“Fuch’s Dystrophy is a slowly progressive disease of the cornea that is typically bilateral and is slightly more common in women than men”, commented Galveston and Houston Ophthalmologist Bernard Milstein, M.D.  “While it is possible to observe 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.” While a precise path of genetic transmission is unclear, a familial predisposition seems to exist among those who are first degree relatives. 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. In general, corneal transplantation is used in order to replace diseased, damaged or scarred corneal tissue with new healthy corneal tissue. Since damaged or scarred corneal tissue impairs effective passage of light into the eye and may distort or degrade the quality of images that reach the retina, poor vision and even blindness may result from a damaged cornea. There are actually a number of different types of corneal transplants that we can consider for Fuch’s Dystrophy.  

If you or someone you know would like to learn more about Fuch’s dystrophy please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texasor facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is 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.

“Not all generic medications or eye drops are created equal!” affirmed greater Houston Ophthalmologist Bernard Milstein, M.D. of The Eye Clinic of Texas.  We are constantly using brand medications to treat many eye conditions. Many times the brand becomes synonymous with the agent that treats it.  That is called branding. In the past when we had few options in the way of medications to treat conditions, the climate was better for such branding. Today, pharmaceuticals have patents on their products. These patents have a certain duration. Once the patent expires, any company that has the ability can create a similar medication. Herein lies the big dilemma! For years you have been using brand X and getting the results your physician wants for you. Now the medication is available as a generic. The use is the same, you are familiar with the indications, dosage, and the price might be less expensive. This is a very big drawing point-you are saving money, while getting the same result. Sounds like a winner! But is it?

Not all generic medications are the same as the brand name. Yes, they have the same active ingredient, but they might have different preservatives and other substances that might not make them work as well for you. What can you do when the pharmacist gives you a generic other than the brand name?  If your Ophthalmologist hasn’t informed you that there is a possibility that your next prescription will be filled with a generic, take the bottle in to the next visit. It is likely that you will have a follow up visit at a closer interval to access efficacy.  Once he or she is sure that the medication does not have any ingredients that might not suit you and that the effect is the same, you will return on regular intervals. When in doubt ask questions, describe any symptoms that are unusual. It is important to you and your doctor to know about any changes in medication. Remember, just because it is less expensive it doesn’t mean that it is better, or not as good.

If you or someone you know would like to learn more about generic eye medications please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texasor facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is 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.

The Texas Eyewear opticians and staff at The Eye Clinic of Texas shared some important information about proper eyeglass cleaning and care. Your eyeglasses are an investment so proper eyeglass cleaning and care are important. Here are some basic things to remember:

Cleaning:

  • Paper products should not be used to clean your eyeglasses, unless they have been specifically designed for this use.  Most paper products contain wood fibers which may scratch the lenses and are too harsh for uncoated or specially coated lenses.
  • Warm water and mild dish soap with a soft cotton cloth is a wonderful cleaning option.  Products containing alcohol or ammonia should not be used as they may strip special coatings or discolor frames and lenses.
  • Pre-moistened lens clothes, which you can easily carry with you are also a great option for cleaning your eyewear.

General Care:

  • Prevent exposure to extreme heat or cold.
  • Use a hard shell case to ensure safety of your eyewear.
  • Use of a strap or band to hold your eyeglasses in place will help to prevent sudden loss which might happen during boating, athletic events or in everyday activities.

Also remember when traveling to take a spare pair!

If you or someone you know would like to learn more about proper eyeglass cleaning and care 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 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.

