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Childhood Cancer Awareness: Eye Cancer

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Each year, September is observed as Childhood Cancer Awareness Month, a time to honor children and families affected and to raise awareness about childhood cancers.

The types of cancers that develop in children are different from those that affect adults. Among the most common cancers in children is retinoblastoma, a cancerous tumor that develops in the retina of the eye. It accounts for about two percent of childhood cancers and typically occurs in children around the age of two, and is seldom found in children older than six. Retinoblastoma can also affect developing fetuses in the womb.

Although the majority of children who develop retinoblastoma are born with it, they are not often diagnosed at birth. On average, this type of childhood cancer is diagnosed between 12 and 18 months of age.

How is Retinoblastoma Diagnosed?
In most cases, retinoblastoma is found because a parent or health care provider notices an abnormality in the child’s eye. In a healthy eye, when light is shined in the eye, the pupil appears red because of the blood vessels at the back of the eye. In an eye with eye cancer, the pupil will often appear white or pink. In some cases, this may also be noticeable in a photograph when the flash is used.

What are the Signs and Symptoms of Retinoblastoma?
In addition to a cloudy pupil that may appear white or yellow in bright light, other symptoms of eye cancer include:

  • poorly aligned eye, known as strabismus
  • reddish pupil
  • pain in the eye
  • pupil that is larger than normal 
  • different-colored irises
  • poor or decreased vision

What is the Treatment for Retinoblastoma?
When diagnosed, most cases of retinoblastoma are treated successfully and the child’s eyesight is preserved. To treat the cancer, a pediatric ophthalmologist, pediatric oncologist and radiation therapist will work together to provide care for the child. Available treatments for retinoblastoma includes:

  • chemotherapy
  • radiation
  • cryotherapy
  • thermotherapy
  • photocoagulation
  • enucleation

Periodic eye examinations will be necessary during treatment to monitor the effectiveness of treatment.

Learn more about childhood cancers, including retinoblastoma here.

If you suspect there may be a problem with your child’s eye health, do not wait to see your eye doctor. Give us a call today to schedule an appointment.

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Protecting Little Eyes: What Every Parent Needs to Know About Eye Injuries

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Eye injuries can occur under many different circumstances. Whether participating in sports, home projects, recreation or crafts, it’s important that children of all ages wear proper eye protection to prevent eye injuries that could cause long-term damage.

Each year, thousands of children suffer eye injuries — some resulting in blindness  — but more than 90 percent of these could be prevented with protective eyewear. According to the American Academy of Ophthalmology (AAO), many eye injuries occur in sports, with baseball being the most common sport to cause eye injuries in children between the ages of five and 14.

Parents, teachers and coaches can take steps to protect the eyes — and vision — of children. Here are some tips to help prevent children’s eye injuries:

  • Children should always wear sports eye protection made with polycarbonate lenses, particularly when playing baseball, basketball, football, racquet sports, soccer, hockey, lacrosse or paintball.
  • Keep chemicals and sprays out of the reach of small children.
  • Teach children safe usage of common items, such as scissors, pencils, rubber bands, bungee cords, hangers, etc. 
  • Purchase age-appropriate toys for your children and look for toys marked with “ASTM,” meaning the product meets national safety standards set by the American Society for Testing and Materials.
  • Avoid projectile toys, including: darts or bows and arrows.
  • Model eye safety by wearing your own protection when playing sports, working with tools, mowing the lawn, etc. 
  • Remove potential hazards in your home by installing safety gates at the top and bottom of staircases; padding sharp corners and putting locks on cabinets and doors.
  • Do not allow children near fireworks, especially bottle rockets and other projectile fireworks.
  • Keep children properly secured in a car seat when traveling in a vehicle. Children under 12 should never ride in the front seat. Properly store any loose items in the vehicle that may become a projectile in the event of a crash.
  • Keep an eye on children around dogs, and remove any dog that has bitten a child from the home.

If your child or a child in your care has suffered an injury to the eye, seek immediate medical attention from a primary care doctor, eye doctor or school nurse. Delaying medical attention could lead to permanent damage or vision loss. Remember these First Aid tips from the AAO when dealing with an eye injury:

  • Do not touch, rub or apply pressure to the eye. 
  • Do not attempt to remove any object stuck in the eye. If small debris is caught in the eye, gently lift the eye lid and ask the child to blink rapidly. This may flush out the debris, but if not, seek medical help.
  • Do not apply ointment or medication to the eye.

