Fall River Kids Need School Eye Exams

As the summer of 2014 seems to have just flown by, it is tough to believe Fall River kids are starting to think about heading back to school. Childrens’ vision and eye exams are an important item on the back to school “readiness” checklist and all Fall River kids should have an eye exam to startthe school year right! While most parents can easily observe that children today operate in a very intense and demanding visual environment as they read, write, play sports, use computers and tablets-but the eye doctors at Center for Sight want to be sure to remind parents that children use their eyes and vision as critical tools in the learning process.  

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. The earlier a vision problem is detected and treated, the more likely treatment will be successful.

If you or someone you know needs a Back to School eye exam for children please come in and see us at please feel free to call Center for Sight at 508-730-2020, visit Center for Sight 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 Retinopathy Patient Knowledge

According to a recent study exploring patients’ understanding of the risk factors, cause and controllability of their own diabetic retinopathy revealed considerable misunderstanding, gaps in knowledge and potentially damaging beliefs about the cause and treatment of diabetic retinopathy.

Assessment of Patient Understanding of Diabetic Retinopathy

Focus groups and interviews were conducted with 57 patients with diabetic retinopathy (DR), nearly half of whom had severe proliferative DR-a serious complication. Most of these patients had also undergone laser treatment. At the conclusion of the study, patients were found to have had a reasonable understanding of the basic risk factors for DR, such as diabetes control, but they were less clear about specific risk factors such as blood pressure and lipid control.

Most patients attributed their DR either to poor diabetes control or to failings of the health care system, rather than having a basic understanding of the small blood vessel disease including circulatory and oxygen deprivation that results from the damaged blood vessels in the retina. Some patients believed that their DR was a result of health aspects beyond their control or environmental factors, whereas others were unsure about the cause.

Improving patients' understanding of the major risk factors for DR as well as helping them have a better understanding of the causes of diabetic retinopathy and being able to grasp expectations of realistic outcomes of laser treatment may improve patients' coping mechanisms, adaptation to disease and ocular outcomes.

If you or someone you know has questions about diabeticretinopathy feel free to call Center for Sight at 508-730-2020, visit www.center-for-sight.com 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. 

Help for Dry Eye after Cataract Surgery

Patients having cataract surgeryand lens implants might need help for dry eye after their surgery. This is because the incidence of mild to moderate dry eye in a cataract aged population prior to cataract surgery-and exacerbated by cataract surgery makes temporary dry eye a rather common complaint among this age group.

According to the Prospective Health Assessment of Cataract Patients Ocular Surface (PHACO) Study some 60-75% of a cataract aged population had a meaningful deficiency in their tear film testing. Further, although cataract surgery is quite friendly to the cornea, it does require an incision which has the potential to temporarily interrupt corneal nerves responsible for reflex tearing and tear film integrity as well. This along with some of the solutions used during the cataract procedure can indeed result in a dry eye. The symptoms one might experience could include fluctuations of vision, dryness, grittiness, tearing, burning and a general tiredness as well as an overall sandy feeling.

DryEye Treatment Options

The good news is that for the vast majority of patients with dry eye there are potentially helpful treatment options that include specialized artificial tear lubricants and solutions, tiny punctal plugs to help you retain tears and prescription medication that stimulates production of your own tears. In addition there are more technological approaches such as lasers and other methods to treating underlying blepharitis, eyelid gland problems or eyelid inflammation that can contribute to dry eye as well.

If you or someone you know has questions about dry eye help after cataract surgery, please feel free to call Center for Sight at 508-730-2020, visit www.center-for-sight.com 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 Health Problems & High Altitude

Sometimes patients who spend a great deal of time in high altitudes-skiing, mountain climbing or even just touring and hiking-are concerned about the effects of high altitude low oxygen conditions on their eyes, especially if they have some other eye problems or diseases related to hypoxia or not enough oxygen. Have you ever been concerned about your eye health at high altitude?

Researchers from the Tübingen High Altitude Ophthalmology (THAO) published a report in the journal Investigative Ophthalmology & Visual Science. The group examined the effect of high altitude on the cornea and on the drainage angle of the eye-a key anatomical landmark for predicting narrow angle glaucoma risk. Using the advanced imaging technique of Optical Coherence Tomography (OCT) they studied corneal thickness changes and the depth and shape of the “anterior chamber angle” to determine the effects of high altitude. In normal healthy eyes, they found that a significant degree of reversible corneal swelling occurred with increasing altitude but no effect was noted on the size or shape of the eye fluid drainage angle. Since the corneal swelling was reversible it was not damaging. However, for patients with corneal dystrophy problems such as Fuchs Dystrophy, any endothelial dystrophy or compromise there may be some delay in the deswelling of the cornea. For patients who might be at risk for narrow angle glaucoma, the researchers reported that no change in angle depth or shape occurred at the higher altitudes-and thus there was no increase in angle closure glaucoma risk.

