LIVING WITH GLAUCOMA Volume 29, Number 1
|
|
- Daniella Richards
- 7 years ago
- Views:
Transcription
1 LIVING WITH GLAUCOMA Volume 29, Number 1 Fall 2014 DECODING THE VISUAL FIELD AND OTHER GLAUCOMA CONCERNS Dr. Daniel Laroche opened his address on September 20, 2014 at the Glaucoma Support group by complimenting the members on learning as much as they can about glaucoma in order to better handle this disease. He also referred to the educational videos available for purchase on the net produced by the American Academy of Ophthalmology and other organizations. Actually, we have scheduled such a video for one of our workshops. Dr. Laroche added that he provides I- Pads in his waiting room that inform patients about glaucoma and various eye diseases and their associated problems. Instruction on daily activities as instilling eyedrops are is also included. The videos run not more than 5 to 10 minutes. Assessing the visual field arouses anticipatory dread in many glaucoma patients. Not because it is called a test, although some of us shudder at the word test but because the results tell us whether glaucoma has progressed. I only know of one person who enjoyed the visual field. My husband with 20/ This newsletter is published by The Glaucoma Support and Education Group in participation with The Glaucoma Foundation 1
2 vision was tested for a retinal problem. He found it to be an interesting game. Glaucoma, of course, is no game. It is optic neuropathy characterized by optic nerve excavation called cupping. Most often it is associated with elevated pressure. As well, it can also be associated with decreased blood flow to the optic nerve. Preventing visual field loss in glaucoma patients is treated by lowering the intraocular pressure and by preserving good blood flow to the eye. The visual field was described by Traquair over a hundred years ago who called it an island of vision surrounded by a sea of blindness. Vision is limited to a window in front of the eye, a precious feature of the body that we need to try to preserve especially when glaucoma enters into the equation. Each eye, when intact, possesses 60 degrees above 60 degrees nasally 75 degrees below and 110 degrees wide from temporally. PERIMETRY: This is another name for a visual field. It involves a critical assessment of the visual field. There are generally two types of instruments used for this purpose. One, that is automated, the Humphrey Visual Field test is called a static test. The target is stationary and increases in light intensity from below threshold until you perceive it. To take the test you enter a darkened room, sit down and place your chin on a chin rest located in the outer center of a half dome. A series of lights are projected on the screen. This test is familiar to people who have glaucoma. Another option is the Goldmann Visual Field. This is called a kinetic test and it is administered by a technician who can ask you questions about whether or not you see the stimulus as it is bought in from the outside the field and is brought closer to the center until you indicate that see it. 2
3 Everyone s visual field possesses a blind spot that s located 15 degrees of central fixation. It is the place where the optic nerve inserts into the eye. On a visual field test this blind spot registers as a black spot. TAKING THE TEST: It is very important to be rested and focused for the test and position yourself properly. You will be sitting in the chair for at least a half hour and you will want to be as comfortable as possible. The technician administering the test who also should be present while you re taking it will see to it that you are sitting properly and are comfortable with the chin rest. If you become fatigued the technician can stop the test to give you a few moments rest, or on some machines, you can hold down the buzzer and it will stop the test for a few moments. You need to refrain from searching for the stimulus for that will make the test invalid that is described as fixation losses. Generally, the technician can see this action and corrects your lapse. Your untested eye should have a patch covering it to prevent interference with the eye being tested. The reading correction needs to be centrally placed and conform to your prescription. These are all important features to make sure your visual field reflects your best possible vision. Early glaucoma s visual field changes can present in different ways such as a generalized depression in the visual field, a slow concentric contraction of the visual field, an enlargement of the blind spot, a paracentral scotoma next to the area of central vision, (a rare challenging condition), or a nasal step. Some glaucomatous visual fields have an arcuate scotoma, an arc-shaped blind spot in the visual field caused by nerve fiber 3
4 layer damage in the retina. Temporal Islands and Central Islands indicate advanced glaucoma. Optic nerve damage precedes visual field loss. So in addition to learning the health of your visual field, you want to know about the health of your optic nerve. Here is where it is important to ask your ophthalmologist for an explanation of your condition. Other tests are available to measure vision loss. These consist of color vision, contrast sensitivity, electro- physiological assessment, frequency doubling perimetry, but the gold standard is the Humphrey Visual Field. Results of a visual field test are entered into a normative database and compared with a standard comprised of similar age individuals. The Humphrey uses a white- on- white screen, but other forms exist such as blue on yellow. The latter actually is best to help pick up earlier vision loss. When you initially take a visual field, your initial one may not be fully reliable but upon repeated tests your score improves. This is attributed to a learning curve, confirmed by studies. Repeated visual fields will be necessary to establish a baseline and to determine whether or not there is progression. The mean intraocular pressure in the general normal population registers 15mmHg. The mean intraocular pressure of a person with glaucoma charts about 18. But these are general readings. For those with advanced glaucoma doctors now attempt to bring pressures closer to 12. But each individual is treated uniquely. Corneal thickness may also help determine 4
