Volume 38, Number 2 Winter-Spring 2013 Innovative

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The Journal of the Association of Schools and Colleges of OptometryVolume 38, Number 2InnovativeTeachingMethodsAlso Inside: Functional Vision Loss in a Community Health Care Setting:A Teaching Case Report Think Tank: Directions in Optometric Education ASCOTech: Seven Ways to Boost “App-titude” in the Clinic atLittle or No CostWinter-Spring 2013

Association of Schools and Colleges of OptometryThe Association of Schools and Colleges of Optometry (ASCO) represents the professional programs ofoptometric education in the United States. ASCO is a nonprofit, tax-exempt professional educational associationwith national headquarters in Rockville, MD.OFFICERS AND MEMBERSBOARD OF DIRECTORSPresidentDavid A. Heath, OD, EdMPresidentState University of New YorkState College of OptometryNew York, NY 10036-8003President-ElectJennifer Smythe, OD, MSDeanPacific UniversityCollege of OptometryForest Grove, OR 97116At-Large MemberRichard W. Phillips, ODPresidentSouthern College of OptometryMemphis, TN 38104Executive CommitteeSecretary-TreasurerLinda Casser, ODDeanPennsylvania College of Optometryat Salus UniversityElkins Park, PA 19027-1598Immediate Past-PresidentKevin L. Alexander, OD, PhDPresidentSouthern CaliforniaCollege of OptometryFullerton, CA 92831Executive DirectorMartin A. Wall, CAEBOARD MEMBERS*Arol R. Augsburger, ODPresidentIllinois College of OptometryChicago, IL 60616*David S. Loshin, OD, PhDJoseph A. Bonanno, OD, PhD, FAAODeanNova Southeastern UniversityCollege of OptometryFt. Lauderdale, FL 33328Andrew Buzzelli, OD, MSDeanMichigan College of Optometryat Ferris State UniversityBig Rapids, MI 49307-2738Shilpa J. Register, OD, MS, PhDDeanUniversity of Alabama at BirminghamSchool of OptometryBirmingham, AL 35294-0010*Larry J. Davis, ODDeanInter American University of Puerto RicoSchool of OptometryBayamon, PR 00957Elizabeth Hoppe, OD, MPH, DrPHDeanNortheastern State UniversityOklahoma College of OptometryTahlequah, OK 74464DeanIndiana UniversitySchool of OptometryBloomington, IN 47401DeanUniversity of The Incarnate WordRosenberg School of OptometrySan Antonio, TX 78209Interim DeanMCPHS UniversitySchool of OptometryWorcester, MA 01608DeanUniversity of Missouri at St. LouisCollege of OptometrySt. Louis, MO 63121-4499Bruce Morgan, ODRod Nowakowski, OD, PhDAndres Pagan, OD, MPHDouglas K. Penisten, OD, PhDFounding DeanWestern University of Health SciencesCollege of OptometryPomona, CA 91766-1854Clifford Scott, OD, MPHDonald Jarnagin, OD*Melvin D. Shipp, OD, MPH, DrPHDennis M. Levi, OD, PhD*Earl L. Smith, III, OD, PhDDeanMidwestern UniversityArizona College of OptometryGlendale, AZ 85308DeanUniversity of California at BerkeleySchool of OptometryBerkeley, CA 94720-2020PresidentNew England College of OptometryBoston, MA 02115Dean and ProfessorThe Ohio State UniversityCollege of OptometryColumbus, OH 43210DeanUniversity of HoustonCollege of OptometryHouston, TX 77204-2020*Past PresidentOptometric Education38ASCO Affiliate MembersDr. Marlee Spafford, DirectorUniversity of WaterlooSchool of OptometryWaterloo, Ontario, Canada N2L 3G1Dr. Christian Casanova, DirectorUniversity of MontrealSchool of OptometryMontreal, QC Canada H3C 3J7Dr. Jairo H. Gardia, DeanUniversidad de la SalleFacultad de OptometriaBogota, ColumbiaPamela R. Happ, Exec. Dir.College of Optometrists inVision DevelpmentAurora, OH 44202Robert Williams, Exec. Dir.Optometric Extension ProgramFoundationSanta Ana, CA 92705Dr. John Townsend, DirectorDept. of Veterans AffairsOptometry ServiceDepartment of Veterans AffairsBaltimore, MD 21202Editorial Review BoardEditor:Aurora Denial, OD, FAAOASCOTECH Editor:James Kundart OD, MEd, FAAOCommunications Editor:David Damari, ODDiane T. Adamczyk, ODJamie Althoff, ODEtty Bitton, OD, MScNancy B. Carlson, ODKeshia Elder, OD, MSJoseph B. Fleming, ODDaniel G. Fuller, BS, ODPaula Handford, OD, FAAOMichael G. Harris, OD, JD, MSNada J. Lingel, OD, MSRaymond Maeda, ODGregory J. Nixon, ODJeffrey Nyman, ODShilpa Register, OD, MS, PhDMayra Rullán, OD, FAAOMarlee M. Spafford, OD, MSc, PhDMark Swan, OD, MEdRuth Trachimowicz, OD, PhDMichelle Welch, ODSuzanne M. Wickum, ODVolume 38, Number 2 / Winter-Spring 2013

