Deep Learning & Macular Degeneration Risk Assessment

Age Related Macular Degeneration (AMD) is a leading cause of vision loss in seniors. Aging is the greatest risk factor! In its most advanced stages, it can deprive an individual of his or her ability to perform basic activities such as reading, recognizing faces, and driving. Approximately 11 million individuals are affected with AMD in the United States (U.S.) alone and the prevalence of AMD in the U.S. is anticipated to increase to 22 million by the year 2050.

Early detection and treatment is critical in helping patients avoid vision loss from AMD. Recently researchers reported interesting results in the journal JAMA Ophthalmology regarding how “deep learning” (DL) or artificial intelligence (AI) might be a useful addition to the physician in the examination and monitoring process for patients at risk for AMD and its progression. Their findings suggest that using DL to grade and monitor AMD is comparable to experienced humans for estimating 5-year risk of progression to advanced AMD. This could be very helpful in assisting physicians in having a detailed risk assessment in the long term care of AMD patient.

If you want to learn more about your risk of age related macular degeneration (AMD), schedule an eye exam at Doctor & Associates-203-227-4113.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Microscopic Stents Help Lower Eye Pressure in Glaucoma

Glaucoma is the leading cause of irreversible blindness worldwide, and its prevalence will continue to increase as our population ages. For most patients, the initial treatment for glaucoma will begin with eye drops or laser treatment, or even both. Patients often have a difficult time adhering to a schedule of single or even multiple doses of eye drops and thus find an initial laser treatment beneficial. Sometimes even with eye drops and laser treatment for glaucoma it is not possible to lower the intraocular pressure enough to reduce the risk of vision loss. For these patients there has been the next step of complex incisional glaucoma surgery. Recent advances in Minimally Invasive Glaucoma Surgery (MIGS) using microscopic stents has been shown to provide excellent results for many glaucoma patients. Reports in the Journal of Cataract & Refractive Surgery of patients who had iStent-a tiny titanium stent-implanted through a microscopic incision, had excellent pressure lowering and even were able to reduce their need for eye drops! The data shared was from a long term 5 year clinical study and offers great promise for glaucoma patients.

The best way to prevent vision loss from glaucoma is by having regular eye exams and glaucoma testing as recommended by your eye doctor. Schedule an eye exam at at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Glaucoma Risk in Migraine Sufferers

Did you know that if you suffer from migraines you are at greater risk for developing glaucoma? There are many risk factors that can influence the likelihood that you will develop glaucoma. These include factors such as high pressure in the eye, called intraocular pressure or IOP, your family history-especially if your siblings have glaucoma, smoking, sleep apnea, diabetes and other vascular diseases, race-as patients of African-American heritage and Hispanic backgrounds are at greater risk and even the age of onset of menopause. Recently, researchers reported on a study where they found that patients who suffered from migraines had 1.68 times the risk of the average patient for developing glaucoma. When you visit us for your routine eye exam please share whether you have ever experienced a migraine and whether you currently have even an occasional migraine headache.

If you or someone you know suffers from migraine headaches it is important to have regular eye exams with glaucoma testing as migraines increase the risk of glaucoma! Schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.           

Glaucoma Risk & Cholesterol Medication

Glaucoma, a leading cause of blindness, is a condition where pressure commonly builds up in the eye and affects the optic nerve. Recent research suggests that statins-cholesterol-lowering drugs prescribed to treat and prevent cardiovascular disease-also lower intraocular pressure and promote blood flow to the optic nerve, which may help lower glaucoma risk.

Researchers from Brigham and Women's Hospital in Boston have reported on a study in JAMA Ophthalmology demonstrating that taking statins for five or more years is associated with lower risk of primary open-angle glaucoma. Their study suggests that there are possible protective associations beyond cardiovascular conditions offered by long-term statin use. Statins may strengthen neuroprotective mechanisms that prevent degeneration of cells in the optic nerve. The results showed that use of statins for five years or longer, versus never using statins, are associated with a 21 percent lower chance of primary open-angle glaucoma and that elevated cholesterol levels may heighten glaucoma risk. They also cautioned that the findings do not mean that individuals with family histories of glaucoma should use statins or other cholesterol medications for glaucoma prevention. Randomized clinical trials will be needed to determine if a causal link exists between statin use and glaucoma prevention before physicians can recommend statins for lowering risk of primary open-angle glaucoma. Particularly in elderly populations, statins have potential side effects, including risk of muscle damage and liver or kidney dysfunction.

If you or someone you know is concerned about your risk of glaucoma please schedule an eye exam and glaucoma testing at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Five Tips to Avoid Toy-Related Eye Injuries

With the holiday shopping season now in full swing, we want you to keep in mind certain eye injury prevention safety guidelines when choosing the perfect gifts for the little ones in their lives. Some popular toy types are commonly associated with childhood eye injuries. These include air guns and other toys that shoot projectiles, high-powered lasers, and sports equipment.

We want to encourage parents to consider these tips when gifting toys to children this holiday season. 

• Beware of airsoft, BB guns, and other projectile toys. Every year we treat thousands of patients with serious eye injuries caused by seemingly safe toys. Avoid items with sharp, protruding or projectile parts such as airsoft guns, BB guns and other non-powder gun–related foreign objects can easily propel into the sensitive tissue of the eye.
• Never allow children to play with high-powered laser pointers. A number of reports in the United States and internationally show that children have sustained serious eye injuries by playing with high-powered lasers (between 1500 and 6000 milliwatts). Over the years, these lasers have become increasingly more powerful, with enough potential to cause severe retinal damage, with just seconds of laser exposure to the eye. The FDA advises the public to never aim or shine a laser pointer at anyone and to not buy laser pointers for children.
• Read labels for age recommendations before you buy. To select appropriate gifts suited for a child's age, look for and follow the age recommendations and instructions about proper assembly, use, and supervision.
• Don't just give presents. Make sure to be present. Always make sure an adult is supervising when children are playing with potentially hazardous toys or games that could cause an eye injury.
• Know what to do (and what not to). If someone you know experiences an eye injury, seek immediate medical attention from an ophthalmologist. As you wait for medical help, make sure to never to touch, rub, apply pressure, or try to remove any object stuck in the eye. If an eye injury occurs follow these important care and treatment guidelines.

Please take steps to shop and play responsibly this year. Following these tips can help make sure our little loved ones have healthy vision for many holiday seasons to come. If you have questions or need an appointment 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.