5 what the pressure should be. People with thinner corneas may need a lower intraocular pressure. In examining a patient s eye the doctor checks to rule out other causes of visual field loss such as a retinal detachment. It is possible to examine the optic nerve in the doctor s office. Examination of the rim will reveal whether it is thin, a cause for concern or thick signifying health of the nerve. The nerve contains sets of fibers. The inferior fibers control the superior visual field, and the superior fibers control the inferior visual field. Basically your doctor assesses the entire condition of the nerve when the eye is dilated. THE Visual field PRINTOUT The printout identifies the patient s name and the date of the test and it contains information about the condition of your eye. When you look at the printout you want to be able to know which eye you re looking at. The blind spot on the right side is the right eye. The blind spot on the left side is the left eye. Initially, your doctor decides on the format that is best for you. There are three available options for the display on the screen. Generally, for glaucoma patients the setting is 24-2; If your doctor wishes to expand the range to a larger visual field, the setting can be increased to 30-2; for a central focused visual field where there is a great deal of peripheral depression, the setting can be reduced to The stimulus size, refraction, pupil width are also noted. Refraction may need to be performed to determine the lens needed for your visual field test. The size of your pupil also makes a difference in performance. There is a class of medications such as pilocarpine that constricts the pupil. Should this be so, your pupil will be 5
6 smaller than average and your doctor may then use a medication to dilate the pupil before the test is administered. The pupil should be at least 3 or 4 millimeters in width in order to do a valid test. If it is impossible to expand your pupil, the test results of the visual field will be depressed. Conditions such as a cataract can worsen the visual field. A large cataract will affect your performance on the Humphrey. A stroke can also affect the visual field. This is why your glaucoma doctor and your general practitioner should be in touch with each other for physical limitations may skew the results of the visual field. Test Reliability. Should you be confused about what you re seeing and randomly press the button in the hope that you ll hit some of the targets, the machine will out you and the test will be designated as unreliable. This doesn t mean that you re unreliable but it does mean that taking the test presents problems for you. There are a number of terms to describe your performance and the condition of your eye. False positive indicates an unreliable test. The machine retests a previously observed location using a much brighter stimulus. If you do not respond, perhaps because of fatigue or you just plain don t see it, the machine will register this as a False Positive. False Negative you do not respond to a stimulus that you should be able to see. With worsening vision the number of false negatives increases. Fixation loss: This is an important part of the visual field test. You must be able to fixate on the center dot. When you deviate and your eye starts to wander around, what you see 6
7 becomes invalid. It is tempting to search for the stimulus. Resist it for you may then need to repeat the test. You re instructed to look straight at the center dot. If your eye searches for the stimulus the machine will pick that up and register it as a fixation loss. MD stands for Mean Deviation: Essentially this is an overview. The numbers listed represent how many decibels your vision deviates from the norm. It is also an indicator of whether your vision is stable or progressing. There are a number of other terms that designate features in the visual field including but not limited to: A nasal step, paracentral defect, superior altitudinal defect is the loss of all or part of the superior half or the inferior half of the visual field. Superior Arcuate Defects- - arc shaped defects in the superior part of the eye. LIMITATIONS OF AUTOMATED PERIMETRY: Some patients just cannot do a visual field for a number of reasons. They may have a form of dementia and concentration is Impossible. Some patients spend well over 30 minutes on each eye. Extended time can lead to worsening of the field by about 4 decibels. Other difficulties include high fixation losses, false positives and false negatives. Should the losses be over 10 percent, the resulting visual field will not be counted as reliable. Assessment in this case needs to be re- evaluated.. RATE OF PROGRESSION: The machine also identifies rates of progression. Naturally, we hope that progression will be slow and we want to keep it that way. Should a patient s progression 7
