Tuesday, May 28, 2013

Finding the Best Sunglasses in Connecticut

At Doctor & Associates and Eyewear at Willows in Fairfield County, Connecticut we like to remind patients that finding the best sunglasses often requires that you to keep in mind that there is more to UV eye protection than just making a fashion statement. Sunglasses are an important form of protection for your eyes against the damaging rays of the sun. It's important for you to know what types of light you need to protect your eyes from and what types of light are not necessarily harmful.

Here are some tips for picking the right pair of nonprescription sunglasses.  
  • Choose Sunglasses that Block 99% of Ultraviolet (UV) Rays. This is the most important feature of your sunglasses, and you should always choose sunglasses that provide this protection. Long-term exposure to ultraviolet (UV) radiation in sunlight is linked to eye disease, including cataracts. Some manufacturers' labels say UV absorption up to 400nm. This is the same thing as 100 percent UV absorption. Some glasses make additional claims for blocking infrared rays, but research has not shown a close connection between infrared rays and eye disease.
  • Don't Rely on the Price. Many types of affordable sunglasses offer 99 to 100% UV protection, so you don't necessarily need to spend a lot of money on a pair of sunglasses.
  • Do Rely on the Quality. In addition to UV protection, you also want to check the optical quality of the lenses. You can easily test the quality of sunglasses by looking at something with a rectangular pattern, such as a floor tile. Hold the glasses at a comfortable distance and cover one eye. Move the glasses slowly from side to side, then up and down. If the lines stay straight, the lenses are fine. If the lines wiggle, especially in the center of the lens, try another pair.
  • Look for Impact-Resistant Lenses. All sunglasses must meet impact standards set by the U.S. Food and Drug Administration (FDA) for safety. No lens is truly unbreakable, but plastic lenses are less likely to shatter when hit by a ball or stone. Polycarbonate plastics, used in many sports sunglasses, are especially strong, but scratch easily. If you buy polycarbonate lenses, choose ones with a scratch-resistant coating.
  • Use Protective Eyewear NOT Sunglasses for Hazardous Activities. If you are going to be engaged in outdoor activities like water or snow skiing that put your eye at risk for injury, don't count on your eyeglasses for protection. Protective eyewear is available with UV protection to shield your eyes from sunburn and glare.
  • Lens Color Tinting & Polarization are Personal Preferences. There's no medical reason to recommend one tint of lens over another. Likewise, while polarized lenses work better at deflecting glare, they're not blocking any more harmful UV light than non-polarized lenses.
  • Once you have the right sunglasses, make sure you wear them, especially in the summer when UV levels are at least three times higher than in the winter. Also be sure to wear them when participating in winter sports, particularly at high elevations.


If you or someone you know has a question or would like to learn more about choosing the right sunglasses please feel free to call Eyewear at Willows at 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 providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Monday, May 20, 2013

Specialist on Eye Exams for Stroke Risk


“We can find many systemic risk and health problems during routine eye exams,” commented Connecticut eye specialist Leslie Doctor, M.D. “Now we actually have encouraging information about a new eye test that may help identify patients who are at high risk for stroke,” said Dr. Doctor. A study about a new eye test for stroke risk from the University of Zurich published in the journal Ophthalmology, demonstrated that a test called Ocular Pulse Amplitude (OPA) can reliably detect carotid artery stenosis (CAS) or carotid artery narrowing, a condition that clogs or blocks the arteries that feed the front part of the brain which is a known risk factor for stroke. “At the moment there are some high-tech tests, such as magnetic resonance angiography and color duplex ultrasound, but they are expensive and not widely available-and certainly not part of a routine eye exam in our offices,” said Dr. Doctor. It would be convenient and very helpful to be able to perform the OPA test during a regular eye exam.”

Each year, approximately 795,000 Americans suffer a new or recurrent stroke, and more than 137,000 of these people die as a result. People with severe CAS are much more likely to suffer stroke.”We would like to catch and treat CAS before that can happen, but because CAS has no symptoms and an efficient test is not currently available the disease often goes undetected,” explained Dr. Doctor.

