Eye Care & Surgery Center NJ Bladeless LASIK Laser Cataract Surgeon Blog

Tuesday, October 30, 2012

NJ Cornea Specialist on Keratoconus

NJ Cornea Specialist Joel Confino, M.D. explained Keratoconus, a type of corneal dystrophy in which the cornea becomes thin and bulges. “Even though Keratoconus is a relatively rare corneal disease, its impact on vision and overall lifestyle can be quite significant as it progresses,” stated Dr. Confino of The Eye Care & Surgery Center with offices in Westfield, Warren & Iselin, New Jersey. “In the earlier phases of Keratoconus we are often able to provide vision correction for Keratoconus patients with eyeglasses and ordinary contact lenses. In the intermediate phases specialized contact lenses are often necessary to provide good vision and physical tolerance. This may include RGP Contact Lenses for Keratoconus or even a unique hybrid contact lens called SynergEyes®.  As Keratoconus progresses and reaches its later phases, corneal surgery including a cornea transplant may be required in order for patients to conduct normal activities and enjoy normal lifestyles,” explained Dr. Confino.

Keratoconus is generally first diagnosed in young people at puberty or in their late teens and progresses through the third or fourth decade of life. It tends to progress more rapidly in young patients. Keratoconus occurs about equally in men and women. The signs and symptoms of Keratoconus may change as the disease progresses and may include a) blurred or distorted vision b) monocular double vision c) rapidly changing eyeglass prescriptions especially with high degrees of astigmatism d) increased sensitivity to bright light and glare e) problems with night vision f) headaches from eyestrain and in the most severe situation e) hydrops, a painful condition in which the back of your cornea ruptures and fills with fluid, causing a sudden clouding and loss of vision.

If you or someone you know would like to learn more about Keratoconus or the various treatment options please schedule an appointment with New Jersey Corneal Specialist Joel Confino, M.D. at The Eye Care & Surgery Center by calling us at 908-789-8999, visiting The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Tuesday, October 23, 2012

Facts about LASIK & Dry Eyes

Joel Confino, M.D., LASIK Surgeon & Corneal Specialist at The Eye Care & Surgery Center shared facts about LASIK & dry eyes for patients in NJ thinking about LASIK Surgery. “Without much question the most common side effect of LASIK we see is dry eyes,” shared Dr. Confino.”Most patients should probably expect to have some degree of temporary dry eye symptoms after their treatment. The critical thing to know is that LASIK dry eye symptoms should be temporary,” he explained.

Here is what you should know about LASIK and dry eyes. LASIK is corneal surgery. ANY time we do corneal surgery we typically sever some corneal nerves and we often temporarily disturb the delicate cells on the surface of the eye. During cataract surgery and any other eye surgery procedures that involve the cornea we do the exact same types of things. These corneal nerves connect to the Lacrimal Gland which is responsible for producing tears. When the nerves are temporarily interrupted there is a decrease in the amount of tears that are produced-making your eyes feel dry and gritty. To make you more comfortable during the time it takes for the corneal nerves to heal and regenerate we may do one of more of the following for you:
  • Prescribe Artificial Tear Eye Drops
  • Insert Tiny Tear Duct Plugs
  • Prescribe Restasis® Eye Drops
  • Prescribe Dietary Supplements with Omega-3 Oils
Each of the above acts to either retain the tears that you have, supplement the tears that are lacking or help you produce more of your own tears so that you will be most comfortable and heal properly. Each person will regenerate the fine corneal nerves at a DIFFERENT RATE and thus will need to use one or more of the above tear helpers for different amounts of time. A very important consideration is how healthy your tear film was BEFORE your surgery. A critical part of your LASIK consultation will be a careful examination of your tear film. Sometimes, in order to make you the most comfortable and make the healing and visual recovery process as quick and easy as possible for you, we may actually prescribe one or more of the above BEFORE your surgery.
If you or someone you know has a question or a concern about LASIK and dry eyes or would like to schedule a Free LASIK Evaluation please call and schedule an appointment at The Eye Care & Surgery Center by calling us at 800-504-1083, visiting The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.
The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.
With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Tuesday, October 16, 2012

NJ Eye Surgeon on Lens Implants, Cataracts & Glasses

NJ eye surgeon Joel Confino, M.D. commented on the growing interest in lens implants, cataracts and the possibility of not needing glasses after cataract surgery. “As more and more of our baby boomer population enters the “age of cataracts” we have lots of discussions about cataract surgery and lens implants and the need-or not-for eyeglasses,” remarked Dr. Confino, a Cataract Surgeon & Corneal Specialist at The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey. “What really makes my patient discussions interesting is that over the past 5 years, patient expectations and technology have driven a convergence of the goals cataract surgery and refractive surgery making it more common for patients want to avoid glasses if possible.”

Traditionally, the goal of Cataract Surgery was to remove the cloudy crystalline lens and replace it with an intraocular lens implant (IOL) of equivalent optical power so as to achieve “emmetropia” thus allowing patients to have good distance vision. The goal of Refractive Surgery is to help patients decrease or possibly even eliminate their dependence on eyeglasses or contact lenses. Today, a rapidly growing cataract patient population wants to achieve both the benefits of cataract Surgery and refractive surgery in one combined procedure.

