AMD & Low Glycemic Diet

Does a Low Glycemic Diet Help AMD?

Researchers at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University also believe that the study, published in the journal PNAS, points to potential biomarkers of AMD. These can be used to predict when a person is at risk for this disease, which is the leading cause of vision loss in adults over the age of 50. Using a mouse research model, the researchers observed that a high–glycemic diet resulted in the development of many AMD features, including loss of function of cells at the back of the eye called retinal pigmented epithelial atrophy (RPE) and of the cells that capture light, called photoreceptors-both of which are precursors to Dry AMD, whereas a low–glycemic diet did not. Importantly, switching from a high–glycemic diet to a low–glycemic diet arrested damage to the retina. The authors of the study suggested that these experimental results may indicate that switching from a high–glycemic diet to a low–glycemic one is beneficial to eye health in people that are heading towards developing AMD.

“Pink Eye” Antibiotic Overuse for Conjunctivitis

Is Your Doctor Prescribing the Wrong Treatment for Pink Eye?

Based on our own experiences as well as recommendations of the American Academy of Ophthalmology you should be aware that non eyecare practitioners tend to overprescribe antibiotics for a common eye infection that typically clears up without medication. A recent study suggests that most people with acute conjunctivitis, or pink eye, are getting the wrong treatment. About 60 percent of patients are prescribed antibiotic eye drops, even though antibiotics are rarely necessary to treat this common eye infection.

About the Pink Eye Conjunctivitis Study

Researchers at the University of Michigan Kellogg Eye Center looked at data from a large managed care network in the United States. They identified the number of patients who filled antibiotic eyedrop prescriptions for acute conjunctivitis. Then they evaluated the characteristics of patients who filled a prescription compared with those who did not. Of approximately 300,000 patients diagnosed with acute conjunctivitis over a 14-year period, 58 percent filled a prescription for antibiotic eye drops. Among them, 20 percent filled a prescription for an antibiotic-steroid combination. Antibiotic-steroid drops are inappropriate for most patients with acute conjunctivitis because it may prolong or exacerbate certain types of viral infection.

Even more troubling, the authors found that the odds of filling a prescription depended more on a patient’s socioeconomic status than the patient's risk for developing a more serious eye infection. For example, patients who wear contact lenses and those diagnosed with HIV/AIDS.

Pink eye affects 6 million people in the United States each year. There are three types: viral, bacterial, and allergic conjunctivitis. Antibiotics are rarely necessary to treat acute conjunctivitis. Most cases are caused by viral infections or allergies and do not respond to antibiotics. Antibiotics are often unnecessary for bacterial conjunctivitis because most cases are mild and would resolve on their own within 7 to 14 days without treatment.

The study also found:

• Primary care providers (family physicians, pediatricians, internal medicine physicians, and urgent care providers) diagnose a majority (83%) of patients. Only a minority were diagnosed by eye care providers such as ophthalmologists or optometrists.
• Patients diagnosed by a primary care or urgent care provider were two to three times more likely to fill prescriptions for antibiotic eye drops than patients diagnosed by an ophthalmologist.
• Patients who filled antibiotic prescriptions were significantly more likely to be white, younger, better educated, and more affluent than patients who did not fill prescriptions.

The authors say there are several reasons why antibiotics are over prescribed. It is a challenge to differentiate bacterial conjunctivitis from the viral and allergic forms. All three types may have overlapping features, such as a red eye, thin discharge, irritation, and sensitivity to light. Health care providers may tend to “err on the side of caution” and prescribe antibiotics “just in case.” Patients are often unaware of the harmful effects of antibiotics and may falsely believe that antibiotics are necessary for the infection to resolve.

If you or someone you know develops “pink eye” conjunctivitis 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.           

Cataract Surgery Astigmatism Lens Implants

Satisfaction with Cataract Surgery Astigmatism Lens Implants

Good news for patients with astigmatism who are having cataract surgery! When your cataract is removed and replaced with a lens implant to correct your vision, patients who have astigmatism will be pleased to know that satisfaction with cataract lens implants for astigmatism is extremely high. A recent study presented in the American Journal of Ophthalmology compared using toric astigmatism correcting lens implants to a manual incisional procedure for correcting astigmatism, called corneal relaxing incisions. Although both methods of astigmatism correction resulted in good vision for the cataract patients, the astigmatism correcting toric lens implants gave patients a better overall satisfaction with their vision as reported in quality of life questionnaire 12 months after their cataract surgery with cataract lens implants that corrected the astigmatism. Patients were particularly pleased to be able to wear non- prescription sunglasses and be independent of eyeglasses for seeing clearly at distance.

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & 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.          

Can Eyelid Surgery Help Headaches?

What do droopy, saggy eyelids and eyelid surgery have to do with headaches? While you might think that eyelid surgery or blepharoplasty is performed for cosmetic reasons to simply to help you look more youthful, in reality droopy, saggy eyelids can often be a source of chronic headaches that can be helped by eyelid surgery. According to a study reported in the journal of Ophthalmic Plastic and Reconstructive Surgery patients who have droopy saggy eyelids and have interference of their vision often must furrow their brows and forehead to see well. This chronic strain on the forehead muscles can result in chronic headaches. After having the eyelid problems corrected by blepharoplasty eyelid surgery most patients had improved headache symptoms.

If you or someone you know suffers from headaches and has droopy, saggy eyelids as well as experiences blocked vision that requires eyebrow and forehead furrows to lift the eyelids for unobstructed vision, you may be a candidate for blepharoplasty eyelid surgery.  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.          

Flashes & Floaters Need Attention

Flashes & Floaters Need Attention

If you experience flashes or light or suddenly start seeing floaters, it’s best not to ignore these events, but rather to quickly schedule an appointment to see us, as although most of the time flashes and floaters are benign, sometimes they can be a sign of a sight threatening problem.

If you have no experienced any trauma to your eye or head, it is often the case that flashes and floaters are due to a Posterior Vitreous Detachment (PVD). PVD is a very common eye condition. It's caused by natural changes to the vitreous gel which takes up the space inside the eye. Although PVD causes some frustrating symptoms it doesn’t cause pain, harm the eye or cause permanent loss of vision. Sometimes, a PVD can either be accompanied by or a warning sign of retinal tears which can lead to retinal detachment and vision loss. Retinal detachment must be diagnosed and repaired quickly.

If you experience a sudden onset of flashes and floaters please call us immediately and schedule an appointment so we can examine the vitreous and retina and be sure there are no tears or risks of retinal detachment. 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.