Laser Toy Eye Injury in Children

Inexpensive and extremely powerful lasers that are incorporated in toys are now available for purchase on the Internet. Laser pointers used for presentations or as toys typically have outputs of 5 milliwatts (mW) or less, usually in the red wavelength. These lasers are generally harmless to the human eye in short exposures. Ophthalmic lasers for treating diabetic retinopathy typically have a power output of 50 to 100 mW and come in a variety of wavelengths, depending on the clinical application. If misused, the lasers are capable of causing severe eye damage. Such lasers are regulated by the Food and Drug Administration (FDA) and are not available for public use. However, foreign companies sell lasers over the Internet that have outputs of up to 200 mW or more in dangerous green wavelengths.

These lasers can cause eye injuries plus confusion for eye doctors. Children who suffer eye damage from lasers may be misdiagnosed with genetic eye disorders and undergo expensive and unnecessary testing. It’s never advisable for children to play with lasers, but it’s especially worrisome that these devices are becoming more dangerous. The increased accessibility and stronger power of these devices most likely explains the sizable number of cases of eye damage in children being reported over the past two years.

If you or someone you know needs information or help with a laser toy eye injury in children please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

LASIK Note from Adam

“I have considered LASIK surgery for many years, but finally, after more the 20 years of wearing glasses, I decided to let Dr. Michelson perform the procedure. This was, by far, one of the best decisions I could have made. I never imagined being able to see better without glasses, but less than 24 hours after the surgery, I had 20/15 vision. Thank you Dr. Michelson, and your entire team for significantly improving my quality of life.” Adam

If you or some you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call Michelson Laser Vision in Birmingham at 205-969-8100, visit Michelson Laser Vision, 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 & Unexpected Health Problems

Diabetic eye disease and eye problems are well known by most patients because their primary care physician and eye doctor tell them repeated about the need to for tight blood sugar control in order to prevent eye problems. But most patients with diabetes are unaware of some unexpected health problems that can be related to diabetes and can be easily overlooked.

Cognitive, Memory & Brain Function Decline

It is not uncommon for Type 2 Diabetics to experience diminished ability in memory recall and focus, as well as organizing, planning and completing tasks. Research shows that people with diabetes have abnormal blood flow to the brain, which affects function and activity. This explains why, with age, diabetics may experience slower mental performance. This is another reason why managing your diabetes  requires a proactive effort to carefully follow your doctor’s instructions for proper diet, exercise, medications, lifestyle and glucose levels, as well as scheduling regular follow up visits and keeping all appointments.

Hearing Loss

Did you know that diabetics are twice as likely to experience hearing loss as they age? The National Institutes of Health also reports that 30 percent of pre-diabetics, with higher-than-normal glucose levels, can experience hearing loss. The disease can affect the small blood vessels in the inner ear, causing impairment. Protect hearing by regularly monitoring blood sugar levels.

Gum & Periodontal Disease

Did you know that diabetics are more prone to developing periodontal disease, an infection of the gums that can lead to tooth loss? A study of 9,000 people at the Columbia University Mailman School of Public Health discovered that individuals with higher levels of periodontal disease were more likely to become diabetic within the next two decades, as compared to those without the disease. Periodontal disease can increase blood sugar, making it even more difficult to control diabetes. Be proactive and prevent oral health and gum problems by brushing twice daily, flossing once each day and using an antiseptic mouthwash daily.

Obstructive Sleep Apnea

About 50 percent of diabetics experience obstructive sleep apnea. People who are obese and have a collar size of more than 17 for men or 16 for women are more likely to suffer from apnea when they sleep. Researchers reporting in American Journal of Respiratory and Critical Care Medicine noted that people with severe cases of obstructive sleep apnea may have a 30 percent higher risk for developing diabetes. OSA is an increases risk factor for many eye problems including glaucoma.

While these are some unexpected diabetic health problems, the avoidance and management of diabetic retinopathy is critical. The best way to prevent vision loss from diabetic retinopathy is through early detection, diagnosis and treatment with regular eye exams. If you or someone you know is diabetic and needs an diabetic eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

A Cataract Story from Donna

“I just wanted to take a minute to let you know how thoroughly pleased I am with the outcome of the cataract surgeries performed on both of my eyes. It's unbelievable to be able to see so clearly and not wear contacts (of course, I'm using readers!!). Dr. Marc Michelson came highly recommended and did not disappoint. You instill a great deal of confidence with a friendly and caring staff.”  

