Cataract Surgery Can Lower Eye Pressure

For the 20% of patients who have cataracts and who also have glaucoma or a high eye pressure, recent research is likely to bring them some relief. Researchers reporting in Current Opinion in Ophthalmology reviewed the effect that cataract surgery had on eye pressure (also known as intraocular pressure, IOP). From their review, there are sufficient data to suggest that cataract surgery provides a lowering effect on IOP in the long term and the amount of the lowering is proportional to the preoperative IOP. That is, eyes with higher preoperative IOP have the greatest average lowering, whereas eyes with IOP in the lower range of statistically normal tend to have an IOP that is unchanged from before cataract surgery, or even higher following cataract surgery.

If you or someone you know has cataracts and is thinking about cataract surgery, please share this information and ask them to 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.

Diabetic Eye Exam Compliance is Critical

Being compliant with the schedule and level of necessary testing for diabetic eye disease, problems and retinopathy is critical for preventing vision loss. Yet, many people are simply not in compliance with the recommendations. Minimizing the risk of vision loss from diabetic eye disease requires that patients do their part and keep a strict schedule with their eye doctor’s recommendations for diabetic eye exams and testing.

Research on Diabetic Eye Exam Compliance Factors
Researchers reporting in Ophthalmology, studied and identified variables that predict adherence with annual eye examinations using the Compliance with Annual Diabetic Eye Exams Survey (CADEES), a new questionnaire designed to measure health beliefs related to diabetic retinopathy and annual eye examinations. A number of factors seemed to influence diabetic patient compliance with annual eye exams. These include:

a) whether patients believed that their insurance would pay for the eye exam, 

b) how difficult it was to get an appointment for an eye exam, 

c) whether patients had been effectively counseled and prioritized the importance of getting an eye exam and 

d) whether patients had been told that they had diabetic retinopathy.

The researchers also found that the clinicians played a key role in eye exam compliance. Compliance was improved if they counseled newly diagnosed patients more diligently and more carefully counseled those with poorly controlled blood sugar by stressing the importance of annual eye examinations and discussing and helping patients remove perceived barriers and misconceptions.

If you or someone you know has diabetes they need to have regular annual dilated eye exams to prevent vision loss from diabetic eye diseases and problems. Please share this information with anyone you know who is diabetic and ask them to call us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

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

Diabetic Macular Edema Treatment

Diabetic Macular Edema (DME) is a significant cause of vision loss in patients with diabetes and diabetic retinopathy. Although diabetic laser treatment has been the standard treatment for DME for nearly 3o years, there is now important information and data that suggests that better results and vision outcomes can be achieved with Vascular Endothelial Growth Factor (VEGF) Inhibitor injections such as Lucentis® and Eylea® injections.

Research on Diabetic Macular Edema Treatment
According to a report in the American Journal of Ophthalmology in which a thorough analysis of published studies performed on Diabetic Maculopathy from between January 1, 1985 and July 31, 2013 was reviewed, the number of patients with DME gaining an improvement of seeing an additional 10-15 letters on the eye chart was at least 2 times greater for those patients treated with the VEGF inhibitor injections as compared to being treated with laser treatments. Thus, the researchers concluded that VEGF injections such as Lucentis® and Eylea® are superior to laser photocoagulation for treatment of moderate to severe visual impairment caused by DME.

If you or someone you know has diabetes and is concerned about their risk of Diabetic Macular Edema (DME) or Diabetic Retinopathy, it is critical that they have regular dilated eye exams. Please call Center for Sight at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

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

Diabetic Retinopathy Eye Exams: What to Know

The best way to prevent vision loss from diabetes and diabetic eye problems and disease is to to have regular dilated eye exams as often as your doctor recommends. In addition, you should know that he eye examinations for diabetic retinopathy need to be thorough and when necessary include advanced testing such as retinal photography, fluorescein angiography and optical coherence tomography (OCT) in order to really document how the retina and it’s blood vessels are functioning. Depending on your particular risk factors, the severity and the risk of progression of each patient’s diabetic retinopathy we will advise them of the frequency and intervals for their exams. But, patients with diabetes need to know that it is terribly important to keep their appointments.

Vision loss from diabetes and especially catastrophic vision loss from diabetic retinopathy can be prevented with early detection, diagnosis and treatment. If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems with regular eye exams by calling us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

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

Diabetic Eye Problems Continue to Increase

Diabetic eye problems associated with diabetic eye disease including diabetic retinopathy continue to be a leading cause of vision loss and new cases of blindness according to Prevent Blindness America. According to the Centers for Disease Control, diabetes affects more than 26 million people in the United States. The Prevent Blindness America Vision Problems in the U.S. report identified that there are more than 8 million people ages 40 and older who have diabetic retinopathy which has resulted in diabetes actually being the leading cause of new cases of blindness in adults 20-74 years of age. Although there is no cure for diabetic eye disease, annual eye exams for diabetes patients are essential to help slow the progression of the disease. The vision loss from diabetic retinopathy can be prevented if it's caught early and treated in time. More than one third of those diagnosed with diabetes do not adhere to vision care guidelines recommending a dilated eye exam every year. This month, November, in recognition of Diabetic Eye Disease Awareness Month we are urging people with diabetes to have a dilated eye exam every year. The longer a person has diabetes, the greater his or her risk for developing diabetic retinopathy. However, diabetic retinopathy does not only affect people who have had diabetes for many years, it can also appear within the first year or two after the onset of the disease.

