Glaucoma & Medical Marijuana in Connecticut

“In Connecticut recently, there has been considerable interest and lots of question about medical marijuana treatment for glaucoma,” commented Leslie Doctor, M.D., a Fairfield County eye surgeon with offices in Norwalk, Westport & Wilton, CT. “Glaucoma is an eye where the optic nerve becomes damaged over time. This shrinks or reduces reducing peripheral or side vision but leaves central vision unaffected. If glaucoma is not properly diagnosed and treated it can lead to blindness. One cause of the optic nerve damage in glaucoma is higher-than-normal pressure within the eye, called intraocular pressure or IOP,” explained Dr. Doctor. “Currently glaucoma treatment for the most part is aimed at lowering IOP levels with eye drops, laser treatment, oral medications and sometimes surgery depending on the type of glaucoma and how severe it is.”

The idea that marijuana can be helpful in treating glaucoma dates to the 1970s. Studies conducted then showed that smoking marijuana lowered the IOP of people with glaucoma. As a result of this research, additional studies were conducted examining whether marijuana or its active ingredient, a compound known as THC, could be used to keep IOP lowered. This research was supported by the National Eye Institute, a division of the National Institutes of Health. The research found that when marijuana is smoked or when a form of its active ingredient is taken as a pill or by injection, it does lower IOP. However, it only lowers IOP for a short period of time-about three or four hours. This short period of time is a major drawback for the use of marijuana as a glaucoma treatment. Because glaucoma needs to be treated 24 hours a day, you would need to smoke marijuana six to eight times a day around the clock to receive the benefit of a consistently lowered IOP. Because of marijuana's mood-altering effect, smoking so much of it daily would leave you too impaired to drive, operate equipment or function at the peak of your mental ability.

The effect that marijuana has on your ability to function is not the only side effect from the drug, however. Marijuana cigarettes contain hundreds of compounds that damage the lungs. Research has shown that regular and frequent use of marijuana, particularly in high doses, can cause problems with short-term memory and concentration.

As scientists learn more about glaucoma, they have also come to understand that IOP is not the only factor that damages the optic nerve. Recent studies characterize glaucoma as a neurologic disease similar to Parkinson's or Alzheimer's. And, there is increasing evidence that reduced flow of blood to the optic nerve may also cause damage in patients with glaucoma. Unfortunately, marijuana not only lowers IOP, but it lowers blood pressure throughout the body. As a result, it has the potential to lower the blood flow to the optic nerve, effectively canceling out the benefit of a lowered IOP.

So, while marijuana can temporarily lower your IOP, it's not recommended for treating glaucoma. Prescription medications, laser and surgical treatments have been tested and proven as effective treatments for the glaucoma. 

If you or someone you know has questions about eye exams, glaucoma and medical marijuana feel free to call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Can You Have LASIK Surgery with Glaucoma?

“A glaucoma patient’s suitability as a LASIK surgery candidate is really dependent on a number of factors. We would consider performing LASIK for certain patients with glaucoma-but it is really quite an individual determination. It depends a great deal on the stability of the glaucoma and whether and how much damage to the optic nerve the disease has caused,” remarked Leslie Doctor, M.D., a Connecticut LASIK Surgeon with offices in Westport, Norwalk & Wilton, CT. “During the LASIK procedure we use a suction ring or device for a short time and this can cause a temporary elevation of intraocular pressure or IOP-something we are cautious about in patients with glaucoma,” Dr. Doctor further explained. 

Generally, unless the glaucoma is severe it is possible that LASIK could be an option for most patients. Other types of laser eye surgery for vision correction such as PRK might be preferred. In some cases it might actually be beneficial to have lens replacement surgery using advanced technology lens implants for vision correction. 

If you or someone you know has glaucoma or is a glaucoma suspect and is considering LASIK, we would be happy to provide a free consultation to help determine if they are a LASIK candidate or perhaps a better candidate for another type of refractive surgery. Please feel free to schedule an appointment by calling Doctor & Associates-203-227-4113, visiting Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment. 

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. 

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

UV Eye Protection & Eyewear Time!

“It is that time of year to remember to maximize your UV eye protection with the selection of proper eyewear,” noted Leslie Doctor, M.D., a Fairfield County eye specialist with offices in Norwalk, Westport & Wilton, CT. “May has been designated as Ultraviolet (UV) Eye Protection Awareness Month, so we thought it would timely to comment on UV protective eyewear and precautions people should take,” commented Dr. Leslie Doctor. “The summer months are a great time to be outdoors-walking, hiking, swimming-going to the beach-and just enjoying our the southern Connecticut coastal areas. With more exposure to the sun and ultraviolet or UV rays on a daily basis, we need to be reminded to use proper UV eye protection”, remarked Dr. Doctor. 

