Posts Tagged ‘Los Angeles Eye Doctor’

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.

The Many Causes of Red or Pink Eye

Tuesday, August 3rd, 2010

Conjunctivitis

Pink Eye

A red or pink eye — although usually painless — is visually disturbing. When people look at you, they look mainly at your eyes. People judge your health and well being by how your eyes look.
Eyes look red when blood vessels near the surface of the eye become enlarged and dilated. If you have red eyes, it is important to find out why. Red eyes have several primary causes including: irritation, infection, allergies, or underlying health problems.

There are many possible causes of red eyes; therefore, it is important to have an Optometrist examine your eyes to determine the cause and best treatment. Here are some of the most common causes:

Allergies: Dust, pollen, mold, environmental (smog, pollution, etc.)
Infections: bacterial (may have mucopurulent discharge and crusting), viral (may have runny nose, sinus congestion, swollen eyelids). Both are very contagious.
Sexually transmitted: Herpes Simplex, Chlamydia
Dry Eye: insufficient tear production, hormonal, age, systemic health problems
Excessive UV/sun exposure: tanning beds, sports: skiing, surfing, etc.
Environmental: smog, chemicals, wind, blowing dust
Eye strain: prolonged computer work or visual tasks decreases blink rate
Lack of sleep
Contact Lens wear: wearing contact lenses too long, or not replacing lenses as prescribed
Uveitis: is an inflammation of the middle layer of the eye where most of the blood vessels are. Symptoms include redness, pain, blurry vision, floaters and light sensitivity. Uveitis can be caused by health problems such as autoimmune disorders such as rheumatoid arthritis or ankylosing spondylitis. Uveitis can also be associated with AIDS, psoriasis, ulcerative colitis, herpes zoster, and syphilis. Uveitis should be treated quickly because other complications, such as glaucoma, cataracts, or retinal and choroidal scarring, may occur if it left untreated.
Blepharitis: a chronic infection and inflammation of the eyelids
Lid Lice (Pthiriasis Palpebrarum)
Smoking marijuana, drinking alcohol
Acute Angle-Closure Glaucoma: Acute angle-closure glaucoma is a serious medical emergency and must be treated immediately.
Subconjunctival Hemmorage: It can be caused by a Valsalva maneuver such as hard sneezing, coughing, intense straining, vomiting, trauma, high blood pressure, diabetes and sometimes from certain blood disorder problems
Injury:Corneal abrasion, ocular trauma, sports injury
Corneal Ulcer or Infection: The cornea has no blood vessels of its own. When the cornea becomes infected, surrounding blood vessels enlarge to bring immune system-related cells to help fight the infection.
Frequent Use of Eye Drops: Constant use of one of the “get the red out” eye drops can cause over dilation of the eyes’ blood vessels. A rebound hyperemia effect can occur when you stop using the drops because the body becomes accustomed to being chemical constricted by the eye drops. After the effect of the eye drop wears off, the blood vessels sometimes dilate larger, causing the eyes to appear even more bloodshot

If you have a red or pink eye, see your Optometrist immediately. In case your red eye is contagious, be careful not to spread the infection. Wash your hands often, do not share linens, do not share make up, and do not go swimming. Discard any liquid make up that you are using, and soft contact lenses.

Do not use medications prescribed for someone else, or leftover from an old infection. The medication may not be appropriate for your current condition, and the bottle may be infected from touching the eye during previous use.

If you, or your child, are experiencing other symptoms such as coughing, runny nose, earache, the symptoms may be caused by the same bacteria, and you may need an oral antibiotic in addition to the treatment for your eyes.

The bottom line is that pink or red eyes can be caused by many reasons. Make an appointment immediately with your Optometrist to determine the cause and best treatment for you or your child.

Do I Have a Vision Problem if I Can’t See 3D Movies?

Sunday, February 7th, 2010

3D Movie  Audience

Research has shown that up to 56% of those 18 to 38 years of age have one or more problems with binocular vision and therefore could have difficulty seeing 3-D.[i] In addition, about five percent of the population have amblyopia (lazy eye) and/or strabismus (eye turn) which makes 3-D viewing impossible. See my interviews nationally on NBC  and on KTLA:

http://www.ktla.com/videobeta/?watchId=801f6ab5-cbfe-401e-9608-6bc4bddeb8c3

http://www.ktla.com/health/3d-movies-health-vision,0,4561218.story

http://www.youtube.com/user/pkandapr#p/u/6/YIvK5gHw9sc

Unfortunately, not all people are able to see 3 dimensional images (stereovision, stereopsis), or 3D. Many people see a 2 dimensional, or flat world, and don’t know it because they have never experienced the pleasure of seeing in 3D. Vision problems such as strabismus (eye turn), amblyopia (lazy eye), or poor binocular skills (eyes drift apart) can interfere with the ability to see true 3D. In order to see in 3D, your eyes need to work together as a team to align the images from each eye, then the brain fuses the images into a 3 dimensional image. Fusion

