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Cataract Referral
First, what is a cataract? With age there often comes a time when the sight gets foggy. Occasionally an injury such as a piercing of the eye or viewing high-intensity light like that of a kiln may cause this change. The cause is a creeping fog condition that gradually covers the inside of the eye and is called a cataract. The part inside your eye that gets foggy is the lens. The cataract can be corrected by surgically replacing the cloudy lens inside your eye with a new plastic lens. An eye surgeon must do this. |
Although natural cataract drops can delay or improve cataracts, it has been determined that your cataracts are advanced to the stage that a surgeon must remove the cataract and replace the removed cataract with an intra-ocular lens.
The new lens must be carefully selected with the guidance of Dr. Henshaw. It must match the other eye which may not be ready for a replacement. He will advise your surgeon of the proper power of the new plastic lens. It must match your other eye to result in the finest vision possible.
The eye surgeon will first perform some tests to know which plastic lens to select while using the information Dr. Henshaw sent. They will also explain each step of your journey and make appropriate appointments.
What will happen to my eye during the surgery?
After your pupil is fully dilated and you have been anesthetized so you will not feel or observe what is happening, a precise incision will be made on the edge of your cornea. That will allow an instrument that removes the cataract to enter the liquid chamber inside your eye and then insert your new lens. Don’t worry the incision heals almost instantly and requires no stitches.
During surgery post operative drugs will be inserted under the top part of your eye so you do not need to apply drugs like patients did in the past.
But if I have cataracts in both eyes?
Unfortunately no surgeon will remove both on the same day. This has been a policy for years and old ideas die hard. This one is very much alive. Dr. Henshaw will work with you if it is an issue and provide interim glasses until the second cataract is removed.
You will be examined at the surgeon's office the day after surgery to be sure all is well. After about two weeks Dr. Henshaw will examine you to verify your vision after surgery and get you ready for any need for glasses/and or contact lenses..
Two types of surgery are available at most eye surgeon's offices:
Standard cataract Surgery
Modern cataract surgery involves removing the cloudy natural lens from the eye utilizing ultrasound, a technique called phacoemulsification. Once the cataract has been removed, a standard Intraocular Lens Implant (IOL) is necessary to restore basic focus to the eye. Standard IOLs are called mono-focal because they can only focus at one distance.
Therefore, after standard cataract surgery, patients typically still wear reading glasses and may need glasses for distance if astigmatism is present.
Custom Cataract Surgery: Lifestyle Lenses
Cataract surgery can include a refractive procedure. The cataract surgery is modified to eliminate dependence on eyeglasses or contact lenses. This Laser-Assisted Custom Cataract Surgery involves sophisticated pre-operative measurements and an advanced version of standard cataract surgery utilizing the LenSx Femtosecond Laser and a new generation of upgraded Lifestyle Lenses. The advanced implants allow correction of astigmatism and even the ability to regain vision for reading. Some options are not fully covered by medical insurance and require an additional expense.
The above surgeries will be discussed at the eye surgeon's office. Most patients elect standard surgery.
Now the final decision!
We need to decide what your eyeglasses Rx after surgery will be. If you don’t need glasses for distance, this is not a problem. Yet, if you are nearsighted and remove your glasses to read, you have options. Dr. Henshaw, found a dilemma when he had the surgeon make his distance vision clear. Before he could see reasonably clearly at distance and near and had a bifocal to sharpen up both distance and near. He could look up close momentarily and drive during the day without glasses. He did have glasses to sharpen both distance and near.
Now Dr. Henshaw has to wear glasses to eat (he likes to see his food clearly), change the TV remote, and look up close even for a temporary period. In hindsight, he would have had the surgeon set his glasses for middle vision where he was before. You have three choices:
1. Distance vision is clear and need glasses for close work.
2. Make near vision clear and need glasses for far.
3. Make middle vision clear so you can see reasonably near and far and have glasses available to sharpen both distance and near.