Managing Risk Factors for Diabetic Eye Problems
In addition to having regular eye examinations and testing at the direction of your eye doctor, patients can help to reduce the risk of developing diabetic eye disease by not smoking, controlling their cholesterol and lipid profile and blood pressure, as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables and exercising. Maintaining a healthy weight level and Body Mass Index (BMI) and avoiding being overweight or obese are also great ways to help control diabetes and prevent diabetic eye problems.

If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems with regular eye exams by calling us at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

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

Diabetes Risk Reduced by Eating Fruits

It is well known that by making certain dietary changes such as limiting starch, carbohydrate and sugar intake as well as by reducing weight and total calorie consumption it is often possible to avoid the risk of developing Type 2 Diabetes New research shares information about how eating certain types of whole fruit may also help reduce your risk of Type 2 Diabetes.

Research on Eating Fruit & Diabetes
Researchers at the Harvard School of Public Health noted that eating certain whole fruits may reduce the risk for Type 2 Diabetes, even though fruit juice consumption may actually increase the risk for diabetes. Investigators combined data from 3 studies: the Nurses' Health Study of more than 66,000 patients, the Nurses' Health Study II of more than 85,000 patients and the Health Professionals Follow-Up Study with over 36,000 patients. The participants in all 3 studies completed questionnaires assessing health and lifestyle factors, including diet, every 2 years. The researchers excluded participants with a baseline diagnosis of diabetes, cardiovascular disease, or cancer, as well as those who had missing data for fruit or fruit juice consumption or an extremely high or low caloric intake, and those who had an unclear date of diabetes diagnosis.
The analysis was adjusted for personal, lifestyle, and dietary risk factors for diabetes. The researchers concluded that every 3 servings of fruit per week were associated with a lower risk for Type 2 Diabetes. When the researchers looked at individual types of fruit in a multivariate analysis, adjusted for the same factors, they found that 3 servings per week of some fruits were more closely associated with reduced risk of diabetes especially blueberries, grapes and apples.

If you or someone you know has questions about diabetes, diabetic eye disease or needs to schedule a diabetic eye exam, please call Center for Sight at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver. Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Proper Eye Protection Key to Safety

Using proper protective eyewear turns out to be the key to eye safety and avoiding eye injury both in the workplace and at home. Prevent Blindness America reports that 2.4 million eye injuries occur each year, with nearly 1 million resulting in some degree of vision loss. About 90 percent of these injuries are avoidable, when the right eye protection is worn, reports the National Institute for Occupational Safety and Health.

The most common eye injuries are:

• Cuts or scrapes from flying objects, such as metal and wood chips, that become embedded in the eye
• Burns from steam, infrared light or splashes of chemicals, grease or oil
• Infections from contaminated substances, such as splashes of blood or respiratory droplets or other products on fingers that are used to touch or rub the eyes

The Occupational Safety and Health Administration requires workers to use eye and face protection whenever there is a reasonable probability of injury that could be prevented with proper equipment, such as goggles, face shields or safety glasses. Even at home, the best way to avoid eye injury from household chores, activities and tasks is to wear proper protective eyewear. If you have questions or need assistance with protective eyewear selection or fitting please call us at 508-730-2020, visit Center for Sight , Google+ or www.facebook.com/centerforsightfallriver.

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

Tips for Halloween Decorative Contact Lenses

This Halloween do you think it would be cool to have Twilight Vampire Eyes? How about deep violet eyes to match your costume? Maybe you want to have your favorite sports team logo right on your eyes? You can actually accomplish these “looks” with decorative or fashion contact lenses that change your eye color but don’t correct vision. Decorative contact lenses really get very popular right around Halloween but require that you have a clear understanding of how to use them safely.

Facts & Tips for Halloween Contact Lens Eye Safety

• Decorative contact lenses are not cosmetics or “over the counter” merchandise. They are medical devices regulated by the Food and Drug Administration (FDA). Places that advertise them as cosmetics or sell them without a prescription are breaking the law.
• They are not “one size fits all.” An eye doctor, either an optometrist or an ophthalmologist, must measure each eye to properly fit the lenses and evaluate how your eye responds to contact lens wear. A poor fit can cause serious eye damage, including;

1. a scratched cornea
2. a corneal infection
3. pink eye conjunctivitis
4. decreased vision
5. blindness

• Places that sell decorative lenses without a prescription may give you few or no instructions on how to clean and care for your lenses. Failure to use the proper solution and care regimen to keep contact lenses clean and moist can lead to infections.

Where NOT to Buy Decorative Contact Lenses

• street vendors
• salons or beauty supply stores
• boutiques
• flea markets
• novelty stores
• Halloween stores
• record or video stores
• convenience stores
• beach shops
• Internet (unless the site requires a prescription)

These are not authorized distributors of contact lenses, which are prescription devices by federal law.

How to Buy Decorative Contact Lenses Safely. Get an eye exam from a licensed eye doctor, either an ophthalmologist or optometrist, even if you feel your vision is perfect to make sure your eyes are healthy enough to wear contacts. Get a valid prescription that includes the brand name, lens measurements, and an expiration date. But don’t expect your eye doctor to prescribe anime, or circle, lenses. These bigger-than-normal lenses that give the wearer a wide-eyed, doll-like look have not been approved by FDA. Buy the lenses from a seller that requires you to provide a prescription, whether you go in person or shop online. Follow directions for cleaning, disinfecting, and wearing the lenses, and visit your eye doctor for follow-up eye exams. See your eye doctor right away if you have signs of possible eye infection including:

• redness
• eye pain that doesn’t go away after a short time
• decrease in vision

The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye problems from becoming a reality. If you or someone you know wishes to learn more or be fit with any type of contact lenses-including decorative contacts, please call Center for Sight at 508-730-2020, visit Center for Sight, Google+ or www.facebook.com/centerforsightfallriver. 

