Glaucoma: Silent Thief of Vision

Glaucoma is a progressive, degenerative disease of the optic nerve that can lead to permanent vision loss.  It is the second leading cause of blindness worldwide.  3 million people in America have
glaucoma and approximately 50% of people don't know they have it by because it is symptomless. However, with early detection and treatment, vision loss can be prevented.  Various forms of glaucoma exist and most forms have ​no pain or symptoms ​ .  Glaucoma is screened for and detected during your annual eye exam.

There are many risk factors for glaucoma.  Some of these risk factors include:  ● Age over 40 ● African American, Asian, or Hispanic descent ● a family history of glaucoma ● being highly nearsightedness or farsighted ● history of ocular injury ● diabetes ● sleep apnea ● use of certain medications such as steroids

The treatment for glaucoma may include eye drops, laser procedures, and/or surgery.

Currently, there are no therapies that prevent glaucoma.  The best practice is have annual exams for early detection and treatment. ​  Advancing technology allows us to detect glaucoma earlier than ever, thereby preserving your vision for years to come.


Written by Dr. Vandana Gandhi
09/14/2019

Are your eyes constantly tearing? You may actually be suffering from Dry Eyes!

You may have noticed the sensation that your eyes feel drier this time of year. As the heaters are running and the humidity drops, dryness can often creep in. This dryness can be particularly bothersome if you are a person suffering from Dry Eye Syndrome or what is also known as Ocular Surface Disease.

A person suffering from Dry Eye Syndrome may often feel like they have burning, stinging eyes, redness, and a foreign body sensation.  However; the most common symptom is often a reflex tearing effect caused by dry, irritated eyes.  This tearing is too watery and can often run down one’s face instead of properly hydrating the eye, thus not helping to relieve dry eye symptoms. 

There are certain systemic diseases that can exacerbate this condition. Some of the most common systemic diseases that put you more at risk for dry eye include Diabetes, Thyroid disease, and Rheumatoid Arthritis. In addition, lifestyle factors such as increased caffeine consumption, increased computer use, and certain medications can lead to dry eye if not properly managed.

Your eye doctor plays a vital role in the fight against dry eye by diagnosing and treating this condition in a number of ways. The first line of treatment is often properly managing any contributing systemic diseases such as Diabetes with your Primary Care Provider.  Once this is under control your eye doctor will initiate a treatment protocol that may include over the counter eye drops and vitamin supplements, prescription eye drops and lifestyle changes. 

Discussing your specific symptoms with your eye doctor can help determine the best treatment options. Some options your eye doctor may choose to treat your dry eye include:

1.                           Over the counter artificial tear eye drops; which can help alleviate minor dry eye symptoms

2.                           Omega 3 vitamin supplements have also been shown to improve tear film and alleviate many symptoms.

3.                           Punctal plugs; which keep your tears from draining as quickly and thus keep the tear film on your eyes for a longer period of time.

4.                           Anti-inflammatory medication eye drops such as Restasis can help a patient produce more tears over time.

To find out if you suffer from dry eye syndrome please contact our office at 770-479-0222 or www.EdwardsEyeCare.com to schedule your comprehensive eye examination. 

National Glaucoma Awareness Month

As we get closer to the new year, what better resolution than leading a healthier lifestyle. One item on everyone's list for the upcoming year seems to be heading back to the gym - to improve their fitness level, or just eating healthier overall for a better quality of life. However, how many of you think about going to the eye doctor more often for preventative vision and eye healthcare? Though it may be down your resolution list a bit, making it a point to see your eye doctor for regularly scheduled eye exams is a must in order to keep seeing your best. It does not matter whether you wear corrective lenses or not, or even if you think your eyes are in perfect condition. Getting a regular eye exam is a necessary part of your overall healthcare regimen, and vital to make sure you are able to continue maintaining healthy vision. One national organization, Prevent Blindness America is helping promote the importance of regular annual eye exams by recognizing January as Glaucoma Awareness Month. Today close to three million people actually have Glaucoma, but some of them do not even realize it because there are often no warning symptoms. Glaucoma is the second leading cause of blindness in the United States of America and the first major leading cause of preventable blindness. Approximately 120,000 Americans are mostly blind because they suffer from Glaucoma, accounting for 9% to 12% of all cases of blindness in the United States of America. The condition is also 6 to 8 times more common to be found in African-Americans than in Caucasians. Glaucoma is an eye disease which damages the optic nerve (the pathway for vision between the brain and eye) in the back of the eye most often when eye pressure is elevated in an individual’s eye for an extended period of time. This process can often decrease peripheral vision without symptoms, thus earning it the moniker of “the silent thief of sight”. As such, annual eye exams are the number one deterrent from individuals suffering vision loss caused by Glaucoma and other preventable eye diseases. This is because even in a routine eye examination, your eye doctor can detect signs and/or risk factors of Glaucoma. Many patients are familiar with the dreaded “air-puff test” which is one method of measuring eye pressure, but there are also other methods – such as the Icare Tonometer which measures intraocular pressure (IOP) with no drops or puff of air required for a more comfortable and accurate assessment. If Glaucoma is detected early enough, there are many steps that can be taken in order to maintain the amount of healthy vision one currently has through topical (eye drops), laser, or even surgical treatments. So make sure you make an annual eye exam a part of your healthier lifestyle and keep seeing your best all year round.

