Narrow Angle and risks of Acute Angle Closure Glaucoma with the Objective Measurements of the Pentacam For many years both as a resident at New York Eye and Ear Infirmary and as an attending at Harvard Medical School, it never ceased to amazed us of how patients inevitably would come in to the ER with […]
Dry eyes can be very frustrating in older women, especially if they feel their hormone replacement therapy is making the dry eye worse. Here is a great summary of what to be aware of with hormone levels in general and dry eyes. SLC Current Opinion in Ophthalmology Hormones and Dry Eye Syndrome An Update on
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Many of my colleagues and I have long noted that many of our severe dry eye patients seem to have a much lower threshold for pain: not just for an increased sensitivity to anesthetic eye drops, but pain in general. Many patients have confided to me that they have felt abandoned by their intolerant MDs
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Multifocal IOLs have revolutionized our cataract surgery outcomes. Determining which is best for each patient is the current challenge. Another frustration patients and surgeons is that a good deal of the research comparing these IOLS are sponsored by the manufacturer of the IOL (ie, the MDs who are experts in each of the IOL options
Comparisons of Multifocal Intraocular Lenses IOLs Read More »
This is still a big question in Ophthalmology: how will a patient who has had LASIK do after cataract surgery with a multifocal intraocular lens? The issues is that we have millions of patients who had LASIK to get rid of glasses. Now as they are getting older, many of these patients are developing cataracts
The question for all eye surgeons currently is, “What is the best IOL (intraocular lens) to use on my patients who had previous refractive surgery?” Here are some papers that are helping to answer this question. In short, it depends on how much remaining astigmatism is present. If there is more than 0.75D of astigmatism,
https://docs.google.com/document/d/1Ph9T5CJ91b_Su0cSe6Is-Ih9fbOnLHWVczfKgqms7Cw/pub Tiered Approach to Treating GLAUCOMA My goal is to help you optimize your vision at all times and help you understand your diagnosis. It can be scary if your I or any eyeMD says you are a suspect for glaucoma or that you have glaucoma. In general Glaucoma is a disease that damages the
Tiered Approach to GLAUCOMA TREATMENT Read More »
This is what we see in our slit lamp microscope. This is what is really going on: Here below 3 mites have their head buried in the hair follicle. To the right, there is mating going on to produce even more. Here there are about 7 in one hair shaft. They love to come out
More information on Demodex below taken from Wikipedia and other sources: Demodex mites are acquired shortly after birth and are considered to be normal skin fauna that increase in number as people age. Almost everyone has a certain degree of the Demodex mite on his or her skin.[10] Heavy infestations of Demodex can arrive in adolescence, and could last up to
Any discomfort related to your eyes can be very frustrating and at times scary. I am here to help you feel better. Below is my Tiered, Step ladder Approach. The most important step is step 1. That is the building block which prevents symptoms from worsening. Be sure to continue at least the warm washing