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Reeling in Clear Vision: An Angler’s Cataract Surgery Success

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Bruce Barkhorn fishing for striped bass off the coast of Keyport, New JerseyRetiree Bruce Barkhorn frequently fishes for striped bass off the coast of Keyport, New Jersey.

The 75-year-old angler spends hours each spring and fall navigating the waterway to reel in the perfect prize catch.

“Stripers, we call them,” he smiled. “It’s a good-eating fish. They’re big. It’s a lot of fun catching them. They’re really good sport fishing. It’s very popular here in New Jersey.”

Barkhorn’s passion for his maritime hobby faced a setback when cataracts began impairing his vision. Driving from his inland home to his boat on Raritan Bay became increasingly difficult, especially at night.

“[My vision] was out of focus a lot, and it got pretty bad the last year and a half,” he said. “My boat is about 30 miles away from where I live. I’d get on a parkway, and it was a little disconcerting driving. So, I knew I needed surgery sooner [rather] than later.”

What are Cataracts?

Cataracts are the leading cause of preventable blindness worldwide. They develop when proteins accumulate in the eye’s lens, making vision blurry, hazy or cloudy.

Dr. Shawn KleinWhen cataracts affected his night vision, Barkhorn made an appointment with ophthalmologist Shawn R. Klein, MD, to discuss his eye care.

“Everyone gets cataracts eventually,” Dr. Klein said. “Many times, they’ll start off as not being that visually significant. Over a couple of years, the vision will continue to degrade, and eventually, patients will come in complaining of blurred vision. And many times, there’s nighttime symptoms such as glare or halos, especially driving the car.”

Surgery is the only treatment option to medically remove a cataract. Vision impairment or blindness may result from untreated cataracts, so it is important not to delay surgery too long. In the U.S., surgeons perform nearly four million cataract surgeries every year.

“When we do cataract surgery, there’s always two parts of the surgery. The first part is taking out the lens of the eye that’s become cloudy. That’s called a cataract,” Dr. Klein said. “The second part is putting a new [intraocular] lens in the eye. If you don’t have a lens in your eye, you can’t focus the light that’s coming in. You can’t see.”

An intraocular lens (IOL) is made from materials like silicone or acrylic. IOLs often have a protective coating to block UV rays. Various IOLs are available to accommodate different vision needs and lifestyles. Some lenses may reduce your dependence on glasses.

After five decades wearing glasses, Barkhorn did not want to wear prescription eyewear post-procedure. He selected a multifocal lens designed to correct his astigmatism and give him distance and near vision.

Choose an ASC for Cataract Surgery

More than 50 percent of Americans aged 80 or older either have cataracts or have had surgery to remove them. Cataract surgery is a safe procedure to restore your vision and enhance your quality of life.

Bruce Barkhorn prepares for cataract surgeryBarkhorn underwent cataract surgery on his left eye at River Drive Surgery and Laser Center in Elmwood Park, New Jersey. The procedure took less than 20 minutes. He spent about two hours at the ASC.

“The truth is that the procedure, when we do it, takes about six or seven minutes,” Dr. Klein said. “There’s no pain. People are comfortable. It’s not a hardship to go through. The recovery is not hard to go through.”

Following surgery, Barkhorn wore a patch over his eye the first night and applied eye drops four times a day for a week. His full vision was restored within a few days.

Two weeks later, he returned to River Drive and the cataract was removed successfully from Barkhorn’s right eye. Based on his experiences, Barkhorn said he would recommend cataract surgery at an ASC.

“At my age, I’ve had a couple operations, and to me they [were] as professional as you’re going to get,” he said. “It’s almost like going to a major hospital in New York City. I was really shocked at how good it was!”

AMSURG-affiliated ambulatory surgery centers (ASCs), like River Drive, are typically able to perform cataract procedures at the same high level and quality of care at a lower cost. ASCs offer additional advantages for patients:

  • They can focus on specific procedures, not emergencies or trauma, so your appointment is less likely to be affected.
  • They are easily navigable and usually have convenient parking because many ASCs are smaller than other healthcare facilities.
  • They offer more cost-effective procedures than other facilities.

Since his successful cataract surgery, Barkhorn now drives confidently to the New Jersey shore for striper fishing.

“I get up in the morning — I don’t have to reach for my glasses anymore. That’s all gone now,” he said. “One of the side benefits is I can choose any kind of sunglasses I want. Before, I was restricted to prescription [sunglasses]. Now, I can go to the store and buy them.”

Dr. Klein said patients benefit from having cataract surgery in an outpatient setting.

“Even though the surgery is delicate and can be complicated, our surgical teams are proficient with excellent results,” he said. “There’s a very high volume of surgeries to be done, and we can take care of them efficiently and in a comfortable manner for the patients.”

Find an Ophthalmologist Near You

A comprehensive eye exam is a key part of preventive care. Exams help detect common eye diseases such as cataracts, glaucoma and age-related macular degeneration. A board-certified ophthalmologist can assess your vision health and recommend any necessary treatments or surgeries. Protect your eyesight. Find a nearby eye center and schedule an appointment today.

This article is designed for educational purposes only. The information provided should not be used for diagnosing or treating a health concern or disease. It is not a substitute for professional care. If you have or suspect you may have a health concern, you should consult your healthcare provider.

Accessorize with Sunglasses All Year to Protect Your Eyes

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UV radiation can cause eye disease and vision complications, so it is important to choose UVA-protective sunglasses to preserve your eyesight.

What Is Ultraviolet Radiation?

Are your sunglasses in a drawer waiting for the next beach trip? Millions of Americans are unaware they are exposing their eyes to harmful ultraviolet radiation, invisible rays of energy from the sun.

Two types of UV radiation contribute to skin and eye damage: UVA and UVB. Scientists measure UV radiation using the UV index, a scale from low radiation (1-2) to high (over 11). Experts recommend sun protection when the UV index is 3 or higher.

You cannot see or feel UV rays, and they can bounce or reflect off water, snow and sand. Therefore, sunglasses are just as important on cold, cloudy days.

What Happens When You Get Too Much UV Exposure?

Too much sunlight can have short- and long-term effects on your eyes. Similar to your skin, your eyes can also experience photokeratitis, a temporary sunburn. UV rays can burn the cornea and cause redness, soreness and light sensitivity. For most people, eyedrops and rest can treat photokeratitis.

