LA Family Eyecare Participates in Rubber Duck Hunt!

Support Local Business: Rubber Duck Hunt
Family Strengths Network (FSN) is inviting businesses and patrons to a Rubber Duck Hunt. We know many local businesses have been negatively impacted by the pandemic. In the past, local businesses have supported FSN’s Lucky Ducky Day Silent Auction, this year FSN is hosting an event to support the many amazing businesses in Los Alamos and White Rock. FSN would like to partner on a Rubber Duck Hunt with local businesses and community members. The concept is simple, businesses place a rubber duck photo in a storefront window, and/or on your website, and any other place they see fit.  The community goes on a Rubber Duck Hunt to find the ducks and scores points for finding ducks in stores, on websites, and for making purchases in local businesses. 

The hunt runs from Monday, Sept. 20-25th, with a winner being announced on the afternoon of the 25th. The winner receives a gift basket, provided by FSN, containing items and gift cards from businesses within the community

Normal Aging or Glaucoma?

As we get older, we lose 7000 retinal ganglion axons/year for 40% lost over a lifetime. This is .5% of your visual function lost every year!  Thinning of retinal nerve fiber layer surrounding our optic nerve and in the macula/retina is like thinning hair and receding gums with age.  
  In glaucoma, these ganglion cells are lost more quickly which can result in peripheral vision loss. The challenge is to differentiate normal aging and diagnose true glaucoma, which involves consistent examination, careful documentation, and advanced technology.
  The vast majority of glaucoma patients (95%) progress slightly more than normal aging: -.06 db/year vs -.06 to -1.0 dB/year. However, 4% progress greater than -1.0 dB/year, while 1% progress greater than -2.0 dB/year.
Most glaucoma cases can be managed with eye drops and testing every 3-4 months to monitor for changes. These drops are safe, inexpensive, and effective in keeping glaucoma progression slow. If you are a “rapid progressor” (5% of all glaucoma) even with eyedrops, you may be a candidate for surgical intervention, such as Selective Laser Trabeculoplasty (SLT).  

Eyedrops for Dry Eye

from Mayo Clinic: Dry Eyes Diagnosis and Treatment

The attached photo shows the eye with a special dye, fluorescein, which is a test to determine the quality of your tears.  The staining pattern indicates severe dry eye, which needs aggressive treatment.

Prescription medications used to treat dry eyes include:

  • Drugs to reduce eyelid inflammation. Inflammation along the edge of your eyelids can keep oil glands from secreting oil into your tears. Your doctor may recommend antibiotics to reduce inflammation. Antibiotics for dry eyes are usually taken by mouth, though some are used as eyedrops or ointments.
  • Eyedrops to control cornea inflammation. Inflammation on the surface of your eyes (cornea) may be controlled with prescription eyedrops that contain the immune-suppressing medication cyclosporine (Restasis or Xiidra) or corticosteroids. Corticosteroids are not ideal for long-term use due to possible side effects. Unfortuately, cyclosporine eye drops can cost $500+ for 1 bottle and are not affordable for patients who only have Medicare.
  • Punctal Plugs. If you have moderate to severe dry eye symptoms and artificial tears don’t help, another option may be a tiny eye insert that looks like a clear grain of rice. We are not a big fan of plugs, due to the principle of homeostasis (plug the drain for your tears and your eye starts producing less tears) and a few bad experiences with patients wanting the plugs out.

Benefits of Rigid Gas Permeable Contact Lenses

While soft contact lenses dominate the market, there are many benefits of rigid gas permeable contact lenses! for more information: www.contactlenses.org

  1. Good vision: corrects most astigmatism; excellent optical quality, good surface wettability, available in bifocal designs
  2. Excellent eye health: 2-3 times more oxygen to the cornea than soft contacts, smaller size allows for tear exchange, fewer deposits
  3. Durability: GP lenses last longer and don’t need to be replaced as often as soft, lower long-term cost, use much less contact lens cleaning solutions.
  4. Ease of handling: smaller size lenses are easier to insert.
  5. Ease of care: simple cleaning and disinfecting solutions, lower annual cost.
  6. Slow down myopia progression: studies have shown that GP lenses slow down myopia progression in young people.

It’s Back to School Time!