We all know the potential damage that sunlight and ultraviolet (UV) radiation can cause to skin. Most people do not know or appreciate that ultraviolet light (UV) can also cause significant damage to eye health and vision. Exposure to UV has been linked to many eye problems and in some instances is thought to quicken the onset of eye diseases such as cataract, age related macular degeneration (AMD), certain cancers on the delicate skin around the eye, Pterygia-a growth of white tissue on the surface of the eye-and even Photokeratitis, a type of sunburn of the cornea. “One of the most concerning aspects of UV eye damage and injury is that it is cumulative and often doesn’t become noticeable to patients for many years,” noted Dr. Doctor. 

Some precautions regarding UV eye protection include: 

• Always wear sunglasses that block 100% of UVA and UVB rays. Sunglasses without UV protection may shade the eyes but actually cause the pupils to dilate, allowing in even more harmful rays. 
• Wear a brimmed hat along with sunglasses that block 100% of UVA and UVB rays. 
• Choose wrap-around sunglasses to protect the eyes and the skin around the eyes. 
• Be aware that although some contact lenses may offer UV protection, they cannot protect the entire eye and the skin around it. 
• Choose sunglasses made of unbreakable polycarbonate, especially for children and for those who lead active lifestyles. 
• Be sure to ask your doctor about the photosensitizing side effects of any medications that you might take.
• Always wear eye protection when using a tanning bed. According the American Academy of Ophthalmology, tanning beds can produce UV levels up to 100 times more than the sun, which can cause serious damage to the external and internal structures of the eye and eyelids. 

Today we have wide range of UV protecting eyeglass lenses available to choose from. Eye protection from UV needs to be complete but doesn’t have to be overly expensive. High quality sunglasses should block out 99-100 percent of both UV-A and UV-B radiation. It is also important to have UV protection in everyday eyewear, which is readily available with a number of UV blocking eyeglass lens materials, specialized coatings and photochromic lenses. 

Patients visiting Doctor & Associates can speak with our Eyewear at Willows Opticians staff who will be able to provide the proper counseling and fitting of UV protecting lenses and eyewear. These eye care professionals can offer a wide variety of UV blocking lenses, coatings and color changing lenses to keep you safe.

If you or someone you know has a question or concerns about ultraviolet (UV) eye damage and injury and how to select protective eyewear please feel free to call Doctor & Associates-203-227-4113, visit Doctor & Associates or facebook.com/doctorandassociates to schedule an appointment. 

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Cataract Surgeon on Vitreous Detachment

It is not uncommon for patients to experience a posterior vitreous detachment (PVD) after cataract surgery and lens implants. Fairfield County Cataract Surgeon Leslie Doctor, M.D. explained why cataract surgery patients often experience Posterior Vitreous Detachment (PVD) after a cataract operation. “Posterior Vitreous Detachment (PVD) does indeed appear to be more common in individuals who have had cataract surgery. There may not be an obvious "cause and effect" relationship but there are a number of possible factors that contribute to this.”

• The vitreous changes that lead to vitreous liquefication and instability and ultimately PVD are age-related, as are cataracts and the need for cataract surgery. 
• Removal of a cataract can allow mechanical space shifts in the vitreous gel and perhaps increase the odds of PVD. 
• Biochemical changes actually occur following cataract surgery and these appear to increase the likelihood of PVD, particularly if the posterior lens capsule is opened. 
• Unusual complications of cataract surgery can disrupt the integrity of the vitreous gel and increase the odds of PVD. 

“As a practical matter, what we know clinically is that it is typical for some 50% or more of patients undergoing cataract surgery to experience a Posterior Vitreous Detachment (PVD), with some patients noticing visual symptoms including a “cobweb” or some floaters,” explained Dr. Doctor. “If the visual symptoms become excessive or are accompanied by a curtain or veil in your vision, or perhaps distortion of your vision, we want to hear from you immediately.” 

