Bernard Milstein, M.D., a Galveston & Houston LASIK Surgeon at The Eye Clinic of Texas helped potential Houston LASIK patients explore whether they could be good candidates even if they had glaucoma.  “We would consider performing LASIK for certain select patients with glaucoma on an individual case by case basis depending on the stability of their glaucoma and the overall health of their optic nerve as related to the glaucoma,” remarked Dr. Milstein. “We may use a suction ring or device for a short time during the LASIK procedure and this can cause a temporary elevation of intraocular pressure or IOP-something we are cautious about in patients with glaucoma,” Dr. Milstein further explained.

Generally, unless the glaucoma is severe it is possible that LASIK could be an option for most patients. Other types of laser eye surgery for vision correction such as PRK might be preferred. In some cases it might actually be beneficial to have lens replacement surgery using advanced technology lens implants for vision correction.

If you or someone you know has glaucoma or is a glaucoma suspect and is considering LASIK, we would be happy to provide a free consultation to help determine if they are a LASIK candidate or perhaps a better candidate for another type of refractive surgery. Please feel free to schedule an appointment by calling The Eye Clinic of Texas at 800-423-3937, visiting 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.

Galveston & Houston Ophthalmologist Allan Fradkin, M.D. shared some tips for maintaining healthy eyes and vision and wearing contact lenses. “We remind patients that contact lenses are a medical device and even those worn purely for cosmetic purposes, should be prescribed and properly fit by a licensed eye care professional,” explained Dr. Fradkin. “Too many patients forget this and end up buying and wearing contact lenses without proper medical guidance and a valid prescription. Then, often without even realizing it, they put themselves at risk for serious, even blinding eye infections.”

Following the instructions given to you by your eye doctor-carefully and completely can go a long way to help avoid contact lens problems and complications. “Our experience clearly shows that by not following instructions on proper wear and care, contact lens wearers are more likely to have discomfort and may actually put themselves at greater risk for infection or other serious complications, such as microbial keratitis,” said Dr. Fradkin. “We often find that improper storage, handling and disinfection of contact lenses really predispose patients to unnecessary risk.”

Some good contact lens care, handling and disinfection tips to follow include:

  • Always wash your hands with soap before inserting or removing your contact lenses.
  • Always empty the storage case of disinfection solution after removing your lenses, and fully refill with fresh solution before storing them.
  • NEVER clean your case with tap water.
  • REGULARLY-even daily- clean your case.
  • REGULARLY-at least monthly- replace your case.

If you or someone you know has questions about contact lens care, handling and disinfection 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.

“By using the proper protective eyewear for sports, athletes can take a necessary step toward preventing eye injury,” noted Galveston & Houston eye doctor Allan Fradkin, M.D. of The Eye Clinic of Texas. “April is Sports Eye Safety Awareness Month and the American Academy of Ophthalmology asks eye doctors to remind our community that 40,000 people suffer from eye injuries related to sports every year. These eye injuries from sports can be devastating, and the only way to prevent them is by wearing protective eyewear,” said Dr. Fradkin.

Many sports create risk for eye injuries which can include abrasions of the cornea and bruises of the lids, retinal detachments and internal bleeding. The most serious risks involve permanent vision loss along with infection. In addition, patients who have sustained eye injuries are at greater risk for developing glaucoma.

Athletes need to use the eye protection that is available for most sports, including basketball, baseball, hockey, football, lacrosse, fencing, paintball, water polo, golf and others. “I counsel and reassure my patients that wearing properly fitted protective eyewear will not harm your performance, and it may well save your eye health and vision,” said Dr. Fradkin. Something to be aware of is that most sporting leagues don’t require children to wear eye protection, so parents should take special care to ensure their children wear eye protection.

”Tens of thousands of sports and recreation-related eye injuries occur each year. The good news is that 90 percent of serious eye injuries are preventable through use of appropriate protective eyewear. The risk of eye injury can vary depending on the activity. Make sure the level of eye protection you or others in your family use is appropriate for the type of activity. Regular eyeglasses do not offer proper eye protection. Athletes need to wear appropriate, sport-specific protective eyewear properly fitted by an eye care professional. Lenses made from polycarbonate materials provide the highest level of impact protection; they can withstand a ball or other projectile traveling at 90 miles per hour.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglassesplease 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 with Texas EyeWear at The Eye Clinic of Texas.

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.

“From time to time we get the opportunity to provide a LASIK consultation for a Houston patient who asks if they might just be too old for LASIK surgery,” shared Galveston & Houston LASIK Surgeon Bernard Milstein, M.D. “I recently examined a 72 year old gentleman who wanted to know if he was too old for LASIK,” shared Dr. NAME. “In reviewing his general health he was in good shape-and after his eye exam I was comfortable that his eye health, corneal health and tear film were quite good. His retinas were normal and he had a bare trace of a cataract in one eye that had been there and stable for 3 or 4 years but it corrected to 20/20 with his -7.00 D eyeglass correction. Most importantly he couldn’t tolerate contact lenses and was a fairly active tennis player and hiker-so we scheduled him for LASIK,” explained Dr. Milstein. “We did however explain that he was going to need to either wear reading glasses or consider having monovision to help with his near vision presbyopia focusing problem that we all have after 40 or so.”

