dry eye

About Dry Eye and Hair Loss

What do dry eye and hair loss have to do with each other? As it turns out, recent research suggests there may very well be a link through your immune system. Alopecia means hair loss. When a person has a condition called Alopecia Areata the hair falls out in round patches on the scalp or elsewhere on the body. Alopecia is not contagious and it is not due to anxiety as some people think. Alopecia is actually due to your immune system attacking the hair follicles and resulting in hair loss. This disease is most occurs in otherwise healthy people. We now know that people with alopecia often suffer from dry eye disease. Researchers examined a series of patients who were previously diagnosed with Alopecia Areata and compared them to a control group who did not have the hair loss problem. They had each patient complete an Ocular Surface Disease Index (OSDI) questionnaire and evaluated their tear film using a Schirmer Test for tear quantity, a tear break-up time test and corneal staining stage tests. Dry eye disease (DED) was diagnosed in 84% of Alopecia Areata patients and in 15% of the controls, and there was a significant difference between the groups. They believe that a certain type of cell mediated autoimmunity has a key role in BOTH Alopecia Areata and dry eye disease and that the inflammatory mechanisms causing Alopecia Areata may trigger dry eye disease or vice versa. Based on this research it is recommended that all patients with Alopecia Areata be examined and evaluated for dry eye disease.

If you or someone you know suffers from Alopecia Areata hair loss and wishes to be evaluated for dry eye disease and problems, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

kid with apple on head

Back to School Headaches

Findings from Nationwide Children’s Hospital physicians demonstrate that headaches increase in fall in children, a trend that may be due to back-to-school changes in stress, routines and sleep as well as eye and vision problems. Although it may be difficult for parents to decipher a real headache from a child just wanting to hold onto summer a little longer and avoid going back to school, there is a variety of other common triggers including poor hydration and prolonged screen time that could contribute to a child’s discomfort. The increase in fall headaches may be attributed to a number of factors, including academic stressors, schedule changes and an increase in extracurricular activity. Other common headache triggers include lack of adequate sleep, skipping meals, poor hydration, too much caffeine in soft drinks, lack of exercise and prolonged electronic screen time. Parents should work with their child’s pediatrician to evaluate, manage and prevent headaches. Once these factors are controlled, it is important to be sure that there are no subtle or obvious eye health or vision problems by scheduling a routine eye exam for your child.

If you or someone you know has a child suffering from “back to school” headaches and has addressed the possible causes with your pediatrician, consider whether it is time to schedule an eye exam and please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

“I took my daughter to see Dr. Fradkin after the school nurse suggested I have her see an eye doctor. My daughter absolutely loved him!  He was so good with her and as it turns out, she needed glasses.  Dr. Fradkin and his staff took a lot of time helping us find the perfect frame for my indecisive 8 year old. After seeing Dr. Fradkin and how wonderful he was, I now have him taking care of my whole family!  Shortly after my daughter’s appointment, both my husband and I were seen and they recommended some polarized sunglasses because of all the fishing and outdoor activities that we do.  We had never had a nice pair of sunglasses before and the polarized lenses make such a difference on the water! Nobody has ever taken care of us like that.  Thank you!”

 If you or someone you know wishes to schedule an eye exam, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

Why Do Children Need Glasses?

Kids can need glasses to correct common refractive errors that can blur their vision-like nearsightedness or myopia, farsightedness or hyperopia or astigmatism, or they need glasses to help correct an eye muscle imbalance, or strabismus such as “crossed eyes’ or esotropia or provide help with a vision development problem such as “lazy eye” or amblyopia. The reasons children can need to wear glasses really depends on the nature of their vision development and eye coordination and focusing ability. The reasons can be somewhat different than for adults in certain cases. Depending on the problem they may have to wear the glasses through their developmental years and could “outgrow” the need in certain development instances.

If you or someone you know would like to learn more about why kids need glasses or need to schedule a children’s eye exam please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

Results from the Los Angeles Latino Eye Study (LALES) confirm that diabetes is a top risk factor for vision loss among Hispanics. LALES and other large studies have found that people who have diabetes are more likely to develop serious and potentially blinding diseases, including diabetic retinopathy, glaucoma, cataract and glaucoma. Hispanics are more likely to develop diabetes than other groups.

