Archive for the ‘Wellness Care’ Category

Your Eyes Age as You Grow Older so Don’t Take Yours For Granted!

Wednesday, March 9th, 2011


Your eyes change as you age, and there are things that you can do at every age to help your eyes gracefully, and see your best. Don’t wait until you can’t see before you visit your optometrist. By then, the problem is probably advanced, and may be irreversible. Most eye diseases have no warning signs because you don’t have pain receptors in the retina in the back of your eyes.

First of all, mommies & daddies: start checking your baby’s vision at 6 months old, since vision guides development, and prevents vision loss from a lazy eye. Have your children’s eyes checked every year since there is a strong relationship between learning and vision. If your child isn’t seeing correctly, or they have a tracking or eye teaming problem, this will interfere with their academic and athletic performance. Please do not avoid bringing your children in for an exam at an early age because you are worried about them wearing glasses. You can do a lot more harm by allowing a vision problem to go uncorrected, and we can fit children as young as 8 years old with contact lenses. Check out the CLIP and ACHIEVE studies which show how contact lenses in young children can improve their quality of life. Regarding infants, we can fit them with special contact lenses and teach you how to care for your child’s eyes.

In your 20’s and 30’s many of us feel like we are invincible, but we aren’t. Now is a good time to make sure you are doing the right things for your eyes and your overall health. Be sure to eat healthy foods, stop smoking, wear sunglasses to protect your eyes from sun damage, and find out if a prescription can help you see better at the computer, driving, or playing ball. I know this for a fact since I was the Team OD for the Mighty Ducks of Anaheim. The better you see, the better you’ll be!

In your 40’s you start losing the ability to see close up: this is called presbyopia. See your Optometrist about doing eye exercises to keep your eyes flexible so they can zoom in and out between close and near objects. There are even homeopathic remedies you can use to slow down aging in your eyes. And then of course, keep getting your eyes checked EVERY YEAR! 1 of 4 over 40 have some level of vision loss so don’t just sit there – do something about it.

60+ years old: Your eyeballs have been around for a long time, and they start degenerating, just like the skin on your face is aging. Health problems like hypertension and diabetes affects your eyes. Half of us will develop cataracts, and the risk for glaucoma and macular degeneration increases significantly. But you don’t have to take it lying down: eat healthy, have your eyes checked yearly, BEFORE you start to lose vision. There are so many ways your OD can help you keep your eyes healthy, so you can keep enjoying life, and watch your grandchildren, and grandpets (!) grow up.

Let me tell you what to look for:
• Gradual loss of central or peripheral vision
• Distorted vision or loss of color vision
• Dim, blurry, cloudy or foggy vision

Most people spend more time buying shoes or watches than they do caring for their eyes. People look at your EYES when they talk to you, and your shoes don’t help you see how beautiful life is! Your eyes are your most important sense: RESPECT your eyes, and have your eyes checked every year!

I’m a firm believer in wellness and preventive care. Like going to the dentist: don’t wait until a tooth falls out, or like eating right, and exercising keeps your body healthy. It keeps your eyes healthy also, as well as annual eye exams to catch and treat problems before they harm your vision. Your eyes are one part of your body where it’s important to have them checked before you notice vision changes because by then, it may be impossible to reverse any loss.

Why is it harder to read after 40? Presbyopia

Friday, January 7th, 2011

Just when your career and life are really starting to take off, your eyes seem to be slowing down. Reading and viewing close objects becomes progressively more difficult in your 40’s because of a natural aging process called presbyopia.

Presbyopia makes reading more difficult because of a decreased ability to change focus, especially from far to near. As you age, the lens in your eyes becomes more rigid, and the muscles gradually lose their ability to focus at near.