“The beneficial role of Omega 3 and 6 fatty acids in help for dry eye is greater than most think”, stated greater Houston Ophthalmologist Dr. Da-Thuy Van of The  Eye Clinic of Texas. Dry eye is a chronic condition that occurs when the tears which naturally lubricate the ocular surface are either deficient in quantity or quality. A reduced tear film or a tear film that evaporates too quickly will result in irritated red eyes that may over water. The tear film aids the focusing of light so a poor tear film may result in blurred or variable vision. The tear film also contains proteins and enzymes that kill microbes helping to ward off infection. A compromised tear film creates an environment more prone to infection. The National Eye Institute of the National Institutes of Health states that “nearly five million Americans 50 years of age and older are estimated to have dry eye.” Omega 3 and Omega 6 fatty acids, due to their anti- inflammatory properties, are showing promise in the long term treatment of chronic dry eye.

Omega 3 and 6 fatty acids can be found naturally in seafood such as salmon and anchovies. They may also be found in flax seed and walnuts. Vitamin supplements are also available. We recommend at least 2500 mg of Omega 3 and 6 fatty acids a day. Patients trying this more natural approach to dry eye therapy should commit to 3 months of consistent treatment before evaluating the efficacy of this treatment for them. Even when topical or oral medications are needed in the short term to ameliorate the symptoms of severe dry eye, omega 3 and 6 supplements may be useful in the long term management to reduce the risk of future exacerbations.

If you or someone you know suffers from dry eye and would like to learn more please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texasor facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is 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.

The Galveston and Houston Ophthalmologists at The Eye Clinic of Texas relayed some helpful information about keratoconus. “Although Keratoconus is a relatively rare corneal disease, it’s impact on vision and overall lifestyle can be quite significant as it progresses,” stated Ophthalmologist Bernard Milstein, M.D. “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, called Intacs®, and a non surgical approach called 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.

If you or someone you know suffers from keratoconus and would like to learn more 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 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.

The Eye Clinic of Texas wishes to share information for Houston patients about diabetes and your eyes. Diabetes can have a significant effect on your eyes and vision. Diabetes is a disease that affects the body’s ability to produce or use insulin effectively to control blood sugar levels. Too much glucose in the blood can result in damage to your heart, kidneys, brain and the small blood vessels in your eyes. When the blood vessels in the retina swell, leak or close off completely, or if abnormal new blood vessels grow on the surface of the retina, it results in diabetic retinopathy. Those people who are at greater risk of developing diabetic retinopathy are those with  poor blood sugar control, women who are pregnant, and people with high blood pressure, high blood lipids or both. Also, people who are from certain ethnic groups, such as African-Americans, Hispanics and Native Americans, are more likely to develop Diabetic Retinopathy. Diabetes can cause vision in your eyes to change even if you do not have retinopathy. If your blood sugar levels change quickly, it can affect the shape of your eye’s crystalline lens, causing blurry vision, which goes back to normal after your blood sugar stabilizes. Maintaining good control of your blood sugar helps reduce episodes of blurry vision.

If you or someone you know has diabetes or even high blood sugar, especially if there is a family history of diabetes-you should have regular eye exams to help protect your eye health and vision. Please feel free to phone The Eye Clinic of Texasat 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment. 

The Eye Clinic of Texas is 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.

The Galveston and Houston eye doctors at The Eye Clinic of Texas wish to share some thoughts about eye health and vision for our Veterans. “With Veteran’s Day approaching it is important to consider some things regarding eye health and vision for Military Veterans. Veterans of the Iraq or Afghanistan wars are more likely than those who served in earlier wars to have vision loss as a result of traumatic brain injury (TBI). Higher rates of TBI in these recent wars can be attributed to two factors: explosive devices have been a major cause of injury, and improved body armor has enabled soldiers to survive more serious injuries”, commented eye doctor Allan Fradkin, M.D. “Veterans of the Vietnam, Korean, or early wars are in or entering life stages when eye disorders like cataracts, glaucoma, age related macular degeneration (AMD) and diabetic retinopathy are more likely to occur,” added eye doctor Bernard Milstein, M.D. Also, like everyone in mid-life and beyond, Veterans may find their near vision decreasing due to Presbyopia or “aging eyes”. So, our nation’s guardians and protectors should make sure to preserve and maintain their eye health and vision in order to take the fullest advantage of the freedom they have provided for all of us. Learn more about eye health and vision at The Eye Clinic of Texas by calling us at 800-423-3937, The Eye Clinic of Texas or facebook.com/ecot.lasik.

