Sunday, October 15, 2017

Nutrition & Prevention of Eye Problems


Age Related Macular Degeneration, Dry Eye Syndrome and Cataracts are very common senior eye problems. While we rarely think about nutrition problems in the U.S., there is global information that tells us what CAN happen if we allow people to develop nutritional deficiencies and thus what types of supplements and vitamins might be helpful in preventing these eye problems According to research presented in the Journal of Clinical Dermatology on the role of vitamins, essential fatty acids and antioxidants in age-related macular degeneration, dry eye syndrome and cataract, there is useful information and it helps us advise our patients on a daily basis. When we look around the world, we find that visual impairment is a global epidemic. In developing countries, nutritional deficiency and cataracts continue to be the leading cause of blindness, whereas age related macular degeneration (AMD) and cataracts are the leading causes in developed nations. The World Health Organization has instituted VISION 2020: "The Right to Sight" as a global mission to put an end to worldwide blindness. In industrialized societies, patients, physicians, researchers, nutritionists, and biochemists have been looking toward vitamins and nutrients to prevent AMD, cataracts, and dry eye syndrome (DES).

We know that nutrients from the AREDS2 -lutein, zeaxanthin, vitamin C, vitamin E, zinc, copper, EPA and DHA as set forth by the National Institutes of Health remain the most proven nutritional therapy for reducing the rate of advanced AMD. We also know that Omega-3 fatty acids, especially DHA, have been found to improve dry eye syndrome in randomized clinical trials. Finally we know that there continue to be conflicting results with regard to multivitamin supplementation on the prevention of cataract.

When you visit us for your regular eye exam, we may very well ask you about your nutrition and what vitamins and supplements you already take. If you are in a risk group for AMD or have complaints about dry eye symptoms we may also recommend supplements or vitamins to help you. 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, October 9, 2017

Shopping for Health Insurance & Deductibles

Obamacare was supposed to help patients become better healthcare consumers by allowing them to shop for high deductible health plans at lower cost. High deductible health plans are sold as a way for consumers to take greater control over managing their medical costs, but new research shows people on those plans are no better at price shopping for health care professionals or services than people on traditional insurance. The study surveyed more than 1,000 “high deductible" health insurance enrollees of which 71% believe out of pocket costs were important to consider when choosing a doctor. They compared this to 852 enrollees traditional of “low deductible” plans and they had the exact same perspective. The researchers also found that during their last use of medical care, the “high deductible” plan enrollees were no more likely than traditional plan enrollees to consider going to another professional for care or to compare out of pocket costs across health care professionals. They concluded that “having more skin in the game” makes no difference on how consumers shop for health care and insurance.

If you need help understanding your health insurance as it relates to any aspect of eye care service we provide please do not hesitate to ask us by calling 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, October 2, 2017

Cataracts, Cataract Surgery & Driving


Blurry, cloudy vision from cataracts is a well known driving risk, especially for seniors where declining vision is often caused by cataract development. Researchers reporting in the Journal of Cataract & Refractive Surgery studied cataracts and the outcomes of cataract surgery and how these impacted crash risk, driving self-regulation practices, and driving performance. Not surprising there was clear consistent evidence that cataract negatively affects driving and that cataract surgery is beneficial to driving outcomes. What was not clear and requires further study is how specific vision measures such as visual acuity, contrast sensitivity and glare sensitivity specifically affect crash risk and driving performance so that we can be optimally effective in prioritizing cataract patients for surgery.

If you or someone you know has been told they have a cataract and is having difficulty with driving especially at night or in dim illumination or with glare, 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, September 18, 2017

Eyeliner Tips for Healthy Eyes


Eyeliner Tips to Keep Eyes Healthy
Eyeliner can be applied to create a new look, or enhance natural eye appearance. But our eye doctors want to share some tips and alert eyeliner wearer to watch when and where eyeliner is applied. Three tips for safe application:
When to Apply-If you’re running late to work, school or an appointment, you may be tempted to grab your makeup and apply it in the car. But don’t use eyeliner when the car is moving, you could injure or poke your eye. A better idea is to wait until you are safely parked.
Keep It Clean-Eyeliner pencils periodically need sharpening for easy application. Use a makeup sharpener, not a kitchen or pocket knife, or a sharpener used for pencils or crayons. Prevent spreading germs to your eyes by washing your hands before using eyeliner, and don’t borrow or share eyeliner products with others. This includes liquid and cream eyeliners as well.
Watch the Location-Applying eyeliner along the inside edge of the eyelid, called the waterline, can enhance the look of your eyes. But it also may increase the risk for contamination and vision problems. Studies show that flecks from eyeliner, especially those with glitter, may drop into the eye and collect in tear film. Vision may become blurry, and eyes may become red and irritated. A bacterial infection also may develop. This is a problem, especially for those who wear contacts or have dry, sensitive eyes.