The signs of presbyopia are:
• Small print is difficult to read
• You need to hold things further away to read
• You need more light to read
• Reading is easier without glasses or contact lenses if you are nearsighted

You can slow down the progression of presbyopia by doing several things:
1. Accommodative exercises: focus between a distant and very close target as fast as you can for 5-10 minutes every day. This increases your eye’s focus flexibility, strength and stamina.
2. Homeopathic remedies: This can slow down, and even reverse the aging process of presbyopia and cataracts. We can prescribe these for you after examining your eyes.
3. Wear sunglasses or glasses with an ultraviolet filter to slow down the aging effects of the sun on your eyes, and to minimize wrinkles around your eyes.
4. Taking anti-oxidant supplements to minimize lens oxidation, which can increase the rigidity of your eyes’ focusing lens. Green leafy vegetables, and orange-colored fruits and vegetables are also good sources of anti-oxidants.

Inevitably, you will need a special prescription, or bifocal lens for reading, even if you had refractive surgery. Options to help you read include:
• Progressive lenses (no-line bifocals)
• Reading glasses
• Adjustable computer glasses
• Bifocal contact lenses
• Mono-vision contact lenses or refractive surgery

We practice in a holistic manner, and are always looking for ways to help our patients age gracefully through diet and exercise, not only for your body, but also for your eyes.

Lady Gaga Eyes: Circle Contact Lenses

Friday, September 10th, 2010

Pop culture trends are creating some dangerous vision problems.

Lady Gaga’s fans are putting their vision at risk by attempting to copy her huge, anime-style eyes as seen in the Bad Romance video. Although Gaga’s gigantic peepers were computer generated, fans are copying the look with illegal Circle contact lenses obtained without a prescription on foreign websites.

These contacts are larger than normal lenses and cover more of the sclera or white part of the eye to create an exaggerated appearance of the eyes. They can cause significant, permanent damage to the eye if they do not fit your eyes properly. This requires a contact lens evaluation by an Optometrist. Potential problems include impaired vision, conjunctivitis (pink eye), swelling, redness, corneal abrasion, scarring, and insufficient oxygen due to the larger, tighter contact lenses that allow less tear exchange and oxygen to the eye. No beauty fad is worth damaging your eyes or causing an infection.

There are safe and legal soft contact lenses with the dark limbal ring, but these lenses are going to be discontinued by the manufacturer as of 10/31/10. You do need a prescription for these lenses, and yes, they look fabulous on your eyes!

This You Tube video describing how to create the “big eyes” from Lady Gaga’s video has received more than 9 million views. Many girls who obtain these Illegal Contact lenses do not care for them properly, and use them for longer than they should be worn for which can also hurt your eyes. Remember, contact lenses are medical devices, not make up.

Here’s a recent interview on the KTLA Morning News about this and other related topics.

Eye Tips for Travelers

Thursday, August 5th, 2010

To minimize vision-related mishaps wile traveling, Dr. Brisco recommends the following:

  1. Bring an extra pair of contact lenses or glasses in case you lose, tear or break yours. It is often difficult to find an eye doctor quickly while away from home.
  2. Wear glasses, instead of contact lenses, while flying. The dry air in the plane’s cabin air can make your eyes feel dry and scratchy.
  3. Put your name and address on your eyeglass case so it can be returned to you if you misplace your glasses.
  4. Bring ophthalmic antibiotic drops if you are traveling to a remote area in case your eyes become infected while camping, hiking, swimming in the ocean, etc. Schedule an appointment with Dr. Brisco before your trip for a pre-trip eye health evaluation, to prescribe antibiotics for your medical emergency kit.
  5. Bring wetting drops for moisturizing your eyes while on the plane (especially on long flights). The drops will also be useful if you are in a dusty environment, such as while on safari or on dirt roads.

Computer Vision Syndrome: Does Using the Computer Make You Tired?

