Dry Eye Disease and Hair Loss

About Dry Eye and Hair Loss
What do dry eye and hair loss have to do with each other? As it turns out, recent research suggests there may very well be a link through your immune system. Alopecia means hair loss. When a person has a condition called Alopecia Areata the hair falls out in round patches on the scalp or elsewhere on the body. Alopecia is not contagious and it is not due to anxiety as some people think. Alopecia is actually due to your immune system attacking the hair follicles and resulting in hair loss. This disease is most occurs in otherwise healthy people. We now know that people with alopecia often suffer from dry eye disease. Researchers examined a series of patients who were previously diagnosed with Alopecia Areata and compared them to a control group who did not have the hair loss problem. They had each patient complete an Ocular Surface Disease Index (OSDI) questionnaire and evaluated their tear film using a Schirmer Test for tear quantity, a tear break-up time test and corneal staining stage tests. Dry eye disease (DED) was diagnosed in 84% of Alopecia Areata patients and in 15% of the controls, and there was a significant difference between the groups. They believe that a certain type of cell mediated autoimmunity has a key role in BOTH Alopecia Areata and dry eye disease and that the inflammatory mechanisms causing Alopecia Areata may trigger dry eye disease or vice versa. Based on this research it is recommended that all patients with Alopecia Areata be examined and evaluated for dry eye disease.

If you or someone you know suffers from Alopecia Areata and wishes to be evaluated for dry eye disease and problems, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or visit us at Michelson Laser Vision Center, Google+, on Facebook at Facebook.com/MichelsonLaserVision or at our new Facebook page at:

Facebook.com/AlabamaEyeCataractCenter.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Dry Eye Slows Reading Speed

Anyone who experiences the symptoms of dry eye is familiar with dryness, discomfort, burning, light sensitivity and even watering that can mark the presence of dry eye disease. But, did you know that dry eye problems and disease can impact visual function? Researchers reporting in Cornea compared visual function using reading tests including the Radner Reading Test, the International Reading Speed Texts [IReST], and the Wilkins Reading Test and studied cognitive function, fatigue, dry eye symptoms, reading acuity, reading rate and blink rate. The results showed significantly lower reading rates in all reading tests in patients with dry eye and a significantly increased fatigue level when reading in dry eye patients.

If you suffer from symptoms of dry eye such as dryness, burning, light sensitivity or watering and have noticed an uncomfortable slowing of your reading ability and even greater eye fatigue or tired eyes when reading, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or visit us at Michelson Laser Vision Center, Google+, on Facebook at Facebook.com/MichelsonLaserVision or at our new Facebook page at: 

Facebook.com/AlabamaEyeCataractCenter

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Glaucoma Acupuncture Treatment

Glaucoma Acupuncture Treatment
With so many advances in the diagnosis and treatment of glaucoma, could it be possible that acupuncture could be a beneficial treatment option for glaucoma patients? Researchers reporting in the American Journal of Ophthalmology evaluated whether the use of acupuncture was an effective treatment for primary open angle glaucoma-the most common type of glaucoma that we diagnose and treat. The researchers carefully considered the effect of acupuncture on intraocular pressure (IOP), best corrected visual acuity (BCVA), visual field testing and using Optical Coherence Tomography (OCT), the health and integrity of the nerve fiber layer around the Optic Disc-all important criteria we use for diagnosing and managing glaucoma. Their study showed that acupuncture has no overall effect on changes in IOP throughout the day and that IOP actually increases immediately after an acupuncture treatment. Further, they found no effect on best uncorrected visual acuity, OCT or visual field tests and thus concluded that acupuncture may offer other health benefits but was not an effective treatment option for glaucoma.

If you or someone you know would like to learn more about diagnosis and treatment of glaucoma or needs a glaucoma eye exam and testing please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or visit us at Michelson Laser Vision Center, Google+, on Facebook at Facebook.com/MichelsonLaserVision or at our new Facebook page at:
Facebook.com/AlabamaEyeCataractCenter.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Diabetic Eye Exams: Don’t Delay!

About Diabetic Eye Disease
Diabetic eye problems include an increased risk of cataracts, glaucoma, neurological eye muscle problems and the potential for serious vision loss from diabetic retinopathy a retinal vascular disease. Vision loss from diabetic eye disease is manageable and in many instances preventable but requires early diagnosis and treatment to be effective. This means ALL patients with diabetes must be diligent in having eye exams at intervals recommended by their eye doctors and/or their primary care physicians, internists or endocrinologists.

About Diabetes
According to the U.S. National Center for Health Statistics 21.7 million U.S. adults aged 18 and over (9.2%) have been diagnosed with diabetes and this percentage increases with age. One in five adults aged 65 and over (20.5%, or 8.7 million) has diagnosed diabetes, compared with 11.0% (11.3 million) aged 40–64 and 1.9% (1.7 million) aged 18–39.

About Delay in Seeking Diabetic Eye Exams
There seems to be a trend in that the more recently you are in having your diabetes diagnosed, the longer you delay in seeking and annual diabetic eye exam. This is troubling in preventing vision loss and avoiding diabetic eye problems. Among all adults, the percentage who visited an eye doctor in the past 12 months increased with years since diabetes diagnosis. About half, 50% of those diagnosed with diabetes within the prior 5 years had visited an eye doctor in the past 12 months, compared with 57.3% of those diagnosed 5-10 years ago and 61.2% of those diagnosed 10 or more years ago. Among adults with diagnosed diabetes, the percentage who had visited an eye doctor during the past 12 months increased with age: 38.2% for those aged 18–39, 53.8% for those aged 40–64, and 66.5% for those aged 65 and over. Thus, among adults with diabetes, both age and years since diagnosis may play a role in visiting an eye doctor in the past 12 months.

