Tuesday, December 11, 2012

Fuch’s Corneal Dystrophy: What Is It?

Ravi Shah, M.D., a Maine Corneal Specialist at Eyecare Medical Group in Portland discussed Fuch’s Corneal Dystrophy. “Fuch’s Dystrophy is a slowly progressive disease of the cornea that is typically bilateral and is slightly more common in women than men,” explained Dr. Shah.  “We sometimes can see Fuch’s Dystrophy in people in their 30’s and 40’s, it usually does not compromise vision until people are in their 50’s or 60’s,” he further explained.

Early in the course of Fuch’s Dystrophy patients typically awaken with blurry vision that gets progressively clearer as the day passes. This phenomenon occurs because the cornea normally swells during sleep.  A healthy endothelial pump is necessary in order to restore the cornea to a normal thickness. In Fuch’s Dystrophy, the endothelium removes fluid from the cornea less efficiently.  As the Fuch’s Dystrophy disease worsens, the vision does not clear. Usually we will attempt to help reduce the corneal swelling each day by prescribing hypertonic eye drops and ointments. However, when these measures fail to provide comfort and clear vision, it may be necessary to have a corneal transplant.

If you or someone you know would like to learn more about Fuch’s Corneal Dystrophy please schedule an appointment with Maine Corneal Specialist Ravi Shah, M.D. at Eyecare Medical Group by calling 888-374-2020, visiting 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, December 6, 2012

About Double Vision or Diplopia

“Double vision, which we also refer to as diplopia, generally results from either a misalignment of your eyes or a structural problem with the part or parts of the eye that let light into it”, noted Samuel Solish, M.D. “There are two types of double vision. The first type is called binocular diplopia. The second type is referred to as monocular diplopia.”

Monocular diplopia can be differentiated from binocular diplopia by a simple test. If the double vision stops when you cover one eye, then you are suffering from binocular diplopia.  If the double vision persists even with one eye covered, that means you are experiencing monocular diplopia.

There are many different causes for diplopia. The problem can arise from the eyes themselves, the surrounding orbit, or the central nervous system. Causes of double vision include corneal infections or scars, cataract, eye muscle weakness from thyroid problems, nerve damage from diabetes or multiple sclerosis, autoimmune disease such as myasthenia gravis, brain tumors or aneurysms, strokes, head trauma, orbital trauma, direct eye trauma and even migraine headaches.
 
Double vision can occur by itself with no other symptoms. However, depending on the cause other symptoms may be present with diplopia that can include:
  • Droopy Eyelids
  • Pain with Eye Movements
  • Headache
  • Nausea
  • Misalignment of one or both eyes causing a "wandering eye" or "cross-eyed" appearance
  • Weakness of the other muscles in your body  
“Double vision that's new or unexplained requires urgent medical attention. With so many potentially serious causes for diplopia, it's important to discover the reason without delay”, said Dr. Solish. A thorough history and physical examination are critical to localizing a disease process and guiding further tests and studies to identify and treat the cause. If you or someone you know experiences double vision, it is important that they schedule an appointment for an examination. To learn more about Eyecare Medical Group in Portland Maine you can call us at 888-374-2020, visit www.eyecaremed.com 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.


Tuesday, December 4, 2012

Maine Corneal Specialist on Keratoconus


Maine Corneal Specialist Ravi Shah, M.D. of Eyecare Medical Group in Portland, ME. reviewed some important information about Keratoconus. Keratoconus is a type of corneal dystrophy in which the Cornea becomes thin and bulges. Although Keratoconus is a relatively rare corneal disease, its impact on vision and overall lifestyle can be quite significant as it progresses. Vision correction in the early phases is often possible with eyeglasses and contact lenses. In the intermediate phases specialized contact lenses are often necessary to provide good vision and physical tolerance. As Keratoconus progresses and reaches its later phases, corneal surgery including transplantation may be required in order for patients to conduct normal activities and enjoy normal lifestyles. Newer types of corneal surgery and treatment may include implantation of prescription inserts and a non surgical approach called corneal cross linking or CXL that enhances corneal collagen cross linking through the photoactivation of riboflavin. By carefully monitoring the progression of Keratoconus and applying the necessary treatment options it is possible to help patients maintain good vision and functioning.

Keratoconus is generally first diagnosed in young people at puberty or in their late teens and progresses through the third or fourth decade of life. It tends to progress more rapidly in young patients. Keratoconus occurs about equally in men and women. The signs and symptoms of Keratoconus may change as the disease progresses and may include a) blurred or distorted vision b) monocular double vision c) rapidly changing eyeglass prescriptions especially with high degrees of astigmatism d) increased sensitivity to bright light and glare e) problems with night vision f) headaches from eyestrain and in the most severe situation e) hydrops, a painful condition in which the back of your cornea ruptures and fills with fluid, causing a sudden clouding and loss of vision.

If you or someone you know would like to learn more about Keratoconus or the various treatment options please schedule an appointment with Maine Corneal Specialist Ravi Shah, M.D. at Eyecare Medical Group by calling 888-374-2020, visiting 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.