“What does your risk of having a stroke have to do with age related macular degeneration?” asked Ophthalmologist Bernard Milstein, M.D. of The Eye Clinic of Texas with offices serving greater Houston & Galveston. Possibly quite a bit as it turns out. Older adults with late-stage, age related macular degeneration (AMD) may have a significantly higher risk for hemorrhagic stroke than do individuals without the eye disease, as reported from the Rotterdam Study at the International Stroke Conference. There may be a common underlying process contributing to both Age-Related Macular Degeneration (AMD) and bleeding strokes, but more research will be needed to determine if that’s the case. Researchers found that the risk for any stroke was 56% higher in participants with late-stage AMD than in individuals without AMD after they controlled for the effects of age, sex, diabetes, blood pressure, use of antihypertensive medication, smoking, cholesterol levels, carotid artery plaques, body mass index, alcohol intake, and C-reactive protein levels.

“The single most significant finding in the study was that participants with late-stage AMD-either the wet or dry forms-had six fold higher risk for intracerebral hemorrhage or stroke than did participants without AMD,” noted Dr. Milstein.”This is a critical piece of information and one we need to be responsive to and keep patients and their physicians abreast of.”

If you or someone you know suffers from or is concerned about age related macular degeneration (AMD), especially if they are concerned about their risk of stroke or have a family history of stroke please feel free to schedule an eye exam by calling please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texasis an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Katy Road, Houston, Texas 77573, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 711 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

Patients who are contact lens wearers and thinking about LASIK in Houston should be aware that contact lens induced dry eyes are a real clinical condition that we may need to address prior to your LASIK surgery. “Dry eyes can be a very real problem for both rigid and soft contact lens wearers. Researchers reporting in the Eye & Contact Lens: Science & Clinical Practice demonstrated that both rigid and soft contact lenses negatively impacted the tear film surface quality. This research is important to keep in mind when contact lens wearers present for LASIK consultations since the evaluation of the tear film quality and quantity is a critical consideration of determining the patient’s candidacy for any type of Laser Vision Correction-but especially for LASIK surgery,” commented LASIK Surgeon Dr. Da-Thuy Van of The Eye Clinic of Texas serving greater Houston & Galveston. “Given that a significant number of our Houston patients electing to have LASIK today are indeed contact lens wearers and that dry eye is probably the most common side effect of LASIK that we see with our patients, we need to be aware that some of the pre LASIK tear film abnormalities that we find are actually due to their contact lens wear and that with a sufficient amount of time without contact lens wear many contact lens wearers who want LASIK will recover a normal tear film surface quality and be able to proceed,” noted Dr. Van.

Contact lens patients considering LASIK or any type of Laser Eye Surgery for vision correction are encouraged to find the best LASIK Surgeons in their area and have a thorough evaluation, examination and consultation in order to find out if they are good candidates.

If you or someone you know has a question about LASIK, contact lenses, dry eyes or would like to schedule a Free LASIK Consultation please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Old Katy Road, Houston, Texas 77024, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

“Each Halloween we are reminded of the need for Houston residents to carefully consider the use of non prescription decorative contact lenses as part of their costume,” remarked Dr. Da-Thuy Van, an Ophthalmologist at The Eye Clinic of Texas serving greater Houston & Galveston. “While it can be really fun to change your eye color or make your eyes have stripes or a ghoulish look, Halloween, decorative contact lenses and your eyes may not be a great combination,” stated Dr. Van. “About this time each year we see the result of the Halloween participants who wish to turn their eyes from blue to some far out appearance or ghoulish look by using over-the-counter, decorative contact lenses,” said Dr. Van.  “Even someone with perfect vision would still require an eye exam and a prescription in order to wear any kind of contacts, including cosmetic lenses as they are a medical device and improper use can cause sight threatening problems.”

According to the Food and Drug Administration, all contact lenses are regulated medical devices that require a prescription and proper fitting by an eye-care professional. Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, non corrective lenses-sometimes called Plano-or zero-powered lenses, but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

The buyer of these over-the-counter contact lenses faces a huge risk including scratched corneas, pink eye and more serious types of blinding infection as a result of a corneal ulcer.

In 2005, a federal law was passed that classified all contact lenses as medical devices and restricted their distribution to licensed eye-care professionals. Illegal sale of contacts can result in civil penalties of up to $11,000 per violation. The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye  problems from becoming a reality.

