The vast majority of the services that I render are considered to be secondary and tertiary care medical services. Only a very small part of my practice is considered to be the deliver of primary care. As a primary care giver that person is the one who acts as a first point of consultation for all patients. Continuity of care is also a key characteristic of primary care. Secondary care is that which is delivered that is beyond the scope of what most generalists provide. In the case of the eye care profession, be that optometric or ophthalmologic, certain types of care require specialized equipment, testing methods, treatment methods, or massive time commitments that would overload offices not equipped to handle them. In the area of behavioral vision care, visual therapy, vision training, and complex case consultation, my practice exists to supplement those eye care professionals who would prefer to concentrate on other aspects of vision care. Tertiary care generally refers to long-term rehabilitation. With behavioral vision care specialists moving into working with traumatic brain injury (TBI), acquired brain injury (ABI) and the full autism spectrum, many of these patients require treatments that extend over very long periods of time. In that way our care moves into the classification of tertiary care, though without us providing an actual place for the patient to stay. Since so many of our patients are referred to us by other primary care providers, I have set up this area to give you access to referral materials, information about what new services we are providing that you might like to have your patients/clients have access to, articles and reference material that you may find interesting. Thank you for turning to the Baltimore Vision Fitness Center for the care of your patients or clients. Look in the menu for:
- Clinical Guidelines to Making a Referral - What to look for
- E-Mail Dr. Harris a Question
- My Pledge
- Recent In-Service Materials/Handouts
The following is an excellent tool that you might find useful in diagnosing the condition Convergence Insufficiency.
The following are some articles from the optometric literature about comanagement of various vision disorders that I thought you might find useful.
- "Identify Binocular Vision Disorders", by Dominick Maino, publised in Optometric Management December 2009.