Archive of: eye doctor

  • 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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  • AMD & Nutrition

    Posted on November 26 2014

    Age-related macular degeneration (AMD) is the chief cause of blindness for people ages 55 and older in the United States. A rising number of data suggest that nutritional intake of antioxidants- including lutein , zeaxanthin, and omega-3 fatty acids- may help decrease the risk of AMD and help improve vision. Eye health professionals can play an important role in educating patients about the power of nutrition. Since the body is unable to produce these antioxidants , lutein and zeaxanthin must come from dietary intake or from a form of supplements. Some studies suggest that participants who took the AREDS formulation with lutein and zeaxanthin had an 18 percent reduced risk of developing advanced AMD over a 5 year study, and participants who had low levels and intake before the study began were 25 percent less likely to develop advanced AMD compared to participants with similar dietary intake who were not taking lutein and zeaxanthin supplements.

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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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  • 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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  • Two different perspectives of the posterior segment SD-OCT and Cameras

    Posted on August 25 2014

    he use of the camera to document the condition of the eye dates back to the earliest days of photography. Today we commonly use two different, but complementary, technologies to document the ocular fundus: fundus photography and optical coherence tomography (OCT). In imaging the fundus, our goal is to document anatomic structures that can be measured in microns, with enough detail for physicians to make diagnostic decisions. All this must be done through the pupil. Each of these instruments provides a different perspective of the posterior segment. Fundus Cameras The fundus camera is a horizontally mounted instrument with an internal electronic flash and an attached camera or digital sensor.

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    Posted on March 10 2014

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    Posted on February 18 2014

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    Posted on February 10 2014

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  • SLT as standard for first-line IOP lowering

    Posted on February 06 2014

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