Center for Sight, Fall River, Massachusetts

April 17, 2017

Loose Eyelids & Dry Eye Problems

Dry Eye Problems from Loose Eyelids
Sometimes we are surprised by the many conditions and circumstances that can cause you to have dry eye problems. We know that many common medications, including those for blood pressure and allergies can certainly cause dry eyes. We know that the hormonal changes associated with menopause can cause dry eyes as well as certain environmental conditions of dustiness, breeziness or dryness you might encounter. We also know that problems with eyelid inflammation, called blepharitis, or systemic inflammatory diseases as well as contact lens wear can contribute to dry eye symptoms. Now, according to research we reviewed in Cornea we also know that loose eyelids may also cause a disruption of the normal tear film and lead to dry eye complaints. In a study of some 138 patients, those who had loose eyelids were much more likely to suffer from sensations of grittiness, in adequate tear film quality and quantity and dry spots on their cornea-all key sign and symptoms of dry eye. The researchers concluded that eyelid laxity or looseness should be tested in anyone with dry eye complaints as it might be a source of the problem.

If you or someone you know is bothered by dry eyes please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island. 

April 9, 2017

Vitamin C & Cataracts


Vitamin C & Cataracts
Cataracts are a common senior eye problem that occurs naturally with age and clouds the eye’s lens, turning it opaque. Despite the advent of modern cataract removal surgery, cataracts are still something seniors need to be aware of and work to limit their risk factors if possible. The role of vitamins and supplements in cataract development has generally been a bit uncertain. Based on some new research, it is thought that eating foods high in Vitamin C can cut the risk of cataract progression by as much as a third. The research is also the first to show that diet and lifestyle may play a greater role than genetics in cataract development and severity.

Probably the most important finding in this study was that vitamin C intake from food seemed to protect against cataract progression. While we cannot totally avoid developing cataracts, we may be able to delay their onset and keep them from worsening significantly by eating a diet rich in vitamin C.

If you or someone you know is concerned about senior eye problems such as cataracts or even has a cataract, please share this information. If you need a cataract eye exam please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

April 2, 2017

IVF & Keratoconus Progression

IVF & Keratoconus Progression

What could in vitro fertilization and Keratoconus have to do with each other? As it turns out, quite a bit! Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. We carefully monitor our patients with Keratoconus because Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light-all of which can worsen if the disease progresses quickly. Researchers reporting in the Journal of Refractive Surgery alerted us to the fact that drugs used in IVF treatment increase estrogen levels, which may affect corneal biomechanics and induce progression of Keratoconus and thus we need to be even more carefully following those patients with Keratoconus who might also be starting IVF treatments. If they are determined to be of particularly high risk for progression, then we might recommend corneal cross-linking treatment to minimize the risk of keratoconus progression before starting IVF treatment.

If you or someone you know suffers from Keratoconus and is considering IVF please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

March 19, 2017

Keratoconus, Risks & Systemic Disease



Keratoconus, Risks & Systemic Disease

Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light all often becoming troubling to the patient. Usually, we diagnose keratoconus during the adolescent years. If both eyes are significantly affected, the deterioration in vision can affect the person's ability to drive a car or read normal print.

In most cases, we can fit specialized contact lenses to correct vision sufficiently to allow the person to continue to drive legally and likewise function normally. Further progression of the disease may require surgery, for which several options are available and most popular, including intrastromal corneal ring segments, corneal collagen cross-linking, and in about 25% of cases, corneal transplantation. Estimates of the rates for keratoconus range from 1 in 500 to 1 in 2000 people. Recent information alerts us to a number of demographic, ancestry and systemic risk factors. These include that those of African ancestry have a 57% greater risk of a keratoconus and Latino persons have a 43% greater risk of being diagnosed compared with a Caucasian population. Asians had 39% reduced risks of keratoconus and patients with uncomplicated diabetes mellitus (DM) had 20% less risk. Other conditions found to have significantly increased risk of developing keratoconus include sleep apnea and asthma.