As long as they have a tangible reason for wanting LASIK so that it will improve their lifestyle, people thinking about having Laser Eye Surgery can do so without worrying about being too old for LASIK as long as they have healthy eyes, a health cornea, sufficient tears and are free of cataracts or retinal diseases.If you are someone you know would like to find out if you are a good candidate for LASIK please callThe 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.

Galveston & Houston LASIK Surgeon Dr. Da-Thuy Van commented about the increasing number of motorcycle riders interested in LASIK. “Contact lenses and certainly eyeglasses can be a real challenge for motorcycle riders-so many more motorcycle enthusiasts consider LASIK these days. We want our motorcycle lovers having LASIK in Houston to enjoy motorcycle riding, but we always try to remind them that eye safety and also dry eyes should top the list of things they think about as part of their readiness checklists along with the condition of their gear and bikes,” Dr. Van further explained. 

Harley

It is important to recognize the need for eye protection from the sun, bugs, small rocks and pebbles and especially the wind, which can really contribute to dry eye symptoms. LASIK patients as well as other recreational motorcycle riders sometimes overlook or are just not aware of the potential for eye irritation and motorcycle dry eye caused by the wind, exhaust fumes, pollen and pollution-as well as the summer sun and heat. 

At your LASIK consultation the staff will be exploring your lifestyle needs and activities. As a potential LASIK patient we want to take the time necessary so that we can carefully counsel you in order to get the best results and help meet your expectations. Please take the time to tell us about your motorcycle riding interest as well as all of the ways in which you are hoping to benefit from LASIK.

If you or someone you know would like to learn more about LASIK or even have 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 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.

Houston Cataract Surgeon Bernard Milstein, M.D. reflected on a not infrequent question posed by cataract patients about waiting too long for cataract surgery. “Dr. Milstein-what happens if I wait too long for my cataract surgery-can that be a problem?” Dr. Milstein advised, “The decision of when to have a cataract removed and replaced with lens implants is really a very personal decision. Some patients are simply not comfortable with the slightest degree of blurry vision or glare sensitivity, whereas others surprise me with how tolerant they are. So, I generally tell patients that their cataracts should be removed when they feel that they have visual discomfort or inconvenience-or any safety issues with navigating each day’s activities with confidence.”

What patients should know though is that waiting too long for cataract surgery can result is some unintended consequences and possible risks. “For example, as a cataract matures, it does become denser and somewhat more difficult to remove. This requires more energy from the instruments we use to break up or fragment the cataract and may lead to prolonged inflammation or even intraoperative complications,” stated Dr. Milstein.  “For certain we don’t want the cataract to become so dense, swollen and cloudy that it causes a type of glaucoma or impair our view of the retina,” Dr. Milstein stressed. “In these instances your cataract surgeon is likely to recommend proceeding with cataract removal even though you may not think you are quite ready.”

If you or someone you know has a cataract or is need of cataract surgery and lens implants and might be concerned about waiting too long for 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 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.

Houston Cataract Surgeon Bernard Milstein, M.D. explained about correcting astigmatism after cataract surgery with toric lens implants. “Most cataract patients know from their eye exams or eyeglass prescriptions that they have some amount of astigmatism. However, sometimes they don’t realize that it is important for their cataract surgeon to correct that astigmatism in order to get the best visual results after cataract surgery,” explained Dr. Milstein of The Eye Clinic of Texas serving greater Houston & Galveston, TX.

BernardAMilsteinMDphotoAstigmatism is a common refractive eye condition that that is most often due to an uneven curvature of the cornea. If the cornea were perfectly shaped, it would have a spherical round even shape, like a basketball. In eyes that have astigmatism, the cornea is typically curved more like an oblong, football-like shape, similar to the shape of the back of a teaspoon.

“Depending on the degree and orientation of the unequal curvatures, astigmatism can cause mild or even severe blurry vision,” explained Dr. Milstein. 

Patients with cataracts and who are in need of cataract surgery have three choices when considering how to correct their astigmatism. First, patients can simply choose to be dependent on wearing eyeglasses after cataract surgery in order to correct astigmatism. Second, if appropriate, some patients may opt to have an additional surgical procedure called Limbal Relaxing Incisions (LRI) or third, patients can elect have an astigmatism correcting toric lens implant in which the astigmatism correction is incorporated into the lens prescription just as in eyeglasses. “Toric lens implants are placed in the eye in exactly the same manner as ordinary lens implants at the time of cataract surgery and correct the astigmatism as part of the cataract surgery operation,” further explained Dr. Milstein.

If you or someone you know has cataracts or is considering cataract surgery, and has astigmatism please feel free to learn more about astigmatism correction after cataract surgery by calling  The Eye Clinic of Texas at 800-423-3937, visiting 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.

