Floaters, Flashes, Retinal Tears & Nearsightedness


Floaters are an eye condition that can be an annoyance and may even be frightening. Floaters may appear as tiny specks or “cobwebs” or as small dark shadows, “thread-like” strands or even “squiggly” lines that actually float around in your field of vision. They tend to move as your eyes move, but not necessarily in the same direction, and often just drift away when your eyes stop moving. The “back of the eye” is filled with a gel-like substance called the vitreous gel which tends to shrink and become somewhat “stringy” as we age. These strands of vitreous cast shadows on the retina and creates the appearance of floaters. The likelihood of experiencing floaters increases as we get older and is more common if you are very nearsighted. We know that as it becomes more liquid like, occasionally, a small section of the vitreous gel may pull away from the retina all at once instead of slowly and gradually and result in a noticeable and sudden increase in the number of floaters that you see and can be frightening. This is called a Posterior Vitreous Detachment (PVD) and is NOT sight threatening. However, we know from multiple studies that PVD sometimes is accompanied by retinal tears. Further, if the floaters are accompanied by seeing flashes of light or a distortion or a decrease in your side vision accompanies it, it could be a retinal detachment, which is a sight threatening medical emergency.

If you experience any of these symptoms you should explain these symptoms to the receptionist and ask for an immediate 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.

Steps to Lower Your Risk of Eye Disease


5 Steps to Lower Your Risk of Eye Disease

By age 65, one in three Americans will have a vision-impairing eye disease. Many sight-robbing conditions can be effectively treated if detected early enough, in many cases limiting or eliminating the damage to eyesight. Four eye diseases-age-related macular degeneration (AMD), diabetic retinopathy, glaucoma and cataracts-account for most cases of adult blindness and low vision among people in the U.S. Because these eye diseases cause no pain and often have no early symptoms, they do not automatically prompt people to seek medical care. But a thorough eye exam can detect them in their earliest stages allowing early treatment which is vital because it can slow or halt disease progression or, in the case of cataracts, restore normal vision. A thorough eye exam can also detect other health conditions, such as stroke, cardiovascular disease, diabetes, high blood pressure, autoimmune diseases, sexually transmitted diseases and some cancers. Here are some steps to helping preserve your eye health and vision:

Get a Comprehensive Medical Eye Exam at Age 40-Early signs of disease or changes in vision may begin at this age. If you have not already had one, a comprehensive medical eye exam is an opportunity to carefully examine the eye for diseases and conditions that may have no symptoms in the early stages.

Know Your Family History-Certain eye diseases can be inherited. If you have a close relative with macular degeneration, you have a 50 percent chance of developing this condition. A family history of glaucoma increases your glaucoma risk by four to nine times. Talk to family members about their eye conditions. It can help you and your eye doctor evaluate your risk.

Eat Healthy Foods-A diet low in fat and rich in fruits, vegetables, and whole grains, benefits the entire body, including the eyes. Eye-healthy food choices include citrus fruits, vegetable oils, nuts, whole grains, dark green leafy vegetables and cold water fish.

Stop Smoking-Smoking increases the risk for eye diseases such as cataract and age-related macular degeneration (AMD). Smoking also raises the risk for cardiovascular diseases which can indirectly influence your eye health. Tobacco smoke, including second-hand smoke, also worsens dry eye.

Wear Sunglasses-Exposure to ultraviolet UV light raises the risk of eye diseases, including cataract, fleshy growths on the eye and cancer. Always wear a hat and sunglasses with 100 percent UV protection while outdoors.

If you have not had a comprehensive medical eye exam be sure to schedule one by calling 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.

Early Treatment Prevents Vision Loss from Diabetic Retinopathy


Preventing vision loss from diabetic retinopathy is achievable with early detection and diagnosis. Laser treatment-called Pan Retinal Photocoagulation-as well as injections of drugs that prevent and reverse new blood vessel growth-called VEGF inhibitors-have both been found to be effective. A recent study in JAMA Ophthalmology compared the two treatment options over a 5 year period to see which one by itself, as well as whether used together, these options provided the best results for patients suffering from the retinal complications of diabetes.  The researchers found that visual acuity in most study eyes was very good at 5 years and was similar for both treatments and severe vision loss or serious complications were uncommon with either treatment as well. However, the VEGF inhibitors treatment group had less vision loss from Diabetic Macular Edema-a swelling of the central retina from diabetes and less actual visual field loss. Thus, either treatment option is effective for maintaining vision with diabetic retinopathy and in some instances can be combined to provide the best overall vision.

The best way to avoid vision loss from the complications of diabetes such as diabetic retinopathy is to have regular eye exams so problems can be detected as soon as possible. If you or someone you know has diabetes they should schedule regular eye exams 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.

Charles T. Cataract & Lens Implant Experience


“From my initial visit with The Eye Clinic of Texas, I was confident in their ability to improve my vision in both eyes with the ReSTOR® multifocal lens.  I couldn’t for see the vision they described I would gain from the surgery and the lens.  They reassured me I would be forever grateful I chose that lens. Not only did they improve my vision but they also eliminated the need for wearing glasses for reading and for distance.  I recommend The Eye Clinic of Texas and their staff to all my friends.”-Charles T.