If you or someone you know has questions about eye exams, eye health and stroke risk and prevention please feel free to call Doctor & Associates-203-227-4113, visit Doctor & Associates  or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Monday, May 13, 2013

Glaucoma & Medical Marijuana in Connecticut


“In Connecticut recently, there has been considerable interest and lots of question about medical marijuana treatment for glaucoma,” commented Leslie Doctor, M.D., a Fairfield County eye surgeon with offices in Norwalk, Westport & Wilton, CT. “Glaucoma is an eye where the optic nerve becomes damaged over time. This shrinks or reduces reducing peripheral or side vision but leaves central vision unaffected. If glaucoma is not properly diagnosed and treated it can lead to blindness. One cause of the optic nerve damage in glaucoma is higher-than-normal pressure within the eye, called intraocular pressure or IOP,” explained Dr. Doctor. “Currently glaucoma treatment for the most part is aimed at lowering IOP levels with eye drops, laser treatment, oral medications and sometimes surgery depending on the type of glaucoma and how severe it is.”

The idea that marijuana can be helpful in treating glaucoma dates to the 1970s. Studies conducted then showed that smoking marijuana lowered the IOP of people with glaucoma. As a result of this research, additional studies were conducted examining whether marijuana or its active ingredient, a compound known as THC, could be used to keep IOP lowered. This research was supported by the National Eye Institute, a division of the National Institutes of Health. The research found that when marijuana is smoked or when a form of its active ingredient is taken as a pill or by injection, it does lower IOP. However, it only lowers IOP for a short period of time-about three or four hours. This short period of time is a major drawback for the use of marijuana as a glaucoma treatment. Because glaucoma needs to be treated 24 hours a day, you would need to smoke marijuana six to eight times a day around the clock to receive the benefit of a consistently lowered IOP. Because of marijuana's mood-altering effect, smoking so much of it daily would leave you too impaired to drive, operate equipment or function at the peak of your mental ability.

The effect that marijuana has on your ability to function is not the only side effect from the drug, however. Marijuana cigarettes contain hundreds of compounds that damage the lungs. Research has shown that regular and frequent use of marijuana, particularly in high doses, can cause problems with short-term memory and concentration.

As scientists learn more about glaucoma, they have also come to understand that IOP is not the only factor that damages the optic nerve. Recent studies characterize glaucoma as a neurologic disease similar to Parkinson's or Alzheimer's. And, there is increasing evidence that reduced flow of blood to the optic nerve may also cause damage in patients with glaucoma. Unfortunately, marijuana not only lowers IOP, but it lowers blood pressure throughout the body. As a result, it has the potential to lower the blood flow to the optic nerve, effectively canceling out the benefit of a lowered IOP.

So, while marijuana can temporarily lower your IOP, it's not recommended for treating glaucoma. Prescription medications, laser and surgical treatments have been tested and proven as effective treatments for the glaucoma. 

If you or someone you know has questions about eye exams, glaucoma and medical marijuana feel free to 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 providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Monday, May 6, 2013

Can You Have LASIK Surgery with Glaucoma?

“A glaucoma patient’s suitability as a LASIK surgery candidate is really dependent on a number of factors. We would consider performing LASIK for certain patients with glaucoma-but it is really quite an individual determination. It depends a great deal on the stability of the glaucoma and whether and how much damage to the optic nerve the disease has caused,” remarked Leslie Doctor, M.D., a Connecticut LASIK Surgeon with offices in Westport, Norwalk & Wilton, CT. “During the LASIK procedure we use a suction ring or device for a short time and this can cause a temporary elevation of intraocular pressure or IOP-something we are cautious about in patients with glaucoma,” Dr. Doctor further explained. 

Generally, unless the glaucoma is severe it is possible that LASIK could be an option for most patients. Other types of laser eye surgery for vision correction such as PRK might be preferred. In some cases it might actually be beneficial to have lens replacement surgery using advanced technology lens implants for vision correction. 

If you or someone you know has glaucoma or is a glaucoma suspect and is considering LASIK, we would be happy to provide a free consultation to help determine if they are a LASIK candidate or perhaps a better candidate for another type of refractive surgery. Please feel free to schedule an appointment by calling Doctor & Associates-203-227-4113, visiting Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment. 

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. 

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.