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.

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.

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.

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.