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Cataract and Glaucoma Specialist

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Home > Archives for Vision

Retinal Detachment: Definition, Symptoms, and Treatment

December 1, 2018 by Anne Arundel Eye Center

A retinal detachment refers to a separation of the retina – the light-sensitive membrane in the back of the eye – from its supporting layers. This serious medical condition is typically caused by trauma, diabetes or an inflammatory disorder.

Symptoms of Retinal Detachment

•           Flashes of light (Especially in peripheral vision)

•           Blurred/blurry vision

•           Floaters in the eye. Also referred to as shadows or spots

•           Blindness in a portion of the visual field

The sudden and dramatic appearance of these symptoms is a strong indication that the retina is either tearing or detaching. If you feel you may be experiencing any of the above symptoms, schedule an appointment with your eye doctor immediately. Any sudden change in your vision is a serious medical condition that requires prompt medical attention from your optometrist or ophthalmologist.

Treatment of Retinal Detachment

Most cases of retinal detachment require one of the following surgeries.

•           Freezing (cryopexy): The application of intense cold to the area with an ice probe to form a scar, which holds the retina in place.

•           Laser Surgery (photocoagulation): This is used to seal the tears or holes in the retina.

•           Pneumatic Retinopexy: The placing of a gas bubble in the eye to help the retina float back into place. Then a laser is used to fix the retina in place.

More extensive cases require more invasive procedures, including:

•           Scleral Buckle: This is done to indent the wall of the eye, relieving the tugging of the vitreous on the retina.

•           Vitrectomy: This is done to remove gel or scar tissue that may be pulling on the retina.

If you have any questions about what you have just read or if you would like to learn more about your various treatment options, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010.

Led by Dr. Boles, the Anne Arundel Eye Center offers comprehensive specialized ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Retinal Detachment

Filed Under: Eye Care, Eye Disease, Eye Injury, Floaters in the Eye, Increased Risk, Injury Prevention Tagged With: and Treatment, Anne Arundel Eye Center, annearundeleyecenter.com, Blindness, blog posts, blurred, blurry vision, Cataracts, certified ophthalmogologist, cryopexy, detaching, Diabetes, dianostic pre, Dr. Samuel Boles, dramatic, experiencing symptoms, Eye, eye care advice, eye care specialists, facebook, fix the retina, flashes of light, floaters in the eye, freezing, gas bubble, Glaucoma, holes, ice probe, inflammatory disorder, Laser Surgery, light sensitive membrane, Ophthalmologist, Optometrist, Patients, peripheral vision, photocoagulation, pneumatic retinopexy, portion, post-surgical eye care, pulling on the retina, remove gel, restore, Retina, retina float, retinal detachment, Retinal Detachment: Definition, scar, scar tissue, schedule an appointment, scleral buckle, separation of retina, serious medical condition, shadows, spots, sudden, supporting layers, surgeries, Symptoms, symptoms of retinal detachment, tearing, tears, trauma, treatment of retinal detachment, treatment options, tugging, twitter, Vision, visual field, vitrectomy, vitreous, wall of the eye, youtube

Uveitis: Causes, Symptoms and Treatment

September 16, 2018 by Anne Arundel Eye Center

Uveitis is a inflammatory condition of the middle layer of the eye, the uvea, which provides most of the blood supply to the retina. Similar to arthritis of the joints, Uveitis is not an infection, but rather an inflammation.

While, in most cases, the cause is idiopathic, Uveitis can be associated with autoimmune disorders such as rheumatoid arthritis or ankylosing spondylitis, infection, exposure to toxins, bowel and abdominal inflammation, and even trauma. The whole body is connected and sometimes an injury to a completely unrelated area of your body, like your back, can trigger Uveitis.

Signs and Symptoms

Uveitis symptoms may develop rapidly, affecting one or both eyes, and can include:

•          Blurred vision

•          Dark, floating spots in the vision

•          Eye pain

•          Redness of the eye

•          Sensitivity to light

Forms of Uveitis

Uveitis is the third-leading cause of blindness in developed countries, behind Cataracts (#1) Glaucoma (#2).

The most common form of Uveitis is Anterior Uveitis, also called Iritis, which involves inflammation in the front part of the eye. The disorder may affect one eye or both eyes and is most common in young and middle-aged people.

Posterior Uveitis, also referred to as Choroiditis, affects the back part of the uvea and primarily involves the chorid, which is a layer of blood vessels under the retina. If the retina is involved, it is called Chorioretinitis.

The final form of Uveitis is Pars Planitis, which is an inflammation affecting the area just behind the iris. This particular type of Uveitis occurs primarily in young men.