• Gently cover any puncture wounds or cuts and seek medical treatment.
• In the event of a chemical exposure, flush the eye with water and seek treatment.

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Eye Symptoms You Should Never Ignore

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When was the last time you saw your eye doctor for a regular check-up? An estimated 61 million adults in the United States who are at risk for vision loss haven’t seen an ophthalmologist in the last year, according to the CDC.

When it comes to health, many adults skip routine eye exams, without knowing that what’s going on in your eyes could be a signal of other health problems such as high blood pressure, infectious disease or an autoimmune disorder. Any changes in vision or eye symptoms you experience could be a sign of a bigger problem and should warrant a trip to your eye doctor. Here are a few examples of eye symptoms you should never ignore.

Eye Pain

  • Floaters and flashes. Most people have experienced floaters at some point in their lives. These obnoxious, cobweb-like shadows in your vision are likely simply vitreous gel that has broken off from the retina and is now floating around in your eye. While these are rarely serious, if too much vitreous gel separates from the retina, it could result in a retinal tear, which requires immediate attention from your eye doctor.
  • Red, watery eyes. Red eyes are normally nothing more than allergies or a sign of a long night, however, red, watery eyes can be a symptom of an eye infection of the cornea called keratitis. Those who wear contact lenses may be more prone to the infection, which causes redness, pain, inflammation and discharge, among other eye problems. Treatment is easy if caught early. If you have watery, red or painful eyes, better safe than sorry to have your eyes checked out by your eye doctor.
  • Double vision. If you experience double vision in one or both eyes, get to your eye doctor. While the cause could be benign, it may also be a symptom of a corneal problem, neurological issue, autoimmune problem or another potentially serious eye condition. If the double vision comes on suddenly and is accompanied by pain, weakness or slurred speech, skip the eye doctor and head straight to the emergency room.
  • Uneven pupils. Some people live with anisocoria, or uneven pupils, but if one of your pupils grows larger than the other and you haven’t used eye drops, see your eye doctor. Uneven pupils could be the sign of a serious problem such as stroke, brain infection or tumor.
  • Eye pain. No eye pain should be considered “normal.” If your eyes hurt, there is a reason why, whether due to an eye injury, optic neuropathy or glaucoma. If your eye pain is caused by injury or something in your eye, do not rub, rinse or apply pressure and never attempt to remove anything from your eye. Go to your emergency room.

Keep in mind that most of these eye symptoms could be entirely benign, but when it comes to your vision, it’s best to have any and all eye symptoms examined by an eye professional.  

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Get Relief from Your Dry Eyes with Lipiflow®

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Dry eye is one of the most common reason people come to The Eye Center. Dry eye syndrome can range from minor, occasional discomfort to frequent pain, which can affect every aspect of life.

Irritated, stinging, scratchy eyes, and even sometimes excessive tearing are all symptoms of dry eyes. Dry eye syndrome often causes a gritty feeling in the eyes, redness and blurred vision. The good news is that dry eye syndrome is easily diagnosed through a comprehensive eye exam, and many treatment options are available to patients suffering from dry eyes.

Lipiflow® is a new treatment now available at The Eye Center that treats the leading cause of dry eye — Meibomian gland disorder — not just the symptoms, for longer-lasting relief of dry eye. The procedure is quick, virtually painless and takes place in our office. A thermal pulsator delivers controlled heat to the inner layer of the eyelids, releasing lipids (oil) from blocked Meibomian glands. By unblocking the glands with the revolutionary thermal pulsation technology, the body can resume its natural production of oil and keep the eyes lubricated, giving many patients significant relief from their symptoms.

The U.S. Food and Drug Administration approved Lipiflow for use on patients in November 2015.

LipiFlow is the only electronic treatment device approved for use in helping patients who suffer from MGD. By delivering precise heat treatments directly to the inner eyelids and a directed gentle massage, this treatment effectively unblocks Meibomian glands to provide patients the relief from dry. By providing a way to restore the natural oil flow to the eye’s tear film, LipiFlow promotes a longer lasting solution for dry eyes

To find out more about dry eye and treatments, including LipiFlow, click here. Contact The Eye Center today to schedule a comprehensive exam to diagnose your dry eye and determine if Lipiflow is the best option for you.

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What You Need to Know About Cataract Surgery

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If you have cataracts, you understand the day-to-day difficulties cataracts can cause. Cataract sufferers experience everything from dim vision to glare, fog, and film—rendering clear sight unattainable and making otherwise normal activities such as driving a tremendous challenge. Cataract surgery is often the most effective means for dealing with this common vision challenge and can correct vision within just a matter of days.