If you or someone you know has diabetes, please take the time to schedule and eye exam in order to prevent the risk of vision loss from diabetic eye disease and diabetic eye problems-most of which are preventable with early detection, diagnosis and treatment. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or visit us at Michelson Laser Vision Center, Google+, on Facebook at Facebook.com/MichelsonLaserVision or at our new Facebook page at: 

Facebook.com/AlabamaEyeCataractCenter

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Eye Problems from ADHD Medication

If you, your child or someone you know takes ADHD medication it is important to understand the possible side effects that might impact eyes, cause eye problems and alter vision. The most common prescription medication we see children and even adults taking for treatment of attention deficit hyperactivity disorder (ADHD) is methylphenidate which has a number of trade names such as Ritalin, Concerta, Adderall, Methylin and Daytrana. While the common side effects of loss of appetite, nervousness and difficulty sleeping are easily recognized, researchers reporting in the Journal of the American Association for Pediatric Ophthalmology and Strabismus raised some concern that this treatment may be associated with increased risk of angle closure glaucoma and a disturbance of eye refraction and optical prescriptions. They initiated a study to investigate the effects of methylphenidate treatment on refraction, intraocular pressure (IOP), and the anterior chamber in children with ADHD. This was a pilot study where children diagnosed with ADHD were examined before the start of methylphenidate treatment and again 3 and 9 months after the start of treatment. Their examinations included an eye exam with ordinary as well as cycloplegic refraction-one performed with eye drops and high resolution imaging study of the anterior chamber of the eye where the delicate structures related to glaucoma could be viewed and measured.

ADHD Medication Eye Study Conclusions
The researchers found that methylphenidate does not seem to affect refraction, or optical prescription in most children with ADHD. But, after 9 months of treatment there was a reduction in the eye anterior chamber depth, which has been described as a powerful predictor of angle closure glaucoma. As this was a pilot study more work is needed to really understand any increased risk.

What You Need to Know and Do
If you, your child or someone you know is taking methylphenidate of any type for ADHD, it would be worthwhile scheduling a routine eye examination so that we can measure the refraction, the intraocular pressure (IOP) and anterior chamber angle and depth. We do this regularly during your eye exam. BE SURE TO TELL US YOU ARE TAKING METHYLPHENIDATE. If your eye exam is normal we will most likely ask you to have a repeat exam in a year. BUT, if at any time there s a change in your vision, pain, redness, glare or light sensitivity we want you to call right away and schedule an immediate appointment for that day.

If you or someone you know is being treated for ADHD with methylphenidate medications such as Ritalin, Concerta, Adderall, Methylin and Daytrana, it is important to have a routine eye exam to avoid any risk of eye problems, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Retinitis Pigmentosa Help

About Retinitis Pigmentosa
Retinitis pigmentosa (RP) is a progressive inherited disease of the eye, in which the light-sensitive photoreceptor cells located in the retina degenerate. This results first in the loss of night and peripheral vision, eventually progressing to the loss of central vision and total blindness. It is the leading cause of inherited blindness in the developed world.

The disease, which affects approximately 1.5 million people in the world, has no cure, but thanks to research done at the University of California-Santa Barbara, a new stem cell therapy may soon be available that protects photoreceptor cells from the damaging effects of the gene mutation. So far, only a small number of legally blind patients with RP have begun a trial. The trial is the first attempt to use stem cells to prevent the loss of vision from RP. An experimental injection of retinal stem cells is placed in the eye with the hope that the growth factors from these cells will protect the retinal cells and prevent them from dying, thus preserving the patient’s remaining vision.

If you, a family member or someone you know would like to learn more about Retinitis Pigmentosa or many new stem therapies being developed for diseases of the retina, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+, www.facebook.com/MichelsonLaserVision or www.facebook.com/AlabamaEyeCataractCenter.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Kid’s Sunglasses Help Avoid Solar Retinopathy

About Solar Retinopathy
Solar retinopathy is a condition where the retina becomes damaged as a result of bright light from the sun. The retina is made up of layers of light sensing cells that make vision possible. When they're over stimulated by sunlight, they release a flood of communication chemicals that can damage the retina. This damage is often painless, so people don't realize what they're doing to their vision. Solar retinopathy has been reported to occur from staring at the sun, regardless of its phase. Sometimes people high on drugs have stared at the sun for long periods of time causing serious damage as well adherents of sun worshipping religious sects are also victims. BUT, children too can stare at the sun and painlessly lose their vision from solar retinopathy!

Sunglasses for Children Not Simply About Fashion
Making sure children wear UV protective sunglasses is important to help kid’s protect their eye health and vision as sun damage to the retina, called “solar retinopathy” does affect BOTH children and adults according to researchers reporting in the Journal of the American Association for Pediatric Ophthalmology and Strabismus.

If you or someone you know has children and would like to learn more about sunglasses for kids please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Blueberries Help Night Vision?

