Tuesday, August 28, 2012

Maine Ophthalmologists on Glaucoma & Metabolic Syndrome

Maine Ophthalmologists and Glaucoma Specialists commented on glaucoma risk and metabolic syndrome. Reporting in the July 2011 publication Ophthalmology, the official journal of the American Academy of Ophthalmology, researchers suggested that the risk of developing Open Angle Glaucoma (OAG) may be increased if you suffer from Metabolic Syndrome. “We know that patients with diabetes mellitus, systemic arterial hypertension or high blood pressure, hyperlipidemia or high cholesterol and triglycerides and obesity have elevated risks of developing open angle glaucoma,” noted Maine Glaucoma Specialist Samuel Solish, M.D. of Eyecare Medical Group in Portland, ME. “The fact that the researchers concluded that since approximately one-fifth of the U.S. population has metabolic syndrome and that both metabolic syndrome and open angle glaucoma increase in prevalence with age, and this suggests that as the U.S. population ages, the disease burden of OAG may increase in the coming years is not surprising," commented Glaucoma Specialist Robert Daly, M.D.

The authors performed statistical analysis to determine patients' risk of developing OAG in conjunction with individual and combined types of metabolic syndrome. Data were adjusted for social and demographic factors, systemic medical conditions and other ocular diseases. The adjusted data showed that subjects with diabetes alone had a 35% increased risk of developing OAG, and those with hypertension alone had a 17% increased risk. Those with diabetes and hypertension combined had a 48% risk. Those with hyperlipidemia alone had a 5% decreased risk. Obese subjects had a 14% increased risk. Patients with diabetes, hyperlipidemia and hypertension combined had a 26% increased risk and the risk of developing OAG were higher in African Americans, Latinos and Asian Americans than in Caucasians, the authors reported.

If you or someone you know is concerned about glaucoma, glaucoma risk or metabolic syndrome please feel free to schedule an appointment at Eyecare Medical Group in Portland Maine by calling 888-374-2020, visiting www.eyecaremed.com or facebook.com/eyecaremedicalgroup.

Eyecare Medical Group is a leading ophthalmology practice staffed by a team of eye care specialists in Portland, ME including eye doctors who are fellowship trained glaucoma specialists, retina specialists, cornea specialists and cataract and lens implant specialists-all board certified Ophthalmologists-as well as Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants, (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetic retinopathy and age related macular degeneration and diagnosis and treatment of glaucoma.

Eyecare Medical Group is conveniently located for patients from throughout Maine including Auburn, Augusta, Bangor, Bath, Berwick, Biddeford, Bridgeton, Brunswick, Cape Neddick, Casco Bay, Cumberland Center, Eliot, Freeport, Gardiner, Kennebunk, Kennebunkport, Kittery, Lewiston, Old Orchard Beach, Sanford, Scarborough, South Portland, Springvale, Topsham, Waterville, Westbrook, Winslow, Wiscasset, Yarmouth, Portland, Skowhegan and York Maine.


Tuesday, August 14, 2012

Maine Corneal Specialist on LASIK & Dry Eyes

Maine Corneal Specialist Ravi Shah, M.D. shared some thoughts and information about LASIK and dry eyes. “It is clear that the most common side effect of LASIK is dry eyes. In fact, it is pretty much expected and pretty normal for all LASIK patients to have some temporary dry eye symptoms after their treatment,” commented Dr. Shah. “The important fact for patients to understand is that the dry eye symptoms should be temporary,” he further explained.

Here is what you should know about LASIK and dry eyes. LASIK is corneal surgery. ANY time someone has corneal surgery it is likely that surgeons will sever some corneal nerves as well as temporarily disturb the delicate cells on the surface of the eye. During Cataract Surgery and any other eye surgery procedures that involve the cornea we do the exact same things. These corneal nerves connect to the Lacrimal Gland which is responsible for producing tears. When the nerves are temporarily interrupted there is a decrease in the amount of tears that are produced-making your eyes feel dry and gritty. To make you more comfortable during the time it takes for the corneal nerves to heal and regenerate we may do one of more of the following for you: 

