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March 25, 2008

Before, During and After LASIK

It’s the day of your LASIK surgery. You’ve already met with your eye doctor. It’s been determined that you’re an ideal candidate for LASIK surgery. You’re over 18, your eye development has stabilized, and you’re tired of wearing glasses or contacts. So you’re undergoing LASIK. But what, exactly, does that mean?

First, you’ll want to show up right when the doctor tells you to, because there’s important preparatory work to be done. You’ll go to the laser center. Your doctor may have a laser in his office, or the laser may be somewhere else, such as at a medical center. Regardless, you’ll need someone with you to drive you home, and you both should plan to spend about two hours in the doctor’s office.

When you first arrive, you’ll undergo a personal examination. This is also your last chance to ask any questions (although, if you have a qualified doctor, by this point you should have a pretty good idea of what to expect). Eye drops will then be administered. If you choose to, this is when you can take a mild sedative. (In some cases, doctors will prescribe a sedative, especially for patients who are overly anxious about the procedure.)

It depends on the specific type of laser that is used, but, in simplest terms, a three-dimensional model of your eye is taken. This model is input into the laser. The laser is more or less completely computer controlled. While your doctor does operate the laser, the laser also uses the 3-d model of your eye to insure accuracy. This virtually eliminates human error, and even accounts for any inadvertent movements on your part.

Throughout all this, you’ll be staring at a red dot. There is no pain. Most patients report a minor cooling sensation, or no sensation at all. While it’s important to keep your eye as still as possible, because the computer-guidance system can account for minor movement, one small “slip” on your part will not damage the procedure. The surgery itself takes only a few minutes per eye – it’s so quick most patients don’t have time to worry.

After, drops will be placed in your eyes. You may be given a prescription (for eye drops, or other medication – it depends on your situation). An eye shield will be placed over your eye, which you’ll wear for the first 24 hours. Then your friend will drive you home.

For the next week or so, you may experience a few mild after-effects. The most common are blurred vision, dry eyes or excessively teary eyes. You’ll also wear the eye shield, at night, for about two weeks (or more or less, depending on your doctor’s orders).

You’ll go back to your doctor a few times, so he or she can check on your progress as you heal. For most patients, the recovery process is quick and easy. And the end result of LASIK surgery? Clear vision, with no more glasses and contacts.

Most patients have at least 20/20 vision – and for some patients it’s even better.
Click here for more information on the LASIK procedure.

Before, During and After LASIK

It’s the day of your LASIK surgery. You’ve already met with your eye doctor. It’s been determined that you’re an ideal candidate for LASIK surgery. You’re over 18, your eye development has stabilized, and you’re tired of wearing glasses or contacts. So you’re undergoing LASIK. But what, exactly, does that mean?

First, you’ll want to show up right when the doctor tells you to, because there’s important preparatory work to be done. You’ll go to the laser center. Your doctor may have a laser in his office, or the laser may be somewhere else, such as at a medical center. Regardless, you’ll need someone with you to drive you home, and you both should plan to spend about two hours in the doctor’s office.

When you first arrive, you’ll undergo a personal examination. This is also your last chance to ask any questions (although, if you have a qualified doctor, by this point you should have a pretty good idea of what to expect). Eye drops will then be administered. If you choose to, this is when you can take a mild sedative. (In some cases, doctors will prescribe a sedative, especially for patients who are overly anxious about the procedure.)

It depends on the specific type of laser that is used, but, in simplest terms, a three-dimensional model of your eye is taken. This model is input into the laser. The laser is more or less completely computer controlled. While your doctor does operate the laser, the laser also uses the 3-d model of your eye to insure accuracy. This virtually eliminates human error, and even accounts for any inadvertent movements on your part.

Throughout all this, you’ll be staring at a red dot. There is no pain. Most patients report a minor cooling sensation, or no sensation at all. While it’s important to keep your eye as still as possible, because the computer-guidance system can account for minor movement, one small “slip” on your part will not damage the procedure. The surgery itself takes only a few minutes per eye – it’s so quick most patients don’t have time to worry.

After, drops will be placed in your eyes. You may be given a prescription (for eye drops, or other medication – it depends on your situation). An eye shield will be placed over your eye, which you’ll wear for the first 24 hours. Then your friend will drive you home.

