 |
 CONSULTATION
Make An Appointment
Confirm An Appointment
How may we help you?
Eye Exam
Vision Examination
Vision Training
Vision Therapy
Vision Correction
Children's Vision
Vision Problems
Visual Acuity
Test a person's ability to focus and coordinate the eyes and
see depth and colors accurately
Diagnose and
Treat vision conditions
like:
Nearsightedness
Farsightedness
Astigmatism
Presbyopia
Management of Ocular Disease
Contact Lens Fittings
Contact Lens Evaluations
Refractive Surgery Evaluations
CRT (Corneal Refractive
Therapy)
Treatment of
Eye Diseases like:
Glaucoma
Low Vision
Dry Eyes
Double Vision
Pediatric
Keratoconus
Computer Vision Syndrome
Prescribe:
Eyeglasses
Contact Lenses
Eye Exercises
Low Vision Aids
Vision Therapy
and Medications to treat eye
diseases.
If you have a problem, our caring staff will take the time to explain the various treatment options. We'll help guide your decision process by answering any questions or concerns. Our expert staff can help correct vision problems for a happier, healthier life.
|
|
Dry Eye Syndrome
A very common disorder encountered by eye care practitioners is the dry eye syndrome. Symptoms, signs and examination findings can be highly variable. Chief complaint is most frequently sandy or gritty feeling in the eyes. There may be burning, a feeling of dryness, foreign body sensation, or just "irritation". Tears might be scarce or they may be excessive as "dry spots" stimulate reflex tearing. The eyes might appear white and quiet, or they may appear red and hot. Vision may be unaffected, variable-eyelids acting like wipers on a greasy windshield, or permanently blurred when corneal scarring takes place. In advanced cares, symptoms may be disabling or they may be very mild when corneal nerves are damaged and the cornea becomes "hypo aesthetic". The cornea itself may be clear, scarred or contain filaments, which are coils of dead cells which are stuck at one end of the cornea.
Examination for dry eyes includes careful medical history. Many systemic conditions are associated with dry eyes such as rheumatoid arthritis and collagen vascular diseases. Many medications, especially antihistamines can contribute to dry eye syndrome. Environmental issues are frequently implicated, e.g. air vents blowing across the face, low humidity, placement of the computer screen.
Physical examinations require the use of the biomicroscope, vital stains, like fluorescein and lissamine green, are used to assess the quality and quantity of the tear film itself and the condition of the surface of the cornea and the conjunctiva (the transparent loose fitting skin lining the eyeball and the underside of the eyelids). The health and condition of the eyelids mus be assessed because glands in the lids contribute imprtant components of the tear film.
Dry eye syndrome places the cornea at risk. Any light that enters the eye must pass thru the cornea first. Most of the focusing power of the eye is provided by the cornea. Any irregularity at the center of the cornea will blur the vision. Treatment of severe dry eye is aimed at protecting the clarity and smoothness of this vitally important structure.
Treatment of dry eye syndrome may involve lubricants which supplement the natural wetting properties of the tear film. Anti-inflammatory medications are often used to quiet an inflamed ocular surface. Short-term use of topical steroids and/or long-term use of Restasis is often helpful. Punctum plugs can block the drainage of tears from the eye so that natural tears stay around longer. When the eyelids are involved, medications may be used to kill bacteria and/or quiet inflammation of the lids. Eyelid cleaing products and procedures are often needed to restore healthy eyelid function.
Environmental and nutritional counseling are an important aspect of dry eye treatment. Sometimes the answer is as simple as changing medication, moving louvers on the heating vent, eating more veggies and less sugar, and/or omega 3 supplements. The preferred treatment is always the least troublesome and least expensive way to obtain relief of symptoms and if necessary, protection of the cornea. There is no substiture for a careful and comprehensive examination to document the severity of the condition, establish likely causes, provide an appropriate treatment plan, and follow the effectiveness of the treatment. Very often, dry eye syndrome develops gradually over a period of months or years and can only be resolved gradually as well.
We accept MEDICARE, MEDICAID, VSP, UFT and most private medical insurance.
|