OPTOMETRICEDUCATIONVOL. 38NO. 2ISSN 1933-8880WINTER-SPRING2013The Journal of the Association of Schools and Colleges of OptometryFEATURES AND DEPARTMENTSIndustry News41EditorialEducating EducatorsAurora Denial, OD, FAAO46Special AnnouncementASCO’s Educational Starter GrantProgram Returns for 201347Think TankDirections in Optometric EducationKen Seger, OD, MSc, FAAOMichael J. Giese, OD, PhD48ASCOTechSeven Ways to Boost “App-titude” in theClinic at Little or No CostJames Kundart, OD, MEd, FAAO50ARTICLESAn Innovative Teaching Method forGeometric Optics Using Hands-OnExercises in a Large Classroom Setting toStimulate Engaged LearningFaheemah Saeed, OD, FAAOConceptualizing the principles taught in geometric optics is difficult for many optometry students.A novel teaching method was developed to addressthis challenge. Hands-on activities utilizing refractive lenses, mirrors and light sources not only allowlearners to visualize the concepts being taught inclass but also sustain their interest and attention and result in more engaged learning.54Simulating Color Vision Deficiencies onClinical Tests with a Blue LightJeffery K. Hovis, OD, PhD, FAAOAlex Muntz, MScTeaching color vision testing can be challengingwhen all (or nearly all) of the students in the classhave normal color vision. Colored filters or computer simulation can be used to simulate color vision deficiencies, but both have some drawbacks.As an alternative, we used a blue compact fluorescent lamp to illuminate various clinical color vision tests. The results from 20 students showed thatthe illumination produced typical responses madeby individuals with congenital red-green defectson the Ishihara, Standard PseudoisochromaticPart 1, Standard Pseudoisochromatic Part 2, andIshihara Compatible color vision plate tests. Theresults on arrangement tests were more variablewith deutan-scotopic defects as the most commonpatterns. Even though the blue light illuminationdid not produce responses that are typical of individuals with red-green color vision defects on allcolor vision tests evaluated, it did provide studentsa reasonable approximation of their responses andthe experience of making decisions based onminimal differences in color.Past issues of Optometric Education are available on theASCO Web site at http://www.opted.org/i4a/pages/index.cfm?pageid 3404. Funding for archiving was generouslyprovided by Transitions Optical.60(Continued on page 40)Optometric Education39Volume 38, Number 2 / Winter-Spring 2013

