Maine LASIK Cataract Eye Care Surgery Blog Portland EMG

Sunday, January 14, 2018

Glaucoma, Eye Pressure & Inhalers: No Need to Worry!



Glaucoma, Eye Pressure & Allergy Steroid Inhalers

For certain patients taking oral steroid medications for asthma or severe arthritis can actually elevate their intraocular pressure (IOP) and cause them to develop glaucoma. In the recent past, it has become very common to treat the symptoms of season allergies-such as a runny nose, itching and sneezing, with Flonase® (Fluticasone) which is administered with an inhaler. In fact Flonase® inhalers are now available “over the counter” without a prescription at your local pharmacy so that you can just buy them and begin treating yourself.  Is it safe to use Flonase® inhalers if you are at risk of high eye pressure and are you at even greater risk if you have ocular hypertension or already have glaucoma? According to the results of a clinical study, called the ICOUGH Study presented in the Journal of Glaucoma, there was no clinically significant increase in the average eye pressure in patients with well-controlled open-angle glaucoma and ocular hypertension after 6 weeks of twice-daily inhaled Flonase®. Thus, it is generally regarded as safe to use OTC inhalers of Flonase® without causing an increased risk of glaucoma. 

If you or someone you know is concerned about their risk of glaucoma please call your local optometrist to schedule a glaucoma eye exam and testing. If specialty care, treatment or surgery is required, please ask to be referred to one of the physicians at Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule an appointment.


Sunday, January 7, 2018

Early Detection Critical to Treating Glaucoma

Glaucoma is a major cause of vision loss worldwide. It affects more than 3 million people in the United States with nearly half being unaware they have the disease. During Glaucoma Awareness Month in January, the American Academy of Ophthalmology is reminding the public that early detection and treatment can help protect your sight. 

Glaucoma damages the optic nerve, which transmits visual information from the retina to the brain. Typically, the disease initially has no signs or symptoms. If left untreated, glaucoma can cause irreversible blindness. 

The American Academy of Ophthalmology recommends that everyone have a comprehensive eye exam at age 40. This exam provides eye doctors an opportunity to carefully examine the eye including the optic nerve for signs of damage and other possible problems that may affect vision. Individuals at greater risk for developing glaucoma include people: 
  • over age 40;
  • who have a family history of glaucoma;
  • of African, Asian or Hispanic heritage;
  • who have high eye pressure detected during an eye exam;
  • who are farsighted or nearsighted;
  • who have experienced eye trauma or eye injury;
  • whose corneas are thin in the center;
  • or who have health problems such as diabetes, migraines, high blood pressure or poor blood

Early detection, diagnosis and treatment are critical to managing glaucoma and preventing vision loss and blindness. Please call your local optometrist to schedule a glaucoma eye exam and testing. If specialty care, treatment or surgery is required, please ask to be referred to one of the physicians at Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule an appointment.


Monday, January 1, 2018

Optic Nerves Identify Glaucoma


Photo of optic nerve discs with glaucoma. The brighter white in the center of the disc is the "cupping" of the disc that physicians measure to determine if there is any change over time. In glaucoma, this area can become larger and deeper, resulting in nerve fiber loss, which permanently reduces peripheral vision. 

If you or someone you know has questions about eye diseases, problems or conditions please call your local optometrist to schedule an appointment. If specialty care, treatment or surgery is required, please ask to be referred to one of the physicians at Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020,  or visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup.


Monday, December 4, 2017

LASIK Patient Story from Eyecare Medical Group

Chris C Shared his LASIK experience at Eyecare Medical Group...

“I am so happy with the service I received at EMG. Other doctors’ offices will say if you have any questions to call, but it usually sounds textbook and inauthentic. When Dr. Sise and the staff said it felt genuine and full of true concern. I appreciated that immensely! I would highly recommend Dr. Sise! He is a wealth of information, patient, and kind in his responses. He provided me with confidence, and communicated with me on a level that I would understand. I wish they were closer to my area!”


If you or some you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule a Free LASIK Consultation.


Sunday, November 26, 2017

What Do You See During Cataract Surgery?