Preventing Vision Loss in Hispanics

Preventing diabetes or catching and treating it and any related eye diseases in their early stages would go a long way to improving Hispanics’ vision health. Hispanics are the fastest-growing group in the United States and thus it is important to have routine eye exams especially if you are diabetic and Hispanic. LALES researchers believe that is our Hispanic population receives thorough exams and care as needed,, the burden of vision loss in US Hispanics could be reduced.

If you are Hispanic and especially if you have diabetes, having regular eye exams is critical to reduce your risk of vision loss. Please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

King-Devick Test

Eye Test for Concussion in Student Athletes
An eye test for concussions might be helpful for student athletes playing contact sports who are known to be at risk for head trauma. Up to 3.9 million sports related mild traumatic brain injuries, or concussions, occur annually in the United States, according to the Centers for Disease Control and Prevention, but researchers say that number is likely higher since the CDC only tracks emergency room visits. Experiencing a concussion in a game increases an athlete’s risk for sustaining a second condition in the same season by three times. Other complications include the dangerous second impact syndrome, or other short and long term side effects.

Research on Concussion and Eye Tests
Research from the NYU Langone Concussion Center shows that a simple eye test, which can be administered in less than two minutes, can effectively diagnose a concussion and help determine whether a student athlete as young as 5 years old should return to a game. A study published in the Journal of Neuro-Ophthalmology, was conducted on 89 NCAA athletes and a younger group of 243 youth athletes under age 17, and shows how the eye test, known as the King-Devick test, could help minimize the problems that make the diagnosis of concussion difficult in student athletes involved in youth sports. The researchers report that the test can easily be administered on the sidelines by parents and non-health care professionals when athletic trainers and doctors are not available to monitor sidelines at youth sports games.

About the King-Devick Test
As part of the King-Devick test, athletes read numbers off of three pieces of paper while being timed with a stopwatch. A worsened performance from a baseline reading suggests a concussion has occurred. Since concussions may cause devastating short and long term cognitive effects, tools like vision testing that can objectively diagnose a concussion are critical. Some sideline tests only measure cognition and balance, but visual testing is rarely performed, despite longstanding evidence that vision is commonly affected by concussion, according to a review article published in the Journal of Neuro-Ophthalmology. Previous research suggests about 50 percent of the brain’s pathways are tied to vision.

If you or someone you know plays youth sports and is concerned about the risk and evaluation of concussion, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+ or facebook.com/ecot.lasik.

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 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.

Avoid Sports Eye Injury with Protective Eyewear

According to research on data from the High School Reporting Information Online database and from a Virginia school district that includes 25 high schools, recorded between 2009 and 2013, analyzed and  published in the journal Pediatrics, the use of mandatory protective eyewear by female field hockey players has reduced incidences of eye and orbital injuries, as well as severe face and head injuries. Among female U.S. high school field hockey players, a national mandate for protective eyewear has been associated with a greater than threefold reduced risk of eye and orbital injuries and a decreased incidence of severe eye and orbital as well as head and face injuries. This information supports a policy change and implementation of the mandatory use of protective equipment in field hockey at all amateur levels.

If you or someone you know have questions about protective eyewear for sports, or need to be fitted with protective eyewear to avoid the risk of sports eye injury, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

About Childrens’ Tear Duct Problems

Normally, tears drain through tiny opening in corners of the upper and lower eyelids call “puncta,” then enter the nose through the nasolacrimal duct. Sometimes the nasolacrimal duct or tear duct can become blocked or obstructed making it impossible for the tears to drain normally. This can cause the eyes to run water or even produce a discharge. Often, the tears well up on the surface of the eye and overflow onto the eyelashes, eyelids, and down the cheek. This usually occurs within the first days or weeks of life. Sometimes, the eyelids can become red and swollen, even stuck together with yellowish-green discharge since the normal eyelid bacteria are not properly “flushed” down the obstructed system. Probably the most common cause of a tear duct obstruction in kids is a failure of the membrane at the end of the tear duct opening to open fully at the time of birth. Generally we see this happening in some 5-10% of newborn infants where one or both eyes is affected with a tear duct obstruction-BUT some 90% clear without any treatment with the first 12 months after birth.

