What is a cataract?
There are many different types of cataracts, but the most common type is due to a normal course of aging. Inside each eye is a lens that helps focus light on the retina. When you reach your 50’s, the lens slowly turns from crystal clear to white and cloudy. These changes usually do not become noticeable to the patient until 10-15 years later. As a cataract becomes more “mature”, they cause blurry vision and difficulty with glare from lights. When this happens, the patient can elect to have the cataracts removed with a common surgical procedure in which the surgeon removes the cloudy lens and inserts a clear, new lens.
What is astigmatism?
Many people are worried when they are told they have an astigmatism. However, it is not a disease and it will not cause a permanent loss of vision. Simply, it is a condition in which the cornea (the front of your eyeball) is “out of round” or not spherical. An astigmatism can cause distance and/or near vision to be blurry, similar to nearsightedness and/or farsightedness. It can be easily corrected with glasses, and most of the time, with contact lenses.
What is Glaucoma?
There are many different types of glaucoma but the most common type is Open Angle Glaucoma. Many people are under the misconception that glaucoma is caused by high pressures inside the eye. However, glaucoma is a disease of the optic nerve, and one can have glaucoma even if their pressures are “normal”. In addition, open angle glaucoma does not have any symptoms such as pain or redness. Glaucoma can cause a permanent, progressive, and irreversible loss of vision which is not noticeable until very late in the disease process. First line treatment for glaucoma involves eye drops. Laser and surgical treatments can also be used in more advanced situations.
What is Macular Degeneration?
Our entire retina (the inner lining of the eye) contains photoreceptors (the cells that make us see). There is a tiny area within the retina which is “prime real estate”, meaning that the photoreceptors are packed together. This allows us to see clearly and sharply. Think of it this way: look directly at an object and notice how in-focus and detailed it is. Now look about 6 inches or even a foot next to the object. You can still see it but with less detail. So when the macula becomes damaged, a person will lose their central, detailed vision. There are two forms of macular degeneration- dry and wet. Dry AMD is the most prevalent form, and in this stage, visual defects are mild to none. Wet AMD is more serious. In this stage, fragile, damaging blood vessels begin to grow causing vision loss and/or distortion. Thankfully, there is a treatment which involves shots inside the eye to prevent the blood vessels from developing.
What is a lazy eye?
A lazy eye is one that cannot see 20/20, even with the correct prescription (glasses or contacts). This is because the image coming inside the eye is not focusing properly on the back of the eye. There are several causes for this. Most people think of a lazy eye as one that is not pointing in the same direction as its fellow eye- this is called strabismus. Another way an eye can be lazy is because of very different refractive errors in one eye versus the other. In rare cases, someone who has a large refractive error (either very nearsighted or farsighted) in both eyes can have 2 lazy eyes. The treatments for a lazy eye include surgery, glasses, and or vision therapy, depending on the cause.
What is conjunctivitis?
Conjunctivitis means “inflammation of the conjunctiva”, which is a thin layer of tissue overlying the white part of the eye (the sclera). Conjunctivitis is also known as pink eye and can be caused by bacteria, allergies, and viruses. Like the common cold, most cases of conjunctivitis are viral in nature, meaning that an antibiotic eye drop, which is commonly prescribed, is unnecessary. One should be careful at self-diagnosing, as there are many other reasons which cause eyes to become red, especially in a contact lens wearer.
Additional explanations and videos of visual conditions such as nearsightedness, farsightedness, and astigmatism, as well as eye diseases such as cataracts and macular degeneration can be found here.
A pain in one of my eyes woke me up in the middle of the night. It felt as if something was scratching my eye. I tried flushing my eye with cold water but that didn’t help and the pain kept me from falling back asleep. The next day I went to Dr. Mike’s office and explained what had happened. He made time to see me right away and determined that although my eyeball was ok, something was lodged underneath my eyelid. A few minutes later he was able to extract it and the pain was gone. I want to thank Dr. Mike for being there for me when I really needed someone.