For the next week or so, you may experience a few mild after-effects. The most common are blurred vision, dry eyes or excessively teary eyes. You’ll also wear the eye shield, at night, for about two weeks (or more or less, depending on your doctor’s orders).

You’ll go back to your doctor a few times, so he or she can check on your progress as you heal. For most patients, the recovery process is quick and easy. And the end result of LASIK surgery? Clear vision, with no more glasses and contacts.

Most patients have at least 20/20 vision – and for some patients it’s even better.
Click here for more information on the LASIK procedure.

Amblyopia

About two or three percent of children have amblyopia, or “lazy eye.” Left untreated, amblyopia can cause poor vision or blindness in the underused eye. Most people have seen the classic signs of lazy eye, where one eye seems to wander or point off in the wrong direction, but most cases of amblyopia are not visible. Amblyopia is the most common cause of vision problems in people under 45 years old.

Amblyopia can occur anytime in life, but usually starts during childhood and must be treated before the child is seven or eight years old, when vision is fully developed. Children should have vision tests early in life to prevent permanent vision loss.

CausesEveryone has a dominant and a non-dominant eye. When there is a large discrepancy in the images sent to the brain from each eye, the brain will only use the best image and the eye which produces the poorer image will continue to weaken.

Strabismus or misaligned eyes. When your eyes do not point at the same target your brain ignores one of the images to prevent double vision. Strabismus in itself is often mistaken for amblyopia, by observers. It can cause amblyopia, but they are not the same condition.
Unequal refractive error. If one eye produces a blurry image due to nearsightedness farsightedness or astigmatism, the brain will choose the clearer image and ignore the fuzzy one.
Trauma. An injury or disease can cause loss of vision in just one eye, causing your brain to adjust to using the healthy eye.

Cataracts. Cataracts sometimes affect one eye more than the other and your brain will choose the best image.
TreatmentsThere are many approaches to treating amblyopia. The goal is to encourage the brain to recognize and use the image from the poor eye, which will encourage development of and better vision in that eye. Treatment options include:
Vision therapy – exercises which strengthen the weak eye and teach the brain to use both images together
Patch – worn over the dominant eye, stimulating use of the weak eye
Drops – blur the vision in the dominant eye so that the brain chooses the image from the weak eye
Corrective lenses – glasses or contacts with a different prescription for each eye
LASIK surgery – used to correct the poor eye and bring vision into balance, or if vision is poor in both eyes, both eyes can be corrected to an equal level of vision

Adults often prefer LASIK over corrective lenses or wearing a patch. LASIK is not appropriate for all children, but may be the best option for children who do not respond to other therapies. Because the eyes continue to develop and vision continues to change into young adulthood, surgery is not an appropriate solution for most vision problems in children, but when in children who have amblyopia, LASIK surgery can ensure that both eyes develop properly and save their vision. If you or your child has amblyopia, talk to your eye doctor about amblyopia treatment today. The Eye Care Center of Northern Colorado has an extensive knowledge of eye disorders and diseases.

Age-Related Macular Degeneration

About Vision Loss in The Aged: AMD
Age-related macular degeneration, also known as AMD, is one of the leading causes of blindness. It is a common eye disease associated with aging that gradually and painlessly destroys sharp, central vision.

Who is most likely to get AMD?
Yes, age is a factor in age-related macular degeneration. People over the age of 65 are more likely to be diagnosed with AMD than the younger population. Also, women tend to be at greater risk than men. Caucasians are much more likely to lose vision from AMD than African-Americans. Other common risk factors for contracting AMD include: having a family member with AMD, smoking, high blood pressure, farsightedness, and obesity.
Age-Related Macular Degeneration

AMD breaks down the macula, which is the light-sensitive part of the retina responsible for the sharp, direct vision needed to read, drive, recognize faces, and watch television. As the cells in the macula break down, there is a loss of vision in the central field of vision, but the peripheral vision is left intact. People with AMD say, “It is like there is a hole in your vision. You can't see very well straight on, but around the edges you can see quite clearly.”
There are two forms of AMD. The disease can be diagnosed as either dry or wet.
Dry AMD

The most common diagnosis of age-related macular degeneration is “Dry” AMD. Ninety percent (90%) of people who are diagnosed with AMD have the dry form. This occurs when small deposits called drusen start to accumulate beneath the macula. These deposits gradually break down the light-sensing cells in the macula, normally causing distorted vision in one eye, and eventually the other. It is important to monitor Dry AMD closely, as it can progress to the more severe wet form.
Wet AMD

Although “Wet” AMD is only diagnosed in 10% of all AMD cases, it is the more severe form of age-related macular degeneration. It occurs when tiny abnormal blood vessels begin to grow behind the retina toward the macula. They often leak blood and fluid that damage the macula, causing rapid and severe vision loss. Wet AMD almost always occurs in people who already have Dry AMD, and usually results in legal blindness.