The summer is almost over and it’s back to school time!   Like many of you, I have been reviewing the “school supply list” and making sure that my daughter has everything necessary for a successful year.   At the pediatrician’s office, a vision screening showed that myopia (nearsightedness) had increased, yet again!   Over the years, I have discussed options for myopia control with many patients and their parents. With my own child, I will be just as proactive and aggressive about slowing down myopia.

One of the best things to tell your child to reduce his or her risk of myopia is, “Go outside and play!”  Recent studies, like the Sydney Myopia Study and research in Taiwan and Denmark, have confirmed that more time spent outside is associated with lower progression of myopia.   12-year-olds who spent more time outdoors had less myopia at the end of the two-year study period than others in the study — even after adjusting for the amount of reading performed, parental myopia and ethnicity.
Children who performed the most amount of near work and spent the least amount of time outdoors had the highest mean amount of nearsightedness.  
A study in the UK found that in the winter (when the children had access to the fewest hours of daylight), average growth in the axial length of their eyes was significantly greater than it was in summer, when their outdoor sunlight exposure was greatest (0.19 mm vs. 0.12 mm)!   

The good news is that Davis (vision insurance for LANL employees) fully covers multifocal contact lenses and eyeglasses for myopia control.  There is partial coverage for ortho-keratology (overnight contact lenses).   

I was disappointed to learn that High Country Macula has closed its doors!   They have provided outstanding retinal care to thousands of my patients. Records have been transferred to Dr. Nathaniel Roybal.  A native of New Mexico and former retinal specialist with Eye Associates of NM, he has stellar credentials and has invested millions in advanced, state-of-the-art technology.  In July 2021, I was impressed with his prompt and successful treatment for 2 patients who had retinal tears.  

Effective September 1, 2021, we will no longer be providers for Eyemed!  We will continue to accept Davis Vision and Vision Service Plan.  
Following CDC guidelines for health care offices, we will be requiring masks for all staff and patients, regardless of vaccination status.  Thank you for your patience and understanding!  

Have a blessed day and week! 

Sincerely,
Lisa Shin, O.D.

VSP Premier Provider

We are proud to be a VSP Premier provider in Los Alamos, NM! As a VSP member, you will receive maximum benefits for your plan.

Finding the right eye care provider is important to maintaining your eye health and overall wellness. All VSP® network eye doctors are well versed in vision care and meet national credentialing requirements. So, if all doctors are great, why should you visit a Premier Program location?  

The Premier Program may sound like something that will cost money above and beyond what your plan calls for, but it doesn’t! ALL VSP members have access to the Premier Program – which is part of our incredible network of highly knowledgeable doctors. And your busy life demands convenience for fitting in your annual Wellvision Exam. Flexible weekend hours and online appointment scheduling make network doctors like those at Premier Program locations easy to see. VSP network doctors who participate in the Premier Program provide the personalized attention you deserve and carry the latest technology available and provide bonus offers that are exclusive to Premier Program locations. Simply put, members maximize their benefits at a Premier Program location!

With an average of five VSP network doctors within six miles of you, it’s a cinch to find (or keep seeing!) a doctor you’ll love. The Premier Program now includes thousands of private practice doctors and over 700 Visionworks retail locations nationwide, making finding the right doctor and staying in-network easier than ever.

Sound like something worth checking out? Here are four more reasons to visit a Premier Program location for your next eye exam:

1. Frames, frames, frames…

Premier Program locations carry a wide selection of the latest and greatest brands you know and love – like bebe, DVF, Flexon®, Lacoste, Nike, Nine West, and more. Even better? VSP members get an extra $20 to spend on featured frame brands.  

2. And lenses, too!

Your high-performance life needs a top performing lens that fits right, with little time needed for adaptation. Premier Program practices offer the latest technology in digitally-surfaced, high-definition lenses.

3. Latest technology

High-tech exam equipment, like digital retinal imaging to better monitor changes inside your eyes, is available at most Premier Program locations. This helps doctors assess the health of your retina and helps them to detect and manage eye and health conditions like glaucoma, diabetes, and macular degeneration.

4. Bonus offers

We know you deserve a good deal, and what’s available at Premier Program locations can’t be beat. Look for a Premier Program location near you on vsp.com to find more great VSP Exclusive Member Extras Bonus Offers.

