My Blog

Author Archive

Prisms

EYE TALK WITH DR.BOB – Prisms

A patient of mine came in with her friend. She was 20/20 – no need for Prescription. Did a peripheral vision test and notice she could not see anything to the right of her nose while each eye was covered separately. She was not blind, or blurred, she had no vision.

With her left eye covered she could not see anything to the right of her nose. With her right eye covered, she could see nothing on the right of the nose.

No right field of vision…so that tells you it’s the brain. As it turns out she had brain surgery for another condition, and that surgery resulted this condition.

Maybe the fibers that that lead from her eye to the back of the brain were severed. They performed a brain scan, they determined that there was an aneurysm. We gave her specialized glasses, known as prisms that shifted her world from left

To right. It does not correct the vision, but just shifts them. Her life was restored. She was able to drive, read, and work. Her quality of life improved dramatically.

Posted in: Articles

Leave a Comment (0) →

Prisms to Correct Vision

A patient of mine came in with her friend. She was 20/20 – no need for Prescription. Did a peripheral vision test and notice she could not see anything to the right of her nose while each eye was covered separately. She was not blind, or blurred, she had no vision.

With her left eye covered she could not see anything to the right of her nose. With her right eye covered, she could see nothing on the right of the nose.

No right field of vision…so that tells you it’s the brain. As it turns out she had brain surgery for another condition, and that surgery resulted this condition.

]Maybe the fibers that that lead from her eye to the back of the brain were severed. They performed a brain scan, they determined that there was an aneurysm. We gave her specialized glasses, known as prisms that shifted her world from left To right. It does not correct the vision, but just shifts them.

Her life was restored. She was able to drive, read, and work. Her quality of life improved dramatically.

Facts

1. Vision Loss may involve certain parts of the visual field

2. Loss of ¼ to ½ of vision field are common head injuries or tumors.

3. Prism lenses re-orientate the eyes into seeing ordinary

Posted in: Articles

Leave a Comment (0) →

Testimonial – 1/13/2014

Dr Rothbard,
I would like to personally thank you for your efforts and for going out of your way for me and a lot of your patients. I am in the healthcare field myself and I do know that it’s very rare to find a healthcare professional who goes out of their way for a patient. I walked into your office last week Friday after reading great reviews about you and your staff on Yelp and I briefly spoke to Katie and a gentleman at the front desk. They were both very helpful and took the time to listen to me and talk to me about my current issue with my PPO insurance. Katie was awesome and very attentive! After talking to them about my condition and insurance problems, they took down my number and told me that I should expect a call back on Monday. Little did I know that YOU will be calling me and leaving me a personal message on my cel phone about where to go to get RGP lenses fitted. Even though you knew that you were not going to be able to provide me with services, you still went out of your way to call me and tell me who to go to. I want to use this opportunity to thank you. As a health care provider in the inland empire, I am constantly encountering patients who are looking for the “best” doctors. Just so you know, you have topped my list of “best” optometrists in the IE due to your human touch and personable approach. I will be referring everyone that’s looking for an optometrist to you. Also, please look out for my review on Yelp.Thank you and I’ll be sure to tell my referrals to let you know that “Joe sent you” when they come your way.

Best regards,

Joe

Posted in: Articles

Leave a Comment (0) →

Continuing Education

Eyeglasses on Eye ChartOptometry is such an expansive field.  When I go to continuing education seminars, it amazes me the developments that are occurring within the eye and vision fields.  New contact lenses and lenses for glasses have come a long way over the last few years.

Medical advanements in refractive surgery (lasik for example), cataract surgery and being able to treat macular degeneration  has also grown by leaps and bounds.  It’s great to be witness to the patients receiving the benefits of these developments.

Also, the fact that almost everyone is in front of a hand-held device, tablet or monitor will help insure the needs for my services will only grow. The effects of viewing extensive close up work, for some, affects one’s vision. To be honest, this area alone is a very exciting area for me.

Posted in: Articles

Leave a Comment (0) →

Good Vision Is More Than 20/20

42-15530303A number of individuals feel they don’t need to have their eyes examined because they see clearly.  When examining the eyes, of course we want to the patient to have clear sight.  But we also want to know how well their eyes work together, if they have depth perception or even if they’re straining their eyes when working close up, particularly on a monitor.  You can have clear sight and still have problems visually.