If you or someone you know has a question about how to use eyeliner safely and protect eye health, 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, September 11, 2017

Uncorrected Farsightedness & Children’s Literacy


A study funded by the National Eye Institute (NEI), part of the National Institutes of Health, has shown that hyperopia in preschool children is associated with significantly worse performance on a test of early literacy. The results of the Vision in Preschoolers–Hyperopia in Preschoolers (VIP–HIP) study, which compared 4 and 5 year old children with uncorrected hyperopia to children with normal vision, found that children with moderate hyperopia-3 to 6 diopters of correction-did significantly worse on the Test of Preschool Early Literacy (TOPEL) than their “normal vision” peers. A diopter is the lens power needed to correct vision to normal. The higher the diopter, the worse the hyperopia. This study suggests that an untreated vision problem in preschool, in this case one that makes it harder for children to see things up close, can create literacy deficits that affect grade school readiness. In most children with hyperopia, the condition is mild and has little impact on vision. A small number of preschool children have high hyperopia-more than 6 diopters-that is corrected with eyeglasses. It’s estimated that 4-14% have moderate hyperopia, which often goes undiagnosed and untreated. The results revealed significantly worse performance on the TOPEL among children with uncorrected moderate hyperopia, especially those who also had reduced near visual function, including clarity of binocular vision and depth perception.

If you or someone you know has a school age child who has not had an eye exam, please make sure they are evaluated for vision problems as this can affect their reading readiness, literacy and overall school performance. 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, August 21, 2017

Cataract Surgery & Lens Implant Patient Satisfaction



If you have cataracts or are considering cataract surgery and lens implants, if you are a good candidate, it is pretty likely that your cataract surgeon will offer you the option of a multifocal lens implant in addition to the standard monofocal lens implant. The objective of using a multifocal lens implant to correct vision after cataract surgery is to help patients become less dependent or completely independent of glasses after their cataract is removed. A multifocal lens implant allows patients to see at a range of far, arms’ length and near without glasses whereas a monofocal will require the patient to still need glasses for most arms’ length or close vision tasks. Whenever we present or recommend this option to our patients they almost always ask, “Which one is better?” or “Which one will I be most satisfied with?” A multisite clinical trial was conducted and reported on in the Journal of Refractive Surgery that compared outcomes and patient satisfaction of monofocal vs. multifocal lens implants after cataract surgery. 

Results of Cataract Surgery with Monofocal vs. Multifocal Lens Implants
The results showed both monofocal and multifocal IOLs provided good clinical outcomes. More patients receiving multifocal IOLs attained better uncorrected visual acuity at a range of distances and spectacle independence compared with patients who received monofocal IOLs. Patient satisfaction was significantly better in the multifocal group.

If you or some you know suspects they have a cataract or is considering cataract surgery and lens implants and wishes to schedule a cataract and lens implant 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.           

Monday, August 14, 2017

Contact Lenses Increase Computer Vision Syndrome


Computer Vision Syndrome (CVS) is a condition that results from prolonged focusing of your eyes on a computer or other display device for protracted, uninterrupted periods of time. Typical symptoms of CVS include headaches, blurred vision, neck pain, eye redness, fatigue, eye strain, dry eyes, irritated eyes, double vision, vertigo, dizziness and difficulty refocusing the eyes. According to the National Institute of Occupational Safety and Health, computer vision syndrome affects about 90% of the people who spend three hours or more a day at a computer. We now know that CVS is actually made worse by contact lens wear. According to a study in Ophthalmic & Physiological Optics contact lens wearers are more likely to suffer CVS than non-lens wearers, with a prevalence of 65% for contact lens wearers. In particular, people who wear contact lenses and are exposed to the computer for more than 6 hours per day are more likely to suffer CVS than non-lens wearers working at the computer for the same amount of time.

