Author Archives: Dr. Paul Karpecki

Clinical Pearls in Allergic Eye Disease Management Paul M. Karpecki, OD As we face one of the worst allergy seasons in years, here are a few clinical pearls to keep in mind. 1. Differentiate between seasonal allergic conjunctivitis and perennial allergic conjunctivitis As the name suggests, the symptoms of perennial allergic conjunctivitis (PAC) may  increase [...]

What contact lenses do I need to consider for my Ocular Surface Disease Clinic? Don’t forget to also treat the ocular surface disease with appropriate therapeutic medications, but also there are a few unique lenses that appear to show benefits for dry eye patients.   Daily Disposable Lenses: The idea of a daily wear lens [...]

Dr. Karpecki’s Dream Dry Eye Clinic   What instruments and tests are best for building a dry eye subspecialty clinic? If I could build my ‘dream’ dry eye clinic, these are some the instruments I’d want to have:  The TearLab Osmolarity Device:  It’s a test that takes about 5-10 seconds to measure the osmolarity of [...]

Selecting Targeted Treatments for Dry Eye   Research shows that artificial tears, although beneficial, appear to be palliative and there is no evidence that they can treat the inflammation in dry eye disease. Doctors that want to build this part of their medical practice need to employ the use of medications that target the disease. [...]

Karpecki’s Corner #3: Maui Meeting of Excellence Meeting Chair Paul Karpecki, O.D., describes his experience at the 2011 Maui Meeting of Excellence, June 23-26. The meeting was wonderful.  It is hard beat 80 degree weather with a constant sea breeze and sunny skies for five days.  The meeting was also a great success.  What makes [...]

  Karpecki’s Corner #2: Recognizing Preseptal Cellulitis Dr. Paul Karpecki This child presented with a conjunctivitis that was treated, but the preseptal cellulitis was not recognized at the time. The patient returned in significant pain and distress. Note the significant reddish sheen around the eyes and bridge of the nose. The patient was diagnosed with [...]

Karpecki’s Corner #1: Diagnosing Ocular Cicatricial Pemphigoid (OCP) This patient presented with complaints of trichiasis and foreign body body sensation.  Most times I think we would simply have epilated the turned in lashes.  However, it’s always wise to pull down the lower lid in cases such as this.  As you see there is a very [...]

Starting February 9th, I’ll be leading three webinars on Herpetic eye disease, the leading cause of corneal blindness in the Industrial world.In light of new advancements in the area of herpetic ocular disease management, this webinar will discuss the various presentations of herpetic keratitis from the classic dendritic keratitis to the often misdiagnosed endotheliitis. It [...]

A 48-year-old male was referred to the clinic with chronic photophobia, redness and pain.  His best-corrected vision was 20/40 OD and 20/200 OS!  His cornea showed grade 3+ staining OS >OD, he had grade 3+ injection and chemosis, but there was no discharge and the anterior chamber was deep and quiet.  Fundus examination had always [...]

Epiphora is one of those conditions that is difficult for the doctor and the patient.  I think part of the issue is that doctors don’t have a game plan when they go into a patient exam.  A simple game plan to managing epiphora requires looking for 4 primary causes (this formula will diagnose about 98% [...]