8 move quickly, the doctor will do everything possible to maintain vision during the patient s lifetime. Visual Field Index, VFI. A normal visual field is scored at 100; a blind visual field is scored 0%. Your visual field index is scored along this spectrum. The GPA, the Glaucoma Progression Analysis is based on the analysis of standard deviation whereas the Visual Field Index can complement this. Visual Evoked Potential VFP and Pattern ERG are new technologies. They look at the visual pathway comprising the eyeball, the retinal ganglion cells and the visual center in the brain. It can pick up glaucoma earlier before visual field loss and unlike the Humphrey does not require patient participation. BLOOD FLOW: Certainly it would be good to be able to measure blood pressure to the eye, but, unfortunately, this technology is not commercially available. Again expense is an issue. Nevertheless, by reducing the eye pressure, blood flow to the eye is improved. The machines equipped to measure blood flow comprise part of laboratory equipment. COMPOSITION OF THE OPTIC NERVE: The optic nerve is composed of a variety of cells that include retinal ganglion cells, bipolar cells and other cells that contribute to your vision. The optic nerve is still being explored by scientists. It is one of the most sensitive and complicated features of the human body. We do know that glaucoma impacts on the retinal ganglion cells and that the optic nerve is a conduit of signals to the visual cortex that controls what you see. BLOOD PRESSURE AND EYE PRESSURE: There have been many studies exploring the relationship. The latest consensus 8
9 reveals that high blood pressure doesn t contribute as much to glaucoma but low blood pressure does. On the other hand uncontrolled high blood pressures can cause vascular events such as vein occlusions that can adversely affect the eye. Bottom line- - blood pressure should be neither too low nor too high. It should range in the neighborhood of 120/80. Diastolic pressure below 60 is too low. RECORD KEEPING: You are entitled to a copy of your records from your doctor. Should you switch doctors, you can save time by handing over copies to your new doctor. A NOTE ABOUT YOUR SLEEPING POSITION. Some patients sleep on an eye and/or a fist. This position can drive eye pressure as high as 50. If someone is sleeping on their eye they should protect it with a shield. Also sleeping at a 45% angle reduces night time pressure elevation that may occur from certain sleeping positions. In summary, through the use of new types of electronic devices that are objective and that will become more and more readily available for diagnosis of function the state of glaucoma treatment and prevention of loss will be enhanced. In the meantime your eye pressure and visual fields are still the tools that your doctor will be using to assess progression Furthermore,, research is ongoing to find more effective treatment and screening of glaucoma conditions. And as we all know medications and surgery still remain the means for vision preservation. 9
10 Your job is to be compliant following your doctor s orders. Diet is important. Salads, vegetables especially the deep green vegetables, fruit in moderation. If your appetite is poor, or you re sick or have other conditions, supplement with vitamins. Regular exercise is very important especially walking. What could be easier? We want to thank Dr. Laroche for his detailed and thoughtful lecture, and we want to especially thank him for responding to the concerns of the group present at this meeting. Please note: The contents of this newsletter are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. ====================================================== Editor: Edith Marks Associate Editor: Janice Ewenstein Production/Mailing: Ann Bially, Linda Flood, Susan Genis, Elaine Paris, Grace Pellicano, Robin Smith, and other glaucoma patient volunteers. 10
NEW HOPE AND CURE FOR GLAUCOMA TREATMENT Although the tools for glaucoma care have become more sophisticated and advanced over the past two decades,
NEW HOPE AND CURE FOR GLAUCOMA TREATMENT Although the tools for glaucoma care have become more sophisticated and advanced over the past two decades, the goal of cure is still beyond our reach, despite
More informationFINANCIAL DISCLOSURE. Visual Field Interpretation VISUAL FIELD INTERPRETATION IN GLAUCOMA
VISUAL FIELD INTERPRETATION IN GLAUCOMA Danica J. Marrelli, OD, FAAO University of Houston College of Optometry FINANCIAL DISCLOSURE In the past, I have received consulting or speaking fees from Carl Zeiss
More informationJournal of Ophthalmic Medical Technology
Journal of Ophthalmic Medical Technology Volume 2, Number 2 June 2006 www.jomtonline.com Understanding Visual Fields, Part I; Goldmann Perimetry Inci Dersu, MD, Michael N. Wiggins, MD, Anne Luther, RN,
More informationUnderstanding Visual Fields, Part III; Which Field Should Be Performed?
Journal of Ophthalmic Medical Technology Volume 3, Number 1 February 2007 www.jomtonline.com Understanding Visual Fields, Part III; Which Field Should Be Performed? Michael N. Wiggins, MD and Inci Dersu,
More informationTHE EYES IN MARFAN SYNDROME
THE EYES IN MARFAN SYNDROME Marfan syndrome and some related disorders can affect the eyes in many ways, causing dislocated lenses and other eye problems that can affect your sight. Except for dislocated
More informationDescemet s Stripping Endothelial Keratoplasty (DSEK)
Descemet s Stripping Endothelial Keratoplasty (DSEK) Your doctor has decided that you will benefit from a corneal transplant operation. This handout will explain your options to you. It explains the differences
More informationGLAUCOMA. American Academy of Ophthalmology
GLAUCOMA American Academy of Ophthalmology What is glaucoma? Glaucoma is a disease of the optic nerve, which is the part of the eye that carries the images we see to the brain. The optic nerve is made
More informationColor Vision Defects - Color Blindness
Color Vision Defects - Color Blindness Introduction A color vision defect causes a person to see colors differently than most people. Color vision defects are sometimes called color blindness. There are
More informationLASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK?
