Sleep Apnea, Eye Diseases & Problems


What does sleep apnea have to do with eye problems and diseases? Obstructive Sleep Apnea (OSA) is a common condition that affects some 3-7% of the overall population in the U.S.. You are even at greater risk for OSA if you are middle aged or older, male, overweight or obese, have a family history of OSA,  are menopausal,  have any nasal or sinus irregularities or are a smoker or consume alcohol. If you know anyone with OSA you know they have poor nighttime sleep and are very tired, sleepy and fatigued during the day. Did you know that OSA also increases your risk of hypertension, cardiovascular disease, stroke and even diabetes? Results of the SLE.E.P.Y. Study show OSA either increases your risk for several eye disorders and problems including glaucoma, eyelid, corneal and retinal problems such as macular disease or seems to be associated with them at a much higher rate than the normal population.

If you or someone you know suffers from Obstructive Sleep Apnea (OSA) they should be sure to have regular eye exams. Please schedule an eye exam at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Protect Your Eyes from Age Related Macular Degeneration (AMD)


7 Ways to Protect Your Eyes from Age Related Macular Degeneration (AMD)
Age Related Macular Degeneration (AMD) continues to be the leading cause of vision loss in seniors and those over 50 years of age. While there is no way to completely eliminate the aging process, there are some things you CAN do to prevent vision loss. The key to preventing vision loss from Age Related Macular Degeneration (AMD) is early detection, diagnosis and treatment. There are a number of steps you can take that are helpful in preventing AMD vision loss.

Get Regular Comprehensive Medical Eye Exams. AMD often has no early warning signs, so getting regular comprehensive eye exams is critical in diagnosing and treating this eye disease in its early stages, BEFORE vision loss has occurred. The American Academy of Ophthalmology recommends that adults with no signs or increased risk factors get a baseline eye disease screening at age 40 which is the time when early signs of disease and changes in vision may start to occur. Even if you have obvious eye problems, symptoms or decreased vision, by age 65, it is recommended that you have a comprehensive eye exam every one to two years.

Stop Smoking. Many studies now show that smoking increases the risk of developing AMD by two times and the speed at which it progresses!

Eat a Proper Diet. Many studies demonstrate that eating a diet rich in fruits, vegetables, and nutrient packed foods, such as salmon and nuts, may reduce the risk of AMD. Research also suggests that patients who ate fresh fish, an important source of omega-3s, were at lower risk of developing AMD.

Take the Right Macular Health Vitamins. Vitamins can delay progression of advanced AMD and help people keep their vision longer if they have intermediate AMD or advanced AMD in one eye. But make sure it’s the right combination of vitamins! recent study found that some of the top-selling products do not contain identical ingredient dosages to eye vitamin formulas proven effective in clinical trials. 

Get Regular ExerciseExercising three times a week can reduce the risk of developing wet AMD by 70 percent. Studies also show that physical activity may lower the odds of both early and late-stages of AMD.

Monitor Vision with an Amsler Grid. This simple, daily routine takes less than one minute and can help people with AMD save more of their vision. Using this grid is essential to finding any vision changes that are not obvious, so you can report them to your eye doctor.

Know Your Family Eye Health History. If you have a close relative with AMD, you have a 50 percent greater chance of developing the condition. You may need more frequent eye exams and specialized testing based on your family history.

Take these simple steps to help prevent Age Related Macular Degeneration (AMD). Begin by making sure you have a comprehensive eye exam at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Taking Aspirin Makes AMD Worse?



Does Taking Aspirin Make Macular Degeneration Worse? 
Most seniors and other people who suffer from vascular, heart, blood clotting problems or even arthritis are well aware of the benefits of taking a daily aspirin. In fact many people have been prescribed aspirin as part of their overall care by their primary care or other specialty physicians. Seniors are also well aware that age related macular degeneration (AMD) continues to be a leading cause of vision loss. Until recently there was some confusion and disagreement regarding whether it was safe or even risky for those who have AMD to take aspirin as it could increase bleeding risk in the retina and worsen AMD. A very careful review of information was reported in the journal Retina and gave us good insight into the conclusions that overall, the types and size of studies showing the positive benefits of aspirin use for cardiovascular health were quite a bit better that the smaller limited studies showing a possible adverse effect of aspirin use in relation to AMD. The benefits of aspirin usage include preserving the duration and quality of life by decreasing stroke and heart attack risk. These benefits seem to far outweigh the theoretical risks of possibly exacerbating wet AMD, which we can now control reasonably well with anti-VEGF injection therapy with Eylea®, Lucentis® and other available medications.