What You Should Know if Your Child is Nearsighted

Infographic: Myopia Facts
From All About Vision

This might sound glib, but perhaps one of the best things to tell your child to reduce his or her risk of myopia is, “Go outside and play!”

A number of recent studies have found that spending more time outdoors may help prevent or reduce the progression of nearsightedness in children.

Among them:

  • In the Sydney Myopia Study, researchers in Australia evaluated the effect of time spent outdoors on the development and progression of myopia among 6-year-olds and 12-year-olds randomly selected from 51 Sydney schools.The 12-year-old children who spent more time outdoors had less myopia at the end of the two-year study period than others in the study — even after adjusting for the amount of reading performed, parental myopia and ethnicity.Children who performed the most amount of near work and spent the least amount of time outdoors had the highest mean amount of nearsightedness.
  • Researchers in Taiwan evaluated the effect of outdoor activity during class recess on myopia risk and progression among elementary school students.Children participating in the one-year study ranged from 7 to 11 years of age and were recruited from two nearby schools located in a suburban area of southern Taiwan.The study authors concluded that outdoor activities during recess in elementary school have a significant protective effect on myopia risk among children that are not yet nearsighted and reduce the progression of myopia among nearsighted schoolchildren.
  • Researchers in Denmark published a study of the seasonal effect of available daylight on myopia development among Danish schoolchildren.Myopia risk was determined by measurement of the axial (front-to-back) elongation of the children’s eyes in different seasons. Increasing axial length of the eye is associated with increasing nearsightedness.The amount of daylight changes significantly with the seasons in Denmark, ranging from nearly 18 hours per day in summertime to only seven hours per day in winter months.In winter (when the children had access to the fewest hours of daylight), average growth in the axial length of their eyes was significantly greater than it was in summer, when their outdoor sunlight exposure was greatest (0.19 mm vs. 0.12 mm).
  • Researchers in the UK evaluated the results from eight well-designed studies of the effect of time spent outdoors on the development and progression of myopia among 10,400 children and adolescents.The researchers calculated a 2 percent drop in the risk of developing myopia for each additional hour children spend outdoors per week.

Take-home message

Given the research above, it’s a great idea to encourage your children to spend more time outdoors (and leave the cell phone and other electronic devices at home or in their pockets!).

From All About Vision

How to Treat an Eye Infection

If you wake up with your eyes stuck together, then you probably have a bacterial conjunctivitis, an eye infection caused by

Symptoms include:

Contact Lens Evaluation: July 2021

1. A contact lens evaluation is required for the proper evaluation of contact lenses and for all contact lens prescriptions. This prescription is valid for 2 years, unless there is a medical reason for a shorter time period.

2. Davis Vision covers 1 contact lens evaluation visit only if Davis Formulary contact lenses are ordered on the same day. If you require additional contact lens evaluations, there will be an additional fee of $85 (standard, established) or $105 (specialty, new)

3. Contact lens evaluation fees are non-refundable, even if contact lenses do not work out for you!

4. There are no refunds or exchanges for opened contact lens boxes. Davis Vision allows 1 prescription change within 30 days for unopened contact lens boxes.

5. Proper cleaning, disinfection, and frequent replacement prevent eye infections! Do not shower, swim, or sleep in lenses.

6. If you experience pain, burning, tearing, and sensitivity to light, please remove lenses and call our office immediately.


MPOD and Macular Degeneration

from Eyepromise:

Did you know that 78 percent of the U.S. population has less than optimal macular pigment?  Significant increases in macular pigment can be achieved through nutritional intake and supplements containing zeaxanthin and lutein. Macular pigment is comprised of zeaxanthin and lutein, which are found in the center of the macula (fovea) at a natural 2:1 ratio. MPOD is important for three specific reasons:

  1. Low macular pigment is a key risk factor for age-related eye health issues, the leading cause of significant vision loss over age 55
  2. Macular pigment absorbs harmful blue light, protecting the photo-receptors from damage
  3. Macular pigment improves visual performance, including:
  • Visual acuity – ability to see clearly, especially in fine detail situations like needlepoint or reading in low light situations
  • Contrast sensitivity – ability to discern objects from their background (i.e. seeing a white golf ball or baseball clearly against a light blue sky)
  • Light sensitivity – visual discomfort in sunlight or when exposed to bright light
  • Glare recovery – recovery from temporary “blindness” caused by high intensity lighting, such as automobiles or stadium lights

What is Demodex?