Donna A.     

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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 during Breast Cancer Treatment

Did you know that certain types of breast cancer treatment medications can cause dry eye symptoms? The class of medications called “aromatase inhibitors” (AIs) has been studied and found to cause dry eyes. Fortunately, we also know that this is a newly emerging, and easily treated side effect of AIs. But we need to know that you are taking one of the AIs in order to offer help for your dry eyes. Some of the medications in this class include Arimidex, Aromasin and Femara-although there are many others. Researchers used a validated questionnaire to assess the presence of Dry Eye Syndrome (DES). They found that DES is significantly more prevalent in women on AIs compared with controls. They recommend routine screening of patients on AIs with the Ocular Surface disease Index (OSDI) questionnaire with the aim of improving patient quality of life and possibly adherence.

If you or someone you know is being treated for breast cancer with aromatase inhibitors (AIs) and suffers from dry eyes, grittiness or is generally experiencing eye problems of fatigue or dryness, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Cataracts, Cataract Surgery & Driving

Blurry, cloudy vision from cataracts is a well known driving risk, especially for seniors where declining vision is often caused by cataract development. Researchers reporting in the Journal of Cataract & Refractive Surgery studied cataracts and the outcomes of cataract surgery and how these impacted crash risk, driving self-regulation practices, and driving performance. Not surprising there was clear consistent evidence that cataract negatively affects driving and that cataract surgery is beneficial to driving outcomes. What was not clear and requires further study is how specific vision measures such as visual acuity, contrast sensitivity and glare sensitivity specifically affect crash risk and driving performance so that we can be optimally effective in prioritizing cataract patients for surgery.

If you or someone you know has been told they have a cataract and is having difficulty with driving especially at night or in dim illumination or with glare, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Shopping for Health Insurance & Deductibles

Obamacare was supposed to help patients become better healthcare consumers by allowing them to shop for high deductible health plans at lower cost. High deductible health plans are sold as a way for consumers to take greater control over managing their medical costs, but new research shows people on those plans are no better at price shopping for health care professionals or services than people on traditional insurance. The study surveyed more than 1,000 “high deductible" health insurance enrollees of which 71% believe out of pocket costs were important to consider when choosing a doctor. They compared this to 852 enrollees traditional of “low deductible” plans and they had the exact same perspective. The researchers also found that during their last use of medical care, the “high deductible” plan enrollees were no more likely than traditional plan enrollees to consider going to another professional for care or to compare out of pocket costs across health care professionals. They concluded that “having more skin in the game” makes no difference on how consumers shop for health care and insurance.

If you need help understanding your health insurance as it relates to any aspect of eye care service we provide please do not hesitate to ask us by calling Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Stroke Recovery Takes Time

It is not uncommon for us to see patients who experience vision and eye problems from having suffered a stroke. These can often include double vision, loss of peripheral vision and even loss of sections of their visual field which can affect safe comfortable mobility, and sometimes just reduced vision. It is important, and we tell patients, that recovering from a stroke doesn’t end with the first weeks of acute care and the period of functional rehabilitation that follows. Negative effects of a stroke can present themselves well past the initial event. In healthy older adults, exercise training and a social network that allows both intellectual and social engagement have been shown to be effective measures for helping recovery from a stroke. Using your eyes and vision may be fatiguing even for normal recreational activities but is very important to recovery.

If you or someone you know has had a stroke and needs an eye exam we are happy to help. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Cataract Surgery Story from Charity G

“I had cataract surgery last summer in both eyes, and I am very pleased with my vision. I was also very pleased with Dr. Marc Michelson. He was very cooperative and did a great job! I wanted to be able to correct my astigmatism and see far and near without using glasses too much so I had the toric lenses with monovision. I can see better than I have ever seen! I do not have to wear glasses at all. I teach school and my classroom is big, 24' x 38'. I can see all the way across the 38' length and read small writing in the white board. One of my students' said, "I don't know how you can see that. I can't see it, and I am close to the white board." Several of my friends have asked who did my cataract surgery. They said when they have to have cataract surgery they plan to use Dr. Michelson.”

Charity G.

