Rheumatoid Arthritis & Your Eyes

Eye Problems from Rheumatoid Arthritis
What does arthritis have to do with your eyes? Rheumatoid arthritis (RA) is an inflammatory disease characterized by swelling and irritation. The inflammation of RA occurs when your body's defense system (immune system) attacks your own body tissues instead of foreign invaders like viruses or bacteria. Most of these attacks occur in your joints, but RA inflammation can also affect other parts of your body, including your eyes. In fact, your eyes are especially vulnerable. Some of the more common eye complications of rheumatoid arthritis include dry eyes, scleritis-an inflammation of the “white” of your eye-which is uncomfortable and even painful, iritis-an inflammation of the colored part of the eye or the iris, or uveitis, an inflammation of the middle lining inside the eye that supplies blood to other internal structures. Any of these rheumatoid arthritis complications can requirement treatment to avoid at a minimum discomfort and more seriously vision loss. So, if you have been told you have rheumatoid arthritis and experience dry eyes, redness, pain, or changes in your vision, you should make sure to see us for a diagnosis and treatment if needed.

If you or someone you know wishes to learn more about how rheumatoid arthritis can cause 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 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 and eye specialists.

Dry Eye Help with Punctal Plugs

About Help for Dry Eyes
Dry eye is a very common we hear about from patients almost each and every day. There are many causes of dry eye and we must first carefully examine patients to find the cause and type of tear film deficiency in order to offer help for dry eyes. The good news is that there are many helpful treatment options we can prescribe. One of the most helpful and convenient ways we can help dry eye is by inserting tiny microscopic “plugs” into the tear ducts where your tears would normally drain. These tear ducts are located in the nasal area of your eyelids and are easily visible to us during your eye exam and dry eye consultation using a slit lamp in the examination room. The opening to the tear ducts is called a “puncta” and the tiny plugs are called “punctal plugs.” Researchers reporting in the American Journal of Ophthalmology confirmed the benefits of punctal plus with little risk of complications. Punctal plugs are a convenient treatment we can prescribe when necessary to help you with the symptoms and problems of dry eyes.

If you or someone you know suffers from dry eye or wishes help for dry 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.

Angle Closure Glaucoma with Certain Medications

About Angle Closure Glaucoma
Angle Closure Glaucoma is a type of glaucoma caused by a blockage or complete closure of the drainage structure of the eye called the trabecular meshwork. The trabecular meshwork is actually a fine filter, and if it is blocked or obstructed by any alteration in the size or shape of the surrounding structures, or by change in the size or shape of the tissue itself, it will cause the intraocular pressure (IOP) to elevate. In instances where the meshwork becomes blocked abruptly, it will cause a sudden rise in the intraocular pressure (IOP), resulting in Acute Angle Closure Glaucoma. Acute Angle Closure Glaucoma is characterized by this sudden rise in pressure which will cause pain, redness, light sensitivity, colored haloes around lights, nausea or vomiting, and blurred vision, and if left untreated permanent loss of vision.
Medications Can Cause Angle Closure Glaucoma

In patients who may already be at risk for Angle Closure Glaucoma because they have certain tissue and anatomical features inside their eyes, certain medications can significantly increase their risk. Two medications that are worth mentioning are the antidepressants Wellbutrin (Buproprion) and Topamax® (Topiramate). While both of these are often used to treat mild to moderate depression, they are also used to help patients stop smoking! Researchers reporting a study in Archives of Ophthalmology found that the risk of angle-closure glaucoma in patients younger than 50 years was twice as high in patients taking Wellbutrin and more than 5 times higher in patients taking Topamax®.

If you or someone you know is being treated for depression or has been prescribed Wellbutrin or Topamax® to help stop smoking, please make sure you tell your eye doctor and ask about your risk of Angle Closure Glaucoma, as well as become familiar with the symptoms above. If you have not had an eye exam with glaucoma testing and are taking these medications, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/michelsonlaservision

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

Contact Lens Eye Problems: Avoid Risky Behaviors

Avoid Risky Behaviors to Prevent Contact Lens Problems
Eye health and vision problems from contacts lenses can be prevented by avoiding known risky behaviors. According to the Centers for Disease Control and Prevention almost all of the 41 million estimated contact lens wearers in the United States may be engaging in at least one behavior known to increase their risk of eye infections. Nearly one-third of contact lens wearers who participated in a national survey reported going to the eye doctor for red or painful eyes related to wearing contact lenses. More than 99 percent of survey respondents reported at least one risky behavior. The majority of wearers reported:

• Keeping their contact lens cases for longer than recommended (82.3 %)
• “Topping off” solution in the case by adding new solution to the existing solution instead of emptying the case out fully before adding new solution (55.1%)
• Wearing their lenses while sleeping (50.2 %)

Each of these behaviors has been reported in previous studies to raise the risk of eye infections by five times or more! An online survey was administered to a sample of contact lens wearers to determine how often contact lens wearers engaged in behaviors that could put them at risk for an eye infection. CDC collaborated with the Contact Lens Assessment in Youth (CLAY) group, a multi-university group of researchers, to conduct the survey. A separate survey was used to estimate the number of contact lens wearers – about 41 million adults. Taken together, the survey results indicate that millions of Americans could be at risk for serious eye infections because of poor contact lens hygiene behaviors.

We know that contact lenses can be worn safely if wearers are mindful of using good hygiene. To prevent eye infections, contact lens wearers should:

• Wash hands with soap and water and dry them well before touching contact lenses
• Take contacts out before sleeping, showering or swimming
• Rub and rinse contacts in disinfecting solution each time they remove them
• Rub and rinse the case with contact lens solution, dry with a clean tissue and store it upside down with the caps off after each use
• Replace contact lens cases at least once every three months
• Avoid “topping off” solution in lens case (adding fresh solution to old solution)
• Carry a backup pair of glasses in case contact lenses have to be taken out

If you or someone you know have questions about contact lens care, hygiene, safety and how to avoid eye infections from contact lens wear, or wish to have a contact lens consultation or fitting, 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.