If you or someone you know is at risk for keratoconus or wishes to be evaluated for keratoconus please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

March 15, 2017

Satisfaction with LASIK vs. Contact Lenses


Satisfaction with LASIK vs. Contact Lenses
Patients who have been wearing contact lenses have made the choice to minimize their dependence on eyeglasses, but still have many of the inconvenient aspects of contact lens and care to contend with. For contact lens wearers, the decision to have LASIK represents the desire to experience a lifestyle and convenience with independence and freedom from the hassle of BOTH glasses and contacts. But, how does satisfaction with LASIK actually compare with contact lens wear? Researchers reporting in the journal Ophthalmology assessed patient satisfaction and perceived outcomes of 1800 patients split into two groups-one continuing to wear contact lenses and the other having LASIK, through annual surveys administered over a 3-year period. Most contact lens users had worn them successfully ≥5 years. The proportion expressing strong satisfaction with their current vision correction method decreased from 63% at baseline to 54% at year 3 in the contact lens control group, whereas 88% of former contact lens wearers and 77% of former glasses wearers were strongly satisfied with LASIK at year 3. Patients 40 years of age or younger when they had LASIK were somewhat more likely to be strongly satisfied than older patients. LASIK significantly reduced difficulties with night driving and nighttime visual disturbances among former contact lens users and former glasses users. The proportion with dry eye symptoms at 1, 2, or 3 years after LASIK was not significantly increased relative to baseline contact lens wear but was significantly increased relative to baseline glasses use, consistent with many glasses users having tried and abandoned contact lenses because of latent dry eye problems. Compared with continued contact lens wear, LASIK significantly reduced the self-reported rates of eye infections, ulcers, and abrasions each year.

The overall conclusions then were that compared with contact lens wear, current LASIK technology improved ease of night driving, did not significantly increase dry eye symptoms, and resulted in higher levels of satisfaction at 1, 2, and 3 years follow-up.

If you or someone you know is wearing glasses or contact lenses and would like be free of the hassle they create for seeing clearly at distance, please schedule a Free LASIK Consultation by calling us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

February 27, 2017

Blood Thinners and AMD Hemorrhages

Blood Thinners and AMD Hemorrhages
Many seniors take blood thinners for various types of cardiovascular and other vascular disease as a preventative measure for avoiding a heart attack or stroke. This same senior population is also at greatest risk for age related macular degeneration-including wet or hemorrhagic macular degeneration (AMD). Thus, the question of whether taking anticoagulants might be increasing the risk of and progression of AMD is important and reported on in a study published in Ophthalmology . The results showed that taking anti-platelet or anticoagulant medication was not significantly associated with macular hemorrhage and increased AMD risk unless the patient also had hypertension.

If you or someone you know is taking blood thinners and at risk for age related macular degeneration (AMD) please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment.

February 19, 2017

Lower AMD Risk with Cholesterol Medication?


Statin Cholesterol Medications & Macular Degeneration
Age Related Macular Degeneration (AMD) continues to be a leading cause of vision loss in seniors-especially those with a family history or other risk factors such as smoking and other forms of vascular disease. While we have progressed a very long way in the treatment of Wet AMD through the use of anti-VEGF therapeutic injections such as Lucentis® and Eylea® , we are always hoping to find additional medications, vitamins or supplements that might be useful in preventing or delaying senior vision loss. There have been a number of clinical studies and reports about whether the use of the cholesterol lowering medications called “statins” are helpful in preventing or delaying AMD. Common statins include Lipitor®, Crestor®, Zocor®, Mevacor® and Pravachol®. Unfortunately, the most recent information we reviewed in a study reported in the Ophthalmology evaluated the association of statin use with progression of age-related macular degeneration (AMD) and found that statin use was not statistically significantly associated with the progression of  AMD and showed no evidence of a beneficial effect on slowing AMD progression.

As with many eye problems, conditions and diseases, age related macular degeneration (AMD) can be best addressed with early detection, diagnosis and treatment.

If you or some you know is concerned about age related macular degeneration (AMD) and has not had a comprehensive eye exam please call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver to schedule an appointment. Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.