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Possible Treatment Help for Dry AMD

Researchers seeking ways to treat the “Dry” form of Age Related Macular Degeneration (AMD) are encouraged by findings of their clinical trial. The researchers at Massachusetts Eye and Ear Infirmary/Harvard Medical School and the University of Crete have found that some patients taking high doses of atorvastatin (Lipitor®) had complete resolution of lipid deposits in the dry form of Age Related Macular Degeneration (AMD). Although we currently use therapeutic injections of VEGF inhibitors to treat the “Wet” form of AMD, as of yet we really do not have an effective treatment options for the “Dry” form-so this is encouraging.

The best way to avoid vision loss from the senior eye problem of age related macular degeneration (AMD) is by having regular eye exams for early detection diagnosis and treatment. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Uncorrected Farsightedness & Children’s Literacy

A study funded by the National Eye Institute (NEI), part of the National Institutes of Health, has shown that hyperopia in preschool children is associated with significantly worse performance on a test of early literacy. The results of the Vision in Preschoolers–Hyperopia in Preschoolers (VIP–HIP) study, which compared 4 and 5 year old children with uncorrected hyperopia to children with normal vision, found that children with moderate hyperopia-3 to 6 diopters of correction-did significantly worse on the Test of Preschool Early Literacy (TOPEL) than their “normal vision” peers. A diopter is the lens power needed to correct vision to normal. In general, the higher the diopter, the worse the hyperopia. This study suggests that an untreated vision problem in preschool, in this case one that makes it harder for children to see things up close, can create literacy deficits that affect grade school readiness. In most children with hyperopia, the condition is mild and has little impact on vision. A small number of preschool children have high hyperopia-more than 6 diopters-that is corrected with eyeglasses. It’s estimated that 4-14% have moderate hyperopia, which often goes undiagnosed and untreated. The results revealed significantly worse performance on the TOPEL among children with uncorrected moderate hyperopia, especially those who also had reduced near visual function, including clarity of binocular vision and depth perception.

If you or someone you know has a school age child who has not had an eye exam, please make sure they are evaluated for vision problems as this can affect their reading readiness, literacy and overall school performance. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Do Nearsighted Parents Have Nearsighted Kids?

Whenever we see children who need eyeglasses-especially those who need correction for nearsightedness to see clearly at distance for the first time-parents always want to know if the prescription will get worse, and if the parent wears eyeglasses, did this cause the child to need glasses. We have always known that there seems to be a familial predisposition so that children of myopic parents tend to become myopic or nearsighted and need glasses. According to research published in the journal of the Acta Ophthalmologica Scandinavica Foundation where a 22-year long study evaluated the parental influence on nearsightedness and its progression, there is no meaningful influence of the parent’s nearsightedness on boys, but there is a clear statistical influence on both the prevalence of nearsightedness and its progression among girls. Further, the cause of the nearsightedness seems to be related to corneal anatomy and its refractive power rather than the length of the eye.

It is important for all children to have regular eye heath and vision exams. Vision problems in kids can contribute to literacy problems and delays, overall learning problems and even the perception of attention and behavioral problems. Please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Julie’s’ LASIK Story

Julie has worn glasses since 3rd grade...but TODAY, she is having LASIK and gets to be free of the hassles of glasses and contacts! Congratulations Julie, we hope you enjoy your new hassle-free vision!

If you or some you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call Michelson Laser Vision in Birmingham at 205-969-8100, visit Michelson Laser Vision, 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.

Cataract Surgery & Lens Implant Patient Satisfaction

If you have cataracts or are considering cataract surgery and lens implants, if you are a good candidate, it is pretty likely that your cataract surgeon will offer you the option of a multifocal lens implant in addition to the standard monofocal lens implant. The objective of using a multifocal lens implant to correct vision after cataract surgery is to help patients become less dependent or completely independent of glasses after their cataract is removed. A multifocal lens implant allows patients to see at a range of far, arms’ length and near without glasses whereas a monofocal will require the patient to still need glasses for most arms’ length or close vision tasks. Whenever we present or recommend this option to our patients they almost always ask, “Which one is better?” or “Which one will I be most satisfied with?” A multisite clinical trial was conducted and reported on in the Journal of Refractive Surgery that compared outcomes and patient satisfaction of monofocal vs. multifocal lens implants after cataract surgery. 

Results of Cataract Surgery with Monofocal vs. Multifocal Lens Implants

The results showed both monofocal and multifocal IOLs provided good clinical outcomes. More patients receiving multifocal IOLs attained better uncorrected visual acuity at a range of distances and spectacle independence compared with patients who received monofocal IOLs. Patient satisfaction was significantly better in the multifocal group.