2014 2015 LASIK What is LASIK? LASIK (laser in situ keratomileusis) is a type of refractive surgery. This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive
More informationCataracts. Cataract and Primary Eye Care Service...215-928-3041. Main Number...215-928-3000. Physician Referral...1-877-AT-WILLS 1-877-289-4557
Main Number...215-928-3000 Physician Referral...1-877-AT-WILLS 1-877-289-4557 Emergency Service...215-503-8080 Cataract and Primary Eye Care Service...215-928-3041 Retina Service... 215-928-3300 Cataract
More informationAlexandria Fairfax Sterling Leesburg 703-931-9100 703-573-8080 703-430-4400 703-858-3170
DIABETIC RETINOPATHY www.theeyecenter.com This pamphlet has been written to help people with diabetic retinopathy and their families and friends better understand the disease. It describes the cause, symptoms,
More informationIMAGE ASSISTANT: OPHTHALMOLOGY
IMAGE ASSISTANT: OPHTHALMOLOGY Summary: The Image Assistant has been developed to provide medical doctors with a software tool to search, display, edit and use medical illustrations of their own specialty,
More informationRefractive errors are caused by an imperfectly shaped eyeball, cornea or lens, and are of three basic types:
Tips on Lasik Eye Surgery If you re tired of wearing glasses or contact lenses, you may be considering Lasik eye surgery one of the newest procedures to correct vision problems. Before you sign up for
More informationLASER VISION CORRECTION SURGERY A GUIDE FOR PATIENTS. Professional care for your eye health
LASER VISION CORRECTION SURGERY A GUIDE FOR PATIENTS Professional care for your eye health Contents About Dr John Males... 1 COMMON QUESTIONS How does an eye work?... 2 What is Myopia (short sightedness)...
More informationHow To Know If You Can See Without Glasses Or Contact Lense After Lasik
The LASIK experience I WHO CAN HAVE LASIK? To be eligible for LASIK you should be at least 21 years of age, have healthy eyes and be in good general health. Your vision should not have deteriorated significantly
More informationMaking Vision a Health Priority. Speaker s Guide
Making Vision a Health Priority Speaker s Guide SLIDE 1 Introduction of the speaker. The purpose of this presentation is to provide information about vision changes that can occur with age and to talk
More informationHearing and Vision Program. Public Health Muskegon County
Hearing and Vision Program Public Health Muskegon County H&V Screening: Two of the Required Public Health Services in Michigan The Hearing and Vision programs are required by the Michigan Public Health
More informationGlenn B. Cook, M.D., Ph.D. DIPLOMATE AMERICAN BOARD OF OPHTHALMOLOGY Coronado Eye Associates
Glenn B. Cook, M.D., Ph.D. INFORMED CONSENT FOR CATARACT OPERATION AND/OR IMPLANTATION OF INTRAOCULAR LENS INTRODUCTION: RIGHT / LEFT This information is given to you so that you can make an informed decision
More informationVision Glossary of Terms
Vision Glossary of Terms EYE EXAMINATION PROCEDURES Eyeglass Examinations: The standard examination procedure for a patient who wants to wear eyeglasses includes at least the following: Case history; reason
More informationThere may be no symptoms at first. Eye problems can. You can help prevent eye problems. Just because you have
Keeping your eyes healthy when you have diabetes Oregon Diabetes Resource Bank Handouts to help people with diabetes If you have diabetes, here are things you need to know: 1 2 3 Having diabetes makes
More informationKeeping Your Eyes Healthy after Treatment for Childhood Cancer
Keeping Your Eyes Healthy after Treatment for Childhood Cancer High doses of radiation to the brain, eye, or eye socket (orbit) during treatment for childhood cancer can have a long-lasting affect on the
More informationEye Diseases. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com otf30101 Last reviewed: 05/21/2014 1
Eye Diseases Introduction Some eye problems are minor and fleeting. But some lead to a permanent loss of vision. There are many diseases that can affect the eyes. The symptoms of eye diseases vary widely,
More informationNational AMD & Low Vision Awareness Month- February 2016. Dr. Karuna Milind. Wellness Dept., Health India TPA.
National AMD & Low Vision Awareness Month- February 2016. Dr. Karuna Milind. Wellness Dept., Health India TPA. February is National AMD and Low Vision Awareness Month. Age-related macular degeneration
More informationUnderstanding posterior vitreous detachment
Understanding posterior vitreous detachment About posterior vitreous detachment Causes of PVD Symptoms and diagnosis Treatment PVD and other eye conditions Coping Useful contacts About posterior vitreous
More informationCerebral Palsy and Visual Impairment
CP Factsheet Cerebral Palsy and Visual Impairment Although cerebral palsy mainly causes difficulty with movement, other conditions may also occur. This is because other parts of the brain may also be affected
More informationWHAT IS A CATARACT, AND HOW IS IT TREATED?
4089 TAMIAMI TRAIL NORTH SUITE A103 NAPLES, FL 34103 TELEPHONE (239) 262-2020 FAX (239) 435-1084 DOES THE PATIENT NEED OR WANT A TRANSLATOR, INTERPRETOR OR READER? YES NO TO THE PATIENT: You have the right,
More informationLIVING WITH GLAUCOMA Volume 28, Number 1 Winter 2013
LIVING WITH GLAUCOMA Volume 28, Number 1 Winter 2013 THE POWER OF LIGHT LASER TREATMENT FOR THE EYE Early in my glaucoma an astonishing treatment was recommended. My ophthalmologist told me about a new
More informationTucson Eye Care, PC. Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens
Tucson Eye Care, PC Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is provided so that you may make an informed decision about having eye
More information11/11/2015. Glaucoma: Diagnosis and Treatment. Financial disclosures. Glaucoma: the problem. Joshua J. Ney, M.D. No disclosures to report
Glaucoma: Diagnosis and Treatment Joshua J. Ney, M.D. No disclosures to report Financial disclosures Glaucoma: the problem Glaucoma is second most common cause of blindness worldwide 7 million people are
More informationEye Injuries. The Eyes The eyes are sophisticated organs. They collect light and focus it on the back of the eye, allowing us to see.