The new lens must be carefully selected with the guidance of Dr. Henshaw. It must match the other eye which may not be ready for a replacement. He will advise your surgeon of the proper power of the new plastic lens. It must match your other eye to result in the finest vision possible.
The eye surgeon will first perform some tests to know which plastic lens to select while using the information Dr. Henshaw sent. They will also explain each step of your journey and make appropriate appointments.
What will happen to my eye during the surgery?
After your pupil is fully dilated and you have been anesthetized so you will not feel or observe what is happening, a precise incision will be made on the edge of your cornea. That will allow an instrument that removes the cataract to enter the liquid chamber inside your eye and then insert your new lens. Don’t worry the incision heals almost instantly and requires no stitches.
During surgery post operative drugs will be inserted under the top part of your eye so you do not need to apply drugs like patients did in the past.
But if I have cataracts in both eyes?
Unfortunately no surgeon will remove both on the same day. This has been a policy for years and old ideas die hard. This one is very much alive. Dr. Henshaw will work with you if it is an issue and provide interim glasses until the second cataract is removed.
You will be examined at the surgeon's office the day after surgery to be sure all is well. After about two weeks Dr. Henshaw will examine you to verify your vision after surgery and get you ready for any need for glasses/and or contact lenses..
Two types of surgery are available at most eye surgeon's offices:
Standard cataract Surgery
Modern cataract surgery involves removing the cloudy natural lens from the eye utilizing ultrasound, a technique called phacoemulsification. Once the cataract has been removed, a standard Intraocular Lens Implant (IOL) is necessary to restore basic focus to the eye. Standard IOLs are called mono-focal because they can only focus at one distance.
Therefore, after standard cataract surgery, patients typically still wear reading glasses and may need glasses for distance if astigmatism is present.
Custom Cataract Surgery: Lifestyle Lenses
Cataract surgery can include a refractive procedure. The cataract surgery is modified to eliminate dependence on eyeglasses or contact lenses. This Laser-Assisted Custom Cataract Surgery involves sophisticated pre-operative measurements and an advanced version of standard cataract surgery utilizing the LenSx Femtosecond Laser and a new generation of upgraded Lifestyle Lenses. The advanced implants allow correction of astigmatism and even the ability to regain vision for reading. Some options are not fully covered by medical insurance and require an additional expense.
The above surgeries will be discussed at the eye surgeon's office. Most patients elect standard surgery.
Now the final decision!
We need to decide what your eyeglasses Rx after surgery will be. If you don’t need glasses for distance, this is not a problem. Yet, if you are nearsighted and remove your glasses to read, you have options. Dr. Henshaw, found a dilemma when he had the surgeon make his distance vision clear. Before he could see reasonably clearly at distance and near and had a bifocal to sharpen up both distance and near. He could look up close momentarily and drive during the day without glasses. He did have glasses to sharpen both distance and near.
Now Dr. Henshaw has to wear glasses to eat (he likes to see his food clearly), change the TV remote, and look up close even for a temporary period. In hindsight, he would have had the surgeon set his glasses for middle vision where he was before. You have three choices:
1. Distance vision is clear and need glasses for close work.
2. Make near vision clear and need glasses for far.
3. Make middle vision clear so you can see reasonably near and far and have glasses available to sharpen both distance and near.
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Diabetes Referral
Why would diabetes be in my eye? Diabetes is a blood disease and there are many blood vessels in your eye. Yes, diabetes is in the adrenal glands; and it causes the adrenals to pump too much insulin into the bloodstream. It is an overstimulation of a natural body function responding to the intake of an overabundance of sugars in our diet. When you need a burst of energy the adrenal glands secrete insulin into the bloodstream. Yet, in diabetes, insulin is continually sent into the blood when it should not. |
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In diabetes your blood vessel walls are weakened
The overabundance of insulin weakens blood vessel walls and the blood vessels in the eye are very small. Nicotine from smoking makes the process even worse and is a reason you must stop smoking. If you do not, you will probably go blind. Dr. Henshaw personally witnessed a patient with diabetes who was a smoker go blind when a major eye vessel broke. If the wall breaks then blood floods into the tissues of the eye, to later coagulate and scar destroying sensitive tissue in the retina. Leaking in the wrong place of the eye can cause blindness.