If you or some you know suspects they have a cataract or is considering cataract surgery and lens implants and wishes to schedule a cataract and lens implant eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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 & Driving Safety

Moderate or advanced glaucoma can affect driving safety according to research noted in the American Journal of Ophthalmology. Patients with bilateral moderate or advanced glaucoma are at risk for unsafe driving. For this reason we now suggest a very careful evaluation for those glaucoma patients who might be at risk so that we can evaluate driving safety of these patients. Glaucoma, especially in more advanced stages can reduce peripheral vision as well as contrast and make driving particularly difficult-especially in dim illumination. Our goal is to help all patients avoid vision loss from glaucoma by asking that you schedule regular eye examinations with glaucoma testing as often your eye doctor suggests. This will depend on the overall health of your eyes, your family history, your general health and many other glaucoma risk factors your eye doctor may identify. The key to preventing vision loss from glaucoma is early detection, diagnoses and treatment.

If you or someone you know would like to schedule and eye exam and glaucoma testing, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Cataracts & Vitamin D

Cataracts & Vitamin D

Cataracts continue to be a leading cause of vision decline in seniors as well as aging baby boomers. Those patients who do not yet have a cataract often ask if it is possible to reduce their risk or avoid cataracts with vitamins or diet supplement. Since Vitamin D has been shown to have an antioxidant effect it might seem like a good bet to reduce cataracts. But, the data continues to be confusing with regard to Vitamin D and cataract prevention. Researchers reporting in the Journal of Cataract & Refractive Surgery studied the impact and relationship between serum levels of Vitamin D and the risk of age related cataracts. They were able to eliminate the effect of other cataract risk factors such as age, sex, smoking status, diabetes, hypertension, and sunlight exposure. The results showed that in men, but not in women, the odds of developing age-related cataracts decreased with statistical significance when the serum Vitamin D levels were in the highest 10%  as compared to the when they were in the lowest 10%. But, it wasn’t a uniform trend throughout the range-only in comparison of the top to the bottom levels of serum Vitamin D levels. This, along with no real benefit for women makes the results warrant more study for now. Fortunately cataract surgery and lens implants offer a safe, effective and predictable treatment method with excellent results. Researchers evaluated the Vitamin D. 

If you or some you know is concerned about their cataract risk or needs a cataract eye exam, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Welcome Jennifer Michelson, M.D.!

Please join all of us at Alabama Eye & Cataract Center and Michelson Laser Vision in welcoming Dr. Jennifer Michelson to our practice. At Alabama Eye & Cataract Center, Dr. Michelson  sees patients of all ages for routine eye exams for eyeglasses and contact lenses, evaluation and management of chronic and acute eye diseases, including cataracts and cataract surgery with multifocal lens implants to provide a range of far, arm’s length and near vision as well as astigmatism correcting lens implants,  medical, laser and surgical treatment of glaucoma, diabetic eye disease,  age related macular degeneration (AMD), dry eyes and eye allergies. At Michelson Laser Vision, Inc. Dr. Michelson provides exams, consultation and surgery for the correction of nearsightedness, farsightedness and astigmatism including Bladeless LASIK. In addition, she provides lens implants for the correction of the near vision focusing problem, presbyopia, to help “over 40” patients correct distance vision and restore their full range of vision without dependence on eyeglasses or contacts.

About Jennifer Michelson, M.D

Jennifer Michelson, M.D. is a Comprehensive Ophthalmologist, LASIK, Cataract & Lens Implant Surgeon. Dr. Michelson is a Birmingham native and earned her Medical Degree at Tufts University School of Medicine in Boston and then completed a Residency in Ophthalmology at Montefiore Medical Center-University Hospital for Albert Einstein College of Medicine in New York. 

Nutrition & Prevention of Eye Problems

Age Related Macular Degeneration, Dry Eye Syndrome and Cataracts are very common senior eye problems. While we rarely think about nutrition problems in the U.S., there is global information that tells us what CAN happen if we allow people to develop nutritional deficiencies and thus what types of supplements and vitamins might be helpful in preventing these eye problems According to research presented in the Journal of Clinical Dermatology on the role of vitamins, essential fatty acids and antioxidants in age-related macular degeneration, dry eye syndrome and cataract, there is useful information and it helps us advise our patients on a daily basis. When we look around the world, we find that visual impairment is a global epidemic. In developing countries, nutritional deficiency and cataracts continue to be the leading cause of blindness, whereas age related macular degeneration (AMD) and cataracts are the leading causes in developed nations. The World Health Organization has instituted VISION 2020: "The Right to Sight" as a global mission to put an end to worldwide blindness. In industrialized societies, patients, physicians, researchers, nutritionists, and biochemists have been looking toward vitamins and nutrients to prevent AMD, cataracts, and dry eye syndrome (DES).