VOL. 38NO. 2WINTER-SPRING2013The Journal of the Association of Schools and Colleges of OptometryFunctional Vision Loss in a CommunityHealth Care Setting: A Teaching CaseReportAmy Roan Moy, OD, FAAOBrian J. Pietrantonio, OD, MSErika Perzan, ODFunctional vision loss is loss of vision that cannotbe attributed to a pathological or structural causeand is often associated with psychological issues.This teaching case report will help students in theirunderstanding of the overall role of the primarycare optometrist in the diagnosis and multi-disciplinary management of a child with functionalvision loss. From this case, students learn how tothink critically when their exam results do notmatch a patient’s complaint, coordinate interdisciplinary communication, effectively communicatewith children and their parents about sensitive issues, and manage patients with psychosocial issues.67OPTOMETRIC EDUCATION is published by the Association of Schools and Colleges of Optometry (ASCO). Managing Editor: Desiree Ifft.Graphic Designer: Kerri McTigue. Business and editorial offices are located at 6110 Executive Boulevard, Suite 420, Rockville, MD 20852; (301)231-5944. Optometric Education is published three times per year. To access Optometric Education online, please go to www.opted.org.Copyright 2013 by The Association of Schools and Colleges of Optometry. All rights reserved. A limited license to use Optometric Education foryour personal, educational or other noncommercial use is provided to ASCO members and the general public. No part of this journal may be reproduced or transmitted in any form or by any means for any commercial purpose without permission in writing from ASCO.Use of information in this journal is voluntary. The opinions and information included in the journal are provided by the authors. Because ASCOdoes not endorse or warrant the information in this journal, you are advised to use the information after your own review of it and the information’sreliability for your purposes. You understand and agree that ASCO is not responsible or liable to any party for any direct, indirect, special or otherdamages for use of the information contained in this journal or websites linked from this journal.Advertising rates are available upon request. OPTOMETRIC EDUCATION disclaims responsibility for opinions expressed by the authors. Indexedin Visionet, Vision Cite, Educational Resources Information Center (ERIC) 1979-2003, and Directory of Open Access Journals (DOAJ).Optometric Education40Volume 38, Number 2 / Winter-Spring 2013

OPHTHALMICThe following companies supportASCO’s national programs andactivities benefiting the schools andcolleges of optometry in the UnitedStates and Puerto Rico.*Scientific CompendiumAvailable Onlinein combination with dry eye prescription therapies and do not require shaking prior to use. For more information, visit www.refreshbrand.com.Expo Reaching Outto Optometry AlumniPatrons( 50,000 - 90,000)Alcon LaboratoriesBenefactors( 25,000 - 49,999)Essilor of AmericaHOYA Free-Form CompanyLuxottica / EyeMed Vision CareWalmart Stores, Inc.Supporters( 15,000 - 24,999)Allergan, Inc.Carl Zeiss Vision / Carl ZeissMeditecPixel OpticsTransitions OpticalVistakon , Division of Johnson &Johnson Vision CareFriends( 10,000 - 14,999)Abbott Medical OpticsBausch LombCompulink Business SystemsHaag-StreitHEINEKeeler InstrumentsM & S Technologies, Inc.MarcoOculus, Inc.Optos North AmericaVision Service PlanVolk OpticalContributors( 5,000 – 9,999)CooperVisionInternational Vision ExpoLasikPlus / Visium Eye InstituteReview of OptometrySafilo GroupTLC VisionVision Source!As of January 1, 2013Optometric EducationThe Varilux S Series Compendium,recently posted online by Essilor,provides an in-depth look at thescience and research behind thecompany’s S Series of progressivelenses, including Nanoptix,SynchronEyes and 4D Technology.The compendium includes whitepapers and posters presented atnational professional meetings and itdetails the patented LiveOptics R&DProcess. In addition, it encompasseswearers’ tests and results obtainedwith Essilor’s virtual reality testplatform. The information is availablefor download from /Compendium/Pages/WhitePapers.aspx.New Artificial Tearis Preservative-FreeAllergan expanded its line of OTCproducts for managing dry eye withthe launch of Refresh Optive Advanced Preservative-Free Lubricant EyeDrops. The new drops feature the sameformula as Refresh Optive Advanced,without the use of a preservative. Thetriple-action formula is designed tostabilize the lipid layer to help reducetear evaporation, hydrate the aqueouslayer, and provide a lubricating andprotective shield for the mucin layerwhile further protecting epithelial cellsfrom hypertonic stress.Refresh Optive Advanced PreservativeFree Lubricant Eye Drops can be used41In addition to continuing its studentspecific programs, InternationalVision Expo is looking to work moreclosely with the schools and collegesof optometry to build programs thatcater to the needs of each institution’s alumni. The organization plansto work with each school to createalumni-specific benefits such as free exhibit hall registration, receptions, a listexchange, OD referral programs andspecial invitations. For more information, contact Trade Show MarketingManager Kristen Reynolds at KReynolds@thevisioncouncil.org or (703)548-0627.NSAID Labeledfor Once-Daily UseAlcon recently launched nepafenacophthalmic suspension 0.3% (IlevroSuspension), a once-daily non-steroidal anti-inflammatory drug treatmentoption for pain and inflammation associated with cataract surgery. In twodouble-masked, randomized clinicaltrials, patients treated with Ilevro Suspension were less likely to have ocularpain and measurable signs of inflammation (cells and flare) at the end oftreatment than those treated with itsvehicle. Inflammation resolved at day14 in 65% of Ilevro patients vs. 32%percent of patients who received veVolume 38, Number 2 / Winter-Spring 2013

