Concussion Eye Test for Student Athletes

Eye Test for Concussion in Student Athletes
An eye test for concussions might be helpful for student athletes playing contact sports who are known to be at risk for head trauma. Up to 3.9 million sports related mild traumatic brain injuries, or concussions, occur annually in the United States, according to the Centers for Disease Control and Prevention, but researchers say that number is likely higher since the CDC only tracks emergency room visits. Experiencing a concussion in a game increases an athlete’s risk for sustaining a second condition in the same season by three times. Other complications include the dangerous second impact syndrome, or other short and long term side effects.

Research on Concussion and Eye Tests
Research from the NYU Langone Concussion Center shows that a simple eye test, which can be administered in less than two minutes, can effectively diagnose a concussion and help determine whether a student athlete as young as 5 years old should return to a game. A study published in the Journal of Neuro-Ophthalmology, was conducted on 89 NCAA athletes and a younger group of 243 youth athletes under age 17, and shows how the eye test, known as the King-Devick test, could help minimize the problems that make the diagnosis of concussion difficult in student athletes involved in youth sports. The researchers report that the test can easily be administered on the sidelines by parents and non-health care professionals when athletic trainers and doctors are not available to monitor sidelines at youth sports games.

About the King-Devick Test
As part of the King-Devick test, athletes read numbers off of three pieces of paper while being timed with a stopwatch. A worsened performance from a baseline reading suggests a concussion has occurred. Since concussions may cause devastating short and long term cognitive effects, tools like vision testing that can objectively diagnose a concussion are critical. Some sideline tests only measure cognition and balance, but visual testing is rarely performed, despite longstanding evidence that vision is commonly affected by concussion, according to a review article published in the Journal of Neuro-Ophthalmology. Previous research suggests about 50 percent of the brain’s pathways are tied to vision.

If you or someone you know plays youth sports and is concerned about the risk and evaluation of concussion, 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.

Kid’s Sunglasses Help Avoid Solar Retinopathy

Sunglasses for Children Not Simply About Fashion

Making sure children wear UV protective sunglasses is important to help kid’s protect their eye health and vision as sun damage to the retina, called “solar retinopathy” does affect BOTH children and adults according to researchers reporting in the Journal of the American Association for Pediatric Ophthalmology and Strabismus.

About Solar Retinopathy
Solar retinopathy is a condition where the retina becomes damaged as a result of bright light from the sun. The retina is made up of layers of light sensing cells that make vision possible. When they're over stimulated by sunlight, they release a flood of communication chemicals that can damage the retina. This damage is often painless, so people don't realize what they're doing to their vision. Solar retinopathy has been reported to occur from staring at the sun, regardless of its phase. Sometimes people high on drugs have stared at the sun for long periods of time causing serious damage as well adherents of sun worshipping religious sects are also victims. BUT, children too can stare at the sun and painlessly lose their vision from solar retinopathy!

If you or someone you know has children and would like to learn more about sunglasses for kids 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.

Spring & Pollen Means Itchy, Watery Eye Allergies

Spring is beautiful, except for pollen and itchy eyes! While many people enjoy the spring, millions of others live with hatred of those times when the trees, grass and weeds begin to pollinate. People who are sensitive to these allergens experience seasonal allergic conjunctivitis, the most common type of eye allergy. Allergic conjunctivitis-which causes red, itchy, watery eyes-results in the conjunctiva, the clear membrane like skin that covers the eye, becoming inflamed when triggered by an allergen. It is estimated that in the United States, some 20 percent of the population suffers from eye allergies making them anything but unusual. Further, the incidence appears to be on the rise. Some researchers believe that our increasingly clean, modern society which no longer requires our bodies to fight off multiple childhood infections has caused our immune systems to shift from an infection-fighting stance to more of an allergic stance. When the body's immune system becomes sensitized and overreacts to substances such as seasonal pollens and pet allergens, an allergic reaction can occur whenever they come in contact with your eyes.

If you or someone you know suffers when pollen season and spring arrives, resulting in red, itchy, watery eyes, 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.

Quality of Life after Cataract Surgery

When we think of the impact that cataracts have on people, it is pretty easy to identify that vision decline or loss comes mainly from the blurry cloudy vision that cataracts cause, but also the night vision problems from the glare and haloes associated with cataracts. What is much more important than the vision loss itself is the negative impact on patient’s quality of life. Recent research published in Acta Ophthalmologica studied the effect of patient quality before and after having cataract surgery. The researchers compared patients with no known cataracts of the same age, health and lifestyle to those who had cataracts before and after cataract surgery. When compared with the general population, cataract patients had much lower health-related quality of life (HRQoL) than those without cataracts as measured by five dimensions: seeing, moving, hearing, performing their usual activities and general discomfort and symptoms. Then at 12 months after cataract surgery there was significant improvement in the quality of life index (HRQoL) across these same dimensions. While this seems obvious, it is a reminder that cataracts and vision loss affect more than just vision and reason to avoid suffering if you feel that your vision might be impacting your quality of life.

If you or someone you know suspects or has been told they have a cataract and would like to learn more about cataract surgery and lens implants, 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.

Eye Problems from ADHD Medication

If you, your child or someone you know takes ADHD medication it is important to understand the possible side effects that might impact eyes, cause eye problems and alter vision. The most common prescription medication we see children and even adults taking for treatment of attention deficit hyperactivity disorder (ADHD) is methylphenidate which has a number of trade names such as Ritalin, Concerta, Adderall, Methylin and Daytrana. While the common side effects of loss of appetite, nervousness and difficulty sleeping are easily recognized, researchers reporting in the Journal of the American Association for Pediatric Ophthalmology and Strabismus raised some concern that this treatment may be associated with increased risk of angle closure glaucoma and a disturbance of eye refraction and optical prescriptions. They initiated a study to investigate the effects of methylphenidate treatment on refraction, intraocular pressure (IOP), and the anterior chamber in children with ADHD. This was a pilot study where children diagnosed with ADHD were examined before the start of methylphenidate treatment and again 3 and 9 months after the start of treatment. Their examinations included an eye exam with ordinary as well as cycloplegic refraction-one performed with eye drops and high resolution imaging study of the anterior chamber of the eye where the delicate structures related to glaucoma could be viewed and measured.
 

ADHD Medication Eye Study Conclusions
The researchers found that methylphenidate does not seem to affect refraction, or optical prescription in most children with ADHD. But, after 9 months of treatment there was a reduction in the eye anterior chamber depth, which has been described as a powerful predictor of angle closure glaucoma. As this was a pilot study more work is needed to really understand any increased risk.
 

What You Need to Know and Do
If you, your child or someone you know is taking methylphenidate of any type for ADHD, it would be worthwhile scheduling a routine eye examination so that we can measure the refraction, the intraocular pressure (IOP) and anterior chamber angle and depth. We do this regularly during your eye exam. BE SURE TO TELL US YOU ARE TAKING METHYLPHENIDATE. If your eye exam is normal we will most likely ask you to have a repeat exam in a year. BUT, if at any time there s a change in your vision, pain, redness, glare or light sensitivity we want you to call right away and schedule an immediate appointment for that day.
 

If you or someone you know is being treated for ADHD with methylphenidate medications such as Ritalin, Concerta, Adderall, Methylin and Daytrana, it is important to have a routine eye exam to avoid any risk of eye 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.