If you or someone you know takes aspirin and has or has been recently diagnosed with age related macular degeneration (AMD) it appears safe and beneficial to follow your physicians prescribing instructions and not worry about any increased risk of worsening AMD. If you have questions or need to schedule an eye exam please call The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Closed Angle Glaucoma Diagnosis Improvements


Closed Angle Glaucoma Diagnosis with Machine Learning Artificial Intelligence
Closed Angle Glaucoma is a sight threatening medical emergency that can cause catastrophic vision loss in a short time if not treated quickly. It is possible to use a number of tests during your eye exam to determine whether you might be at risk. If you are, we can provide an in office laser treatment to easy decrease your risk of Closed Angle Glaucoma. One of these tests is Optical Coherence Tomography, also called AS-OCT short for Anterior Segment Optical Coherence Tomography which allows us to create digital images that are cross-sectional pictures of the eye’s anterior chambers. Researchers are now developing a fully automated database for screening for AS-OCT screening for Closed Angle Glaucoma using machine learning artificial intelligence that will make the diagnosis very reliable and consistent and readily performed by our staff as part of your eye exams if you are at risk.

If you are someone you know has not had a recent eye exam and glaucoma testing please schedule an appointment at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Glaucoma Eye Drop Side Effects


Glaucoma is typically treated with one or more types of eyedrops although today laser treatment for glaucoma may be a good option for many patients to reduce or even eliminate their need for eye drops. Almost all eyedrops for glaucoma have some side effects that can include redness, changes in the color of your eyes and eyelids. In addition glaucoma eye drops can cause system side effects including changes in blood pressure, irregular pulse and changes in heart rate, becoming unable to exercise, breathing problems and even impotence in men. Some patients also report dry eyes from glaucoma eye drop medication.

Always be sure to tell your primary care physician about all of the eye medicines you take including glaucoma eye drops even if you are not experiencing any side effects. If you are experiencing any of these side effects, please be sure to schedule an appointment so that we might be able to offer alternative treatments which might include and in office laser treatment.

To learn more about glaucoma or schedule a glaucoma eye exam, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Tips to Help Prevent Glaucoma Vision Loss


10 Tips to Reduce Your Chance of Losing Vision from Glaucoma
Recent studies have identified a number of lifestyle factors that actually influence eye pressure which is a major risk factor for glaucoma. By either avoiding or embracing certain habits you can have a positive effect on your risk of glaucoma.

Get Regular Exercise. A recent study showed that people who engaged in moderate to vigorous physical activity appear to have a 73 percent lower risk of developing glaucoma. This is because blood flow and pressure inside the eye may change with exercise, which may affect glaucoma risk.

Eat a Diet Rich in Fruits & Green Leafy Vegetables. One study showed that people who ate more leafy vegetables have a 20 to 30 percent lower risk of developing glaucoma. Why? Nitrates in green vegetables can be converted to nitric oxide, which can improve blood flow and help regulate pressure inside the eye.

Drink Tea, BUT Coffee Only in Moderation. A recent study last month showed that people who consumed at least one cup of hot tea daily had 74 percent decreased odds of having glaucoma compared with those who did not consume hot tea. A little coffee is fine, but excessive caffeine intake is not ideal. One study found that drinking 5 or more cups of caffeinated coffee increased the risk of developing glaucoma. How can tea help? Antioxidants and the flavonoids contained in tea may improve the body’s ability to prevent the harmful effects of free radical damage.

Consider a Magnesium Dietary Supplement. We now know that an adequate intake of dietary magnesium may be beneficial for patients with glaucoma because of improved circulation.

Brush, Floss & See Your Dentist Regularly. A recent study showed that tooth loss may be linked to increased glaucoma risk due to because periodontal or gum disease stimulating and inflammatory response that can contribute to glaucoma.

Don’t SmokeStudies clearly show that smoking cigarettes increases the risk of glaucoma, and has an overall negative impact on eye health.

Maintain a Healthy Body WeightStudies show that people with a higher body mass index (BMI) are at increased risk for diabetes, and having diabetes puts people at risk of glaucoma. Having a too low BMI is also associated with increased glaucoma risk.

Avoid Inverted Yoga PositionsStudies show head-down positions can increase eye pressure and are not recommended for glaucoma patients.
Avoid NecktiesResearchers say that a too-tight necktie may increase the risk of glaucoma by increasing blood pressure inside the eyes.
  
Get Regular Eye Exams & Glaucoma Testing. Especially if you have a family history of the condition you are at greater risk and need more frequent eye exams and testingResearchers have recently identified certain genes that increase the risk of glaucoma. Those at higher risk of glaucoma include people of African descent, people with diabetes, and those with a family history of glaucoma. You are at greatly increased risk if you have a parent or brother or sister with glaucoma. 