If you or someone you know has questions about the effect of high altitude low oxygen conditions of angle closure glaucoma and corneal swelling risk, please feel free to call Center for Sight at 508-730-2020, visit www.center-for-sight.com 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. 

Medical Marijuana for Glaucoma Treatment

Medical marijuana is promoted as a treatment for many diseases, including glaucoma. Glaucoma is an eye disease in which the optic nerve becomes damaged over time, reducing peripheral vision. If not properly diagnosed and treated it can lead to blindness. One cause of the optic nerve damage in glaucoma is higher-than-normal pressure within the eye, called intraocular pressure or IOP. Currently glaucoma treatment for the most part is to lower IOP levels with eye drops, laser treatment, oral medications and sometimes surgery depending on the type of glaucoma and how severe it is.

The idea that marijuana can be helpful in treating glaucoma dates to the 1970s. Studies conducted then showed that smoking marijuana lowered the IOP of people with glaucoma. As a result of this research, additional studies were conducted examining whether marijuana or its active ingredient, a compound known as THC, could be used to keep IOP lowered. This research was supported by the National Eye Institute, a division of the National Institutes of Health. The research found that when marijuana is smoked or when a form of its active ingredient is taken as a pill or by injection, it does lower IOP. However, it only lowers IOP for a short period of time-about three or four hours. This short period of time is a major drawback for the use of marijuana as a glaucoma treatment. Because glaucoma needs to be treated 24 hours a day, you would need to smoke marijuana six to eight times a day around the clock to receive the benefit of a consistently lowered IOP. Because of marijuana's mood-altering effect, smoking so much of it daily would leave you too impaired to drive, operate equipment or function at the peak of your mental ability.

The effect that marijuana has on your ability to function is not the only side effect from the drug, however. Marijuana cigarettes contain hundreds of compounds that damage the lungs. Research has shown that regular and frequent use of marijuana, particularly in high doses, can cause problems with short-term memory and concentration.

As scientists learn more about glaucoma, they have also come to understand that IOP is not the only factor that damages the optic nerve. Recent studies characterize glaucoma as a neurologic disease similar to Parkinson's or Alzheimer's. And, there is increasing evidence that reduced flow of blood to the optic nerve may also cause damage in patients with glaucoma. Unfortunately, marijuana not only lowers IOP, but it lowers blood pressure throughout the body. As a result, it has the potential to lower the blood flow to the optic nerve, effectively canceling out the benefit of a lowered IOP.

So, while marijuana can temporarily lower your IOP, it's not recommended for treating glaucoma. Prescription medications, laser and surgical treatments have been tested and proven as effective treatments for the glaucoma. 

If you or someone you know has questions about eye exams, glaucoma and medical marijuana treatment feel free to call Center for Sight at 508-730-2020, or visit www.center-for-sight.com 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.A

Eye Test for Stroke Risk

Robert Kelly, M.D., an Ophthalmologist at Center for Sight in Fall River, Massachusetts shared encouraging information about a new eye test that may help identify patients who are at high risk for stroke. “I am really quite pleased to have reviewed a study about a new eye test for stroke risk from the University of Zurich published in Ophthalmology, the journal of the American Academy of Ophthalmology,” commented Dr. Kelly. “This study showed that a test called Ocular Pulse Amplitude (OPA) can reliably detect carotid artery stenosis (CAS) or carotid artery narrowing, a condition that clogs or blocks the arteries that feed the front part of the brain which is a known risk factor for stroke. I am hopeful that we will soon be able to perform this test as part of a routine eye exam.”

Each year, approximately 795,000 Americans suffer a new or recurrent stroke, and more than 137,000 of these people die as a result. People with severe CAS are much more likely to suffer stroke.”We would like to catch and treat CAS before that can happen, but because CAS has no symptoms and an efficient test is not currently available the disease often goes undetected,” explained Dr. Kelly.

If you or someone you know has questions about eye exams, eye health and stroke prevention please feel free to call Center for Sight at 508-730-2020, or visit www.center-for-sight.com 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. 

Need a Little Lift? Ask About BOTOX® & Fillers

Have you noticed a few more fine lines and wrinkles when you look in the mirror? Are your eyelids a little droopy, making you look more tired than feel? At Center for Sight we can help! Dr. Gregory Hofeldt is a board certified, fellowship trained eye plastic surgeon specializing in liquid eyelid lifts and non surgical treatments including BOTOX® Cosmetic, Radiesse® Juvedèrm® and Xeomin® to help you look your best!

Call 508-730-2020 for a Free Consultation Today…

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*call before 5/31/2014 and receive a $100 courtesy toward treatment