Diabetic patients with diabetic retinopathy who undergo weight loss surgery should still be carefully monitored for diabetic eye disease even if their blood glucose is normal after the bariatric surgery. What does weight loss surgery have to do with diabetic retinopathy?

Researchers reporting at the  American Diabetes Association meeting on a small pilot study found weight-loss surgery might accelerate progression of diabetic retinopathy in some cases. In the study 17.5% of the diabetes patients screened about a year before and again after bariatric surgery suffered a progression of their diabetic retinopathy as compared with the 2% to 4% of the overall diabetes patients who develop retinopathy each year. The opposite impact might have been expected. If you have a condition such as diabetic retinopathy that is the result of the diabetes and the diabetes is in remission, it makes intuitive sense that the progression of the condition would be arrested. Although a few patients did appear to have regression of their eye disease most remained unchanged after surgery in the study. The patients who did progress had higher pre-surgical glucose levels and the greatest reduction in glucose levels afterward. A rapid reduction in blood glucose after the weight loss surgery-which is called “normoglycemic re-entry” or a temporary anemic episode after the weight loss surgery may actually be responsible for in the progression of preexisting diabetic retinopathy, but the mechanism is really unclear and requires a great deal of further investigation. One fact for sure-even if after weight loss surgery your blood glucose is normal, people with moderate background diabetic retinopathy prior to weight loss surgery should be monitored closely post-surgery for evidence of progression.

If you or someone you know has diabetes and diabetic retinopathy and weight loss surgery, you need to have regular eye exams even if your blood sugar is normal after the surgery. Please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

Diabetic patients affected by diabetic retinopathy need to be aware that there appears to be a close association between the presence and severity of diabetic retinopathy and future cardiovascular (CV) events such as heart attack or stroke.

Relationship Between Diabetic Retinopathy & Cardiovascular Risk

The relationship between diabetic retinopathy, its 4-year progression, and CV outcomes including CV death or nonfatal myocardial infarction or stroke was analyzed in participants in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Trial who also participated in the ACCORD Eye Study. The hazard of CV death or nonfatal myocardial infarction or stroke increased by 38% for every category of change in retinopathy severity and steps of progression further raised the hazard. Thus the researchers believe that both the severity of retinopathy and its progression are determinants of predisposition to CV outcomes. The retina may provide an anatomical index of the effect of metabolic and hemodynamic factors on future CV outcomes.

If you or someone you know has diabetes or diabetic retinopathy they should learn more about their cardiovascular risk by calling The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

Vision loss from the effects of diabetic eye disease including diabetic retinopathy may be preventable or minimized with diligent regular eye exams for those with diabetes. Although there is no cure for diabetic eye disease, annual eye exams for diabetes patients are essential to help slow the progression of the disease. Diabetes is the leading cause of new cases of blindness in adults 20-74 years of age and affects more than 25 million people in the United States-and is increasing! Almost 8 million people ages 40 and older have diabetic retinopathy-and is increasing!

Prevent Blindness America has designated November as National Diabetic Eye Disease Awareness Month. As part of Diabetic Eye Disease Awareness Month, The Eye Clinic of Texas urges people with diabetes to have a dilated eye exam every year. The longer a person has diabetes, the greater his or her risk for developing diabetic retinopathy. However, diabetic retinopathy does not only affect people who have had diabetes for many years, it can also appear within the first year or two after the onset of the disease.

Preventing Vision Loss from Diabetic Eye Problems

In addition to having regular eye examinations and testing at the direction of your eye doctor, patients can help to reduce the risk of developing diabetic eye disease  by not smoking, controlling their cholesterol and lipid profile and blood pressure, as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables and exercising.

If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems with regular eye exams by calling The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

The quality of vision offered by LASIK is superior to that offered by Ortho-K contact lenses and patients need to consider visual performance as they choose a method of vision correction to help them become less dependent on or even independent of eyeglasses for seeing at distance.

About LASIK & Ortho-K Contact Lenses

LASIK is a type of laser eye surgery that provides a method of vision correction to help people with common vision problems such as nearsightedness, farsightedness and astigmatism see clearly at distance without being dependent on glasses or contact lenses. Ortho-K contact lenses or Orthokeratology is a method of contact lens fitting used to temporarily reshape the cornea to allow people to see at distance and be independent of eyeglasses and contacts for periods of time throughout the day.

Recently researchers reporting in Cornea compared the differences in visual performance between Ortho-K contact lenses and LASIK for the treatment of low-to-moderate myopia. The results in this study suggest that LASIK provides better visual quality outcomes than Ortho-K contact lenses for the treatment of low-to-moderate myopia and that for best vision LASIK is the preferred method of vision correction.

If you or a friend would like to learn more about vision quality of LASIK as compared to Ortho-K contact lenses please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

Halloween Contacts SpiderwebThe Eye Clinic of Texas Ophthalmologists caution Houston patients regarding the use of decorative eye color changing contact lenses for Halloween. The purchase of over-the-counter contact lenses poses a huge risk to patients including scratched corneas, “pink eye” conjunctivitis and even more serious types of blinding infections as the result of a corneal ulcer.

The Food and Drug Administration considers ALL contact lenses regulated medical devices that require a prescription and proper fitting by an eye-care professional. Even someone with perfect vision would still require an eye exam and a prescription in order to safely wear any kind of contacts, including cosmetic lenses. Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, noncorrective lenses but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye  problems from becoming a reality. If you or a friend would like to learn more about contact lenses of any type including decorative contacts please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 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.

Fuchs’ Dystrophy is a type of corneal disease that affects the inner most layer of the cornea-the endothelium. Fuchs’ Dystrophy is slowly progressive, is found in both eyes and is slightly more common in women than men. While we can see Fuchs’ 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.

