Tag Archives : Optometrist Perspective

The Optometrist Perspective by Harvey Yamamoto, OD

The Optometrist Perspective by Harvey Yamamoto, OD

For this month, I would like to write about Glaucoma. Many optometrists have become certified in treating Glaucoma. Current data tells us that we have over 2 million patients in the U.S. being treated for this disease. Glaucoma accounts for over 10 million visits to their eye doctor each year. In terms of social security benefits, lost income tax revenues, and health care expenditures, the cost to the U.S. government is estimated to be over $1.5 billion annually. Glaucoma patients number more than 60 million patients worldwide and the Glaucoma market is currently estimated to be between $4.5 to $5 billion in the U.S., UE, and Japan alone. Coming down the Pike: Man 01 Glaucoma Drug is the first new drug in the area in 20 years. This “First in Class Drub” treats intraocular Eye Pressure (IOP) with early tests indicating excellent results in normalizing IOP. This drug may also be effective in helping ease the symptoms associated with: Pediatric Glaucoma, AMD, & Cystic Kidney Disease. The pharmaceutical company that is working on this wonder drug is Q BioMed Inc. This innovative company has the jump on the competition with its focus on the ‘Schlemms’ Canal, which is responsible...
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The Optometrist Perspective by Harvey Yamamoto, OD

The Optometrist Perspective by Harvey Yamamoto, OD

HAPPY MOTHER’S DAY TO ALL THE MOTHERS FROM THE ENTIRE STAFF AT C&E VISION – YOUR BUYING GROUP OF CHOICE. It was good to see so many new members joining the Premier Buying Group in the Nation. C&E has been dedicated to the vision industry since 1978. Our goal was to unite to form a buying atmosphere for the independent Eyecare practitioner to save on merchandise, lab services, etc. C&E over the years has been continually evolving into more than a Buying Service. Old and New members are encouraged to look at our website to see all the benefits of belonging. TANGIBLE HYDRA PEG COATING: GP Specialists has been offering a new technology which was introduced during late February of this year. The new technology is called Tangible Hydra-PEG. Tangible Science has dramatically improved the contact lens experience by developing a contact lens coating. I have been privileged to have our practice chosen as a beta testing sight for the past 10 weeks. Our patients love the new technology. It is a high water polymer coating that is permanently bonded to the surface of a gas perm contact lens . The coating creates a wetting surface that encapsulates the underlying lens material...
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Optometrist Perspective

Optometrist Perspective

Believe it or not, I’m still in denial that it is 2017. I better quickly get off that stick as this is already spring of 2917. It’s planting time. Yes, seeds of joy to water, watch growing and then providing fresh home grown veggies for my family and friends as well. Many of my friends are great gardeners and they are always sharing their crops with us. Yummy. Nothing like organic fresh veggies. Last winter, I worked on my hillside, cleaning up the weeks. I bought a small cultivator that I could carry up the hills and do some serious ground work. My little green monster worked well until it would hit rocks and stop working. I quickly learned to wedge out the rocks and keep on churning the earth. It was a labor of love but great exercise. Some years ago, I planted a small cactus. It has grown to a huge bush that my wife asked me to trim. I took out 20 barrels of cactus. Wow. If only our practice would grow like that. I thank my readers for jogging my memory a bit. I tend to get lost in my writing and thus my readers reminded me to focus on my review. Each year for the past 32 years, I’ve written in my January newsletter on what I accomplished the previous year. I apologize for...
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The Optometrist Perspective by Harvey Yamamoto, OD

The Optometrist Perspective by Harvey Yamamoto, OD

  Happy Thanksgiving to all. Happy Holidays to all my readers from our entire staff at C&E. May your Holidays be filled with happy moments. This year is fast closing in on each of us. Last month, I promised to touch upon one of my favorite topics. Specialty contact lens fitting. I can honestly tell you that fitting specialty contact lenses is an art but not impossible to achieve. First, one should have a good corneal topographer. Then one must have some fitting sets. i.e.: We have many such fitting sets. Some are sitting on the shelf forever. Some are used daily. My favorite is our Scleral fitting set. My second favorite in our Ortho-K fitting set. Between the two fitting sets, our practice is staying above water. Yes, you heard correctly. Our practice thrives today because of our contact lens fitting expertise. We have all the modern equipment to make that happen. We have incorporated this year, the new 5000 OCT unit which gives us a 15mm scan of the cornea with the scleral lens in place. Our lenses are 16.4mm but the 15mm scan provides us with priceless information on how well the lenses are resting on the sclera. Yes, the lenses must come to a rest beyond the...
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The Optometrist Perspective by Harvey Yamamoto, OD

