Understanding Narrow Angle Glaucoma

Fairfield County eye surgeon Leslie Doctor, M.D. helped us understand a type of glaucoma called narrow angle glaucoma. “Narrow angle glaucoma can be a pretty serious sight threatening matter, thus it’s important for people to understand more about its risks and symptoms in order to avoid the potential for vision loss,” commented Dr. Leslie Doctor, M.D. of Doctor & Associates with offices in Norwalk, Westport & Wilton, Connecticut. “A narrow angle is an anatomical configuration in the eye that under certain conditions can result in high eye pressure. High eye pressure may lead to glaucoma. The presence of and the  diagnosis of narrow angles is not the same as a diagnosis of glaucoma as only a small percentage of patients with narrow angles actually develop narrow angle glaucoma,” further explained Dr. Doctor.

Dr. Doctor continued, “The crystalline lens inside the eye grows throughout life and actually increases in size. As its size increases it can move the iris forward and slowly narrow or crowd the angle. Narrow angles tend to be seen more commonly as we age and some eyes are more predisposed to narrow angles than others. Narrow angles are more commonly found in people over the age of 40, females, farsighted or hyperopic patients, and in people of East Asian, African and Inuit descent.”

“Unlike open angle glaucoma which really produces no symptoms, symptoms that the angle is closing intermittently include episodes of blurred vision, perhaps seeing halos around objects, a headache-like pain around the eye or brow and even red eye,” explained Dr. Doctor. “These symptoms can sometimes resolve spontaneously and may occur periodically over days or weeks. In addition, if the angle closes and does not reopen spontaneously, you may experience nausea and vomiting,” she further explained. “If this happens you need to call us right away and tell us you need an immediate appointment.”

If you or someone you know would like to learn more about narrow angle glaucoma or is concerned about having narrow angles please 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.

Open Angle Glaucoma Symptoms & Diagnosis

“But Dr. Leslie, how can I have glaucoma-I see well and I have no symptoms?” is a question that many patients have asked with great surprise at their glaucoma diagnosis,” commented Fairfield County Ophthalmologist Leslie Doctor, M.D. of Doctor & Associates with offices in Norwalk, Westport & Wilton, Connecticut.

Glaucoma is a sight stealing eye disease in which the most common form-primary Open Angle Glaucoma-has no symptoms that affected patients can readily be aware of. This is especially important as among African-American and Hispanic populations glaucoma is the leading cause of blindness. Further-primary open angle glaucoma-is hereditary. The Nottingham Glaucoma Study published in the British Journal of Ophthalmology evaluated the risk that siblings of glaucoma patients would themselves develop glaucoma within their lifetime. The study demonstrated that there was a strong likelihood that family members of glaucoma patients were at greater risk and that siblings were 5 times more likely to develop glaucoma by age 70. “This is why we strongly recommend that siblings of glaucoma patients and glaucoma suspects be screened for glaucoma, each and every year, said Dr. Doctor.

There is a real need for regular eye examinations and glaucoma screening by an eye doctor in order to help you preserve your eye health and vision. If you or someone you know has a question about glaucoma, glaucoma symptoms, glaucoma risk or to schedule a glaucoma eye exam please 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.

Connecticut Glaucoma Awareness Month



Leslie Doctor, M.D.

Fairfield County eye specialist Leslie Doctor, M.D., noted that Prevent Blindness America has designated January as National Glaucoma Awareness Month. According to the most recent statistical data provided by Prevent Blindness America in 2012, 2,719,379 people age 40 and older have open-angle glaucoma, which reflects a 22 percent increase over 2000-a 22% increase.

 “Making our community aware of the need for regular eye exams with glaucoma screening and evaluation is a priority,” said Dr. Leslie Doctor. “Patients should be particularly sensitive to the fact that in African-American and Hispanic populations, glaucoma is the leading cause of blindness,” she said. Additional glaucoma risk factors include any family history-especially among siblings-of glaucoma, certain diseases such as diabetes and an increase is risk as patients transcend through their 40’s, 50’s and 60’s.

“The good news for patients to keep in mind is that we can prevent vision loss from glaucoma with early detection, diagnosis and treatment,” said Dr. Doctor. “This is why we want raise awareness about the importance of regular eye examinations to preserve vision especially for our aging population. We strongly recommend that siblings of glaucoma patients be screened each and every year as their risk of developing glaucoma is some 5 times higher than the typical population.”

