The Benefits of Daily Disposables

When soft contact lenses first came on the scene, the ocular community went wild.

People no longer had to put up with the initial discomfort of hard lenses, and a more frequent replacement schedule surely meant better overall health for the eye, right?

In many cases this was so. The first soft lenses were made of a material called HEMA, a plastic-like polymer that made the lenses very soft and comfortable. The downside to this material was that it didn’t allow very much oxygen to the cornea (significantly less than the hard lenses), which bred a different line of health risks to the eye.

As contact lens companies tried to deal with these new issues, they started to create frequent-replacement lenses made from SiHy, or silicone hydrogel. The oxygen transmission problem was solved, but an interesting new phenomenon occurred.

Because these were supposed to be the “healthiest” lenses ever created, many people started to overwear their lenses, which led to inflamed, red, itchy eyes; corneal ulcers; and hypoxia (lack of oxygen) from sleeping in lenses at […]

2022-03-22T04:00:00+00:00March 22nd, 2022|Blog|

What Is the Deal with Those Weird Cataract Glasses?

What’s up with people wearing those big sunglasses after cataract surgery?

The main reason is for protection – physical protection to assure nothing hits the eye immediately after surgery, and protection from sunlight and other bright lights.

We want to protect the eye from getting hit physically because there is a small incision in the eyeball through which the surgeon has removed the cataract and inserted a new clear lens. In most modern cataract surgeries that incision is very small – about one-tenth of an inch in most cases. The vast majority of surgeons do not stitch the incision closed at the end of surgery. The incision is made with a bevel or flap so that the internal eye pressure pushes the incision closed.

The incision does have some risk of opening, especially if you were to provide direct pressure on the eyeball. Therefore, immediately after surgery we want you to be careful and make sure that you or any outside force doesn’t put direct pressure on the eye. The sunglasses help make sure that doesn’t […]

2022-03-15T04:00:00+00:00March 15th, 2022|Blog|

Eye Allergies and You

Ocular allergies are among the most common eye conditions to hit people of all ages.

Though typically worse in the seasons of Spring and Summer, some people suffer with allergies all year. This is especially true for people who have allergies to pet dander, mold, dust mites, and other common allergens that tend to linger throughout the year.

The hallmark sign of ocular allergies is itching.

While itching can be a symptom of other eye conditions, the likelihood that there is at least some allergy component to the condition is quite high. This seems to be particularly true when the itching occurs mainly in the inner corner of the eyes. This signals that the condition is allergy-related, whereas itching along the eyelid margin suggests other conditions.

Allergy itching is usually accompanied by redness, tearing, and string-like mucus discharge from the eye. When accompanied by rhinitis, sinusitis, and sneezing, people can truly suffer from their allergies – especially as it relates to the eye.

The good news is there are numerous avenues for relief from this annoying […]

2022-03-08T05:00:00+00:00March 8th, 2022|Blog|

Bilberry & Macular Degeneration

Is bilberry a wonder supplement for your macular degeneration?

The jury is still out on that question. There is some supportive experimental data in animal models but no well-done human studies that show significant benefit.

What you shouldn’t do is pass up taking the AREDS 2 nutritional supplement formula, which is clinically proven to reduce the risk of severe visual loss that can happen with macular degeneration. Almost all the data supporting the POSSIBLE benefits of bilberry in visual conditions is related to NON-HUMANS. Stick with the AREDS 2 formula that has excellent clinical evidence.

So, what is bilberry and why do some people use it?

Bilberry (Vaccinium myrtillus), a low-growing shrub that produces a blue-colored berry, is native to Northern Europe and grows in North America and Asia. It is naturally rich in anthocyanins, which have anti-oxidant properties.

It is said that during World War II, British pilots in the Royal Air Force ate bilberry jam, hoping to improve their night vision. No one is exactly sure where the impetus to do this came from, but it is believed […]

2022-03-08T05:00:00+00:00March 8th, 2022|Blog|

Eat Your Way to Better Eye Health

Living an overall healthy life is good for your eyes. Healthy vision starts with healthy eating and exercise habits.

There's more to complete eye health than just carrots. Are you eating food that promotes the best vision possible? Learn what foods boost your eye well-being and help protect against diseases. Here are important nutrients to look for when selecting your foods.

  • Beta carotene or Vitamin A (helps the retina function smoothly): carrots and apricots
  • Vitamin C (reduce risk of macular degeneration and cataracts): citrus and blueberries
  • Vitamin E (hinders progression of cataracts and AMD): almonds and sunflower seeds
  • Riboflavin (helps your eyes adapt in changes in light): broccoli and bell peppers
  • Lutein (antioxidant to maintain health while aging): spinach and avacado
  • Zinc (transfers vitamin A to the retina for eye-protective melanin productions and helps with night vision): beans and soy beans
  • DHA (helps prevent Dry Eye): Fatty fish like salmon and tuna

Keep in mind, cooked food devalues the precious live enzymes, so some of these foods are best eaten raw.