Eye Injuries Introduction The design of your face helps protect your eyes from injury. But injuries can still damage your eyes. Sometimes injuries are severe enough that you could lose your vision. Most
More informationPATIENT INFORMATION BOOKLET
(060110) VISIONCARE S IMPLANTABLE MINIATURE TELESCOPE ( BY DR. ISAAC LIPSHITZ ) AN INTRAOCULAR TELESCOPE FOR TREATING SEVERE TO PROFOUND VISION IMPAIRMENT DUE TO BILATERAL END-STAGE AGE-RELATED MACULAR
More informationThe cataract laser technology of tomorrow is here for you today.
The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options Thanks to new advancements, this is a great time to have cataract surgery Laser
More informationConsumer s Guide to Choosing Your Refractive Surgeon
Consumer s Guide to Choosing Your Refractive Surgeon Refractive Surgical Center 100 Meridian Centre, Suite 125, Rochester, NY 14618 585-273-2020 www.strongvision.urmc.edu There are many things to consider
More informationOptic Disc Drusen. Normal Enlarged view of Optic Disc. Lumpy Appearance of Optic Disc. Optic Disc Drusen With Drusen
Optic Disc Drusen Your doctor has diagnosed you with optic disc drusen. Optic disc drusen are abnormal deposits of protein-like material in the optic disc the front part of the optic nerve. We do not know
More informationPatient s Guide to Choosing Your Refractive Surgeon
Patient s Guide to Choosing Your Refractive Surgeon LASIK & Advanced Vision Correction 100 Meridian Centre, Suite 125, Rochester, NY 14618 There are many things to consider when looking for a doctor to
More informationMarketing Samples Medical Optometry
Marketing Samples Medical Optometry Intended Use The purpose of this marketing sample packet is to provide examples of the ways your practice can implement text for newsletters, emails or letters, on-hold
More informationThyroid Eye Disease. Anatomy: There are 6 muscles that move your eye.
Thyroid Eye Disease Your doctor thinks you have thyroid orbitopathy. This is an autoimmune condition where your body's immune system is producing factors that stimulate enlargement of the muscles that
More informationSeeing Beyond the Symptoms
Seeing Beyond the Symptoms Cataracts are one of the leading causes of vision impairment in the United States. 1 However, because cataracts form slowly and over a long period of time, many people suffer
More informationOregon Eye Specialists, PC YOUR GUIDE CATARACT SURGERY. Improving VISION. Improving LIFE.
Oregon Eye Specialists, PC YOUR GUIDE TO CATARACT SURGERY Dinelli M. Monson, M.D. Comprehensive Ophthalmology Physician and Surgeon Tualatin Clinic: 19250 SW 65 th Ave, Ste 215 503.692.3630 Newberg Clinic:
More informationALTERNATIVES TO LASIK
EYE PHYSICIANS OF NORTH HOUSTON 845 FM 1960 WEST, SUITE 101, Houston, TX 77090 Office: 281 893 1760 Fax: 281 893 4037 INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) INTRODUCTION This information
More informationReLEx smile Minimally invasive vision correction Information for patients
ReLEx smile Minimally invasive vision correction Information for patients Seeing is living Our eyes are our most important sensory organ. The human brain obtains over 80 % of its information via the sense
More informationYour Prescription for a New Beginning
Your Prescription for a New Beginning Now is the time to stop letting poor vision stand in between you and life's most meaningful moments. Surgeons at TLC Laser Eye Centers specialize in the latest vision
More informationEXPANDING YOUR HORIZONS
Glaucoma Therapy EXPANDING YOUR HORIZONS Learn how to control glaucoma with SLT therapy. SLTPATIENT EDUCATION PROGRAM Glaucoma Glaucoma is a degenerative disease that if left untreated can cause permanent
More informationMeasure of Confidence. Glaucoma Module Premium Edition
Measure of Confidence Glaucoma Module Premium Edition The Changing Face of Glaucoma Practice Literature 1 Leske et al., Arch Ophthalmol 1997; 115:1051-1057 2 Doughty et al., Surv Ophthalmol 2000; 44:367-408
More informationINFORMED CONSENT TO HAVE LASIK
A Division of Scott & Christie and Associates INFORMED CONSENT TO HAVE LASIK This information is to help you make an informed decision about having Laser Assisted Intrastromal Keratomileusis (LASIK), an
More informationThe Eye Care Center of New Jersey 108 Broughton Avenue Bloomfield, NJ 07003
The Eye Care Center of New Jersey 108 Broughton Avenue Bloomfield, NJ 07003 Dear Patient, Welcome to The Eye Care Center of New Jersey! It means a great deal to us that you have chosen us to serve as your
More informationThe Clinic You see - at Sjonlag Eye Center, we care about your eyes
The Clinic You see - at Sjonlag Eye Center, we care about your eyes Welcome to Sjonlag Eye Center, a total refractive surgery center. Established in 2001, the Center has grown into a fully staffed eye
More informationThe light. Light (normally spreads out straight... ... and into all directions. Refraction of light
The light Light (normally spreads out straight...... and into all directions. Refraction of light But when a light ray passes from air into glas or water (or another transparent medium), it gets refracted
More informationSome of the ophthalmic surgeries performed at the DMV Center.
