Connecticut LASIK Laser Cataract Eye Surgery Blog Doctor & Associates

Sunday, December 4, 2016

Dry Eye Discomfort Slows Reading

Dry Eye Slows Reading Speed
Anyone who experiences the symptoms of dry eye is familiar with dryness, discomfort, burning, light sensitivity and even watering that can mark the presence of dry eye disease. But, did you know that dry eye problems and disease can impact visual function? Researchers reporting in Cornea compared visual function using reading tests including the Radner Reading Test, the International Reading Speed Texts [IReST], and the Wilkins Reading Test and studied cognitive function, fatigue, dry eye symptoms, reading acuity, reading rate and blink rate. The results showed significantly lower reading rates in all reading tests in patients with dry eye and a significantly increased fatigue level when reading in dry eye patients.

If you suffer from symptoms of dry eye such as dryness, burning, light sensitivity or watering and have noticed an uncomfortable slowing of your reading ability and even greater eye fatigue or tired eyes when reading, please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, Google+ or facebook.com/doctorandassociates to schedule an appointment.

Sunday, November 27, 2016

Special Eye Exams Predict Diabetic Retinopathy Damage

Special Eye Exams Predict Diabetic Retinopathy Damage
Recently reported information in Retina Today from research conducted at the Joslin Diabetes Center’s Beetham Eye Institute demonstrated that for people with diabetes who are showing evidence of diabetic retinopathy, it is of important predictive value for us to carefully evaluate lesions not simply the center of the retina, but more importantly those in the periphery of the retina, as these changes generally tell us that the disease will progress more rapidly. What we now know is that these peripheral lesions, which are not detected by traditional eye imaging, correlate very closely with the loss of retinal blood flow called retinal “non-perfusion” which tells us that there is damage to the small blood vessels or capillaries in the retina.

Thus, if you are diabetic and we are following you for retina changes and diabetic retinopathy we may recommend that we take both the routine retina photographs and fluorescein angiography of the central retina as well as the peripheral retina. If this extra measure of safety is required we will advise you of this extra step at the time of your diabetic eye exam.

Fortunately, with early detection, diagnosis and treatment the last decade or so has given us many major success stories for the treatment of diabetic eye disease, including diabetic macular edema (DME), with drugs that target a protein called vascular endothelial growth factor (VEGF). It’s possible that such anti-VEGF drugs might also help to treat peripheral lesions and slow or even eliminate the risk of progression.

If you or someone you know has diabetes, having regular eye exams and testing to prevent vision loss from diabetic retinopathy is an important part of your care. Please schedule a diabetic eye exam by calling Doctor & Associates-203-227-4113, or visit Doctor & Associates in Fairfield County, Google+ or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Diabetic Eye Exams: Don’t Delay!

Diabetic eye problems include an increased risk of cataracts, glaucoma, neurological eye muscle problems and the potential for serious vision loss from diabetic retinopathy a retinal vascular disease. Vision loss from diabetic eye disease is manageable and in many instances preventable but requires early diagnosis and treatment to be effective. This means ALL patients with diabetes must be diligent in having eye exams at intervals recommended by their eye doctors and/or their primary care physicians, internists or endocrinologists.

About Diabetes
According to the U.S. National Center for Health Statistics 21.7 million U.S. adults aged 18 and over (9.2%) have been diagnosed with diabetes and this percentage increases with age. One in five adults aged 65 and over (20.5%, or 8.7 million) has diagnosed diabetes, compared with 11.0% (11.3 million) aged 40–64 and 1.9% (1.7 million) aged 18–39.

About Delay in Seeking Diabetic Eye Exams
There seems to be a trend in that the more recently you are in having your diabetes diagnosed, the longer you delay in seeking and annual diabetic eye exam. This is troubling in preventing vision loss and avoiding diabetic eye problems. Among all adults, the percentage who visited an eye doctor in the past 12 months increased with years since diabetes diagnosis. About half, 50% of those diagnosed with diabetes within the prior 5 years had visited an eye doctor in the past 12 months, compared with 57.3% of those diagnosed 5-10 years ago and 61.2% of those diagnosed 10 or more years ago. Among adults with diagnosed diabetes, the percentage who had visited an eye doctor during the past 12 months increased with age: 38.2% for those aged 18–39, 53.8% for those aged 40–64, and 66.5% for those aged 65 and over. Thus, among adults with diabetes, both age and years since diagnosis may play a role in visiting an eye doctor in the past 12 months.

If you or someone you know has diabetes, please take the time to schedule and eye exam in order to prevent the risk of vision loss from diabetic eye disease and diabetic eye problems-most of which are preventable with early detection, diagnosis and treatment. Please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, Google+ or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Sunday, November 6, 2016

Skipping AMD Treatment Affects Vision



AMD Treatments & Vision
For patients with Age Related Macular Degeneration (AMD) who are being treated with VEGF Inhibitor injections such as Lucentis® and Eylea®, even though it might seem like a great deal of trouble and effort to be totally consistent and compliant with all scheduled appointments-IT IS CRITICAL! The need for consecutive, carefully timed injections according to clinically tested protocol is what helps us preserve your vision and avoid the untoward, potentially catastrophic effects of vision loss from Age related Macular Degeneration (AMD). Researchers reporting in the journal Eye actually studied what happens to the vision of patients who skip even one injection visit. In France, summer vacations are taken very seriously and many French patients leave their doctor’s care for 6-8 weeks as they travel around Europe for the summer. The French eye specialists found that patients who skipped even a single injection during their holiday period were prone to a decrease in vision, formation of cysts and fluid in the macula of the eye being treated. We are hopeful you will carefully follow our recommendations for the timing and frequency of AMD treatment injections so we can help preserve your eye health and vision.

If you or someone you know has questions about AMD treatment with VEGF injections or any aspect of Age Related Macular Degeneration risk, diagnosis, symptoms or treatment please call

Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, Google+ or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Monday, October 17, 2016

Monitoring Multiple Sclerosis with Eye Testing

About Multiple Sclerosis
Multiple sclerosis (MS) is a debilitating neurological disease that can cause patients to experience decreased vision due to optic neuritis, an inflammation of the optic nerve, as well as diplopia or double vision. We believe that MS occurs because there is an abnormal response of the body’s immune system whereby it is directed against the central nervous system (CNS), which is made up of the brain, spinal cord and optic nerves. Within the CNS, the immune system attacks myelin- the fatty substance that surrounds and insulates the nerve fibers as well as the nerve fibers themselves. When any part of the myelin sheath or nerve fiber is damaged or destroyed, nerve impulses traveling to and from the brain and spinal cord are distorted or interrupted, producing a wide variety of symptoms.


About Optical Coherence (OCT) Eye Testing for MS
In our office, we routinely use very precise imaging technology called Optical Coherence Tomography (OCT) as part of evaluation, diagnosis and monitoring glaucoma and retina diseases because it allows us to examine the actual nerve fibers of the retina and the optic nerve.

Recent research has taught us that OCT can be used to monitor the degree of atrophy of specific retinal layers-called the “inner plexiform layer” and “ganglion cell layer”-and used as an as an indicator of neuronal tissue damage in patients with multiple sclerosis (MS). For patients with Multiple Sclerosis this is quite valuable as it gives us a non invasive in office test, that in concert with their neurologists, helps us help patients asses the stability of their disease as well as their response to new medications or treatments.


If you or someone you know has been diagnosed with MS or has questions about the eye problems that can be associated with Multiple Sclerosis, please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, Google+ or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.