Galveston & Houston eye doctor Dr. Da-Thuy Van commented on age related macular degeneration (AMD) treatment results and predictive factors for best success and outcome with Lucentis® injections. “Looking at the data from the long term clinical trials has shown that there can be considerable variability in patient responses to the Lucentis® injections we use to treat age related macular degeneration,” said Dr. Van of The Eye Clinic of Texas. “The good news is that thisinformation has been quite useful in establishing a number of diagnostic and treatment parameters that we use to optimize treatment and monitoring regimens to help patients get the best possible results,” Dr. Van explained.

Here are some important factors and considerations that we know today:

  • The initial visual acuity is not a good indicator for patients treated with monthly injections of Lucentis®. But, a poorer initial visual acuity seems to predict greater overall improvement.
  • Smaller areas of blood vessel growth seem to respond better to treatment.
  • If treatment begins BEFORE any hemorrhage has occurred there is usually a more favorable result.
  • The visual acuity found between the 3 and 5 month visit seems to predict about where the 12 month visit acuity will end up.
  • If there is a recurrence of subretinal fluid there is usually a negative effect on the long term visual recovery and functioning.

While there can be no guarantees, by using this information we can work to hopefully avoid the catastrophic vision loss from Wet Age Related Macular Degeneration (AMD).  YOUR role is to be consistent in scheduling routine eye exams if you are over 50 years old or even earlier if you have a family history of AMD-and should you notice symptoms including distortion of your vision, waviness or curving of lines or straight surfaces or a sudden change or spots of any kind, please call The Eye Clinic of Texas at 800-423-3937for an immediate appointment. The key to maintaining eye health and vision is early detection, diagnosis and treatment.

If you or someone you know has a family history of macular degeneration or is concerned about macular degeneration it is important to schedule regular eye exams by calling The Eye Clinic of Texas at 800-423-3937, visiting 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.

“There is some important new research about risk factors for macular degeneration progression,” commented Ophthalmologist Allan Fradkin, M.D. of The Eye Clinic of Texas serving greater Houston & Galveston. “Data from a report published in Ophthalmology evaluated age, body mass index (BMI), smoking status, genetic variations, pre-existing retinal disease and drusen size to establish an algorithm for predicting the risk of patients in progressing to the move visually disabling advanced age related macular degeneration,” stated Dr. Fradkin. “What we now know for sure is that the increased risk of progression is correlated with age, lower educational level, being a current or former smoker and having a higher body mass index (BMI) than those who did not progress. This is helpful in how we counsel, evaluate and follow patients at risk for macular degeneration.”

If you are over 50 years old or even earlier if you have a family history of AMD or any of the risk factors mentioned, you should 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.

Dr. Da-Thuy Van
Dr. Da-Thuy Van

“As we enter the 2013 National Age Related Macular Degeneration (AMD) Awareness Month, we ask Houston patients to take a moment and consider how they can help preserve their eye health and vision with a better familiarity of AMD”, said Houston eye specialist Dr. Da-Thuy Van of The Clinic of Texas. It is estimated that more than 2 million people age 50 and older have late AMD (Age Related Macular Degeneration) which represents a 25 percent increase between 2000 and 2012.  “It’s not surprising that the number of people affected by macular degeneration continues to grow, especially due to the aging baby boomer population,” said Dr. Van.  “In the past, we were pretty much only able to give patients with Age Related Macular Degeneration (AMD) bad news about their vision and prognosis. Today, for most patients, with early detection, diagnosis and treatment, at a minimum we can prevent further vision loss from the disease and in many cases we can actually help recover lost vision,” she further explained.

What to Know About Age Related Macular Degeneration

AMD causes central vision to blur, but leaves peripheral vision intact. It is progressive and painless. There are two types of AMD, a “Dry” form and a “Wet” form. It is estimated that 85-90% of people with AMD have the Dry form which results in a gradual vision loss. Fortunately, only 10 percent of people with AMD have the Wet form which progresses much quicker and can cause catastrophic vision loss. Wet AMD is characterized by the growth of abnormal retinal blood vessels that leak blood or fluid. Leaking or bleeding vessels leads to swelling and bleeding in the Macula, causing visual distortions or decreased vision. Over time, this can lead to scarring in the Macula and create damage that may result in the loss of central vision. Patients can often reduce their risk of developing AMD by not smoking as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables, avoiding foods with Trans fats, exercising and controlling blood pressure and weight.

“What patients need to be aware of is that once you are over 50, it becomes increasingly important to have a thorough, comprehensive dilated eye exam every one to two years-and even more often if you have any family history of AMD or at the recommendation of your eye doctor. The key to preventing vision loss from AMD is clearly early detection, quick diagnosis and then immediate access to treatment with vascular endothelial growth inhibitor (VEGF) injections such as Lucentis®.” summarized Dr. Van.

If you or someone you know would like to learn more about age related macular degeneration (AMD), 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 group 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.