“Clinical results from the two-year study of the anti-vascular endothelial growth factor (VEGF) drug Lucentis were quite positive when used to treat Diabetic Macular Edema (DME), which is a cause of significant vision loss in patients with diabetes”, commented Milton Kahn, M.D. a New Jersey Retinal Specialist at Eye Care & Surgery Center. “Patients with Diabetic Retinopathy in the form of DME who received the drug experienced rapid and sustained improvement in vision compared to those who received a placebo injection.”
Diabetic Macular Edema or DME is the swelling of retina in people with diabetic eye disease called Diabetic Retinopathy, which causes damage to the blood vessels of retina. The DME patients suffer fluid leak from the damaged blood vessel to the central portion of retina, causing it to swell leading to blurred vision, severe vision loss and blindness.
Of the 26 million U.S. people with diabetes, a portion of up to 10 percent tends to develop DME during their lifetime, and up to 75,000 new cases of DME are estimated to develop each year. Currently, DME patients are treated with laser surgery that helps seal the leaky blood vessels to slow the leakage of fluid and reduce the amount of fluid in the retina.
Lucentis is approved for use by the U.S. Food & Drug Administration (FDA) for the treatment of “Wet” Age-Related Macular Degeneration (AMD) and for Macular Edema following Retinal Vein Occlusion. In 2011, Lucentis was approved for treatment of visual impairment due to DME in Europe.
If you or someone you know suffers from diabetes or is even prediabetic they should have regular eye exams in order to protect their eye health and vision. Significant vision loss from Diabetic Retinopathy can often be prevented by early detection, diagnosis and treatment. Please call Eye Care & Surgery Center at 908-789-8999 to schedule an appointment.
Friday, July 15, 2011
Tuesday, July 12, 2011
How Do Skin Peels Work?
As an Oculofacial Plastic Surgeon, I see many patients searching for the best way to reverse the aging process and erase the damage that has been done to their skin. There are several methods available to accomplish different degrees of correction.
For my patients looking for a non-surgical method, I discuss skin treatments to address their challenging areas. One treatment in particular has proven to provide an overall rejuvenation of the skin; a full line of skin treatments from eyelid creams to medical grade chemical peels.
Then choosing a peel, it is best to discuss your objectives, skin sensitivities, past skin conditions and your daily activities with your clinician in order for them to make an informed recommendation on the proper peel regime for you. Though there are several chemical peels available, I have chosen a multi-tiered package for my patients that allow me to truly customize their treatment and results. The chemical peel package offers three levels of peels for treatment of fine lines and wrinkles in patients. The Level 1 or Illuminize peel is for patients with sensitive skin types or those that have skin that is more at risk for hyperpigmentation. The Level 2 and Level 3 peels (Vitalize and Rejuvenize) are stronger peels that have a longer and deeper effect. All sets of peels have no downtime but patients can expect to have mild skin peeling approximately 48 hours after the peel is administered. During that period, the old skin layer is flaked off to expose the newer skin layer underneath. The contents in the peeling solution are Alcohol, Salicyclic Acid, Resorcinol, Lactic Acid, Panthenol, Isoceteth-20. Additionally retinoic acid is used to pretreat the skin before treatment. This combination is used to increase skin glow and radiance and improve skin color, clarity and texture by increasing cell turnover in the skin. Most patients receive a treatment every 2 months.
All peels work differently. Discuss all your options with your clinical skin advisor before making any decisions and ask to see before and after photographs of their treated patients.
Thank you to Oculofacial Plastic Surgeon, Dr. Chris Thiagarajah, for being our guest blogger today.
Tuesday, July 5, 2011
Fireworks Eye Safety Awareness Month
Eye Care & Surgery Center wishes to announce that Prevent Blindness America has designated July as National Fireworks Eye Safety Awareness Month.
Contrary to what you might think, there is no safe way for nonprofessionals to use fireworks. It is only safe to enjoy the splendor and excitement of fireworks at a professional display. According to the U.S. Consumer Product Safety Commission, fireworks are involved in approximately 10,000 injuries per year that are treated in U.S. hospital emergency rooms. Of those, 2/3 occurred during the one month period surrounding the July 4th holiday. It is important to note that:
• Eyes were the Second Most Commonly Injured Part of the Body!
• Males Were Injured 3x More than Females.
• Approximately 25% of Injuries are to Children Under 15.