What are the Symptoms of AMD and How is it Detected?
Declining vision noticed by the patient or by an eye care professional during a routine eye exam may be the first indicator. The following signs may be indicative of macular problems. Anyone experiencing these symptoms should consult an eye care professional immediately:
• Straight lines appear distorted and, in some cases, the center of vision appears more distorted than the rest of the scene.

• A dark, blurry area or “white-out” appears in the center of vision.
• Color perception changes or diminishes.

Is there a Cure for Age-Related Macular Degeneration?
While there is no cure for AMD presently, promising research is being done in a wide variety of areas, including radiation, nutritional, drug, and surgical therapies.

What are the Treatment Options?
Currently, no treatment exists for Dry AMD. It is recommended that people who are at risk for the disease eat a nutritious diet including plenty of green leafy vegetables, exercise regularly, and stop smoking. Wet AMD can sometimes be treated with laser surgery. This treatment involves aiming a strong light beam onto the new blood vessels to destroy them.

What can I do to Prevent and Help Find a Cure for AMD?
• Have annual routine eye exams.
• See your eye care professional without delay if you notice any decline in your vision.
• Volunteer to participate in eye studies.
• Support research efforts

This article about Age Related Macular Degeneration has been provided courtesy of DoctorDirect.

Accommodating and Multifocal IOLs

By Michele Boyer
Lens implants should last a lifetime, so, if you've been considering vision correction, whether laser eye surgery or a clear lens exchange with an intraocular lens (IOL) implant, you'll want to know what's special about some of the newer lens implants available. Until recently, intraocular lenses were fixed focus only. Now, for people electing cataract or clear lens exchange surgery, three accommodating or multifocal lenses are available that offer variable distance focus capability. These are Crystalens, ReZoom, and ReSTOR.

Accommodating and multifocal lenses offer multiple levels of focus through a single lens, often eliminating the need for reading glasses. In contrast, non-accommodating IOLs that have historically used for cataracts or clear lens exchange are single focus, usually fixed at distance vision. Alternatively, monovision can be chosen, which corrects one eye for distance and one eye for near vision.
Crystalens is the accommodating IOL from Eyeonics, Inc. It can provide vision in distance, near and mid-ranges. While used mostly to replace cataracts, it may also be useful to correct RLE and as an alternative to monovision corrective procedures.

The Crystalens® accommodating IOL is controlled by the eyes' natural muscles, and is moved forward and backwards, in a way similar to the natural crystalline lens that is being replaced. This is a much more natural way for the eye to function. The Crystalens design provides the best night vision of the three accommodating lenses. This is especially valuable for people who do a lot of night driving.

ReZoom® lens, by Advanced medical Optics, Inc., is a multifocal IOL that provides three zones of focus. Unlike Crystalens, it doesn't move as the eyes muscles contract, but is stationary. Distance and midrange vision are corrected immediately, and there is generally no period of adjustment to these lenses. The ReZoom lens provides good correction for distance and mid ranges, but glasses may be needed for near vision, such as reading. There may also be some night glare from lights, such as headlights, so this may not be the best choice if you do a lot of night driving.

ReSTOR® Lens, by Acrysof® is another multifocal lens that is stationary. It provides good distance and near vision by blending the focusing power gradually across the surface of the lens. Mid-range vision may be less clear than with ReZoom or Crystalens, and glasses may be required for that range, (computer use or other vision at about arm's length). Like ReZoom, this lens may cause people to see halos around lights and may not be the best choice for people who do a lot of night driving.

Click here to view a chart that should help in understanding the differences between IOL's.
©This chart is Copyrighted and All Rights Reserved by www.TheLASIKDirectory.com.