Chronic sun exposure can cause more serious issues like skin cancer on the eyelid or eye. It can also cause pterygium or “surfer’s eye.” Pterygium is a fleshy growth that develops on the surface of the eye, and it sometimes requires surgery if it obstructs your vision.

Most people develop a cataract because of aging, but UV exposure can cause cataracts to develop more rapidly. UV radiation and other environmental factors make the lens cloudy, which can lead to the following problems:

  • Blurred vision
  • Double vision
  • Faded colors
  • Appearance of halos around light and headlights
  • Challenges with night vision

Too much exposure to UV light can also increase your risk for macular degeneration, a serious eye condition that deteriorates central vision. Macular degeneration is the leading cause of blindness in Americans over age 60.

How to Choose a Pair of Quality Sunglasses

Function is more important than fashion when it comes to sunglasses. The FDA publishes guidance regarding the intended use, labeling and performance claims of non-prescription sunglasses.

You may prefer aviator, cat eye or wayfarer, but choose sunglasses that provide maximum protection from UV radiation and meet FDA guidelines. Here are tips for selecting a quality pair of sunglasses that will protect your vision and promote eye health:

  1. Select a pair of sunglasses that offer 100 percent UVA and UVB protection. Look for sunglasses that say “UV400,” meaning they block almost all ultraviolet radiation.
  2. Some sunglasses use the term EPF or “eye protection factor,” which evaluates how effectively the sunglasses block UV rays. Choose sunglasses that have an EPF of at least 9 or 10.
  3. Usually, light to medium tinted sunglasses are appropriate for driving and outdoor activities, while darker tints work well for the beach or skiing. Read the label carefully to determine the amount of protection the sunglasses offer.
  4. Sunglasses offer more protection if they wrap around your face and fit close to the eyes. A close fit and wraparound style create a physical barrier to keep out UV rays.
  5. Polarized lenses can help reduce glare from water and snow and can make golfing, boating and skiing more enjoyable. However, polarized lenses don’t naturally filter out UV rays. An additional coating must be added to the lenses to block UV light. Look for the EPF or UV label.
  6. The FDA mandates that sunglasses must have impact resistance; however, they are not shatterproof and should not be relied upon as protective eyewear.
  7. If you need protective eyewear for sports or industrial use, purchase safety glasses or goggles with plastic polycarbonate lenses. Polycarbonate lenses without coatings are prone to scratches, so opt for those with scratch-resistant features.

Other Ways to Protect Your Eyes from the Sun

Natural sunlight provides the best source of vitamin D, but getting too much sunshine can damage your skin and eyesight. The best way to get safe amounts of vitamin D is to spend a few minutes per day in the sun, whether in the mid-morning or mid-afternoon. During the winter and fall, you can spend some time outside in the afternoon when UV index is below a level 3.

Along with sunglasses, wear a wide-brimmed hat when you are outdoors. Hats will shade your face from the sun, but the brim must be sizable. A baseball cap won’t offer the same protection.

Sunscreen with an SPF of at least 30 is advisable, and remember to reapply sunscreen as needed. This is especially important if you will get wet during your activities. It is also important to limit your exposure to intense sunlight in the summer.

Visit an Ophthalmologist for a Comprehensive Eye Exam

You may think your vision is fine because you have never had any eye problems. However, 11 million Americans 12 and older have uncorrected vision issues.

Eye diseases like cataracts, glaucoma, diabetic retinopathy and age-related macular degeneration (AMD) do not have symptoms at the beginning stage of development. Comprehensive eye exams with dilation can detect eye diseases earlier when they are easier and less expensive to treat.

Talk to your doctor about how often you should schedule a comprehensive eye exam. Factors like age, ethnicity, family history and your personal medical history will help determine how often you should visit your ophthalmologist.

Some symptoms may indicate you need to see an eye doctor right away:

  • Eye pain
  • Double vision
  • Flashes of light
  • Floaters
  • Circles around lights
  • Eye redness or drainage

Find a Board-Certified Ophthalmologist Near You

Are you looking for a board-certified ophthalmologist in your area? We have eye care facilities across the country and welcome new patients. Your eyes deserve exceptional care, so call today to make an appointment.

Be Proactive with Diabetes to Prevent Permanent Eye Damage

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Severe or untreated diabetes can cause low vision or even blindness, so people who are diabetic must schedule annual comprehensive eye exams with dilation.

Diabetes Is Increasing in the United States

About 38 million people in the United States have diabetes, and 98 million are prediabetic. Poor diet, obesity and lack of exercise are major risk factors for type 2 diabetes, the type which affects 90 to 95 percent of Americans.

Diabetes can contribute to a variety of medical conditions, including retinal damage and vision loss. Over time, high blood sugar can weaken blood vessels in the eyes and affect the clarity of the lens.

Diabetes Can Cause Diabetic Retinopathy

Long-term diabetes can damage the retina, the part of the eye that receives images focused by the lens and transmits them to the brain. Nearly half of Americans with diabetes will develop diabetic retinopathy, a chronic condition that damages the blood vessels in the eyes.

In its early stage, diabetic retinopathy typically shows no signs, but it can later lead to blurred eyesight, floaters and vision loss. Other symptoms may include difficulty reading, eye pressure and difficulty with distinguishing colors.

Factors that can increase the likelihood of diabetic retinopathy include the following:

  • Unregulated blood sugar
  • Hypertension
  • Kidney disease
  • High cholesterol
  • Pregnancy
  • Being of African American, Native American or Hispanic descent

Not all people with diabetes will develop diabetic retinopathy or vision loss. For those who do develop the disease, patients have treatment options, including injections, lasers and surgical treatments.

“Losing sight from diabetes-related eye disease is not a foregone conclusion,” said J. Michael Jumper, MD, president of the American Society of Retina Specialists, in Medical Xpress. “There is hope, including advances in early detection and treatment spearheaded by retina specialists that can help people with diabetes enjoy healthy vision for a lifetime.”

