Glaucoma: the Importance of Early Intervention

According to the Glaucoma Research Foundation, an estimated 2.2 million individuals in the United States have glaucoma.   More than half of those who have glaucoma are unaware because there are NO SYMPTOMS, especially in the early stages.  Studies show that the risk of blindness related to glaucoma 20 years after diagnosis has decreased by…


Meibomian refers to a particular type of gland in the eyelids. There are about 25 to 40 meibomian glands in the upper eyelid and 20 to 30 in the lower eyelid. The function of these glands is to secrete oils, which help keep the tears from evaporating too quickly. Meibomian gland dysfunction is blockage or…

Central Retinal Vein Occlsion

The retina is nourished by blood flow, which provides nutrients and oxygen that nerve cells need. When there is a blockage in the veins into the retina, retinal vein occlusion may occur.  Central retinal vein occlusion (CRVO) is a blockage of the main vein in the retina. Blockage of the small veins in the retina…

Corneal Pannus

Corneal pannus is the growth of fine blood vessels onto the clear corneal surface. The treatment depends on the cause. For instance, a common cause of corneal pannus is a poorly fit contact lens.   Also, pannus can occur if the contact lens does not allow enough oxygen to the eye.  Contact lens may need to…


Episcleritis is a self-limited inflammation that does not cause lasting damage.  Most patients with episcleritis may not require any treatment.   Either Prednisolone Acetate 1.0% or Fluorometholone .1% 1 drop 3x/day can be prescribed.  Cold compresses can also help relieve the discomfort.


If you are diagnosed with chronic blepharitis, an ongoing regimen of eyelid hygiene is recommended.   We often prescribe over-the-counter lid scrubs such as Ocusoft.   Eyelid hygiene is the cornerstone of treatment for most cases of blepharitis. Besides a program of eyelid hygiene, supplemental treatment with topical and oral medicine can be helpful. We also…

Subconjunctival Hemorrhage

A subconjunctival hemorrhage occurs when a tiny blood vessel breaks under the conjunctiva.  A subconjunctival hemorrhage often occurs without any injury to your eye. Even a strong sneeze or cough can cause a blood vessel to break in the eye. You don’t need to treat it.  A subconjunctival hemorrhage is usually a harmless condition that…

Bad Eye Burn

Chemical alkali burns of the cornea, are the most severe and painful.   Treatment requires medical intervention, sometimes surgery, acutely and in the long term, for maximal visual rehabilitation.  Common goals of management include:   (1) removing the offending agent, (2) promoting ocular surface healing, (3) eliminating inflammation, (4) preventing infection, and (5) controlling intraocular pressure. Immediate…

Confluent Drusen in Macular Degeneration

Small, yellowish deposits known as drusen, can have discrete or indistinct margins.    Macular degeneration can be classified according to the number and size of drusen, amount of geographic atrophy, and pigmentary changes.    This patient has dry macular degeneration, which is being carefully monitored with photos, as well as daily Lutein supplements.

A Film Over My Eye

If you do not properly disinfect and clean your contact lenses or over wear them, you can develop bacterial keratitis. This is a serious condition that can cause permanent vision loss and damage to your eye.  It must be treated aggressively with antibiotics.

Eyelid Lesion

Verruca Vulgaris Usually caused by epidermal infection with the human papilloma virus (type VI or XI). Although these growths are less common on the eyelids, they are typically located near the lid margins. Treatment options include simple excision or cryotherapy.

Posterior Synechia

This needs to be monitored carefully, as there is increased risk of glaucoma.   With the iris adhering to the lens, there is blockage of the aqueous humor flow from the posterior chamber to the anterior chamber. This blocked drainage can cause the intraocular pressure to increase, causing damage to the optic nerve.

Cataract Surgery Complication

Posterior capsule opacification (PCO) referred to as ‘secondary cataract’ or ‘after cataract’, develops over the clear posterior capsule a few months to a few years after an uneventful cataract surgery.  It results from the growth and abnormal proliferation of lens epithelial cells (LECs) on the posterior capsule. READ MORE

Deposits in your eye

A concretion is a small, hard, yellow or white deposit which can form in the conjunctiva that lines the inside of your eyelids.  They can occur as a result of long-term inflammation, chronic irritation/allergies, and the normal aging process.   The cells in your conjunctiva begin to degenerate. As this happens, other materials fill the…