Optical Physics & Macular Degeneration Help

Optical physics may provide some help for the vision problems created by macular degeneration. The application of optical physics might be helpful to patients in helping them overcome the visual distortion caused by AMD. “While the key to maintaining eye health and vision as we age-especially regarding macular degeneration-is having regular eye exams, there are still a growing number of patients who experience a disturbing distortion and twisting of their vision resulting from macular degeneration,” explained Milton Kahn, M.D.

Nobel Laureate Walter Kohn described a potential application of what is a dynamic “translator” for the particular distortion a patient experiences either in handheld computers or an optical corrective lens. “We routinely use the Amsler Grid, a graph-paper-like pattern to diagnose AMD-Dr. Kohn suggested that the Amsler grid could also be used to develop an optical correction,” said Dr. Kahn.

When people with healthy eyes look at the Amsler Grid, they see its straight horizontal and vertical lines, with a dot at center.  Patients with AMD, however, often perceive a distortion about two or three centimeters in diameter in the center.

Dr. Kohn has initiated the development of software that lets an AMD patient, using a mouse, pull the virtual lines until he or she perceives the grid as “perfect,” yielding reversal of the specific distortion a person experiences. Dr. Kohn then uses these results to create a correction for that patient. In one experimental device, a handheld computer scans the printed page, using software to perform dynamic compensation, distorting the text to make it readable for patients. In addition, Dr. Kohn uses of a slab of optical material to fabricate the visual correction so that AMD patients could hold the optical slab of refractive material over text, pictures or reading material, just like the magnifying glass people use for seeing small type—only the surface of Kohn’s slab resembles ocean currents or waves that reverse the distortion.

“These are very exciting ideas and offer promise to help us deal with the visual distortion caused by macular degeneration,” offered Dr. Kahn.

If you have questions or need an appointment to learn more about macular degeneration and optical physics 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 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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Macular Degeneration Risk in Irish Descendants

Patients of Irish heritage should note that they might be at greater risk of macular degeneration. It is generally believed that there is a strong familial predisposition toward increased risk of macular degeneration however new research suggests that Irish people are more genetically predisposed to develop age related macular degeneration (AMD) than other Caucasian populations is important.

The study conducted by the Department of Genetics at Trinity College in Dublin, Ireland and the Royal Victoria Eye and Ear Hospital Research Foundation, evaluated blood samples from more than 200 patients with AMD and compared them with samples from participants without the disease to identify genetic risk factors. The study shows that Irish people are at an elevated risk of developing AMD. It is also known that smokers are four times more likely to suffer from the disease.

If you are over 50 years old or even earlier if you have a family history of AMD or are of Irish descent you should please schedule an appointment by calling The Eye Care & Surgery Center at 908-789-8999, visiting 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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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.

New Jersey Macular Degeneration Awareness Month



Milton Kahn, M.D.
New Jersey Retina Specialist



NJ Retina Specialist Milton Kahn, M.D. shared thoughts about age related macular degeneration as February marks the 2013 Age Related Macular Degeneration (AMD) Awareness Month. “It is no surprise that the number of people we see today affected by macular degeneration is continuing to climb. As the baby boomer population continues to age this will almost certainly continue for years to come,” said Dr. Kahn of The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey. It is estimated that more than 2 million people age 50 and older have late AMD (Age Related Macular Degeneration) which represents a 25 percent increase between 200 and 2012.  “In the past, we were pretty much only able to give patients with Age Related Macular Degeneration (AMD) bad news about their vision and prognosis. Today, for most patients, with early detection, diagnosis and treatment, at a minimum we can prevent further vision loss from the disease and in many cases we can actually help recover lost vision,” said Dr. Kahn.

Here is what we would like patients to know about AMD. AMD causes central vision to blur, but leaves peripheral vision intact. It is progressive and painless. There are two types of AMD, a “Dry” form and a “Wet” form. It is estimated that 85-90% of people with AMD have the Dry form which results in a gradual vision loss. Fortunately, only 10 percent of people with AMD have the Wet form which progresses much quicker and can cause catastrophic vision loss. Wet AMD is characterized by the growth of abnormal retinal blood vessels that leak blood or fluid. Leaking or bleeding vessels leads to swelling and bleeding in the Macula, causing visual distortions or decreased vision. Over time, this can lead to scarring in the Macula and create damage that may result in the loss of central vision. Patients can often reduce their risk of developing AMD by not smoking as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables, avoiding foods with Trans fats, exercising and controlling blood pressure and weight.

“What patients need to be aware of is that once you are over 50, it becomes increasingly important to have a thorough, comprehensive dilated eye exam every one to two years-and even more often if you have any family history of AMD-or at the recommendation of your eye doctor. The key to preventing vision loss from AMD is clearly early detection, quick diagnosis and then immediate access to treatment with vascular endothelial growth inhibitor (VEGF) injections such as Lucentis®”, summarized Dr. Kahn.

If you have questions about age related macular degeneration (AMD) or need a macular degeneration eye exam appointment 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.