Diabetic Retinopathy Affects the Eyes in Stages

Following are the two general stages of diabetic retinopathy:

  • Early stage (non-proliferative) — In this stage, blood vessels in the retina begin to bulge and form small pouches. If fluid begins to leak, it can cause swelling in an area of the retina called the macula. This condition, macular edema, affects about half of people with diabetic retinopathy and it is the most common cause of vision loss in those who have the disease.
  • Advanced stage (proliferative) — Over time, the retina may begin to grow abnormal, tiny blood vessels that can bleed easily. Minor bleeding may only cause small dark spots in your visual field, but excess bleeding can cause vision loss. The abnormal new vessels can cause traction on the retina, leading to retinal detachments.

Diabetes Increases the Likelihood of Cataracts and Glaucoma

Diabetic retinopathy is the most common cause of vision loss and blindness in people with diabetes. However, diabetes can make people more prone to develop other eye conditions and vision problems.

Cataracts

Most people develop cataracts because of aging and environmental factors, but people with diabetes can develop cataracts more rapidly. High blood sugar can create deposits on the eye lenses and make them cloudy.

The good news is that surgery can safely and effectively treat cataracts. Cataract surgery is typically an outpatient operation conducted at an ambulatory surgical center. A doctor will extract the cataract and insert a transparent artificial lens, typically completing the entire operation in around 15 minutes or less.

Glaucoma

Glaucoma refers to a family of eye diseases that damage the optic nerve and potentially cause permanent vision loss. Many types of glaucoma do not have symptoms in the initial stages, which is why experts call it the “sneak thief of sight.”

Having diabetes doubles the risk for primary open-angle glaucoma (POAG), the most common form of the disease. Open-angle glaucoma forms when drainage canals in the eyes become clogged. Excess fluid in the eye increases inner eye pressure, which damages the optic nerve.

Diabetes can also cause neovascular glaucoma, when abnormal blood vessels form on the iris and block fluid from draining from the eye. Diabetic retinopathy is usually responsible for this condition. Obstructed fluid from the damaged blood vessels can increase intraocular pressure and damage the optic nerve, leading to severe vision loss (CDC).

There is no cure for glaucoma, and you cannot prevent it. The best way to prevent vision loss is an annual comprehensive eye exam with an ophthalmologist.

February Is Low Vision Awareness Month

Besides diabetes, other long-term health conditions can contribute to other eye complications. Some of these include liver disease, autoimmune conditions, nutritional deficiencies, thyroid conditions and rheumatologic diseases.

February is Low Vision Awareness Month. Countless individuals in the United States face low vision, a type of eyesight issue uncorrectable by glasses, medication or surgery. Low vision makes daily activities like reading, cooking and housework challenging.

Here are some ways you can reduce your risk of low vision and vision loss:

  1. Visit your primary care physician regularly.
  2. Schedule annual comprehensive eye exams.
  3. Manage your blood sugar levels.
  4. Manage your high blood pressure and cholesterol levels.
  5. Eat a balanced, nutritious diet.
  6. Quit smoking.

Comprehensive Eye Exams with Dilation Can Prevent Vision Loss

A diabetes diagnosis does not mean you will develop diabetic retinopathy, cataracts or glaucoma. With the help of a primary care physician and a board-certified ophthalmologist, you can protect your eyesight.

“Diabetes can silently damage a person’s most precious sense, their sight, before symptoms even appear. That’s why everyone with diabetes should focus on their eyesight and receive regular dilated eye exams,” said Dr. Jumper in Medical Xpress.

Regular visits to the eye doctor are important for everyone but especially those who have diabetes or chronic health conditions that can cause eye diseases. You cannot rely on symptoms to indicate whether you have a developing condition. Many eye diseases and vision conditions do not cause eye pain or warning signs, but they can still permanently affect your eyesight. Early detection and prompt treatment can prevent or delay eye disease.

A comprehensive eye exam with dilation is more than just an eye screening, because it allows your eye doctor to test your vision and evaluate your eye health. Using pupil dilation, your doctor can look at the back of the eye and see the retina and optic nerve. Annual exams help detect and diagnose problems early when they are most treatable.

Commit to Healthy Vision and Make Eye Appointments for Your Family

How long has it been since you and your family visited the eye doctor? You may be surprised to see how much time has passed since your last exam.

If you have diabetes or if diabetes runs in your family, you must be vigilant in staying current with your eye exams. Our board-certified ophthalmologists are accepting new patients and are equipped to meet your unique health needs. Find a location near you to schedule an appointment.

Five Important Facts about Glaucoma and Protecting Vision

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Glaucoma is the second leading cause of blindness in the United States, but you can take steps to preserve your eyesight by scheduling annual eye exams.

Glaucoma Is Caused by Increased Eye Pressure or Sensitivity to Pressure

January is Glaucoma Awareness Month. Glaucoma refers to a group of eye conditions that damage the optic nerve, which transmits visual information from the eyes to the brain.

Your eye needs a steady circulation of fluid to keep it clean and lubricated. In a healthy eye, fluid can exit the eye through the drainage angle.

When the eye’s drainage system becomes blocked, it may raise the pressure within the eye, known as intraocular pressure. Elevated eye pressure or sensitivity to pressure can damage the fibers in the optic nerve and cause you to develop blind spots in your vision.

Glaucoma Can Develop with or without Symptoms

Did you know it is possible to have a degenerative eye condition without knowing it? Glaucoma is nicknamed the “sneak thief of sight” because it can cause irreversible eye damage without warning signs. Three million people have glaucoma, but half are unaware they have the disease.

Primary open-angle glaucoma, or POAG, is the most common type. It tends to develop gradually as pressure begins to build inside the eye. Usually, POAG is painless and does not cause noticeable changes in your vision during the early stages. Therefore, many people with POAG don’t know they have glaucoma.

Angle-closure glaucoma can develop when the iris is close to the area where the eye drains. This type can develop slowly or quickly, but eye pressure rises rapidly when a complete blockage occurs. During an acute angle-closure glaucoma attack, people may develop sudden symptoms like blurred vision, nausea, intense eye pain and headaches.

Sometimes people can have eye pressure that is within the normal range, but they still experience blind spots in their visual field and vision loss. This is called normal-tension glaucoma.

