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9/7/2017 1 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 [email protected] @MorrisConsultingAssociate s @Scot Morris @Scot Morris @Morris Consulting @Morris Consulting Associates

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Page 1: IOAc.ymcdn.com/sites/ · PDF file9/7/2017 5 WhoWhatWhenWhyHow? Acuity Auto-refraction Manifest Refraction Cyclorefraction Topography Aberrometry BiometryA-Scan

9/7/2017

1

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

[email protected]

@MorrisConsultingAssociates

@Scot Morris

@Scot Morris

@Morris Consulting

@Morris Consulting Associates

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3

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

@MorrisConsultingAssociates

@ Scot Morris

@Morris Education & Consulting Associates

@Scot Morris

@Morris Consulting

@ Morris Consulting Associates