Everyone has heard that carrots are good for your eyes. Many folks are probably even aware that eating green leafy vegetables is helpful for those at risk for age related macular degeneration (AMD). But, have you ever heard that blueberries are good for your night vision? Blueberries are considered “super stars” among health food advocates, who tout the fruit for not only promoting heart health, better memory and digestion, but also for improving night vision. Now, scientists have taken a closer look at this and have found reason to doubt that the popular berry helps most healthy people see better in the dark. Their report appears in ACS’ Journal of Agricultural & Food Chemistry. Blueberries were thought to be possibly be helpful for your night vision because they contain anthocyanins, which are pigment molecules in blueberries and other plants, that promote the regeneration of key molecules in the eye involved in perceiving light. But reviews of the earlier clinical research that tested the effect of blueberries on night vision in human subjects revealed that the studies were poorly controlled. The researchers found that a blueberry-supplemented diet did not improve sight in the dark, but they did help subjects recover normal vision after exposure to a bright light. The enhancement, however, was small and not likely noticeable to most healthy people, the researchers concluded. So, if you like blueberries feel free to eat and enjoy them, but don’t wait for your night vision to improve.

If you or someone you know has problems with night vision, it is important to have a thorough eye exam to rule out the possibility of cataracts or other eye problem, condition or disease that may affect the retina or optic nerve. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or visit us on Facebook at out new Facebook page at: 

https://www.Facebook.com/AlabamaEyeCataractCenter

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Macular Degeneration Risk: Diet, Lifestyle & Genes

Unhealthy lifestyles that include smoking, high levels of alcohol consumption, high fat diets and other vascular risk factors are known to contribute to your risk of age related macular degeneration (AMD). Further, we also know that those with a family history of AMD are even at additional risk. Recently a study published in Ophthalmology told us about the further risk that you might experience if you actually have a genetic predisposition. The results showed that odds of developing AMD were 3.3 times greater if you had both unhealthy lifestyle behaviors in combination with high genetic risk as compared to those who had low genetic risk and healthy lifestyles. This shows the powerful negative effect both your genes and lifestyle can play in your risk of developing age related macular degeneration (AMD).

If you or someone you know has a family history of AMD and demonstrates unhealthy lifestyle behaviors it is important to have a comprehensive eye exam on a regular schedule recommended by your eye doctor, at which you clearly make the doctor aware of your risk factors and concerns. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Skipping AMD Treatment Affects Vision

For patients with Age Related Macular Degeneration (AMD) who are being treated with VEGF Inhibitor injections such as Lucentis® and Eylea®, even though it might seem like a great deal of trouble and effort to be totally consistent and compliant with all scheduled appointments-IT IS CRITICAL! The need for consecutive, carefully timed injections according to clinically tested protocol is what helps us preserve your vision and avoid the untoward, potentially catastrophic effects of vision loss from Age related Macular Degeneration (AMD). Researchers reporting in the journal Eye actually studied what happens to the vision of patients who skip even one injection visit. In France, summer vacations are taken very seriously and many French patients leave their doctor’s care for 6-8 weeks as they travel around Europe for the summer. The French eye specialists found that patients who skipped even a single injection during their holiday period were prone to a decrease in vision, formation of cysts and fluid in the macula of the eye being treated. We are hopeful you will carefully follow our recommendations for the timing and frequency of AMD treatment injections so we can help preserve your eye health and vision.

If you or someone you know has questions about AMD treatment with VEGF injections or any aspect of Age Related Macular Degeneration risk, diagnosis, symptoms or treatment please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Slowing Nearsighted Progression

About Nearsighted or Myopic Progression
Myopia is a common disorder, affecting approximately one-third of the U.S. population. High myopia is associated with an increased risk of sight-threatening problems, such as retinal detachment, choroidal degeneration, cataracts, and glaucoma. Slowing the progression of myopia could potentially benefit millions of children in the U.S. To date, few clinical approaches for myopia control and slowing myopic progression have proven to be consistently effective. Treatment options such as undercorrection of myopia, gas permeable contact lenses, and bifocal or multifocal spectacles have all been proven to be ineffective for myopia control, although one recent clinical trial using executive top bifocal spectacles on children with progressive myopia has shown to decrease the progression to nearly half of the control subjects. The most effective methods are the use of Orthokeratology contact lenses, soft bifocal contact lenses, and certain eye drops not specifically approved for this use. We encourage parents children experiencing rapid myopic progression to discuss which if any of these options might be helpful or appropriate for their children.

If you or someone you know has a question about myopic progression or the ways to slow nearsighted prescription increases, feel free to discuss your concerns with us and please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Thyroid Disease and Eye Problems

Did you know that having thyroid disease can cause eye problems? And, thyroid eye problems can be quite different depending on your age. In general, younger patients under the age of 40 are more likely to have thyroid eye disease characterized by “eye bulging”, clinically called proptosis, along with a retraction or “pulling back” of their eyelids. Older patients, those above 40 years old are more likely to have thyroid eye disease characterized by double vision or “diplopia” from eye muscle problems as well “optic neuropathy” or damage to their optic nerve. In most cases younger patients have milder signs and symptoms of eye problems.

If you or someone you know has thyroid disease or experiences any of the signs or symptoms of bulging eyes, double vision or reduced vision, it is important to immediately schedule an eye exam and share your diagnosis of thyroid disease with your eye doctor or the symptoms you are experiencing. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Aging Eye Problems

About Aging Eyes
Aging eye problems are a fact of life for adults growing older just like wrinkles, slowing metabolism and graying hair. Eventually, your eyes are affected by age so it’s important to understand how your eyes change with age and what you can do to preserve your eye health and vision. Some aging eye changes and problems are expected and normal and others indicate the presence of eye diseases that need to be detected, diagnosed and treated or changes that need to be addressed to preserve vision. For these reasons having regular eye exams at the intervals recommended by your eye doctor is key-especially after the age of 40 years old.