The other side of the examinatin deals with how healthy the eyes are.  You can have 20/20 and still manifest a sight-threatening or life threatening disease such as glaucoma, cancer of the eye or even a detachment of structures of the eyes and not be aware of them.  You can be losing peripheral vision and not even be aware of it.  I’ve had patients who were diagnosed to have a brain aneurysm or a tumor through examination of the eyes.

For more information, please visit my website, www.ranchoeyedoctor.com.

Posted in: Articles

Leave a Comment (0) →

College Major

MH900427821

I  had an 18-year-old patient starting college as a patient.  I asked him what his major was.  He said he was combining a psychology and a business major together.  I thought what a great idea.  His advisor at school couldn’t figure out why he wanted to combine the two.

Owning my own business, so many psychological factors enter into how successful a business is.  Of course one is how well the staff gets along with each other as well as the patients.

I thought this patient was quite insightful, especially for being so young.  It will be interesting to follow his progress.

Posted in: Articles

Leave a Comment (0) →

Patient Comfort

Dr. Bob treating a patient

Dr. Bob treating a patient

There are times when we give patients a prescription which they could see clearly with but are not comfortable.  Their eyes may feel tired with them or they may get headaches.

Sometimes we have to look at the old prescription and modify the change we gave them.  Sometimes there is a correction for astigmatism that makes the patient see clearly but causes a warpage in their vision.  In that case, we either reduce or remove the correction for astigmatism.

There are a host of other types of prescriptions which we measure on the patient during the examination that the patient can’t tolerate. We also find that when the patient has been wearing contact lenses only for a long time and wants to get spectacles, there could be trouble adjusting to the glasses. 

Posted in: Articles

Leave a Comment (0) →

The Importance of Frame Adjustment

Middle-aged Woman Trying on EyeglassesWhen a patient receives their glasses, sometimes they have trouble seeing.  Assuming the prescription in correct, the next thing we look at is the way the frame is fitting on the patient.  If the frame is sitting far away from the patient’s eyes, this could cause a problem of distortion, especially on high prescriptions, particularly bifocals.

Speaking of bifocals, a poor adjustment of the frame could put the bifocal in the wrong position leading to patient discomfort.  Another area of adjusstment that’s impoartant is how the frames are tilted on the patient.  We generally try to match the tilt of the frame to the tilt of the patient’s old frames.  If it’s the first time the patient is receiving glasses, we have a good idea on how we want the glasses to fit and adjust the frames accordingly.

Lastly and just as important, if the frame is not adjusted for the patient correctly,  this could discomfort of the ears or nose. 

Posted in: Articles

Leave a Comment (0) →

Helping People

Zig Ziglar said, “help enough people get what they want and you’ll get what you want.”  That is so true.  I have noticed this with family members as well as the staff within my office.

A couple of years ago I had a student and friend work in my office who was interested in making optometry her career.  We helped her during the application process.  It was rewarding for both her and me when we heard she was accepted to optometry school.

Recently, I told her I was going through the process of becoming certified to prescribe for glaucoma. Immediately, she offered to sit for me so I could practice a technique I needed to know.  She was very knowledgeable in this area.  There’s a little bit of discomfort with this technique as you have to put a viewing lens on the eye itself.

This helping of others is so important to one’s own well being.  I’m really proud of how the course of events has taken place so far with this future optometrist.

Posted in: Articles

Leave a Comment (0) →

Great Individuals To Work With

It’s really great when you can come into your office and everyone really gets along well.. I find that with the individuals in my office.  Believe me, I have worked in offices where this wasn’t the case.  You probably have, too.

It’s really wonderful that I am able to deligate many of the office tasks to my employees where I am then able to concentrate my efforts on patient care.  The other area of the practice I enjoy is the networking part of my practice.  From the gym to chambers of commerce to online, I really enjoy meeting with people and discussing (with enthusiasm ) my practice.Patients are really able to pick up where there are “good vibrations” within a work environment.  I encourage you to read the testimonial section of my website, www.wehelpuc.com.  The last testimonial describes this to a tee and made me feel really good.A second year optometry school student remarked to me: “Bob, you never say you’re going to work, you say you’re going to the office.”

Posted in: Articles

Leave a Comment (0) →
Page 1 of 2 12