If you or someone you know would like to learn more about contact lenses of any type including decorative non prescription contact lenses, please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texasis an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Katy Road, Houston, Texas 77573, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 711 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

Patients should beware of the potential for hidden costs when considering LASIK at Houston discount centers. Unusually low LASIK prices are often accompanied by hidden costs you don’t know about at many discount LASIK centers. LASIK costs are affordable for almost anyone who wishes to minimize their dependence on or even eliminate the need for eyeglasses and contact lenses to see at distance. BUT-there are many patients who shop for the best price for LASIK and end up getting an unpleasant surprise. Reputable and trusted LASIK surgeons tend to quote fees for LASIK that are comprehensive fees-that is they include everything you need to have LASIK and its associated evaluations and follow up care-regardless of your prescription.

Houston discount LASIK centers that offer the lure of the best price for LASIK often quote a price for LASIK that is right on the edge of being deceptive in that it uses the lowest price to draw you in for an evaluation and get you excited about the possibility of having LASIK but then presenting you with hidden costs and fees. These hidden costs and fees can include an additional fee for your prescription that was not within the advertised range, it can include an extra hidden cost of LASIK for astigmatism, it can include an additional hidden cost for follow up care, it may include an extra hidden cost for custom wavefront LASIK or an add on hidden cost for enhancements-and on and on. Hidden costs and fees for LASIK are somewhat typical of the sales and marketing practices of certain discount centers. LASIK is surgery. You should choose a LASIK surgeon based on their reputation as recommended by friends and relatives and NOT based solely on the best price. Choosing a LASIK surgeon based on the best price alone could set you up for a number of hidden costs you can’t even understand and end up costing you more in the long run.

If you or someone you know has a question about LASIK or would like to schedule a Free LASIK Consultation please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texasis an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Katy Road, Houston, Texas 77573, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 711 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

Anyone having cataract surgery in Houston has a need to know about what to expect from their cataract surgery recovery at The Eye Clinic of Texas. Here is what Houston cataract patients need to know:

  • We routinely perform cataract removal and lens implants using a very tiny incision, with no needles and usually only eye drops for anesthesia. For the great majority of our patients the postoperative course is very comfortable and unremarkable.
  • Typically, most patients don’t require pain medications and at most have a slight foreign body feeling from the incision which usually clears in a few hours.
  •  The vision the next day can range from being excellent or at times a bit cloudy, depending on the amount of residual swelling in the cornea. Patients with mild cataracts generally have very little swelling. Very dense cataracts require more energy to remove, and this can produce more swelling in the cornea. This swelling usually clears quickly and most patients see quite well in a few days
  • Depending on the type of lens implant you have had there may be a little adaptation. For example, if you have had a near vision presbyopia correcting multifocal lens implant there may be re-learning of how to see far and near. Most patients adapt pretty quickly.

If you or someone you know has questions about cataract, cataract surgery, lens implants or the recovery from cataract surgery please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texasis an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Katy Road, Houston, Texas 77573, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 711 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

Driving safely in Houston after cataract surgery may reflect some interesting trends with regard to differences between men and women as illustrated by a recent study. An interesting study on cataract surgery and driving was reported in Clinical & Experimental Ophthalmology whereby motor vehicle accidents involving men decreased by 15.3% in the 12 months following cataract surgery but the frequency of postoperative crashes didn’t change significantly for women. Delaying cataract surgery often results in patients modifying their lifestyles and activities. This is especially the case as people restrict their driving in response to health and vision changes. “We need to hear from patients about their driving habits and whether they have had to change them as their cataracts develop-then we can help,” said Dr. Da-Thuy Van, a Cataract Surgeon at The Eye Clinic of Texas serving greater Houston & Galveston.

If you or someone you know has a question about cataracts, cataract surgery, lens implants or driving please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texasis an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Katy Road, Houston, Texas 77573, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 711 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550 that provide all aspects of general, medical, surgical, laser and optical eye care services.

SmokingGreater Houston patients who are smokers should consider that smoking may increase your risk of developing cataracts according to current research and thought. “Pretty much all smokers today understand that there are well documented vascular risks of smoking. Many smokers know that they are also at increased risk of glaucoma and age related macular degeneration. What may be news to those who smoke is that they are also at increased risk of cataracts,” stated Cataract Surgeon Bernard Milstein, M.D. of The Clinic of Texas with offices serving greater Houston & Galveston.