If you are considering cataract surgery, here are a few things to know:

How it works. During surgery, the eye will be numbed and a small incision made in the side of the cornea. The surgeon will then insert a tiny instrument through the incision through which high-frequency ultrasound will travel to break up the cloudy lens that has been impacted by the cataract. The lens will then be removed. Following this, an intraocular lens (IOL) implant will be inserted in place of the removed lens. This is made from silicone or acrylic and will become a permanent part of your eye. Light is now able to pass freely and clearly through the lens.

What expect following surgery. Cataract surgery is done on an outpatient basis which means that you will be able to go home a few hours following surgery. As with most procedures, recovery differs from person to person but most people report little discomfort and the ability to resume normal activities within a few days. In fact, most patients experience an immediate improvement in their sight. You will follow up with your eye surgeon the day after surgery to ensure that your healing is going as expected.

Post-operative possibilities. Some cataract surgery patients experience what is called a secondary cataract—or after cataract—during which the capsule of the eye, the part in which the intraocular lens sits, becomes cloudy itself. If this happens, a secondary procedure is performed. This is a one-minute procedure called a posterior capsulotomy and completely and permanently rectifies this issue.

Cataracts don’t need to continue to compromise your vision. Cataract surgery offers a fast, comfortable method for improving eyesight. The physicians at The Eye Center are some of the country’s most respected lens implant surgeons. For more information about cataract surgery at They Eye Center, contact us today.

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Cataract Awareness Month: What You Need to Know

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June is Cataract Awareness Month. Did you know cataracts are a leading cause of blindness in America? More than 24 million Americans aged 40 and older who have cataracts. If you have been diagnosed with cataracts, the good news is that the condition doesn’t have to affect your quality of life forever. Early detection and treatment of cataracts is critical to preserving sight.

What are cataracts?
A cataract is a clouding of the eye’s natural lens. When looking at something, light must travel through the lens and focus onto the retina, a layer of light-sensitive cells at the back of the eye which functions as film for an older camera (captures light). A clear lens focuses light properly onto the retina.

That lens, which is made mostly of water and protein, can develop clumps of protein with age, clouding the lens. When cloudy, all of the light does not make it to the retina, resulting in blurred vision. How quickly cataracts develop depends on the individual. Mild clouding of the eye may not affect vision much, but it is when a majority of the lens becomes clouded that serious vision problems develop and treatment becomes necessary.

In most cases, cataracts are related to normal aging. However, there are cataracts that can develop from other causes, such as congenital cataracts, or cataracts that develop as the result a disease, illness or traumatic injury.

What are the symptoms of cataracts?
Signs and symptoms of cataracts vary based on the severity of the condition. The larger and denser the cataracts, the more they will affect vision, requiring cataract surgery for treatment.

Common symptoms of cataracts include, but are not limited to:

  • Dim or decreased vision
  • Film or fog over vision
  • Decreased contrast (ability to detect variations in shading)
  • Double vision
  • Difficulty seeing street signs, curbs, and freeway exits
  • Difficulty seeing traffic lights
  • Seeing halos or glare around lights
  • Difficulty driving at night
  • Difficulty seeing TV, movies, or the faces
  • Difficulty reading printed materials, even with good light and proper glasses
  • Difficulty with handiwork such as needlepoint, sewing, or car repairs
  • Difficulty with writing
  • Difficulty playing cards, games, or sports activities
  • Difficulty navigating around the house
  • Difficulty with daily activities such as cooking, ironing, climbing stairs, dialing the telephone, and reading your watch

Many times, the cataract progresses so slowly that you may not notice how poor your vision is until the cataract is treated. It may be that all you need is a change in glasses, but these symptoms can be a sign of cataracts. As the cataract worsens, it may begin to interfere with your daily activities, as listed above.

The good news is that cataracts are treatable with cataract surgery. A cataract may not require surgery right away if your lifestyle isn’t significantly affected. In rare cases, a change to your eyeglasses may improve your vision a little. Once you are diagnosed with a cataract, your ophthalmologist needs to monitor your vision regularly for any changes.

Click here to view a cataract simulator to see how cataracts might affect your vision.

What are the treatment options for cataracts?

Since most cataracts are part of the normal aging process, they cannot be reversed. There are no medications or eye drops that will improve your vision once cataracts begin to progress. When a cataract is affecting your vision to the point that it interferes with your daily activities, our physicians may recommend cataract surgery to remove it. With cataract surgery, your eye’s cloudy natural lens is removed and replaced with a clear artificial lens implant (called an intraocular lens or IOL). For more information on IOL choices, click here.

