Archive of: Optometrist

  • Eyelid Surgery

    Posted on June 10 2015

    Eyelid surgery is a regular method of dealing with entropion (inward turning of the eyelid), ectropion (outward turning of the eyelid), ptosis (drooping of the eyelid), and some eyelid tumors. As we mature, the fragile skin around the eyes may appear puffy, saggy, or droopy.  Eyelid skin stretches, the muscles weaken, and the normal deposits of protective fat around the eye settle and become more prominent. This process can make your eyes feel tired and irritated.  The surgical procedure to remove excess eyelid tissues is called blepharoplasty. Blepharoplasty can be performed on the upper eyelid, lower eyelid, or both. The surgery can be performed for either cosmetic or functional reasons.  When blepharoplasty is performed to improve vision rather than for cosmetic purposes only, the cost may be covered by a health insurance plan. Some potential complications associated with eyelid surgery include bleeding and swelling, infection and dry eyes to name a few. Visit one of our 8 locations including Fort Myers, Naples, and Cape Coral.

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  • Dropless cataract surgery

    Posted on April 10 2015

    In recent years, evidence to support the use of alternative methods for delivering antibiotics and steroids the eye after cataract surgery has grown, while the need for added coverage with prescription eye drops has increasingly been questioned. Dropless cataract surgery delivers the drugs into the anterior vitreous after the posterior chamber IOL has been implanted in the capsular bag.  This combination antibiotic- anti-inflammatory formulation is considered safe and eliminates the need for patients to use expensive eye drops after cataract surgery.  This also helps assure compliance and convenience for the surgery patient.  It is also less confusing for patients who tend to have a hard time remembering the drop schedule that tends to follow cataract surgery. Having to use eye drops can be a tremendous barrier for a patient, especially to those that do not have a support system. Visit one of our 8 locations including Fort Myers, Naples, and Cape Coral.

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  • Eyelid Surgery

    Posted on December 18 2014

    Eyelid surgery or blepharoplasty is a surgical procedure to remove skin and to add or remove fat from the eyelids. Upper eyelid excess skin can create a heavy looking eyelid and block vision. Only surgery can help restore vision. The term “eyelift” is a misconception because they eyelid is not lifted during surgery. Upper blepharoplasty surgery uses incisions on the skin to allow for removal of skin and fat. A thin stitch is then used to bring the skin together to allow for a creation of an eyelid crease. Lower eyelid surgery may involve skin incisions directly below the lash line or an incision on the inside of the eyelid. Sometimes tightening the eyelid is needed to correct droopiness or sagging. As with any surgery, there are potential risks of having blepharoplasty. Risks may include infection, bleeding, scarring, dry eyes, double vision or loss of vision. Individuals with realistic expectations who are in good health are suitable candidates for eyelid surgery.

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  • Double Vision

    Posted on December 04 2014

    Double vision is the observation of two images of a single object seen adjacent to each other, or overlapping. The medical term for double vision is diplopia. Polyplopia is the perception of three or more images of a single object. There are several causes of double vision, therefore it is important for your eye doctor to carefully review your history and examination to determine the cause and initiate appropriate treatment. A thorough evaluation of double vision begins with a detailed history of the diplopia; including with it was a gradual or sudden onset. Duration, frequency and noting any associated symptoms also should be noted during the evaluation.

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  • Diabetic Eye Diseases Projected to Increase

    Posted on December 01 2014

    According to the National Eye Institute, 7.7 million people age 40 and older have been diagnosed with diabetic retinopathy. This number is projected to increase to 11 million in the next 15 years. Diabetes affects more than 29 million people in the United States, which is almost 10 percent of the population. In addition, more than one out of three individuals has pre diabetes, a condition that puts people at and increased risk for developing diabetes. All patients with diabetes are at risk for diabetic eye diseases, including glaucoma, cataracts and diabetic retinopathy. All diabetic patients should have a dilated eye exam at least once per year to detect vision problems early.

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  • Building Valuable Skills in Opthalmic Imaging

    Posted on October 20 2014

    Opthalmic imaging has played an important role as an addition to a patients ophthalmic examination. Imaging has become a critical component of a comprehensive exam due to new technology and treatment options. Fundus photography, optical coherence tomography and fundus autofluorescence results are commonly used as a basis for treatment plans in glaucoma, diabetic retinopathy and age-related macular degeneration. Opthalmic personnel with imaging skills are increasingly in demand and learning these skills can expand your role as a valued member of any eye care team. In addition to the useful and technical aspects of imaging, good assessment and communication skills can also lead to better image quality. Blinking, focusing and overexposure all can be factors in obtaining clear and accurate photos. Learning to judge the images on the capture monitor can help discover any artifacts or problems.

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  • Evaluating and managing post-op CME

    Posted on October 13 2014

    Pseudophakic CME typically happens two to twelve weeks following cataract surgery, although in rare cases it may present months afterwards. The peak incidence of visually important CME is four to six weeks after cataract surgery. Two patient populations at particular high risk for developing postoperative CME are those with a history of uveitis or uncontrolled diabetes and diabetic retinopathy. Postoperative rates of CME in patients with uveitis, even when controlled preoperatively, can be larger than thirty-five percent. CME in patients with diabetes, especially those with preexisting DR and DME, has been reported to be as high as fifty-five percent. Once you have established a diagnosis of pseudophakic CME, appropriate management hinges on identifying an underlying cause, if any. Pseudophakic CME is a main cause of decreased visual acuity following uncomplicated cataract surgery and can be the source of significant patient morbidity.

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  • Summer is peak season for environmental dry eye triggers

    Posted on September 19 2014

    Ophthalmologists have more tools than ever to manage the millions of patients who reportedly suffer from dry eye but one of the most basic causes is many times overlooked: environmental triggers. Dry eye is hugely impacted by the environment, so that’s the first thing doctors can address before even discussing medications or other types of treatment. Patients should be conscious of the fact that they may have to change their lifestyle. Patients should be made aware the importance of wearing sunglasses. Sunglasses are very protective to the eyes. One should also take frequent breaks when reading or using computers or tablets.

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  • Uncovering Clues to Diabetic Retinopathy Prevention

    Posted on September 04 2014

    The National Eye Institute predicts that almost half of all people with diabetes in the United States have some form of diabetic retinopathy. With 850,000 new cases of diabetes being diagnosed each year, the numbers continue to climb. Diabetic retinopathy is the leading cause of blindness in adults. It is a duration-dependent disease but onset and severity is influenced by how well the blood sugar is controlled and other factors such as smoking and hypertension. It is detected in the first few years of diabetes and increases to 50 percent by 10 years; 90 percent have some degree of retinopathy by 25 years of diabetes. The prevalence of diabetic retinopathy is increasing due to prolonged survival of diabetic patients. This high prevalence is spurring research at Kresge Eye Institute, including studies aimed at understanding the basic mechanisms causing diabetic retinopathy and new and better medical and surgical treatments.

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  • Improving Outcomes For Post-Refractive Cataract Patients

    Posted on August 18 2014

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