For example, the 3-D version of the movie Avatar has two images projected on the screen, each image seen by one eye. The images are then merged into one by your brain. If your eyes don’t work together, it will be very difficult to merge or fuse the images into 3-D. The technology behind the Avatar 3-D effects is based on the premise that the viewer has the ability to see 3-D. If you have poor eye coordination, or a lazy eye, 3D television will also look flat to you (2 dimensional), and objects will not “pop off the screen”.

These vision problems affect more than just your ability to see 3D movies. They also impair depth perception, your ability to know where objects are located in space, eye hand and eye body coordination for driving and sports, and reading efficiency and comfort. Over time, if the eyes do not coordinate and work together, the brain ignores one image to avoid seeing double vision. This results in seeing a flat or 2D world.

But there is hope. Thanks to Optometric Vision Therapy, people who previously could not see 3-D are enjoying every special effect that 3-D movies such as Avatar, and 3-D TV have to offer. There are methods to teach people to see in 3D. Using Vision Therapy and physical aids (lenses and prisms) as “training wheels,” you can eventually learn how to point both eyes to focus on the same space. Visual skills are definitely trainable, so you can learn better eye control and coordination through special Vision Therapy techniques.


[i] Montes-Mico R. Prevalence of general dysfunctions in binocular vision. Annals of Ophthalmology. 2001; Volume 33, 3: 205-208.

What options besides surgery do I have for strabismus (esotropia or exotropia)?

Thursday, December 24th, 2009

This is the number one question I receive regarding strabismus. Most surgeons or ophthalmologists will recommend eye muscle surgery, but cannot guarantee their results.

Most optometrists will recommend Vision Therapy or a type of physical therapy to work on eye muscle coordination and control.

The truth is that there are several options depending on how much you, or your child’s eye is deviating, which direction, how often it drifts, and the age of onset. It’s also important to consider if there are any co-existing neurological factors such as a traumatic brain injury, or acquired brain injury (such as stroke or craniotomy) to determine the potential for improvement.

Surgery alone is never the best option. If you cut the eye muscle, but the brain doesn’t learn how to coordinate the eyes and use them together, the eyes will drift apart again, and another surgery will be necessary. The brain needs to be trained to function as a two eyed system and use the eyes as a team. This will minimize the likelihood of the eyes drifting apart after surgery, and will maximize cosmetic alignment as well as visual function (such as depth perception/stereopsis).

Doing nothing is also not a good option. A patient with strabismus has little to no depth perception which will affect their ability to judge depth and distances such as while driving a car or catching a ball. It will also diminish your reading skills because the brain must ignore or suppress the eye that is deviating to prevent from seeing double vision. This wastes energy and attention is drawn away from the task at hand. Also, when one visual pathway is not stimulated and developed, that side of the brain doesn’t develop, and amblyopia usually occurs where the eye is not correctable to 20/20 vision, even with glasses, contact lenses or LASIK.

Usually the best option is Vision Therapy if the amount of eye drift is small, or intermittent. A combination of surgery and Vision Therapy is best if the deviation is larger.

Is LASIK or refractive surgery right for me?

Monday, September 14th, 2009

I am often asked if LASIK or refractive surgery is right for a patient. The answer is, it depends on your eyes, and your lifestyle. Overall, LASIK is very safe. With today’s technology, there are very, very few post-surgical complications  so I can recommend it to my patients. I am very conservative in my treatment, and would only recommend a procedure to my patients that I would recommend to my own family.

That having been said, LASIK is still surgery, and we need to do a pre-operative exam to make sure that your eyes are healthy and suitable for LASIK.
Before you see the surgeon, we evaluate the following aspects of your eyes such as:
* Ultrasound to measure the thickness of your cornea for creation of the flap
* Tear analysis
* Cycloplegic refraction (prescription analysis under dilation)
* Topography (map of corneal surface)
* Pupil measurement
* Lifestyle analysis (to determine the target post surgical prescription goal i.e. monovision, under correction, full distance correction, etc.)

If everything looks good, you’ll meet the surgeon and schedule your procedure.

We will see you after surgery over the next several months to make sure that your eyes have healed properly.

LASIK or refractive surgery can be life changing for some patients as they wake up every morning seeing clearly. It is important to do it correctly, and choose the best surgeon after we’ve determined that your eyes are suited for LASIK.