Prescribe Artificial Tear Eye Drops 

Insert Tiny Tear Duct Plugs 

Prescribe Restasis® Eye Drops 

Prescribe Dietary Supplements with Omega-3 Oils 

Each of the above acts to either retain the tears that you have, supplement the tears that are lacking or help you produce more of your own tears so that you will be most comfortable and heal properly. Each person will regenerate the fine corneal nerves at a DIFFERENT RATE and thus will need to use one or more of the above tear helpers for different amounts of time. A very important consideration is how healthy your tear film was BEFORE your surgery. A critical part of your LASIK consultation will be a careful examination of your tear film. Sometimes, in order to make you the most comfortable and make the healing and visual recovery process as quick and easy as possible for you, we may actually prescribe one or more of the above BEFORE your surgery. If you or someone you know has questions about LASIK and Dry Eyes or would like to schedule a Free LASIK Evaluation please call Eyecare Medical Group in Portland Maine at 888-374-2020, visit Eyecare Medical Group or facebook.com/eyecaremedicalgroup

Eyecare Medical Group is a leading ophthalmology practice in Portland, Maine staffed by a team of Maine eye care specialists including eye doctors who are fellowship trained glaucoma specialists, retina specialists, cornea specialists and cataract and lens implant specialists-all board certified Ophthalmologists-as well as Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants, (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma. 

Eyecare Medical Group is conveniently located for patients from throughout Maine including 

Auburn, Augusta, Bangor, Bath, Berwick, Biddeford, Bridgeton, Brunswick, Cape Neddick, Casco Bay, Cumberland Center, Eliot, Freeport, Gardiner, Kennebunk, Kennebunkport, Kittery, Lewiston, Old Orchard Beach, Sanford, Scarborough, South Portland, Springvale, Topsham, Waterville, Westbrook, Winslow, Wiscasset, Yarmouth, Portland, Skowhegan and York Maine.


Tuesday, August 7, 2012

Lens Implants, Cataracts & Glasses

The Cataract Surgeons at Eyecare Medical Group in Portland, Maine have noticed that with the number of “baby boomers” approaching the age of cataracts there are lots of questions about cataract surgery, lens implants and the need-or not-for eyeglasses. Many of these questions are quite valid as over the past 5 years, patient expectations and technology have driven a convergence of the goals cataract surgery and refractive surgery.

Traditionally, the goal of cataract Surgery was to remove the cloudy crystalline lens and replace it with an intraocular lens implant (IOL) of equivalent optical power so as to achieve “emmetropia” thus allowing patients to have good distance vision. The goal of refractive surgery is to help patients decrease or possibly even eliminate their dependence on eyeglasses or contact lenses. Today, a rapidly growing cataract patient population wants to achieve both the benefits of cataract surgery and refractive surgery in one combined procedure. 

In order to meet patient expectations of being “glasses free” and help patients achieve their personal vision correction and lifestyle goals, it is necessary for us to first carefully select the type and design of lens implant as well as to accurately calculate the IOL power. The types and designs of lens implants that we work with include the following: 

Monofocal Lens Implants 

Monofocal lens implants are the most basic type of Lens Implant used to correct vision after removal of the crystalline lens. A Monofocal Lens Implant can provide very good vision after cataract surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies. A Monofocal Lens Implant does not correct intermediate or arm’s length vision for doing things like playing cards and seeing the golf ball on the tee, or even seeing computer screens clearly. Monofocal lens implants do not correct near vision for doing things up close like seeing medicine bottles, reading, or keeping your golf score, as these tasks require the correction of presbyopia. 

Toric Lens Implants 

Toric lens implants correct astigmatism. For patients who have significant amounts of astigmatism prior to cataract surgery, and who do not wish to wear eyeglasses to see clearly at a distance, choosing a toric lens implant can help them be independent of glasses for tasks such as driving that require clear distance vision. Toric Lens Implants do not correct presbyopia, so that most patients still require reading glasses or bifocals to be able to comfortably perform near vision tasks such as reading and intermediate vision tasks such as computer work. 

Near Vision Presbyopia Correcting Lens Implants 

Near vision presbyopia correcting lens implants provide vision correction at the full range of distances-far or distance vision, arm’s length or intermediate vision and up close near vision. Depending on the specific vision requirements of the patient, there are several types of presbyopia correcting multifocal and accommodating lens implants that can be used including the Tecnis™ Multifocal Lens Implant, the Crystalens® Accommodating Lens Implant and the AcrySof®ReSTOR® Multifocal Lens Implant. Each of these works in a different way to help the patient achieve their vision correction goals of being able to see at a variety of distances without being dependent on eyeglasses or reading glasses. Patients choosing to have a presbyopia correcting lens implant will likely find that they can drive, watch television, play golf and keep score, read a menu, play cards or do crafts-without the need for glasses. Patients choosing a multifocal or accommodating lens implant typically experience a greater overall freedom from glasses, allowing them to participate in most everyday activities without the dependence on, or hassle of glasses. 

