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…

Uncontrolled diabetes and hypertension

Retinal vein occlusions  are the second most common type of retinal vascular disorder secondary to diabetes.  They can occur at almost any age (although typically in middle to later years – most in those aged over 65 years) and their severity ranges from asymptomatic to a painful eye with severe visual loss.  

Entropion

When your eyelid turns inward, your lashes can irritate the cornea.     Artificial tears can relieve the symptoms.   I have also prescribed contact lenses, which acts as a corneal shield, in this condition.    Some cases require surgical intervention.

My eye hurts

Subepithelial infiltrates (SEI). SEIs generally occur after viral keratitis, but are also found in blepharitis and contact lens-related hypersensitivity.   White blood cells from the limbal vasculature are drawn into the avascular cornea. What is Inflammation? Inflammation is the body’s response to protect tissues and organs. It is an efficient response caused by injury, infection, autoimmune…

When your eye bleeds

Wet macular degeneration causes blurred vision or a blind spot in your visual field.  It is caused by abnormal blood vessels that leak fluid or blood into the macula, which is responsible for central vision. Wet macular degeneration is one of two types of age-related macular degeneration. The other type — dry macular degeneration —…

When diabetes affects your eyes

What is diabetic eye disease? Diabetic eye disease can affect many parts of the eye, including the retina, macula, lens and the optic nerve. Diabetic retinopathy affects blood vessels in the retina that lines the back of the eye. It is the most common cause of vision loss among people with diabetes and the primary cause…

Symptoms of dry eye

Symptoms of dry eye include: Pain Light sensitivity A gritty sensation A feeling of a foreign body or sand in the eye Itching Redness Blurring of vision A short course of steroids, Restasis, nutritional therapy, and ointments, can be very helpful in treating dry eye.

An unusual spot

The retinal pigment epithelium (RPE) is the pigmented cell layer just outside the neurosensory retina that nourishes retinal visual cells, and is attached to the choroid beneath and the retina above.   The 7 functions of the RPE are:    1.   light absorption essential   2.   epithelial transport   3.   spatial buffering of ions.   4.  visual cycle.  …

A growth on the eye

Many times, a pterygium does not cause symptoms.  However, an inflamed or enlarged  pterygium may cause redness and inflammation. A pterygium can grow onto the cornea (the clear, outer layer of the eye). This can distort the shape of the cornea, causing a condition called astigmatism. Symptoms of pterygium may include: Burning Gritty feeling Itching…

Macular Degeneration

As you get older, did you know that age related macular degeneration (ARMD) can have a significant impact on your vision?    Symptoms of macular degeneration include:   Blurred vision Distorted near vision Blind spots in your central vision Straight lines will appear wavy. The hallmark findings in nonexudative ARMD are drusen, RPE (pigment) changes, and geographic…

When your eyes are very dry…

Severe dry eye can cause blurriness in vision, and eventually lead to corneal scarring and ulceration. Treatments for dry eye include: Artificial tears:  These can be used to supplement natural tear production. Preservative-free artificial tear solutions are recommended because they contain fewer additives, which can further irritate the eyes. Increasing tear production.  Restasis can help…

A cloudy lens implant

A common cataract surgery complications is a posterior capsule opacity in the lens implant. A procedure called a YAG laser capsulotomy can quickly and effectively restore vision following posterior capsular opacification.

When you need blood work

Did you know that the retina receives its nourishment through many blood vessels?    When there’s damage to these blood vessels, we call this retinopathy.   Often, retinopathy occurs due to systemic diseases, such as diabetes or hypertension.   Blood work confirms this.   Retinopathy lesions are commonly seen in middle aged and elderly people without diabetes. Ocular conditions…

Contact lens overwear

Corneal vascularization occurs when contact lenses do not allow your eyes to breathe normally.    In order for your eyes to be healthy again, you must decrease contact lens wear time and/or change to a more oxygen permeable contact lens material.

When chemicals touch your eye…

Toxic keratoconjunctivitis (inflammation of the cornea and conjunctiva) can occur when your eye is exposed to a foreign substance or chemical.  The response is typically an immune reaction associated with Type IV hypersensitivity.   Symptoms include pain, itching, swelling and irritation, with follicles presenting in the palpebral conjunctiva.   Copious irrigation and flushing of the eye is…

When your pupil sticks to your lens…

A synechia happens when the iris adheres to either the cornea or lens.  Synechiae can be caused by ocular trauma, iritis or iridocyclitis and may lead to certain types of glaucoma.  Anterior synechia causes closed angle glaucoma, which means that the iris prevents proper drainage of the aqueous.   This raises the intraocular pressure. Posterior synechia also cause…

Myopia control

Corneal Reshaping or CRT is a safe, non-surgical and reversible process that uses rigid gas permeable lenses to gently reshape the surface of your eye while you sleep.  This gives clear vision during the day.   Corneal Reshaping with CRT Contact Lenses can be an ideal vision correction method for active children, especially those involved in…

An angry, red eye…

Cornea Transplant During a cornea transplant, an surgeon removes a portion of your cornea and replaces it with a donor cornea.  About 40,000 cornea transplants are performed in the U.S. every year.   Expect an angry, red eye right after a corneal transplant!  There will be light sensitivity, discomfort, and swelling around the incisions.  However, with long-term…

Eyelid crusties

  Blepharitis is an inflammation of the eyelids, which causes the eyelids to be red, itchy, swollen and scaly.   Here you see crusty build-up at the base of the eyelashes. Feeling like something is in your eye Burning of the eye Sensitivity to light Red and swollen eyes or eyelids Blurry vision Dry eyes Crusting…

A corneal transplant

Recognizing the main warning signs of corneal transplant rejection is the first step to preventing graft failure. These can be remembered using the acronym RSVP: Redness Extreme Sensitivity to light Decreased Vision Pain

When eyelashes poke your eye…

Entropion is a condition in which your eyelid turns inwards instead of outwards.   Your eyelashes then rub against the eye, causing irritation and discomfort.   It can be seen in older adults, but I have also seen it in babies, as well as Asians.   Entropion can eventually cause damage to the cornea, resulting in eye infections…