About Aging Eye Problems
Presbyopia
Beginning in the late 30s and early 40s, the crystalline lens in your eye loses flexibility, making it difficult to focus and read up close. Your “arms seem “too short.” This condition is called presbyopia, which literally means "aging eye", and is most often treated with reading glasses, progressive lenses or bifocals depending on how you need to use your eyes for various tasks throughout the day, for work or recreation.

Dry Eye
Dry eye often develops with age and is a common problem for women during pregnancy and menopause. These hormonal changes cause changes in the eye’s tear production. Certain medications can also cause dry eye. If you have dry eye, you may be prone to an eyelid irritation called blepharitis, a common cause of irritation or swelling of the eyelids. The cause of your dry eye-either too few tears being produced or too rapid evaporation of tears will need to be diagnosed and then your eye doctor can prescribe a range of treatments including eye drops that add artificial tears, prescription eye drops that help you make more of your own tears called Restasis®, tiny punctal plugs to help you retain more of your own tears, anti-inflammatory eye drops and many other treatment options to get you help for dry eye symptoms and discomfort.

Diabetic Retinopathy
People in their 50s, 60s and 70s with diabetes are most at risk for this disease. Diabetic retinopathy occurs when the small blood vessels inside the retina swell, leak fluid or close off completely due to damage from elevated blood sugar levels. But, you can take steps to prevent diabetic retinopathy with tight control of blood sugar, low fat diets, regular exercise and controlling blood pressure levels. It is also critical to see your eye doctor regularly for diabetic eye exams as with early detection, diagnosis and treatment the vision loss from diabetic retinopathy can be slowed and often prevented.

Cataracts
Cataracts are very common in older people. As you age, proteins in your crystalline lens begin to clump together and cause the lens to be cloudy. This is the development of a cataract where the lens has become less transparent, causing blurry, cloudy or dim vision and increased glare and haloes around lights. Many people with the condition describe it as similar to looking out of dirty windshield. Cataracts can interfere with daily activities like driving at night and distinguishing colors. While treatment of early cataracts with changes in eyeglass prescription may provide some benefit, the only really effective treatment for cataracts is cataract surgery where the cloudy lens is removed and replaced with a permanent artificial lens implant which can correct the cataract as well as nearsightedness, farsightedness, astigmatism and even presbyopia.

Glaucoma
Glaucoma is a disease of the optic nerve that damages the fibers that transmit visual information to the brain. This damage often leads to loss of side vision or peripheral vision. If left untreated, glaucoma will certainly lead to progressive vision loss and ultimately total blindness. Glaucoma is most common in people age 55 and older. One of the problems with glaucoma, especially the most common type of glaucoma, called chronic open-angle glaucoma, is that there are typically no symptoms in the early stages. Many people who have the disease do not know they have it. This is why it is important, especially as you get older, to have regular medical eye exams at intervals that depend on your risk factors-such as smoking, sleep apnea, age, diabetes, high blood pressure, early menopause-as recommended by your eye doctor.

Floaters and Flashes
As people grow older, the gel, called the Vitreous-that fills the inside their eye starts to shrink, forming clumps, liquid or strands. These strands and clumps can appear as “floaters” that appear as small specks or lines moving in your field of vision. As it shrinks, the gel can also pull away from the back wall of the eye, causing you to see “flashes” which appear as flashing lights or lightning streaks in your vision. While this is normally harmless, in some cases it can lead to retinal detachment and cause serious vision loss and even blindness. If you experience new floaters and flashes, it’s important to see your eye doctor as soon as possible, especially if you are over age 45, are nearsighted or have had eye injuries in the past.

Age Related Macular Degeneration (AMD)
AMD is a senior eye problem that affects the central vision, limiting a person’s ability to read and recognize faces. This can be caused by a thinning and deterioration of the macula which is the center of the retina or by the growth of abnormal blood vessels under the retina. AMD can lead to blindness if not treated and it continues to be the leading cause of blindness in Americans over 65. Fortunately with early detection, diagnosis and treatment, vision loss from AMD is preventable or at least manageable so that we can reduce vision loss and in many cases, recover vision.

If you or someone you know is concerned about ageing eye problems such as presbyopia, dry eye, diabetic retinopathy, glaucoma, age related macular degeneration (AMD) or cataracts please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Diabetes: A Top Vision Loss Risk Factor for Hispanics

Diabetes Vision Loss in Hispanics

Results from the Los Angeles Latino Eye Study (LALES) confirm that diabetes is a top risk factor for vision loss among Hispanics. LALES and other large studies have found that people who have diabetes are more likely to develop serious and potentially blinding diseases, including diabetic retinopathy, glaucoma, cataract and glaucoma. Hispanics are more likely to develop diabetes than other groups.

Preventing Vision Loss in Hispanics
Preventing diabetes or catching and treating it and any related eye diseases in their early stages would go a long way to improving Hispanics' vision health. Hispanics are the fastest-growing group in the United States and thus it is important to have routine eye exams especially if you are diabetic and Hispanic. LALES researchers believe that if our Hispanic population receives thorough exams and care as needed, the burden of vision loss in U.S. Hispanics could be reduced.