From The Eye Depot

Demodex blepharitis is a common source of eyelid inflammation and ocular irritation. It is caused by the demodex mite. The presence of demodex increases with age making them present in the vast majority of people over 70 years of age. While most people have demodex living on their eyelid skin and in their eyelashes, they usually are not symptomatic. Symptoms of demodex blepharitis include eyelid itching, burning, foreign body sensation, crusting, redness, and exacerbation of dry eye which can lead to blurry vision.

Lid hygiene with warm compresses and lid scrubs with Tea Tree Oil, such as Ocusoft OUST, is the most effective treatment. If you follow this regiment 1-2 x daily consistently for 3-4 weeks, your symptoms should improve to the point that you only need to perform lid hygiene on an as needed basis.

Corneal Edema After Cataract Surgery

It is very common to see corneal edema (swelling) after cataract surgery. This can cause blurry vision and discomfort, but usually resolves in 1 week, without additional medications or intervention. It is important to stay on prescribed eye drops!

If the cornea does not clear up, then you may need Muro 128 eye drops or a corneal transplant (rarely).

How to Prevent Macular Degeneration

Dear Friends:    In our practice, we focus on early prevention and screening for glaucoma. But did you know that macular degeneration is much more prevalent than glaucoma? We have advanced diagnostic technology, such as fundus photography and OCT testing, as well as MPOD testing to assess your risk for and presence of macular degeneration (AMD). Family history is a big factor.   In addition to regular eye examinations, here are tips to prevent this devastating eye disease!

  • Stop smoking! Smoking and tobacco use is the #1 risk factor for development and progression of AMD.
  • Protect your eyes from the sun. Just as the sun ages your skin, it also ages your eyes. Wear UV blocking eye glasses to prevent damage from long term sun exposure.
  • Eat a healthy diet. Nutrients from our foods can protect our eyes from damage. We offer Eyepromise Lutein/Zeaxanthin and EZ Tears Omega 3 supplements at an affordable price. Eat fresh, whole, and unprocessed foods, fruits and vegetables. Eat fatty fish rich in Omega 3 oils at least twice per week (salmon, sardines, and mackerel). Choose whole grain pastas, rice, and bread over their “white” counterparts.
  • Get regular exercise. Sedentary lifestyle and obesity are linked to increased risk for the development and progression of AMD.
  • Take control of vascular risk factors, such as high blood pressure, diabetes, and high cholesterol.   

  With our new ONLINE PORTAL, you can fill out your medical information and eye history before your eye exam.   This helps us prepare for your visit and enables us to provide the highest level of care possible!        Sincerely, Lisa Shin, O.D. phone & text: (505) 662-9681
email (office): lshinrecall@gmail.com

Posterior Vitreous Detachment

From All About Vision

In most cases, posterior vitreous detachment is caused by normal aging changes in the eye. With time, the vitreous contracts or shrinks, and also becomes less like a gel and more like a liquid (a process called vitreous syneresis). When this occurs, the vitreous and collagen fibers within it, pull away from and eventually detach from the retina.

Other causes of PVD include:

Posterior vitreous detachment is diagnosed through a comprehensive eye exam. Expect a dilated eye examination. This adds time to the eye exam and disrupts vision for 4-6 hours, but is necessary in order to get a good view of the retina.

Happy Father’s Day!

Dear Friends:    Happy Father’s Day!   A shoutout to all the Dads out there who do so much to enrich and bless our lives!   Recently, I received a vase of flowers and a kind note from a patient:   “I cannot thank you enough for the wonderful service you have provided me.  I am pleased with my glasses and think I probably need some fitting adjustments now.   Your office is pleasant and I felt quite safe during COVID.   Everyone in the office I have met has been super nice and supportive.   Finding you and your service has been the best thing for me and my eyecare I could have expected to have.”   What made the difference was the extra time, care, and attention for a complex ocular condition. I used a combination of traditional and automated tests and even got help with basic trigonometry to calculate the prescription.  No more double vision!    Before you purchase contact lenses and eyeglasses online, remember that your vision insurance may cover a year’s supply of contacts lenses or a high-quality pair of eyeglasses!   We’ve had patients cancel their 1-800-Contacts order when they realized their benefits.  Our prices are actually quite competitive with online retailers.   Check out our “budget” frame selection which work great for 2nd pairs and no insurance coverage.  Remember that we cannot provide customer service, adjustments, and repairs for glasses purchased online!   

