Tuesday, September 16, 2014

What are Scleral Contact Lenses?

Scleral contact lenses are large-diameter gas permeable lenses designed to vault over the entire corneal surface and rest on the "white" part of the eye, called sclera. Scleral lenses are noticeably larger than standard contacts and have a diameter greater than that of soft contact lenses, which is usually from 15 mm to 24 mm. In comparison, the average human cornea is about 11.8 mm in diameter and most conventional gas permeable contact lenses are 9.0 to 9.5 mm in diameter.

Scleral lenses are designed to treat a variety of eye conditions, some of which are keratoconus and dry eye syndrome. They might improve vision and reduce light sensitivity for people suffering from Steven-Johnson syndrome, Sjogren's syndrome, corneal ectasia, for eyes that have undergone a cornea transplant and some post injury eyes. Advances in lens technology are allowing manufacturers to design scleral lenses that can correct more conditions than ever before, including bifocal scleral lenses for correction of presbyopia.

Sometimes these lenses are also used as special effect contact lenses, also called theatrical, to dramatically alter the appearance of the eye. They are often used in movies and during Halloween for cosmetic purposes only and not for vision correction.

If you or someone you know has questions or concerns about cataracts, cataract surgery, lens implants and how to reduce your risk of cataracts or other eye diseases 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.

Friday, September 5, 2014

Is Laser Cataract Surgery a Gentler Procedure?

Both laser cataract surgery and traditional cataract surgery procedures can provide patients with excellent vision in a safe and effective manner. We constantly strive to provide cataract patients with even greater degrees of safety, precision and reproducibility during their cataract operation. Any time we can make an eye surgery procedure gentler, there are benefits to patients. Lasercataract surgery allows us to replace a number of manual steps with surgeon controlled laser precision as well as helping us reduce the energy levels required to fragment and break down the cloudy lens material that has formed the cataract.

One of the observations and indicators of “gentleness” of cataract surgery procedures is the effect the operation has on the inside layer of the cornea-called the endothelium. Quantifying corneal endothelial cell loss is a good yardstick. Researchers reporting in the Journal of Cataract & Refractive Surgery compared the amount of corneal endothelial cell loss between traditional cataract surgery and laser cataract surgery. One eye of each patient had “traditional” cataract surgery and the other eye had femtosecond laser cataract surgery-and both eye had lens implants.

The results showed that the eyes having laser cataract surgery had considerably less endothelial cell loss-and thus demonstrated having a gentler cataract surgery procedure. This is important for not only routine cataract surgery in healthy eyes, but would be especially beneficial for eyes that were at greater risk of endothelial cell loss because they had low endothelial cell counts to begin with or even some preexisting condition such as “cornea guttata”-tiny droplets on the back surface of the cornea-which can indicate a weakening of the corneal transparency mechanism and are a precursor of Fuchs Corneal Endothelial Dystrophy.

If you or someone you know has questions or concerns about cataracts, cataract surgery, lens implants and how to reduce your risk of cataracts or other eye diseases 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.

Monday, August 11, 2014

Retina Exam before Cataract Surgery

Dr. Leslie Doctor
“If you have cataracts and we are contemplating cataract surgery we will always want to be especially diligent in performing a thorough and critical retinal exam-and any additional testing-to carefully correlate the degree of vision loss with the density and position of the cataract,” Leslie Doctor, M.D. “When cataract patients report a decrease in vision, it is important for us to correlate the visual symptoms and visual acuity to the degree of cataract present,” she further explained. In some instances, a careful examination and specialized testing of the retina can reveal underlying pathology such as epiretinal membranes, retinal wrinkling or macular pucker with edema. In fact, some studies report a prevalence of epiretinal membranes in 7% of patients older than 60 years and in 20% of patients aged 75 years or more-the prime demographic for cataract surgery. Therefore, before you have cataract surgery at Doctor & Associates you should expect to have a thorough retina exam and testing ordered by your cataract surgeon in order to help you get the best results.

If you or someone you know has questions or concerns about cataracts, cataract surgery, lens implants or retina exams and testing before cataract surgery 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.

Tuesday, August 5, 2014

25% Off Childrens’ Eyeglasses at Doctor & Associates

As parents are getting their children ready for the “Back to School” season, Doctor & Associates is pleased to offer a 25% discount on kids eyewear and eyeglasses through September 30, 2014. We are featuring eyeglass frames from Nike, Penguin, Lily Pulitzer, RayBan®, Jimmy Choo and Nine West, to name some of the popular kid’s eyeglasses we offer.  To schedule an eye exam or eyeglass selection and 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 with offices at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

Cataracts Don’t Have to Slow You Down

“One of the important responsibilities we have to our Fairfield County seniors is to educate them about the symptoms of cataracts and the benefits of cataract surgery and lens implants have on vision as well as daily living, maintaining mental alertness and frankly the safety and comfort of just moving around without the worry of tripping and falling,” explained Corneal Specialist & Cataract Surgeon Leslie Doctor, M.D.



For many patients cataracts start out slowly and have little effect on vision at first. But, as the cataract becomes denser, so does the impact on vision and the ability and ease of overall functioning. The most common symptoms that bother patients with cataracts can include blurring, clouding or dimming of vision, sensitivity to light and glare, double vision in one eye, poor night vision, fading or yellowing of colors and the need frequent changes in glasses or contact lens prescriptions. These are the visual symptoms of cataracts. “But cataracts can do even more to the person as a whole,” stated Dr. Leslie Doctor.

“What we have come to realize is that the loss of visual function over time in seniors is often associated with premature or accelerated mental decline. Decreased vision-especially in varying lighting conditions and where there are shadows, creates mobility and safety difficulty and can also put patients at increased risk for orthopedic injury-especially hip fracture. Restoring vision with cataract surgery and lens implants plays a real role senior health, well being, mobility, safety and mental state,” said Dr. Leslie Doctor.

When cataracts begin to interfere with daily activities or with patient comfort, mobility and safety, they can be treated surgically. Cataract surgery is one of the safest and most frequently performed surgeries in the United States. There is a full range of lens implants available that allow us to correct nearsightedness, farsightedness, astigmatism and even near vision problems after cataract surgery, as well as distance vision, without requiring bifocals or reading glasses for the vast majority of patients.

If you or someone you know has questions about cataract, cataract surgery or lens implants 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.