If you are Hispanic and especially if you have diabetes, having regular eye exams is critical to reduce your risk of vision loss. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Headaches & Childrens’ Eye Problems

About Headaches and Childrens’ Eye Problems
It is pretty common for parents to bring their children in for an eye exam because they are complaining of headaches. Headaches are a frequent complaint of kids but fortunately they are usually not serious. Some of the more common causes of headaches in kids include migraine, the stress and tension of school, certain foods with nitrate or MSG preservatives, physical trauma, sinus infections and of course eye problems. Parents can be concerned with the serious but truly rare occurrence of brain tumors causing headaches but this is usually accompanied by other complaints of dizziness, weakness of arms and legs and a loss of coordination.

Evaluating Kids with Headaches
As part of evaluating any child with headaches I always want to be sure that there has been a complete and thorough examination by their pediatrician who may need to order additional tests or even a referral to a neurologist. Then I will need to perform a complete eye exam including evaluation of the pupils, a refraction to determine any refractive error or need for glasses, eye alignment and binocularity testing and sometimes possible a visual field examination. Generally I will put drops in the child’s eyes to dilate the pupils, so that the optic nerves can be properly examined and the refractive error can be most accurately measured.

Eye Problems That Can Cause Headaches
If your child has uncorrected hyperopia or farsightedness, it requires extra effort to focus clearly while reading. This can sometimes lead to fatigue and headache. Glasses can reduce the effort required to see clearly at near and improve the headache, if significant hyperopia exists. Mild hyperopia is normal in children, however, and generally does not cause headaches or other symptoms.

When we read or perform other near activities, our eyes pull in toward each other, this is called convergence. The decreased ability to pull the eyes toward each other when viewing near objects (convergence), particularly while reading, may cause headaches. This is called convergence insufficiency, and symptoms include the doubling of images or words, blurred vision, fatigue, and headaches which worsen with prolonged reading. At home eye exercises, sometimes with the help of computer software, can help treat convergence insufficiency. Glasses are sometimes prescribed, but costly in-office eye exercises are rarely necessary.

Acute infections, allergic and inflammatory diseases of the eyes can also cause headaches. These problems are often accompanied by redness of the eye and/ or the eyelid as well as light sensitivity or photophobia. Acute glaucoma can cause headaches, but rarely affects children. Pseudo tumor Cerebri is a condition caused by increased intracranial pressure or too much fluid around the brain, and this causes headache and swelling of the optic nerves, but does not typically cause redness of the eyes. During the complete eye exam we perform we will be able to rule out these problems as a cause of headaches in your child. If we do not find any ocular causes of your child’s headache we may refer them back to his/her pediatrician and/or to a neurologist to look for other possible causes of the headaches.

If you have questions about causes of kids headaches or children’s eye problems, or need assistance please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Eye Problems and Psoriasis

Psoriasis and Retinal Vein Occlusion
What does having psoriasis have to do with eye and retina problems? As it turns out having psoriasis is associated with a higher risk of developing an eye problem called Retinal Vein Occlusion (RVO), a condition where one or more veins in the retina become blocked with a high risk of vision loss and many complications.

Psoriasis is an autoimmune disease that causes raised, red, scaly patches to appear on the skin. It typically affects the outside of the elbows, knees or scalp, though it can appear on any location. Some people report that psoriasis is itchy, burns and stings. Psoriasis is associated with other serious health conditions, such as diabetes, heart disease and depression. If you develop a rash that doesn't go away with an over-the-counter medication, you should consider contacting your doctor. Further, if indeed you are diagnosed with psoriasis, you should make sure to have regular eye exams and tell us that you have this condition.

If you or someone you know suffers from psoriasis, you should schedule regular eye exams and be sure to tell your eye doctor about your condition. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Cataract Surgery Lens Implants and Driving

People with cataracts often are unaware of the subtle changes in lifestyle and mobility that they adopt as they await the “right time” for cataract surgery. Almost always, people who have cataract surgery immediately feel an improved quality of life from the restored freedom of clear vision, especially for those who wish to continue to drive. A recent study also tells us that the choice of lens implant can play a role in restoring driving habits. When you schedule an appointment for a cataract evaluation or if you are visiting us for a cataract eye exam before surgery, please be sure to discuss and advise us of your driving habits and desires-especially night driving-so that we can counsel you on the different types of lens implants that we might use to help you return to a comfortable, convenient, safe and active driving pattern along with the other activities that the cataract might have limited for you.

If you or someone you know has a cataract or wishes to learn more about laser cataract surgery and lens implants especially as related to driving and mobility, please schedule a cataract eye exam by calling Alabama Eye & Cataract Center in Birmingham at 205-930-0930, or or visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine cataract surgeons.

Special Eye Exams Predict Diabetic Retinopathy Damage

Recently reported information in Retina Today from research conducted at the Joslin Diabetes Center’s Beetham Eye Institute demonstrated that for people with diabetes who are showing evidence of diabetic retinopathy, it is of important predictive value for us to carefully evaluate lesions not simply the center of the retina, but more importantly those in the periphery of the retina, as these changes generally tell us that the disease will progress more rapidly. What we now know is that these peripheral lesions, which are not detected by traditional eye imaging, correlate very closely with the loss of retinal blood flow called retinal “non-perfusion” which tells us that there is damage to the small blood vessels or capillaries in the retina.

Thus, if you are diabetic and we are following you for retina changes and diabetic retinopathy we may recommend that we take both the routine retina photographs and fluorescein angiography of the central retina as well as the peripheral retina. If this extra measure of safety is required we will advise you of this extra step at the time of your diabetic eye exam.

Fortunately, with early detection, diagnosis and treatment the last decade or so has given us many major success stories for the treatment of diabetic eye disease, including diabetic macular edema (DME), with drugs that target a protein called vascular endothelial growth factor (VEGF). It’s possible that such anti-VEGF drugs might also help to treat peripheral lesions and slow or even eliminate the risk of progression.