Some People Have a Higher Risk of Developing Glaucoma

Anyone can develop glaucoma, but some people are more at risk. Some glaucoma risk factors include the following:

  • Having a family history of glaucoma
  • Being of Asian, Hispanic or African heritage
  • Being older than 40
  • Being nearsighted or farsighted
  • Having a previous eye injury
  • Having health conditions like high blood pressure, diabetes, poor circulation or migraine headaches
  • Having corneas that are thin in the middle
  • Having a thin optic nerve
  • Using steroid medications for an extended period

Daily Choices Affect Your Glaucoma Risk

You can make lifestyle changes to reduce your risk of developing glaucoma. Creating healthy habits can lower your risk for eye disease as well as many other chronic health conditions.

Getting regular exercise and eating a nutritious diet high in fruits, vegetables, lean proteins and healthy fats is a great place to start. Controlling your weight and blood pressure will help your heart and circulation and lower your risk of diabetes.

Smoking can increase your risk of eye diseases as well, so quit smoking if you’re a smoker. If you’ve never smoked, make a commitment to not smoke or use tobacco products.

Early Detection Can Prevent Irreversible Vision Loss

There is no cure for glaucoma, but diagnosing it early can help you maintain your eyesight and prevent further vision loss.

Some people report weaker or dimmed vision due to glaucoma, but people usually don’t experience symptoms. Therefore, you cannot rely on warning signs.

A comprehensive eye exam with dilation can detect glaucoma early when it is easy to treat. Eye exams that only screen for elevated eye pressure are insufficient to accurately diagnose glaucoma.

A comprehensive eye exam will include a complete screening for glaucoma, which includes …

  • examining, measuring and taking an image of your optic nerve,
  • measuring intraocular pressure,
  • looking at the drainage angle of your eyes,
  • testing your peripheral vision and
  • measuring the thickness of your corneas.

If your ophthalmologist detects glaucoma, you have many treatment options available. Eyedrops can help reduce the amount of fluid your eye makes, or increase the flow of fluid in the eye.

There are also some surgical procedures called trabeculoplasty and iridotomy that can relieve pressure and increase fluid flow to the drainage angle.

Call Today to Make an Appointment with an Ophthalmologist

Yearly eye exams are an important part of preventive health care. Beginning at age 40, you should begin glaucoma screening and repeat the screening every two to four years, depending on your eye doctor’s recommendations.

Medicare will pay for one glaucoma exam per year for people who are at higher risk for the disease. However, everyone needs to take proper precautions and schedule a comprehensive eye exam.

Our eye care centers have board-certified ophthalmologists who are accepting new patients and look forward to providing you with exceptional vision care. Celebrate Glaucoma Awareness Month and start your year off by prioritizing your eye health. Call today to make eye appointments for your family.

Shop for Safe Toys to Brighten Your Child’s Holiday

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Holiday toys can bring laughter and cheer, but unsafe toys can cause vision loss, retinal damage or even blindness in children.

December Is Safe Toys and Gifts Awareness Month

This is the most wonderful time of the year for so many reasons. Holiday family gatherings often include festive meals and gift exchanges. Have you begun to peruse the Amazon catalogs or online sales for the hottest seasonal items?

During the season of joy and giving, toy safety is the top priority. December is Safe Toys and Gifts Awareness Month. It is an initiative to encourage people to assess whether a toy or gift is age-appropriate for the child receiving the present.

Every holiday, thousands of children require emergency treatment because they sustained an eye injury from an unsafe toy.

Follow These Safety Tips When Purchasing Gifts

Before buying holiday gifts for children, consider whether the kids have any allergies or sensory issues that might rule out certain toys. If you are purchasing outdoor equipment, make sure children have the space to enjoy it (NPHIC).

Keep these tips in mind when you are shopping for eye-safe toys:

  1. Avoid buying toys for young children that are sharp or that shoot.
  2. Purchase toys that suit your child’s ability and skills.
  3. Seek out a tag indicating that the toy has undergone a safety evaluation and received approval from the American Society for Testing and Materials.
  4. Purchase protective eyewear with polycarbonate lenses to accompany any sporting equipment.
  5. Don’t buy laser pointers for kids. High-powered laser pointers between 1,500 and 6,000 milliwatts can cause severe retinal damage.
  6. Avoid toys that include heating elements, cords or ropes.
  7. Ensure all paints, crayons, markers and art materials are marked as “non-toxic.”

Consider Purchasing Screen-Free Gifts

Too much screen time can cause eye strain for everyone, especially children. If you are buying electronics as a gift, talk to your children about taking frequent breaks and using the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something at least 20 feet away.

Non-screen activities like books, easels, art supplies and sewing kits can inspire creativity and learning. Board games can teach skills like telling time, counting and memory recall. You can even buy games in other languages to help older kids learn to speak another language.

Studies show that playing outside can help prevent nearsightedness in children. Outdoor gifts like a bicycle, skateboard, camping equipment or a hammock will take outdoor fun to a new level (AAO).

Take Action If an Eye Injury Occurs

Even when using proper caution, accidents can happen. If your child sustains an injury from a toy, contact an eye specialist immediately. Instruct your child to avoid rubbing or putting pressure on the eye. If there is a foreign object in the eye, do not try to remove it, as you may make the situation worse.

Eye Exams Keep Vision Clear and Healthy

Is your child receiving regular vision screenings at school or at your local pediatrician’s office? Children’s eyes can change dramatically as they grow, and ophthalmologists can diagnose conditions like amblyopia (lazy eye), strabismus (misaligned eyes) and myopia (nearsightedness) when your child is young. Early treatment will protect your child’s vision for years to come.

If your child fails a vision screening, he or she may need a comprehensive eye exam. A visual acuity test will detect refractive errors, and dilation of the pupil can allow an ophthalmologist to detect abnormalities in the back of the eye.

A family background of medical issues or specific health conditions may raise the likelihood of developing eye disorders such as retinoblastoma, congenital cataracts or glaucoma. Consult your eye specialist regarding the frequency of preventative vision check-ups.

Although age is the greatest risk factor for cataracts, glaucoma and macular degeneration, anyone can develop chronic eye problems. People with diabetes are more susceptible to eye diseases, including cataracts and diabetic retinopathy. Therefore, it is imperative to manage diabetes with the help of your general practitioner. Detecting eye disease in the initial stages can protect you from long-term eye damage.