If you or someone you know suffers from symptoms of Computer Vision Syndrome (CVS) please feel free to contact us for guidelines and help with the uncomfortable effects. 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.

Friday, August 11, 2017

Free Eye Safety Solar Eclipse Glasses from Willows Opticians


On Monday, August 21, 2017, North America will be treated to an eclipse of the sun, or a “solar eclipse.” During a solar eclipse, the moon will pass between the sun and the earth, actually blocking the sun either partially or completely depending on where you are viewing it from. The blocking of the sun will last for up to three hours from beginning to end depending on your viewing location. The last time the contiguous U.S. saw a total eclipse was in 1979. This event turns day into night and makes the normally hidden solar corona-the sun’s outer atmosphere- visible! Bright stars and planets will become visible as well. This is one of nature’s most awesome sights. In the Fairfield County, Connecticut area, we will have a partial eclipse of about 67%. The start time will be approximately 1:24 pm, the maximum eclipse view will be at approximately 2:45 pm, with the end of the event occurring at 4:00 pm.

How Can You See It & Avoid Eye Safety Risk?
You never want to look directly at the sun without appropriate protection except during totality. “Retinal burns, called “solar retinitis” or “solar retinopathy” can be produced by direct gazing at the sun. This potentially serious problem is caused by the thermal effects of the visible and near infrared rays focused on the pigment layer of the retina. “We almost never see patients with solar retinopathy at other times because the normal eye only tolerates very brief glances at the sun. But, during a solar eclipse it is possible to have prolonged direct viewing of the sun that often results in retinal damage if you don’t take the precaution of wearing proper protective solar filtering glasses,” Dr. Leslie Doctor. 

The only safe way to look directly at the uneclipsed or partially eclipsed sun is through special-purpose solar filters, such as “eclipse glasses” or hand-held solar viewers. Homemade filters or ordinary sunglasses, even very dark ones, are not safe for looking at the sun. “To be safe to view a solar eclipse, the eclipse gasses must meet the ISO 12312-2 international standard for such products,” explained Dr. Doctor.

You may receive a free pair of eclipse glasses, by visiting any Doctor & Associates or Willows Opticians location including 129 Kings Highway N, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 or 148 East Avenue #3e, Norwalk, Connecticut 06851. 

To learn more, please call Doctor & Associates-203-227-4113, visit Doctor& Associates in Fairfield County or Google+ .

Sunday, August 6, 2017

Cataracts & Vitamin D


Vitamin D Helps Cataracts?
Cataracts continue to be a leading cause of vision decline in seniors as well as aging baby boomers. Those patients who do not yet have a cataract often ask if it is possible to reduce their risk or avoid cataracts with vitamins or diet supplement. Since Vitamin D has been shown to have an antioxidant effect it might seem like a good bet to reduce cataracts. But, the data continues to be confusing with regard to Vitamin D and cataract prevention. Researchers reporting in the Journal of Cataract & Refractive Surgery studied the impact and relationship between serum levels of Vitamin D and the risk of age related cataracts. They were able to eliminate the effect of other cataract risk factors such as age, sex, smoking status, diabetes, hypertension, and sunlight exposure. The results showed that in men, but not in women, the odds of developing age-related cataracts decreased with statistical significance when the serum Vitamin D levels were in the highest 10%  as compared to the when they were in the lowest 10%. But, it wasn’t a uniform trend throughout the range-only in comparison of the top to the bottom levels of serum Vitamin D levels. This, along with no real benefit for women makes the results warrant more study for now. Fortunately cataract surgery and lens implants offer a safe, effective and predictable treatment method with excellent results.

If you or some you know is concerned about their cataract risk or needs a cataract 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.

Sunday, July 16, 2017

Possible Treatment Help for Dry AMD



Researchers seeking ways to treat the “Dry” form of Age Related Macular Degeneration (AMD) are encouraged by findings of their clinical trial. The researchers at Massachusetts Eye and Ear Infirmary/Harvard Medical School and the University of Crete have found that some patients taking high doses of atorvastatin (Lipitor®) had complete resolution of lipid deposits in the dry form of Age Related Macular Degeneration (AMD). Although we currently use therapeutic injections of VEGF inhibitors to treat the “Wet” form of AMD, as of yet we really do not have an effective treatment options for the “Dry” form-so this is encouraging.

