Diabetic Eye Exam

About Diabetic Eye Disease

Diabetic eye problems include an increased risk of cataracts, glaucoma, neurological eye muscle problems and the potential for serious vision loss from diabetic retinopathy a retinal vascular disease. Vision loss from diabetic eye disease is manageable and in many instances preventable but requires early diagnosis and treatment to be effective. This means ALL patients with diabetes must be diligent in having eye exams at intervals recommended by their eye doctors and/or their primary care physicians, internists or endocrinologists.

About Diabetes

According to theU.S. National Center for Health Statistics21.7 million U.S. adults aged 18 and over (9.2%) have been diagnosed with diabetes and this percentage increases with age. One in five adults aged 65 and over (20.5%, or 8.7 million) has diagnosed diabetes, compared with 11.0% (11.3 million) aged 40–64 and 1.9% (1.7 million) aged 18–39.

About Delay in Seeking Diabetic Eye Exams

There seems to be a trend in that the more recently you are in having your diabetes diagnosed, the longer you delay in seeking and annual diabetic eye exam. This is troubling in preventing vision loss and avoiding diabetic eye problems. Among all adults, the percentage who visited an eye doctor in the past 12 months increased with years since diabetes diagnosis. About half, 50% of those diagnosed with diabetes within the prior 5 years had visited an eye doctor in the past 12 months, compared with 57.3% of those diagnosed 5-10 years ago and 61.2% of those diagnosed 10 or more years ago. Among adults with diagnosed diabetes, the percentage who had visited an eye doctor during the past 12 months increased with age: 38.2% for those aged 18–39, 53.8% for those aged 40–64, and 66.5% for those aged 65 and over. Thus, among adults with diabetes, both age and years since diagnosis may play a role in visiting an eye doctor in the past 12 months.

If you or someone you know has diabetes, please take the time to schedule and eye exam in order to prevent the risk of vision loss from diabetic eye disease and diabetic eye problems-most of which are preventable with early detection, diagnosis and treatment. 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 HoustonGalvestonLeague City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 775737111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Cataracts Driving

Cataract Surgery, Lens Implants & Driving

People with cataracts often are unaware of the subtle changes in lifestyle and mobility that they adopt as they await the “right time” for cataract surgery. Almost always, people who have cataract surgery immediately feel an improved quality of life from the restored freedom of clear vision, especially for those who wish to continue to drive. A recent study also tells us that the choice of lens implant can play a role in restoring driving habits. When you schedule an appointment for a cataract evaluation or if you are visiting us for a cataract eye exam before surgery, please be sure to discuss and advise us of your driving habits and desires-especially night driving-so that we can counsel you on the different types of lens implants that we might use to help you return to a comfortable, convenient, safe and active driving pattern along with the other activities that the cataract might have limited for you.

If you or someone you know has a cataract or wishes to learn more about cataract surgery and lens implants especially as related to driving and mobility, please schedule a cataract eye exam by calling The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, or 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.

Diabetic RetinopathyRecently reported information in Retina Today  from research conducted at the Joslin Diabetes Center’s Beetham Eye Institute demonstrated that for people with diabetes who are showing evidence of diabetic retinopathy, it is of important predictive value for us to carefully evaluate lesions not simply the center of the retina, but more importantly those in the periphery of the retina, as these changes generally tell us that the disease will progress more rapidly. What we now know is that these peripheral lesions, which are not detected by traditional eye imaging, correlate very closely with the loss of retinal blood flow called retinal “non-perfusion” which tells us that there is damage to the small blood vessels or capillaries in the retina.

Thus, if you are diabetic and we are following you for retina changes and diabetic retinopathy we may recommend that we take both the routine retina photographs and fluorescein angiography of the central retina as well as the peripheral retina. If this extra measure of safety is required we will advise you of this extra step at the time of your diabetic eye exam.

Fortunately, with early detection, diagnosis and treatment the last decade or so has given us many major success stories for the treatment of diabetic eye disease, including diabetic macular edema (DME), with drugs that target a protein called vascular endothelial growth factor (VEGF). It’s possible that such anti-VEGF drugs might also help to treat peripheral lesions and slow or even eliminate the risk of progression.

If you or someone you know has diabetes, having regular eye exams and testing to prevent vision loss from diabetic retinopathy is an important part of your care. Please schedule a diabetic eye exam by calling The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, or visit The Eye Clinic of TexasGoogle+  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 HoustonGalvestonLeague City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 775737111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

 

 

BernardAMilsteinMDphoto

Sharon C shared her LASIK experience at The Eye Clinic of Texas…

“I had Lasik monovision surgery and have been so completely satisfied with my vision! I was so sick of wearing reading glasses.  I always lost them and hated wearing them to put on my makeup.  Since the surgery, I have not had to wear reading glasses at all!  My vision is 20/20 after surgery and prior to surgery I couldn’t see the big “E”.  I would highly recommend Lasik monovision to anyone considering it!  My doctor did an excellent job and I am so grateful for my fantastic vision!”

