Know what happens between referral and return visit

Article

Optometrists who co-manage patients who have had retinal detachments may want to book a date with a retinal surgeon.

New York-Optometrists who co-manage patients who have had retinal detachments may want to book a date with a retinal surgeon. Watching a retinal surgeon perform a retinal reattachment firsthand is a valuable way for optometrists to improve their post-operative management of these cases, said David M. Krumholz, OD, FAAO, associate professor, State University of New York College of Optometry. Dr. Krumholz was speaking here at Vision Expo East.

Recognizing detachment

After identifying a retinal detachment and referring the patient to a retinal specialist, ODs should be prepared to receive back a patient who has had permanent changes made to his or her eye.

"Most ODs typically co-manage a large number of cataract patients," Dr. Krumholz said, "but retinal reattachment is a more extensive and invasive procedure that involves much more manipulation of the eye than does a routine cataract removal.

"For example," he continued, "the surgeon performing the retinal reattachment will often sew a piece of silicone plastic underneath the conjunctiva. If you understand the procedure, you'll know when you get the patient back that the little bump you're seeing is a scleral buckle and it's normal."

The medications that will be prescribed by the surgeon are also going to be heavier for retinal reattachment patients compared with those who have had a cataract removed.

Dr. Krumholz said that while the specific regimen will vary by surgeon, patients who have had a retinal reattachment are going to be taking an antibiotic for 1 week to 10 days, an anti-inflammatory agent for 6 weeks, and a mydriatic cycloplegic for at least a week. Patients might also be taking agents to lower their IOP.

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
What to know about legislative moves that have been made through May this year.
Rhue and Canto-Sims talk the value of contact lens patients, financial insights, and key benefits of implementing a contact lens management system.
Drs Brianna Rhue and Diana Canto-Sims discuss the benefits of implementing a contact lens management system that can help improve lens sales at your practice.
Optometrists local to the Los Angeles area overview their efforts to continue providing support to patients affected by January's wildfires.
Brianna Rhue, OD, FAAO, FSLS, reviewed key takeaways from The Future of Myopia Management: Perspectives from Leading Experts talk from SECO 2025.
Alysse Henkel, vice president of Research and inSights at The Vision Council, advised that expanding budget and mid-market frame options may help improve frames sales.
Steven T. Reed, OD, American Optometric Association's president, overviews the 2024 highlights and how the organization plans to extend success into 2025.
Walline, OD, PhD, FAAO, states that the best way to learn the benefits of artificial intelligence for your practice is to stay on top of continuing education attendance.
Practice owners testify to the importance of trying new things, not being afraid to fail, and utilizing community as a resource when starting up a new practice.
© 2025 MJH Life Sciences

All rights reserved.