The Costs of Cataract Surgery: 2014-2015 Sandra Lora Cremers, MD, FACS Visionary Ophthalmology, Rockville, MD Cataracts are still the leading cause of blindness in the world. Cataracts are also the leading cause of PREVENTABLE blindness in the world. Thus cataract surgery is the most commonly performed surgery in every country. A common question is, “Does […]
DERMATOCHALASIS & BLEPHAROCHALASIS VS BLEPHAROPTOSIS (Same as PTOSIS) REMEMBERING the difference between DERMATOCHALASIS & BLEPHAROCHALASIS can be confusing. Here is how I remember them: 1. DERMATOCHALASIS: think: death of lid: lid dropping 2. BLEPHAROCHALASIS: think: Beauty, young person usually; female often; recurrent swelling of upper part of upper lid 3. BLEPHAROPTOSIS is the same thing really as
Epiretinal Membranes (ERMs) & Cataract Surgery An epiretinal membranes is a thin scar-like, semi-translucent, fibrocellular tissue It is semi-translucent tissue (composed of retinal glial cell, retinal pigment epithelial cells, fibrous astrocytes, fibrocytes, myofibrocytes, and macrophages) that grows on the inner surface of the retina. The retina is the lining at the back of the eye that is responsible
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For patients on ADVAIR for COPD or Asthma, eye pressure and the lens should be checked at least once per year to be sure the steroid in this medication is not increasing eye pressure (or putting optic nerve at risk for glaucoma) or causing a cataract. Approved Uses for ADVAIR ADVAIR DISKUS is a prescription
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There is 1 case report of Tiotropium (ingredient in SPIRIVA) causing acute angle closure glaucoma. If you have narrow angles of eye, let PCP know. Otherwise rare risk of cataract. No case reports of macular degeneration. Pulm Pharmacol Ther. 2007;20(6):627-8. Epub 2006 Aug 18. Acute angle-closure glaucoma precipitated by local tiotropium absorption. Oksuz H1, Tamer C, Akoglu S, Duru M. Author information Abstract
Congenital Cataracts: Long terms risks but the benefits outweigh risks Every surgery in the world has risks. Congenital cataracts usually cause a permeAm J Ophthalmol. 2013 Aug;156(2):355-361.e2. doi: 10.1016/j.ajo.2013.03.013. Epub 2013 Apr 30. Long-term risk of glaucoma after congenital cataract surgery. Lambert SR1, Purohit A, Superak HM, Lynn MJ, Beck AD. Author information Abstract PURPOSE: To report the long-term risk
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Congenital Cataract Congenital Cataract can cause amblyopia/lazy eye if cataract not removed. Given new technology & eye implants, the vast majority of kids do very well after surgery. Multifocal implants may be an option for certain children. Graefes Arch Clin Exp Ophthalmol. 2014 Mar;252(3):441-7. doi: 10.1007/s00417-014-2571-0. Epub 2014 Jan 19. Bilateral implantation of multifocal versus
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Corneal Scarring and Cataract Surgery Corneal scarring makes cataract surgery more challenging because is physically obscures the surgeon’s view of the cataract. New techniques, such as staining the lens capsule with special dyes, such as Trypan Blue, have revolutionized cataract surgery in these complex cases and significantly decreased the risk. Also femtosecond laser (ie, LENSX)
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HOW LONG WILL IT TAKE TO HEAL AFTER CATARACT SURGERY? What do we mean by “to heal” in cataract surgery? This can mean different things for different people. Summary: Most routine cataract surgery cases “heal” in 5-30 days, depending on a patient’s age, cataract density, eye risk factors (ie, narrow angle, short eye, previous eye
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Sleep is essential for health and happiness. In fact, the easiest way to drive someone clinically crazy –psychotic– is to disrupt one’s sleep. We also know that alterations in sleep can worse eye disease like glaucoma: see below. More soon on ways to improve sleep 🙂 Love, Sandra Lora Cremers, MD, FACS Medscape Medical News > Psychiatry
Importance of sleep. Read More »