Have a blessed day and week! Sincerely, Lisa Shin, O.D. 

Why Test MPOD?

What is MPOD?

Visual representation of macular pigment optical density.
The majority of the U.S. population has unhealthy, or sub-optimal, MPOD.

Good news! We can measure your macular pigment optical density (MPOD) in our office! This is just one metric in many tests to assess your eye health, but we have seen a high correlation between poor diet/health and low MPOD scores.

from Eyepromise:

Unfortunately, 78% of the general population in the U.S. has an unhealthy, or sub-optimal, macular pigment density. The density of macular pigment affects visual function, including:

  • Visual acuity
  • Contrast sensitivity
  • Photophobia
  • Glare recovery
  • Vision in an open area and how far one can see in hazy conditions
  • Ability to see while driving at night

It also determines a patient’s risk of developing age-related eye health issues. To support a healthy macular pigment optical density (MPOD), patients must have the proper amounts of zeaxanthin and lutein. Because the body does not make these antioxidants on its own, they must be ingested. Lutein is commonly found in leafy greens, while brightly colored vegetables like corn and peppers contain zeaxanthin. It can be difficult to get the amounts of these retinal carotenoids to support MPOD in a regular diet.

MPOD as a Biomarker

Low MPOD can indicate several other eye health issues besides an increased risk of blue light damage. MPOD can act as a biomarker for problems like age-related eye health, retinal blood vessel health, and more. John Herman, OD, FAAO, believes that testing MPOD is “a very valuable, if not critical, clinical tool for not only detecting low levels of macular pigment density, and is essential in identifying the population at risk for many different health concerns, as well as giving the clinician the ability to follow the progress of treatment plans.”

Help! My Child’s Eyes are Getting Worse!

Dear Friends:   
Now that school is out and summer is here, it’s definitely time to get your kids off of their digital devices and encourage outdoor play!   Did you know that pediatric ophthalmologists are actually prescribing less digital screen time to slow down myopia progression?   That’s because the prevalence of childhood myopia has surged recently, with kids being diagnosed much earlier and progressing faster than ever before.   COVID-19 definitely had an impact, with less time outdoors and excessive digital screen, tablet, and smartphone use.  Many are worried about the global burden of high myopia and blindness.  Did you know that high myopia puts you more at risk for glaucoma and retinal detachment?    

When I was a teenager, my optometrist provided me with glasses and contact lenses, but never talked about slowing down the progression of myopia.  This really motivates me to have the conversation with every parent facing a myopic child.   We have the research and the studies to show that these methods work!   Instead of your child becoming a 6D myopic adult, your child could become a 4D myopic adult.  It makes a big difference in quality of life and prognosis for good vision.   

Good news is that your vision insurance may cover all or some of the costs for myopia control!   Call today to make an appointment to discuss your options!  

Sincerely,
Lisa Shin, O.D.
phone & text: (505) 662-9681
email (office): lshinrecall@gmail.com

Protect Against Macular Degeneration

From Eyepromise:

Age-related eye health issues destroys central vision and is the leading cause of severe vision loss in adults over age 55, affecting millions of Americans each year. While there is currently no cure for age-related eye health issues and its effects are irreversible, there are risks that can be mitigated.

Age-Related Eye Health Issues Risk Factors Include:

Non-modifiable risk factors:
Age
Family history
Light skin and eyes Female gender
Modifiable risk factors:
Smoking
Poor diet
Low macular pigment
High body mass index (BMI)

Due to the aging Baby Boomer population, it is estimated that the number of people with age-related eye health issues is expected to double by 2020. We can take definitive steps towards fighting vision loss and preserving healthy vision.

During your eye examination, your risk factors will help determine additional testing, such as SD-OCT scans and macular pigment (MPOD) measurements.

