Connecticut LASIK Laser Cataract Eye Surgery Blog Doctor & Associates

Sunday, February 18, 2018

Eye Drops May Treat Macular Degeneration in Future




Age Related Macular Degeneration (AMD) can cause people to lose central vision and is a leading cause of vision loss in seniors. The prompt treatment of “Wet” Macular Degeneration is very helpful in preventing catastrophic vision loss for most patients. The “Wet” form of AMD is currently treated by repeated injections into the eye of drugs called Vascular Endothelial Growth Factor (VEGF) inhibitors-that stop, reverse and prevent new blood vessel growth. The most common VEGF inhibitors include Lucentis®, Eylea® and Avastin® and often require monthly injections to be effective. Researchers from the University of Birmingham (UK) Institute Inflammation and Aging reporting in the journal Investigative Ophthalmology & Visual Science have developed a method of delivering the AMD treatment drugs via an eye drop rather than by injection. The eye drop uses a molecule called a cell–penetrating peptide (CPP) to deliver the drug to the relevant part of the eye and hold future promise for treating Age Relater Macular Degeneration (AMD) with eye drops rather than injections.

If you or someone you know has a family history of Age Related Macular Degeneration (AMD) and is over 50 years of age or is a senior who has not had regular eye exams, please schedule and eye exam to help us help you avoid vision loss. 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, February 11, 2018

AMD & Physical Activity



Does Physical Activity Help Protect Against Age Related Macular Degeneration (AMD)?
The benefits of staying active throughout life are constantly being reviewed and communicated to people of all ages-but especially seniors. The benefits include joint and muscle health as well as cognitive processes, mood and cardiovascular health to name a few. Age Related Macular Degeneration (AMD) is the main cause of irreversible severe vision loss in seniors.  A recent review article presented in the American Journal of Ophthalmology  suggested that physical activity is associated with lower odds of early and late AMD in Caucasians. These findings have important implications for staying active throughout life. However, the authors also felt that additional studies were needed to confirm and further characterize an actual protective effect of physical activity on the onset and/or progression of AMD.

If you or someone you know has a family history of Age Related Macular Degeneration (AMD) and is over 50 years of age or is a senior who has not had regular eye exams, please schedule and eye exam to help us help you avoid vision loss. 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 28, 2018

Undiagnosed Age Related Macular Degeneration


With the benefit of early diagnosis and treatment, seniors can manage their risk of vision loss from Age Related Macular Degeneration (AMD) and protect their sight and lifestyle. The key is early detection and diagnosis by having regular eye exams as recommended by your eye doctor. Age Related Macular Degeneration (AMD) is the leading cause of irreversible vision impairment in older adults in the United States, yet little is known about whether AMD is appropriately diagnosed in primary eye care. Many seniors visit their primary care physicians for various health issues and then assume that everything is fine when the primary care physician looks into their eyes with the bright light and doesn’t remark or comment about any problems. Unfortunately, results of a recent study published in JAMA Ophthalmology suggest that a large number of cases of Age Related Macular Degeneration (AMD) are going undetected and undiagnosed even with the observation of primary care physicians. According to the study, by examining patients and comparing the eye exams to their primary care health records, 320 of 1288 eyes had AMD despite no diagnosis of AMD in the primary eye care medical record!  This study strongly indicates that under diagnosis of AMD can easily occur. If early AMD treatment is to be useful, seniors need to be sure to have regular dilated eye exams to help us help you avoid central vision loss.

If you or someone you know has a family history of Age Related Macular Degeneration (AMD) and is over 50 years of age or is a senior who has not had regular eye exams, please schedule and eye exam to help us help you avoid vision loss. 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, January 22, 2018

Glaucoma, Eye Pressure & Inhalers: No Need to Worry!


Glaucoma, Eye Pressure & Allergy Steroid Inhalers
For certain patients taking oral steroid medications for asthma or severe arthritis can actually elevate their intraocular pressure (IOP) and cause them to develop glaucoma. In the recent past, it has become very common to treat the symptoms of season allergies-such as a runny nose, itching and sneezing, with Flonase® (Fluticasone) which is administered with an inhaler. In fact Flonase® inhalers are now available “over the counter” without a prescription at your local pharmacy so that you can just buy them and begin treating yourself.  Is it safe to use Flonase® inhalers if you are at risk of high eye pressure and are you at even greater risk if you have ocular hypertension or already have glaucoma? According to the results of a clinical study, called the ICOUGH Study presented in the Journal of Glaucoma, there was no clinically significant increase in the average eye pressure in patients with well-controlled open-angle glaucoma and ocular hypertension after 6 weeks of twice-daily inhaled Flonase®. Thus, it is generally regarded as safe to use OTC inhalers of Flonase® without causing an increased risk of glaucoma.

If you or someone you know is concerned about their risk of glaucoma or needs to schedule and eye exam including 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 14, 2018

Glaucoma: Diet, Health & Lifestyle



Glaucoma: Diet, Health & Lifestyle: What You Need to Know!
As glaucoma is a chronic eye disease, we are often asked by glaucoma patients what diet, health and lifestyle factors can helpful or harmful to their eye health. There is a need to separate fact from fiction on recommendations and yet we can all take away some useful and practical information about the effect of diet, health and lifestyle on glaucoma.

Exercise and Glaucoma
One of the typical findings in glaucoma is that patients have an elevated intraocular pressure (IOP). Results from a number of studies indicate that aerobic exercise is associated with IOP lowering and according to the findings the change is greater among sedentary individuals than those who were already active and is independent of exercise duration or intensity. So, even a little aerobic exercise has a positive impact on lowering IOP! For anyone who feels they cannot incorporate exercise into their lifestyle-any kind of movement, even walking, may be beneficial. But, the key is consistency as you have to maintain your regimen because there is evidence showing as well that the effect of exercise on IOP does not continue when deconditioning occurs.

Diet and Glaucoma
There are many studies that suggest eating a healthy diet that includes a variety of fruits and vegetables-especially green leafy vegetables-is beneficial. This advice comes from studies showing that consumption of a diet rich in green leafy vegetables, or with a higher dietary nitrate intake (for which green leafy vegetables are an excellent source), seemed to protect against glaucoma. In general there is no harm in increasing your intake of green leafy vegetables–EXCEPT that for patients taking the blood thinner Coumadin® or warfarin, you need to be aware that green leafy vegetables are high in vitamin K and should you should discuss any increase in their green vegetable intake with their primary care doctor so that medication dosages can be adjusted if necessary.

Acupuncture and Glaucoma
Today, many patients express an interest in alternative therapies such as acupuncture for managing treating their glaucoma.  In general according to the results of a well designed clinical study reported on acupuncture treatment for glaucoma in the American Journal of Ophthalmology, acupuncture is unlikely to be beneficial.