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

2015 LASIK Flex Plan Benefits Use It or Lose It

Dr. Keegan Johnson, M.D.
Corneal Specialist and LASIK Surgeon

Keegan Johnson, M.D., Corneal Specialist and LASIK Surgeon at Center for Sight in Fall River, Massachusetts reminds anyone who elected to withhold Pre-Tax Flex Plan funds for Bladeless LASIK in 2015 that they need to use these funds or lose them at year end.

“With all the changes in health insurance this year sometimes patients don’t remember that flexible spending account funds are “use it or lose it" plans. Any amounts you do not use throughout the plan year will be forfeited, so it is very important to plan carefully,” noted Keegan Johnson, M.D. “That’s why this time of year we like remind patients who have these funds to schedule a LASIK consultation, come and see me to find out whether they are a good candidate and arrange a treatment date that works into their schedule. For those considering LASIK in January or February 2016, they too should consider coming in to see me for a LASIK consultation so that we can confirm whether they are good candidates and so then they tell their employer to withhold the pre tax funds for 2016,” further explained Dr. Johnson.

“2015 has been a year with lots of changes to health insurance plans as well as the limits and in some cases the timing for the use of Flex Plan funds. All this change has been really confusing for patients to figure out exactly how to use the FSA benefit from Flex Plans for LASIK. At Center for Sight we just maintained all of our Bladeless LASIK fees and costs to patients at $1995 per eye. This makes it simple and affordable for those wanting Bladeless LASIK since by having the $2500 maximum annual contribution withheld through payroll deduction pre tax, most patients actually get a benefit that only leaves few hundred dollars to be paid out of pocket,” explained Marie Urfer, Practice Administrator at Center for Sight.

Protect Yourself from Airbag Eye Injury in Car Accidents

Most cars today have both seatbelts and airbags installed as part of their overall safety features. Passengers do need to be aware that while airbags along with seat belts are important safety features, not using both together can actually expose you to eye injury risk during a car accident.
 

Eye Injury from Airbags in Car Accidents
A report in Survey of Ophthalmology suggests that the incidence of eye injury and facial trauma from airbags is increasing. How can this be happening? Airbags were originally designed as a supplemental safety system to seatbelts, to protect the head from hard surfaces in frontal crashes. It is critical that all passengers wear their seatbelts even if your car has airbags in the front, back and sides of the passenger cabin. Seatbelts restrict you and prevent you from being quickly and forcefully thrown forward and colliding with the inflating airbags as they are deployed during a car accident. Airbag deployment and passenger collision with airbags has been reported to cause eye injuries including corneal abrasions, alkali burns and the serious effects of eye compression such as retinal tears, retinal and vitreous hemorrhages, retinal detachment and even cataracts. SO-the message is clear. For eye protection and safety in motor vehicle accidents, all occupants of cars should wear safety belts at all times even if your vehicle has airbags!

If you or someone you know has questions about avoiding eye injury in care accidents or needs to schedule an appointment, please feel free to 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. 

Lifestyle Tips & Choices for Eye Health & Vision

Making good choices about your lifestyle, habits and personal care can go a long way to helping keep your eyes healthy and you vision clear. Each of us has a responsibility to contribute to their own eye health and vision by following some basic tips and guidelines.  
 
Have Regular Comprehensive Dilated Eye Exams
Making sure to schedule regular dilated eye health and vision exams-at intervals your eye doctor recommends- is the first step to maintaining eye health and good vision. Early detection, diagnosis and treatment when necessary allows us to find eye diseases, conditions and problems so that we can address them before they are sight threatening. Many eye diseases do not have early warning signs, but signs and symptoms can be identified during a comprehensive dilated eye exam.

 Know Your Family History of Eye Problems
Many eye health and vision problems and eye diseases tend to run in families. This suggests that if an eye disease is present in any family member it may put you at greater risk of that eye problem. This is particularly the case for eye diseases such as glaucoma and age related macular degeneration (AMD). Stay abreast of the eye diseases and conditions as they exist in your family, AND BE SURE TO TELL US ABOUT THEM WHEN YOU COME IN FOR AN EYE EXAM.

Nutrition and Diet Affect Eye Health & Vision
Make sure to pay attention to what you eat and try to include a steady diet of foods high in important nutrients that support good vision, such as the following:

• Vegetables: collard greens, bell peppers, broccoli, tomatoes and dark, leafy greens, such as kale and spinach

• Nuts: sunflower seeds, almonds, hazelnuts and peanuts

• Fruits: strawberries and blueberries

• Omega-3 Fatty Acids: tuna, halibut and salmon

• Beans: chickpeas, kidney beans and legumes

 Watch Your Weight & Exercise
Being overweight exposes you to a greater risk of diabetes. In fact there is an epidemic of diabetes in the U.S. today. Diabetic eye problems include a greater risk of glaucoma, cataracts and sight threatening diabetic retinopathy. Exercise-even moderate amounts of daily exercise reduce your risk of developing MANY eye diseases and problems.
 
