Help for Childrens’ Tear Duct Problems

About Childrens’ Tear Duct Problems

Normally, tears drain through tiny opening in corners of the upper and lower eyelids call “puncta,” then enter the nose through the nasolacrimal duct. Sometimes the nasolacrimal duct or tear duct can become blocked or obstructed making it impossible for the tears to drain normally. This can cause the eyes to run water or even produce a discharge. Often, the tears well up on the surface of the eye and overflow onto the eyelashes, eyelids, and down the cheek. This usually occurs within the first days or weeks of life. Sometimes, the eyelids can become red and swollen, even stuck together with yellowish-green discharge since the normal eyelid bacteria are not properly "flushed" down the obstructed system. Probably the most common cause of a tear duct obstruction in kids is a failure of the membrane at the end of the tear duct to open fully at the time of birth. Generally we see this happening in some 5-10% of newborn infants where one or both eyes is affected with a tear duct obstruction-BUT approximately 90% clear without any treatment with the first 12 months after birth.

Treatment of Kids’ Tear Duct Obstruction

As most of the time the obstruction will clear on its own, we don’t always have to treat it. But, if it persists and causes the welling up of tears or the sticking or redness of the eyelids we can suggest a gentle massage as a first step and prescribe antibiotic eye drops if necessary. Sometimes we will need to do a tear duct probing to clear the blockage and in a some more difficult situations we might need to perform a tear duct dilation with a tiny balloon or even insert some microscopic tubes. We perform these types of treatments, and I will make sure to thoroughly explain the surgery and answer all of your questions.

If you or someone you know has questions or concerns about childrens tear duct problems or needs a kids eye exam, please call 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.

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 Center for Sight 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.

Eye Problems from Medications

About Medications and Eye Problems
Did you know that a number of medications for various health problems can cause eye problems? If you get any new prescription filled you should be aware of whether it can have any eye or vision side effects by itself or in combination with other medications-prescribed, or even over the counter (OTC) or supplements you might purchase. Medications can have a variety of effects on your eyes, ranging from minor, temporary issues such as blurred vision to permanent damage. Here are some things to know about medications and your eyes.

Which Drugs Pose the Most Risk?
Some medications that stand out when it comes to causing eye and vision problems include: Corticosteroids-People take steroids for a range of conditions, from asthma and allergies to arthritis and skin conditions. But whether in cream or pill form, steroids can cause swelling in the back of the eye or retina and potentially lead to cataracts. Even an over the counter spray for allergies such as Flonase® comes with risks.

Antihistamines-They may fight allergies, but they also can raise certain patients’ risk for glaucoma. Even over the counter antihistamines can be trouble for those who are at risk for some types of glaucoma.
Mental Health Medications-Medications such as Thorazine and Mellaril, used as antipsychotic treatments, can be toxic to your retina. A number of antidepressants such as Prozac, Paxil, Celexa and Tofranil may put certain individuals at risk for angle closure glaucoma.
Anti-Malaria & Anti-Arthritic Medications-Medications such as Chloroquine, under the brand name Plaquenil, which is used to treat malaria but also Lupus and some forms of arthritis can have toxic effects on the retina.

What to Watch For with New Medications
If you get a new prescription or start a new OTC medication, be aware of anything that causes pain to the eyes, or distorted or blurred vision. If you do experience a problem, talk to the doctor who prescribed the medication. Don’t stop the medication without your doctor’s advice. They’ll want to assess whether the medication is the likely culprit-and sometimes the benefits outweigh the side effects. Always read the warning labels - especially if you have a condition such as glaucoma or diabetes. A variety of medications have warnings that patients with glaucoma shouldn’t take them.

There are many other drugs that can have eye side effects and may increase your risk of complications if you need eye surgery. During your eye exam, be sure to ALWAYS tell us if you are taking ANY medications whether prescribed or purchased over the counter (OTC) as well as any supplements of vitamins you are taking. Also, if you or someone you know is taking any medication with known side effects as listed above, or is at risk for glaucoma or has diabetes, it is important to schedule a routine eye exam. Please call Center for Sight 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.