If you or someone you know has diabetes, having regular eye exams and testing to prevent vision loss from diabetic retinopathy is an important part of your care. Please schedule a diabetic eye exam by calling Alabama Eye & Cataract Center in Birmingham at 205-930-0930 or visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye specialists.

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 opening 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 some 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 as a matter of routine and, as a parent I will make sure to thoroughly explain them and answer all of your questions if they become necessary.

If you or someone you know has questions or concerns about childrens tear duct problems or needs a kids eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors.

Concussion Eye Test for Student Athletes

Eye Test for Concussion in Student Athletes
UAB is a very prominent force in student athletics. An eye test for concussions might be helpful for student athletes playing contact sports who are known to be at risk for head trauma. Up to 3.9 million sports related mild traumatic brain injuries, or concussions, occur annually in the United States, according to the Centers for Disease Control and Prevention, but researchers say that number is likely higher since the CDC only tracks emergency room visits. Experiencing a concussion in a game increases an athlete’s risk for sustaining a second condition in the same season by three times. Other complications include the dangerous second impact syndrome, or other short and long term side effects.

Research on Concussion and Eye Tests
Research from the NYU Langone Concussion Center shows that a simple eye test, which can be administered in less than two minutes, can effectively diagnose a concussion and help determine whether a student athlete as young as 5 years old should return to a game. A study published in the Journal of Neuro-Ophthalmology, was conducted on 89 NCAA athletes and a younger group of 243 youth athletes under age 17, and shows how the eye test, known as the King-Devick test, could help minimize the problems that make the diagnosis of concussion difficult in student athletes involved in youth sports. The researchers report that the test can easily be administered on the sidelines by parents and non-health care professionals when athletic trainers and doctors are not available to monitor sidelines at youth sports games.

About the King-Devick Test
As part of the King-Devick test, athletes read numbers off of three pieces of paper while being timed with a stopwatch. A worsened performance from a baseline reading suggests a concussion has occurred. Since concussions may cause devastating short and long term cognitive effects, tools like vision testing that can objectively diagnose a concussion are critical. Some sideline tests only measure cognition and balance, but visual testing is rarely performed, despite longstanding evidence that vision is commonly affected by concussion, according to a review article published in the Journal of Neuro-Ophthalmology. Previous research suggests about 50 percent of the brain’s pathways are tied to vision.

If you or someone you know plays youth sports and is concerned about the risk and evaluation of concussion, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

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 even 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 even 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 even 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, too- 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 Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Eyes Help Monitor Huntington’s Disease

About Huntington’s Disease

We now know that certain eye tests may help serve as “biomarkers” for the progression of Huntington’s Disease as well as help understand whether some of the new medications prescribed might be helping to slow its progress. Huntington's Disease is an inherited disease that causes the progressive breakdown and degeneration of nerve cells in the brain. Huntington's disease has a broad impact on a person's functional abilities and usually results in movement, thinking and psychiatric disorders. Most people with Huntington's Disease develop signs and symptoms in their 30s or 40s, but the onset of disease may be earlier or later in life. Medications are available to help manage the symptoms of Huntington's Disease, but treatments can't prevent the physical, mental and behavioral decline associated with the condition.

Eye Problems with Huntington’s Disease

One of the earliest and most recognizable eye problems of Huntington’s Disease is a change in eye movements or “saccades” where there is a lag initiating an eye movement to look at something and/or an involuntary reflex saccadic movement that the person can’t control. This loss of eye movement control is quite common. Recent research using Optical Coherence Tomography (OCT) testing that we do right in our offices allows us to study the health of the retinal nerve fiber layer and the health of the nerve fibers around the center of vision, called the macula. What we know is the thinning of the nerve fiber layer on OCT, along with a loss of the macular volume is an indicator of the progression of the disease and can serve to monitor that progression.

If you or someone you know has Huntington’s Disease or questions about eye problems with Huntington’s Disease please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision
Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye surgeons.

Treatment of Lazy Eye or Amblyopia

Treatment of Amblyopia
The best results are always achieved if the treatment of amblyopia is started as early as possible. If necessary, children with refractive errors such as nearsightedness, farsightedness or astigmatism can wear glasses or contact lenses when they are as young as one week old. Children with cataracts or other “amblyogenic” conditions need to be treated promptly in order to minimize the development of amblyopia. One of the most important treatments of amblyopia is correcting the refractive error with consistent use of glasses and/or contact lenses. Other mainstays of amblyopia treatment are to enable as clear an image as possible, for example, by removing a cataract, and forcing the child to use the non dominant eye by patching or blurring the better seeing eye with eye drops. Eye drops are used to “penalize” the good eye and force the use of the weaker or amblyopic eye. We may be able to use eye drops instead of patching when the amblyopia is not very bad or when a child is unable to wear the patch as recommended. For mild to moderate degrees of amblyopia, studies have shown that patching or eye drops may be just about equally effective. Generally, we start to see improvements in vision within weeks of treatment, however for optimal results it will be necessary to be patient for many months.

In some cases, treatment for amblyopia isn’t successful and it is difficult to stop treatment but is recommended when there isn’t any real benefit. Children who have amblyopia in one eye and good vision only in their other eye can wear safety glasses and sports goggles to protect the normal eye from injury. As long as the good eye stays healthy, these kids function normally in most aspects of society.

If you or someone you know has questions or concerns about the treatment of amblyopia or needs a kids eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors.

