The break room
every OD deserves.
Peer-verified forum threads, a chair-side Rx comparison calculator, and the colleague three towns over who actually stocks scleral trial sets.
Rx Comparison Calculator
Compare contact lens parameters side by side
| Parameter | Acuvue OasysSilicone Hydrogel Monthly | Dailies Total1Water Gradient Daily | |
|---|---|---|---|
| Dk/t | 147 × 10⁻⁹ | 156 × 10⁻⁹ | — |
| Water Content | 38% | 33% → 80% | — |
| Base Curve | 8.4 / 8.8 mm | 8.5 mm | — |
| Modulus | 0.72 MPa | 0.40 MPa | — |
| Center Thickness | 0.070 mm | 0.090 mm | — |
| Material | Senofilcon A | Delefilcon A | — |
Clinical note: Higher Dk/t favors overnight wear; lower modulus reduces mechanical lid interaction in dry eye patients.
"The chair-side tool 4,200 ODs reach for between patients."
Clinical conversations
happening right now.
Ortho-K zone diameter for -4.50 myope — getting decentered treatment zones
Patient is a 9-year-old with -4.50/-0.75 × 180 OD. Using 10.6mm total diameter lens. Treatment zone consistently decentering inferiorly by about 0.8mm...
“Try dropping the landing zone clearance by 5 microns and add 0.1mm to the return zone width. The inferior decentration suggests your sagittal depth is slightly off.”
— Dr. Sunita Krishnamurthy
Swapping from Restasis to Xiidra — patient tearful about cost
GoodRx has Xiidra at $340/mo in our area. Patient has been on Restasis 4 years with moderate response...
“Vevye (0.1% cyclosporine in castor oil) has a PAP program that gets most patients under $40/mo. Worth the 2-minute call to their specialty pharmacy.”
— Dr. Ben Harlow
Practice Ownership AMA — just closed my cold-start after 14 months
Hit breakeven at month 11. Happy to answer anything about buildout costs, EHR selection, insurance credentialing timelines...
“What was your total buildout cost and how long did credentialing with VSP take? Starting my cold-start planning now.”
— Dr. Raj Patel
Daily vs monthly silicone hydrogel — the modulus argument is being oversimplified
Seeing a lot of posts treating lower modulus as universally better. But in patients with unstable tear films...
“Agreed. My dry eye patients with meibomian gland dysfunction actually do WORSE in water-gradient lenses. Lipid layer interaction matters.”
— Dr. James Whitfield
First pterygium referral — how do I frame the conversation?
New grad here. Patient is 34, pterygium encroaching 2mm onto cornea, asymptomatic. Ophthalmologist I refer to has a 3-month wait...
“Tell them: "It's not urgent yet, but we want to document it before it affects your vision axis." Photo them every 6 months. Refer at 3mm or if symptomatic.”
— Dr. Marcus Webb
The colleague three
towns over.
Filter by specialty. Find the OD who stocks scleral trial sets, runs meibography, or just closed their cold-start.
Dr. Priya Nair
OD, FAAOSan Jose, CA
Running a myopia management-focused practice. 11 years post-grad. Happy to consult on Ortho-K fitting and MiSight protocols.
Dr. Marcus Webb
OD, Dipl ABOPortland, OR
Specialty contact lens practice. Stocks 4 scleral trial sets. Available for second opinions on irregular cornea fits.
Dr. Aisha Coleman
ODPhoenix, AZ
Class of 2025. Building my first year of clinical experience. Asking lots of questions, learning from everyone here.
Dr. Elena Vasquez
OD, FAAO, Dipl CLMiami, FL
Low vision and pediatric specialist. 15 years experience. Available for complex amblyopia and visual processing consults.
Dr. Ben Harlow
ODNashville, TN
Corporate OD trying to practice real dry eye medicine inside a retail setting. Meibography, LipiFlow, IPL referrals.
Dr. Camille Fontaine
OD, MBANew Orleans, LA
Just opened my cold-start practice. Sharing everything I learned about buildout, EHR, and insurance credentialing.
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- Read all forum threads
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- Direct message members
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CE that actually
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Scleral Lens Fitting for Post-LASIK Ectasia: A Case-Based Approach
Myopia Management Billing in 2026 — What Actually Gets Paid
Dry Eye Disease Staging — From TFOS DEWS II to the Chair
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“Got a scleral fitting question answered in 20 minutes. Better than calling my old preceptor.”
— Dr. Aisha Coleman, Phoenix AZ
“The Rx calculator alone is worth the verification. I use it between every CL patient.”
— Dr. Ben Harlow, Nashville TN
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