Saturday, July 17th, 2010

Using the computer more than 2 hours a day is hard on your eyes. Your eye muscles have to stay in focus, track across thousands and thousands of words, and work like a synchronized swim team, or you will see blurry or double. If you have astigmatism, are farsighted, or your eye prescription is different in each eye, this adds more strain to the focusing system. Also, if your eyes don’t work well together (the eyes drift apart due to poor eye muscle coordination from strabismus, convergence insufficiency or excess, and tracking problems), this can cause eyestrain and diminish your productivity also. To see my latest TV interview about CVS, go to: http://www.videowired.com/video/2674864358/

It is more tiring to read from a computer screen than a printed book because the pixels that form the letters are not stable, and have less contrast & definition than books. There is an electron beam that scans the monitor and recharges the illumination of each pixel frequently. Your eyes have to continuously “fill in the gaps” to keep the words in focus which causes fatigue and eyestrain. Printed books are easier on the eyes because the characters are dense and have well-defined edges.

Studies suggest that most computer users experience some level of eye discomfort from computer work; therefore, most people who work on a computer more than a couple hours daily could benefit from prescription computer glasses.

Symptoms of CVS include:
•    Overall fatigue
•    Headaches or eyestrain
•    Dry, burning eyes
•    Double vision
•    Blurred vision
•    Neck and shoulder pain

Treatment:

•    Get your eyes checked because even a small, uncorrected prescription can cause eyestrain and decrease productivity. Glasses prescribed for computers balance the eyes and eliminate the constant refocusing effort. This increases comfort, accuracy and productivity. Computer glasses are not the same prescription as reading glasses which are prescribed for a closer working distance of 14-16”. Most computer screens are set at 20-24” away. Computer glasses may keep your eyes from getting worse (more nearsighted) by reducing excessive focusing strain on the eyes, especially for children and teens whose eyes are still developing.

•    To avoid visible flickering, the Refresh Rate should be set at a minimum of 75Hz

•    Vision Therapy to correct eye muscle problems computer glasses eliminate the constant refocusing effort that your eyes go through when viewing the screen. Vision problems that affect productivity include: Strabismus (esotropia, exotropia), Amblyopia, Convergence problems (convergence insufficiency or excess), Oculomotor Dysfunction (tracking problems), Fusional Instability (impaired ability to fuse the images from both eyes together).

•    Take a 20/20 “eye break”. Every 20 minutes, rest your focusing muscles by taking a 20 second break. Look into the distance, away from your desk and computer for 20 seconds.

•    Correct computer set up: do not have a window in front of, or behind, your computer screen. Overhead lights should be perpendicular to you. Dim the room lights to decrease glare and avoid washing out the computer screen and causing glare. Use a light on paperwork or your desk if necessary, but make sure it’s not pointed at the screen.

•    Use artificial tears to moisturize your eyes if they are dry. Your doctor can also recommend homeopathic remedies and nutrition tips to increase tear production

Technically speaking, if your eyes are tired, or you are tired, have your eyes examined to see if a prescription for Computer Glasses can help you, or if you have an eye muscle or focusing problem, or dry eye problem that is treatable. This will help you be more comfortable and more productive at work, school, and while tweeting on your iPhone or Blackberry!

Dr. Elise Brisco, OD, FAAO, FCOVD
www.HollywoodVision.com
Los Angeles, California (323)954-5800

GLAUCOMA: WAYS TO REDUCE RISK AND KEEP YOUR OPTIC NERVE HEALTHY

Sunday, June 13th, 2010

WHAT IS GLAUCOMA?

Glaucoma results from damage to the optic nerve which can impair vision. Glaucoma is the second leading cause of blindness, and is commonly referred to as the “Silent Thief of Sight” because it damages vision so gradually that you do not notice it until the advanced stages.

It is usually associated with elevated intraocular pressure or reduced blood supply – circulation to the optic nerve. Another mechanism is when the microscopic drainage system in the eye is partially obstructed, the intraocular pressure increases causing damage to the optic nerve. However, even people with normal eye pressures can have glaucoma.

HOW CAN I TELL IF I HAVE GLAUCOMA?

Unfortunately there are usually no symptoms until you have lost vision. Early diagnosis and treatment are the best way to minimize or prevent optic nerve damage, and limit glaucoma-related vision loss which is why we recommend annual eye exams.

Normal Vision without Glaucoma

Loss of Peripheral Vision with Glaucoma

HOW DO YOU TREAT GLAUCOMA?