You should never wait for eye pain before calling an eye care professional. Eye diseases like glaucoma and macular degeneration can develop without warning signs while permanently reducing the field of vision.

Commit to Eye Health by Finding an Ophthalmologist

Are you seeking an eye doctor in your area? Our board-certified ophthalmologists are dedicated to protecting and restoring vision. Call today to make eye appointments for your whole family.

Clear vision is a precious gift, so care for your eyes this season. Your days will be merry and bright!

Thanksgiving Feast for the Eyes: Veggies Benefit Your Vision

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There’s more than one reason to gobble your veggies at Thanksgiving dinner this year. Eating a diet rich in vitamin A and other antioxidants can promote clear vision and slow or prevent eye diseases.

Carrots Are at the Root of Good Eye Health

Today, carrots are available in various colors and types, all packed with vitamins A, B, K and potassium. Although carrots won’t make your eyesight better, vitamin A can help your night vision. Vitamin A deficiency causes thousands of cases of night blindness every year.

There are two types of vitamin A:

  • Provitamin A is found in carotenoids, plant-based chemicals. Carrots contain large amounts of carotenoids, like alpha and beta carotene, that can convert to vitamin A.
  • Preformed vitamin A is found in dairy products, animal products and organ meats.

Carrots provide nutrition whether they are raw, cooked or frozen, yet cooking may increase carotenoids. One important tip to remember is that if you eat raw carrots, you need to eat a fat source, or you’ll lose the benefits.

Don’t just limit yourself to carrots during your holiday meal. Other good sources of vitamin A include sweet potatoes, red bell peppers, apricots, cantaloupe, mango and spinach. Consider making a spinach salad or roasting a medley of root vegetables like sweet potatoes, parsnips, onions and turnips.

Vitamin C Regenerates Damaged Cells in the Eyes

Your body cannot make vitamin C, so you must obtain it through foods. Vitamin C is present in the aqueous humor, the liquid in front of your eyes, and serves as a vital antioxidant to help prevent cataracts. About one in six Americans older than 40 has a cataract, and half of all Americans will develop cataracts by age 75.

Sun damage, smoke and fried foods can damage cells, but vitamin C can repair and regenerate cells. Peppers, russet potatoes, cauliflower, Brussels sprouts, broccoli and strawberries contain high amounts of vitamin C. Start looking for recipes for roasted Brussels sprouts, broccoli salad or mashed cauliflower. Your eyes will thank you!

Add a Pop of Flavor with Flavonoids

Many vegetables, fruits and plants contain flavonoids, which can enhance retinal ganglion cells. Flavonoids are powerful antioxidants that can fight viruses, inflammation and cancer. Increasing flavonoid intake could have a positive effect on your vision.

One study found that drinking hot tea and coffee could have a positive impact on your macular retinal nerve fiber layer thickness (RNFL), which is associated with neurodegeneration. Experts have linked RNFL thinning and neurological problems like glaucoma, Alzheimer’s disease, Parkinson’s disease and mild cognitive impairment (NCBI).

To get maximum benefit from flavonoids, you should eat a wide variety of foods, including onions, kale, soybeans, red cabbage, citrus fruits, berries, tea, red wine and dark chocolate. Instead of pie, you could offer your guests a colorful fruit plate with berries, citrus and squares of dark chocolate with a high cocoa percentage. You probably thought no one would ever recommend red wine for good eye health, but pour a small glass and celebrate the season. Your eyes will thank you.

Omega-3 Fatty Acids Prevent Eye Disease

When the body digests fats, it breaks fats down into fatty acid chains, which support an array of functions in our eyes. Omega-3 and gamma-linolenic acid (GLA) are especially powerful to prevent chronic eye conditions.

Omega-3 fatty acids lower inflammation and help maintain eye health and function. Getting plenty of omega-3 fatty acids lowers your risk of developing dry eye syndrome, age-related macular degeneration and glaucoma.

Good sources of omega-3 fatty acids include fatty fish like tuna, salmon, halibut, sardines and trout. Although fish may not be on your Thanksgiving shopping list, consider creating a charcuterie board with sliced ahi tuna, salmon spread and smoked trout dip.

Think “Green” When Boosting Lutein and Zeaxanthin Levels

Lutein and zeaxanthin are fat-soluble carotenoids found in the pigments of leafy green vegetables and brightly colored foods. They support the macula, the area of the eye that provides our central, detailed eyesight. Adequate levels of lutein and zeaxanthin may help prevent or slow down the advancement of age-related macular degeneration, which is the primary cause of vision impairment in seniors.

Adding lutein and zeaxanthin to your holiday buffet is simple: assemble a salad with every shade of green. Spinach, romaine lettuce, kale, collard greens, turnip greens, peas and broccoli all contain high amounts of fat-soluble carotenoids.

Get a Comprehensive Eye Exam Before the Year Ends

The calendar year is ending soon, and that means your medical visits and procedures could be less expensive than any other time of the year. Monitoring your eye health is an essential part of preventive care and equally important as an annual physical exam.

Because many eye diseases do not have symptoms in the early stages, conditions like cataracts, glaucoma, macular degeneration and diabetic retinopathy can develop without warning signs. Therefore, if you have any eye problems or develop a new health condition, it’s important to visit your eye doctor right away.

Besides getting regular eye exams, you can make daily choices to protect your vision. Wearing sunglasses with 100 percent UVA and UVB protection can prevent oxidative stress and free radicals due to sun damage. Quitting smoking is another way you can support healthy eyesight and overall health. Smoke from tobacco products can increase your risk of cataracts and macular degeneration, so get support if you smoke.

If you would like to find a board-certified ophthalmologist in your area, just enter your zip code and you can locate an eye doctor near you for a comprehensive eye exam with dilation.

May your Thanksgiving table be full of colorful, eye-healthy foods this year!

Ghouls Night Out? Follow Halloween Eye Safety Tips

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Elaborate Halloween masks, colorful makeup and cosmetic contact lenses can boost the thrill factor of a costume, but they can cause long-term vision damage.

Halloween is a favorite holiday for children and adults alike. What is more fun than creating a thrilling costume and eating sweet treats? Consider several factors when planning your unique look for trick or treating. Halloween costumes can cause eye injuries that turn ghoulish fun into a real-life nightmare if you do not show proper caution.