About Fuchs Dystrophy

The endothelial cells are responsible for pumping water out of the cornea and helping to maintain the corneal transparency. While the reason is poorly understood, in Fuchs’ Dystrophy, the endothelial cells die, which make the endothelium less efficient in its pumping activity. This results in the cornea swelling and distorting vision. 

Fuchs Dystrophy Risks & Severity

Researchers reporting in the journal Investigative Ophthalmology and Visual Science studied the effects of smoking, and other risk factors, on the development of advanced Fuchs’ endothelial corneal dystrophy (FECD) and on central corneal thickness (CCT). Being female increased the odds of developing advanced Fuchs’ endothelial corneal dystrophy (FECD) by 34% and smoking increased the odds by 30%. Besides reporting that smoking was associated with an increased risk of developing advanced FECD, diabetes was also associated with increased in corneal thickness-reflecting greater risk of corneal swelling.

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

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 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.

Houston Cataract Surgeon Bernard Milstein, M.D. noted, “Developing a dry eye after cataract surgery is actually pretty common. We like to make sure that patients of cataract age and having cataract surgery know a little bit about dry eye as this is a somewhat temporary condition they may experience.”  Cataract Surgeon Dr. Da-Thuy Van commented, ”The incidence of mild to moderate dry eye in a cataract aged population prior to cataract surgery-and exacerbated by cataract surgery makes dry eye a rather common complaint among this group of patients at the  Eye Clinic of Texas.”

According to the Prospective Health Assessment of Cataract Patients Ocular Surface (PHACO) Study some 60-75% of a cataract aged population had a meaningful deficiency in their tear film testing. Although cataract surgery is quite friendly to the cornea, it does require an incision which has the potential to temporarily interrupt corneal nerves responsible for reflex tearing and tear film integrity as well. This along with some of the solutions used during the cataract procedure can indeed result in a dry eye.

Symptoms of Dry Eye after Cataract Surgery

Thee symptoms one might experience could include fluctuations of vision, dryness, grittiness, tearing, burning and a general tiredness as well as an overall sandy feeling. The good news is that for the vast majority of patients with dry eye there are many helpful treatment options that include specialized artificial tear lubricants and solutions, tiny punctal plugs to help you retain tears and prescription medication that stimulates production of your own tears. In addition there are more technological approaches such as lasers and other methods to treating underlying blepharitis, eyelid gland problems or eyelid inflammation that can contribute to dry eye as well.

If you or someone you know has a question about dry eyes after cataract surgery call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

Botox CosmeticUnderstanding how BOTOX® works may help researchers diagnose and treat Type 2 Diabetes. What do BOTOX® and Type 2 Diabetes have to do with each other you ask?  The proteins affected by injections of the wrinkle relaxer BOTOX® could help scientists develop new ways to treat Type 2 Diabetes. BOTOX® Cosmetic is best known as an injection for helping patient smooth fine lines and wrinkles in order to look their best. BOTOX® is also used as treatment for a number of medical conditions including migraine, urinary incontinence, profuse sweating and crossed eyes, among others. In each of these cases, BOTOX® works because it has a paralyzing effect: that is, it relaxes specific muscles, which then provides the desired effect. BOTOX® accomplishes this effect by blocking certain proteins called SNARE (Soluble NSF Attachment Protein Receptor) proteins. It turns out that SNARE proteins in the beta cells of the pancreas help the pancreas secrete insulin, thus blocking these proteins in the pancreas could lead to insulin resistance which is the hallmark of Type 2 Diabetes. Understanding this mechanism will hopefully provide researchers with new ways to diagnose and treat Type 2 Diabetes in the future.

If you or someone you know has questions about how the proteins affected by BOTOX®  might help us diagnose and treat Type 2 Diabetes, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

While it might seem obvious, we now know with even greater conviction that having cataract surgery in both eyes gives the best results as compared to having cataract surgery in only one eye. Having a cataract in one or both eyes often causes blurry, cloudy or dimming of vision but more importantly it can cause a meaningful decrease in visual functioning that impacts daily activities and lifestyle. In general it is well known that the presence of a cataract negatively affects both subjective quality of life and objective performance measures. It is also important to know that having cataract surgery in one is likely to improve vision and visual functioning, however the improvements are found in patients who undergo second eye cataract surgery.

Reporting in the journal Ophthalmology, researchers studied the impact that cataracts and cataract surgery have on clinical measurements of vision, reading speed, objective mobility performance and subjective visual functioning. The results showed that patients who had the cataract surgery in both eyes demonstrated better visual performance, better mobility-based task performance and even scored better on the Activities of Daily Vision Scale (ADVS). Thus, even though patients might find a great improvement after having cataract surgery in only one eye, the data indicate that having cataract surgery on both eyes provides the best visual functioning.

If you or someone you know has questions about cataracts, and getting the best results with cataract surgery and lens implants in both eyes, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.

You might be able to reduce your risk of cataracts by moderate exercise such as walking or more vigorous exercise such as running according to a study published in Medicine and Science in Sports by researchers at the Life Sciences Division of the Lawrence Berkeley National Laboratory.

Running Couple

Previous studies showed that  the risk of cataract formation was found to be lower in runners over time. In this Berkeley study when the incidence of cataracts was adjusted for sex, race, age, education, smoking, and intakes of meat, fruit and alcohol, lower cataract risk was significantly associated with both running and walking with no significant difference in risk reduction between running and walking, or between men and women. Further, the cataract risk appears to decrease linearly with increasing exercise energy expenditure.

If you or someone you know has questions about how to reduce the risk of cataracts by running or walking please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas 77550.