How to Treat Small Corneal Abrasions

Patient presented with eye watering, pain, and burning, which occurred after taking out contact lens. Small corneal abrasions without significant loss of epithelial tissue generally heal quickly.

  1. A bandage contact lens is more effective with pain management than opioids and dilation.
  2. Topical antibiotics every 4 hours. Ocuflox, moxifloxacin, Polytrim are good choices.
  3. Artificial tears every 2 hours. These promote epithelial repair and provide relief from discomfort. 
  4. Dilating drops. This can help with inflammation and discomfort. However, as noted above, a bandage contact lens is preferable.

Sources of Blue Light

Digital devices and modern lighting such as LED lights and compact fluorescent lamps (CFL’s) emit a high level of blue light. CFL’s contain about 25% of harmful blue light and LED contain about 35% of harmful blue light.

The highest level of UV exposure is between 10 a.m. and 2 p.m. in the summer and from 8-10 a.m. and 2-4 p.m. in the winter.

It is estimated that by 2021, 90% of all of our light sources are estimated to be LED lighting. So our exposure to blue light is everywhere and only increasing!

Why Measure Corneal Thickness?

Corneal thickness measurements are necessary when monitoring for corneal diseases, such as keratoconus and hereditary conditions such as Fuch’s Dystrophy. If you are interested in Lasik refractive surgery, we have to make sure your corneas are thick enough for a successful outcome. We also use this advanced technology to properly fit specialty contact lenses. Corneal thickness measurements are also valuable for patients who are at risk for glaucoma.

As always, we are committed to providing exceptional and personalized eye care! Call us today at 505-662-9681

How to Prescribe Vertical and Horizontal Prism

I saw a patient who went the local ophthalmologist’s office for eyeglasses. Unfortunately, they were remade a few times, but were never right with complaints of double vision. This prescription was complex, which took extra time, care, and attention that we were able to provide. This patient is “very happy” with our glasses!

3 keys to success: 1. trial frame refraction 2. careful mathematical equations, as described in these articles: how to prescribe prism and prismatic effect and binocular vision 3. careful measurements: using a combination of traditional and automated methods!

Prescribing Horizontal and Vertical Prism

These prescriptions take special time, care, and attention! The ability to accurately prescribe prism also differentiates an optical assistant from a true optician. We recently saw a patient who had glasses remade several times at a local optical shop, with no success!

from Review of Optometry:

Prism can be very useful when treating patients with symptomatic binocular vision disorders, but opinions vary widely about how to best determine the amount to prescribe. Indeed, common methods for determining prismatic prescriptions can result in different magnitudes of recommended prism for the same patient. This lack of consensus, along with rough guidelines and apparently contradictory rules of thumb, may make some clinicians uncomfortable prescribing prism and may even deter them for doing so.

Los Alamos Chamberfest Virtual Street Fair

SHOP, SNAP & SHARE

Tuesday, June 1 through Saturday, June 5

SHOP – @ Chamber businesses or restaurant or shop online

SNAP – a selfie showing the business or the logo while there

SHARE – post your photos with the hashtag

#LosAlamosChamberFest

7 Facts about Blue Light

  1. It’s everywhere, from sunlight to digital display screens.
  2. Your eyes are not very good at blocking it.
  3. It contributes to digital eye strain.
  4. Some exposure to it is essential for good health.
  5. The sky looks blue because of it.
  6. It may increase the risk of macular degeneration and permanent vision loss.
  7. If you’ve had cataract surgery, blue light protection is especially important.

What Happens During Cataract Surgery?

If you have a cataract that is negatively impacting your vision and ability to do your daily activities such as driving and reading, you will be referred out for cataract surgery.

Most of the time is spent in preparation: you eyes will be dilated a few times and local anesthesia applied. The procedure itself takes 4 minutes: it’s over before you know it!

We’ve seen excellent results with Pacific Cataract and Laser Institute.

From All About Vision:

Here are the basic steps in a typical modern cataract surgery:

  1. A small incision is made along the side of the cornea.
  2. A high-frequency ultrasound device or laser is used to carefully break up the cloudy lens into small fragments.
  3. The lens fragments are gently removed from the eye using suction.
  4. After all fragments have been removed, the surgeon inserts the artificial lens securely behind the pupil and the colored part of the eye (iris) in the same location your natural lens occupied.
  5. The incision heals on its own without the need for stitches.
  6. A protective shield is placed over the eye to keep it safe during the early stages of recovery.