Glaucoma Awareness Month and Annual Eye Exams

It's a new year and what better resolution than leading a healthier lifestyle in 2012. One item on everyone's list this year seems to be heading back to the gym - to improve their fitness level, or just eating healthier overall for a better quality of life. However, how many of you think about going to the doctor more often for preventative health care screenings? Though it may be down your resolution list a bit, making it a point to see your eye doctor for regularly scheduled eye exams is a must in order to keep seeing your best in 2012 and beyond. It does not matter whether you wear corrective lenses or not, or even if you think our eyes are in perfect condition. Getting a regular eye exam is a necessary part of your overall health care, and vital to make sure you continue with healthy vision. Prevent Blindness America is helping promote the importance of regular annual eye exams by recognizing January as Glaucoma Awareness Month. Close to three million people actually have glaucoma, but half of them do not realize it because there are often no warning symptoms. Glaucoma is the second leading cause of blindness in the United States of America and the first major leading cause of preventable blindness. Approximately 120,000 Americans are mostly blind because they suffer from glaucoma, accounting for 9% to 12% of all cases of blindness in the United States of America. Glaucoma is the leading cause of blindness among the African-American population in the U.S. as well. The condition is 6 to 8 times more common to be found in African-Americans than in Caucasians. Annual eye exams are the number one deterrent from individuals suffering vision loss from Glaucoma and other preventable eye diseases. This is because even in a routine eye examination, your eye doctor can detect signs and/or risk factors of glaucoma. If the condition is detected early enough their are many steps that can be taken to maintain the amount of healthy vision you currently have through topical (eye drops), laser, or surgical treatments. So make sure you make an annual eye exam a part of your healthier lifestyle in 2012 and keep seeing your best this year and beyond.

Cataract Surgery Can Benefit Those With Alzheimer’s Disease

As we age the natural lens in the middle of the eye will eventually become more cloudy, this is known as a cataract. With the cloudy discoloration present in a cataract, the eye’s natural lens begins to act like a filter causing a decrease in vision, contrast and the overall amount of light entering into the eye. In turn, everyday activities of daily living such as moving about the house, reading, and cooking can become more difficult. Studies have shown those with Alzheimer’s Disease also have difficulty perceiving contrast. Recently several studies have been released showing the benefits of cataract surgery for Alzheimer’s patients. Reports show with better vision comes better sleep patterns, less depression, and a better overall mood. Patients studied had mild dementia and at least one significant cataract. A neuropsychologist evaluated patients at their 1 month and 3 month post-operative visits. Mood, behavior, sleep patterns, the ability to function independently, and cognitive abilities were assessed. Results showed an overall increase in mood, recognition, ability to function independently, and sleep patterns. Dr Alan Lerner says, “If you can’t perceive something, it is hard to remember it.” A simple statement that is so true. The overall conclusion of the study showed that by improving the ability to perceive, cataract surgery can give an Alzheimer’s patient a better quality of life.

November is National Diabetes Awareness Month!

Diabetes is becoming more and more prevalent in our country. Today, 21 million Americans have Diabetes and it is estimated that one third of this population do not even know they have the condition. During the month of November, I am proud to spotlight the importance of frequent eye exams for individuals with Diabetes and those at risk for this disease.

Dilated eye exams at appropriate intervals are extremely important for individuals with Diabetes and those at risk for this disease due to the possibility of substantial vision loss with long term uncontrolled Diabetic eye disease. In these cases of advanced diabetic retinopathy, an individual may have irreversible vision loss or even total blindness as a result. To avoid these complications to your eyes make sure to include your eye doctor in your team of healthcare professionals and to visit us regularly just as you would with your primary care physician and dentist. As your eye care team we can often be your first line of detection for diabetes due to the findings of your annual dilated eye exam. The photos above show retinal photos taken during a comprehensive eye exam, the top image show a normal healthy retina while the bottom image displays the damage that can be done by advanced diabetic eye disease. At my practice we are helping to contribute to a healthier patient population by meeting three specific objectives set by the American Optometric Association and their National Diabetes Month Campaign. These three vision objectives of the Healthy People 2010 campaign are: to increase the proportion of persons who have a dilated eye examination at appropriate intervals, reduce visual impairment due to diabetic retinopathy, and to increase vision rehabilitation.

Sjogren's Syndrome in the News!

Tennis champion Venus Williams recently made headlines when she had to withdraw from the U.S. Open Tennis Championship just before the tournament began. Many fans were surprised to find out that she suffers from a mysterious autoimmune disease known as Sjogren's Syndrome. This condition was making her extremely fatigued to the point that she barely had enough energy to get out of bed much less to excel at the highest level of tennis competition.
Though Sjogren's syndrome may seem to be new information to the general public, eye doctors have been experts on this condition for years due to its ocular manifestations.
Sjogren's syndrome and other autoimmune disorders are well known causes of dry eye syndrome. That is one reason that you may have had your eye doctor ask you if you have been tested for autoimmune diseases and/or arthritis if you experience unresolving dry eyes. It is not uncommon for an eye doctor to order bloodwork to rule out this type of condition if dry eye symptoms continue to manifest despite ocular therapy. Some of the hallmark signs of Sjogren's Syndrome include unresolving dry eye and dry mouth symptoms. If these symptoms sound familiar to you it is definately worth mentioning to your eye doctor and general primary care physician in order to rule out Sjogren's Syndrome or other underlying systemic cause.
As an interesting side note I once attended the same school as Venus Williams growing up in central florida where she attended a nearby tennis academy, and we both have degrees from Nova Southeastern University in Florida. She is now being successfully treated for her condition and I'm sure we will all see her back on the court soon.