Laser Cataract Surgery Benefits

Laser Cataract Surgery Benefits
If you are concerned about cataracts or been told that you have a cataract, when you visit Alabama Eye & Cataract Center for a cataract surgery and lens implant exam we will carefully evaluate not only the impact of the cataract on your vision and overall quality of life, but should you be ready to have the cataract removed, we will also make a recommendation about the safest, most precise and gentlest type of cataract surgery so that we can get you the best, most reproducible result in the shortest timeframe. This is why if you are a good candidate, we will recommend laser cataract surgery rather that standard cataract surgery. Our clinical experience at Alabama Eye & Cataract Center is consistent with the published research in the Journal of Cataract & Refractive Surgery, that laser cataract surgery is gentler and provides faster visual recovery, more precise optical prescription results and quicker stabilization of the final vision.

If you or someone you know has questions about cataracts, laser cataract surgery and lens implants please call please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine cataract surgeons.

Field Hockey Eye Injury Reduced with Mandatory Eyewear

Avoid Sports Eye Injury with Protective Eyewear
According to research on data from the High School Reporting Information Online database and from a Virginia school district that includes 25 high schools, recorded between 2009 and 2013, analyzed and published in the journal Pediatrics, the use of mandatory protective eyewear by female field hockey players has reduced incidences of eye and orbital injuries, as well as severe face and head injuries. Among female U.S. high school field hockey players, a national mandate for protective eyewear has been associated with a greater than threefold reduced risk of eye and orbital injuries and a decreased incidence of severe eye and orbital as well as head and face injuries. This information supports a policy change and implementation of the mandatory use of protective equipment in field hockey at all amateur levels.

If you or someone you know have questions about protective eyewear for sports, or need to be fitted with protective eyewear to avoid the risk of sports eye injury, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205

Prevent Nearsighted Progression

Anyone who has a child or teenager who is becoming more and more nearsighted each year wants to know if there are ways we can prevent the progression of myopia. Over the years there has been discussion of trying to under correct the nearsightedness, rather than prescribing the full correction, in order to slow down nearsighted prescription changes. Researchers reporting in Grafe’s Archives for Clinical and Experimental Ophthalmology studied the effects of undercorrection of myopia on myopia progression and eye length elongation in a population of 12-year-olds. They followed more than 2,000 children for 1 year and used careful analysis to consider the effects of how much near work, how much outdoor activity and the amount of time glasses were actually used as well as the degree of nearsightedness. They tested them by measuring their cycloplegic auto refraction, axial length of the eye, visual acuity and near vision focusing lag. The results demonstrated that over a period of 1 year, prescribing an undercorrection or full correction of myopia by wearing spectacles did not show any differences in myopia progression. Whether this would be the same result for younger children, or if the correction was prescribed in contact lenses or over a longer period of time is not certain but initially suggests that it is not helpful to under correct nearsighted children with glasses to slow myopic progression.

If you or someone you know have questions about nearsightedness, types of correction for nearsightedness including glasses, contact lenses or even LASIK, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or facebook.com/michelsonlaservision. Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Contact Lens Case Safety

About Contact Lens Case Safety

There is good news for contact lens wearers shared at the American Society for Microbiology 55th Interscience Conference of Antimicrobial Agents and Chemotherapy (ICAAC/ICC). New research has developed a “microbiosensor”-novel sensor device that alerts contact lens wearers when it is unsafe to put contact lenses in their eyes. This new device could reduce the incidence of severe eye infections which occur when dirty contact lenses are worn. This technology has potential for use as a both a research tool in clinical studies to monitor levels of bacterial growth associated with contact lens wear, and as a new approach to reducing and even preventing eye infections associated with contaminated contact lenses. While contact lenses are quite safe and effective properly fitted and cared for, there are a significant number of patients who just don’t take great care and misuse their solutions and especially their cases. Most often, they simply don’t keep their cases clean or replace them or don’t replace the solution in the case each and every day they wear their lenses. These kinds of risky behaviors expose the contact lens wear to increased eye safety risk of infection.

If you or someone you know wears contact lenses, has questions about contact lenses or wishes to be fit with contact lenses please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision to schedule an appointment.

Alabama Eye & Cataract Center is leading eye care center in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine corneal specialists.

Lazy Eye or Amblyopia: What is it?

Lazy Eye Amblyopia: What is it?
Amblyopia or “lazy eye” is a very common vision problem that we see in children. In fact it is responsible for more vision loss in kids than all other reasons combined. Amblyopia is a decrease in the child’s vision that occurs even without any structural problem being present. The decrease in vision results when one or both eyes send a blurry image to the brain. The brain then “learns” to only see blurry with that eye, even when glasses are used. Only children can get amblyopia. If it is not treated, it can cause permanent loss of vision. There are a number of types of amblyopia including strabismic amblyopia which is caused by an eye alignment or eye turning problem, deprivation amblyopia which is caused by cataracts or other condition that “deprives” the eye of a visual image and refractive amblyopia which is due to an uncorrected refractive error such as farsightedness or astigmatism.

Depending on the cause of the amblyopia and whether there is an underlying uncorrected refractive error sometime glasses can help but will not correct the vision to 20/20. With amblyopia, the brain is “used to” seeing a blurry image and it cannot interpret the clear image that the glasses produce. With time, however, the brain may “re-learn” how to see and the vision may increase. Remember, glasses alone do not increase the vision all the way to 20/20, as the brain is used to seeing blurry with that eye. Because of this most of the time the normal eye is treated with patching or eye drops to force the amblyopic eye to be used and make it “stronger.” to make the amblyopic (weak) eye stronger.

