical Presentation
Acuity & Refractive Error
Anterior Segment
Posterior Segment
Management Issues
Medications
Refractive Error/Vision
Post-op care, recovery & limitations
Patient Considerations/Education
Coding & Billing
Patient History
Vision
Pain & Recovery
The Experience
Clinical Presentation
Acuity & Refractive Error
Anterior Segment
Posterior Segment
Management Issues
Medications
Refractive Error/Vision
Post-op care, recovery & limitations
Patient Considerations/Education
Coding & Billing
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Patient History
Pain & Recovery
The Experience
Clinical Presentation
Anterior Segment
Posterior Segment
Management Issues
Medications
Post-op care, recovery & limitations
Patient Considerations/Education
Coding & Billing
Patient History
Vision
Pain & Recovery
The Experience
Clinical Presentation
Acuity & Refractive Error ?
Anterior Segment
Posterior Segment
Management Issues
Medications
Refractive Error/Vision
Post-op care, recovery & limitations
Patient Considerations/Education
Coding & Billing
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Patient History
Vision
Pain & Recovery
The Experience
Clinical Presentation
Acuity & Refractive Error
Anterior Segment
Posterior Segment
Management Issues
Medications
Refractive Error/Vision
Post-op care, recovery & limitations
Patient Considerations/Education
Coding & Billing
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Disease States
Infectious (CI)
Mechanical (edema by location, warpage, deposits & GPC, )
Trauma (CLSoln hypersensitivity, )
Inflammatory/Hormonal (PUK
Ischemic/Vascular (Hypoxia, Neo )
Neurologic (DES)
Disease States
Infectious (CI)
Mechanical (edema by location, warpage, deposits & GPC, )
Trauma (CLSoln hypersensitivity, )
Inflammatory/Hormonal (PUK
Ischemic/Vascular (Hypoxia, Neo )
Neurologic (DES)
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WhoWhatWhenWhyHow?
Photography
Topography
Staining
Slit Lamp
What do they tell you?
Disease States
Infectious (CI)
Mechanical (edema by location, warpage, deposits & GPC, )
Trauma (CLSoln hypersensitivity, )
Inflammatory/Hormonal (PUK
Ischemic/Vascular (Hypoxia, Neo )
Neurologic (DES)
Management Options
Pharmaceuticals
Anti-infectious
Anti-Inflammatory Agents
Refits
CL Care Alterations
Coding & Billing
Considerations
Disease States
Infectious (CI)
Mechanical (edema by location, warpage, deposits & GPC, )
Trauma (CLSoln hypersensitivity, )
Inflammatory/Hormonal (PUK
Ischemic/Vascular (Hypoxia, Neo )
Neurologic (DES)
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Developmental
Phacomatoses (VHL, S-W, NF, Wyburn –Mason, )
Vascular (HRN, DM, OIS, migraines
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Common Symptoms
CC
PHI
FHX
Soc HX
Meds
Allergies
Observations VA:
Refraction
EOM/CF:
IOP:
Adnexa
Cornea/conjunctiva
P, I & AC:
Lens:
Disc:
Post Seg: Macula & PP:
O, M & A:
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Differential Diagnosis
Further Diagnostic Testing/Procedure
Diagnosis
Treatment
Education
Therapy:
Follow-up:
How would you Follow-up
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Available soon
on
Amazon & I-Tunes
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@ Scot Morris
@Morris Education & Consulting Associates
@Scot Morris
@Morris Consulting
@ Morris Consulting Associates