Sunday, July 31, 2016

Thyroid Disease and Eye Problems

Thyroid Disease and Eye Problems
Did you know that having thyroid disease can cause eye problems? And, thyroid eye problems can be quite different depending on your age. In general, younger patients under the age of 40 are more likely to have thyroid eye disease characterized by “eye bulging”, clinically called proptosis, along with a retraction or “pulling back” of their eyelids. Older patients, those above 40 years old are more likely to have thyroid eye disease characterized by double vision or “diplopia” from eye muscle problems as well “optic neuropathy” or damage to their optic nerve. In most cases younger patients have milder signs and symptoms of eye problems.


If you or someone you know has thyroid disease or experiences any of the signs or symptoms of bulging eyes, double vision or reduced vision, it is important to immediately schedule an eye exam and share your diagnosis of thyroid disease with your eye doctor or the symptoms you are experiencing. 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 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.