He currently serves as the Director of Corneal Services, The Advanced Ocular Surface Disease Center and Research at Kentucky Eye Institute in Lexington KY and in the OSD clinic for Gaddie Eye Centers in Louisville KY. Dr. Karpecki was appointed to the Delphi International Society at Wilmer-Johns Hopkins, which included the top 25 dry eye experts in the world and the National Eye Institute’s Dry Eye Committee to provide insights around dry eye and women.He also co-chaired the Dry Eye Summit for the profession, was a director in the CJO Optometric Dry Eye Guidelines, was selected for the DEWS II Diagnostic sub-committee and most recently appointed co-chair of the Tear Film and Ocular Surface Society Symposium in 2016 taking place in Montpellier France.He has over two decades experience in running some of the largest dedicated dry eye clinics in the United States. A noted educator and author, Dr. Karpecki has provided over 1000 lectures at various meetings covering 4 continents.He has also authored over 1000 papers in journals, book chapters, clinical eblasts and newsletters. He serves as the Chief Clinical Editor for Review of Optometry, the most read journal in the profession and serves as a board member the charity Optometry Giving Sight.