Why does my family doctor want a report from the optometrist?
The blood vessels in the eye are about the same size as those in the kidney The kidney is working overtime to rid the excess insulin and sugar in the body. Your kidney is not visible, while the retina of the eye is visible. It is assumed the same thing that is going on in the eye is also going on in the kidney. We can see the damage of the vessels in the eye. That is why your family doctor wants to know what is going on in the eye.
We are concerned about your eyes.
Yet we are concerned what is going on in your eye. When a blood vessel breaks due to diabetes a small red dot appears in the retina. We found that in your retina, and is why we are referring you to an ophthalmologist who specializes in the retina.
As we stated above if the bleeding continues the blood coagulates and damages tissue and forms scaring. If continued it can destroy the retina that contains the nerves with which you see.
Obviously your family doctor provides medication to control your diabetes while you control your diet and you exercise. Now your leaking retina needs help.
The ophthalmologist will cauterize with a laser in a very precise manner the leaking blood vessel or vessels before they leak too much blood and damage even more tissue and vital optical nerves. He uses a laser to deliver the precise coagulation while you are anesthetized.
You will need someone to go with you as there will be sensations that last a few hours after the procedure. You will not see well with that eye for that time. You may also feel a swelling and see a white light blocking your view. As your pupil needs to be dilated the sun will also bother you. Yes, you will be given sun blocking glasses.
Once complete the doctor will send a report to Dr. Henshaw.
The overabundance of insulin weakens blood vessel walls and the blood vessels in the eye are very small. Nicotine from smoking makes the process even worse and is a reason you must stop smoking. If you do not, you will probably go blind. Dr. Henshaw personally witnessed a patient with diabetes who was a smoker go blind when a major eye vessel broke. If the wall breaks then blood floods into the tissues of the eye, to later coagulate and scar destroying sensitive tissue in the retina. Leaking in the wrong place of the eye can cause blindness.
Why does my family doctor want a report from the optometrist?
The blood vessels in the eye are about the same size as those in the kidney The kidney is working overtime to rid the excess insulin and sugar in the body. Your kidney is not visible, while the retina of the eye is visible. It is assumed the same thing that is going on in the eye is also going on in the kidney. We can see the damage of the vessels in the eye. That is why your family doctor wants to know what is going on in the eye.
We are concerned about your eyes.
Yet we are concerned what is going on in your eye. When a blood vessel breaks due to diabetes a small red dot appears in the retina. We found that in your retina, and is why we are referring you to an ophthalmologist who specializes in the retina.
As we stated above if the bleeding continues the blood coagulates and damages tissue and forms scaring. If continued it can destroy the retina that contains the nerves with which you see.
Obviously your family doctor provides medication to control your diabetes while you control your diet and you exercise. Now your leaking retina needs help.
The ophthalmologist will cauterize with a laser in a very precise manner the leaking blood vessel or vessels before they leak too much blood and damage even more tissue and vital optical nerves. He uses a laser to deliver the precise coagulation while you are anesthetized.
You will need someone to go with you as there will be sensations that last a few hours after the procedure. You will not see well with that eye for that time. You may also feel a swelling and see a white light blocking your view. As your pupil needs to be dilated the sun will also bother you. Yes, you will be given sun blocking glasses.
Once complete the doctor will send a report to Dr. Henshaw.
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Glaucoma Referral
Why are we referring you? Four tests have indicated you may have a rare but much talked about condition called glaucoma. That does not mean that you do have glaucoma but enough signs to have a closer look. Glaucoma only affects less than 1% of the people between the ages of 40 and 70, the age group most likely to have glaucoma. |
A Berkeley Optometry School professor feels about 50% of those treated do not have glaucoma. We are sending you to a doctor who will definitely determine if glaucoma really is present. Just as we practice vision excellence we are sending you to a doctor who practices eye disease excellence.