Treatment of Kids’ Tear Duct Obstruction

As most of the time the obstruction will clear on its own, we don’t always have to treat it. But, if it persists and causes the welling up of tears or the sticking or redness of the eyelids we can suggest a gentle massage as a first step and prescribe antibiotic eye drops if necessary. Sometimes we will need to do a tear duct probing to clear the blockage and in a some more difficult situations we might need to perform a tear duct dilation with a tiny balloon or even insert some microscopic tubes. We perform these types of treatments as a matter of routine and, as a parent I will make sure to thoroughly explain them and answer all of your questions if they become necessary.

If you or someone you know has questions or concerns about childrens tear duct problems or needs a kids eye exam, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

Dry Eye Help

Dry eye is a very common we hear about from patients almost each and every day. There are many causes of dry eye and we must first carefully examine patients to find the cause and type of tear film deficiency in order to offer help for dry eyes. The good news is that there are many helpful treatment options we can prescribe. One of the most helpful and convenient ways we can help dry eye is by inserting tiny microscopic “plugs” into the tear ducts where your tears would normally drain. These tear ducts are located in the nasal area of your eyelids and are easily visible to us during your eye exam and dry eye consultation using a slit lamp in the examination room. The opening to the tear ducts is called a “puncta” and the tiny plugs are called “punctal plugs.”  Researchers reporting in the American Journal of Ophthalmology confirmed the benefits of punctal plus with little risk of complications. Punctal plugs are a convenient treatment we can prescribe when necessary to help you with the symptoms and problems of dry eyes.

If you or someone you know has a question about dry eyes or needs help for dry eye problems or symptoms, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.

About Medications and Eye Problems

Did you know that a number of medications for various health problems can cause eye problems? If you get any new prescription filled you should be aware of whether it can have any eye or vision side effects by itself or in combination with other medications-prescribed, or even over the counter (OTC) or even supplements you might purchase. Medications can have a variety of effects on your eyes, ranging from minor, temporary issues such as blurred vision to permanent damage. Here are some things to know about medications and your eyes.

Which Drugs Pose the Most Risk?

Some medications that stand out when it comes to causing eye and vision problems include: Corticosteroids-People take steroids for a range of conditions, from asthma and allergies to arthritis and skin conditions. But whether in cream or pill form, steroids can cause swelling in the back of the eye or retina and potentially even lead to cataracts. Even an over the counter spray for allergies such as Flonase® comes with risks

Antihistamines-They may fight allergies, but they also can raise certain patients’ risk for glaucoma. Even over the counter antihistamines can be trouble for those who are at risk for some types of glaucoma.

Mental Health Medications-Medications such as Thorazine and Mellaril, used as antipsychotic treatments, can be toxic to your retina. A number of antidepressants such as Prozac, Paxil, Celexa and Tofranil may put certain individuals at risk for angle closure glaucoma.

Anti-Malaria & Anti-Arthritic Medications-Medications such as Chloroquine, under the brand name Plaquenil, which is used to treat malaria but also Lupus and some forms of arthritis can have toxic effects on the retina.

What to Watch For with New Medications

If you get a new prescription or even start a new OTC medication, be aware of anything that causes pain to the eyes, or distorted or blurred vision. If you do experience a problem, talk to the doctor who prescribed the medication. Don’t stop the medication without your doctor’s advice. They’ll want to assess whether the medication is the likely culprit-and sometimes the benefits outweigh the side effects. Always read the warning labels, too- especially if you have a condition such as glaucoma or diabetes. A variety of medications have warnings that patients with glaucoma shouldn’t take them.

There are many other drugs that can have eye side effects and may increase your risk of complications if you need eye surgery. During your eye exam, be sure to ALWAYS tell us if you are taking ANY medications whether prescribed or purchased over the counter (OTC) as well as any supplements of vitamins you are taking. Also, if you or someone you know is taking any medication with known side effects as listed above, or is at risk for glaucoma or has diabetes, it is important to schedule a routine eye exam. Please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

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 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.