Connecticut LASIK Laser Cataract Eye Surgery Blog Doctor & Associates

Sunday, January 15, 2017

Glaucoma Impacts Driving Safety

Moderate or advanced glaucoma can affect driving safety according to research noted in the American Journal of Ophthalmology. Patients with bilateral moderate or advanced glaucoma are at risk for unsafe driving. For this reason we now suggest a very careful evaluation for those glaucoma patients who might be at risk so that we can evaluate driving safety of these patients. Glaucoma, especially in more advanced stages can reduce peripheral vision as well as contrast and make driving particularly difficult-especially in dim illumination. Our goal is to help all patients avoid vision loss from glaucoma by asking that you schedule regular eye examinations with glaucoma testing as often your eye doctor suggests. This will depend on the overall health of your eyes, your family history, your general health and many other glaucoma risk factors your eye doctor may identify. The key to preventing vision loss from glaucoma is early detection, diagnoses and treatment.

If you or someone you know would like to schedule and eye exam and glaucoma testing 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, January 8, 2017

Marijuana Use with Glaucoma

Using Marijuana for Glaucoma
A survey of patients with glaucoma showed that the perception of the legality and acceptability of marijuana use was significantly associated with intentions to use marijuana for the treatment of glaucoma, even though research has indicated it is of limited benefit, according to a study published by JAMA Ophthalmology. It is estimated that 2.2 million adults in the United States are affected by glaucoma. Many alternative therapies including acupuncture and marijuana are being explored but have not shown promise. Research has shown several limitations associated with the use of marijuana as a treatment for glaucoma. Driven mainly by public support, 21 states and the District of Columbia have legalized the medical use of marijuana, citing mainly the 1999 Institute of Medicine report that found possible therapeutic benefits for the use of marijuana in various debilitating medical conditions, including glaucoma. Given these legal changes, not infrequently, ophthalmologists are approached with patient inquiries about treatment of their glaucoma with marijuana. Researchers at the George Washington University School of Medicine and Health Sciences, evaluated factors associated with intentions by patients to use marijuana as a treatment for glaucoma. The study included a survey of patients with glaucoma or suspected to have glaucoma. The survey looked at demographics, perceived severity of glaucoma, prior knowledge about marijuana use in glaucoma, past marijuana use, perceptions toward marijuana use including legality, systemic adverse effects, safety and effectiveness, and false beliefs, as well as satisfaction with current glaucoma management and treatment costs. The data and results that the intent to use marijuana for glaucoma treatment was driven by perceptions of legality of marijuana use, false beliefs regarding marijuana, satisfaction with current glaucoma care, and relevance of marijuana and glaucoma treatment costs. Clearly there is need for greater information and education based on the false perceptions of marijuana as having significant therapeutic value in glaucoma therapy.

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, January 1, 2017

Dry Eye & Overactive Bladder Problems

What does having an overactive bladder have to do with your eyes? Although you may be able to get to the toilet in time when you sense an urge to urinate, unexpected frequent urination and nighttime urination can disrupt your life. Overactive bladder (OAB), also known as overactive bladder syndrome, is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day, at night, or both. Overactive bladder is estimated to occur in 7-27% of men and 9-43% of women. It becomes more common with age. Management of overactive bladder often begins with behavioral strategies, such as fluid schedules, adjusting the timing of urination and bladder-holding techniques using your pelvic floor muscles. If these initial efforts don't help enough with your overactive bladder symptoms your doctor may prescribe medications to help. BUT, these overactive bladder medications can cause dry eye symptoms. Researchers reported in the International Urogynecology Journal on108 women suffering from OAB who were started on oral medications to help with their symptoms. The researchers carefully evaluated their tear film and symptoms over three months of starting the medications. They found that there was a continuing worsening of the sensation of eye dryness, grittiness and burning along with observable decrease in the quality and quantity of the tear film. Thus, if you suffer from OAB and your doctor prescribes oral medications to help you, please bring this to our attention so we can offer help for your dry eyes before the symptoms become too uncomfortable.

Overactive bladder medications are known to cause or worsen dry eye problems. If you suffer from OAB and start one of these medication 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, 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.