What is glaucoma?
Glaucoma is an eye disease that chokes of the optic nerve as it enters the eye. It starts on the edges and eventually destroys more and more nerves. The nerves on the edge of the optic nerve go to the periphery of the eye. Thus, people with glaucoma start losing their side vision. As it worsens more and more nerves are destroyed until you only have a very small peripheral vision and only central vision.
What happens when you have glaucoma?
Glaucoma is thought to be caused by a higher than normal pressure in the eye either because too much fluid is produced or not enough is released out of the eye. Unfortunately why this happens is still open to question. Treatment consists of drugs designed to either reduce the production of the fluid or enhance the out flow. The drugs that reduce fluid production have more side effects so a greater emphasis is placed on out flow. Xalatan® (latanoprost) seems to be the drug of choice. For women that may be good news as the drug darkens and lengthens eye lashes. However, it can darken the circles under the eye. Shortly after the drug’s discovery and positive side effect Latisse® was marketed to darken and lengthen eye lashes!
There are three chambers within the eye, the anterior chamber, the posterior chamber, and the vitreous. The anterior chamber extends from the outer surface (the cornea) to the front of the iris. The posterior chamber extends from the back of the iris to the lens. The Vitreous extends from behind the lens to the back of the eye (the retina). The vitreous contains a fluid similar to un-jelled jell-O. The anterior and posterior chamber contains a liquid similar to tears called the aqueous humor. The edge of the back side of the iris is where the aqueous is produced. It flows from the posterior chamber through the pupil and exits where the edge of the cornea meets the front of the iris. Then it runs out the eye through a meshwork called the trabecular meshwork.
If there is too much aqueous production or it does not exit quickly enough, pressure builds in the eye like blowing up a balloon too much. That pushes toward the back of the eye. The optic nerve is the weakest point within the eye as it passes through an opening in the sclera, the firm outer coating of the eye. The sclera is the white part you see when looking at someone’s eye. As the optic nerve is softer than the sclera, it is pushed and damaged.
What are the four tests we did?
1. We viewed the optic disc in the back of your eye.
2. We took a pressure reading with our I Care tonometer.
3. Because steps one and two found indications of glaucoma, we did a vision field test specifically designed to detect glaucoma..
4.To rule out a rare form of glaucoma we viewed the outer corner of your iris with a microscope.
All that information was forwarded to Zeiter Eye. They will perform tests to determine if glaucoma is present.
What will happen at Zeiter Eye?
1. They will dilate your pupil to make view of your optic nerve easier to view,
2. They may repeat a vision field.
3. They will measure your eye pressure.
4. They may perform an OCT(Optical Coherence Tomography- similar to an X-ray but far less invasive) of where your optic nerve enters your eye.
5. If necessary they will begin treatment with the correct drug.
6. They will forward a report to us.
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Pituitary Referral
Pituitary involvement Your vision field testing indicated there may be an interference with your eyes from the pituitary gland. This is rare, and most likely there is no problem; but it is advisable to have this investigated closer. What tests did we do that discovered this condition? First we observed the reaction of your pupils in response to light. Secondly we asked questions about possible head trauma or whiplash. |
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Thirdly we performed a hand held study of your side vision and blind spots. Although we have an automated digital vision tester, the hand held test is far more accurate. The automated test that almost all other eye doctors use can miss the very condition we are investigating. Unbelievably, many doctors are under the delusion they can measure your side vision by asking you when you see their fingers out of the corner of your eyes!
What did your vision field show?
Your blind spots were enlarged but were larger on the outside portion rather than uniformly distributed. That indicates the pituitary may be involved.
Why does that indicate pituitary involvement?
The journey of the optic nerve from the brain to the eye is unique. The two optic nerves leave the brain and cross each other as if you were to place your right hand on your left knee and the left on the right knee. That allows both sides of the brain to send and receive messages to both eyes from each optic nerve. Within the brain at the exact point where the nerves cross each other, the pituitary sits directly underneath. Thus, if there is any swelling of the pituitary, it presses against the optic nerve crossing called the optic chiasm. The unique way the nerves go from the brain to each eye causes an enlargement of the outside edge of the blind spot if a swelling of the pituitary pushes against the optic chiasm.