Some of the ophthalmic surgeries performed at the DMV Center. This document presents some types of the surgeries performed by the ophthalmology service at the DMV veterinary center as well as the equipment
More informationINFORMED CONSENT FOR PHAKIC IMPLANT SURGERY
INFORMED CONSENT FOR PHAKIC IMPLANT SURGERY INTRODUCTION This information is being provided to you so that you can make an informed decision about having eye surgery to reduce or eliminate your nearsightedness.
More informationHelp maintain homeostasis by capturing stimuli from the external environment and relaying them to the brain for processing.
The Sense Organs... (page 409) Help maintain homeostasis by capturing stimuli from the external environment and relaying them to the brain for processing. Ex. Eye structure - protected by bony ridges and
More informationKensington Eye Center 4701 Randolph Road, #G-2 Rockville, MD 20852 (301) 881-5701 www.keceyes.com
Kensington Eye Center 4701 Randolph Road, #G-2 Rockville, MD 20852 (301) 881-5701 www.keceyes.com Natasha L. Herz, MD INFORMED CONSENT FOR DESCEMET S STRIPPING and AUTOMATED ENDOTHELIAL KERATOPLASTY (DSAEK)
More informationWhich eye conditions can avastin injections be used for?
What is avastin? Avastin is a drug that is licensed for the treatment of a certain type of colorectal cancer but can also be used to treat certain eye conditions by being injected into the eye. Although
More informationTHE EYE INSTITUTE. Dear Patient:
THE EYE INSTITUTE Eye Associates of Wayne P.A. 968 Hamburg Turnpike Wayne, NJ 07470 p. 973-696-0300 f. 973-696-0464 Eye Institute North, LLC 5677 Berkshire Valley Rd. Oak Ridge, NJ 07438 p. 973-208-0600
More informationThe Nurse/Technician Role Within the Emerging Ophthalmic Technology - OCTs/B-Scan
The Nurse/Technician Role Within the Emerging Ophthalmic Technology - OCTs/B-Scan Margie V. Wilson, COMT Chief Clinical Supervisor UCSD Shiley Eye Center Thanks, Carol! Unfortunately. I have not financial
More informationVitreo-Retinal and Macular Degeneration Frequently Asked Questions
Vitreo-Retinal and Macular Degeneration Frequently Asked Questions What is a Vitreo-Retinal specialist? Retinal specialists are eye physicians and surgeons who focus on diseases in the back of the eye
More informationPhysical and Mental Conditions Guidelines VISION CONDITIONS AND ACTIONS Page 5.4
Physical and Mental Conditions Guidelines VISION CONDITIONS AND ACTIONS Page 5.4 AMBLYOPIA (Lazy Eye) A reduction in the acuteness of vision without apparent eye disease. This condition cannot be entirely
More informationCortical Visual Impairment An introduction
Cortical Visual Impairment An introduction This is a general introduction to Cortical Visual Impairment intended for families and support workers who may live with or support children and adults with learning
More informationLaser Procedure Note
Laser Procedure Note Patient Name Date 1. Pre procedure diagnosis 2. Procedure and Eye Eye: 3. Pre procedure topical medications administered (and time) 4. Vital signs BP / HR Acuity OD: OS: 5. IOP: OD
More informationPatient Information Cataract surgery
Patient Information Cataract surgery Introduction This leaflet has been written to help you understand more about surgery for a cataract. It explains what the operation involves, the benefits and risks
More informationRecovering. www.silversteineyecenters.com
Recovering from Vision Surgery www.silversteineyecenters.com Whether you are considering LASIK or PRK surgery to correct your vision, or you re thinking about lens implants to rid yourself of cataracts,
More informationYour one stop vision centre Our ophthalmic centre offers comprehensive eye management, which includes medical,
sight see OLYMPIA EYE & LASER CENTRE Your one stop vision centre Our ophthalmic centre offers comprehensive eye management, which includes medical, At the Olympia Eye & Laser Centre, our vision is to improve
More informationTHE PRAKASAM DISTRICT DIABETES PREVENTION PROGRAM. Booklet on Diabetes. Supported by World Diabetes Foundation
THE PRAKASAM DISTRICT DIABETES PREVENTION PROGRAM Booklet on Diabetes Supported by World Diabetes Foundation Implemented by International Center for Advancement of Rural Eye Care (ICARE) L V Prasad Eye
More informationEye Tracking Instructions
Eye Tracking Instructions [1] Check to make sure that the eye tracker is properly connected and plugged in. Plug in the eye tracker power adaptor (the green light should be on. Make sure that the yellow
More informationTHE EYES IN CHARGE: FOR THE OPHTHALMOLOGIST Roberta A. Pagon, M.D. Division of Medical Genetics, CH-25, Children's Hospital /Medical Center, Box C5371, Seattle, WA 98105-0371 bpagon@u.washington.edu (206)
More informationSurgical Solutions for Enhancing Your Vision SURGICAL SOLUTIONS FOR ENHANCING YOUR VISION. www.silversteineyecenters.com 1
Surgical Solutions for Enhancing Your Vision SURGICAL SOLUTIONS FOR ENHANCING YOUR VISION www.silversteineyecenters.com 1 Introduction Types and Causes of Vision Impairment Laser Surgery for Refractive
More informationThe cataract laser technology of tomorrow is here for you today.