Wear Protective Eyewear
Eye injury prevention is relatively easy-if you wear the appropriate protective eyewear when taking part in sports or home activities that expose you to risk. It is estimated that some 90% of eye injuries can be prevented by taking a minute to review the need for protective eyeglasses before doing home projects, trimming branches or shrubs, using saws, tool or weed whackers-and the list goes on and on. In addition, when spending time outdoors or near the water, wear sunglasses designed to block out 99 to 100 percent of the sun’s UV-A and UV-B rays.
Be smart and be safe.
 
Stop Smoking
Not only does smoking cause a host of cardiovascular and systemic vascular problems, but smoking is now recognized as increasing the risk of cataracts and macular degeneration, all of which could lead to vision loss. We also now know that if you do smoke, there is considerable benefit in stopping!
 
Avoid Computer Eyestrain
CRT or video display terminals used for computers are well known to expose you eye fatigue, headache and more troubling-dry eye problems. When working on the computer or using a smartphone or tablet, practice the 20-20-20 rule to reduce eyestrain-that is, every 20 minutes, look at something 20 feet away for about 20 seconds. If you have any sensation of dryness, grittiness or “something in your eyes”, use an eye surface lubricant or eye drop to replenish your tears.
 
If you or someone you know has questions or needs to schedule an appointment, please feel free to 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. 

Schedule Kids School Eye Exams

Believe it or not, once again it’s time to schedule eye exams for the kids going back to school. Part of your “Back to School Checklist,” should include making sure that children have the optimum eye health and vision to support the core of their learning experience at school. Reading, writing, seeing the blackboard or teacher as well as using computers all create a demanding visual environment for kids at school. They must be able to have clear and efficient vision to do their best.

As children grow and mature it is common for their eyes and vision to change, thus an annual eye exam for children is a good idea. By having a regular eye exam we can detect and address changes or any eye problems that might hinder their overall well being and academic performance. The most frequent eye problems we find in school age kids are the common vision problems of nearsightedness, farsightedness and astigmatism. Sometimes, not having clear vision in the classroom can lead to the undeserved perception of a behavioral problem or attention problem. What we know is that kids are often unable to verbalize that they have a vision problem as they just don’t recognize it.

Your child should receive an eye examination at least once every two years, preferably EACH YEAR, or even more frequently if specific problems or risk factors exist, or if recommended by your eye doctor. The earlier a vision problem is detected and treated, the more likely treatment will be successful.

If you or someone you know has questions about eye exams for children or needs to schedule an appointment, please feel free to 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. 

Can a Mediterranean Diet Help Dry Eye?

Eating a Mediterranean diet has been associated with a number of beneficial health effects including reducing the risk of heart disease and cancer, as well as a reducing the incidence of Parkinson's and Alzheimer's Disease.  

Research on Dry Eyes & Mediterranean Diet

Recently, researchers tried to determine whether eating a Mediterranean diet could provide help for dry eyes. Reporting in the journal Cornea, the researchers had patients fill out the Block Food Frequency Questionnaire and the Dry Eye Questionnaire 5 and then evaluated and measured their tear film quality and quantity along with their serum levels of Vitamin D. Unfortunately, the results suggested that eating a Mediterranean diet was not associated with an improvement in dry eye symptoms, but higher vitamin D levels did have a small but favorable effect on dry eye syndrome symptoms. So, while the Mediterranean diet itself doesn’t directly reduce dry eye symptoms, it does seem to be an eating plan that can help promote health and prevent disease for your whole family.

If you or someone you know has questions about dry eye or needs help for dry eye problems, or needs to schedule an appointment, please feel free to 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. 

Is Eyelid Surgery Forever?

How Long Does Eyelid Surgery Last?

Rest assured-cosmetic eyelid surgery and the youthful facial rejuvenation it brings-last for many years. Even with the removal of a small amount of eyelid skin and repositioning or removing eyelid fat in your 40’s or 50’s there is typically a considerable rejuvenating effect that will last for many years, during which patients report that they look and feel better. However, aging is a dynamic process, influenced by many factors such as the pull of gravity, sun exposure, and even genetics.

Patients often ask me if they should wait until their condition worsens. My answer is that each person perceives the aging process differently, both psychologically and physically. Most people understandably feel younger than their chronological age but may feel that their appearance does not reflect the way that they feel.  Rejuvenating the eye area helps address such common concern.

If you or someone you know would like to learn more or schedule a consultation for cosmetic eyelid or blepharoplasty, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D.

What is Ocular or Ophthalmic Migraine?

The word “migraine” immediately causes patients to think about headaches. But did you know that there is a type of “eye migraine” called an Ocular or Ophthalmic migraine that has unusual symptoms –but no headache!

Dr. Keegan Johnson, M.D.
Center for Sight Corneal Specialist

Symptoms of Ocular or Ophthalmic Migraine

It is not uncommon for generally healthy patients to report that about once or twice a month they see these strange pulsing images in both eyes-both with their eyes open and closed! Often these pulsing images begin small and last for 10-20 minutes and may result in blurry vision. These episodes actually describe what we know to be an Ocular Migraine-a migraine without a headache! 

What patients are experiencing is the aura that many sufferers have before the onset of a classic migraine headache. An Ocular or Ophthalmic Migraine often includes zigzag lines, colored lights or flashes of lights expanding to one side of your vision over perhaps 10 to 30 minutes. If you experience these symptoms, in order to be sure that this is not a sign of a more serious problem, you should consider scheduling an evaluation and eye exam at center for Sight so that we can rule out any other problems and work in concert with your primary care physician or a neurologist to make sure that other testing is not needed.