This is what a blind spot with possible pituitary involvement looks like. Yours is similar, and that is why we are having this conversation.
There are three routes you could take:
First and most advisable and least invasive is light therapy. Your case history indicates there was a blow to your head or a whiplash. That injury can create the vision field abnormality we found. As your vision field needs treatment anyhow, lets first do this highly successful non-invasive treatment. Then if the vision field improves, we know the head trauma caused the problem and not the pituitary.
Secondly we could refer you to your primary care doctor who could investigate the possibility of referring you for an MRI to view the pituitary where it intersects with the optic nerve.
Third you could play ostrich and ignore the findings. We do not recommend this route.
What did your vision field show?
Your blind spots were enlarged but were larger on the outside portion rather than uniformly distributed. That indicates the pituitary may be involved.
Why does that indicate pituitary involvement?
The journey of the optic nerve from the brain to the eye is unique. The two optic nerves leave the brain and cross each other as if you were to place your right hand on your left knee and the left on the right knee. That allows both sides of the brain to send and receive messages to both eyes from each optic nerve. Within the brain at the exact point where the nerves cross each other, the pituitary sits directly underneath. Thus, if there is any swelling of the pituitary, it presses against the optic nerve crossing called the optic chiasm. The unique way the nerves go from the brain to each eye causes an enlargement of the outside edge of the blind spot if a swelling of the pituitary pushes against the optic chiasm.
This is what a blind spot with possible pituitary involvement looks like. Yours is similar, and that is why we are having this conversation.
There are three routes you could take:
First and most advisable and least invasive is light therapy. Your case history indicates there was a blow to your head or a whiplash. That injury can create the vision field abnormality we found. As your vision field needs treatment anyhow, lets first do this highly successful non-invasive treatment. Then if the vision field improves, we know the head trauma caused the problem and not the pituitary.
Secondly we could refer you to your primary care doctor who could investigate the possibility of referring you for an MRI to view the pituitary where it intersects with the optic nerve.
Third you could play ostrich and ignore the findings. We do not recommend this route.
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Keratoconus Referral
First, what is a Keratoconus? It is a condition where the outer surface of the eye, the cornea, has an unusually steep curvature. It is always accompanied by a large amount of astigmatism. To make it easier to understand astigmatism we like to compare it to a flat tire. A flat tire is round on the top and flat on the bottom. |
Just like the flat tire, the shape of your eye is the same. It is round on the top and flat on the bottom. To make you see better we leave the top round part alone and round out the bottom. Then you can roll along down the street! However, your eye does not park on the curb. Thus, the flat part can be in any direction, not only the bottom.
The large amount of astigmatism is the main way we discover the presence of keratoconus. Most people’s astigmatism is more like a slow leak, but the astigmatism of keratoconus is an absolute flat to the rim. The result is your eye has a lot of distortion and if the steepening continues in extreme cases the eye could perforate.
How is keratoconus treated?
Treatment in the past was limited to holding back the steepening with a firm contact lens. A combination of soft and firm contact was developed also. In extreme cases, a corneal transplant is necessary when perforation is threatening.
Now Corneal Collagen Cross-Linking is a new treatment. Corneal collagen cross-linking is a technique that uses UV light and riboflavin (a vitamin-like substance) to strengthen your eye’s outer surface so your tire won’t be so flat It’s basically super glue for your corneal tissues. The goal of the treatment is to halt progressive and irregular changes in corneal shape.
First careful measurements are taken of the curvature of your eye. Once determined you are ready for the two-step treatment.
The first stage of therapy is to allow riboflavin to blend into the cornea. The outer surface is softened up while under an anesthetic. Then riboflavin is added for about 15 to 30 minutes. The second step uses ultraviolet light to harden the surface for 30 minutes. Antibiotic drops are given 3-4 times daily for a short period to avoid any infection.