If you are experiencing any of the symptoms of cataracts, including difficulty seeing, blurred vision, or seeing a halo or glare around lights, or have difficulty seeing to complete simple daily tasks, schedule an appointment with The Eye Center today.

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New Technology Helps Doctors Diagnose and Treat Dry Eye

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Dry eye is one of the most common complaints we hear from patients. It occurs when the body doesn’t produce enough tears or the consistency of those tears is inadequate to properly lubricate the eye. Symptoms of dry eye include: a stinging, burning sensation in the eye, general eye discomfort, excess tearing, light sensitivity, itching, redness, blurred vision and sometimes pain.

Understanding the root cause of dry eye is critical in helping ease or eliminate symptoms of dry eye. A new technological advancement known as TearLab makes diagnosing dry eye more accurate and more efficient than ever before.

TearLab is the first objective and quantitative test for diagnosing and managing dry eye patients. The TearLab Osmolarity System* is intended to measure the osmolarity of human tears to aid in the diagnosis of dry eye disease in patients suspected of having dry eye disease, in conjunction with other methods of clinical evaluation.

Potential causes of dry eye range from easy to eliminate chronic issues that demand ongoing care to some prescription medications, hormone therapy, pregnancy, contact lenses and a host of other issues that can cause dry eye symptoms. In some cases, patients suffer from dry eye disease, requiring specific care to reduce symptoms.

This is where TearLab comes in. This new diagnostic tool allows us to quickly and accurately measure the consistency of tears, in turn, enabling us to more readily and accurately diagnose dry eye disease so proper management can begin.

TearLab’s breakthrough technology allows us to collect tear samples and test them using a specialized test card. The readings provided enable us to discern almost immediately if a patient’s tears are within the normal consistency range or if consistency demonstrates mild, moderate or severe dry eye.

You don’t have to suffer from the symptoms of dry eye. The key to alleviating your aggravating and even painful symptoms, however, lies in determining the severity and cause of your dry eye and to assess how well your eye condition is responding to treatment. TearLab helps us accomplish this quickly.

To learn more about dry eye diagnosis and treatment at The Eye Center, click here.

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4 Tips for Healthy Eyes

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Some vision problems cannot be prevented, but in most cases, you have a considerable amount of control over your eye health. By failing to care for your health and your eyes, you may increase your risk of developing eye conditions such as dry eyes, cataracts, glaucoma and diabetic eye disease.

To keep your eyes healthy and your vision strong for years to come, give your eyes the care they deserve. Follow these tips for healthy eyes:

Get regular eye exams. Routine eye health exams aren’t just about checking the acuity of your vision. Eye exams can also result in early detection of many serious eye health problems. Symptoms of many eye conditions won’t appear until the condition has reached an advanced stage, at which time it may be more difficult to prevent vision loss.

If you notice any problems with your eyes, do not ignore them. Symptoms such as vision changes, eye pain, drainage, swelling, sensitivity to light, floaters and flashes of light are all indicators you should schedule an appointment with your eye doctor immediately.

Even if you do not wear glasses or contact lenses, you should see your eye doctor at least once every two years.

Wear protective eyewear. Whether at work or at play, it’s important to protect your eyes from outside forces that may damage your eyes and cause permanent vision loss. Always wear sunglasses when you are outside, even on cloudy days. Radiation from the sun’s ultra-violet rays can cause cataracts, corneal burns and eyelid cancer. Wear sunglasses that block 100% of both UV-A and UV-B rays.

If you are working on a job site, on the assembly line or in a factory, wear safety glasses or safety goggles. Protective lenses made of polycarbonate plastic are impact resistant than other materials and will protect your eyes from debris, chemicals or contact injury to the eye. You should also wear protective eyewear when playing sports like basketball, baseball, softball, racquetball and lacrosse. These sports have some of the highest rates of eye injuries.

Eat a healthy diet. What you eat can have a direct effect on your eye health. According to the American Optometric Association, “Adding certain nutrients to your diet every day – either through foods or supplements – can help save your vision. Researchers have linked eye-friendly nutrients such as lutein/zeaxanthin, vitamin C, vitamin E, and zinc to reducing the risk of certain eye diseases, including macular degeneration and cataract formation.”

Foods for healthy eyes include colorful fruits and vegetables, eggs, nuts, fortified cereals, and fatty fish like salmon.

