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Ocular Disease Management

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Ocular Disease Management

ReVision makes it a priority to ensure that all staff members are up-to-date on the latest technology and techniques to make your visit as comfortable and effective as possible. As optometric technology changes, it is even more important to select an eye doctor who has all the right optometry qualifications and follows the latest developments in eye care.

We utilize cutting edge technology to diagnose and manage, with greater precision, diseases like Glaucoma, Macular Degeneration and Cataracts. Earlier and more precise diagnoses means earlier treatment and better outcomes. We are taking an aggressive approach to diseases that previously had few treatment options.

Great advances have been made in the treatment of these diseases:

Cataracts
Cataracts are a common cause of vision loss after age 55. Learn more about recognizing cataracts symptoms, protecting your eyes and understanding cataract surgery.

Glaucoma
Glaucoma is a condition that causes damage to your eye’s optic nerve and gets worse over time, so nipping it in the bud will always be better for the person being tested.

Macular Degeneration
The macula is the portion of the retina which provides sharp, central vision, and is involved in processing the fine details of the image. The breakdown of the macula is a disease called macular degeneration.

Diabetic Retinopathy
Diabetes and vision go hand in hand. If you have diabetes, you need to know that having this systemic disease puts you at greater risk for developing vision problems.

Cataracts

What is Cataracts?
Cataracts is a disease of the eye that results in the clouding of the lens of the eyeball. Cataracts prevent clear images from appearing on the eye’s retina; causing mild, moderate, even severe blurred vision.

Typically, an eye disorder associated with aging (over half of the people in America over age 80 have either had a cataract or cataract surgery), cataracts generally occur later in life as the lens structure within the human eye changes and gets older.

During the evaluation of your eye health we will carefully examine your lens for signs of cataract formation. If a cataract is noticed and the clouding is causing visual disruption, the optometrist will refer you to a trusted and respected surgeon for surgery, which is the only known cure for cataracts. Our Eye Care Practice will be there for you providing pre and post cataract surgery care.

Cataract Surgery
Cataract surgery is the removal of the natural lens of the eye (also called “crystalline lens”) that has developed an opacification, which is referred to as a cataract. Metabolic changes of the crystalline lens fibers over the time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision. During cataract surgery, a patient’s cloudy natural lens is removed and replaced with a synthetic lens to restore the lens’s transparency.

Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted. Cataract surgery is generally performed by an ophthalmologist in an ambulatory setting, in a surgical center, or hospital, using local anesthesia (either topical, peribulbar, or retrobulbar), usually causing little or no discomfort to the patient. Well over 90% of operations are successful in restoring useful vision, with a low complication rate.

Glaucoma

What is Glaucoma?
Glaucoma is often associated with a buildup of pressure inside the eye. Glaucoma tends to be inherited and should be checked if family members have been diagnosed with this disorder. Over time, glaucoma will cause permanent loss of vision—up to total permanent blindness—within a few years.

High Risk Factors for Glaucoma

  • Over the age of 40.
  • Those with a family history of glaucoma.
  • Those with diabetes or high blood pressure.
  • Hispanic Americans in older age groups are also at greater risk for glaucoma.
  • African-Americans should get a thorough check for glaucoma every one to two years after age 35.
  • Steroid Users, or adults who require approximately 14 to 35 puffs of steroid inhaler to control asthma, have an increased incidence of glaucoma.
  • Eye Injury may cause secondary open-angle glaucoma. This type of glaucoma can occur immediately after the injury or years later.

Glaucoma Test
Glaucoma testing involves measuring internal eye pressure and a detailed scan of the retina for signs of disease. Only a comprehensive eye exam can reveal whether or not you have glaucoma.

  • Increased pressure inside the eye is often a key indicator of glaucoma.
  • An examination of the retina—the light sensitive area at the back of the eye responsible for processing images—is only the way you will know you have Glaucoma.

How Does Glaucoma Testing Work?
There are two types of Glaucoma tests that measure the internal pressure of the eye but one is much more accurate than the other.

One glaucoma test involves measuring what happens when a puff of air is blown across the surface of the eye (a puff test). Another test uses a special device (in conjunction with eye-numbing drops) to “touch” the surface of the eye to measure eye pressure.

While increased eye pressure is a key indicator of the disease, it does not necessarily mean you have a glaucoma diagnosis. In fact, the only way to detect glaucoma is to have a detailed, comprehensive eye exam that often includes dilation of the pupils.

Macular Degeneration

What is Age-related Macular Degeneration?
AMD is an age-related eye disease that runs in families, and is a leading cause of blindness in our aging population. There is no cure for this ocular disease, and AMD related vision loss is cannot usually be recovered. There are treatments, and preventative measures that can be taken, if detected early, so routine eye exams are essential.

Untreated macular degeneration is one of the leading causes of blindness in those over 65 years old. While researchers have not yet discovered a cure for age-related macular degeneration (AMD), there are treatment options which prevent the disease from progressing to blindness, and in some cases, they can even improve vision. It’s important to have an open discussion with your eye doctor about the risks and limitations of AMD treatments.

There are 2 basic types of AMD: wet form and dry form.

Dry macular degeneration is considered the less aggressive form of AMD. It typically progresses much more slowly, and the level of eyesight damage is less severe. Dry AMD is detected during routine eye exams, which is why it’s important to have yearly testing. Treating Dry AMD often involves high doses of zinc and antioxidants which have been shown to slow diseases progression.

Wet macular degeneration is the more severe form of AMD. It occurs when there is abnormal blood vessel growth (angiogenesis), and leakage, which can cause scar tissue to develop.

Treatments include laser surgery, injecting light sensitive dyes, or AMD medication injected directly into the eye to inhibit angiogenesis.

Diabetic Retinopathy

What is Diabetic Retinopathy?
Diabetic retinopathy is an eye disease that only affects diabetics. It occurs when the fragile vascular network that supplies the retina—the light sensitive tissue at the back of the eye that helps us see— begins to swell or leak. During the beginning stages of the disease, there may be no noticeable symptoms, so it’s important to have your eyes checked at least once a year, if you have diabetes.

Once symptoms of diabetic retinopathy do develop, they can include dark or black spots in your visual field or blurry vision which increases over time. This is a result of bleeding at the back of the eye, which prevents a clear image from being transmitted from the retina to the brain.

Whether you have Type 1, Type 2, or even just gestational diabetes, you are at risk for developing diabetic retinopathy. The longer you have had the disease, the greater the risk. It is essential to keep your blood sugar levels under control to prevent vision loss, and this may require a trip back to your primary care physician.

Treating diabetic retinopathy can include vitrectomy, replacing the inner gel-like substance that supports the eyeball structure, and laser surgery.

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