“As cataract and refractive surgeons, we routinely work to realistically shape patient expectations and then constantly strive to provide the medical, surgical and optical care necessary help patients meet or exceed them,” commented Jordan Sterrer, M.D. “When patients ask us, “Do I have to wear glasses after my cataract surgery?,” we make sure to help them understand that we can offer them the possibility of a lifestyle that minimizes or possibly eliminates their need for glasses through careful lens implant counseling”, said Dr. Sterrer. “For many patients, being able to function essentially “glasses free” adds a level of convenience and comfort to their everyday lives.” 

If you or someone you know has questions about cataracts, cataract Surgery or lens implants (IOL) please free to call Eyecare Medical Group in Portland Maine at 888-374-2020, visit Eyecare Medical Group or facebook.com/eyecaremedicalgroup

Eyecare Medical Group is a leading ophthalmology practice in Portland, Maine staffed by a team of eye care specialists including eye doctors who are fellowship trained glaucoma specialists, retina specialists, cornea specialists and cataract and lens implant specialists-all board certified Ophthalmologists-as well as Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants, (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma. 

Eyecare Medical Group is conveniently located for patients from throughout Maine including 

Auburn, Augusta, Bangor, Bath, Berwick, Biddeford, Bridgeton, Brunswick, Cape Neddick, Casco Bay, Cumberland Center, Eliot, Freeport, Gardiner, Kennebunk, Kennebunkport, Kittery, Lewiston, Old Orchard Beach, Sanford, Scarborough, South Portland, Springvale, Topsham, Waterville, Westbrook, Winslow, Wiscasset, Yarmouth, Portland, Skowhegan and York Maine.


Thursday, August 2, 2012

Lens Implants for Cataracts Common in Maine

Eyecare Medical Group wants to share some information with Maine cataract patients to help them understand more about cataract surgery and lens implants. “While most people have a pretty solid awareness of what a cataract is, many do not realize the very widespread incidence of cataracts across the world nor do they realize the options and positive results we achieve with lens implants for vision correction after cataract surgery”, remarked Maine Cataract Surgeon Bruce Cassidy, M.D. of Eyecare Medical Group in Portland.


Cataracts are the leading cause of blindness worldwide. About 20.5 million Americans age 40 and older have cataracts and more than half of all Americans develop cataracts by age 80. A cataract is a clouding of the crystalline lens of the eye preventing light rays from passing through it easily. This results in a clouding and blurring of vision. Cataracts are not a growth or a film over the eye. For many patients cataracts start out slowly and have little effect on vision at first. But, as the cataract becomes denser, so does the impact on vision. The most common symptoms that bother patients with cataracts include blurry or cloudy vision, sensitivity to light and glare, double vision in one eye, poor night vision, sometimes with haloes around lights, fading or yellowing of colors and often a need for frequent changes in glasses or contact lens prescriptions. 

“If a cataract begins to impact your ability to live your desired lifestyle by limiting your daily activities or even limits your safe and comfortable mobility, then it is time to consider cataract surgery and lens implants. Cataract surgery and lens implants are among the safest and most frequently performed surgeries in the United States. We use advanced technology Intraocular Lens Implants (IOL) available that allow us to provide sharper vision in dim lighting conditions, toric lens implants to correct astigmatism and even lens implants that correct near vision, arm’s length vision as well as distance vision without requiring bifocals or reading glasses for the vast majority of patients”, said Dr. Cassidy.

If you or someone you know has questions about cataracts or is in need of an examination for cataract surgery and lens implants (IOL) please feel free to call Eyecare Medical Group at 888-374-2020, visit Eyecare Medical Group or facebook.com/eyecaremedicalgroup

Eyecare Medical Group is a leading ophthalmology practice in Portland, Maine staffed by a team of eye care specialists including eye doctors who are fellowship trained glaucoma specialists, retina specialists, cornea specialists and cataract and lens implant specialists-all board certified Ophthalmologists-as well as Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants, (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma. 

Eyecare Medical Group is conveniently located for patients from throughout Maine including 

Auburn, Augusta, Bangor, Bath, Berwick, Biddeford, Bridgeton, Brunswick, Cape Neddick, Casco Bay, Cumberland Center, Eliot, Freeport, Gardiner, Kennebunk, Kennebunkport, Kittery, Lewiston, Old Orchard Beach, Sanford, Scarborough, South Portland, Springvale, Topsham, Waterville, Westbrook, Winslow, Wiscasset, Yarmouth, Portland, Skowhegan and York Maine.