Fireworks and celebrations go together, especially during the Fourth of July. But there are precautions parents can take to prevent these injuries. The best defense against kids suffering severe eye injuries and burns is to not let kids play with any fireworks. Do not purchase, use or store fireworks of any type. Protect yourself, your family and your friends by avoiding fireworks. Attend only authorized public fireworks displays conducted by licensed operators, but be aware that even professional displays can be dangerous. If an eye accident does occur, what should I know?
• Do not rub the eye.
• Do not attempt to rinse out the eye. This can be even more damaging than rubbing.
• Do not apply pressure to the eye itself- but protecting the eye from further contact
with any item, including the child's hand.
• Do not stop for medicine! Over-the-counter pain relievers will not do much to relieve pain.
Aspirin (should never be given to children) and ibuprofen can thin the blood, increasing
bleeding. Take the child to the emergency room at once.
• Do not apply ointments or drops. They may not be sterile and may make the area around
the eye slippery and harder for the doctor to examine.
Once you are seen in the emergency room please feel free to have them call Eye Care & Surgery Center at 908.789.8999 as we always have an eye doctor “on call” to provide consultation and continued care for you.
Contrary to what you might think, there is no safe way for nonprofessionals to use fireworks. It is only safe to enjoy the splendor and excitement of fireworks at a professional display. According to the U.S. Consumer Product Safety Commission, fireworks are involved in approximately 10,000 injuries per year that are treated in U.S. hospital emergency rooms. Of those, 2/3 occurred during the one month period surrounding the July 4th holiday. It is important to note that:
• Eyes were the Second Most Commonly Injured Part of the Body!
• Males Were Injured 3x More than Females.
• Approximately 25% of Injuries are to Children Under 15.
Fireworks and celebrations go together, especially during the Fourth of July. But there are precautions parents can take to prevent these injuries. The best defense against kids suffering severe eye injuries and burns is to not let kids play with any fireworks. Do not purchase, use or store fireworks of any type. Protect yourself, your family and your friends by avoiding fireworks. Attend only authorized public fireworks displays conducted by licensed operators, but be aware that even professional displays can be dangerous. If an eye accident does occur, what should I know?
• Do not rub the eye.
• Do not attempt to rinse out the eye. This can be even more damaging than rubbing.
• Do not apply pressure to the eye itself- but protecting the eye from further contact
with any item, including the child's hand.
• Do not stop for medicine! Over-the-counter pain relievers will not do much to relieve pain.
Aspirin (should never be given to children) and ibuprofen can thin the blood, increasing
bleeding. Take the child to the emergency room at once.
• Do not apply ointments or drops. They may not be sterile and may make the area around
the eye slippery and harder for the doctor to examine.
Once you are seen in the emergency room please feel free to have them call Eye Care & Surgery Center at 908.789.8999 as we always have an eye doctor “on call” to provide consultation and continued care for you.
Friday, July 1, 2011
Blepharitis–What is it?
Blepharitis is the most common inflammation of the eyelids. It may be asymptomatic or can cause irritation, burning, and redness of the lids or conjunctiva. People with a tendency towards dandruff, oily skin, acne rosacea or dry eyes are more frequently affected. Blepharitis can begin early in life affecting children and continue throughout life as a chronic condition or it can manifest itself later in life.
Each person has normal bacteria present on the surface of their skin and most people will never be bothered by it. This same bacteria, on certain individuals, tends to thrive at the base of the eyelashes. Irritation may result from an abnormality or over-activity of the nearby oil glands (meibomian glands) causing scales and particles to form along the lashes and eyelid margins.
The effects of blepharitis are different for each person. Some people are affected with only minor irritation and itching from the scales or bacteria, but others may be affected with redness and/or a burning sensation. An allergic response to the scales or bacteria that surround them may develop.
Treatment - Caring for Blepharitis
Treating blepharitis is more controlling the symptoms than curing the condition. Often times blepharitis cannot be cured, but it is possible to control the condition by following the instructions below:
1. Using a warm, moist washcloth, place it over the closed eyelids for a several minutes at least twice a day. It may be necessary to remoisten it as it cools down. This will be helpful to soften and loosen scales and other particles on the eyelids. This treatment also helps to prevent the development of a chalazion, which is an inflamed lump within an eyelid oil gland.