How is keratoconus treated?
Treatment in the past was limited to holding back the steepening with a firm contact lens. A combination of soft and firm contact was developed also. In extreme cases, a corneal transplant is necessary when perforation is threatening.
Now Corneal Collagen Cross-Linking is a new treatment. Corneal collagen cross-linking is a technique that uses UV light and riboflavin (a vitamin-like substance) to strengthen your eye’s outer surface so your tire won’t be so flat It’s basically super glue for your corneal tissues. The goal of the treatment is to halt progressive and irregular changes in corneal shape.
First careful measurements are taken of the curvature of your eye. Once determined you are ready for the two-step treatment.
The first stage of therapy is to allow riboflavin to blend into the cornea. The outer surface is softened up while under an anesthetic. Then riboflavin is added for about 15 to 30 minutes. The second step uses ultraviolet light to harden the surface for 30 minutes. Antibiotic drops are given 3-4 times daily for a short period to avoid any infection.
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Secondary Capsule Referral
We found you have a secondary capsule obstruction that needs the attention of another office. First, what is a Secondary Capsule Obstruction(SBO)? This only happens if you had cataract surgery. Since your cataract surgery a change has slowly taken place inside your eye where the cataract was. As you may remember, a cataract is inside your eye behind the iris in a structure called the lens. |
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That lens is apart of your optical system and supplies a portion of your eye focusing ability so you can see clearly. The lens has a capsule surrounding it like a nut shell does, except it is transparent like the rest of the lens is so you can view through it.
The cataract is in the center of the lens, not the capsule. During your cataract surgery the front portion of the capsule was removed while the back portion was left untouched. The center of the lens containing the cataract was taken out and a plastic lens was inserted within the remaining capsule returning the power that was taken when the lens with the cataract was removed.
Over a period of time a slow build up of small particles attached them selves to the back part of your capsule. This created a cloudy affect as if you had developed another cataract. That interferes with your clarity of focus as the capsule is part of your optical system.
How did we find your secondary capsule obstruction?
1. we listened to you reporting a change in your clarity of vision.
2. We measured your visual acuity.
3. We examined you to determine there was no changein your eyeglass prescription.
4. We viewed inside your eye with a microscope to verify the secondary capsule obstruction.
The solution is simple and unlike cataract surgery does not take much time nor the need for anesthesia or any medication after.
Just as we practice vision excellence we are referring you to Zeiter Eye where they practice eye disease and surgery excellence. A report of our findings was sent to Zeiter Eye of which you have a copy.
What will happen at Zeiter Eye?
You will be recognized as a priority patient from our office. You will be treated as soon as possible by:
1.Yes, your pupil will be dilated to give your surgeon a better view of the SCO.
2. A YAG laser device will literally remove the center portion of your back capsule thereby removing the obstruction and giving you clear eyesight again.
3. A report will be sent to our office, and upon your return we will re-examine so you will have clear comfortable glasses.
Over a period of time a slow build up of small particles attached them selves to the back part of your capsule. This created a cloudy affect as if you had developed another cataract. That interferes with your clarity of focus as the capsule is part of your optical system.
How did we find your secondary capsule obstruction?
1. we listened to you reporting a change in your clarity of vision.
2. We measured your visual acuity.
3. We examined you to determine there was no changein your eyeglass prescription.
4. We viewed inside your eye with a microscope to verify the secondary capsule obstruction.
The solution is simple and unlike cataract surgery does not take much time nor the need for anesthesia or any medication after.
Just as we practice vision excellence we are referring you to Zeiter Eye where they practice eye disease and surgery excellence. A report of our findings was sent to Zeiter Eye of which you have a copy.
What will happen at Zeiter Eye?
You will be recognized as a priority patient from our office. You will be treated as soon as possible by:
1.Yes, your pupil will be dilated to give your surgeon a better view of the SCO.
