Omega 3 Supplements May Not Help AMD

Omega 3 supplements have been questioned as playing a beneficial role for patients in the prevention of age related macular degeneration (AMD). Taking diet supplements with antioxidant vitamins C and E, Beta Carotene and   Zinc has been shown to reduce the risk of progression to advanced age-related macular degeneration (AMD) in the Age-Related Eye Disease Study (AREDS). In addition to this “AREDS Supplement Formulation”, some data suggests that increased dietary intake of lutein + zeaxanthin (carotenoids), omega-3 long-chain polyunsaturated fatty acids (docosahexaenoic acid [DHA] + eicosapentaenoic acid [EPA]), or both might further reduce this risk. 

Researchers from the Age Related Eye Disease 2 (AREDS) Research Group reporting in the Journal of the  American Medical Association concluded that the addition of lutein + zeaxanthin, DHA + EPA, or both to the AREDS formulation did not further reduce risk of progression to advanced AMD but lutein + zeaxanthin could be an appropriate carotenoid substitute in the AREDS formulation for former smokers who were at risk for lung cancer.

If you or someone you know has a question about dietary supplements including Omega 3 fatty acids, 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.

With locations at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830, The Eye Care & Surgery Center is a leading NJ eye care practice conveniently located for patients from throughout central and northern New Jersey.

Corneal Specialist on Pinguecula Laser Treatment

Corneal Specialist Joel Confino,M.D. of The Eye Care & Surgery Center commented, “A Pinguecula is a common, non-cancerous growth of the clear, thin tissue covering the eye called the conjunctiva. This growth is usually slightly raised from the surface of the white part of the eye called sclera and while the exact cause is unknown long-term sunlight exposure and eye irritation may be factors.” 

Usually no treatment is needed, however keeping the eye moist with artificial tears may help prevent the area from becoming inflamed. Sometimes the temporary use of mild steroid eye drops can also be helpful. Occasionally the growth may need to be removed for comfort or for cosmetic reasons especially if it grows over the cornea and impairs vision. Laser treatment for Pinguecula may be an option where other types of treatment have not been satisfactory according to researchers reporting in the journal Cornea. The researchers studied patients and treated their Pinguecula with argon laser photocoagulation. Each patient graded the cosmetic outcome on a 5 point-grading scale with 5 being excellent, 4 being good, 3 acceptable, 2 poor and 1 very poor and the surgeons evaluation of treatment outcome was based on objective findings of anterior segment photography and anterior segment optical coherence tomography. The overall cosmetic results were excellent or good in 90.5% of laser-treated cases and the laser treated cases had minimal scarring or hemorrhage. They concluded that argon laser photocoagulation is an effective and safe method for removing a Pinguecula for cosmetic purposes and the laser method facilitates control of the extent and depth of removal and thus minimizes conjunctival defects and other complications.

If you or someone you know has a question about Pinguecula or laser treatment of Pinguecula 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. 

With locations at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830, The Eye Care & Surgery Center is a leading NJ eye care practice conveniently located for patients from throughout central and northern New Jersey.

Eyewear for Sports Eye Protection

Wearing proper protective eyewear for sports can go a long way to decrease the risk of eye injuries for adults and children who are athletes. The American Academy of Ophthalmology notes that more than 40,000 people suffer from eye injuries related to sports every year with more than 90% of these sports eye injuries being preventable by wearing protective eyewear. The types and scope of eye injuries can include relatively routine corneal abrasions, bruises and contusions of the eyelids-and rather severe eye injuries including inner eye bleeding and retinal detachments. These types of sports eye injuries can result in catastrophic vision loss as well as dramatic lifestyle impairment.

Today, there is specially designed protective eyewear that provides good eye protection for most sports, including basketball, baseball, hockey, football, lacrosse, fencing, paintball, water polo, golf and others. Frame designs must offer proper protection and eyeglass lenses made from polycarbonate materials must be used to provide the highest level of impact protection so that they can withstand a ball or other projectile traveling at 90 miles per hour. These types of protective eyewear, when properly fitted protective eyewear will not interfere with sports performance and serves to help maintain eye safety, health and vision. Regular eyeglasses do not offer proper eye protection.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglasses, please call The Eye Care & Surgery Center at 908-789-8999, visit TheEye Care & Surgery Center or facebook.com/eyecareandsurgerycenter to schedule an appointment.

The EyeCare & 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.

The Eye Care & Surgery Center is a leading New Jersey eye care practice with offices at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830

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Dry Eye after Cataract Surgery

Having a temporary dry eye after cataract surgery is somewhat common-especially given that the incidence of mild to moderate dry eye in a cataract aged population prior to cataract surgery-and exacerbated by cataract surgery makes dry eye a rather common complaint among this group.

According to the Prospective Health Assessment of Cataract Patients Ocular Surface (PHACO) Study some 60-75% of a cataract aged population had a meaningful deficiency in their tear film testing. Further, although cataract surgery is quite friendly to the cornea, it does require and incision which has the potential to temporarily interrupt corneal nerves responsible for reflex tearing and tear film integrity as well. This along with some of the solutions used during the cataract procedure can indeed result in a dry eye.