 

This blog […]

2022-03-03T05:00:00+00:00March 3rd, 2022|Blog|

Are My Meds Making My Eyes Drier?

Dry eye is a very common problem that affects women more than men and becomes more prevalent as people get older.

It can present in many ways, with symptoms that can include a foreign body sensation, burning, stinging, redness, blurred vision, and dryness. Tearing is another symptom and occurs because the eye initially becomes irritated from the lack of moisture and then there is a sudden flood of tears in response to the irritation.

Unfortunately, this flood of tears can wash out other important components of the tear film that are necessary for proper eye lubrication. Signs and symptoms can range from mild to severe.

There are medications that have the potential to worsen the symptoms of dry eye. Here are some of the broad categories and specific medications that have been known to potentially worsen the symptoms:

  • Blood Pressure Medications – Beta blockers such as Atenolol (Tenormin), and diuretics such as Hydrochlorothiazide.
  • GERD (gastro-esophageal reflux disorder) Medications – There have been reports of an increase in dry eye symptoms by patients on these medications, […]
2022-03-01T05:00:00+00:00March 1st, 2022|Blog|

What About Cataract Surgery with My Macular Degeneration?

We are frequently asked if it’s wise to have cataract surgery if you have Macular Degeneration.

Let’s start with some background.

  1. Cataracts and Age-related Macular Degeneration (AMD) are both leading causes of visual impairment in the elderly population.
  2. Cataracts develop when the normal clear lens gets cloudy with age. This is correctable with cataract surgery, which involves replacing the cloudy lens with a clear, artificial lens.
  3. While cataracts affect the front part of the eye, AMD causes damage to the retina, which is the inner back lining of the eye.

In the past, there was a concern about cataract surgery causing progression of AMD. It was thought that there was an inflammatory component to AMD and the normal inflammatory response after cataract surgery may lead to AMD progression.

But studies have looked at patients who underwent cataract surgery compared to patients who didn't have cataract surgery and the progression of AMD was not significantly different between the two groups. However, those patients with AMD who underwent cataract surgery had a significant improvement in vision.

[…]

2022-02-22T05:00:00+00:00February 22nd, 2022|Blog|

Time to Hang Up the Keys?

One of the hardest questions eye care professionals routinely have to deal with is when to tell people with visual difficulaties that they need to stop driving.

Giving up your driving privilege is difficult to come to terms with if you have a problem that leads to permanent visual decline.

The legal requirements for visual acuity vary from state to state. For example, in New Jersey the legal requirement to drive, based on vision, has been 20/50 vision or better with best correction in one eye for a “pleasure” driving license. For a commercial driving license, the requirement is 20/40 vision or better in both eyes.

In some states there is also a requirement for a certain degree of visual field (the ability to see off to the sides).

According to the Insurance Institute for Highway Safety, the highest rate of motor vehicle deaths per mile driven is in the age group of 75 and older (yes, even higher than teenagers). Much of this increased rate could be attributable to declining vision. There are also other […]

2022-02-17T05:00:00+00:00February 17th, 2022|Blog|

Love Is in the Air…or Eyes

We have all heard the term ”Love is in the Air,” but can love really be in the eyes? Actually, Science has proven it so. Certain chemicals (or endorphins) that produce the emotion of love can be emitted through emotions expressed in the eyes. There are physiological changes in the eyes that occur when love is expressed between two individuals. Love for a romantic partner, a family member, or a favorite pet can all cause the same physical response: the pupil (black part in the center of the eye) dilates.

The size of the pupil can be an indication of emotional responses and messages. According to Scientific American, the autonomic nervous system (ANS), which directs our fight or flight response, causes the pupil to have a quick dilating response. The ANS is also in charge of heart rate and perspiration, and when a person is extremely interested in another person, the pupil has a dilating effect that is slightly less than the pupillary light reflex. This bounce in size is an automated response that gives scientists indication of […]

2022-02-16T05:00:00+00:00February 16th, 2022|Blog|

Why Are My Eyes Changing Color?

It's pretty common for eye doctors to have older patients come in asking if the white part of their eye, the sclera, has a growth or is turning a gray color.

Usually, the culprit is senile scleral plaque, which is commonly seen in people over the age of 70. It is a benign condition and more commonly seen in women.  This condition is symmetrically found on both sides of the eye and is due to age-related degeneration and calcification of the eye muscle insertion into the eye.  In one study, the size of the senile scleral plaque increased as the person aged and was not associated with any medical conditions.  People are asymptomatic, as the plaques do not affect vision and no treatment is needed.

Another commonly asked question is: Why is the colored part of my eye turning white?  

The colored part of the eye is the iris, which is covered by a clear layer called the cornea.  It is actually the edge of the cornea that attaches to the white part of the […]

2022-02-15T05:00:00+00:00February 15th, 2022|Blog|