We know that nutrients from the AREDS2 -lutein, zeaxanthin, vitamin C, vitamin E, zinc, copper, EPA and DHA as set forth by the National Institutes of Health remain the most proven nutritional therapy for reducing the rate of advanced AMD. We also know that Omega-3 fatty acids, especially DHA, have been found to improve dry eye syndrome in randomized clinical trials. Finally we know that there continue to be conflicting results with regard to multivitamin supplementation on the prevention of cataract.

When you visit us for your regular eye exam, we may very well ask you about your nutrition and what vitamins and supplements you already take. If you are in a risk group for AMD or have complaints about dry eye symptoms we may also recommend supplements or vitamins to help you. Please Cataract call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Retinoblastoma Eye Cancer in Children

Retinoblastoma is a rare but potentially catastrophic eye cancer that is found in children during a routine eye exam. We encourage all parents or caregivers of children to be sure that at least their primary care doctor or pediatrician is performing a simple “red reflex” test especially under the age of two years to quickly identify children at risk. This is especially important in less affluent or lower socioeconomic areas as there are a noticeable disparity in outcomes for children with retinoblastoma who have limited access to routine pediatric care. Researchers from Dana-Farber/Boston Children’s Cancer and Blood Disorders Center report in a study published in the journal JAMA Pediatrics found that although virtually all the children in the study survived, Hispanic children and children who lived in disadvantaged areas were more likely to lose an eye due to late diagnosis. White children and children who live in areas with a higher socioeconomic status were more likely to have been diagnosed early enough that physicians could preserve their eye and vision.  The study found: 

·        At the time of diagnosis, the disease had spread beyond the eye in 33 percent of Hispanic children, compared with 20 percent of non-Hispanic children.

·        At diagnosis, disease had spread beyond the eye in 28 percent of children from high-poverty areas, compared with 20 percent of other children. Similar disparities were found in other measures of socio-economic status.

·        Three-quarters (74.5 percent) of Hispanic children had the diseased eye surgically removed, compared with two-thirds (67.5 percent) of non-Hispanic children and less than two thirds (63 percent) of non-Hispanic white children. Among non-Hispanic black and Asian children, 74 percent had their eye removed.

·        Three-quarters (76 percent) of children living in disadvantaged counties had their eye removed, compared to less than two-thirds (64 percent) who lived in advantaged counties.

As with many eye problems, conditions and diseases, retinoblastoma eye cancer can be best addressed with early detection, diagnosis and treatment. If you or some you know is concerned about a child being at risk for retinoblastoma or any children’s eye problem call please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 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.

Eyeliner Tips for Healthy Eyes

Eyeliner can be applied to create a new look, or enhance natural eye appearance. But our eye doctors want to share some tips and alert eyeliner wearer to watch when and where eyeliner is applied. Three tips for safe application:

When To Apply-If you’re running late to work, school or an appointment, you may be tempted to grab your makeup and apply it in the car. But don’t use eyeliner when the car is moving, you could injure or poke your eye. A better idea is to wait until you are safely parked.

Keep It Clean-Eyeliner pencils periodically need sharpening for easy application. Use a makeup sharpener, not a kitchen or pocket knife, or a sharpener used for pencils or crayons. Prevent spreading germs to your eyes by washing your hands before using eyeliner, and don’t borrow or share eyeliner products with others. This includes liquid and cream eyeliners as well.

Watch The Location-Applying eyeliner along the inside edge of the eyelid, called the waterline, can enhance the look of your eyes. But it also may increase the risk for contamination and vision problems. Studies show that flecks from eyeliner, especially those with glitter, may drop into the eye and collect in tear film. Vision may become blurry, and eyes may become red and irritated. A bacterial infection also may develop. This is a problem, especially for those who wear contacts or have dry, sensitive eyes.