The best way to avoid vision loss from the senior eye problem of age related macular degeneration (AMD) is by having regular eye exams for early detection diagnosis and treatment.
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, June 11, 2017

Increased Risk Factors for Cataract Surgery in Postmenopausal Women


Increased Cataract Surgery Risks for Postmenopausal Women


According to a recent study reported in the journal Ophthalmology, smoking, diabetes and obesity may increase the risk of cataract surgery in postmenopausal women. The results of the “UK Million Women Study” included more than 1.3 million postmenopausal women who had not previously had cataract surgery. The women were followed for cataracts treated surgically and studies with powerful statistics to calculate the adjusted relative risks for cataract surgery in terms of use of hormonal therapies, reproductive history, lifestyle factors and diabetes treatment. Two percent of women had diabetes, which was the strongest risk factor for cataract surgery. Additionally, both past and current smoking was found to elevate the risk for cataract surgery. Obesity, with a Body Mass Index of 30 kg/m² or greater, was also found to have a small increase in risk of cataracts treated surgically.

If you or someone you know has been told they have a cataract or is concerned about cataract symptoms of cloudy vision, glare sensitivity or night driving problems and wishes to schedule a cataract & lens implant 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.

Sunday, June 4, 2017

Protect Childrens’ Eyelids from Dog Bites

Eyelid lacerations in children can be caused by all types of accidental occurrences. Parents should be aware of the increased risks of eyelid lacerations caused by dog bites. According to researchers from Boston Childrens Hospital eyelid lacerations caused by dog bites are much more likely to cause damage to the delicate tear gland-the lacrimal gland-and the tear drainage structures. For this reason, if your child is accidentally bitten on the eyelid by a dog, be sure to tell the eye doctor so that a very careful examination and evaluation of the eyelid tissue and tear ducts can be performed. In about 1/3 of eyelid dog bites in children, we will find some damage that needs to be treated or repaired.

If you or someone you know has a child who is bitten on the eyelid or face by a dog, 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, May 21, 2017

Blood Thinners and AMD Hemorrhages

Blood Thinners and AMD Hemorrhages

Many seniors take blood thinners for various types of cardiovascular and other vascular disease as a preventative measure for avoiding a heart attack or stroke. This same senior population is also at greatest risk for age related macular degeneration-including wet or hemorrhagic macular degeneration (AMD). Thus, the question of whether taking anticoagulants might be increasing the risk of and progression of AMD is important and reported on in a study published in Ophthalmology. The results showed that taking anti-platelet or anticoagulant medication was not significantly associated with macular hemorrhage and increased AMD risk unless the patient also had hypertension.

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, May 15, 2017

AMD Risk from Sunlight Exposure

There has been discussion about whether sun exposure can be a risk factor for developing AMD-a common senior eye problem. We know that excess exposure to sunlight can cause many untoward effects on the delicate tissues of the eye and the surrounding facial skin. Sun exposure is a known cataract risk factor, too much UV exposure can cause a “cornea sunburn” or “solar keratitis” and even damage the retina by causing a “solar retinitis”. Researchers reporting in the journal Retina evaluated the effects of current and past sunlight exposure and iris color on early and late Age Related Macular Degeneration (AMD). Their conclusions were that sunlight exposure during working life is an important risk factor for AMD, whereas sunlight exposure after retirement seems to have less influence on the disease development. Therefore, preventive measures, for example, wearing sunglasses to minimize sunlight exposure, should start early to prevent development of AMD later in life.

If you are concerned about senior eye health and specifically your risk of AMD please consider wearing sunglasses to limit your exposure to sunlight beginning EARLY in life to preserve your eye health and vision. If you have not had a recent 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.