There is no cure for glaucoma, but continuing treatment can preserve eyesight. Eye drops are usually the first line of treatment followed by laser procedures, surgery, and oral medications. A glaucoma specialist will prescribe the best treatment for your type of glaucoma.

RISK FACTORS FOR GLAUCOMA include:

-    Family history (10X greater risk)
-    African-American descent (6-8X higher risk than Caucasians)
-    Age (although infants can have glaucoma)
-    Thin cornea (front surface of eye)
-    Diabetes, high blood pressure, heart disease, hypothyroidism
-    Severe eye injuries
-    Nearsightedness
-    Prolonged corticosteroid use
-    Elevated intraocular pressure (although people with low pressures can develop glaucoma also)

HOW CAN I REDUCE MY RISK FOR GLAUCOMA, and KEEP MY OPTIC NERVE HEALTHY?

There are several ways to keep your body healthy and help reduce your risk for glaucoma:
-    Regular exercise (40 minutes of brisk walking 3x/week for 3 months can reduce intraocular pressure by 20%)
-    Quit smoking (smoking increases risk of glaucoma 2.9X)
-    Limit caffeine intake
-    Limit YOGA inversion techniques which can increase intraocular pressure
-    Ginkgo biloba (antioxidant that can increase blood flow and promote optic nerve health)
-    Acupuncture
-    Bilberry
-    Green leafy vegetables (i.e. spinach, collard greens, broccoli)
-    Consume other antioxidants such as Vitamin E, C, B12
-    Foods high in magnesium (Ex. Fish, apples, avocados, bananas, dairy)
-    Eat less refined foods (i.e. white bread, pasta, sugar)
-    Eat mainly vegetarian including cold-water fish, and eggs
-    Chrysanthemum tea
-    Chinese herbs (Wu Ling San Teapills, Huang Lian Yang Gin)

Dr. Elise Brisco, OD, FAAO, FCOVD

(323)954-5800

www.HollywoodVision.com

Sources: Glaucoma.org, healingtheye.com, medicalhealthguide.com

Can I Make My Eyes Whiter?

Wednesday, April 21st, 2010

A new process called I-Brite Eye Whitening can make your eyes whiter and brighter by removing the conjunctiva, the thin membrane covering the white portion of the eye. This contains most of the visible red blood vessels, growths of tissue (pinguecula or pterygium), or yellow/brown spots (hyper-pigmentation/ freckles). A clear membrane will grow back in its place.

Patient Before & After I-Brite

The procedure is relatively painless and takes approximately 20-45 minutes per eye to perform. There is little downtime, so you may return to work the next day. You will need to avoid swimming for 2 weeks and refrain from strenuous exercise and heavy lifting for 3-4 days. Your eyes will have increased redness for the first few weeks, but once the new tissue regenerates, your eyes will become whiter and brighter! You will use eye drops for several weeks during the recovery period to aid the healing process, as well as artificial tears to help with temporary dryness. It is recommended to use artificial tears at least 4 times daily for 2 months after your procedure. You may also have temporary light sensitivity while healing, so it is recommended to wear sunglasses with a UV400 filter to protect your eyes from sun damage and aging.

The procedure is has a high success rate, so it is unlikely that you would need a second treatment except for the following cases:

Pterygium: 7% may need a second treatment

  • Excessive brown pigments/freckles: 3% may need a second treatment

To make sure that you are a good candidate for I –Brite, we will examine the health of your eyes before surgery. You must be at least 16 years old, and neither pregnant nor breastfeeding to have the procedure performed. The procedure may not be recommended if you have certain auto-immune diseases, so you would need to speak with your surgeon regarding this.

Before & After Pterygium

After the procedure, we will see you at 1 month, 3 months, and 1 year after your procedure to monitor your healing.

The proof is in the before and after pictures. Please call our office if you are interested in determining if you are a good candidate for the I-Brite Eye Whitening procedure.

Before & After I-Brite Photo 2