If you or someone you know has a question about how to use eyeliner safely and protect eye health, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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 & Overactive Bladder

Overactive Bladder Treatment & Dry Eye Problems

What does having an overactive bladder have to do with your eyes? Although you may be able to get to the toilet in time when you sense an urge to urinate, unexpected frequent urination and nighttime urination can disrupt your life. Overactive bladder (OAB), also known as overactive bladder syndrome, is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day, at night, or both. Overactive bladder is estimated to occur in 7-27% of men and 9-43% of women. It becomes more common with age. Management of overactive bladder often begins with behavioral strategies, such as fluid schedules, adjusting the timing of urination and bladder-holding techniques using your pelvic floor muscles. If these initial efforts don't help enough with your overactive bladder symptoms your doctor may prescribe medications to help. BUT, these overactive bladder medications can cause dry eye symptoms. Researchers reported in the International Urogynecology Journal on108 women suffering from OAB who were started on oral medications to help with their symptoms. The researchers carefully evaluated their tear film and symptoms over three months of starting the medications. They found that there was a continuing worsening of the sensation of eye dryness, grittiness and burning along with observable decrease in the quality and quantity of the tear film. Thus, if you suffer from OAB and your doctor prescribes oral medications to help you, please bring this to our attention so we can offer help for your dry eyes before the symptoms become too uncomfortable.

Overactive bladder medications are known to cause or worsen dry eye problems. If you suffer from OAB and start one of these medication please to be to call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Protect Childrens’ Eyelids from Dog Bites

Eyelid lacerations in children can be caused by all types of accidental occurrences. Parents should be aware of the increased risks of eyelid lacerations caused by dog bites. According to researchers from Boston Childrens Hospital eyelid lacerations caused by dog bites are much more likely to cause damage to the delicate tear gland-the lacrimal gland-and the tear drainage structures. For this reason, if your child is accidentally bitten on the eyelid by a dog, be sure to tell the eye doctor so that a very careful examination and evaluation of the eyelid tissue and tear ducts can be performed. In about 1/3 of eyelid dog bites in children, we will find some damage that needs to be treated or repaired.

If you or someone you know has a child who is bitten on the eyelid or face by a dog, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Increased Risk Factors for Cataract Surgery in Postmenopausal Women

According to a recent study reported in the journal Ophthalmology, smoking, diabetes and obesity may increase the risk of cataract surgery in postmenopausal women. The results of the “UK Million Women Study” included more than 1.3 million postmenopausal women who had not previously had cataract surgery. The women were followed for cataracts treated surgically and studies with powerful statistics to calculate the adjusted relative risks for cataract surgery in terms of use of hormonal therapies, reproductive history, lifestyle factors and diabetes treatment. Two percent of women had diabetes, which was the strongest risk factor for cataract surgery. Additionally, both past and current smoking was found to elevate the risk for cataract surgery. Obesity, with a Body Mass Index of 30 kg/m² or greater, was also found to have a small increase in risk of cataracts treated surgically.

If you or someone you know has been told they have a cataract or is concerned about cataract symptoms of cloudy vision, glare sensitivity or night driving problems and wishes to schedule a cataract & lens implant exam please call Alabama Eye & Cataract Center-205-930-0930.

Eye Cosmetic & Makeup Tips for Eye Health

Eye makeup is very popular. But, unfortunately we often see careless handling and application of eye cosmetics that leads to infection or other eye problems. Safe use of eye makeup is important. Here are some common sense tips to know before using eye makeup that can help you maintain eye health:

·       Always wash hands before applying cosmetics.

·       Toss eye makeup after using it for several months, since bacteria and fungi can grow quickly in the tubes and containers and multiply within a few months. These germs can irritate and damage the eyes.

·       When opening new packages of eye makeup, use a permanent marker to write the date on the container to help you remember when the products were first used.

·       Use only eye cosmetics on the eyes-not cosmetics formulated for other facial areas. Always apply makeup with clean brushes and sponges.

·       Never apply cosmetics to the inner eyelid as this may irritate or inflame the eyelids and sensitive tissue around the eyes.

·       Don’t share cosmetics with other family members or friends.

·       Avoid permanent coloring and dyes for eyelashes, which can damage eyes if not used correctly.

·       Don’t use eye cosmetics if your eyes are irritated or infected.

·       Avoid using eye makeup products that are glittery or shiny, as they may include ingredients that contain fine particles that can irritate your eyes.

·       Before going to sleep, always gently wash off all cosmetics and brush a clean cotton swab along the eyelashes to remove makeup deposits.