The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options See better. Live better. Thanks to new advancements, this is a great time to have
More informationCalifornia Treasures High-Frequency Words Scope and Sequence K-3
California Treasures High-Frequency Words Scope and Sequence K-3 Words were selected using the following established frequency lists: (1) Dolch 220 (2) Fry 100 (3) American Heritage Top 150 Words in English
More informationLOCSU Enhanced Services
LOCSU Enhanced Services Glaucoma Repeat Readings & OHT Monitoring Enhanced Service Pathway Issued by Local Optical Committee Support Unit May 2009 [Revised June 2012] Contents Page Executive Summary...
More informationLASIK What is LASIK? Am I a good candidate for LASIK? What happens before surgery? How is LASIK done?
LASIK What is LASIK? Laser assisted in situ keratomileusis, or LASIK, is an outpatient surgical procedure used to treat myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. With LASIK,
More informationGuide to Eye Surgery and Eye-related Claims
If you or a loved one have suffered because of a negligent error during eye treatment or surgery, you may be worried about how you will manage in the future, particularly if your eyesight has been made
More informationVisual Acuity, Impairments and Vision Insurance Plan Provisions. Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718
Visual Acuity, Impairments and Vision Insurance Plan Provisions Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718 How Vision Works Light passes through the cornea & lens Light
More informationVISION FOR YOUR LIFE
VISION FOR YOUR LIFE It s no secret why Carolina Eyecare Physicians has grown so tremendously over the past 20 years. We combine the very best in modern high-tech eye care with the old-fashioned human
More informationSHEEP EYE DISSECTION PROCEDURES
SHEEP EYE DISSECTION PROCEDURES The anatomy of the human eye can be better shown and understood by the actual dissection of an eye. One eye of choice for dissection, that closely resembles the human eye,
More informationDr. Booth received his medical degree from the University of California: San Diego and his bachelor of science from Stanford University.
We've developed this handbook to help our patients become better informed about the entire process of laser vision correction. We hope you find it helpful and informative. Dr. Booth received his medical
More informationPreventing & Managing Complications of Diabetes
Preventing & Managing Complications of Diabetes Target Audience: Persons with diabetes and family members Objectives: Participants will be able to: 1. identify the complications associated with diabetes
More informationLaser Treatment for Proliferative Diabetic Retinopathy (PDR) Pan Retinal Photocoagulation (PRP)
Laser Treatment for Proliferative Diabetic Retinopathy (PDR) Pan Retinal Photocoagulation (PRP) Ophthalmology Department Page 12 Patient Information Further Information We endeavour to provide an excellent
More informationBascom Palmer Eye Institute. LASIK and Your Vision Correction
Bascom Palmer Eye Institute LASIK and Your Vision Correction For Many Patients, the Wait is Over The Vision Correction Center at Bascom Palmer For many patients who want to see near, far and everywhere
More informationTHE EYE INSTITUTE. Eye Associates of Wayne P.A. 968 Hamburg Turnpike Wayne, NJ 07470 p. 973-696-0300 f. 973-696-0465
THE EYE INSTITUTE Eye Associates of Wayne P.A. 968 Hamburg Turnpike Wayne, NJ 07470 p. 973-696-0300 f. 973-696-0465 Dear Patient: Welcome to the Eye Institute. Our mission is to provide you with the highest
More informationBSM Connection elearning Course
BSM Connection elearning Course Scope of the Eye Care Practice 2008, BSM Consulting All Rights Reserved. Table of Contents OVERVIEW...1 THREE O S IN EYE CARE...1 ROUTINE VS. MEDICAL EXAMS...2 CONTACT LENSES/GLASSES...2
More information2) A convex lens is known as a diverging lens and a concave lens is known as a converging lens. Answer: FALSE Diff: 1 Var: 1 Page Ref: Sec.
Physics for Scientists and Engineers, 4e (Giancoli) Chapter 33 Lenses and Optical Instruments 33.1 Conceptual Questions 1) State how to draw the three rays for finding the image position due to a thin
More informationGlaucoma. OET: Reading Part A. Reading Sub-test. Complete the following summary using the information in the four texts provided.