If you or someone you know has questions or needs to schedule an appointment, please feel free to call us at 508-730-2020, visit Center for Sight, Google+ or 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. 

Pink Eye Conjunctivitis

Almost every day we receive phone calls from patients at Center for Sight asking how they know if they have conjunctivitis or “pink eye”.  Patients should understand that without having an external eye exam with one of the doctors-it is pretty much impossible for us to be able to tell. With that in mind, you should call and ask to come in to see us so that we can examine your eye and discuss a number of symptoms that help us determine if you have “pink eye” or conjunctivitis. Here are some things we will consider in the exam and diagnosis of conjunctivitis:

Bacterial Conjunctivitis

 If you have a bacterial infection causing pink eye conjunctivitis, you will usually have very red eyes. You may find crusting on your eyelids that can make them stick together as well as a heavy, pus-like discharge from your eyes that may be greenish at times. This infection may spread to both eyes.

Viral Conjunctivitis

If you have a viral conjunctivitis we often will find a very red, swollen eye, crusty eyelids and a more watery discharge. This discharge can also have strands of mucus or white, ropy strands. While many cases of viral pink eye infect only one eye, this infection can also spread to the other eye.

Allergic Conjunctivitis

If you have an allergic conjunctivitis and your allergies are causing your conjunctivitis, it will often look similar to viral conjunctivitis. Your eyes will be red and tearing. However, they will also be itchy. It is likely you may have a stuffy, runny or itchy nose as well.

Treatment for Pink Eye Conjunctivitis

Most of the treatments for pink eye conjunctivitis are supportive. Prescribing antibiotic eye drops does not treat viral conjunctivitis but does work well in treating bacterial conjunctivitis. Regardless of the cause, it is important to minimize the exposure and contamination of others by washing your hands frequently and throwing away used tissues. Do not share towels or pillow cases. Consider staying home from work or school until you are symptom-free for 24 hours. If you are a contact lens wearer, you should discontinue their use and stick with glasses until your infection clears. Then start with a fresh pair of lenses and a clean lens case.

If you or someone you know has questions about pink eye conjunctivitis symptoms, diagnosis or treatment or needs to schedule an appointment, 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. 

Fireworks Eye Safety Precautions

Taking fireworks eye safety precautions is pretty critical because fireworks related eye injury is the second most frequent injury we see from the emergency room each July 4^th weekend. Fireworks displays and celebrations are just part of the July 4^th   but there are precautions everyone should take to prevent eye injuries.

Preventing Fireworks Eye Injuries

The best defense against kids suffering severe eye injuries and burns is to not let kids play with any fireworks. It is best if you do not personally purchase, use or store fireworks of any type. It is safer and just as enjoyable to attend only authorized public fireworks displays conducted by licensed operators. But be aware that even professional displays can be dangerous. However, if an eye accident does occur, there are a few things you should know:

·         Do Not Rub Your Eye (s)

·         Do Not attempt to rinse out the eye. This can be even more damaging than rubbing.

·         Do Not apply pressure to the eye itself-but protecting the eye from further contact with any item, including the person’s hand.

·         Do Not stop for medicine! Over-the-counter pain relievers will not do much to relieve pain. Aspirin (should never be given to children) and ibuprofen can thin the blood, increasing bleeding. Take the person to the emergency room at once.

·         Do Not apply ointments or drops. They may not be sterile and may make the area around the eye slippery and harder for the doctor to examine.

Once you are seen in the emergency room please feel free to have them call Center for Sight as we always have an eye doctor “on call” to provide consultation and continued care for you. If you or someone you know has questions about fireworks eye safety and eye injuries please feel free to 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. 

Stop Smoking & Reduce Cataract Risk

If you are concerned about the risk of cataracts, and if you are a smoker, there is good news in that by stopping smoking you should be able to decrease your cataract risk.

Research on Smoking & Cataract Risk

According to research on smoking and cataract risk reported in JAMA Ophthalmology, stopping smoking decreases the risk of cataracts over time. The study followed a total of 44,371 men, 45 to 79 years old over a 10 year period and the participants filled out questionnaires on their smoking habits and lifestyles and were then matched with the Swedish National Day-Surgery Register and local records of cataract extraction.

Findings on Cataract Risk in Smokers

Smokers of more than 15 cigarettes a day had a 42% increased risk of cataract surgery compared with men who had never smoked. It also found that men who smoked an average of more than 15 cigarettes a day but had stopped smoking more than 20 years earlier had a 21% increased risk. Thus, they found a positive association between cigarette smoking and cataract surgery in men, with a significant increase of cataracts among smokers compared to those who never smoked. Also, stopping smoking was associated with a statistically significant decrease in risk with increasing time from stopping smoking. Even heavy smokers had some benefit from quitting smoking.

This is supportive of the results of a previous study which detailed the relationship between smoking cessation and cataract risk in women. In this study, they found that after cessation of smoking, cataract risk in women decreased with time. Women who smoked 6 to 10 cigarettes a day but had ceased smoking 10 years earlier, and women who smoked more than 10 cigarettes a day but had ceased smoking 20 years earlier were found to have a relative risk of cataracts not significantly different from women who had never smoked.

Smoking cessation seems to decrease the risk of cataract development and the need for cataract surgery with time, although the risk persists for decades. The higher the intensity of smoking, the longer it takes for the increased risk to decline. These findings emphasize the importance of early smoking cessation and, preferably, the avoidance of smoking altogether.