hicle. The pain resolution rate amongIlevro patients was 86% vs. 46% forpatients who received vehicle.For more information and full prescribing information, visit www.alcon.com.Company ReorganizesProfessional AffairsVistakon Division of Johnson &Johnson Vision Care Inc. has created anew Professional Development Group,which combines its ProfessionalAffairs, ODLean Consulting Program,and Optometry School educationalefforts into one department. Inconjunction with the change,Damian May, PharmD, MBA, wasnamed Senior Director, Strategy &Professional Development. DickWallingford, OD, was named SeniorDirector, Professional Affairs. Inthis expanded role, he will continueto lead the company’s professionalaffairs activities with associationsand eyecare practitioners as well asoversee management of its OptometrySchool programs. W. Lee Ball, OD,FAAO, will continue to work with Dr.Wallingford to support these efforts.The company also announced that asof Dec. 31, 2013, its Acuvue BrandContact Lenses Bifocal and Acuvue 2Colours Brand Contact Lenses will bediscontinued. Also, as of July 1, 2013,Acuvue Brand Contact Lenses will nolonger be available in select base curvesand parameters. Vistakon PresidentDave Brown noted in a press releasethat “Contact lens wearers continueto embrace innovative new materials,technologies, and designs .,” and eyedoctors can easily upgrade patientsfrom the discontinued older lenses tomore popular brands in the companyportfolio.Optometric EducationHigh MagnificationFour-Mirror LensVision WellnessPrograms ExpandWith magnification of 1.5X, Volk’snew G4 four-mirror gonioscopy lens isdesigned to enable easier visualizationof more fine structural details in theanterior segment. The G-4 FourMirror Glass High Mag is availablein small or large ring options or witha handle that can be angled in twopositions. The no-flange design of thelens means an interface solution is notrequired, allowing quick eye contactand better patient comfort.EyeMed Vision Care reported thatmore than 70,000 children and nearly550,000 patients with diabetes arecurrently participating in its visionwellness programs. KidsEyes andEyeMed’s diabetic eyecare benefits,both launched in 2011, help eyecareproviders address the needs of these twokey populations. Members are eligiblefor more frequent services and, in thecase of diabetic eye care, coverage forfollow-up care when certain criteriaare met. According to the company,discounts on retinal imaging have alsoproven increasingly popular.The programs are part of EyeMed’smission to help consumers see theimportance of vision care and toencourage long-term relationshipsbetween patients and their eyecareprofessionals. The company alsoreported it plans to expand this focusin 2013.For more information, visit www.eyemedvisioncare.com, or call (888)581-3648.For more information or to order thelens, contact your authorized Volkdealer, visit www.volk.com or call(800) 345-8655.Cultural DiversityBrochures UpdatedAs part of its ongoing commitment tosupport eyecare professionals in theirefforts to educate culturally diversepatients about their unique eye healthneeds and risks, Transitions OpticalInc. has refreshed its popular “Whatto Expect” brochure series with newimagery and updated eye healthstatistics.The collection of brochures includesAfrican-American Eyes, Asian Eyes(English and Mandarin), HispanicEyes (English and Spanish), AdultEyes and Kids Eyes. The materialsare available for eyecare professionalsto display in-office or to use in theircommunity outreach efforts. Printedcopies of the brochures are availableat no cost through Transitions OpticalCustomer Service at CService@Transitions.com or (800) 848-1506.Printable PDF versions are availableonline within the “My Practice”section of MyMulticulturalToolkit.com.42New Web Sitefor Military MembersIn partnership with the Armed ForcesOptometric Society, CooperVisionInc. launched a new Web site, www.coopervision.com/armedforces, whichreinforces the company’s continuedcommitment to serving the U.S.military community. By logging ontothe site, military members and theirfamilies can purchase CooperVisioncontact lenses affordably, with theguarantee they will be deliveredwherever they are located around theworld.For every box of CooperVisionBiofinity, Avaira and Proclear 1 daycontact lenses purchased through theWeb site, CooperVision will donate 1to the Wounded Warrior Project.Volume 38, Number 2 / Winter-Spring 2013