If you need surgery in both eyes, your cataract surgeon will typically wait one to three weeks between procedures to give the first eye a chance to heal.

Blue Light Protection Lens Options

With both children and adults spending 8+ hours/day at the computer monitor, blue light protection is more important than ever! We offer a wide range of options, depending on your budget and insurance!
lens options: % of blue light filtered
Blutech: 46%
Essential Blue 20%
Eyezen 20%
Kodak Total Blue 80%
Anti-glare coat 10%

Eyelid Bumps: What To Do?

I have found that heat applied to an eyelid bump is the most effective treatment! You can do this at home with an Ocusoft dry heat mask. Put this in the microwave for 30 seconds, then apply to closed eyelids for 10 minutes. You must do this consistently 3-4x/day. We also offer in office Thermal 1 Touch heat treatment.

Other treatments include: Ocusoft hypochlor spray. Oral antibiotics such as Augmentin or Z-pak. If eyelid bump does not resolve with treatments, a referral to a specialist for excision or steroid injections may be indicated.

from Merck Manual:

Chalazia and hordeola (styes) are sudden-onset localized swellings of the eyelid. A chalazion is caused by noninfectious meibomian gland occlusion, whereas a hordeolum usually is caused by infection. Both conditions initially cause eyelid hyperemia and edema, swelling, and pain. With time, a chalazion becomes a small nontender nodule in the eyelid center, whereas a hordeolum remains painful and localizes to an eyelid margin.

Advantages of Trial Frame Refraction

“The last place kept remaking my glasses, but never got it right.” This is my first clue that it’s time to pull out my trial frame that I got in optometry school. It is used for eyeglass prescriptions that require more time, care, & attention than traditional or automated tests. It is also closer to what you will actually see through your glasses. If you are having problems with your glasses and your vision, please call us today for an appointment! We are accepting new patients: 505-662-9681.

From: EyeRounds.org

You might next ask, why would I use a trial frame, if I have a phoropter?

To answer that question, we have to consider some of the disadvantages of a phoropter.   Those include that the light reflex for retinoscopy may be poorer than with loose lenses.

Additionally, there is decreased light transmission with the phoropter when multiple lenses are used with higher refractive errors.

Eccentric viewing will be difficult to impossible for the patient to use when viewing through a phoropter.

Finally, for those patients with nystagmus, it will be difficult for them to use their null point, when viewing through a phoropter.

In summary, you will want to prescribing a conventional prescription for patients with reduced vision, when the patient sees a qualitative improvement in their vision.  

Additional reasons to prescribe a conventional prescription is to improve vision for intermediate tasks such as writing, sewing, using a video magnifier or a computer.

At Home Eyelid Hygiene

HOME CARE: Did you know that eyelid hygiene can help with tear production and with eyelid inflammation? It can make a big difference with dry eye and preventing styes, infections.

___Warm compresses: apply warm washcloth to the closed eyelids 10 minutes, 2x/day

___Ocusoft Dry Eye Mask: microwave for 20 seconds and apply to clean eyelids for 10 minutes.

___Lid Expression: AFTER warm compresses or Dry Eye Mask, with a slightly damp Q-tip, gently push up, across your entire lower eyelid, with both eyes.

___Ocusoft foam, hypochlor, or Ocusoft lid scrub. Clean your eyelids again.

___Use Retaine MGD artificial tears in the morning and in the evening.

___Eyepromise EZ Tears Omega 3’s Fatty Acids, Vitamin A, D, E, EPA, DHA

___In office Thermal 1 Touch

Trivex vs Polycarbonate

Trivex is a lens option worth paying extra for! LANL Davis offers trivex for $55.

