“Let me start off by saying I do not like going to doctors and will do anything to avoid them. While I take great care of myself i have neglected to see an eye doctor because i wasn’t having any problems until I started noticing things were getting fuzzy and i was having problems driving at night. I made an appointment with Dr. Buck and he not only diagnosed me with cataracts but i have glaucoma as well. I was in complete shock and was terrified! Dr. Buck assured me that by having the cataract surgery it would clear things up for me and that I would now be putting glaucoma drops in my eyes on a daily basis. I was not happy about doing drops everyday but I have to save my vision. The procedure itself was very quick and the ladies at Dr. Buck’s office and the surgery center were very attentive and kind. I appreciate Dr. Buck’s honesty and I won’t be avoiding the eye doctor anymore.”
If you or someone you know suffers from cloudy, blurry vision with night vision problems or fading of colors you should be checked for cataracts and learn more about cataract surgery and lens implants. Please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser to schedule an appointment.
Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354.
About Nearsighted or Myopic Progression Myopia is a common disorder, affecting approximately one-third of the U.S. population. High myopia is associated with an increased risk of sight-threatening problems, such as retinal detachment, choroidal degeneration, cataracts, and glaucoma. Slowing the progression of myopia could potentially benefit millions of children in the U.S. To date, few clinical approaches for myopia control and slowing myopic progression have proven to be consistently effective. Treatment options such as undercorrection of myopia, gas permeable contact lenses, and bifocal or multifocal spectacles have all been proven to be ineffective for myopia control, although one recent clinical trial using executive top bifocal spectacles on children with progressive myopia has shown to decrease the progression to nearly half of the control subjects. The most effective methods are the use of orthokeratology contact lenses, soft bifocal contact lenses, and certain eye drops not specifically approved for this use. We encourage parents children experiencing rapid myopic progression to discuss which if any of these options might be helpful or appropriate for their children.
Patient Satisfaction after Cataract Surgery The benefits of cataract surgery in restoring poor vision as well as quality of life are very obvious. As cataract surgeons we are also very pleased to report that cataract surgery has an extremely high level of overall patient satisfaction-in our practice as well as in national surveys collected by the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement. By 2030, 38 million Americans will suffer from cataracts, a number that will increase to 50 million by 2050, according to the National Eye Institute of the National Institutes of Health. According to the study, from the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement, 99.7% of patients would recommend the procedure to friends or relatives suffering from cataracts. 96% of patients reported that their vision was better post-surgery, and 98 percent said they were comfortable during the procedure and right after their surgery. What’s more, 96% returned to normal activities of daily living within one week of their cataract surgery procedure. This is very typical of what we see at Northwest Indiana Eye & Laser Center and the data clearly shows that patients find value in cataract surgery and are generally very pleased with the outcomes of the procedure,” said Scott Buck, M.D.
Solar retinopathy is a condition where the retina becomes damaged as a result of bright light from the sun. The retina is made up of layers of light sensing cells that make vision possible. When they're over stimulated by sunlight, they release a flood of communication chemicals that can damage the retina. This damage is often painless, so people don't realize what they're doing to their vision. Solar retinopathy has been reported to occur from staring at the sun, regardless of its phase. Sometimes people high on drugs have stared at the sun for long periods of time causing serious damage as well adherents of sun worshipping religious sects are also victims. BUT, children too can stare at the sun and painlessly lose their vision from solar retinopathy!
Cataract Surgery Improves Quality of Life When we think of the impact that cataracts have on people, it is pretty easy to identify that vision decline or loss comes mainly from the blurry cloudy vision that cataracts cause, but also the night vision problems from the glare and haloes associated with cataracts. What is much more important than the vision loss itself is the negative impact on patient’s quality of life. Recent research published in Acta Ophthalmologica studied the effect of patient quality before and after having cataract surgery. The researchers compared patients with no known cataracts of the same age, health and lifestyle to those who had cataracts before and after cataract surgery. When compared with the general population, cataract patients had much lower health-related quality of life (HRQoL) than those without cataracts as measured by five dimensions: seeing, moving, hearing, performing their usual activities and general discomfort and symptoms. Then at 12 months after cataract surgery there was significant improvement in the quality of life index (HRQoL) across these same dimensions. While this seems obvious, it is a reminder that cataracts and vision loss affect more than just vision and reason to avoid suffering if you feel that your vision might be impacting your quality of life.
Treatment of Amblyopia The best results are always achieved if the treatment of amblyopia is started as early as possible. If necessary, children with refractive errors such as nearsightedness, farsightedness or astigmatism can wear glasses or contact lenses when they are as young as one week old. Children with cataracts or other “amblyogenic” conditions need to be treated promptly in order to minimize the development of amblyopia. One of the most important treatments of amblyopia is correcting the refractive error with consistent use of glasses and/or contact lenses. Other mainstays of amblyopia treatment are to enable as clear an image as possible, for example, by removing a cataract, and forcing the child to use the non dominant eye by patching or blurring the better seeing eye with eye drops. Eye drops are used to “penalize” the good eye and force the use of the weaker or amblyopic eye. We may be able to use eye drops instead of patching when the amblyopia is not very bad or when a child is unable to wear the patch as recommended. For mild to moderate degrees of amblyopia, studies have shown that patching or eye drops may be just about equally effective. Generally, we start to see improvements in vision within weeks of treatment however for optimal results it will be necessary to be patient for many months.
In some cases, treatment for amblyopia isn’t successful and it is difficult to stop treatment but is recommended when there is any real benefit. Children who have amblyopia in one eye and good vision only in their other eye can wear safety glasses and sports goggles to protect the normal eye from injury. As long as the good eye stays healthy, these kids function normally in most aspects of society.
Eye Test for Concussion in Student Athletes An eye test for concussions might be helpful for student athletes playing contact sports who are known to be at risk for head trauma. Up to 3.9 million sports related mild traumatic brain injuries, or concussions, occur annually in the United States, according to the Centers for Disease Control and Prevention, but researchers say that number is likely higher since the CDC only tracks emergency room visits. Experiencing a concussion in a game increases an athlete’s risk for sustaining a second condition in the same season by three times. Other complications include the dangerous second impact syndrome, or other short and long term side effects.
Research on Concussion and Eye Tests Research from the NYU Langone Concussion Center shows that a simple eye test, which can be administered in less than two minutes, can effectively diagnose a concussion and help determine whether a student athlete as young as 5 years old should return to a game. A study published in the Journal of Neuro-Ophthalmology, was conducted on 89 NCAA athletes and a younger group of 243 youth athletes under age 17, and shows how the eye test, known as the King-Devick test, could help minimize the problems that make the diagnosis of concussion difficult in student athletes involved in youth sports. The researchers report that the test can easily be administered on the sidelines by parents and non-health care professionals when athletic trainers and doctors are not available to monitor sidelines at youth sports games.
About the King-Devick Test As part of the King-Devick test, athletes read numbers off of three pieces of paper while being timed with a stopwatch. A worsened performance from a baseline reading suggests a concussion has occurred. Since concussions may cause devastating short and long term cognitive effects, tools like vision testing that can objectively diagnose a concussion are critical. Some sideline tests only measure cognition and balance, but visual testing is rarely performed, despite longstanding evidence that vision is commonly affected by concussion, according to a review article published in the Journal of Neuro-Ophthalmology. Previous research suggests about 50 percent of the brain’s pathways are tied to vision.