2. It is important to gently rub the base of the lashes about 15 seconds per lid with a cloth-covered finger, cotton swab or commercial lint-free pad.
3. If your doctor has prescribed an antibiotic ointment, apply a small amount at the base of the lashes using a cotton swab or fingertip. This is generally done at bedtime.
If the blepharitis is not able to be controlled by the above measures, it may be necessary to add one or all of the following medications:
1. Artificial tears may be helpful to relieve dry eye symptoms. These eye drops are available without a prescription.
2. Steroids may be used to decrease inflammation short-term.
3. Antibiotics will be helpful at decreasing bacterial content of the eyelids. In severe cases it may be necessary for long-term use of tetracycline. This medication is taken orally and is routinely used by patients with a skin condition called rosacea.
REMEMBER: To control blepharitis, it is necessary for the patient to actively cleanse the lashes daily by applying warm compresses as described and remembering that medications alone are not adequate.
Thank you to Dr. Ivan Jacobs, our guest blogger today, for sharing his insights and knowledge with us.
Each person has normal bacteria present on the surface of their skin and most people will never be bothered by it. This same bacteria, on certain individuals, tends to thrive at the base of the eyelashes. Irritation may result from an abnormality or over-activity of the nearby oil glands (meibomian glands) causing scales and particles to form along the lashes and eyelid margins.
The effects of blepharitis are different for each person. Some people are affected with only minor irritation and itching from the scales or bacteria, but others may be affected with redness and/or a burning sensation. An allergic response to the scales or bacteria that surround them may develop.
Treatment - Caring for Blepharitis
Treating blepharitis is more controlling the symptoms than curing the condition. Often times blepharitis cannot be cured, but it is possible to control the condition by following the instructions below:
1. Using a warm, moist washcloth, place it over the closed eyelids for a several minutes at least twice a day. It may be necessary to remoisten it as it cools down. This will be helpful to soften and loosen scales and other particles on the eyelids. This treatment also helps to prevent the development of a chalazion, which is an inflamed lump within an eyelid oil gland.
2. It is important to gently rub the base of the lashes about 15 seconds per lid with a cloth-covered finger, cotton swab or commercial lint-free pad.
3. If your doctor has prescribed an antibiotic ointment, apply a small amount at the base of the lashes using a cotton swab or fingertip. This is generally done at bedtime.
If the blepharitis is not able to be controlled by the above measures, it may be necessary to add one or all of the following medications:
1. Artificial tears may be helpful to relieve dry eye symptoms. These eye drops are available without a prescription.
2. Steroids may be used to decrease inflammation short-term.
3. Antibiotics will be helpful at decreasing bacterial content of the eyelids. In severe cases it may be necessary for long-term use of tetracycline. This medication is taken orally and is routinely used by patients with a skin condition called rosacea.
REMEMBER: To control blepharitis, it is necessary for the patient to actively cleanse the lashes daily by applying warm compresses as described and remembering that medications alone are not adequate.
Thank you to Dr. Ivan Jacobs, our guest blogger today, for sharing his insights and knowledge with us.
Tuesday, June 28, 2011
About Eye Focusing Problems
MYOPIA (NEAR-SIGHTEDNESS)
Myopia is the medical term for near-sightedness, and occurs when light entering the eye focuses in front of the retina instead of directly on it. Individuals with myopia typically see objects that are close well, but have difficulty seeing objects that are far away. It is caused by a cornea that is steeper, or an eye that is longer, than a normal eye. Approximately 30% of people in the United States are near-sighted. Myopia typically starts to appear between ages 8-12, often progresses over childhood, and stabilizes by adulthood.
HYPEROPIA (FAR-SIGHTEDNESS)
Hyperopia is the medical term for far-sightedness, and occurs when light entering the eye focuses behind the retina, instead of directly on it. Individuals with hyperopia usually have trouble seeing up close, but may also have difficulty seeing objects far away as well. It is caused by a cornea that is flatter, or an eye that is shorter, than a normal eye. Because young people with mild to moderate hyperopia can often focus their eyes to see clearly, hyperopia is often undetected until later in life, when the eye begins to lose its ability to accommodate.
ASTIGMATISM
Astigmatism refers to the shape of the cornea of the eye. A cornea without astigmatism has a spherical shape, like a basketball. A cornea that has astigmatism has a more oval shape, similar to a football. Most astigmatic corneas have two curves – a steeper curve and a flatter curve. This curve causes light to focus on more than one point in the eye, resulting in blurred vision at distance and near. Astigmatism often occurs along with myopia or hyperopia.