Why? from Lens Materials are Changing:

  1. They have a fun history. Trivex was originally used in helicopter windshields for the military.
  2. They have an incredible ABBE value. 45! Especially when you consider polycarbonate has an ABBE value of 32. Translation: you see better through a Trivex lens due to a lower incidence of chromatic aberration.
  3. They are incredibly light in weight. Trivex has one of the lowest Specific Gravity ratings out there: 1.11. Consider this in comparison to polycarbonate’s rating of 1.22. (Let’s not forget that hi-index materials Specific Gravity ratings range from 1.30 to 1.47—so let’s consider rephrasing the term “thinner, lighter lenses” when referring to hi-index lenses.) Translation: Trivex lenses are lighter in weight for your patient’s comfort.
  4. They are tough. Trivex lenses are incredibly resistant to scratching.
  5. It is a new technology. Trivex lenses were introduced to the market in 2002. Of course we’re in 2014 so these lenses are 12 years old, but compared to plastic and polycarbonate, these lenses are essentially newborns.
  6. They are inherently 100 percent UVA and UVB resistant, and we all know how important it is to protect our patient’s eyes from the dangers of UV radiation.
  7. They have incredible tensile strength. Trivex lenses are not prone to stress fracturing when used in drill mounted or rimless grooved frames due to their high tensile strength.
  8. They are available for 85 percent of prescription ranges. If you think Trivex has limited availability, you’ll want to check into this again.
  9. They are lenses that will set your practice apart. Trivex does not have widespread usage within our industry. (My research shows that only 6.6 percent of lenses ordered today from national laboratories are Trivex.) So if you are telling your patient that you can provide them something they won’t be offered down the street, start talking to them about Trivex.

Want more information about Trivex? Check out their website at www.ppg.com

Causes of Optic Nerve Edema

Papilledema is a true medical emergency indicated by bilateral swelling of the optic nerve due to increased intracranial pressure…Causes of papilledema in the pediatric population may include, but are not limited to, Guillain-Barré syndrome, spina bifida, hydrocephalus, intracranial mass, trauma/subdural hemorrhage, meningitis, subdural venous thrombosis, arteriovenous malformation and idiopathic increase in intracranial pressure.

However, in most cases where optic nerves appear swollen it is not papilledema, but optic disc drusen. Careful photodocumentation and complete examination of visual function and overall health are helpful.

Healthy Body, Healthy Eyes

In our practice, we focus on early prevention and screening for glaucoma. But did you know that macular degeneration is much more prevalent than glaucoma? We have advanced diagnostic technology, such as fundus photography and OCT testing, as well as MPOD testing to assess your risk for and presence of macular degeneration (AMD). Family history is a big factor.

In addition to regular eye examinations, here are tips to prevent this devastating eye disease!

  1. Stop smoking! Smoking and tobacco use is the #1 risk factor for development and progression of AMD.
  2. Protect your eyes from the sun. Just as the sun ages your skin, it also ages your eyes. Wear UV blocking eye glasses to prevent damage from long term sun exposure.
  3. Eat a healthy diet. Nutrients from our foods can protect our eyes from damage. We offer Eyepromise Lutein/Zeaxanthin and EZ Tears Omega 3 supplements at an affordable price. Eat fresh, whole, and unprocessed foods, fruits and vegetables. Eat fatty fish rich in Omega 3 oils at least twice per week (salmon, sardines, and mackerel). Choose whole grain pastas, rice, and bread over their “white” counterparts.
  4. Get regular exercise. Sedentary lifestyle and obesity are linked to increased risk for the development and progression of AMD.
  5. Take control of vascular risk factors, such as high blood pressure, diabetes, and high cholesterol.

Infuse Daily Disposable Contacts!

We are super excited about our new Infuse contact lens fitting set! If you have tried contacts lenses before, and couldn’t wear them due to dryness and discomfort, this could be the lens for you! “This lens balances exceptional moisture, modulus, and breathability to help minimize the impact on the ocular surface and provide excellent comfort.”

**Maintains 96% of its moisture for a full 16 hours

**More comfortable than ever

**Super breathable: helps keep your eye healthy & white!

At Home Eyelid Expression

Did you know that daily eyelid hygiene at home can make a big difference when it comes to dry, red eyes?

Microwave our Ocusoft Dry Eye Mask for 20 seconds and put over your eyes for 10 minutes. Make sure your make-up is removed and your eyelids are clean. With a slightly damp Q-tip, gently push up, across your entire lower eyelid. This works to increase the quality of your tears and oil production and help with dry eye symptoms. Then use Ocusoft foam or hypochlor spray to clean your eyelids again.

Check out this great video!

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