Connecticut LASIK Laser Cataract Eye Surgery Blog Doctor & Associates

Sunday, July 17, 2016

Dry Eye Disease and Hair Loss

About Dry Eye and Hair Loss
What do dry eye and hair loss have to do with each other? As it turns out, recent research suggests there may very well be a link through your immune system. Alopecia means hair loss. When a person has a condition called Alopecia Areata the hair falls out in round patches on the scalp or elsewhere on the body. Alopecia is not contagious and it is not due to anxiety as some people think. Alopecia is actually due to your immune system attacking the hair follicles and resulting in hair loss. This disease is most occurs in otherwise healthy people. We now know that people with alopecia often suffer from dry eye disease. Researchers examined a series of patients who were previously diagnosed with Alopecia Areata and compared them to a control group who did not have the hair loss problem. They had each patient complete an Ocular Surface Disease Index (OSDI) questionnaire and evaluated their tear film using a Schirmer Test for tear quantity, a tear break-up time test and corneal staining stage tests. Dry eye disease (DED) was diagnosed in 84% of Alopecia Areata patients and in 15% of the controls, and there was a significant difference between the groups. They believe that a certain type of cell mediated autoimmunity has a key role in BOTH Alopecia Areata and dry eye disease and that the inflammatory mechanisms causing Alopecia Areata may trigger dry eye disease or vice versa. Based on this research it is recommended that all patients with Alopecia Areata be examined and evaluated for dry eye disease.

If you or someone you know suffers from Alopecia Areata hair loss and wishes to be evaluated for dry eye disease and problems, 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, July 10, 2016

Kids’ Eye Exams: When to Have Them

When to Have Kids’ Eye Exams
At Doctor & Associates we are often asked about the best time to have kids’ eyes screened, examined and evaluated for eye health and vision problems. As both a Pediatric Ophthalmologist and a parent of young children I am especially sensitive to doing the right things at the right times for kids. The American Academy of Pediatrics and the American Academy of Ophthalmology recommend that your child's eyes be screened for problems at birth, by 6 months of age, at 3 to 4 years of age, at 5 years of age, and every following year. Getting your kids eyes checked and screened regularly is critical for finding any issues that should be caught treated early. In most instances it may not actually be necessary for your child to have an exam with an eye doctor as your pediatrician can do the initial screenings at the routine well child visits. However, for preemies or if there is any family history of childhood eye problems it’s probably a good idea to bring them in to see us and we might recommend more frequent or more detailed exams

If you or someone you know would like to learn more or schedule a kids eye exam, 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.

Thursday, July 7, 2016

Macular Degeneration Risk: Diet, Lifestyle & Genes

Macular Degeneration Risk: Diet, Lifestyle & Genes
Unhealthy lifestyles that include smoking, high levels of alcohol consumption, high fat diets and other vascular risk factors are known to contribute to your risk of age related macular degeneration (AMD). Further, we also know that those with a family history of AMD are even at additional risk. Recently a study published in Ophthalmology told us about the further risk that you might experience if you actually have a genetic predisposition. The results showed that odds of developing AMD were 3.3 times greater if you had both unhealthy lifestyle behaviors in combination with high genetic risk as compared to those who had low genetic risk and healthy lifestyles. This shows the powerful negative effect both your genes and lifestyle can play in your risk of developing age related macular degeneration (AMD).

If you or someone you know has a family history of AMD and demonstrates unhealthy lifestyle behaviors it is important to have a comprehensive eye exam on a regular schedule recommended by your eye doctor, at which you clearly make the doctor aware of your risk factors and concerns. 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, June 20, 2016

Back Surgery and Vision Loss

About Vision Loss from Back Surgery
What does having back surgery have to do with vision loss? According to neurosurgeons who perform spine surgery, one of the risks of spine surgery is post operative vision loss (POVL). When operating on the spine, a rare but potentially devastating complication of lumbar spine surgery is indeed POVL, of three types that seems to be increasing in frequency. These include one type called ischemic optic neuropathy (ION) which occurs due to restricted blood flow to the optic nerve, another is called central retinal artery occlusion (CRAO) which is due to a blockage in the main artery that supplies the retina with oxygen and nutrients and third is called cortical blindness (CB) most likely due to some blockage in the visual cortex of the brain that is responsible for “seeing.” These complications are quite rare but the risks can occur when there are very long operation times, in patients who have a difficult time being positioned on the operating table and especially in those that are obese. Neurosurgeons take many preoperative and intraoperative precautions to avoid these complications which, except for an unusual event, are successful in avoiding vision loss.

However, if you or someone you know is having or has had back or spine surgery, please be aware that any change in your vision should immediately be reported to your neurosurgeon and you eye doctor so as to prevent vision loss. If you would like more information or have concerns 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, June 13, 2016

Slowing Nearsighted Progression

About Nearsighted or Myopic Progression
Myopia is a common disorder, affecting approximately one-third of the U.S. population. High myopia is associated with an increased risk of sight-threatening problems, such as retinal detachment, choroidal degeneration, cataracts, and glaucoma. Slowing the progression of myopia could potentially benefit millions of children in the U.S. To date, few clinical approaches for myopia control and slowing myopic progression have proven to be consistently effective. Treatment options such as undercorrection of myopia, gas permeable contact lenses, and bifocal or multifocal spectacles have all been proven to be ineffective for myopia control, although one recent clinical trial using executive top bifocal spectacles on children with progressive myopia has shown to decrease the progression to nearly half of the control subjects. The most effective methods are the use of orthokeratology contact lenses, soft bifocal contact lenses, and certain eye drops not specifically approved for this use. We encourage parents children experiencing rapid myopic progression to discuss which if any of these options might be helpful or appropriate for their children.

If you or someone you know has a question about myopic progression or the ways to slow nearsighted prescription increases, feel free to discuss your concerns with us and 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.