If you or someone you know has questions about cataract risk and smoking or needs to schedule an appointment, please feel free to 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. 

Osteoporosis Predicts Cataracts Risk

In general, most people know that calcium is important for healthy bone maintenance and the prevention or slowing of osteoporosis. But not too many people know that calcium is also an important factor in the development of cataracts. This, perhaps, raises the question as to whether there is an association between osteoporosis and cataract development.

Research on the Association between Osteoporosis & Cataracts
In the journal Clinical Ophthalmology, researchers shared some interesting information regarding an association between cataracts, cataract surgery and osteoporosis. They first found that age, female sex, higher socioeconomic class, smoking, chronic renal failure, hyperthyroidism, rheumatoid arthritis and inflammatory bowel diseases are all associated with an increased prevalence of osteoporosis. Then through  statistical modeling and analysis, they also found that these factors and osteoporosis are ALL associated with an increased prevalence of cataracts. Thus, they concluded that osteoporosis is associated with the presence of cataracts which may be related to calcium imbalance, hormonal abnormalities, and even a shared genetic predisposition.

If you or someone you know is concerned about osteoporosis and their risk of cataracts, 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. 

Droopy Eyebrow a Problem?

What’s a Droopy Eyebrow?

A droopy eyebrow of “brow ptosis” sometimes gets confused with a droopy eyelid or even excess skin on the eyelid. In fact, it isn’t terribly uncommon for patients to come in to see me and ask about a cosmetic eyelid surgery or blepharoplasty because they have tired looking eyes. We have to be thorough and makes sure that we identify and deal with all the factors that contribute to the appearance of tired eyes. 

Sometimes I have to show patients the difference between a droopy eyelid (eyelid ptosis), excess eyelid skin and a droopy eyebrow (brow ptosis). A droopy eyebrow will push the upper eyelid skin further down and cause the appearance of eyelid puffiness and excess eyelid skin, to seem worse. When this is present, blepharoplasty alone may not be sufficient to achieve the best results. Many patients may not be aware that their brow is droopy. Endoscopic forehead lifting through small incisions at the edge of the hairline is an excellent cosmetic technique to elevate the forehead and eyebrow areas.  This technique also helps smooth out forehead wrinkles. It is often combined with upper eyelid blepharoplasty.

If you or someone you know would like help for a droopy eyebrow, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D. or learn more at  Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

Cataract Risk from High Dose Vitamins

Almost all of us have taken vitamins at some time in order to supplement our diets and meet the daily recommended requirement. From time to time, there have been instances where large doses of vitamins are suggested- even higher than the daily recommended dose. This has raised a question as to whether vitamins affect your risk of developing cataracts – are they good, bad, or indifferent for the development of cataracts.

 

Dr. Keegan Johnson, M.D.

Research on High Dose Vitamin Supplements & Risk of Cataracts

Researchers reporting in the American Journal of Epidemiology evaluated the risks and benefits of taking high dose supplements of vitamins C and E and low-dose multivitamins with the risk of developing age related cataract.  Their study looked at any associations of high-dose supplements of vitamins C and E and low dose multivitamins with the risk of age related cataract in a group of 31,120 men who ranged in age from 45–79 years of age. Their results suggest that the use of high dose-but not low dose-single vitamin C or E supplements may increase the risk of age-related cataract. The risk may be even higher among older men, corticosteroid users, and long-term users.

If you or someone you know takes high doses of vitamins or is concerned about their risk of cataracts 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. 

Dark Circles Under Your Eyes: Can We Help?

Help for Dark Circles Under Your Eyes

A very common complaint we hear is the appearance of dark circles under the eyes. Patients often ask us for help with these dark circles, but first we must find the cause for each patient because and we need to address them and treat them differently.

Too Much Eyelid Fat

The space behind the eye, known as the orbit, contains a significant amount of fatty tissue. Orbital fat helps to cushion the eye from impact, however, as we get older, the support structures which keep the fat behind the eye weaken, and the fat moves forward into the eyelids. This results in fullness to the lower eyelids which most people find aesthetically unpleasing. This fullness, commonly referred to as “bags under the eyes”, makes people look older and tired. The best treatment for this type of problem is usually removal of excess fat with a lower eyelid blepharoplasty procedure. Excess skin can be trimmed and tightened at the same time.

Lower Eyelid Hollowness

Dark circles under the eyes can also be caused by a depression or hollowness in the lower eyelids. Patients who have this problem can usually feel the underlying bone when the area of hollowness is touched. Today, we are able to treat the hollowness with injectable volumizing fillers whose qualities make them appropriate for the delicate eye area. These non surgical treatments typically last 6-12 months. If the results are not completely satisfactory sometimes it becomes necessary to surgically reposition the fat to reduce hollows under the eyes as well as performing a lid tightening procedure to improve the lower eyelid contour.

Hyperpigmentation of Eyelid Skin

Sometimes dark circles under the eyes can be caused by too much pigmentation of the skin, although this is the least common cause. Patients often think that they have hyperpigmentation but what they are seeing is shadows from excess eyelid fat or hollowness at the orbital rim.

If you or someone you know would like help for dark circles under their eyes, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic& Reconstructive Surgeon Gregory Hofeldt, M.D. or learn more at  Center for Sight, Google+ or www.facebook.com/centerforsightfallriver.