If you or someone you know has redness, eye irritation, itchy or discomfort they believe might be related to eye makeup or cosmetics please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Blood Thinners and AMD Hemorrhages

Blood Thinners and AMD Hemorrhages

Many seniors take blood thinners for various types of cardiovascular and other vascular disease as a preventative measure for avoiding a heart attack or stroke. This same senior population is also at greatest risk for age related macular degeneration-including wet or hemorrhagic macular degeneration (AMD). Thus, the question of whether taking anticoagulants might be increasing the risk of and progression of AMD is important and reported on in a study published in Ophthalmology. The results showed that taking anti-platelet or anticoagulant medication was not significantly associated with macular hemorrhage and increased AMD risk unless the patient also had hypertension.

If you or someone you know is taking blood thinners and at risk for age related macular degeneration (AMD), please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Feeling Thankful for LASIK

Zack M shared his LASIK thanks....

“Well it has been one week since my LASIK and life with my new sight has been short but I can honestly say it's like nothing I could have ever imagined. I couldn't see this clearly before in glasses, contacts, or my dreams. I don't have to worry about falling asleep before I take out my contacts or having my glasses fog up ever again. I can't thank the staff of Michelson Laser Vision enough for what they have done for me. A gift like this, to continue my dreams of becoming a pilot or anything else where I may have been hindered before, is a blessing. As I told the staff-perfect doesn't even describe how pleased I am with how I can see now. Thank you so much Michelson Laser Vision!”

AMD Risk from Sunlight Exposure

There has been discussion about whether sun exposure can be a risk factor for developing AMD-a common senior eye problem. We know that excess exposure to sunlight can cause many untoward effects on the delicate tissues of the eye and the surrounding facial skin. Sun exposure is a known cataract risk factor, too much UV exposure can cause a “cornea sunburn” or “solar keratitis” and even damage the retina by causing a “solar retinitis”. Researchers reporting in the journal Retina evaluated the effects of current and past sunlight exposure and iris color on early and late Age Related Macular Degeneration (AMD). Their conclusions were that sunlight exposure during working life is an important risk factor for AMD, whereas sunlight exposure after retirement seems to have less influence on the disease development. Therefore, preventive measures, for example, wearing sunglasses to minimize sunlight exposure, should start early to prevent development of AMD later in life.

If you are concerned about senior eye health and specifically your risk of AMD please consider wearing sunglasses to limit your exposure to sunlight beginning EARLY in life to preserve your eye health and vision.

If you have not had a recent eye exam please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 

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.

Veronica & Her Cataract Experience

Veronica shared her experience....

“Dr. Marc Michelson is an exceptional doctor! He is very personable; he takes time to answer questions and explains in detail the answers. Dr. Michelson is very thorough, competent, and knowledgeable. He and his associates make you feel very comfortable during the exam and consultation process. The staff is very friendly and courteous. From the time you sign in for your first visit until you have your post-op visit, you know that you are being cared for by a group of professionals. The best is synonymous with Dr. Michelson and Alabama Eye & Cataract Center.”

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

IVF & Keratoconus Progression

IVF & Keratoconus Progression

What could in vitro fertilization and Keratoconus have to do with each other? As it turns out, quite a bit! Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. We carefully monitor our patients with Keratoconus because Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light-all of which can worsen if the disease progresses quickly. Researchers reporting in the Journal of Refractive Surgery  alerted us to the fact that drugs used in IVF treatment increase estrogen levels, which may affect corneal biomechanics and induce progression of Keratoconus and thus we need to be even more carefully following those patients with Keratoconus who might also be starting IVF treatments. If they are determined to be of particularly high risk for progression, then we might recommend corneal cross-linking treatment to minimize the risk of keratoconus progression before starting IVF treatment.

If you or someone you know suffers from Keratoconus and is considering IVF, please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter. 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.

Tyler Lawley LASIK Story

“I was 20/400 before I had LASIK Eye Surgery with Dr. Marc Michelson and his wonderful staff. The very next day my vision is now 20/15. This is a “game changer.”

Thanks to all the staff and Doctors at Michelson Laser Vision.”

If you or some you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call Michelson Laser Vision in Birmingham at 205-969-8100, visit Michelson Laser Vision, 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.

