When conducting a slit-lamp examination, set the light all the way to the lowest setting and have the patient close his or her eyes until you are ready to begin. This will help the patient stay still and result in far less eye pain caused by an overly bright lamp. — Kathleen Dupont, PA-C, Santa Barbara, Calif. (169-4)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it, here.