I recently had an opportunity to observe another practitioner in his dry eye specialty practice and it was a boon to me in a myriad of unexpected ways.
A 24-year-old male pilot applicant presented for an examination at the Naval Aerospace Medical Institute (NAMI). His history included being an amateur hockey player in his younger years. He reported being hit in the head with a hockey puck plus numerous blows to the head during fights while participating in the sport. Binocular indirect ophthalmoscopy with scleral lens depression detected retinal detachment.