The Eye Clinic of Texas is 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.

The Galveston and Houston eye doctors at The Eye Clinic of Texas wish to share some thoughts about eye health and vision for our Veterans. “With Veteran’s Day approaching it is important to consider some things regarding eye health and vision for Military Veterans. Veterans of the Iraq or Afghanistan wars are more likely than those who served in earlier wars to have vision loss as a result of traumatic brain injury (TBI). Higher rates of TBI in these recent wars can be attributed to two factors: explosive devices have been a major cause of injury, and improved body armor has enabled soldiers to survive more serious injuries,” commented eye doctor Allan Fradkin, M.D. “Veterans of the Vietnam, Korean, or early wars are in or entering life stages when eye disorders like Cataracts, Glaucoma, Age Related Macular Degeneration (AMD) and Diabetic Retinopathy are more likely to occur,” added eye doctor Bernard Milstein, M.D. Also, like everyone in mid-life and beyond, Veterans may find their near vision decreasing due to Presbyopia or “aging eyes”. So, our nation’s guardians and protectors should make sure to preserve and maintain their eye health and vision in order to take the fullest advantage of the freedom they have provided for all of us.

Learn more about eye health and vision at The Eye Clinic of Texas by calling us at 800-423-3937, visiting The Eye Clinic of Texas or facebook.com/ecot.lasik.

The Eye Clinic of Texas is 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.

“The topic of cataracts, lens implants and glasses comes up often among Houston eye care patients these days”, commented Galveston and Houston Cataract Surgeon Bernard Milstein, M.D. of The Eye Clinic of Texas. “With the increasing number of “baby boomers” entering the  age of cataract development there are lots of questions about cataract surgery and whether lens implants can help avoid the  need for glasses after a cataract is removed.” These types of questions are quite relevant as over the past 5 years, patient expectations and technology have driven a convergence of the goals of 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 we can often use a presbyopia correcting multifocal lens such as 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 Dr. Milstein. “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. Milstein.  “For many patients, being able to essentially be “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 feel free to call and schedule an appointment at The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik.

The Eye Clinic of Texas is 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.

Galveston and Houston Ophthalmologist Dr. Da-Thuy Van of The Eye Clinic of Texas commented on contact lens care. “Contact lens care is an important part of comfortable and successful contact lens wear. Properly fit contact lenses can provide clear, comfortable vision. Maintaining good vision requires that patients properly care for their lenses. Proper cleaning, disinfection, and regular replacement of lenses are required to maintain healthy vision.”

Here are some things contact lens wearers should know. Although many contact lens solutions were approved as “No-Rub” solutions, many studies have shown that rubbing the lenses prior to soaking them at night is more effective at cleaning lenses than skipping the rubbing step.  Although some care systems have separate cleaners and disinfectants, most solutions today are multi-purpose solutions that can be used for both cleaning and disinfecting. When cleaning your lenses, make sure your hands are clean and you use a lint-free towel to dry your hands. Several drops of solution are placed in the palm of your hand and using the index finger of your other hand; rub the contact lens for several seconds. The lens should then be rinsed with the solution.  Soaking the lenses for 4 to 6 hours is usually required to disinfect the lenses. Water should not be used to rinse or soak your lenses as there may be impurities or microorganisms present. Proper replacement of lenses is also important to maintain healthy eyes. There are many types of disposable contact lenses with different replacement schedules. Disposable contact lenses can be single-use lenses that are thrown away at the end of each day so cleaning and disinfecting is not necessary. Other disposable lenses are replaced every 2 weeks, monthly, and quarterly.

To learn more about contact lenses or to have an eye exam and contact lens fitting please call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik.

The Eye Clinic of Texas is 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.