Cataract Surgery Patients Live Longer

People with cataract related vision loss who have had cataract surgery to improve their sight are living longer than those with visual impairment who chose not to have the procedure, according to research published in Ophthalmology, the journal of the American Academy of Ophthalmology. In fact, the researchers found a 40 percent lower long-term mortality risk in those who had the cataract surgery. 

This research is from data gathered in the Blue Mountains Eye Study, a population-based study of vision and common eye diseases in an older Australian population. Adjustments were made for age and gender as well as a number of mortality risk factors, including hypertension, diabetes, smoking, cardiovascular disease, body mass index and measures of frailty and other disease. Follow-up visits took place after five and ten years since the baseline exam.

Previous research had indicated that older persons with visual impairment were likely to have greater mortality risk than their age peers with normal vision, and that cataract surgery might reduce this risk. These studies – unlike the Blue Mountains Eye Study – compared people who had undergone cataract surgery with those in the general population or with those who had not had cataract surgery, and did not link vision status to the surgical status.

The association between correction of cataract-related visual impairment and reduced mortality risk is not clearly understood, but plausible factors may include improvements in physical and emotional well-being, optimism, greater confidence associated with independent living after vision improvement, as well as greater ability to comply with prescription medications.

A cataract is a leading cause of treatable visual impairment that will affect more than half of all Americans by the time they are 80 years old. Cataract surgery to remove the opaque lens and replace it with an artificial lens implant is one of the most common surgeries performed in the U.S. today and is regarded as a very successful procedure of cataract treatment.

If cataracts have made completing everyday tasks difficult, if you are having difficulty with night driving or feel your are not quite as mobile as you would like-cataract surgery should be discussed with Drs. Hofeldt, Kelly or Johnson to help determine the best course of action.

If you or someone you know has questions cataracts, cataract surgery or lens implants, 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. 

Hypertensive Retinopathy Predicts Stroke Risk

Did you know that the presence of hypertensive retinopathy-a condition of the retina caused by high blood pressure or hypertension, is a predictor of your risk of stroke? During your regular eye exam we thoroughly and carefully exam the tiny blood vessels in your retina-especially for seniors and others who have high blood pressure, other vascular disease and diabetes. For patients with hypertension or high blood one of the important things we can learn from your eye exam is your potential risk of stroke. In the past assessment of the signs of hypertensive retinopathy-the retinal vascular condition that results from high blood pressure-has been recommended for determining end organ damage such as kidney and heart problems.

According to a report in the journal Hypertension there is a clear benefit in evaluating whether hypertensive retinopathy predicts the long-term risk of stroke in those with hypertension.  In this study, participants with hypertension aged 50 to 73 years had gradable retinal photographs, no history of diabetes mellitus, stroke, or coronary heart disease at baseline, were included in the Atherosclerosis Risk in Communities (ARIC) Study. Retinal photographs were assessed for hypertensive retinopathy and classified as none, mild, and moderate/severe. Any history of stroke (cerebral infarction or hemorrhagic stroke) was identified and confirmed. The results showed that after adjusting for age, sex, blood pressure and other risk factors, persons with moderate hypertensive retinopathy were more likely to have a stroke. Even in patients with hypertension on medication with good control of blood pressure, hypertensive retinopathy was related to an increased risk of stroke!

From this study we know that hypertensive retinopathy predicts the long-term risk of stroke, independent of blood pressure, even in treated patients with hypertension with good hypertension control. Thus, if you have high blood pressure, it is often important for us to obtain retinal photographs at your eye examination in order to document and assess hypertensive retinopathy signs that may be useful in predicting your stroke risk.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglasses, 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. 

Fall River Surgeon on Cataract Surgery & Air Travel

“My cataract patients-especially as they seem to be getting younger-are continuing very active lifestyles. Often they need to get on an airplane or take advantage of air travel arrangements after cataract surgery and don’t want to be hindered,” noted Gregory Hofeldt, M.D., a Fall River Massachusetts Cataract Surgeon at Center for Sight. “Having cataract surgery doesn’t need to present a barrier or be an inconvenience for patients flying or needing to use air travel,” explained Dr. Hofeldt.

Most cataract surgeons require their patients to be examined the first day after cataract surgery and again at about 5-8 days after a cataract operation. This is the period of time where rare, but potentially serious, complications would likely be detected, if they were to occur. Beyond this period of time it is more a matter of making sure that you have access to continued follow up care at your cataract surgeon’s direction. If you are contemplating a trip after your cataract surgery you should discuss this with your cataract surgeon and we can give you any additional advice you might need regarding air travel as it would apply to your post operative instructions.

