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Mentax (Butenafine)

“Eyeball politics” is created by the struggle for potential patient attention among the three eye care professions. Confusion reigns, in particular for the patient, when he or she is forced to determine if eyeglasses and/or contacts should be purchased from the optician who designs, manufactures, and sells lenses and frames or from the optometrist who not only prescribes such lenses but also has them made by prescription and sells them at profit.
Additionally, the patient must further decide if the optometrist he sees regularly for eyeglass prescriptions is I detecting eye health problems. Ophthalmologists say only al medical doctor can do this. Optometrists say they, as O.D.’s, have the training to catch a health problem and refer the patient to an eye surgeon, saving the patient an] extra professional visit.
Judith Doctor, M.D., an ophthalmologist practicing in Westport, Connecticut and affiliated with Norwalk Hospital (in Norwalk, Connecticut) says that eye doctors are the sole professionals licensed to use drugs that dilate the pupils, making it easier to spot the early signs of disease “Only a medical doctor has the training to give a complete medical exam,” she added.
Robert Ross, O.D., practicing optometry in Westport, responded that most people who see an optometrist regularly will get the necessary exams to catch eye health problems. He said, “Ninety-six percent of the patients visiting eye professionals have vision, not medical problems but any possible trouble could be detected by a good optometrist.” As an example he referred to a machine in his office that does a sophisticated test for high pressure in the eye, the sign of glaucoma.
Around the country optometrists are lobbying in state legislatures for permission to use drugs that dilate the pupils. Such lobbying for the more medically-oriented effort has angered ophthalmologists, who declare that only those with an M.D. degree should be allowed to administer drugs to eye care patients. They argue that the dilating drugs could trigger a sudden glaucoma attack. Eye physicians are unable to tell when a stimulus might set off an unexpected increase in eye pressure, which may build to dangerous levels, according to Bernard Singer, M.D., chief of the section of ophthalmology at Norwalk Hospital.
If an acute glaucoma attack should strike, it is essential that the patient have a medical doctor on hand to treat the disease, Dr. Singer said. Along with the blinding pain from an acute attack, Dr. Singer stated, “An untreated, undiagnosed acute attack can result in total blindness within twenty-four to forty-eight hours.” He added that many such victims will need immediate surgery.
Dr. Ross countered with the statement that the fears of an acute glaucoma attack are overrated. “These kinds of attacks are rare; I don’t think a patient should fear getting one when the eye is dilated,” Dr. Ross said. He added that the patient could always go to a local hospital with little risk of permanent eye damage.

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