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.

Vascular Endothelial Growth Factor (VEGF) Inhibitor injections such as Lucentis® and Eyelea® are now considered the best treatment option for Diabetic Macular Edema. Diabetic Macular Edema (DME) is a significant cause of vision loss in patients with diabetes and diabetic retinopathy. According to a study in the American Journal of Ophthalmology reporting an analysis of multiple studies on Diabetic Maculopathy published between January 1, 1985 and July 31, 2013, although laser photocoagulation has been the standard treatment for DME for nearly 30 years, there is increasing evidence that better outcomes can be achieved with Vascular Endothelial Growth Factor (VEGF) Inhibitor injections. In fact, the number of patients with DME gaining an improvement of seeing an additional 10-15 letters on the eye chart was at least 2 times greater for those patients treated with the VEGF inhibitor injections as compared to being treated with laser treatments. Thus, the researchers concluded that VEGF inhibitor therapy is superior to laser photocoagulation for treatment of moderate to severe visual impairment caused by DME.

If you or someone you know has diabetes and is concerned about their risk of Diabetic Macular Edema (DME) or Diabetic Retinopathy, it is critical that they have regular dilated eye exams at Alabama Eye & Cataract Center in Birmingham by calling 205-930-0930, visiting Alabama Eye & Cataract Center , Google+ or www.facebook.com/michelsonlaservision.

Alabama Eye & Cataract Center in Birmingham is located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205.

Diabetic Retinopathy Eye Exams & Tests

Eye exams for diabetic retinopathy need to be thorough dilated eye exams of the retina and when necessary include advanced testing such as retinal photography, fluorescein angiography and optical coherence tomography (OCT) in order to really document how the retina and it’s blood vessels are functioning. Depending on the severity and the risk of progression of each patient’s diabetic retinopathy we will advise them of the frequency and intervals for their exams. But, patients with diabetes need to know that it is terribly important to keep their appointments.

Vision loss from diabetes and especially catastrophic vision loss from diabetic retinopathy can be prevented with early detection, diagnosis and treatment. If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems with regular eye exams at Alabama Eye & Cataract Center in Birmingham by calling 205-930-0930, visiting Alabama Eye & Cataract Center , Google+ or www.facebook.com/michelsonlaservision.

Alabama Eye & Cataract Center in Birmingham is located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205.

Diabetic Eye Disease Awareness Month

Prevent Blindness America has designated November as National Diabetic Eye Disease Awareness Month. Although there is no cure for diabetic eye disease, annual dilated eye exams for diabetes patients are essential to help slow the progression of the disease. Diabetes is the leading cause of new cases of blindness in adults 20-74 years of age with almost 8 million people ages 40 and older who have diabetic retinopathy, a potentially blinding eye problem.

Preventing Vision Loss from Diabetic Retinopathy
Vision loss from diabetic retinopathy can be prevented if it's caught early and treated in time. More than one third of those diagnosed with diabetes do not adhere to vision care guidelines recommending a dilated eye exam every year. As part of Diabetic Eye Disease Awareness Month we are urging people with diabetes to have a dilated eye exam every year. The longer a person has diabetes, the greater his or her risk for developing diabetic retinopathy. However, diabetic retinopathy does not only affect people who have had diabetes for many years, it can also appear within the first year or two after the onset of the disease.

In addition to having regular eye examinations and testing at the direction of your eye doctor, patients can help to reduce the risk of developing diabetic eye disease by not smoking, controlling their cholesterol and lipid profile and blood pressure, restricting alcohol consumption, as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables and exercising.

If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems with regular eye exams at Alabama Eye & Cataract Center in Birmingham by calling 205-930-0930, visiting Alabama Eye & Cataract Center , Google+ or www.facebook.com/michelsonlaservision.

Alabama Eye & Cataract Center in Birmingham is located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine ophthalmologists Marc Michelson, M.D. and Tyler Hall, M.D.

Improve Diabetic Eye Exam Compliance

We are hopeful that when diabetic patients understand that while there is no cure for diabetic retinopathy, with careful management of risk factors such as blood sugar levels, cholesterol levels, moderation of alcohol consumption and routine exercise along with regular annual dilated eye exams, the potential vision loss from diabetes and associated diabetic eye problems can be minimized. BUT-this requires that patients do their part and keep a strict schedule and compliance with their eye doctor’s recommendations for diabetic eye exams and testing.

Research on Diabetic Eye Exam Compliance

Researchers reporting in the journal Ophthalmology, identified and studied variables that help to predict adherence with annual eye examinations using the Compliance with Annual Diabetic Eye Exams Survey (CADEES). This new questionnaire was designed and structured to measure patient beliefs and understanding related to diabetic retinopathy and the need for annual eye examinations.

Factors Influencing Diabetic Eye Exam Compliance
A number of factors seemed to influence diabetic patient compliance with annual eye exams. First, patient understanding and beliefs concerning whether insurance covered most of the eye examination cost was considered very influential. Next, whether it was difficult to schedule or physically get to an eye exam appointment also had a meaningful impact on eye exam compliance. Then, whether patients had been counseled and told to make obtaining an eye examination a top priority as well as whether they had been previously told that they had signs of diabetic retinopathy were also important in whether patients attended their diabetic eye exams. In addition, clinicians can also have a positive impact on diabetic patient compliance with eye exams counseling newly diagnosed patients as well as those with uncontrolled blood glucose more diligently on the importance of annual eye examinations and discussing and helping patients remove perceived barriers and misconceptions.

If you or someone you know has diabetes they need to have regular annual dilated eye exams to prevent vision loss from diabetic eye diseases and problems. Please share this information with anyone you know who is diabetic and ask them to contact Alabama Eye & Cataract Center in Birmingham by calling 205-930-0930, visiting Alabama Eye & Cataract Center , Google+ or www.facebook.com/michelsonlaservision.

Alabama Eye & Cataract Center is located at UAB-Highlands, 1201 11th Avenue S, Suite 501, Birmingham, Alabama 35205 and staffed by UAB Medicine Corneal Specialists Marc Michelson, M.D. and Tyler Hall, M.D.