If you or someone you know has questions or concerns about cataract surgery, air travel and flying 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 for patients wishing to learn more about flying, air travel and cataract surgery in Massachusetts or Rhode Island from Attleboro, Fairhaven, Fall River, Franklin, Mansfield, Marion, Mattapoisett, Medfield, Milford, New Bedford, North Attleboro, North Dartmouth, Norton, Oxford, Rehobeth, Somerset, Swansea, Taunton, Walpole, Whitinsville, Woonsocket, Providence, Smithfield, Westport, Lakeville, Dighton, Little Compton and Tiverton.

Sports Eye Protection for Athletes

KeeganJohnson, M.D. an Ophthalmologist, Cornea Specialist & Cataract Surgeon atCenter for Sight in Fall River, Massachusetts shared information about sports eye protection and the risk of eye injuries for athletes. “April is Sports EyeSafety Awareness Month and the American Academy of Ophthalmology asks eye doctors to remind our community that 40,000 people suffer from eye injuries related to sports every year. These eye injuries from sports can be devastating, and the only way to prevent them is by wearing protective eyewear,” said Dr. Johnson.

Many sports create risk for eye injuries which can include abrasions of the cornea and bruises of the lids, retinal detachments and internal bleeding. The most serious risks involve permanent vision loss along with infection. In addition, patients who have sustained eye injuries are at greater risk for developing glaucoma.

Athletes need to use the eye protection that is available for most sports, including basketball, baseball, hockey, football, lacrosse, fencing, paintball, water polo, golf and others. “I counsel and reassure my patients that wearing properly fitted protective eyewear will not harm their performance, and it may well save their eye health and vision,” said Dr. Johnson. “As a parent, I want other parents to know that most sporting leagues don’t require children to wear eye protection, so parents should take special care to ensure their children wear eye protection.”

Tens of thousands of sports and recreation-related eye injuries occur each year. The good news is that 90 percent of serious eye injuries are preventable through use of appropriate protective eyewear. The risk of eye injury can vary depending on the activity. Make sure the level of eye protection you or others in your family use is appropriate for the type of activity. Regular eyeglasses do not offer proper eye protection. Athletes need to wear appropriate, sport-specific protective eyewear properly fitted by an eye care professional. Lenses made from polycarbonate materials provide the highest level of impact protection; they can withstand a ball or other projectile traveling at 90 miles per hour.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglasses, please 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 at 508-730-2020 for patients wishing to learn more about LASIK in Massachusetts or Rhode Island.

Risk of Cataracts & Smoking

“Smokers should become aware of the increased risk of cataracts that smoking creates,” commented Gregory Hofeldt, M.D., an Ophthalmologist & CataractSurgeon in Fall River, Massachusetts at Center for Sight. “Most patients I speak to are well aware of the vascular risks of smoking and some are aware that they may be at increased risk of glaucoma and age related macular degeneration as well. But, what may be news to those who smoke is that they are also at increased risk of cataracts,” explained Dr Hofeldt.

Patients who are current smokers or who have any history of smoking are at increased risk of getting a cataract according to researchers reporting in Investigative Ophthalmology & Visual Science. The researchers found that the overall current literature suggests that smoking was associated with increased risk of age related cataract, especially nuclear cataract and to some extent posterior sub capsular cataract. They further recommended that additional efforts should be made to confirm these findings and clarify the underlying biological mechanisms. A healthy lifestyle and diet are meaningful ways of maintaining eye health and vision-whether lowering your risk of cataracts, keeping the tiny blood vessels in the eye functioning properly or minimizing the associated risks of glaucoma-it’s important to avoid smoking as a lifestyle choice.

If you or someone you know feels they are at risk for cataract development, has a question about cataracts, cataract surgery or lens implants please feel free to schedule an eye exam by calling Center for Sight at 508-730-2020, or visiting www.center-for-sight.com or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located for patients wishing to learn more about LASIK in Massachusetts or Rhode Island from Attleboro, Fairhaven, Fall River, Franklin, Mansfield, Marion, Mattapoisett, Medfield, Milford, New Bedford, North Attleboro, North Dartmouth, Norton, Oxford, Rehobeth, Somerset, Swansea, Taunton, Walpole, Whitinsville, Woonsocket, Providence, Smithfield, Westport, Lakeville, Dighton, Little Compton and Tiverton.