Symptoms & Treatment of Dry Eye after Cataract Surgery

The symptoms of dry eye that one might experience after cataract surgery could include fluctuations of vision, dryness, grittiness, tearing, burning and a general tiredness as well as an overall sandy feeling. The good news is that for the vast majority of patients with dry eye there are potentially helpful treatment options that include specialized artificial tear lubricants and solutions, tiny punctal plugs to help you retain tears and prescription medication that stimulates production of your own tears. In addition there are more technological approaches such as lasers and other methods to treating underlying blepharitis, eyelid gland problems or eyelid inflammation that can contribute to dry eye as well.

If you or someone you know has a question about the symptoms and treatment of dry eye after cataract surgery, 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.

The Eye Care & Surgery Center is a leading New Jersey eye care practice with offices at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830

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Eye Health Risks at High Altitude

While most of us don’t spend too much time at very high altitudes there are situations worth mentioning as some patients who spend a great deal of time in high altitudes-skiing, mountain climbing or even just touring-may be concerned about the effects on their eyes, especially if they are at risk for eye problems or diseases related to hypoxia or not enough oxygen.

Researchers from the Tübingen High Altitude Ophthalmology (THAO) reporting in the journal Investigative Ophthalmology & Visual Science examined the effect of high altitude on the cornea and on the drainage angle of the eye-a key anatomical landmark for predicting narrow angle glaucoma risk. Using the advanced imaging technique of Optical Coherence Tomography (OCT) they studied corneal thickness changes and the depth and shape of the “anterior chamber angle” to determine the effects of high altitude. In normal healthy eyes, they found that a significant degree of reversible corneal swelling occurred with increasing altitude but no effect was noted on the size or shape of the eye fluid drainage angle. Since the corneal swelling was reversible it was not damaging. However, for patients with corneal dystrophy problems such as Fuchs Dystrophy, any endothelial dystrophy or compromise there may be some delay in the deswelling of the cornea. For patients who might be at risk for narrow angle glaucoma, the researchers reported that no change in angle depth or shape occurred at the higher altitudes-and thus there was no increase in angle closure glaucoma risk.

If you or someone you know has a question about the potential for eye problems at high altitude 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 at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830, The Eye Care & Surgery Center is a leading NJ eye care practice conveniently located for patients from throughout central and northern New Jersey.

Patients Lack Understanding of Diabetic Retinopathy

At The Eye Care & Surgery Center we work to educate patients about their eye problems, conditions, diseases and treatment options as we believe having a solid understanding is important for their eye health and vision. Understanding diabetic retinopathy poses a particular challenge for a great number of patents. A recent study exploring patients’ understanding of the risk factors, cause and controllability of their own diabeticretinopathy revealed considerable misunderstanding, gaps in knowledge and potentially damaging beliefs about the cause and treatment of diabetic retinopathy. Focus groups and interviews were conducted with patients with diabetic retinopathy (DR), nearly half of whom had severe proliferative DR-a serious complication. Most of these patients had also undergone laser treatment. At the conclusion of the study, patients were found to have had a reasonable understanding of the basic risk factors for DR, such as diabetes control, but they were less clear about specific risk factors such as blood pressure and lipid control. Most patients attributed their DR either to poor diabetes control or to failings of the health care system, rather than having a basic understanding of the small blood vessel disease including circulatory and oxygen deprivation that results from the damaged blood vessels in the retina. Some patients believed that their DR was a result of health aspects beyond their control or environmental factors, whereas others were unsure about the cause.

Improving patients' understanding of the major risk factors for DR as well as helping them have a better understanding of the causes of diabetic retinopathy and being able to grasp expectations of realistic outcomes of laser treatment may improve patients' coping mechanisms, adaption to disease and ocular outcomes.

If you or someone you know has a question about the risks or treatment of diabeticretinopathy, 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 at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830, The Eye Care & Surgery Center is a leading NJ eye care practice conveniently located for patients from throughout central and northern New Jersey.

Bright Red Eye: What Could It Be?

Sometimes patients call The EyeCare & Surgery Center very concerned because they look in the mirror or someone tells them that they have a “bright red eye” or “bleeding eye”. Typically, it seems to start with a cough or a sneeze-or with some heavy lifting-or for no reason at all-and has no pain, blurry vision or discharge. What could it be? We will of course ask you to come in so we can evaluate the problem, but it is possible that it is a subconjunctival hemorrhage.

Subconjunctivalhemorrhage is a benign disorder that is a common cause of acute ocular redness or “bright red eye”. The major risk factors include trauma and contact lens usage in younger patients, whereas among the elderly, systemic vascular diseases such as hypertension, diabetes, and arteriosclerosis are more common. In patients in whom subconjunctival hemorrhage is recurrent or persistent, further evaluation, including a workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies and drug side effects, is warranted.

If you or someone you know experiences a “bright red eye” 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 at 592 Springfield Avenue, Westfield, New Jersey 07090, 10 Mountain Boulevard, Warren, New Jersey 07059 and 517 Route One South, Suite 1100, Iselin, New Jersey 08830, The Eye Care & Surgery Center is a leading NJ eye care practice conveniently located for patients from throughout central and northern New Jersey.