Committed to QualityONE-DAY CONTACT LENSES3% HYDROGEN PEROXIDECleaning & Disinfecting Solution 2012 Novartis1/12 n431/31/12 1:59PMVolume 38, Number 2 / Winter-Spring2013

Have you thought about thefuture of Optometry?We have!The Partnership Foundation for Optometric Education isplanting, cultivating, and nurturing. Together, this “truepartnership” of state, regional, and national organizationsis making a long-term investment in tomorrow. With theinvestment we make today in optometric education,future generations of practitioners will flourish.For more information, contact thePartnership Foundation atwww.opted.orgor 301-231-5944, ext 3018.Optometric Education“A man has madeat least a start ondiscovering the meaning ofhuman life when he plantsshade trees under which heknows full well he willnever sit.”- Anonymous44Volume 38, Number 2 / Winter-Spring 2013

an is proud to offer a programdedicated to optometry graduatesRegister at AllerganODjumpstart.comJoin Today. Access the future.Members gain access to many exciting resources offered by Allergan.Free 3D Vision Simulator app for iPad from Eyemaginations, Inc.This useful tool visually simulates diseaseprogression with anatomical views of8 common eye diseases. It also brings tolife the corresponding patient point of viewfor impactful discussions with your patients.Additional benefits Product samples Savings programs to helpmanage costs for patients Disease-state educationalmaterials Invitations to speakerprograms delivered byindustry leaders 2012 Allergan, Inc., Irvine, CA 92612 mark owned by Allergan, Inc. iPad is a trademark of Apple Inc.,registered in the US and other countries. APC88JN12 122573Optometric Education45Volume 38, Number 2 / Winter-Spring 2013

Educating EducatorsAurora Denial, OD, FAAOHardly a day goes by thatwe as optometric educators aren’t remindedin some way just howmuch our roles and the students weserve have changed over the years.Historically, optometric educationwas provided in large group lectureswith laboratories and clinical experiences. Students were content to listento lectures, memorize information,regurgitate the information on multiple-choice tests andslowly learn to provide clinical care without the concerns ofproductivity quotas. Current optometric students, however,part of the Millennial Generation born between 1982 and2002, prefer to learn through collaboration, use of technology, instant feedback, structure and active learning experiences.1 The delivery of optometric education has thereforeevolved to reflect these student characteristics as well as toaddress advances in technology and expanded scope of practice. Blended learning, active learning and new technologyare now co

San Antonio, TX 78209. Shilpa J. Register, OD, MS, PhD. Interim Dean MCPHS University . School of Optometry Worcester, MA 01608 *Larry J. Davis, OD. Dean. . LasikPlus / Visium Eye Institute. Review of Optometry Safilo Group. TL