Treatment

Treatment for Uveitis involves the use of steroid eye drops, though additional treatments may be helpful, including: wearing dark glasses, using eye drops that dilate and relax the pupil to relieve pain, using oral steroids, and the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as Tylenol, Advil, or Motrin.

With proper treatment, most cases of Uveitis are resolved in a few days or, more commonly, a few weeks. However, relapses are common.

Call your eye doctor immediately if you are suffering from blurry vision or any of the other previously mentioned symptoms. Your doctor may refer you to an eye specialist.

Eye pain and reduced vision are serious symptoms that require prompt medical attention from you optometrist or ophthalmologist.

If you have any questions about what you have just read, please contact Anne Arundel Eye Center by calling 410-224-2010.

Sources:

PubMed Health

Uveitis Mayo Clinic

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Corneal Disease: Explanation, Symptoms, and Treatment

October 10, 2017 by Anne Arundel Eye Center

Your cornea – the clear, protective outer layer of the eye – not only protects your eye from dirt and germs, but also plays a key role in your vision. As light enters the eye, it is focused or refracted by the shape of the cornea. If your cornea sustains damage through disease, infection or injury, the resulting scar tissue can interfere with your vision by blocking or distorting light as it enters your eye.

There are several different conditions including infections, degenerations and other disorders that affect the cornea. These include:

Astigmatism: Caused by an irregularly shaped cornea, astigmatism is a refractive error in which the eye has trouble focusing light. Astigmatism is the most common form of corneal problem. Treatment typically involves the use of glasses or contacts.

 Corneal Abrasion: Caused by trauma to the eye, a corneal abrasion refers to a scratch on the outer layer of the eye. It is the second most common form of corneal distress. Treatment traditionally involves patching of the eye, though newer bandage contact lenses are beginning to see more use. These allow people to stay functional during the healing process.

Keratits: This form of corneal disease is an inflammation of the cornea that occurs with viral, bacteria or fungal infection. Symptoms of keratitis include severe eye pain, reduced visual clarity, and discharge.

Ocular Herpes (Herpes of the Eye): Similar to cold sores on the lip, this reoccurring viral infection produces sores on the surface of the cornea that, in time, can spread deeper into the cornea and eye. There is no cure for ocular herpes, but it can often be controlled with the use of antiviral drugs. You can also try using Valtrex. Valtrex (Valacyclovir) is an antiviral medication used to treat infections caused by certain viruses. It helps the body fight infection by slowing the growth and spread of the herpes virus. It is used to treat shingles (caused by herpes zoster), genital herpes, and cold sores around the mouth. Valtrex is also a treatment for cold sores in children over the age of 12 years old and as a chickenpox medication in children who are over the age of 2 years. Read the full article here: anti-viral-meds.com

Herpes Zoster (Shingles): This is actually a recurrence of the chickenpox virus, since most of us have already had the disease. Symptoms of Herpes Zoster include blisters or lesions on the cornea, fever, and pain from inflamed nerve fibers.

Corneal Dystrophies

There are over 20 of these diseases that cause structural problems with the cornea. The most common forms include:

Keratoconus: This is a progressive disease in which the cornea thins and even changes shape, creating either mild or severe distortion (astigmatism) and nearsightedness (myopia).

Map-Dot-Fingerprint Dystrophy: As the basement membrane of the epithelium of the cornea grows irregularly, abnormalities resembling maps, dots and fingerprints form in the cornea. While this form of corneal disease is mostly painless and causes no vision loss, epithelial erosion may occur, exposing the nerves lining the cornea and causing severe eye pain.

Fuchs’ Dystrophy: Seemingly happening for no apparent reason – although you may have a genetic predisposition to the disease – Fuch’s Dystrophy involves the gradual deterioration of endothelial cells. As these cells thin, they can no longer remove water from the corneal stroma. This causes the stroma to swell and distort vision.

Lattice Dystrophy: This disease is characterized by the presence of abnormal protein fibers throughout the stroma. This can result in the clouding of the cornea and reduced vision and in rare cases, epithelial erosion.

Symptoms of Corneal Disease

 The cornea has the ability to quickly repair itself after most injuries or diseases. However, more serious situations may result in a much more prolonged healing process. If this is the case, the following symptoms should serve as an immediate indicator of a deeper medical issue:

  • Eye pain
  • Blurred/blurry vision
  • Tearing
  • Redness
  • Extreme sensitivity to light
  • Corneal scarring

If you feel you may be experiencing any of these symptoms, schedule an appointment with your eye doctor immediately. Any sudden change in your vision is a serious medical condition that requires prompt medical attention from your optometrist or ophthalmologist.