Patients who are current smokers or who have any history of smoking are at increased risk of getting a cataract according to researchers reporting in Investigative Ophthalmology & Visual Science. The researchers found that the overall current literature suggests that smoking was associated with increased risk of age related cataract, especially nuclear cataract and to some extent posterior sub capsular cataract. They further recommended that additional efforts should be made to confirm these findings and clarify the underlying biological mechanisms. A healthy lifestyle and diet are meaningful ways of maintaining eye health and vision-whether lowering your risk of cataracts, keeping the tiny blood vessels in the eye functioning properly or minimizing the associated risks of glaucoma-it’s important to avoid smoking as a lifestyle choice.

If you or someone you know feels they are at risk for cataract development, has a question about cataracts, cataract surgery or lens implants please feel free to schedule an eye exam by calling The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 7155 Old Katy Road, Houston, Texas 77024, 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Posterior Vitreous Detachment (PVD) is more common in individuals who have had cataract surgery. While there may not be an obvious “cause and effect” relationship but there are a number of possible factors may contribute to this. Cataract Surgeon Dr. Da-Thuy explained why cataract surgery patients often experience Posterior Vitreous Detachment (PVD) after a cataract operation.

  • The vitreous changes that lead to vitreous liquefication and instability and ultimately PVD are age-related, as are cataracts and the need for cataract surgery.
  • Removal of a cataract can allow mechanical space shifts in the vitreous gel and perhaps increase the odds of PVD.
  • Biochemical changes actually occur following cataract surgery and these appear to increase the likelihood of PVD, particularly if the posterior lens capsule is opened.
  • Unusual complications of cataract surgery can disrupt the integrity of the vitreous gel and increase the odds of PVD.

“What we know clinically as a practical matter is that it is pretty typical for some 50% or more of patients undergoing cataract surgery to experience a Posterior Vitreous Detachment (PVD), with some patients noticing visual symptoms including a “cobweb” or some floaters,” explained Dr. Van. “If the visual symptoms become excessive or are accompanied by a curtain or veil in your vision, or perhaps distortion of your vision, we want to hear from you immediately.”

If you or someone you know has a question or concerns about cataracts, cataract surgery or Posterior Vitreous detachment (PVD) please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.

Patients having cataract surgery at The Eye Clinic of Texas don’t have to be concerned with undue restrictions on leaving Houston and flying and air travel after their cataract operation. “Having cataract surgery doesn’t need t present a major barrier to air travel of flying,” stated Bernard Milstein, M.D. “My cataract patients-especially as they seem to be getting younger-are continuing very active lifestyles. Often they need to get on an airplane or take advantage of air travel arrangements after cataract surgery and don’t want to be hindered.”

Most cataract surgeons require their patients to be examined the first day after cataract surgery and again at about 5-8 days after a cataract operation. This is the period of time where rare, but potentially serious, complications would likely be detected, if they were to occur. Beyond this period of time it is more a matter of making sure that you have access to continued follow up care at your cataract surgeon’s direction. If you are contemplating a trip after your cataract surgery you should discuss this with your cataract surgeon and we can give you any additional advice you might need regarding air travel as it would apply to your post operative instructions.

If you or someone you know has questions or concerns about cataract surgery, air travel and flying please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.

“Women seeing me for their eye exams experiencing near vision or presbyopia related focusing problems are often surprised to learn that the need bifocals or reading glasses earlier than men,” noted Ophthalmologist Dr. Da-Thuy Van of The Eye Clinic of Texas with offices serving greater Houston & Galveston. Researchers reporting the journal Investigative Ophthalmology and Visual Science (IOVS) found that women tend to need bifocals sooner to correct their near vision and the onset of presbyopia-the age related near vision focusing problem. The studies show that presbyopia, the inability to see at a close distance that occurs with age, is more common in women. While men and women need bifocals as they age, the need is more common among women and tends to hit them at younger ages than men. It is believed that while men and women appeared to actually have the same focusing ability when looking at nearby objects, because women are generally shorter than the men, with proportionally shorter arm lengths, they needed to hold objects closer to their faces when reading and thus required the near vision presbyopia correction of bifocals, reading glasses or even bifocal contact lenses sooner.

If you or someone you know would like to learn more about near vision, focusing problems or presbyopia please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.