Help for Dry Eyes with Omega 3 Supplements

Diet supplements with omega 3 oils have been reported to be helpful in reducing the risks and symptoms of many health problems.  Now, there is reason to believe that they may also provide help for dry eyes. According to researchers reporting in Clinical Ophthalmology taking dietary supplements that contain a combination of Omega-3 polyunsaturated fatty acids and antioxidants can be helpful in the treatment of dry eye symptoms. 

In this study, patients were evaluated to learn about the effectiveness and tolerability of dietary supplements containing a combination of Omega-3 essential fatty acids and antioxidants for help for dry eye symptoms and complaints. The researchers wanted to know if the dry eye diet supplements helped scratchy and stinging sensation in the eyes, eye redness, grittiness, painful eyes, tired eyes, grating sensation, and blurry vision. After 12 weeks of taking the supplements, all individual symptoms improved significantly from an average symptom rating of 11.9 to 6.8.  This improvement indicated that dietary supplementation with a combination of omega-3 essential fatty acids and antioxidants could be used as an effective treatment for dry eye symptoms.

If you or someone you know has questions about dry eye or needs help for dry eyes and would like to learn more about diet supplements or other dry eye treatment, please schedule an appointment, by calling us at 508-730-2020, visiting  Center for Sight or www.facebook.com/centerforsightfallriver.

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

How Will You Look after Cosmetic Eyelid Surgery

Cosmetic eyelid surgery-whether and upper eyelid blepharoplasty or lower eyelid blepharoplasty may be important elements of your facial rejuvenation plan. Generally after upper eyelid blepharoplasty more of the upper eyelid area becomes visible and patients tell me that they look “refreshed” and “more awake” and for patients who could not wear eye makeup because the eyelid was covered by the excess skin, they are now able to wear it once again. This provides a restoration of the once youthful eyelid contour. Typically after lower eyelid blepharoplasty, patient remark that the puffiness of the lower eyelid is reduced or eliminated and the skin appears smoother and tighter. I like to know what you looked like in your 20’s or early 30’s, so I will often ask you to bring some pictures of yourself to your consultation. By using this for guidance I can discuss your blepharoplasty eyelid surgery and review your individual expectations. This helps me get the best possible results for you. Patients who have cosmetic eyelid surgery can expect that their facial features look more youthful and rejuvenated and tell me that they now look as young as they feel!

If you or someone you know would like to learn more or schedule a consultation for cosmetic eyelid or blepharoplasty, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D.

Recovery after Cosmetic Eyelid Surgery

How Much Time Will I Need Off After Eyelid Surgery?
For patients considering eyelid surgery, knowing how long to be off work and what to expect in general, helps them plan. The recovery time following surgery varies from patient to patient depending on the type of surgery, their age and general health.  Even when undergoing the same procedure, patients may take different amount of time to heal. In general, for patients having upper eyelid blepharoplasty, 5 to 7 days off work is typical while for those having both and upper and lower eyelid blepharoplasty, up to 10 to 14 days may be necessary. Patients with occupations requiring minimal physical activity may be able to get back to work sooner.

All patients having eyelid surgery will experience some swelling and bruising that will gradually improve over the first 1 to 3 weeks.  Ice packs, head elevation, and rest may help minimize swelling. The amount of swelling and bruising varies from patient to patient and even from the left and right sides in the same patient. Mild bruising may resolve in 2-4 days, whereas more significant bruising may last 10-14 days. Makeup can be applied to help hide residual bruising, usually starting two weeks after surgery.  If you or someone you know would like to know more about eyelid surgery, what to expect before, during and after eyelid surgery or schedule a consultation to find out if eyelid surgery might be helpful in looking their best, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D.

Southcoast LASIK & Cataract Surgery Patients Need UV Eye Protection

Center for Sight performs LASIK and cataract surgery for patients from throughout the Southcoast Massachusetts area.  For patients who have had eye surgery such as LASIK or cataract surgery, it is important to remember to wear UV protecting eyewear and sunglasses as you take advantage of the seacoast in the upcoming warmer weather. This time of year a lot of patients spend a great deal of time participating in outdoor activities-hiking, swimming, sailing, walking along the beach. This means you are going to be exposed to a good dose of UV from the sun.  For many patients who have had LASIK or cataract surgery, wearing glasses is not longer part of their daily routine and so they just don’t think about eyeglasses, sunglasses or UV eye protection anymore. But we want to remind them that as they spend more time involved in outdoor activities-especially near the seacoast or water, they tend to underestimate their risk of sun and UV damage to their eyes. It’s actually greater than most people realize. One of the things we want to avoid-especially for patients who have had any type of eye surgery-is the risk of “sun burnt eyes” or photokeratitis, which is also called ultraviolet keratitis. This is not only uncomfortable-it can be threatening to vision.

Sunglasses for UV eye protection should be considered more than simply a fashion accessory. Eye protection from UV needs to be complete but doesn’t have to be overly expensive. High quality sunglasses should block out 99-100 percent of both UV-A and UV-B radiation.

If you or someone you know has questions about UV eye protection and sunglasses or needs to schedule an appointment, please feel free to call us at 508-730-2020, visit Center for Sight or www.facebook.com/centerforsightfallriver.

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

BOTOX®, Xeomin® & Dysport® for Wrinkles

BOTOX®, Xeomin® & Dysport® Injections

What’s the Difference?