PRESBYOPIA
Presbyopia is a term that is used to describe an eye in which the natural lens can no longer accommodate. Accommodation is the eye’s way of changing its focusing distance: the lens thickens during accommodation, thereby increasing its focusing power and its ability to see up close. As we age, the lens begins to lose some of its elasticity. This is a gradual process, although to many it appears to occur suddenly (typically around the age of 40). Most people first notice difficulty reading very fine print such as the phone book, a medicine bottle, or the stock market page. They may also have difficulty adjusting their focus from near to far. At first, holding reading material further away helps many patients, but eventually, correction is needed in the form of reading glasses, bifocals or contact lenses. Near-sighted individuals may simply be able to take their glasses off to read.
Options: There are four main options for correcting these refractive errors. These are glasses, contact lenses, refractive surgery or lens implantation. Feel free to discuss any or all of these options with your eye care professional to find out which one may be best for you.
Thank you to Dr. Ivan Jacobs, our guest blogger today, for sharing his insights and knowledge with us.
Myopia is the medical term for near-sightedness, and occurs when light entering the eye focuses in front of the retina instead of directly on it. Individuals with myopia typically see objects that are close well, but have difficulty seeing objects that are far away. It is caused by a cornea that is steeper, or an eye that is longer, than a normal eye. Approximately 30% of people in the United States are near-sighted. Myopia typically starts to appear between ages 8-12, often progresses over childhood, and stabilizes by adulthood.
HYPEROPIA (FAR-SIGHTEDNESS)
Hyperopia is the medical term for far-sightedness, and occurs when light entering the eye focuses behind the retina, instead of directly on it. Individuals with hyperopia usually have trouble seeing up close, but may also have difficulty seeing objects far away as well. It is caused by a cornea that is flatter, or an eye that is shorter, than a normal eye. Because young people with mild to moderate hyperopia can often focus their eyes to see clearly, hyperopia is often undetected until later in life, when the eye begins to lose its ability to accommodate.
ASTIGMATISM
Astigmatism refers to the shape of the cornea of the eye. A cornea without astigmatism has a spherical shape, like a basketball. A cornea that has astigmatism has a more oval shape, similar to a football. Most astigmatic corneas have two curves – a steeper curve and a flatter curve. This curve causes light to focus on more than one point in the eye, resulting in blurred vision at distance and near. Astigmatism often occurs along with myopia or hyperopia.
PRESBYOPIA
Presbyopia is a term that is used to describe an eye in which the natural lens can no longer accommodate. Accommodation is the eye’s way of changing its focusing distance: the lens thickens during accommodation, thereby increasing its focusing power and its ability to see up close. As we age, the lens begins to lose some of its elasticity. This is a gradual process, although to many it appears to occur suddenly (typically around the age of 40). Most people first notice difficulty reading very fine print such as the phone book, a medicine bottle, or the stock market page. They may also have difficulty adjusting their focus from near to far. At first, holding reading material further away helps many patients, but eventually, correction is needed in the form of reading glasses, bifocals or contact lenses. Near-sighted individuals may simply be able to take their glasses off to read.
Options: There are four main options for correcting these refractive errors. These are glasses, contact lenses, refractive surgery or lens implantation. Feel free to discuss any or all of these options with your eye care professional to find out which one may be best for you.
Thank you to Dr. Ivan Jacobs, our guest blogger today, for sharing his insights and knowledge with us.
Thursday, June 23, 2011
Eyelid Spasms–What Causes This?
Are there different types of eyelid spasms?
Yes. The three most common types of eyelid spasms are eyelid twitch (or tic), essential blepharospasm, and hemifacial spasm.
What causes minor eyelid spasms?
The cause of minor eyelid twitching is unknown. A slight spasm of the lower eyelid or even both eyelids is common and of no concern. Minor eyelid twitches require no treatment as they usually resolve spontaneously. Reducing stress, using warm soaks, or correction of any refractive error may help.
What is essential blepharospasm?
Essential blepharospasm is an involuntary condition usually involving both eyes, where the eyelids and, sometimes, the eyebrows close involuntarily. In advanced cases, muscles of the mouth or neck are sometimes involved in these spasms. When these spasms occur, temporary inability to see may result because of the involuntary eyelid closure. These spasms are rare but very troublesome, and often incapacitating.