Sunday, May 7, 2017

Eye Cosmetic & Makeup Tips for Eye Health

Eye Health Makeup Tips
Eye makeup is very popular. But, unfortunately we often see careless handling and application of eye cosmetics that leads to infection or other eye problems. Safe use of eye makeup is important. Here are some common sense tips to know before using eye makeup that can help you maintain eye health:
·       Always wash hands before applying cosmetics.
·       Toss eye makeup after using it for several months, since bacteria and fungi can grow quickly in the tubes and containers and multiply within a few months. These germs can irritate and damage the eyes.
·       When opening new packages of eye makeup, use a permanent marker to write the date on the container to help you remember when the products were first used.
·       Use only eye cosmetics on the eyes-not cosmetics formulated for other facial areas. Always apply makeup with clean brushes and sponges.
·       Never apply cosmetics to the inner eyelid as this may irritate or inflame the eyelids and sensitive tissue around the eyes.
·       Don’t share cosmetics with other family members or friends.
·       Avoid permanent coloring and dyes for eyelashes, which can damage eyes if not used correctly.
·       Don’t use eye cosmetics if your eyes are irritated or infected.
·       Avoid using eye makeup products that are glittery or shiny, as they may include ingredients that contain fine particles that can irritate your eyes.
·       Before going to sleep, always gently wash off all cosmetics and brush a clean cotton swab along the eyelashes to remove makeup deposits.

If you or someone you know has redness, eye irritation, itchy or discomfort they believe might be related to eye makeup or cosmetics 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, April 30, 2017

Genes for Glaucoma Identified

Genes for Glaucoma Identified
Researchers from Massachusetts Eye and Ear Infirmary of Harvard Medical School and Case Western Reserve University School of Medicine have led an international effort to identify three genetic associations that influence susceptibility and risk of primary open angle glaucoma which is the most common and insidious type of glaucoma. They studied more than 4,000 cases and 30,000 controls for primary open angle glaucoma using human genomes collected through the NEIGHBORHOOD consortium, a National Eye Institute collaborative. The researchers identified relationships between primary open angle glaucoma and three genetic associations and we believe that this will provide key insights that may ultimately be used to develop gene-based testing and treatment strategies for glaucoma.

In order to prevent vision loss, Primary Open Angle Glaucoma is best managed through early detection, diagnosis and treatment. Having a genetic code that tells us whether you will be subject to the disease will go a long way in preventing damage to the optic nerve and thus compromised vision. As we move forward, regular eye exams with glaucoma texting-especially for those with known risk factors including diabetes, high blood pressure, sleep apnea, smoking and being of Latino or African ancestry-are important to maintain eye health and vision.

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, April 17, 2017

Vitamin C & Cataracts

Vitamin C & Cataracts
Cataracts are a common senior eye problem that occurs naturally with age and clouds the eye’s lens, turning it opaque. Despite the advent of modern cataract removal surgery, cataracts are still something seniors need to be aware of and work to limit their risk factors if possible. The role of vitamins and supplements in cataract development has generally been a bit uncertain. Based on some new research, it is thought that eating foods high in Vitamin C can cut the risk of cataract progression by as much as a third. The research is also the first to show that diet and lifestyle may play a greater role than genetics in cataract development and severity.

Probably the most important finding in this study was that vitamin C intake from food seemed to protect against cataract progression. While we cannot totally avoid developing cataracts, we may be able to delay their onset and keep them from worsening significantly by eating a diet rich in vitamin C.

If you or someone you know is concerned about senior eye problems such as cataracts or even has a cataract, please share this information. If you need a cataract 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.           

Sunday, April 9, 2017

IVF & Keratoconus Progression


IVF & Keratoconus Progression

What could in vitro fertilization and Keratoconus have to do with each other? As it turns out, quite a bit! Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. We carefully monitor our patients with Keratoconus because Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light-all of which can worsen if the disease progresses quickly. Researchers reporting in the Journal of Refractive Surgery alerted us to the fact that drugs used in IVF treatment increase estrogen levels, which may affect corneal biomechanics and induce progression of Keratoconus and thus we need to be even more carefully following those patients with Keratoconus who might also be starting IVF treatments. If they are determined to be of particularly high risk for progression, then we might recommend corneal cross-linking treatment to minimize the risk of keratoconus progression before starting IVF treatment.