Although corneal disease resulting from hereditary factors cannot be prevented, infectious corneal disease caused from bacteria and viruses can be avoided. You should never share eye makeup, contact solution, lens cases, and eye drops with anyone as this may increase the risk of infection.

However, if you do contract some form of corneal disease, vision can be preserved through early detection and treatment. This is just another reason why regular eye exams are so important.

If you have any questions about what you have just read, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010.

Led by Dr. Boles, the Anne Arundel Eye Center offers complete ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Your Cornea: Conditions, Symptoms and Treatments

Filed Under: Corneal Disease, Eye Care, Eye Disease, Increased Risk Tagged With: abnormal protein fivers, abnormalities, abrasion, Anne Arundel Eye Center, annearundeleyecenter.com, antiviral drugs, Appointment, Astigmatism, bacteria, basement membrane, blisters, blurred, blurry vision, cases, Cataracts, causing severe eye pain, cells, certified ophthhalmologist, characterized, chickenpox, clouding, cold sores, common form, contact lenses, contact solution, contacts, cornea, cornea thins, corneal, corneal abrasion, corneal disease, corneal distress, corneal dystrophies, corneal scarring, corneal stroma, Damage, deeper, deeper medical issue, degenerations, detection, diagnostic, dirt, discharge, Disease, Disorder, distort vision, distorting light, dots, Dr. Boles, endothelial cells, epithelial erosion, epithelium, extreme sensitivity to light, Eye, Eye Care, eye care specialists, Eye Doctor, eye drops, Eye Exams, eye pain, facebook, fever, fingerprints, focusing light, form of corneal, forms, fuchs' dystrophy, functional, fungal infection, genetic predisposition to the disease, germs, glasses, Glaucoma, gradual deterioration, grows, healing, healing process, hereditary factors, herpes of the eye, herpes zoster, immediate indicator, infection or injury, infections, infectious corneal disease, inflamed nerve fibers, inflammation, injuries, interfere, keratits, lattice dystrophy, Lens, lesions, light enters, lip, map-dot-fingerprint dystrophy, maps, medical condition, mild, Myopia, nearsightedness, nerves lining, newer bandage, no cure, no vision loss, ocular herpes, Ophthalmologist, Optometrist, outer layer, pain, painless, patching of the eye, patients vision, post surgical, preserve, prevented, progressive disease, prolonged, prompt medical attention, protective outer layer, rare cases, redness, reduced vision, reduced visual clarity, refers, refracted, refractive error, reocurring, repair, restore, resulting scar tissue, risk of infection, Samuel Boles, schedule, scratch, serious situations, severe distoration, severe eye pain, shape, shape changes, shaped cornea, share eye makeup, shingles, stroma, structural problems, swell, Symptoms, tearing, the eye, trauma, Treatment, twitter, viral, viral infection, virus, viruses, Vision, water, youtube

Partnering with Families and Caregivers to Provide Quality Vision Care for Aging Adults

May 30, 2017 by Anne Arundel Eye Center

Vision Care for Aging AdultsAs we age, our eyes age right along with us. It’s a natural part of getting older, but that doesn’t make it any less scary. In fact, vision loss was rated as the No. 1 health concern among aging adults, according to a recent study out of the Wilmer Eye Institute at Johns Hopkins University School of Medicine. We all fear losing our independence, but there comes a time in all of our lives when we find ourselves relying on another person, often an adult child, to help with day-to-day activities. It’s nothing to be ashamed of. It’s a normal part of aging, especially when decreased vision is present. The important thing is learning how to work together, while also respecting one another’s independence.

Fostering a Good Relationship between Adult Children and Aging Parents

Currently, over 65.7 million Americans provide care for a family member or loved one, according to the National Alliance for Caregiving, and 36% of those are caring for an elderly parent. And it’s not always easy, especially if the situation is still very new. There can be pushback from both sides as parent and child learn to accept their new roles and work together. But as you both settle into this new dynamic, it is important to look at the bigger picture, especially in terms of vision health.

Low vision ranks just behind arthritis and heart disease as the third most common chronic cause of impaired functioning in people over 70, says Dr. Eric A. Rosenberg of Weill Cornell Medical College and Laura C. Sperazza, a New York optometrist. Most aging adults who experience low vision are often affected by one of four conditions:

  • Macular Degeneration: The leading cause of irreversible blindness in people over the age of 65, Age-Related Macular Degeneration (AMD), is a progressive eye disease that causes damage to the Macula, which is the most concentrated central portion of the retina. AMD causes the light-sensitive cells in the Macula to break down and die, affecting central vision, causing blind or blurry spots that grow as AMD progresses. This can begin to make simple, everyday tasks – like reading and driving – difficult or even impossible. Additional symptoms and warning signs include straight lines look wavy and a need for more light.