If you or a family member have any questions or concerns about glaucoma or glaucoma risk factors please 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.

LASIK for Astigmatism-Is It Possible?

“LASIK for Astigmatism is not only possible-but we use it all the time as an excellent way to correct vision”, said Corneal Specialist and LASIK Surgeon Leslie Doctor, M.D. of Doctor & Associates. “Astigmatism is something that is often confusing to patients. Also, in addition to being confused by what astigmatism is, a lot of people are under the incorrect impression that having astigmatism means you can’t have Laser Eye Surgery such as LASIK to correct your vision”, commented Dr. Doctor.

Here is what you need to know about LASIK and astigmatism. First, astigmatism is one of the common types of refractive problems that cause blurry vision. Common refractive-or eye focus problems-include nearsightedness or myopia, farsightedness or hyperopia, astigmatism and presbyopia.

Astigmatism usually results from an unequal curvature of the cornea-the outermost clear dome in the front of the eye-that causes the eye to have two different curvatures and thus two different focal points. This can make images look more blurry at a specific orientation so that things horizontally are blurred or things vertically are blurred, depending on the direction of the astigmatism. Astigmatism can be very annoying visually and can even cause headaches and many visual symptoms apart from the blurriness itself. The visual distortions caused by astigmatism in healthy eyes are correctable with eyeglasses, contact lenses and Laser Vision Correction such as LASIK. During the early years after the initial FDA approval of Laser Vision Correction, the treatment of astigmatism was not yet approved and released in the United States. Shortly thereafter all of the FDA approved lasers were able to be programmed for astigmatism correction and received FDA approval to do so. Astigmatism has been correctable with Laser Eye Surgery for more than 15 years in the United States. “Today, as LASIK surgeons, we are able to accurately measure and treat all types of astigmatism with high degrees of precision and predictability”, said Dr. Doctor.

If you or someone you know has astigmatism and would like to be less dependent or possibly even free from the hassle of glasses and contact lenses for seeing at distance, please call Doctor & Associates for a Free Evaluation for Laser Eye Surgery for the Laser Vision Correction of astigmatism at 203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates.

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

Fairfield County LASIK Surgeon: Avoid LASIK Dry Eyes

Fairfield County LASIK Surgeon Leslie Doctor, M.D. commented, “Even though the most common side effect of LASIK is dry eyes, with careful evaluation and planning we can help avoid dry eye symptoms for many patients.” In fact, it is pretty much expected and pretty normal for all LASIK patients to have temporary dry eye symptoms after their treatment. The critical thing to know is that the dry eye symptoms should be temporary.

Here is what you should know about LASIK and dry eyes. LASIK is corneal surgery. ANY time we do corneal surgery we typically sever some corneal nerves and we often temporarily disturb the delicate cells on the surface of the eye.  “During cataract surgery and any other eye surgery procedures that involve the cornea we do the exact same things,” she explained. These corneal nerves connect to the Lacrimal Gland which is responsible for producing tears. When the nerves are temporarily interrupted there is a decrease in the amount of tears that are produced-making your eyes feel dry and gritty. To make you more comfortable during the time it takes for the corneal nerves to heal and regenerate we may do one of more of the following for you:

• Prescribe Artificial Tear Eye Drops
• Insert Tiny Tear Duct Plugs
• Prescribe Restasis® Eye Drops
• Prescribe Dietary Supplements with Omega-3 Oils 
  

Each of the above acts to either retain the tears that you have, supplement the tears that are lacking or help you produce more of your own tears so that you will be most comfortable and heal properly. Each person will regenerate the fine corneal nerves at a DIFFERENT RATE and thus will need to use one or more of the above tear helpers for different amounts of time. A very important consideration is how healthy your tear film was BEFORE your surgery. A critical part of your LASIK consultation will be a careful examination of your tear film. Sometimes, in order to make you the most comfortable and make the healing and visual recovery process as quick and easy as possible for you, we may actually prescribe one or more of the above BEFORE your surgery.

If you or someone you know has questions about LASIK and Dry Eyes or would like to schedule a Free LASIK Evaluation please call and schedule an appointment at Doctor & Associates at 203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates.

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.