You can enjoy all the treats without the tricks by following these eye safety tips for a delightfully frightful Halloween.

Avoid Wearing Masks That Obstruct Vision

Masks can obscure your eyesight, especially at night. Often, the eyeholes of the mask are too small, which narrows the visual field.

Instead of wearing a mask, consider wearing a colorful hat. Hats can add just as much fright as a mask while not affecting your peripheral vision. Make sure that the hat fits snugly over the head and doesn’t slide over the eyes.

Wear Eye-Safe Makeup

Makeup can also be a wise alternative to a mask. Before purchasing makeup, check the FDA’s list of color additives to see if your preferred colors are FDA-approved.

After you purchase the makeup, put a small amount of the makeup on your arm to assess it. If you experience redness, a rash, swelling or irritation, do not use the makeup. You could be allergic to it. When you apply the makeup on Halloween, take extra care to avoid the eye area (FDA).

Metallic or glittery eye shadow and face paint can add flair and interest to your costume, but make sure there are no loose particles that can get into your eyes. Even hypoallergenic makeup can irritate the delicate eye tissue and cause inflammation. Make sure you remove all makeup before bed and discard makeup that is more than three months old.

Use Caution When Using Handheld Props

Swords, wands, light sabers, canes and broomsticks can accent any costume, but they can quickly turn from prop to weapon if used improperly. Handheld props can cause painful corneal abrasions that result in a visit to the emergency room. Instead of enhancing the fun, sticks and swords end up being cumbersome and just increase the risk of tripping and falling.

Save yourself the inconvenience and prevent eye injuries by leaving handheld props at home. Wearing colorful glow sticks around the neck will make you visible to others and make your appearance more festive.

Avoid Wearing Cosmetic Contact Lenses

Many people like to make a bold statement by wearing cosmetic contact lenses to accent their costume. However, you should only wear prescription contact lenses from your eye doctor. Contacts from a costume shop or online can cause vision problems, painful infections, corneal abrasions, corneal ulcers or blindness.

The FDA classifies contact lenses as medical devices, requiring a prescription from a licensed ophthalmologist or optometrist. Non-licensed vendors cannot sell unregulated cosmetic or costume contacts, and federal agencies are working hard to prevent the import of counterfeit contact lenses. However, you can still purchase non-prescription contacts at locations like gas stations, beauty salons and online shops (AAO).

Some cosmetic contacts contain harmful substances like chlorine and iron. Having a spooky eye color isn’t worth permanent vision loss, so find other creative ways to add a pop of color to your face.

Schedule an Eye Exam before Halloween

A comprehensive eye exam will prevent you from going “bump in the night,” so make an appointment for eye checks for your entire family. Kids may trip or injure themselves without unobstructed vision. Glasses or contacts could be just the trick for a safer Halloween.

Adults may benefit from an eye exam as well. Cataracts can affect night vision and cause glares or halos around streetlights and headlights. This can be particularly distracting and dangerous when accompanying children by car or on foot. Cataracts are a major factor in vision impairment, but undergoing cataract surgery can enhance your eyesight, offering clarity better than you’ve ever known.

Find an Ophthalmologist near You

It’s not a frightful experience to visit an eye doctor. Most eye exams take less than an hour, and insurance often covers preventive check-ups. Your doctor will evaluate your current prescription and screen you for common eye conditions like cataracts, glaucoma and macular degeneration.

If you are looking for a board-certified ophthalmologist, we can help. Our doctors and staff are eager to welcome new patients and care for your vision needs. Call an eye center near you so you can have a happy and safe Halloween.

“20/Happy” — Patient Recovers Sight After Cataract Surgery

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Lissette Gonzalez sat at her dining room table 18 months ago looking at a photo of her son with New York City in the background.

The Hudson County, New Jersey, stay-at-home mom recalled that the picture-perfect image suddenly looked fuzzy in her right eye.

“I had a little itch in my left eye, so [I was] just looking at the photo with my right,” she said. “Is his picture a little fuzzy? So, I covered up that eye and looked. It’s just slightly fuzzier.”

Hardik Parikh, MD, FAAOGonzalez, 50, said she had started new medication and wondered if that could be affecting her vision. She made an appointment with ophthalmologist Hardik Parikh, MD, FAAO, in early 2023.

“She came to me with a vision problem in her right eye,” Dr. Parikh said. “She wasn’t seeing clearly for the last few months. She was having a harder time working at her computer, tending to have to refocus constantly. Her vision at nighttime was also impacted. She was having a lot more glare than she was normally accustomed to.”

After a comprehensive eye exam, Gonzalez was diagnosed with a posterior subcapsular cataract. This fast-developing cataract starts in the back part of the lens in the eye and greatly affects reading or night vision.

“This cataract [was] blocking this center part of the vision where the light passes through,” Dr. Parikh said. “It’s extremely visually significant and extremely problematic, and patients notice it very early on.”

Fast-growing Cataract Impairs Vision

Cataracts are the leading cause of blindness globally and of vision loss in the U.S. An estimated 20.5 million Americans aged 40 years and older have cataracts in one or both eyes. If not treated, cataracts may impair or cause complete loss of eyesight.

“When a cataract is diagnosed, there are really two ways in which to move forward,” Dr. Parikh said. “One is to essentially wait and watch and adjust the glasses or contacts as needed to provide the patient with the best possible vision. The second option is to go ahead and plan for cataract surgery.”

Gonzalez determined her slightly blurry vision was manageable and delayed cataract surgery. Six months later, Dr. Parikh examined her right eye again. Gonzalez estimated her vision worsened by 30 percent due to the cataract, but postponed surgery again.

“I had regrets because it just went downhill so fast that six months later I’m blind in this eye,” she said. “I used that picture of my son as that litmus [test] — like how much less of him I see clearly. Over time, I would cover my eye and he’s just getting fuzzier and fuzzier. Then it just came to be that I can’t make out his face.”

About 14 months after her initial diagnosis, Dr. Parikh said Gonzalez was experiencing light perception vision.

“Even if we took a hand and waved it in front of her eye, going back and forth, she wouldn’t know that the hand was there,” he explained.