Vitamin C & Cataracts

Vitamin C & Cataracts
Cataracts are a common senior eye problem that occurs naturally with age and clouds the eye’s lens, turning it opaque. Despite the advent of modern cataract removal surgery, cataracts are still something seniors need to be aware of and work to limit their risk factors if possible. The role of vitamins and supplements in cataract development has generally been a bit uncertain. Based on some new research, it is thought that eating foods high in Vitamin C can cut the risk of cataract progression by as much as a third. The research is also the first to show that diet and lifestyle may play a greater role than genetics in cataract development and severity.

Probably the most important finding in this study was that vitamin C intake from food seemed to protect against cataract progression. While we cannot totally avoid developing cataracts, we may be able to delay their onset and keep them from worsening significantly by eating a diet rich in vitamin C.

If you or someone you know is concerned about senior eye problems such as cataracts or even has a cataract, please share this information. If you need a cataract eye exam please call Alabama Eye & Cataract Center in Birmingham at 205-930-0930, visit Alabama Eye & Cataract Center, Google+ or www.facebook.com/alabamaeyeandcataractcenter.

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.

Loose Eyelids & Dry Eye Problems

Loose Eyelids & Dry Eye Problems

Sometimes we are surprised by the many conditions and circumstances that can cause you to have dry eye problems. We know that many common medications, including those for blood pressure and allergies can certainly cause dry eyes. We know that the hormonal changes associated with menopause can cause dry eyes as well as certain environmental conditions of dustiness, breeziness or dryness you might encounter. We also know that problems with eyelid inflammation, called blepharitis, or systemic inflammatory diseases as well as contact lens wear can contribute to dry eye symptoms. Now, according to research we reviewed in Cornea we also know that loose eyelids may also cause a disruption of the normal tear film and lead to dry eye complaints. In a study of some 138 patients, those who had loose eyelids were much more likely to suffer from sensations of grittiness, in adequate tear film quality and quantity and dry spots on their cornea-all key sign and symptoms of dry eye. The researchers concluded that eyelid laxity or looseness should be tested in anyone with dry eye complaints as it might be a source of the problem.

If you or someone you know is bothered by dry eyes 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.

Alabama Eye Cataract Patient Story

“I would like to let ya'll know how great my experience was going through with my cataract surgery. Dr. Michelson and the entire staff was very professional and caring for all my needs. I will definitely refer all my friends to your office. “

Thank you, Judy C.

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants 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.

Satisfaction with LASIK vs. Contact Lenses

Satisfaction with LASIK vs. Contact Lenses

Patients who have been wearing contact lenses have made the choice to minimize their dependence on eyeglasses, but still have many of the inconvenient aspects of contact lens and care to contend with. For contact lens wearers, the decision to have LASIK represents the desire to experience a lifestyle and convenience with independence and freedom from the hassle of BOTH glasses and contacts. But, how does satisfaction with LASIK actually compare with contact lens wear? Researchers reporting in the journal Ophthalmology assessed patient satisfaction and perceived outcomes of 1800 patients split into two groups-one continuing to wear contact lenses and the other having LASIK, through annual surveys administered over a 3-year period. Most contact lens users had worn them successfully ≥5 years. The proportion expressing strong satisfaction with their current vision correction method decreased from 63% at baseline to 54% at year 3 in the contact lens control group, whereas 88% of former contact lens wearers and 77% of former glasses wearers were strongly satisfied with LASIK at year 3. Patients 40 years of age or younger when they had LASIK were somewhat more likely to be strongly satisfied than older patients. LASIK significantly reduced difficulties with night driving and nighttime visual disturbances among former contact lens users and former glasses users. The proportion with dry eye symptoms at 1, 2, or 3 years after LASIK was not significantly increased relative to baseline contact lens wear but was significantly increased relative to baseline glasses use, consistent with many glasses users having tried and abandoned contact lenses because of latent dry eye problems. Compared with continued contact lens wear, LASIK significantly reduced the self-reported rates of eye infections, ulcers, and abrasions each year.

The overall conclusions then were that compared with contact lens wear, current LASIK technology improved ease of night driving, did not significantly increase dry eye symptoms, and resulted in higher levels of satisfaction at 1, 2, and 3 years follow-up.

If you or someone you know is wearing glasses or contact lenses and would like be free of the hassle they create for seeing clearly at distance, please schedule a Free LASIK Consultation by calling Michelson Laser Vision in Birmingham at 205-969-8100, visit Michelson Laser Vision, Google+ or www.facebook.com/michelsonlaservision

Michelson Laser Vision is a leading LASIK center in Birmingham located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine LASIK Surgeons.