10 Signs That You May be Developing Cataracts

Cataracts are not painful or sudden. They start out as just a tiny spot of cloudiness that the brain can compensate for and most people don’t notice until it has grown large enough to truly impair vision. Early detection of the signs gives you a chance to make diet and lifestyle changes which will protect your eyes and slow or halt the growth of cataracts, delaying or preventing blindness and the need for cataract surgery.

You need brighter light than you used to for reading and other fine work. As your lens becomes clouded it blocks out some of the light to your retina, making it harder to see. As far as your eye is concerned the lighting is lower than it used to be.
Driving at night becomes more stressful and tiring. Headlights of oncoming cars appear too bright and create halos or glare, making it difficult to see the road and read road signs. You are constantly squinting and straining to see clearly.

When you step outside during the day the sun is blinding. Cataracts make it more difficult to adjust from dim to bright light. They cause the light to scatter throughout your eye, so you can’t see clearly.
Indoor lighting which you used to find comfortable is just too bright. Because the light is scattered by the clouding of your lens, too much light is all over the place inside your eye, instead of being focused properly on your retina.

The world is not as colorful and vivid as it used to be. You’re not just getting old and jaded. Cataracts create a yellow tinged haziness in the lens of your eyes obscuring colors.
You have double vision even when you close one eye. This is different to double vision with both eyes open. Each eye or just one eye has double vision with the other eye closed, again due to light scatter. Astigmatism can have a similar effect.
You often wonder if there is a slight haze in the air when you look directly at a light. Halos and glare noticeable around lights, but not objects can mimic the visual disturbance you have grown accustomed to when there is a slight fog or haze in the air.

You blink often to try and clear your vision. You may experience a vague blurriness, much like having a slight film over your eyes. Your natural instinct is to blink and try to clear them.
Your eyes feel tired and strained easily. When your vision is just slightly obscured by the cloudiness of your lens or your retina isn’t getting quite enough light, your eyes work harder, and you are probably squinting and straining more than you realize making your eyes feel tired and strained.

You contact or eyeglass prescription just doesn’t work for you for very long. As cataracts progress they continually change you vision. Eyeglass and contact prescriptions must be very precise to work properly. Your vision is changing more quickly than normal because your lens is becoming more clouded, changing the way that light passes into your eye.

If you are experiencing these symptoms, talk to your ophthalmologist today. You may be developing cataracts, or you could be experiencing the beginning of a more serious vision problem.

Refractive Eye Surgery is Permanent

By: Charles Moore

When searching for refractive surgery or Lasik laser eye surgery it is crucial that you find trained eye surgeons or ophthalmologist in your area and compare. Refractive eye surgery is permanent.
Be careful when selection your surgeon that he or she has the qualifications and expertise with this surgery procedure. Lasik laser eye surgery is safe and effective for most people. The benefit of using Lasik laser eye surgery is the accuracy of treating vision problems.
Before you qualify you must make an appointment with your eye doctor for a baseline examination. Your eye doctor will discuss all the benefits, risks, surgery and cost with you. The surgical procedure takes approximately 30 minutes and is done as an outpatient surgery. Be well informed about any surgical procedure.
You can tell your eye doctor your medical history and any medications you are taking at the time. You will need to inform them of any medication allergies you may have as well as if you have had any other eye surgery procedures or eye injuries in the past.
You should weigh the risks and benefits of the surgery and determine if this is for you. Once you qualify, you can collect information from your eye doctor and read educational materials on this procedure so you can make an educated decision.
You can then schedule an appointment with your eye surgeon and he or she will discuss the procedure with you. The surgery is computer guided for precision and accuracy. Numbing drops are placed in each eye and a mild sedative is given to the patient prior to surgery. A cornea flap is made and the cornea tissue is ablated or reshaped to correct refractive error.
The surgery has little if any discomfort both during the surgery and after the procedure. If pain occurs, an over the counter pain medication should be all that is needed.

Some disadvantages of Lasik laser eye surgery vary from patient to patient. The cornea is permanently modified and additional vision enhancement surgery may be needed. Light sensitivity, glare and halos and dry eye symptoms may develop. In rare cases vision may become worse and corrective eye wear does not help to correct the problem.
Call your eye doctor or Houston Lasik surgeon for more information. Lasik laser surgery is available across America and in Texas in cities as Houston, Dallas, Austin and San Antonio.

Source: http://www.articlecounty.com/index.php?page=article&article_id=199815
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