If you or someone you know would like to learn more about Bladeless LASIK or Schedule a Free LASIK Consultation 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.

 

Aging eye problems are a fact of life for adults growing older just like wrinkles, slowing metabolism and graying hair. Eventually, your eyes are affected by age so it’s important to understand how your eyes change with age and what you can do to preserve your eye health and vision. Some aging eye changes and problems are expected and normal and others indicate the presence of eye diseases that need to be detected, diagnosed and treated or changes that need to be addressed to preserve vision. For these reasons having regular eye exams at the intervals recommended by your eye doctor is key-especially after the age of 40 years old.

Presbyopia

Beginning in the late 30s and early 40s, the crystalline lens in your eye loses flexibility, making it difficult to focus and read up close. Your “arms seem “too short.” This condition is called presbyopia, which literally means “aging eye”, and is most often treated with reading glasses, progressive lenses or bifocals depending on how you need to use your eyes for various tasks throughout the day, for work or recreation.

Dry Eye

Dry eye often develops with age and is a common problem for women during pregnancy and menopause. These hormonal changes cause changes in the eye’s tear production. Certain medications can also cause dry eye. If you have dry eye, you may be prone to an eyelid irritation called blepharitis, a common cause of irritation or swelling of the eyelids. The cause of your dry eye-either too few tears being produced or too rapid evaporation of tears will need to be diagnosed and then your eye doctor can prescribe a range of treatments including eye drops that add artificial tears, prescription eye drops that help you make more of your own tears called Restasis®, tiny punctal plugs to help you retain more of your own tears, anti-inflammatory eye drops and many other treatment options to get you help for dry eye symptoms and discomfort.

Diabetic Retinopathy

People in their 50s, 60s and 70s with diabetes are most at risk for this disease. Diabetic retinopathy occurs when the small blood vessels inside the retina swell, leak fluid or close off completely due to damage from elevated blood sugar levels. But, you can take steps to prevent diabetic retinopathy with tight control of blood sugar, low fat diets, regular exercise and controlling blood pressure levels. It is also critical to see your eye doctor regularly for diabetic eye exams as with early detection, diagnosis and treatment the vision loss from diabetic retinopathy can be slowed and often prevented.

Cataracts

Cataracts are very common in older people. As you age, proteins in your crystalline lens begin to clump together and cause the lens to be cloudy. This is the development of a cataract where the lens has become less transparent, causing blurry, cloudy or dim vision and increased glare and haloes around lights. Many people with the condition describe it as similar to looking out of dirty windshield. Cataracts can interfere with daily activities like driving at night and distinguishing colors. While treatment of early cataracts with changes in eyeglass prescription may provide some benefit, the only really effective treatment for cataracts is cataract surgery where the cloudy lens is removed and replaced with a permanent artificial lens implant which can correct the cataract as well as nearsightedness, farsightedness, astigmatism and even presbyopia.

Glaucoma

Glaucoma is a disease of the optic nerve that damages the fibers that transmit visual information to the brain. This damage often leads to loss of side vision or peripheral vision. If left untreated, glaucoma will certainly lead to progressive vision loss and ultimately total blindness. Glaucoma is most common in people age 55 and older. One of the problems with glaucoma, especially the most common type of glaucoma, called chronic open-angle glaucoma, is that there are typically no symptoms in the early stages. Many people who have the disease do not know they have it. This is why it is important, especially as you get older, to have regular medical eye exams at intervals that depend on your risk factors-such as smoking, sleep apnea, age, diabetes, high blood pressure, early menopause-as recommended by your eye doctor. 

Floaters and Flashes

As people grow older, the gel, called the Vitreous-that fills the inside their eye starts to shrink, forming clumps, liquid or strands. These strands and clumps can appear as “floaters” that appear as small specks or lines moving in your field of vision. As it shrinks, the gel can also pull away from the back wall of the eye, causing you to see “flashes” which appear as flashing lights or lightning streaks in your vision. While this is normally harmless, in some cases it can lead to retinal detachment and cause serious vision loss and even blindness. If you experience new floaters and flashes, it’s important to see your eye doctor as soon as possible, especially if you are over age 45, are nearsighted or have had eye injuries in the past.

Age Related Macular Degeneration (AMD)

AMD is a senior eye problem that affects the central vision, limiting a person’s ability to read and recognize faces. This can be caused by a thinning and deterioration of the macula which is the center of the retina or by the growth of abnormal blood vessels under the retina. AMD can lead to blindness if not treated and it continues to be the leading cause of blindness in Americans over 65. Fortunately with early detection, diagnosis and treatment, vision loss from AMD is preventable or at least manageable so that we can reduce vision loss and in many cases, recover vision.