2. A YAG laser device will literally remove the center portion of your back capsule thereby removing the obstruction and giving you clear eyesight again.
3. A report will be sent to our office, and upon your return we will re-examine so you will have clear comfortable glasses.
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Macular Degeneration Referral
WHAT IS AGE RELATED MACULAR DEGENERATION (ARMD) ? ARMD is a disease almost always in aging patients that makes it difficult for you to see clearly when looking straight ahead. This is the vision that gives you detail and that you use for both reading and driving. It is caused by poor blood circulation to the center of the eye. It is basically hardening of the arteries of the vessels that supply the macula. Clint Eastwood directed a 2012 move about macula degeneration entitled About the Curve. |
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WHAT AND WHERE IS THE MACULA?
The macula is a very small area directly in the back of the eye that contains 7 million cells called cones. The nerves are so small a blood cell that is oval in shape must enter the nerve sideways to fit. It is the only part of the eye that is capable of 20/20 eyesight. Once those nerves are damaged you can no longer see a sharp 20/20, but the rods that make up the rest of the nerves in your eue are not destroyed so you can move around in space. Yet, detail is missing. Hence, Clint Eastwood in his movie About the Curve couldn’t see a curve ball. |
WHAT WAS TYPICAL TREATMENT ?
Eye surgeons cauterized (photo-coagulation with a laser) the blood vessels next to the damaged ones in hopes that will prevent the ARMD from worsening. Then it was like burning down the fort to save yourself from the Indians! The laser did so much damage you saw even worse made the eye susceptible to more damage.
WHAT WAS THE ALTERNATIVE?
You had a complicated diet regimen with many ingredients and variations..
HOW ABOUT TODAY?
You have three alternatives all with degrees of promise. One treatment is non-invasive while two are invasive.
1. The photo-coagulation has improved with lasers that are more precise and don’t damage nearby cells. Yes, it is invasive, but is the most commonly used.
2. Injections of nutrients into the vitreous near the macula with a needle help some. Obviously injecting a needle in your eye is invasive.
3. Natural Ophthalmics macular degeneration tablets and oral spray head the nutritional regime. The more complicated previous nutritional options have been streamlined into two steps. You start with the oral spray and the pellets the first month and continue with the pellets thereafter. Even if you are advised to treat with the first two options, the nutritional approach should always be included.
WE ARE REFERRING YOU TO AN EXPERT IN ARMD.
Just as we practice vision excellence in vision care we refer to an office that practices eye disease excellence. Dr. Conzano of Zeiter Eye has years of eye disease excellence in ARMD. He will determine if either option 1 or two above is needed or if you can remain only with the nutritional approach.
Eye surgeons cauterized (photo-coagulation with a laser) the blood vessels next to the damaged ones in hopes that will prevent the ARMD from worsening. Then it was like burning down the fort to save yourself from the Indians! The laser did so much damage you saw even worse made the eye susceptible to more damage.
WHAT WAS THE ALTERNATIVE?
You had a complicated diet regimen with many ingredients and variations..
HOW ABOUT TODAY?
You have three alternatives all with degrees of promise. One treatment is non-invasive while two are invasive.
1. The photo-coagulation has improved with lasers that are more precise and don’t damage nearby cells. Yes, it is invasive, but is the most commonly used.
2. Injections of nutrients into the vitreous near the macula with a needle help some. Obviously injecting a needle in your eye is invasive.
3. Natural Ophthalmics macular degeneration tablets and oral spray head the nutritional regime. The more complicated previous nutritional options have been streamlined into two steps. You start with the oral spray and the pellets the first month and continue with the pellets thereafter. Even if you are advised to treat with the first two options, the nutritional approach should always be included.
WE ARE REFERRING YOU TO AN EXPERT IN ARMD.
Just as we practice vision excellence in vision care we refer to an office that practices eye disease excellence. Dr. Conzano of Zeiter Eye has years of eye disease excellence in ARMD. He will determine if either option 1 or two above is needed or if you can remain only with the nutritional approach.