If you or someone you know is concerned about their glaucoma risk and is considering making lifestyle changes, before making changes please be sure to schedule an eye exam at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Glaucoma Awareness Month



The Eye Clinic of Texas wants to focus patient’s attention on glaucoma this month as January is National Glaucoma Awareness Month. This is an important time to spread the word about this sight-threatening disease. Glaucoma is the leading cause of preventable blindness. Moreover, among African American and Latino populations, glaucoma is the leading cause of blindness overall. Of particular note is that glaucoma is 6 to 8 times more common in African Americans than Caucasians. Over 4 million Americans, and nearly 70 million people worldwide, have glaucoma.  Experts estimate that half of them don’t know they have it. Combined with our aging population, we can see an epidemic of blindness looming if we don’t raise awareness about the importance of regular eye examinations to preserve vision.

Our understanding of this disease, along with the ways in which we can diagnose and treat it, has improved considerably. Advanced diagnostic techniques such as in office optical coherence tomography (OCT) to study the optic nerve and retinal nerve fiber layer (RNFL) make it possible for us to detect glaucoma earlier and avoid vision loss through early treatment. The availability of better treatment options including many new eye drop medications, lasers and microscopic implants help us prevent glaucoma vision loss.

If you, a relative or someone you know, is at risk for glaucoma based on age, heredity or health, please schedule an eye exam at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston & League City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Buying Tips for Eye Safe Toys this Holiday Season



We wanted to share some tips for buying “eye safe” toys as you make your list for this holiday season. Certainly, the kids and the toy manufacturers know what is popular, but often they are unaware of potential safety issues-especially eye safety issues. According to the Consumer Product Safety Commission, there are typically more than 250,000 toy-related injuries treated in U.S. emergency rooms in annually with more than 75% affecting children under 15 years of age. A serious eye injury from a toy can ruin a family's holiday and, more seriously leave a child with permanent vision loss.

Top Five Tips for Choosing Eye Safe Toys
1.     Avoid purchasing toys with sharp, protruding or projectile parts.
2.     Make sure children have appropriate supervision when playing with potentially hazardous toys or games that could cause injury.
3.     If you plan to give sports equipment, provide appropriate protective eyewear with polycarbonate lenses. Check with your eye doctor to learn about protective eyewear recommended for your child's sport.
4.     Check labels for age recommendations and be sure to select gifts that are appropriate for a child's age and maturity.
5.     Keep toys that are made for older children away from younger children.

We wish you a happy holiday season. If you need help with guidance on toys or protective eyewear for children, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Dorothy’s Cataract Surgery




“If you have been diagnosed with cataracts and need cataract surgery, don’t put it off and come to The Eye Clinic of Texas!  I have been a loyal patient for over 10 years and would not trust my eyes to anyone else! I knew because of my diabetes and glaucoma that cataract surgery would not eliminate my glasses entirely but was relieved to know that I would gain better vision after surgery.   Dr. Milstein did surgery on my right eye several years ago and Dr. Van did surgery on my left eye about 3 months ago.  The process before, during and after surgery between both surgeons is indistinguishable.  Surgery is the easy part, but I will admit that before my first surgery, I was definitely anxious!  The care of the staff has always been warm and friendly.  I think a lot is to be said on customer service when just about everyone in the office knows my name.  I have to have follow-up visits every 3 months because of my glaucoma and I so very much look forward to my visits.  I will not go to any other eye doctor. Thank you Eye Clinic of Texas.”-Dorothy

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Smartphones & Dry Eyes in Kids

Symptoms of dry eyes and dry eye disease as well as ocular fatigue are known problems that can result from the excessive use of video display terminals. Kids today spend an awful lot of time texting on smartphones, playing games on smartphones and generally just engaged with various apps on smartphones. Researchers were interested in learning more about any increased risk and progression of pediatric dry eye disease that might be associated with smartphone use. Not unexpected was the conclusion that increased VDT use such as smartphones or computers in children was found to be associated with the occurrence of ocular surface symptoms of dryness and fatigue. Also somewhat expected was the clinical finding that the longer the kids used the smartphones the greater the symptoms and disturbance of the eyes’ surface. The authors then suggested being aware of excessive smartphone use in kids and educating them as to reducing their use of smartphones if they become troubled by eye fatigue or dryness symptoms.

If you have kids that are heavy users of smartphones or iPads or tablets of any type and they complain about dry eyes, grittiness, sandiness or have red burning eyes and even eye fatigue, please be aware that the VDT may be having a negative impact on the child and schedule an appointment so that we be sure there are no other eye problems. Please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+ or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Lorrel’s LASIK Experience


“Dr. Milstein is AMAZING!!! I'm so glad that I did not have my LASIK procedure elsewhere. I wanted a doctor close to home for me in League City. While I'm sitting in the waiting area the patients are talking about how far they drive to come see him because he's that great and it's worth the drive. The staff is great as well. They are organized and thorough. Dr. Milstein is very knowledgeable and blessed with gifted hands. Thank you Dr. Milstein!! I am very happy with my LASIK procedure.”-Lorrel

If you or someone you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Sleep Apnea, Eye Diseases & Problems

What does sleep apnea have to do with eye problems and diseases? Obstructive Sleep Apnea (OSA) is a common condition that affects some 3...