We always like to take the time to carefully explain all of the things patients having cataract surgery and lens implants might experience during their visit to the surgery center and even during their cataract surgery procedure. In this way we are hopefully helping them relax and have an easy and comfortable experience as we correct their vision. For just about all of our patients having cataract surgery, they are awake and quite aware of what is going on in the operating room. Every once in a while a patient will be curious about what they will actually see during the cataract procedure since they are awake. As this can really vary greatly from patient to patient we were please to find the results of a study that can give patients some guidance of what they might experience.

Results
Patients having cataract surgery were asked to describe the quality of the visual experience as, pleasant, neutral or unpleasant. The group of 200 patients interviewed in the study included an almost even mix of men and woman around the age of 70 years old and as is to be expected, were a bit anxious before the surgery and were given an oral tablet to help them relax. They all reported seeing some gradation of colors including in descending order blue, red, pink, yellow, green, purple, turquoise, and orange with the most common color combination being red-blue light which was most likely from the operating microscope. Most-61% of the light and color experiences during surgery were reported to be pleasant, 38% were neutral and 1% found them unpleasant. Overall the experience of light and colors seen during cataract surgery is mildly pleasant and in fact should reassure patients that the visual experience is actually somewhat calming and relaxing during cataract surgery. 

If you or some you know is concerned about having a cataract or needing cataract surgery and lens implants and worried about what they will see please call Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule an appointment.


Saturday, November 18, 2017

Injections vs. Laser Treatment for Diabetic Retinopathy


Injections for Advanced Diabetic Retinopathy
Diabetic retinopathy progresses in stages that reflect the severity of the disease. Proliferative diabetic retinopathy is a more advanced stage and requires treatment. Therapeutic injections for proliferative diabetic retinopathy represent a sound treatment for some patients with this advanced stage of diabetic retinopathy where blood vessels in the retina begin to grow, or proliferate, many which are fragile and more likely leak and bleed. Proliferative diabetic retinopathy is a significant cause of vision loss if left untreated. Reporting on a clinical trial in the Journal of the American Medical Association, researchers compared the visual outcomes in patients with proliferative diabetic retinopathy who underwent either anti-VEGF treatment or Panretinal photocoagulation laser treatment. They found in many respects the outcomes of the group receiving injections were better in that the average vision over the two years in the injection group was better than the laser group, and the patients with the injections had less peripheral vision loss, required fewer future surgeries and developed fewer complications in the macular area of the eye.


If you or someone you know has diabetes, it is important to have regular diabetic eye exams to prevent vision loss from diabetic eye disease complications called diabetic retinopathy. Early detection, diagnosis and treatment are the keys to preventing vision loss from diabetic retinopathy. If you need a diabetic eye exam please call Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule an appointment.


Sunday, November 12, 2017

Diabetic Retinopathy & Neuropathy


Diabetic Retinopathy & Neuropathy
We have known for quite some time that with both Type 1 & Type 2 Diabetes Mellitus are at high risk for developing diabetic retinopathy, which is the most common cause of irreversible blindness in adults. Vision loss occurs because of microvascular damage to the retina. People with diabetes are typically not aware that they are also at risk for developing retinal diabetic neuropathy, which is the loss of nerve cells in the retina. For many years, scientists believed patients developed retinopathy and, as a result of the damage to the blood vessels, later developed neuropathy. Doctors were focusing on early detection and treatment of retinopathy to prevent blindness, which they thought would then prevent the damage caused by neuropathy.

In a new study researchers discovered that the sequence of events occurring in the retina is just the opposite. Unfortunately we now know that the nerve damage actually does come first, before the vessel damage. Even people with diabetes who never get retinopathy can still develop this damage, and after many years, damage may be severe, similar to glaucoma. As part of the diabetic eye exam we provide for patients, we often perform a test called Optical Coherence Topography (OCT) that actually allows us to carefully examine the retinal nerve fiber health


The best way to prevent vision loss from diabetic retinopathy is through early detection, diagnosis and treatment with regular eye exams. If you or someone you know is diabetic and needs a diabetic eye exam, please call Eyecare Medical Group, 53 Sewall Street, Portland, Maine 04102 at 888-374-2020, visit Eyecare Medical Group, Google+ or facebook.com/eyecaremedicalgroup to schedule an appointment.