What causes blepharospasm?
Blepharospasm is caused by abnormal nerve impulses, which produce muscle spasm. It is almost never a psychiatric disease.
How can blepharospasm be treated?
Blepharospasm can be treated with medications, biofeedback, injection of botulinum and surgery. Medications and biofeedback are rarely successful in managing blepharospasm, but may be advised in mild cases or cases not responding to other treatment.
Botulinum injections are now the most commonly recommended treatment for blepharospasm. Injection of botulinum (botulism toxin) in very small quantities into the muscles around the eyes relaxes the spasm. The injection works for several months, but will slowly wear off and usually needs to be repeated.
The treatment is very successful with few side effects. Drooping of the eyelids, double vision or dryness of the eye are possible side effects, but occur rarely and will subside as the injection wears off.
Surgery may also be recommended by your ophthalmologist. The surgeon removes either the nerve causing the spasm or the spastic muscles themselves. The surgical results are generally permanent and any side effects are also usually permanent.
What is hemifacial spasm?
Hemifacial spasm is a condition which involves the eyelid muscles and usually the muscles around the mouth on only one side of the face. Hemifacial spasm is usually caused by an artery pressing on the nerve to the facial muscles, causing the face to twitch. Botulinum injections may be beneficial in relieving the eyelid spasms in patients with hemifacial spasm.
A neurosurgical procedure for hemifacial spasm may relieve the pressure of the artery on the nerve. While it is generally successful, it is a major neurosurgical operation and serious complications are possible.
Thank you to Dr. Milton Kahn, our guest blogger today, for sharing his insights and knowledge with us.
Yes. The three most common types of eyelid spasms are eyelid twitch (or tic), essential blepharospasm, and hemifacial spasm.
What causes minor eyelid spasms?
The cause of minor eyelid twitching is unknown. A slight spasm of the lower eyelid or even both eyelids is common and of no concern. Minor eyelid twitches require no treatment as they usually resolve spontaneously. Reducing stress, using warm soaks, or correction of any refractive error may help.
What is essential blepharospasm?
Essential blepharospasm is an involuntary condition usually involving both eyes, where the eyelids and, sometimes, the eyebrows close involuntarily. In advanced cases, muscles of the mouth or neck are sometimes involved in these spasms. When these spasms occur, temporary inability to see may result because of the involuntary eyelid closure. These spasms are rare but very troublesome, and often incapacitating.
What causes blepharospasm?
Blepharospasm is caused by abnormal nerve impulses, which produce muscle spasm. It is almost never a psychiatric disease.
How can blepharospasm be treated?
Blepharospasm can be treated with medications, biofeedback, injection of botulinum and surgery. Medications and biofeedback are rarely successful in managing blepharospasm, but may be advised in mild cases or cases not responding to other treatment.
Botulinum injections are now the most commonly recommended treatment for blepharospasm. Injection of botulinum (botulism toxin) in very small quantities into the muscles around the eyes relaxes the spasm. The injection works for several months, but will slowly wear off and usually needs to be repeated.
The treatment is very successful with few side effects. Drooping of the eyelids, double vision or dryness of the eye are possible side effects, but occur rarely and will subside as the injection wears off.
Surgery may also be recommended by your ophthalmologist. The surgeon removes either the nerve causing the spasm or the spastic muscles themselves. The surgical results are generally permanent and any side effects are also usually permanent.
What is hemifacial spasm?
Hemifacial spasm is a condition which involves the eyelid muscles and usually the muscles around the mouth on only one side of the face. Hemifacial spasm is usually caused by an artery pressing on the nerve to the facial muscles, causing the face to twitch. Botulinum injections may be beneficial in relieving the eyelid spasms in patients with hemifacial spasm.
A neurosurgical procedure for hemifacial spasm may relieve the pressure of the artery on the nerve. While it is generally successful, it is a major neurosurgical operation and serious complications are possible.
Thank you to Dr. Milton Kahn, our guest blogger today, for sharing his insights and knowledge with us.