If you or someone you know suffers from Keratoconus and is considering IVF 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, April 2, 2017

Loose Eyelids & Dry Eye Problems



Dry Eyes & Loose Eyelids

Sometimes we are surprised by the many conditions and circumstances that can cause you to have dry eye problems. We know that many common medications, including those for blood pressure and allergies can certainly cause dry eyes. We know that the hormonal changes associated with menopause can cause dry eyes as well as certain environmental conditions of dustiness, breeziness or dryness you might encounter. We also know that problems with eyelid inflammation, called blepharitis, or systemic inflammatory diseases as well as contact lens wear can contribute to dry eye symptoms. Now, according to research we reviewed in Cornea we also know that loose eyelids may also cause a disruption of the normal tear film and lead to dry eye complaints. In a study of some 138 patients, those who had loose eyelids were much more likely to suffer from sensations of grittiness, in adequate tear film quality and quantity and dry spots on their cornea-all key sign and symptoms of dry eye. The researchers concluded that eyelid laxity or looseness should be tested in anyone with dry eye complaints as it might be a source of the problem.

If you or someone you know is bothered by dry eyes 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, March 19, 2017

Keratoconus, Risks & Systemic Disease



Keratoconus, Risks & Systemic Disease

Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light all often becoming troubling to the patient. Usually, we diagnose keratoconus during the adolescent years. If both eyes are significantly affected, the deterioration in vision can affect the person's ability to drive a car or read normal print.

In most cases, we can fit specialized contact lenses to correct vision sufficiently to allow the person to continue to drive legally and likewise function normally. Further progression of the disease may require surgery, for which several options are available and most popular, including intrastromal corneal ring segments, corneal collagen cross-linking, and in about 25% of cases, corneal transplantation. Estimates of the rates for keratoconus range from 1 in 500 to 1 in 2000 people. Recent information alerts us to a number of demographic, ancestry and systemic risk factors. These include that those of African ancestry have a 57% greater risk of a keratoconus and Latino persons have a 43% greater risk of being diagnosed compared with a Caucasian population. Asians had 39% reduced risks of keratoconus and patients with uncomplicated diabetes mellitus (DM) had 20% less risk. Other conditions found to have significantly increased risk of developing keratoconus include sleep apnea and asthma.

If you or someone you know is at risk for keratoconus or wishes to be evaluated for keratoconus 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, March 6, 2017

Satisfaction with LASIK vs. Contact Lenses

Satisfaction with LASIK vs. Contact Lenses
Patients who have been wearing contact lenses have made the choice to minimize their dependence on eyeglasses, but still have many of the inconvenient aspects of contact lens and care to contend with. For contact lens wearers, the decision to have LASIK represents the desire to experience a lifestyle and convenience with independence and freedom from the hassle of BOTH glasses and contacts. But, how does satisfaction with LASIK actually compare with contact lens wear? Researchers reporting in the journal Ophthalmology assessed patient satisfaction and perceived outcomes of 1800 patients split into two groups-one continuing to wear contact lenses and the other having LASIK, through annual surveys administered over a 3-year period. Most contact lens users had worn them successfully ≥5 years. The proportion expressing strong satisfaction with their current vision correction method decreased from 63% at baseline to 54% at year 3 in the contact lens control group, whereas 88% of former contact lens wearers and 77% of former glasses wearers were strongly satisfied with LASIK at year 3. Patients 40 years of age or younger when they had LASIK were somewhat more likely to be strongly satisfied than older patients. LASIK significantly reduced difficulties with night driving and nighttime visual disturbances among former contact lens users and former glasses users. The proportion with dry eye symptoms at 1, 2, or 3 years after LASIK was not significantly increased relative to baseline contact lens wear but was significantly increased relative to baseline glasses use, consistent with many glasses users having tried and abandoned contact lenses because of latent dry eye problems. Compared with continued contact lens wear, LASIK significantly reduced the self-reported rates of eye infections, ulcers, and abrasions each year.

The overall conclusions then were that compared with contact lens wear, current LASIK technology improved ease of night driving, did not significantly increase dry eye symptoms, and resulted in higher levels of satisfaction at 1, 2, and 3 years follow-up.

If you or someone you know is wearing glasses or contact lenses and would like be free of the hassle they create for seeing clearly at distance, please schedule a Free LASIK Consultation by calling 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 19, 2017

Lower AMD Risk with Cholesterol Medication?