BOTOX®, Xeomin® &Dysport®, are each slightly different preparations of Botulinum Toxin A, which is a class of medication called a “neurotoxin” and is derived from a protein that works to relax targeted muscles. Each preparation is slightly different in that they may differ in the protein structure or size of the molecules in the medication. BOTOX® was the first and is the oldest neurotoxin on the market having been approved by the FDA in 1989. Dysport® was approved in 2009 and Xeomin® in 2010, however both have been around in Europe for a long time. The dosage varies between the drugs. All three have very similar safety profiles and effectiveness. My experience is that each works very effectively when used to reduce wrinkles and shape your brow position.

If you or someone you know would like to learn more or schedule a consultation for help with facial wrinkles of fine lines using nonsurgical treatments such as BOTOX®, Xeomin® & Dysport® injections, please call Center for Sight at 508-730-2020 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D.

Who Can Perform Cosmetic Eyelid Surgery?

Choosing a Cosmetic Eyelid Surgeon

Patients often ask me about the different types of surgeons who can perform cosmetic eyelid surgery or blepharoplasty. There can be some confusion, but most eyelid surgery specialists would advise that when choosing a surgeon to perform eyelid surgery or blepharoplasty, look for a facial cosmetic and reconstructive surgeon who specializes in the orbit and tear drainage system, with extensive training in ophthalmic plastic, reconstructive and cosmetic surgery. Cosmetic eye surgeons, who are trained and experienced in surgery for both the eye itself and the surrounding delicate eyelid tissues-and who are knowledgeable about the aesthetics of how to help patients look their best, are a sound choice for cosmetic eyelid surgery for puffy, droopy, saggy tired looking eyes.

If you or someone you know would like to learn more about blepharoplasty eyelid surgery, please schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Gregory Hofeldt, M.D. by calling Center for Sight at 508-730-2020.

Eye Infection Information to Know

Having some information about the symptoms of eye infections as compared to eye allergies and dry eye can be useful for you and your family members. Here is an overview of allergies and dry eye symptoms as compared to an eye infection.

About Allergies & Dry Eyes

Symptoms of Allergies or Dry Eyes

·         If you work at a computer for an extended time or have allergies to products or airborne substances, you may experience dry, red or irritated eyes.

·         Generally allergies and dry eyes affect both eyes.

·         Treatment options usually include resting your eyes or using an over-the-counter or prescription eye drops, as recommended by your eye doctor.

About Eye Infections

Symptoms of Eye Infections

·         Frequently occurs when bacteria, fungi or viruses attack any part of your eye, including the surface, membrane lining of the outer eye and inner eyelid, interior portions or the soft tissue of the eyelid.

·         Infections inside the eye or in the soft tissue of the eyelid are the most dangerous and if left untreated, the condition may spread throughout the eye.

·         Symptoms usually include redness, pain, discharge, watering and sensitivity to light; usually occurs only in one eye; if symptoms are detected, immediately contact your eye doctor for an evaluation.

Types of Eye Infections

• Pink Eye (Conjunctivitis)-A common infection that is highly contagious.
• Viral Keratitis -Can be simply related to a respiratory virus or cold or more serious such as Ocular Herpes that occurs when exposed to the Herpes Simplex Virus.
• Fungal Keratitis- A fungus commonly found in organic matter such as soil, leaves or branches of a tree.
• Acanthamoeba Keratitis- A parasite that attacks the eye more often in individuals wearing contact lenses and swimming in pools, lakes, ponds, hot tubs or streams who are at increased risk for contracting this infection.
• Trachoma - Usually found in underdeveloped countries. Typically infects the inner eyelid along with eyelashes touching the area can infect the cornea and cause permanent blindness.
• Endophthalmitis- Occurs with a penetrating eye injury or complication following eye surgery and if left untreated, may lead to blindness.

Preventing Eye Infections

·         If you experience symptoms associated with an eye infection, contact Center for Sight immediately. Prompt treatment is necessary to reduce the risk of permanent blindness. To avoid eye infections, wash your hands throughout the day, especially if you are near an individual with a red eye or other signs of infection. Contact lens wearers should follow care and handling instructions provided by their eye doctor.

If you or someone you know is concerned about having an eye infection please call us at 508-730-2020, visit Center for Sight or www.facebook.com/centerforsightfallriver. Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island. 

Dry Eye Problems Common with Computer Screen Use

Dry eye problems are very common. But did you know that computer screens, video display terminals and even computer games can make dry eye problems even more troubling?

Research about Dry Eyes & Computer Screen Use

According to a study published in the American Journal of Ophthalmology, users of video display screens or computer terminals are at greater risk for symptoms of dry eyes and dry eye disease (DED). In this study a group of 672 young and middle-aged office workers who used video display terminals (VDT) completed questionnaires and underwent dry eye testing. Of the 672 workers, 76.5% had definite dry or probable dry eye disease with the percentage being higher in woman than men and higher in office workers over 30 years of age especially if they used computers more than 8 hours per day. Thus, DED is common among young to middle-aged VDT or computer screen users.

It is recommended that anyone using VDT or computer screens of any type for moderate to long periods of time or even those who notice increased dryness or grittiness should take steps to try and keep the surface of the eye moist and well lubricated. This might include using artificial tears or lubricants, taking breaks from the computer after 20 minutes or so of use and making sure to remember to blink frequently if a computer screen is a daily event.

If you or someone you know has questions about dry eyes or needs help for a dry eye problem to schedule an appointment by calling us at 508-730-2020, or visiting Center for Sight or www.facebook.com/centerforsightfallriver.

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