  • Glaucoma: Glaucoma is the result of increased intraocular eye pressure (IOP) and damage the optic nerve, the nerve that carries visual information from the eye to the brain. Glaucoma is the second leading cause of blindness globally, after cataracts, and affects roughly 60 million people worldwide, including over 3 million Americans. What’s scarier is that roughly half of those people – nearly 30 million people – don’t even know they have glaucoma, because there are no initial warning signs, no symptoms. Common symptoms and warning signs include gradual loss of peripheral, or side, vision; difficulty driving at night; and loss of contrast.

  • Cataracts: It’s estimated more than 24 million Americans, age 40 and older, have cataracts, a cloudy or opaque area in the normally clear lens of the eye, which is located behind the iris, the colored part of the eye. Normally, the lens focuses light on the retina; however, as we grow older proteins begin to build up in the lens, forming protein clumps, which prevents light from passing clearly through the lens. This causes images to appear cloudy or blurry, especially at night. Common symptoms and warning signs include hazy vision, difficulty driving at night, double vision, trouble distinguishing colors, and sensitivity to glare.

  • Diabetic Retinopathy: If you have diabetes, you are not alone. More than 25.8 million Americans, 8.3% of the population, have diabetes. These people are also at risk of developing Diabetic Retinopathy, the most common diabetic eye disease. This is why it is important to not only seek regular medical care, but also annual eye exams. Believe it or not, diabetes is the leading cause of new cases of blindness. Common symptoms and warning signs include blurred or changing vision, difficulty reading, floaters, and loss of central or peripheral vision.

“You should be able to truly live connected to the world around you and sight is a huge part of that,” says April Pevear, Patient Care Specialist at Anne Arundel Eye Center.

How to Identify Potential Vision Issues

While minor, gradual changes in vision can be a natural part of the aging process, sudden or severe changes are often a warning sign of a more pressing issue. There are several warning signs to potential vision issues that you should look for. These include gradual or sudden vision loss, blurred or hazy vision, double vision, eye pain, seeing flashes of light, eye often twitches, halos around lights, discharge from the eye, waviness of vision, changes in the color of the iris or clarity of the cornea, trouble distinguishing faces, and difficulty performing everyday activities, such as reading. If you notice these or anything else that seems out of the norm, it is important to contact your ophthalmologist, especially if these warning signs are severe and persistent.

How Often Should an Aging Adult See an Eye Doctor?

Even if no obvious warning signs are present, the American Academy of Ophthalmology recommends adults over the age of 65 have a complete eye exam every one to two years. Depending on vision health, an ophthalmologist may recommend more frequent visits, especially if one of the aforementioned conditions is present. A person may also need more frequent eye exams if they have certain medical conditions, like diabetes or high blood pressure, which may put him at higher risk for some eye diseases.

Partnering with Anne Arundel Eye Center

At the Anne Arundel Eye Center, we do our best to partner with aging adults and their families and caregivers to provide the highest quality eyecare.

“One of the things that sets our practice apart from others is that we realize that our patients are family oriented and we are too,” says Pevear. “We work to not just treat the illness or condition but also to educate the patient and the adult child who is their caregiver now.”

Aging Adults Vision Care

Staffed by caring and knowledgeable professionals, the Anne Arundel Eye Center is a regional leader in the diagnosis and treatment of glaucoma and cataracts. Our state-of-the-art treatment center is dedicated to making the best eye care accessible to everyone.

Schedule an Eye Exam Today!

If you have any questions, please contact Dr. Samuel Boles, Dr. Nicole Kershner Regis, Dr. Kathryn Turner, and the eye care specialists here at AAEC by calling 410-224-2010. AAEC is staffed by caring and knowledgeable professionals who will help guide you on your healing journey.

[Read more…]

Filed Under: Eye Care Tagged With: Aging Adults, Caregiver, Vision

Did You Know Rheumatoid Arthritis Can Affect Your Vision?

November 4, 2016 by Anne Arundel Eye Center

Rheumatoid Arthritis & VisionAccording to the Mayo Clinic, “Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition also can damage a wide variety of body systems,” including the eyes. In fact, it’s one of the more common complications – which can lead to corneal damage and vision loss if left untreated. Some of the most common issues include: [Read more…]

Filed Under: Eye Care Tagged With: rheumatoid arthritis, Vision

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