LASIK for Massachusetts Motorcycle Riders

Massachusetts motorcycle riders considering LASIK are encouraged to think about their vision correction options as spring gets closer. “This is the time of year we start to see many motorcycle riders who are interested in LASIK,” commented Fall River LASIK Surgeon & Corneal Specialist Keegan Johnson, M.D. of Center for Sight. “Contact lenses and certainly eyeglasses can be a real challenge for motorcycle riders-so many consider the option of LASIK about now. As motorcycle lovers start to think about the spring, summer and fall motorcycle riding season, I try to remind them that vision correction and eye safety should top the list of things they think about as part of their readiness checklists along with the condition of their gear and bikes,” Dr. Johnson further explained. 

It is important to recognize the need for eye protection from the sun, bugs, small rocks and pebbles and especially the wind, which can really contribute to dry eye symptoms. LASIK patients as well as other recreational motorcycle riders sometimes overlook or are just not aware of the potential for eye irritation and motorcycle dry eye caused by the wind, exhaust fumes, pollen and pollution-as well as the summer sun and heat. 

At your LASIK consultation the staff will be exploring your lifestyle needs and activities. As a potential LASIK patient we want to take the time necessary so that we can carefully counsel you in order to get the best results and help meet your expectations. Please take the time to tell us about your motorcycle riding interest as well as all of the ways in which you are hoping to benefit from LASIK.

If you or someone you know would like to be less dependent or possibly even free from the hassle of glasses and contact lenses for seeing at distance, please call Center for Sight at 508-730-2020, or visit www.center-for-sight.com or www.facebook.com/centerforsightfallriver to schedule an appointment for a Free LASIK Consultation.

Center for Sight is conveniently located for patients wishing to learn more about LASIK in Massachusetts or Rhode Island from Attleboro, Fairhaven, Fall River, Franklin, Mansfield, Marion, Mattapoisett, Medfield, Milford, New Bedford, North Attleboro, North Dartmouth, Norton, Oxford, Rehobeth, Somerset, Swansea, Taunton, Walpole, Whitinsville, Woonsocket, Providence, Smithfield, Westport, Lakeville, Dighton, Little Compton and Tiverton.

Astigmatism & Lens Implants for Cataracts

“Astigmatism is a common eye problem that needs to be corrected in order to get the best vision correction results from cataract surgery,” commented Gregory Hofeldt, M.D.,Ophthalmologist & Cataract Surgeon at Center for Sight in Fall River, Massachusetts. “Most cataract patients know from their eye exams or eyeglass prescriptions that they have some amount of astigmatism. But, sometimes cataract patients don’t realize that it is important for their cataract surgeon to correct that astigmatism in order to get the best visual results for them,” explained Dr Hofeldt.

Astigmatism is a refractive eye condition that that is most often due to an uneven curvature of the cornea. If the cornea were perfectly shaped, it would have a spherical round even shape, like a basketball. In eyes that have astigmatism, the cornea is typically curved more like an oblong, football-like shape, similar to the shape of the back of a teaspoon. “Depending on the degree and orientation of the unequal curvatures, astigmatism can cause mild or even severe blurry vision,” explained Dr. Hofeldt. 

Patients with cataracts and who are in need of cataract surgery have three choices when considering how to correct their astigmatism. First, patients can simply choose to be dependent on wearing eyeglasses after cataract surgery in order to correct astigmatism. Second, if appropriate, some patients may opt to have an additional surgical procedure called Limbal Relaxing Incisions (LRI) or third, patients can elect have an astigmatismcorrecting toric lens implant in which the astigmatism correction is incorporated into the lens prescription just as in eyeglasses. “Toric lensimplants are placed in the eye in exactly the same manner as ordinary lens implants at the time of cataract surgery and correct the astigmatism as part of the cataract surgery operation,” further explained Dr. Hofeldt.

If you or someone you know has cataracts or is considering cataract surgery and has astigmatism and would like to learn more about astigmatism correction after cataract surgery, please 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 for patients wishing to learn more about cataracts, cataract surgery and toric lens implants for astigmatism in Massachusetts or Rhode Island from Attleboro, Fairhaven, Fall River, Franklin, Mansfield, Marion, Mattapoisett, Medfield, Milford, New Bedford, North Attleboro, North Dartmouth, Norton, Oxford, Rehobeth, Somerset, Swansea, Taunton, Walpole, Whitinsville, Woonsocket, Providence, Smithfield, Westport, Lakeville, Dighton, Little Compton and Tiverton.