Glaucoma Reading Sub-test TIME LIMIT: 15 MINUTES Complete the following summary using the information in the four texts provided. You do not need to read each text from beginning to end to complete the
More informationEye Surgery PROCEDURAL CONSENT FORM
The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v5.00-06/2011 SW9441 Facility: A. Interpreter
More informationrefractive surgery a closer look
2011-2012 refractive surgery a closer look How the eye works Light rays enter the eye through the clear cornea, pupil and lens. These light rays are focused directly onto the retina, the light-sensitive
More informationRefractive Surgery. Common Refractive Errors
Refractive Surgery Over the last 25 years developments in medical technology and Refractive Surgery allow almost all need for glasses and contact lenses to be eliminated. Currently there are a number of
More informationKORNMEHL LASER EYE ASSOCIATES
FREQUENTLY ASKED QUESTIONS regarding the KAMRA inlay procedure WHAT IS PRESBYOPIA? The lens in your eye is stretchy and flexible. With time the lens stiffens. As a result it can no longer bend into the
More informationPERIOCULAR (SUBTENON) STEROID INJECTION ERIC S. MANN M.D.,Ph.D.
PERIOCULAR (SUBTENON) STEROID INJECTION ERIC S. MANN M.D.,Ph.D. A. INDICATIONS: Periocular steroid injection involves placement of steroid around the eye to treat intraocular inflammation or swelling of
More informationINFORMED CONSENT FOR PHAKIC LENS IMPLANT SURGERY
INTRODUCTION INFORMED CONSENT FOR PHAKIC LENS IMPLANT SURGERY This information is being provided to you so that you can make an informed decision about having eye surgery to reduce or eliminate your nearsightedness.
More informationLIGHT SECTION 6-REFRACTION-BENDING LIGHT From Hands on Science by Linda Poore, 2003.
LIGHT SECTION 6-REFRACTION-BENDING LIGHT From Hands on Science by Linda Poore, 2003. STANDARDS: Students know an object is seen when light traveling from an object enters our eye. Students will differentiate
More informationExcimer Laser Refractive Surgery
Excimer Laser Refractive Surgery In the field of ophthalmology has achieved great technological advances and, undoubtedly, the most representative have focused on refractive surgery, which aims to eliminate
More informationCataract Testing. What a Patient undergoes prior to surgery
Cataract Testing What a Patient undergoes prior to surgery FINANCIAL DISCLOSURE I have no financial interest or relationships to disclose What do most Technicians find to be the most mundane yet very important
More informationLASIK. Cornea. Iris. Vitreous
LASIK Introduction LASIK surgery is a procedure that improves vision and can decrease or eliminate the need for eyeglasses or contact lenses. If you and your doctor decide that LASIK surgery is right for
More informationYCATARACTSURGER ACTSURGERYCATAR
YCATARACTSURGER ACTSURGERYCATAR What is a Cataract? A cataract is a clouding or opacity of the lens of the eye. In order to understand about a cataract and its effect on vision, it is important to understand
More informationENHANCING YOUR WEBCAST EXPERIENCE
LITE PAPER ENHANCING YOUR WEBCAST EXPERIENCE INTRODUCTION LIGHTS, CAMERA ACTION! When you begin to plan for your webcast presentation it is important to keep in mind the technical requirements, location
More informationSMILE SURGERY A GUIDE FOR PATIENTS. Professional care for your eye health
SMILE SURGERY A GUIDE FOR PATIENTS Professional care for your eye health Contents About Dr John Males... 1 Our Commitment to Our Patients... 2 COMMON QUESTIONS How Does an Eye Work?... 3 What is Myopia
More informationCOW S EYE dissection. Dissecting a Cow s Eye Step-by-Step Instructions. Safety first!
COW S EYE dissection Dissecting a Cow s Eye Step-by-Step Instructions One way to figure out how something works is to look inside it. To learn about how your eyes work, you can dissect, or take apart,
More informationVISION LOSS EVERYTHING YOU WANTED TO KNOW BUT WERE AFRAID TO ASK!
VISION LOSS EVERYTHING YOU WANTED TO KNOW BUT WERE AFRAID TO ASK! People with vision loss can continue to lead productive, dignified and fulfilling lives. We can help. What will I learn from this booklet?
More informationCONSENT FORM. Procedure: Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK)
CONSENT FORM Procedure: Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK) Surgeon: Jeffrey W. Liu, M.D. Peninsula Laser Eye Medical Group 1174 Castro Street, Ste. 100 Mountain View, CA 94040
More informationTimothy D. McGarity, M.D.
Timothy D. McGarity, M.D. Dr. McGarity received his B.S. in Microbiology, honors, at the University of Arkansas, Fayetteville, and his M.D. at the University of Arkansas for Medical Sciences, Little Rock.
More informationConsumer s Guide to LASIK
Consumer s Guide to LASIK A Community Service Project brought to you by Price Vision Group Your Guide To A Successful LASIK Procedure The purpose of this educational guide is to help prospective patients
More information