Who treats GPC?

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gryffindor

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20+ Year Member
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Hi everyone, I am a practicing dentist and a regular poster on the dental forums.

My question is about GPC and following the optometrist or opthalmologist for care.

I had been going to the same chain-store optometrist for 8 years (I have since moved away). I had been complaining of eye irritations in the right eye for the past 3 years, and each year the optometrist changed the brand of the contact lenses. I didn't feel like changing brands was improving anything so I went to an opthalmologist here in NYC who told me I have GPC, gave me some drops (Lotemax) for a week, and said to get rid of my no-rub solution and switch to hydrogen peroxide solution. I was told to come back in a year. I was so relieved to have an actual diagnosis. I went back in about 2 months since the symptoms felt like they were creeping back, and was told to use the Lotemax again, and also given Elestat. It is now almost 6 months later and the symptoms are still there.

I know I need to go see someone b/c obviously the problem has not resolved. But now I'm confused - Do I go back to the opthalmologist, or look for a new optometrist, ophtalmologist, or both? From reading the old threads on SDN, it sounds like treating GPC can be within the realm of an optometrist. I tried a google search but I'm not coming up with much. I really would like to establish a doctor who will help me through this, and I would prefer an optometrist since I will forever need glasses/contacts, so s/he would be familiar with my eye conditions if they s/he treats them. I feel like the opthalmologist's offices are bogged down with lots of older patients with more complex med histories & eye issues - hence the "come back in a year" attitude. The optometrist's offices I walk past in NYC seem like more comfortable places to be treated, sorta like the dental offices I work in.

Is there a site I can use to find private optometrists in NYC, rather than just walking into a random office? How about the SUNY Optometry school? My schedule is flexible, I could go there too if they take patients. I feel my patients at SUNY Buffalo Dental used to get good dental care b/c as students we had to be uber-meticulous, couldn't cut any corners, and had to be checked off by numerous professors. It just took forever for them to get care (compared to the private office) b/c as students, we were super slow. Maybe it works the same way at SUNY Optometry? Or am I better off in private practice?

I would be paying out of pocket if I go to the optometrist, which is fine with me. Dental offices in Manhattan treat their cash-paying patients like gold. Are optometry offices the same way? (The opthalmologist's office here freaked out at me when I forgot my insurance card.)
 
Hi Griffen,

Yes GPC can easily be treated by an OD. To better give you an idea of what might be the cause however, it would be useful to have more information about your CL wearing habits. What type of CLs are you wearing, how many hours, how often do you replace your contacts, do you ever nap/sleep in them, do you rub to clean your lenses or do you just place them in the case after removal (ie. no rub) ....

The ophthalmologist has given you a mild steriod which definitely does help, but the GPC will persist until you find the cause .....

canuck_OD
 
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GPC is definitely w/in both field's realm of practice. But, contact lenses and CL related complications are really the ODs specialty. So far it sounds like they have done things right; switch brands, switch solutions, give a steroid. Since none of this has worked, you may need to stop wearing CLs while cont. with the steroid. Once the GPC resolves, I would consider putting you in a daily disposable lens. And if the daily lens are not for you, you should
increase the rate at which you use enzyme cleaners and replace your lenses.

I agree that seeing the CL dept at SUNY would be a good choice.

_____________________________________________________________________________________
Disclaimer: I'm only a student. This is by no means a consult, but rather just a rambling of my inner voice. 😉
 
Thanks everyone!

I'm going to call SUNY tomorrow and see what their scheduling is like for the CL clinic.

Till then, I am wearing my glasses only and laying off the contacts unless I have to go to an interview or something.

Once I was asked in a dental interview "What do you think is the best invention ever?" I replied "contact lenses" because I loved that contacts gave me awesome vision without glasses. Darn contacts, I loved them so much, why are they aggravating me now?
 
I got an appointment for the general exam in two weeks. After I go, I'm assuming the student and the attending will refer me to the contact lens clinic if necessary, otherwise I'll be followed in the regular clinic.

Haha, this whole process of going to SUNY Optometry is bringing back all my memories of patients management as a student at SUNY Buffalo.