Take care of your contact lenses. Caring for your contact lenses can help prevent eye damage or eye infection or disease. Always wash your hands before touching your eyes or contact lenses. Clean your contact lenses using approved contact lens cleaners. All-purpose solutions are not the best for keeping your contact lenses clean. Use solutions like Peroxiclear to keep your contacts clean and free of eye irritants. Replace your lenses as instructed by your eye doctor. Avoid wearing contact lenses while swimming or using cleaning products. Doing so may trap bacteria or dangerous chemicals under the lenses. Never sleep in your contact lenses; your eyes need time to rest and sleeping in your contact lenses may make your eyes dry or irritated.

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Keep Your Eyes Healthy at Work

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Technology is more and more becoming a part of every aspect of our lives. We spend more time now than every before looking at digital screens — TVs, computers, tablets, cell phones. While technology can add entertainment and convenience to our lives, staring at a screen for long periods of time can be hard on your eyes. While they may not cause permanent damage to your eye health, digital devices can cause irritated, dry eyes and can also contribute to headaches.

Did you know you blink half as often when looking at a computer screen or other digital devices as you would normally? Blinking is important for keeping the eyes moisturized. If you spend more than a few minutes each day looking at a computer screen of any kind — whether for work, school or pleasure — here are some tips to help prevent dry eyes and other computer-related eye conditions.

Follow the 20/20/20 rule. For every 20 minutes you spend looking at a computer screen, look away from the screen and focus on something at least 20 feet away for 20 seconds. 

Position your screen appropriately. Your computer screen should be at least 25 inches from your face, positioned so you are looking slightly downward at the screen.

Blink often. Frequent blinking helps to keep your eyes moist. If you suffer from dry eyes, artificial tears may be used to refresh your eyes when they are dry or irritated.

Reduce glare. Using a screen filter can help prevent glare on the screen, reducing eye strain.

Rest. Sleep is important for a healthy body and healthy eyes. When your eyes are tired, computer-related eyestrain can become even worse. If you work at a computer all day, take frequent breaks to rest your eyes. Pay attention to how your eyes feel. If your eyes are tired or sore, it is time to take a break. Turn off all digital devices at least an hour before bedtime to give your eyes time to rest and relax.

Wear your glasses. If you wear contact lenses, try to wear your eyeglasses instead of contacts when working on the computer for long periods of time. Talk to your eye doctor about LASIK to reduce your dependency on prescription lenses altogether.

While computer use should not permanently damage your eyes, it can cause eyestrain, dry or irritated eyes and even eye pain. If you develop any problems such as red eyes, blurry vision, sensitivity to light, eye swelling or discharge, contact your eye doctor for an eye health exam.

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Driving Safety Tips for Senior Citizens

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As we age, our vision naturally declines, affecting every aspect of life. Declining eyesight can make driving more difficult. As people get older, the ability to see moving objects tends to deteriorate, peripheral vision becomes less crisp and reaction time becomes a bit more sluggish.

These “normal’ issues can be complicated by conditions like macular degeneration, making driving a much greater challenge for those in their 60s and beyond. Fortunately, there are ways for older drivers to compensate for visual shortcomings.

Stay safe behind the wheel with these tips:

Don’t drive distracted. Since reaction times tend to be slower for seniors, it’s imperative to avoid distractions, such as cell phone use or tuning the radio. Studies have found that cellphones decrease seniors’ reaction times even more than they do younger drivers. Play it safe and smart by focusing on the road.

Take your time at intersections. Intersections are some of the deadliest locations for all drivers. Play it safe by checking for traffic lights, traffic signs, pedestrians and oncoming vehicles before proceeding. Taking even an extra second or two to ensure everything is clear can prove vital.

Stick to familiar paths.  Unfamiliar roads can be especially dangerous for older drivers, particularly at night. Try to stick to familiar territory when driving. When that’s not possible, map out a route before leaving home to gain a sense of familiarity with what lies ahead. If you know you will be driving a new route at night, if possible, take a “test drive” down the same route during daylight hours to get familiar with the roads.

Slow down at night.  Night driving is especially dangerous for senior drivers who simply do not see as well in the dark as they once did. To compensate for this issue, slow down a bit to give your eyes time to adjust in the dark.

Aging eyes doesn’t mean seniors can’t be safe drivers. The trick is to know the limitations and compensate wisely for them. Going in for regular eye exams can also be especially important to ensure crisp, clear vision at all times.

Although the thought of giving up driving is very difficult for most senior citizens, it’s important to maintain an open conversation with your eye doctor and other health care providers to ensure driving is safe for you.

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