Patient Selects Intraocular Lens and Laser Surgery

The treatment for cataracts is surgery. Gonzalez said her vision loss was affecting her quality of life, so she scheduled her cataract surgery at River Drive Surgery and Laser Center in Elmwood Park, New Jersey.

“I would definitely recommend the procedure,” Dr. Parikh said. “Cataract surgery is overall one of the safest procedures that we have in all of ophthalmology.”

During cataract surgery, a doctor replaces the cloudy lens of a patient’s eye with an artificial lens. This intraocular lens (IOL) is a clear, plastic lens that becomes a permanent part of the eye.

Gonzalez selected a monofocal IOL, which helps with distance vision. With these lenses, you may still need glasses for reading or if you have astigmatism. Medicare and other insurance plans usually cover these IOLs.

She opted to undergo femtosecond laser-assisted cataract surgery. In this procedure, Dr. Parikh designed a specific surgical plan with a 3-D image of her eye called optical coherence tomography (OCT).

“This is a computer-guided laser that helps with certain parts of the surgery,” Dr. Parikh said. “We’re using technology to better augment a surgeon’s hands, making tasks easier, more efficient, more predictable, and more standardized. It also corrects low levels of astigmatism. Anything that really helps with the patient’s outcome at the end of the day is a win for us.”

“My only regret was not doing it sooner.”

Cataract surgery generally takes 15-20 minutes. The patient is usually at the ambulatory surgery center (ASC) for about two hours. Gonzalez’s cataract surgery was June 13.

“I was so sick of being half blind,” Gonzalez said. “Getting my sight back for me canceled out any other concerns. So, I wasn’t nervous at all. I was just like, ‘Let’s get this done.’ My only regret was not doing it sooner.”

After a seamless surgery day process, Gonzalez returned the next day for her follow-up appointment.

“The young lady in the office took off the bandage and everything, and I looked around,” Gonzalez said. “It was sensitive to light a little bit, [but] I can see! It’s like a miracle. That’s what it felt like.”

Seeing the elation on his patient’s face, Dr. Parikh described Gonzalez as “20/Happy” after her cataract surgery.

“‘20/Happy’ is when you can stop quantifying how good a patient’s vision is in terms of numbers and you start quantifying it in degrees of emotions,” he said. “Nothing beats ‘20/Happy’ — for the patient and for us.”

Choose an ASC for Your Cataract Surgery

Ambulatory surgery centers, like River Drive Surgery and Laser Center, offer safe, high-quality outpatient medical procedures.

“Being at an ambulatory surgical center is such an efficient process, not only for the healthcare system but also for patients in terms of minimizing how much time they spend both in the operating room and the facility,” Dr. Parikh said.

Gonzalez said her vision is better than ever. Her right eye is 20/20. She has new prescription glasses to accommodate her left eye, which now has a small cataract.

She plans to return to River Drive Surgery and Laser Center when it’s time for cataract removal.

“The moment I see fuzziness, I’m not waiting,” she said. “I know I’ll be going there for the other eye. And I know that I’ll be in good hands.”

Gonzalez said she would recommend cataract surgery at an ASC.

“Laser-related surgery is really putting yourself in the hands of professionals that can deliver results,” she said. “I walked out of there being able to see again. I had my sight back.”

Schedule Your Comprehensive Eye Exam

September is Healthy Aging Month to raise awareness of the signs and symptoms of vision loss.

To protect and preserve your eyesight, find an ophthalmologist near you and schedule a comprehensive eye exam. Your eye doctor will check your vision and test for common eye conditions like cataracts, glaucoma and macular degeneration.

If you need an eye doctor, our vision centers are located nationwide and are accepting new patients. Prioritize your eye health and schedule a visit today.

This article is designed for educational purposes only. The information provided should not be used for diagnosing or treating a health concern or disease. It is not a substitute for professional care. If you have or suspect you may have a health concern, you should consult your healthcare provider.

Easy Tips Help Protect Your Eyes During Outdoor Fun

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Warm weather and longer days entice us to go outside and have fun in the sun. However, outdoor activities increase the risk of developing ocular problems. Sun exposure, infection and foreign objects can cause damage to your eyes, so take precautions to wear sunglasses, safety goggles and sunscreen outdoors.

Overexposure to the Sun Can Cause UV Damage to Your Eyes

Sunshine can be healthy if you limit your exposure to ultraviolet rays. In the presence of sunlight, your skin makes vitamin D (also known as the sunshine vitamin) from cholesterol. The best source of vitamin D is sunlight, but about 40 percent of Americans are deficient.

How much sunlight you need depends on factors like the season, time of day, latitude, altitude, weather conditions and skin color. On average, about 10 to 15 minutes of unprotected sun exposure provide sufficient vitamin D. After that amount of time, you should apply sunscreen for the duration of your outside time.

The challenge is that most people get too much or too little sunshine. Excessive exposure to UV radiation from the sun, tanning beds and sunlamps can heighten the likelihood of developing corneal damage, cataracts, macular degeneration and skin cancer near the eyes.

You can protect your eyes from UV damage. You can wear …

  • Sunglasses that block 100 percent of UVA and UVB rays and wrap around the face.
  • UV protective clothing made of tightly woven fabric.
  • A wide-brimmed hat.
  • Sunscreen that filters out UVA and UVB rays and has an SPF of 30 or higher.

Swimming Can Cause Infection from Bacteria and Fungus

One of the best ways to beat the heat is by taking a dip in a pool, lake or ocean, but be aware that you can catch an infection from various bodies of water. One type of microorganism that is difficult to treat is a parasite called acanthamoeba, which can cause severe eye infections.

“The eye is not great at fighting off different types of infections because it doesn’t have available blood supply to it,” said Masih Ahmed, MD, an assistant professor of ophthalmology at the Baylor College of Medicine in Houston. “If you have scratches in the cornea, which can happen from dry eye or even rubbing your eye, one of those microorganisms can get into those cuts and lead to infection.”

You can keep your eyes safe in the water by remembering some simple guidelines. It is important to remove your contact lenses before swimming or entering water to prevent potential eye irritation and infections from tiny scratches. If you wear contacts, use daily disposables.

Try to keep your eyes closed while under water. If you need to open your eyes, use swim goggles to protect your eyes from any pathogens.