If you or someone you know is concerned about ageing eye problems such as presbyopia, dry eye, diabetic retinopathy, glaucoma, age related macular degeneration (AMD) or cataracts 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.

“After being completely frustrated with my eyes and not being able to read up close or see far or drive safely at night, I decided it was time for an eye exam.  As it turned out, I had cataracts.  There were different lens implants options and my doctor recommended the ReSTOR® Lens.  Of course I was a little nervous about the surgery but the staff was very informative and answered all my questions.  I am so overjoyed with the result of this lens implant.  I have now returned to reading easily without glasses as I did when I was younger and gratefully I can drive at night with no problems.  No more glare or halos!  Thank you to The Eye Clinic of Texas.”

Susan W.

If you or someone you know experiences cloudy, blurry vision and difficulty with night driving and faded colors you might wish to learn more about cataracts, laser cataract surgery and lens implants by scheduling a cataract eye exam at The eye clinic of Texas by calling us at 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.

A study presented at the American Academy of Ophthalmology Meeting is a good reminder to those considering LASIK about how satisfied former contact lens wearers really are after having LASIK. So often contact lens wearers annoyed by the discomfort and inconvenience tend to delay their decision to have LASIK because they are unsure they will be happy after LASIK.

According to the researchers who published the study in Ophthalmologycontact lens wearers who chose to have LASIK are more satisfied with their vision a year postoperatively and even more satisfied after 2 to 3 years. After LASIK, former contact lens wearers reported higher satisfaction rates than those patients that did not have LASIK and continued to use contacts, according to the researchers.

About the LASIK Study

Twenty sites across the U.S. enrolled a total of 1,800 patients between 16 years and 60 years old who had LASIK or continued using contact lenses. In follow-up surveys conducted 2 to 3 years after the procedure, LASIK satisfaction rates were consistently high, while contact lens satisfaction rates declined steadily. The proportion of subjects expressing strong satisfaction with their contact lenses decreased from 63% at study commencement to 54% at year 3, whereas 88% of former contact lens wearers and 77% of former spectacle wearers were strongly satisfied with LASIK at year 3.Those with night vision issues such as starbursts or halos improved from 49% at baseline (during contact lenses wear) to 60% at 3 years after LASIK, according to the study.

Researchers found that LASIK reduced night driving problems and nighttime visual disturbances among each group of previous contact lens wearers and previous spectacle wearers.

If you or someone you know is thinking about LASIK-even if you are currently happy with your contact lenses, we are happy to arrange a Free LASIK Consultation to find out if you are a good candidate and whether LASIK is right for you. 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 remember wearing those ugly black glasses in school when they weren’t in style.  They were hideous. I wore glasses and contacts since grade school. I had terrible vision. I had LASIK surgery and it absolutely changed my world, that is, my world of vision!  I can see glasses and contacts free now.  Words cannot express or describe how thankful I am to The Eye Clinic of Texas for changing my life.”

Lisa L.

If you or someone you know would like to learn more about Bladeless LASIK or Schedule a Free LASIK Consultation 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 was having trouble driving because I had developed cataracts.  It had reached a point to where I was afraid to drive at night.  Dr. Milstein removed my cataract during a surprisingly quick surgery and implanted the ReSTOR® Lens. The process was quick, painless and more importantly extremely successful.  I now have no visual aids to drive or read and I drive at night with confidence!  I love it.  Thank you.”

Mary B.

If you or someone you know experiences cloudy, blurry vision and difficulty with night driving and faded colors you might wish to learn more about cataracts, laser cataract surgery and lens implants by scheduling a cataract eye exam at The eye clinic of Texas by calling us at 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.

Rheumatoid

What does arthritis have to do with your eyes? Rheumatoid arthritis (RA) is an inflammatory disease characterized by swelling and irritation. The inflammation of RA occurs when your body’s defense system (immune system) attacks your own body tissues instead of foreign invaders like viruses or bacteria. Most of these attacks occur in your joints, but RA inflammation can also affect other parts of your body, including your eyes. In fact, your eyes are especially vulnerable. Some of the more common eye complications of rheumatoid arthritis include dry eyes, scleritis-an inflammation of the “white” of your eye-which is uncomfortable and even painful, iritis-an inflammation of the colored part of the eye or the iris, or uveitis, an inflammation of the middle lining inside the eye that supplies blood to other internal structures.

Any of these rheumatoid arthritis complications can requirement treatment to avoid at a minimum discomfort and more seriously vision loss. So, if you have been told you have rheumatoid arthritis and experience dry eyes, redness, pain, or changes in your vision, you should make sure to see us for a diagnosis and treatment if needed.

If you or someone you know wishes to learn more about how rheumatoid arthritis can cause eye 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.