In order to meet patient expectations of being “glasses free” and help patients achieve their personal vision correction and lifestyle goals, it is necessary for us to first carefully select the type and design of lens implant as well as to accurately calculate the IOL power. The types and designs of lens implants that we work with include the following:

Monofocal Lens Implants
Monofocal lens implants are the most basic type of Lens Implant used to correct vision after removal of the crystalline lens. A Monofocal Lens Implant can provide very good vision after cataract surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies. A Monofocal Lens Implant does not correct intermediate or arm’s length vision for doing things like playing cards and seeing the golf ball on the tee, or even seeing computer screens clearly. Monofocal lens implants do not correct near vision for doing things up close like seeing medicine bottles, reading, or keeping your golf score, as these tasks require the correction of presbyopia.

Toric Lens Implants
Toric lens implants correct astigmatism. For patients who have significant amounts of astigmatism prior to cataract surgery, and who do not wish to wear eyeglasses to see clearly at a distance, choosing a toric lens implant can help them be independent of glasses for tasks such as driving that require clear distance vision. Toric Lens Implants do not correct presbyopia, so that most patients still require reading glasses or bifocals to be able to comfortably perform near vision tasks such as reading and intermediate vision tasks such as computer work.

Near Vision Presbyopia Correcting Lens Implants
Near vision presbyopia correcting lens implants provide vision correction at the full range of distances-far or distance vision, arm’s length or intermediate vision and up close near vision. Depending on the specific vision requirements of the patient, there are several types of presbyopia correcting multifocal and accommodating lens implants that can be used. Each of these works in a different way to help the patient achieve their vision correction goals of being able to see at a variety of distances without being dependent on eyeglasses or reading glasses. Patients choosing to have a presbyopia correcting lens implant will likely find that they can drive, watch television, play golf and keep score, read a menu, play cards or do crafts-without the need for glasses. Patients choosing a multifocal or accommodating lens implant typically experience a greater overall freedom from glasses, allowing them to participate in most everyday activities without the dependence on, or hassle of glasses.

“As cataract and refractive surgeons, we routinely work to realistically shape patient expectations and then constantly strive to provide the medical, surgical and optical care necessary help patients meet or exceed them” commented Dr. Joel Confino.

“When patients ask us, “Do I have to wear glasses after my cataract surgery?”, we make sure to help them understand that we can offer them the possibility of a lifestyle that minimizes or possibly eliminates their need for glasses through careful lens implant counseling” he said. “For many patients, being able to live “glasses free” adds a level of convenience and comfort to their everyday lives.”

If you or someone you know has questions about cataracts, cataract surgery or lens implants (IOL) please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter to schedule an appointment.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Tuesday, October 9, 2012

Halloween Contact Lenses & Eyes in NJ

“Halloween, decorative contact lenses and your eyes may not be a great combination,” remarked NJ Ophthalmologist & Corneal Specialist Joel Confino, M.D. of The Eye Care & Surgery Center with offices in Westfield, Warren and Iselin, New Jersey. “Halloween can be a really fun time but it’s always wise to be a bit cautious with contact lenses,” Dr. Confino explained. “Many Halloween celebrants like to turn their eyes from blue to some far out appearance or ghoulish look by using over-the-counter, decorative contact lenses that may seem like fun, but can lead to serious vision-threatening problems,” further explained Dr. Confino. According to the Food and Drug Administration, all contact lenses are regulated medical devices that require a prescription and proper fitting by an eye-care professional. Even someone with perfect vision would still require an eye exam and a prescription in order to wear any kind of contacts, including cosmetic lenses.

Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, noncorrosive lenses-sometimes called Plano-or zero-powered lenses, but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

The buyer of these over-the-counter contact lenses faces a huge risk including scratched corneas, pink eye and more serious types of blinding infection as a result of a corneal ulcer

In 2005, a federal law was passed that classified all contact lenses as medical devices and restricted their distribution to licensed eye-care professionals. Illegal sale of contacts can result in civil penalties of up to $11,000 per violation.
 
The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye  problems from becoming a reality. If you or a friend would like to learn more about contact lenses of any type including decorative contacts please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter and schedule an appointment.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Tuesday, October 2, 2012

NJ Corneal Specialist on Eye Injury Prevention



NJ Ophthalmologist & Corneal Specialist Joel Confino, M.D. advised patients to raise their awareness of steps to take for eye injury prevention when doing common activities. “Some of the most common things we all do have the potential for causing eye injury. It is worthwhile to take some simple precautions to avoiding eye damage and vision loss,” said Dr. Confino. “Often thinking about protecting our eyes is the last thing we do when going out to mow the lawn, do the basement or garage cleanup or even jump start the car as the weather gets cold-but it should really be the first thing we think of to avoid eye injury,” he emphasized.

The American Academy of Ophthalmology has designated October Eye Injury Prevention Month. This is a good time to consider steps to take to avoid eye injury. Many household chemicals, such as cleaning fluids, detergents and ammonia, are extremely hazardous and can burn the eye's delicate tissues. When using chemicals, always read instructions and labels carefully, work in a well-ventilated area and make sure spray nozzles point away from you and others before spraying. Be sure to wash your hands thoroughly after use.

Before using a lawnmower, power trimmer or edger, check for debris. Stones, twigs and other items can become dangerous projectiles shooting from the blades of a lawnmower, potentially injuring your eyes or those of innocent bystanders. Prevention is the first and most important step in avoiding serious eye injuries, so be sure to protect your eyes with appropriate protective eyewear.

If you have questions or need an appointment for an eye injury please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.