Sports or Activities Require Eye Protection

Eye injuries from sports or outdoor activities can be serious. Wearing proper eyewear can increase performance and lower your risk of eye injury. If you or a family member are participating in any sports or activities, purchase some impact-resistant frames that meet ASTM standards. Polycarbonate frames and lenses will protect the eyes from a flying object, collision or impact.

Even doing yardwork and house projects can be dangerous. Wearing safety glasses while mowing the grass or using power tools like hedge clippers or a chain saw can protect your eyes from stones, dirt and debris. You can also protect delicate eye tissues from chemicals and substances like gasoline, cleaning solutions, varnish, paint and insecticide. Eye protection and proper handwashing can prevent irritation, injury and vision loss.

Many Eye Injuries and Diseases Are Preventable

According to the Vision Council, 90 percent of work-related eye injuries are preventable when using proper eyewear. Sunglasses, swim goggles and safety glasses offer protection from the elements, infection and debris.

Another essential component for long-term vision health is a comprehensive eye exam. Yearly eye checks help ensure that you and your family have current information on your eye health and that you understand your risk for eye diseases. Risk for cataracts, glaucoma, presbyopia, dry eye, diabetic retinopathy and age-related macular degeneration increases with age, but eye conditions can affect anyone. You also have a higher risk for eye problems if you have a family history of eye disease.

A comprehensive eye exam with dilation offers a window into your overall health. At your appointment, your doctor will …

  • Evaluate refractive errors like nearsightedness, farsightedness or presbyopia.
  • Assess any focusing problems or other issues like strabismus, amblyopia or binocular vision.
  • Screen for eye diseases and other chronic problems like hypertension, high cholesterol or another medical condition.

Make an Appointment before the Year Ends

You can maximize your insurance benefits by making an appointment for an eye exam or scheduling a consultation for an eye procedure. If you have met your deductible, some procedures may be less expensive than you think.

If you are not under the care of a board-certified ophthalmologist, we can help. Our eye doctors have eye centers located across the country and are accepting new patients. Eye health is a precious gift that requires regular care, so call today to schedule appointments for your whole family.

Eye Exams Promote Healthy Vision for the Entire Family

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Eye injury, infection and nearsightedness affect people of all ages, so it is essential to schedule yearly eye exams for your children and family members. August is Children’s Eye Health and Safety Month, a time to emphasize the importance of eye health and disease prevention.

The Prevalence of Myopia, or Nearsightedness

Have you ever noticed more people are wearing glasses now than in the past? Myopia, or nearsightedness, is steadily increasing. The World Health Organization (WHO) estimated that around 1.89 billion people were nearsighted in 2016. The WHO predicts myopia will affect 49.8 percent of the world’s population in 2050. This means one out of two people will require glasses or contacts to see objects at a distance.

What Is Causing Nearsightedness Rates to Increase?

Genetics can affect myopia, but environment also influences whether someone is nearsighted. When visual input is distorted, it can cause the eyes to enlarge. This results from an increase in the length of the eye and results in blurred vision. Myopia causes the eyeball to elongate from front to back. This affects its ability to focus light, which enables clear eyesight. This elongation increases nearsightedness, making distant objects blurry.

One of the main reasons myopia rates are increasing is children are staying indoors more often. A study in Leipzig, Germany, analyzed 1,437 children between the ages of 3 and 18.

Kids who only went outside once a week were four times as likely to have nearsightedness compared to children who went outside two or more times a week.

Another factor that affects myopia is the amount of time people spend focusing on something within one arm’s length of their faces. Increased amounts of near work make children more likely to develop nearsightedness.

The German study found that children who spent more than three hours a day doing near work were four times more likely to have myopia than children who spent less than an hour doing near work. Near work activities may include the following:

  • Reading a book
  • Looking at smartphones or tablets
  • Working on a computer
  • Doing crafts or needlework
  • Drawing, painting or building models

Importance of Treating Myopia Early

If so many people are nearsighted, why does early treatment make a difference? Eyeglasses and contact lenses are simple solutions to myopia, but it is important to treat the condition early. Using corrective lenses for a few minutes every day can stop myopia’s progression.

Untreated myopia increases the risk of further progression of the lengthening of the eye, which may lead to vision problems like cataracts, glaucoma, retinal detachment and macular degeneration. Each of these eye diseases can cause vision loss. For this reason, countries like the United Kingdom, China and most states in the United States have mandatory vision screenings in school.

How to Prevent Myopia

Environmental factors have a significant impact on how susceptible children are to being nearsighted. Daily exposure to sunlight and limiting near work activities can prevent pathological eye growth.

Because we live in the digital age, it is not practical to prevent children from using digital devices; it is wise, however, to limit their usage. Past recommendations by the American Academy of Pediatrics were that children spend no more than two hours on digital devices per day. Recently, they recommend parents consider the quality of interactions with digital media more than just the amount of time.

Creating Healthy Parameters for Using Digital Devices

It may be more beneficial for parents to talk to their children about healthy boundaries for using technology and digital devices. The American Academy of Ophthalmology recommends the 20/20/20 rule: every 20 minutes, take a 20-second break and look at an object at least 20 feet away.

Pediatric ophthalmologist and Academy member Luxme Hariharan, MD, came up with BLINK 20-20-20.

Blink: Blinking helps keep the eyes moist.

Lubricate: Lubricate your eyes with artificial tears throughout the day or use a humidifier.

Inches: Keep the computer or desk an arms-length away and angle it downward from your child’s face.

Near device breaks: Encourage children to play outside with a sibling, friend or pet at regular intervals.

Know your sources: Seek information from trusted sources like your child’s doctor, eye doctor or the American Academy of Pediatrics.

Schedule a Comprehensive Eye Exam Before the End of the Year

Do you or your children find yourselves squinting to read street signs or decipher objects that are far away? It is time to schedule complete eye exams before the year ends. Yearly comprehensive eye exams help diagnose myopia, other refractive errors and eye diseases like cataracts, glaucoma and macular degeneration. Family history can make you more susceptible to certain eye problems, so make sure to talk to your doctor to determine your risk of developing a disease or condition.

Schedule an Appointment with a Board-Certified Ophthalmologist

Observe Children’s Eye Health and Safety Month by contacting one of our eye care centers. Our board-certified ophthalmologists are accepting new patients and are ready to meet your vision needs.