NJ Surgeon on Cataract Risk & Smoking

“Smoking can increase eye health and cataract risk,” noted Cataract Surgeon Joel Confino, M.D. “Almost all of my patients seem to be well aware of the heart and vascular risks of smoking. We also know that smokers are at increased risk of glaucoma and age related macular degeneration as well. What may be news to smokers is that they are also at increased risk of cataracts,” stated Dr. Confino of The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey.

Patients who are current smokers or who have any history of smoking are at increased risk of getting a cataract according to researchers reporting in Investigative Ophthalmology & Visual Science. The researchers found that the overall current literature suggests that smoking was associated with increased risk of age related cataract, especially nuclear cataract and to some extent posterior sub capsular cataract. They further recommended that additional efforts should be made to confirm these findings and clarify the underlying biological mechanisms. A healthy lifestyle and diet are meaningful ways of maintaining eye health and vision-whether lowering your risk of cataracts, keeping the tiny blood vessels in the eye functioning properly or minimizing the associated risks of glaucoma-it’s important to avoid smoking as a lifestyle choice.

If you or someone you know feels they are at risk for Cataract development, has a question about cataracts, cataract surgery or lens implants please feel free to 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 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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NJ Doctor on Eye Pain & Osteoporosis Medication

NJ eye doctor Roslyn Stahl, M.D. alerted patients about the possible relationship between eye pain and certain osteoporosis medications. “We see many patients today taking osteoporosis medications such as Fosamax®, Boniva® and Actonel®”, commented Dr. Stahl of The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey.“Patients on these medications need to be aware of the potential for eye inflammation and associated eye pain.”

According to a study published in the Canadian Medical Association Journal, users of oral bisphosphonates such as Fosamax®, Boniva® and Actonel® were 45% more likely to develop uveitis and 51% more likely to develop scleritis compared with patients who had never used these medications.

If you take medicine for osteoporosis, you will also need to get enough calcium and vitamin D, eat a healthy diet, and exercise regularly. A large part of treating or reducing the effects of osteoporosis is getting enough calcium and vitamin D. “If your physician does start you on any type of osteoporosis medication you should not ignore the symptoms of eye pain no matter how mild they might seem. Even at your regular eye exam, make sure to tell your eye doctor if you have started bisphosphonates medication such as Fosamax®, Boniva® and Actonel®. We need to know as sometimes the associated side effects of these osteoporosis medications can be subtle-but they are important”, noted Dr. Stahl.

If you or someone you know has questions about eye pain, osteoporosis medication or eye inflammation please feel free to call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter to schedule and 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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Cataract Surgery & Preventing Hip Fracture

“What does cataract surgery have to do with preventing hip fractures?” asked Roslyn Stahl, M.D. a Cataract Surgeon at The Eye Care & Surgery Center. “What we know from recent studies is that cataract surgery may offer patients with cataracts a distinct advantage in preventing hip fractures according to a report published in the Journal of the American Medical Association,” said Dr. Stahl.

When looking at the risk of hip fracture among more than 1 million people on Medicare aged 65 with cataracts, researchers found people who had cataract surgery had a 16% lower risk of hip fracture one year after the procedure. Visual impairment from cataracts-whether from blurry vision, glare, halos or decreased contrast-is a known risk factor for falls. Thus when we improve vision for patients with cataracts, their mobility is typically improved as well as their confidence and the safety with which they navigate. A hip or pelvis fracture is the sentinel event that leads to a progressive decline in quality of life and usually signifies increased mortality and morbidity. Accidental falls and the resulting bone fractures are a major cause of disability and death among the elderly. “The key here is that there is a demonstrated need for timely cataract surgery for seniors in order to manage the risk of challenged mobility with resulting fractures. We are quite fortunate-and it is really rewarding-to be able to provide cataract patients with modern patient friendly cataract surgery on an outpatient basis that utilizes tiny incisions, eye drops for anesthesia and a quick visual recovery,” summarized Dr. Stahl.

If you or someone you know has questions about cataract, cataract surgery, lens implants or hip fracture prevention please feel free to 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 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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NJ Cornea Specialist on Eye Infections & Acne Medication

“What do eye infections and acne medication have to do with each other?,” asked Cornea Specialist Joel Confino, M.D. of The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey. “Recently, a study on eye infections and acne medication was presented in Archives of Dermatology   where researchers collected data on nearly 15,000 teens and young adults taking isotretinoin to treat acne and compared their rates of eye infections to group that had acne but not taking the drugs and to a third group that didn't take the drugs and didn't have acne,” stated Dr. Confino. Isotretinoin is also sold under the brand names Roaccutane, Amnesteem, Claravis, Myorisan and Sotret.

Within a year of starting the medication, nearly 14 percent of those in the acne medication group developed an eye infection or dry eyes, compared with almost 10 percent in the group that had acne but did not take the medications and about 7 percent in the group that didn't have acne. Compared to the acne-free group, those taking isotretinoin were at 70 percent increased risk of an eye infection over the course of a year. The mean age of participants was about 16.5 years old.

“The most common problem was conjunctivitis, an inflammation or infection of the membrane lining the eye and eyelids. Other problems included hordeolum or stye which is an inflamed oil gland on the edge of the eyelid, chalazion which is a tender, swollen lump in the eyelid due to a blocked oil gland, blepharitis-an inflammation of the eyelash follicles and dry eyes,” further explained Dr. Confino.

Isotretinoin treats acne by reducing oil production from the sebaceous glands, among other effects. But isotretinoin also disrupts function of the meibomian glands, or oil glands inside the eyelids. The meibomian glands help keep the eyes lubricated. Less lubrication may mean the eyes are irritated, itching and burning, prompting people to rub them and introduce bacteria. “The good news is that most side effects of the drugs can be prevented using artificial tears to keep the eyes lubricated,” said Dr. Confino.

If you or someone you know has a question about acne medication, eye infections or eye problems such as dry eyes, stye, chalazion or blepharitis please feel free to 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 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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Retina Specialist on Macular Degeneration & Stroke Risk

Retina Specialist Milton Kahn, M.D. posed an important question-“What does your risk of having a stroke have to do with age related macular degeneration?” Possibly quite a bit as it turns out. Older adults with late-stage, age related macular degeneration (AMD) may have a significantly higher risk for hemorrhagic stroke than do individuals without the eye disease, as reported from the Rotterdam Study at the International Stroke Conference. There may be a common underlying process contributing to both age related macular degeneration (AMD) and bleeding strokes, but more research will be needed to determine if that’s the case. Researchers found that the risk for any stroke was 56% higher in participants with late-stage AMD than in individuals without AMD after they controlled for the effects of age, sex, diabetes, blood pressure, use of antihypertensive medication, smoking, cholesterol levels, carotid artery plaques, body mass index, alcohol intake, and C-reactive protein levels.

“The single most significant finding in the study was that participants with late-stage AMD-either the wet or dry forms-had six fold higher risk for intracerebral hemorrhage or stroke than did participants without AMD,” noted Dr. Kahn of The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey.

If you or someone you know suffers from or is concerned about age related macular degeneration (AMD), especially if they are concerned about their risk of stroke or have a family history of stroke please feel free to 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.