Can Cholesterol Medication Help AMD?
Age Related Macular Degeneration (AMD) continues to be a leading cause of vision loss in seniors-especially those with a family history or other risk factors such as smoking and other forms of vascular disease. While we have progressed a very long way in the treatment of Wet AMD through the use of anti-VEGF therapeutic injections such as Lucentis® and Eylea® , we are always hoping to find additional medications, vitamins or supplements that might be useful in preventing or delaying senior vision loss. There have been a number of clinical studies and reports about whether the use of the cholesterol lowering medications called “statins” are helpful in preventing or delaying AMD. Common statins include Lipitor®, Crestor®, Zocor®, Mevacor® and Pravachol®. Unfortunately, the most recent information we reviewed in a study reported in the Ophthalmology evaluated the association of statin use with progression of age-related macular degeneration (AMD) and found that statin use was not statistically significantly associated with the progression of AMD and showed no evidence of a beneficial effect on slowing AMD progression.

As with many eye problems, conditions and diseases, age related macular degeneration (AMD) can be best addressed with early detection, diagnosis and treatment. If you or some you know is concerned about age related macular degeneration (AMD) and has not had a comprehensive 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.

Sunday, February 12, 2017

Supplements Lower Macular Degeneration Risk

Age Related Macular Degeneration (AMD) is a very common senior eye problem and in fact is the most common cause of visual loss after the age of 65. AMD affects the cells in the center of the retina-the macula-which contains the majority of photoreceptors responsible for crisp clear vision. Drusen are deposits in the retina that can cause the macula to deteriorate and degenerate and may predispose you to AMD and allow for potentially undesirable new blood vessel growth in the macula. Research shows that antioxidants neutralize drusen and prophylactic treatment of drusen maculopathy with high doses of antioxidants such as vitamins C and E, lutein, zeaxanthin and zinc, used in the recommended forms and doses from the Age-Related Eye Disease Study 2 (AREDS 2). Can lower the risk of developing advanced AMD was reduced by 27% over a 10 year period.

If you are concerned about senior eye health and specifically AMD, when you visit us for your annual eye exam, we will discuss whether in your particular case taking supplements might be beneficial to preserve your eye health and vision. If you have not had a recent 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.

Sunday, February 5, 2017

Macular Degeneration Biomarker



Biomarker for Macular Degeneration

Age Related Macular Degeneration (AMD) continues to be a leading cause of vision loss for seniors. The most effective way to avoid vision loss is through early detection, diagnosis and treatment. Now, researchers have found a functional “biomarker” that can help predict which patients might have a greater risk for developing age related macular degeneration (AMD). Dark adaptation refers to the time it takes for a person’s eyes to adjust to darkness after being exposed to bright light. The process of “dark adaptation” appears to be a predictor so that patients over 60 years of age who have slowed “dark adaptation” times are telling us that they are at greater risk. In fact according to a National Institute on Aging study of adults age 60 or older, those whose eyes are slow to adjust to the dark have a 2x greater risk of developing age related macular degeneration.

If you or someone you know is over 50, especially if they have increased risk factors for age related macular degeneration such as being a smoker, a family history, diabetes or other vascular disease 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 22, 2017

Glaucoma Risk Increases with Latino & African Ancestry

Glaucoma is an eye disease that if untreated can damage the optic nerve, impair vision and cause blindness. It is particularly sight threatening in that in its most common form it doesn’t strike the patient with any warnings or symptoms. Thus, becoming familiar with glaucoma risk factors is worthwhile for all patients. While we have known for quite some time about the increased risk among family members and certain ethnic and racial backgrounds, those patients of Latino or African, ancestry are clearly at greater risk for high pressure within the eye and thus should be aware of the need for routine eye exams and glaucoma testing at the direction of their eye doctor. Researchers from the UIC College of Medicine analyzed data from 3,541 participants 40 and older from the Mexican American Glaucoma Genetic Study, part of the Los Angeles Latino Eye Study and found that as the percent of African ancestry went up, intraocular pressure rose.

According to a report in the journal Ophthalmology, African ancestry carried more risk for high intraocular pressure than high body mass index, older age and high blood pressure-factors known to contribute to increased pressure inside the eye. The key to preventing vision loss from glaucoma is early detection, diagnosis and treatment.