If you or someone you know wishes to learn about “lazy eye” or amblyopia or has questions or concerns about amblyopia or needs a kids eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and eye specialists.

Spring & Pollen Means Itchy, Watery Eye Allergies

About Itchy, Watery Eyes and Eye Allergies
Spring is beautiful, except for pollen and itchy eyes! While many people enjoy the spring, millions of others live with hatred of those times when the trees, grass and weeds begin to pollinate. People who are sensitive to these allergens experience seasonal allergic conjunctivitis, the most common type of eye allergy. Allergic conjunctivitis-which causes red, itchy, watery eyes-results in the conjunctiva, the clear membrane like skin that covers the eye, becoming inflamed when triggered by an allergen. It is estimated that in the United States, some 20 percent of the population suffers from eye allergies making them anything but unusual. Further, the incidence appears to be on the rise. Some researchers believe that our increasingly clean, modern society which no longer requires our bodies to fight off multiple childhood infections has caused our immune systems to shift from an infection-fighting stance to more of an allergic stance. When the body's immune system becomes sensitized and overreacts to substances such as seasonal pollens and pet allergens, an allergic reaction can occur whenever they come in contact with your eyes.

If you or someone you know suffers when pollen season and spring arrives, resulting in red, itchy, watery eyes, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine corneal specialists.

Kids’ Eye Exams: When to Have Them

When to Have Kids’ Eye Exams

At Alabama Eye & Cataract Center we are often asked about the best time to have kids’ eyes screened, examined and evaluated for eye health and vision problems. The American Academy of Pediatrics and the American Academy of Ophthalmology recommend that your child's eyes be screened for problems at birth, by 6 months of age, at 3 to 4 years of age, at 5 years of age, and every following year. Getting your kids eyes checked and screened regularly is critical for finding any issues that should be caught treated early. In most instances it may not actually be necessary for your child to have an exam with an eye doctor as your pediatrician can do the initial screenings at the routine well child visits. However, for preemies or if there is any family history of childhood eye problems it’s probably a good idea to bring them in to see us and we might recommend more frequent or more detailed exams

If you or someone you know has questions or concerns about childrens eye problems or needs a kids eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision to schedule an appointment.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors.

Eye Injuries in Children from Dogs

Eye Injury in Children
Eye injury remains the leading cause of monocular blindness in children, despite the fact that 90% of injuries are potentially preventable. Children playing with pets require supervision and education on how to treat pets. Children interact with animals in a variety of situations, and the associated dangers may be underestimated by parents and those supervising children. Eye injuries in children from pets can often be serious and cause severe eye problems-but they too are preventable. It is not uncommon for children’s dog bite injuries to include corneal abrasions, corneal and sclera lacerations or punctures of the eye itself, all of which at a minimum require aggressive treatment and in many instances repeated surgery. Further, animals are capable of causing damage to the delicate tissue of the eyelids and surrounding tissue that can be cosmetically and visually devastating-also requiring multiple surgeries.

Typically, when very small children-age 4 and younger-are bitten by dogs, eye injuries occur about 15% of the time. The dog is usually one the child is familiar with, and second attacks by the same dog are likely to cause more serious injury. It is recommended that any dog that bites a child be removed from the household. With caution, education and supervision pets and children can be quite compatible but does require some care.

If you or someone you know would like to learn more about children’s eye injuries, especially from pets such as dogs, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision. Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors and corneal specialists.

Cataract Surgery Patient Satisfaction

Cataract Surgery Patient Satisfaction
The benefits of cataract surgery in restoring poor vision as well as quality of life are very obvious. As cataract surgeons we are also very pleased to report that cataract surgery has an extremely high level of overall patient satisfaction-in our practice as well as in national surveys collected by the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement. By 2030, 38 million Americans will suffer from cataracts, a number that will increase to 50 million by 2050, according to the National Eye Institute of the National Institutes of Health. According to the study, from the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement, 99.7% of patients would recommend the procedure to friends or relatives suffering from cataracts. 96% of patients reported that their vision was better post-surgery, and 98 percent said they were comfortable during the procedure and right after their surgery. What’s more, 96% returned to normal activities of daily living within one week of their cataract surgery procedure. “This is very typical of what we see at Alabama Eye & cataract Center and the data clearly shows that patients find value in cataract surgery and are generally very pleased with the outcomes of the procedure,” said Marc Michelson, M.D.

If you or someone you know suspects or has been told they have a cataract and would like to learn more about laser cataract surgery and lens implants, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision to schedule an appointment.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine cataract surgeons.

Why Do Children Need Glasses?

Why Do Children Need Glasses?
Kids can need glasses to correct common refractive errors that can blur their vision-like nearsightedness or myopia, farsightedness or hyperopia or astigmatism, or they need glasses to help correct an eye muscle imbalance, or strabismus such as “crossed eyes’ or esotropia or provide help with a vision development problem such as “lazy eye” or amblyopia. The reasons children can need to wear glasses really depends on the nature of their vision development and eye coordination and focusing ability. The reasons can be somewhat different than for adults in certain cases. Depending on the problem they may have to wear the glasses through their developmental years and could “outgrow” the need in certain development instances.

If you or someone you know would like to learn more about why kids need glasses or need to schedule a children’s eye exam please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision to make an appointment.

Michelson Laser Vision and Alabama Eye & Cataract Center are leading eye care centers in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine eye doctors.