The Optometrist Perspective by Harvey Yamamoto, OD

This year was the year of upgrading two piece of equipment but I found myself in much hesitation mood. Our 750 Humphries field testing machine was in perfect condition but it was time to upgrade as our unit was bought 15 years ago. The second unit to upgrade was our beloved 4000 OCT unit. When I saw the newer 5000 OCT, I knew in my heart that I just had to have one. The 4000 was bought in Oct 2011 and was like brand new. The operating system was Windows XP and the newer unit was Windows 7. A huge upgrade in technology that caught my attention. The unit that we ordered was fully loaded and had two new software that made a lot of sense to me and my family. Firstly, we wanted our unit that could cover 15mm of the anterior portion of the eye. This new system did that. Secondly, the newer unit had just come out with the Angio software which allowed us to look beneath the macula for leakage without the use of dye’s. We surmised that we have 40% of our patients with Diabetes and these are the patients who tend to have macula edema which can develop into wet AMD. Just the ability to be able to have the Angio portion of the software was enough reason to upgrade. Even with the generous...
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Optometrist Perspective by Harvey Yamamoto, OD

Optometrist Perspective by Harvey Yamamoto, OD

It just dawned upon me that I’ve been writing these editorials since March 1983. That’s a long long time. Thank you for being so patient in allowing me to share with you things of importance to me as it relates to life and to my world on Optometry. I asked myself a simple question this month? What would I be doing if I had not chosen Optometry. The answer came rather quickly. I would be working in my auto repair shop. In fact, I would most likely be the owner of several such repair shops. Repairing broken down things have come naturally for me and I worked in a garage putting myself through Optometry school thus I became very good at fixing things. Big things: ‘Like cars that stopped working.’ I enjoyed jumping into the service truck to find one of our customers who had become stuck in various places. Some of our customers were Jerry Louis, Jim Arness, and many other movie stars of that era. They were heavy tippers once I got them back on the road again. The repair shop idea followed me closely into Optometry. Setting up an edger came naturally during the 60’s when everything was done manually and became labor intensive. Those were the golden years in the back of my...
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Optometrist Perspective by Harvey Yamamoto, OD

Optometrist Perspective by Harvey Yamamoto, OD

HAPPY MOTHER’S DAY: I would like to share with my readers something about Strabismus and why I decided to begin focusing my attention to this group of patients. Strabismus makes up around 3% of the population that comes into our office seeking help. “Doctor, is there anything that you can do for me?” My U&C answer used to be: ‘No, your situation was determined many years ago during your formative years of life.” “I’m sorry but you seemed stuck with your predicament?” It was the path of least resistance that I had taken for the above patient. Was it the right answer? Those who were in the mainstream of COVD (College of Optometrists in Visual Development), the answer would have been: ‘Doctor, you did not give the patient the proper answer.” The proper answer would/could/should have been: ‘Yes, there are several things that we can look into for you.’ I was inspired by a little girl who came to see us for an eye evaluation. She was a cute 3 year old Hispanic young lady. Her father informed us that she was bumping into things and he noticed that she would sit very close to the T.V. even after repeatidly asking her to sit further back. He also noticed...
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The Optometrist’s Perspective

The Optometrist’s Perspective

Today there is a ongoing study being conducted Asia on Myopia control. It seems that Myopia is most prevalent in Asian countries. GP Specialists (contact lens lab in San Diego) reports an increase in the number of doctors fitting their Ortho-K lenses. There is no doubt that many studies have shown that fitting children with Ortho-K does reduce myopia by 30-40%. Many doctors are recommending that children spent more time outdoors since it is their belief that myopia is environmentally connected. As a young student in Optometry, I was taught that children who spend too much time watching T.V. was bad for the eyes. I was also taught that children who spend time outdoors tend to become hyperopic rather than myopic. I myself became hyperopic to this day. Here’s my story. I grew up on the farm as did my older brother and younger sister. My brother is myopic with astigmatism. My sister is myopia in one eye while being hyperopic in the other other. Both my parents were hyperopic with astigmatism. My personal conviction is that we are genetically connected via our X factor from both parents that determines our eye condition. That is based on my personal experience of having practiced...
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