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Do as I say, not as I do

Most of us have bad habits, most of us do things we shouldn’t do, eat too much chocolate, or have one too many glasses of wine at the weekend. Most practicing Optometrists spend our days giving out advice and best practice to patients hoping that it will be followed.

“Always wash your hands before touching your contact lenses”
“You should try and stop smoking, research has shown smokers to be 5 times more likely to develop wet AMD”

I, like most of us, give out these words of wisdom and advice on a regular basis. However when the advice was given back at me by a patient in a joking way, I suddenly had a realisation that I don’t always follow my own.

This realisation came about after the patient, a dentist, spotted me cleaning my specs discretely on the nearest soft cloth available, my tie. After jokingly telling me I’ll scratch my lenses doing that, she asked when I last had my eyes examined.

The cogs started turning and the brain started crunching as I realised it was 3 years ago. Since then, I’ve sat in the black chair, covered one eye then the other, had the 0.25 flipper in my hand and twiddled the cyl axis myself. But a proper fundus examination/ocular motor balance assessment, well that’s not so recent.

I asked my patient the same question, when were her teeth last examined, to which she replied “um…a long time ago”.

So we wondered why? Is it that because we know the symptoms to look out for, we don’t worry until we notice them? Or is it because we feel that because we work as the professional, we won’t suffer from any ocular condition (or oral condition in my Dentists case)?

Myself, I try and refract myself, I used the new fundus camera when it arrived but my peripheral retina’s been rather neglected. Yet I sit there, informing patients about the importance of regular eye examinations and encourage them to return yearly or two yearly.

So, be honest. When was your last eye exam? Are you like me not following your own advice? Why?

 Maybe I need to start supervising trainees. At least that way I could be tested annually whilst “assessing their ability”!

2 comments | add a comment

  • David Langford // Aug 26, 2008 at 7:58 pm

    That’s why I like to be an “adjunct professor” with an optometry school and have the student externs give me a free exam like four times a year.
    Last year I worked for LensCrafters and part of the benefit was a free eye exam paid by EyeMed..
    I guess another option is to work in a group practice, but why not have the solo docs in town agree to give each other free eye exams?

  • Jane Macnaughton // Aug 28, 2008 at 4:12 am

    I work in a Uni department - cant say that anyone has looked into my eyes for over three years now!

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