Monday, July 28, 2014

School Eye Exams for Fairfield County Kids

Eye exams for kids going back to school are an important part of the school “readiness” that parents should include in their “Back to School Checklist”. Children use their eyes and vision as critical tools in their learning process.  Kids today operate in a very intense and demanding visual environment as they read, write, play sports, use computers and tablets and on and on…and it is easy to see why scheduling a Back to School eye exam is so important.


The most frequent eye problems we find in school age kids are the common vision problems of nearsightedness, farsightedness and astigmatism. Sometimes, not having clear vision in the classroom can lead to the undeserved perception of a behavioral problem or attention problem. What we know is that kids are often unable to verbalize that they have a vision problem as they just don’t recognize it. The earlier a vision problem is detected and treated, the more likely treatment will be successful.

If you or someone you know has needs to schedule an eye exam for their children, or has questions or concerns childrens’vision problems, 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 with offices at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

BOTOX® & Type 2 Diabetes: What Do They Have in Common?

There is some interesting research about BOTOX® and Type 2 Diabetes. What do BOTOX® and Type 2 Diabetes have to do with each other you ask?  A new study reports that it appears a better understanding of the proteins affected by injections of the wrinkle relaxer BOTOX® could help scientists develop new ways to treat Type 2 Diabetes.



BOTOX® Cosmetic is best known as an injection for helping patient smooth fine lines and wrinkles in order to look their best. BOTOX® is also used as treatment for a number of medical conditions including migraine, urinary incontinence, profuse sweating and crossed eyes, among others. In each of these cases, BOTOX® works because it has a paralyzing effect: that is, it relaxes specific muscles, which then provides the desired effect. BOTOX® accomplishes this effect by blocking certain proteins called SNARE (Soluble NSF Attachment Protein Receptor) proteins. It turns out that SNARE proteins in the beta cells of the pancreas help the pancreas secrete insulin, thus blocking these proteins in the pancreas could lead to insulin resistance which is the hallmark of Type 2 Diabetes. Understanding this mechanism will hopefully provide researchers with new ways to diagnose and treat Type 2 Diabetes in the future.




If you or someone you know is interesting in learning more about the mechanisms or clinical application of BOTOX® Cosmetic and how it might be related to understanding Type 2 Diabetes  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 with offices at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Thursday, July 24, 2014

Hypertensive Retinopathy Predicts Stroke Risk

During your regular eye exam we thoroughly and carefully exam the tiny blood vessels in your Retina-especially for seniors and others who have high blood pressure, other vascular disease and diabetes. For patients with hypertension or high blood one of very important things we can tell from your eye health is you potential risk of stroke. In the past assessment of the signs of hypertensive retinopathy-the retinal vascular condition that results from high blood pressure-has been recommended for determining end organ damage such as kidney and heart problems.

According to researchers reporting in the journal Hypertension there is a clear predictive value of evaluating whether hypertensive retinopathy predicts the long-term risk of stroke in those with hypertension.  In this study, participants with hypertension aged 50 to 73 years had gradable retinal photographs, no history of diabetes mellitus, stroke, and coronary heart disease at baseline and data on incident stroke, were included from the Atherosclerosis Risk in Communities (ARIC) Study. Retinal photographs were assessed for hypertensive retinopathy signs and classified as none, mild, and moderate/severe. Any history of stroke, cerebral infarction or hemorrhagic stroke were identified and confirmed. The results showed that after adjusting for age, sex, blood pressure and other risk factors, persons with moderate hypertensive retinopathy were more likely to have stroke. Even in patients with hypertension on medication with good control of blood pressure, hypertensive retinopathy was related to an increased risk of stroke!

From this study we know that hypertensive retinopathy predicts the long term risk of stroke, independent of blood pressure, even in treated patients with hypertension with good hypertension control. Thus, if you have high blood pressure, it is often important for us to obtain photographs at your eye examination in order to document and assess hypertensive retinopathy signs that may be useful for assessment of your stroke risk.

Thursday, July 3, 2014

Eye Specialists Note Need for Fireworks Eye Safety for July 4th


Doctor & AssociatesOphthalmologists provided some advice on the need to use proper eye safety and precautions for July 4th fireworks celebrations. The importance of fireworks eye safety cannot be overemphasized considering that eye injuries are the second most frequent injury seen in the emergency room each July 4th weekend.

Common sense and good judgment make it quite possible to reduce the risk of eye injury from fireworks displays. First, regarding children and fireworks of any type-THEY DON’T GO TOGETHER! To help kids avoid suffering severe eye injuries and burns is to not let kids play with any fireworks. It is even better not to purchase, use or store fireworks of any type. Protect yourself, your family and your friends by avoiding fireworks personally. Attend only authorized public fireworks displays conducted by licensed operators, but be aware that even professional displays can be dangerous. However, if an eye accident does occur, there are a few things you should know:

·         Do not rub the eye.
·         Do not attempt to rinse out the eye. This can be even more damaging than rubbing.
·         Do not apply pressure to the eye itself-but protecting the eye from further contact with any item, including the person’s hand.
·         Do not stop for medicine! Over-the-counter pain relievers will not do much to relieve pain. Aspirin (should never be given to children) and ibuprofen can thin the blood, increasing bleeding. Take the person to the emergency room at once.
·         Do not apply ointments or drops. They may not be sterile and may make the area around the eye slippery and harder for the doctor to examine.

Once you are seen in the emergency room please feel free to have them call Doctor & Associates at 203-227-4113 as we always have an eye doctor “on call” to provide consultation and continued care for you.

If you or someone you know has questions about fireworks eye safety and eye injuries 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 with offices at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Wednesday, June 25, 2014

Cataract Surgery for Both Eyes Gives Best Results

Fairfield County Cataract SurgeonLeslie Doctor, M.D., noted that while having cataract surgery in one is likely to improve vision and visual functioning, the best results are found in patients who undergo second eye cataract surgery. A cataract in one or both eyes often causes blurry, cloudy or dimming of vision but more importantly it can cause a meaningful decrease in visual functioning that impacts daily activities and lifestyle. In general it is well known that the presence of a cataract negatively affects both subjective quality of life and objective performance measures.

Researchers reporting in Ophthalmology studied the impact that a cataract and cataract surgery have on clinical measurements of vision, reading speed, objective mobility performance and subjective visual functioning. The results showed that patients who had the cataract surgery in both eyes demonstrated better visual performance, better mobility-based task performance and even scored better on the Activities of Daily Vision Scale (ADVS). “So we tell our patients that even though they might find a great improvement after having cataract surgery in only one eye, the data indicate that having cataract surgery on both eyes provides the best visual functioning,’ summarized Dr. Leslie Doctor.

If you or someone you know has questions or concerns about cataracts, cataract surgery and visual functioning 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 with offices at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.
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