If you or someone you know has a question or concerns about cataracts, cataract surgery, lens implants or Posterior Vitreous detachment (PVD) please feel free to call Doctor & Associates-203-227-4113, visit Doctor & Associates or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Teen Self Esteem & Contact Lenses

Teen self esteem can be somewhat fragile. Yet, contact lenses can play an important role in helping adolescents-especially teenagers-with some difficult times for their self esteem and self image. “Teens and tweens are often quite challenged during adolescence by the “Trifecta of Awkwardness-braces, acnes and glasses!” commented Leslie Doctor M.D., a Connecticut Ophthalmologist & Cornea Specialist with offices in Wilton, Westport & Norwalk, CT. “I know all too well from my own kids, the peer pressure and insecurity created by concerns about appearance at these ages,” Dr. Doctor stated. 

Not being able to play sports or worrying about how they look can leave many teens feeling anxious, stressed out and unhappy. “We love fitting youngsters with contact lenses in this age group because we routinely see that teens who wear contact lenses benefit beyond simply correcting their vision. They typically improve in how they feel about their physical appearance, their acceptance among friends and of course their ability to play sports,” further explained Dr. Doctor. 

If you or someone you know would like to learn more about contact lenses or schedule an appointment for a contact lens fitting please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment. 

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. 

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Sports Eye Protection & Eyewear

“The risk of eye injuries playing sports is considerably greater than one might think. It’s worth considering how to utilize protective eyewear to maximize eye protection,” state Fairfield CountyOphthalmologist Leslie Doctor, M.D. “April is Sports Eye Safety Awareness Month and the American Academy of Ophthalmology asks eye physicians to remind our community that 40,000 people suffer from eye injuries related to sports every year. These eye injuries from sports can be devastating, and the only way to prevent them is by wearing protective eyewear,” said Dr. Leslie Doctor of Doctor & Associates with offices in Norwalk, Wilton & Westport, Connecticut.

Many sports create risk for eye injuries which can include abrasions of the cornea and bruises of the lids, retinal detachments and internal bleeding. The most serious risks involve permanent vision loss along with infection. In addition, patients who have sustained eye injuries are at greater risk for developing glaucoma.
Athletes need to use the eye protection that is available for most sports, including basketball, baseball, hockey, football, lacrosse, fencing, paintball, water polo, golf and others. “I counsel and reassure my patients that wearing properly fitted protective eyewear will not harm your performance, and it may well save your eye health and vision,” said Dr. Doctor. “Something to be aware of is that most sporting leagues don’t require children to wear eye protection, so parents should take special care to ensure their children wear eye protection.”

Tens of thousands of sports and recreation-related eye injuries occur each year. The good news is that 90 percent of serious eye injuries are preventable through use of appropriate protective eyewear. The risk of eye injury can vary depending on the activity. Make sure the level of eye protection you or others in your family use is appropriate for the type of activity. Regular eyeglasses do not offer proper eye protection. Athletes need to wear appropriate, sport-specific protective eyewear properly fitted by an eye care professional. Lenses made from polycarbonate materials provide the highest level of impact protection; they can withstand a ball or other projectile traveling at 90 miles per hour.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglasses, please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment with Willows Opticians.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Connecticut Surgeon on Being Too Old for LASIK

“From time to time we see a patient in their 60’s or 70’s and asks us “Am I too old for LASIK,” commented Leslie Doctor, M.D. a Connecticut LASIK Surgeon & Corneal Specialist. “I recently examined a 72 year old gentleman who wanted to know if he was too old for LASIK,” shared Dr. Doctor of Doctor & Associates with Fairfield County offices in Norwalk, Westport & Wilton, CT. “In reviewing his general health he was in good shape-and after his eye exam I was comfortable that his eye health, corneal health and tear film were quite good. His retinas were normal and he had a bare trace of a cataract that had been present for some 5 years in one eye, but it corrected to 20/20 with his -7.00 D eyeglass correction. Most importantly he couldn’t tolerate contact lenses and was a fairly active tennis player and hiker-so we scheduled him for LASIK,” explained Dr. Doctor. “We did however explain that he was going to need to either wear reading glasses or consider having monovision to help with his near vision presbyopia focusing problem that we all have after 40 or so.” 

As long as they have a tangible reason for wanting LASIK so that it will improve their lifestyle, people thinking about having Laser Eye Surgery can do so without worrying about being too old for LASIK as long as they have healthy eyes, a health cornea, sufficient tears and are free of cataracts or retinal diseases. 

If you are someone you know would like to find out if you are a good candidate for LASIK please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment for Free LASIK Consultation. 

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.