Tuesday, June 21, 2011
About Intraocular Lens Implants (IOL)
Intraocular Lens Implants which are also referred to as Intraocular Lenses or IOLs are tiny artificial lenses that are used to correct vision as part of the Cataract Surgery procedure. IOLs can also be used for certain patients who suffer from presbyopia, a condition in which the crystalline lens of the eye becomes less flexible thus losing its ability to focus on near objects.
Monofocal Lens Implants vs. Multifocal Lens Implants
The traditional lens implants that were used for some 25 years were of a type called Monofocal Lens Implants. As the name implies, Monofocal Lens Implants can only offer patients clear vision at one set distance-usually far away. Today we are able to offer patients vision correction after Cataract Surgery with Multifocal or Accommodating Lens Implants that allow patients to see at a range of distances. This technology allows us to replace the eye’s natural lens with a new, artificial lens that can help restore visual clarity for near, intermediate and distance vision with reduced dependence on eyeglasses and often not requiring them at all.
Astigmatism Correcting Toric Lens Implants
For patients who wore eyeglasses to correct astigmatism before their Cataract Surgery they may still experience blurred and distorted vision after traditional Cataract Surgery because a Monofocal IOL cannot correct astigmatism. To achieve the best quality of distance vision with a traditional IOL may still require glasses, contact lens or further surgery. If freedom from glasses for distance vision is important to you, you now have a better option. “We are now able to implant a special lens implant design called an astigmatism correcting toric lens implant making it possible to reduce or eliminate astigmatism and significantly improve uncorrected distance vision”, said Joel Confino, M.D. “Toric IOLs provide significantly improved distance vision and reduce the need for corrective lenses compared to a traditional Monofocal IOL.”
Aspheric Lens Implants
“Most people do not realize that their eyes have optical distortions-called aberrations-that can cause vision problems”, said Ivan Jacobs, M.D. of Eye Care & Surgery Center.
One type of common aberration is called spherical aberration and is generally associated with vision disturbances including:
• Blurriness
• Halos
• Loss of contrast
• Poor night vision
Today at The Eye Care & Surgery Center we can implant aspheric lens implants that are designed to reduce spherical aberration resulting in increased contrast sensitivity, enhanced clarity and improved image quality especially in dim illumination or low contrast environments such as driving at dusk or on rainy foggy conditions.
Please feel free to contact us with your questions about Cataracts, Cataract Surgery or Lens Implants by calling Eye Care & Surgery Center at 908.789.8999.
Monofocal Lens Implants vs. Multifocal Lens Implants
The traditional lens implants that were used for some 25 years were of a type called Monofocal Lens Implants. As the name implies, Monofocal Lens Implants can only offer patients clear vision at one set distance-usually far away. Today we are able to offer patients vision correction after Cataract Surgery with Multifocal or Accommodating Lens Implants that allow patients to see at a range of distances. This technology allows us to replace the eye’s natural lens with a new, artificial lens that can help restore visual clarity for near, intermediate and distance vision with reduced dependence on eyeglasses and often not requiring them at all.
Astigmatism Correcting Toric Lens Implants
For patients who wore eyeglasses to correct astigmatism before their Cataract Surgery they may still experience blurred and distorted vision after traditional Cataract Surgery because a Monofocal IOL cannot correct astigmatism. To achieve the best quality of distance vision with a traditional IOL may still require glasses, contact lens or further surgery. If freedom from glasses for distance vision is important to you, you now have a better option. “We are now able to implant a special lens implant design called an astigmatism correcting toric lens implant making it possible to reduce or eliminate astigmatism and significantly improve uncorrected distance vision”, said Joel Confino, M.D. “Toric IOLs provide significantly improved distance vision and reduce the need for corrective lenses compared to a traditional Monofocal IOL.”
Aspheric Lens Implants
“Most people do not realize that their eyes have optical distortions-called aberrations-that can cause vision problems”, said Ivan Jacobs, M.D. of Eye Care & Surgery Center.
One type of common aberration is called spherical aberration and is generally associated with vision disturbances including:
• Blurriness
• Halos
• Loss of contrast
• Poor night vision
Today at The Eye Care & Surgery Center we can implant aspheric lens implants that are designed to reduce spherical aberration resulting in increased contrast sensitivity, enhanced clarity and improved image quality especially in dim illumination or low contrast environments such as driving at dusk or on rainy foggy conditions.
Please feel free to contact us with your questions about Cataracts, Cataract Surgery or Lens Implants by calling Eye Care & Surgery Center at 908.789.8999.
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