If you or some you know has known glaucoma risk factors including diabetes, high blood pressure, is a smoker, has a family history of glaucoma, obesity or suffers from sleep apnea and you are of Latino or African ancestry, it is quite important that you have regular eye exams and 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 15, 2017

Glaucoma Impacts Driving Safety

Moderate or advanced glaucoma can affect driving safety according to research noted in the American Journal of Ophthalmology. Patients with bilateral moderate or advanced glaucoma are at risk for unsafe driving. For this reason we now suggest a very careful evaluation for those glaucoma patients who might be at risk so that we can evaluate driving safety of these patients. Glaucoma, especially in more advanced stages can reduce peripheral vision as well as contrast and make driving particularly difficult-especially in dim illumination. Our goal is to help all patients avoid vision loss from glaucoma by asking that you schedule regular eye examinations with glaucoma testing as often your eye doctor suggests. This will depend on the overall health of your eyes, your family history, your general health and many other glaucoma risk factors your eye doctor may identify. The key to preventing vision loss from glaucoma is early detection, diagnoses and treatment.

If you or someone you know would like to schedule and eye exam and 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 8, 2017

Marijuana Use with Glaucoma

Using Marijuana for Glaucoma
A survey of patients with glaucoma showed that the perception of the legality and acceptability of marijuana use was significantly associated with intentions to use marijuana for the treatment of glaucoma, even though research has indicated it is of limited benefit, according to a study published by JAMA Ophthalmology. It is estimated that 2.2 million adults in the United States are affected by glaucoma. Many alternative therapies including acupuncture and marijuana are being explored but have not shown promise. Research has shown several limitations associated with the use of marijuana as a treatment for glaucoma. Driven mainly by public support, 21 states and the District of Columbia have legalized the medical use of marijuana, citing mainly the 1999 Institute of Medicine report that found possible therapeutic benefits for the use of marijuana in various debilitating medical conditions, including glaucoma. Given these legal changes, not infrequently, ophthalmologists are approached with patient inquiries about treatment of their glaucoma with marijuana. Researchers at the George Washington University School of Medicine and Health Sciences, evaluated factors associated with intentions by patients to use marijuana as a treatment for glaucoma. The study included a survey of patients with glaucoma or suspected to have glaucoma. The survey looked at demographics, perceived severity of glaucoma, prior knowledge about marijuana use in glaucoma, past marijuana use, perceptions toward marijuana use including legality, systemic adverse effects, safety and effectiveness, and false beliefs, as well as satisfaction with current glaucoma management and treatment costs. The data and results that the intent to use marijuana for glaucoma treatment was driven by perceptions of legality of marijuana use, false beliefs regarding marijuana, satisfaction with current glaucoma care, and relevance of marijuana and glaucoma treatment costs. Clearly there is need for greater information and education based on the false perceptions of marijuana as having significant therapeutic value in glaucoma therapy.

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 1, 2017

Dry Eye & Overactive Bladder Problems

What does having an overactive bladder have to do with your eyes? Although you may be able to get to the toilet in time when you sense an urge to urinate, unexpected frequent urination and nighttime urination can disrupt your life. Overactive bladder (OAB), also known as overactive bladder syndrome, is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day, at night, or both. Overactive bladder is estimated to occur in 7-27% of men and 9-43% of women. It becomes more common with age. Management of overactive bladder often begins with behavioral strategies, such as fluid schedules, adjusting the timing of urination and bladder-holding techniques using your pelvic floor muscles. If these initial efforts don't help enough with your overactive bladder symptoms your doctor may prescribe medications to help. BUT, these overactive bladder medications can cause dry eye symptoms. Researchers reported in the International Urogynecology Journal on108 women suffering from OAB who were started on oral medications to help with their symptoms. The researchers carefully evaluated their tear film and symptoms over three months of starting the medications. They found that there was a continuing worsening of the sensation of eye dryness, grittiness and burning along with observable decrease in the quality and quantity of the tear film. Thus, if you suffer from OAB and your doctor prescribes oral medications to help you, please bring this to our attention so we can offer help for your dry eyes before the symptoms become too uncomfortable.

Overactive bladder medications are known to cause or worsen dry eye problems. If you suffer from OAB and start one of these medication 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.