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 with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Common Drugs & Light Colored Eyes Increase UV-Related Eye Problems


Did you know that some common drugs and light colored eyes can actually increase your risk of UV related eye problems? Even for many people who are taking certain drugs and have light-colored eyes they are unaware of the increased risk of certain eye diseases and conditions.

Studies have shown that, in addition to skin cancers, accumulated ultraviolet exposure from the sun can heighten the risk of eye diseases such eye cancer and cataracts, a leading cause of blindness worldwide. Intense UV exposure can also cause temporary blindness known as photokeratitis, while extended sun exposure is linked to growths such as pterygium, or surfer's eye. Consumer market research demonstrates that about half of the patients taking antibiotics containing tetracycline, or fluoroquinolones like Cipro, some birth control and estrogen pills and certain anti-inflammatory pain relievers, such as ibuprofen Advil and naproxen sodium Aleve are unaware that these medications are “photosensitizing” and increase the risk of eye problems from UV rays. In addition, more than half-54 percent of Americans-have light-colored eyes-blue, green or hazel which are more susceptible to UV damage. While people with eyes of any color can develop UV-related eye diseases, light eyes and sun exposure are associated with an increased risk of rare eye cancers, such as iris and uveal melanomas.

While it is just common sense to wear UV eye protective sunglasses, those in the higher risk groups above should be particularly cautious about UV eye protection-particularly if you work or spend a great deal of time outdoors. To learn more 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.

Back to School Contact Lens Care


Contact Lens 101: A Back-to-School Must for Teens
Did you know that 25% of children and adolescent emergency room visits related to medical devices are for contact lens problems? Many of our children and teenagers start wearing contact lenses as they enter junior high or high school. Safe and enjoyable contact lens wear does require good hygiene and care in order to prevent a risk of infection. Young people are notoriously poor at caring for their contact lenses, creating a potential gateway for serious eye infections that can cause impaired vision or even blindness. Research has shown that poor contact lens care practices by teens and young people raise their risk of eye conditions such as infectious keratitis and corneal ulcers. In the most severe cases, they may require corneal transplants to restore sight. Fortunately, contact lens eye infections can be prevented by following simple contact lens care guidelines. Here are some practical safety tips that teens with contact lenses should follow to avoid eye infections.

New Quarter, New Case! Replacing your contact lens case every three months will help keep germs at bay. To make it easy to remember, swap out your case at the beginning of each quarter. Waiting to replace contact lens cases after 6 months increases the risk of eye infection by nearly 5.5 times!

Just Say NO to H20. You may be captain of the swim team, but you shouldn’t swim, shower or go in a hot tub wearing lenses. Water from the tap might be clean enough to drink or bathe in, but it’s still home to the parasite Acanthamoeba, which can cause severe eye infections resulting in vision loss. For the same reasons, NEVER use water to rinse or soak contact lenses or cases.

You Snooze, You Lose. Never sleep in your contact lenses. Even occasionally sleeping in contact lenses increases the risk of moderate to severe eye infection by 6.5 times. Unfortunately, a poll of nearly 100,000 people by BuzzFeed found that about 70 percent of respondents occasionally or regularly sleep in their contact lenses.

It’s Too Late If You Wait. Symptoms of eye infections include redness, pain and light sensitivity and requiring examination and evaluation immediately. Waiting to get examined or treated could lead to vision loss.

If you or someone you know would like to learn more or has questions about contact lens hygiene and safety, 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.

ADHD & Focusing Problems in Children


Did you know that ADHD can cause focusing problems in children? Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurobehavioral disorders in children and cause many difficulties-including focusing problems. A clinical study reported in Graefe's Archive for Clinical and Experimental Ophthalmology evaluated the relationship between the neurological system that controls attention and eye focusing. They found that children with ADHD have a less accurate focusing, or accommodative response and may affect attentional deficits, which could have a direct impact on the academic, cognitive, and visual performance of ADHD children.

If you or someone you know has a child with ADHD and would like to learn more about focusing problems in children or schedule an 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.

Dry Eye after Cataract Surgery


We perform cataract surgery and lens implantation for more and more patients each year as cataracts continue to be a leading cause of decreased vision, especially in seniors. Also very common in the same age group of patients is dry eye which can be caused by ocular surface disease, eyelid problems such as meibomian gland disease and blepharitis, taking certain medications and many other systemic problems. When cataracts interfere with convenience and safety of your daily activities, cataract surgery can significantly improve your vision and comfort. We expect, and it is normal, for cataract surgery patients to sometimes complain of postoperative dry eye symptoms such as dry, foreign body sensation and short term blurriness if their tears are inadequate. From our experience, often patients may blame the surgery  for the apparently “new” development of dry eye symptoms and generally do not realize that their problem stems from ocular surface disease or other causes rather than the surgical procedure. Patients who actually do experience dry eye symptoms after cataract surgery should be reassured that it diminishes over time and we will help you be comfortable with both prescription and nonprescription eye drops as well as other treatment options if they are necessary.

If you or someone 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 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.

Nevia E. LASIK Experience


“I had been in glasses/contacts for 20 years! I was ready to get this LASIK procedure! It was a very easy procedure. Dr. Milstein was very comforting during the whole procedure. His staff was very helpful every step of the way. I love waking up and not having to grab my glasses first. I also, like not having to take contacts out at night! No more buying, glasses, solution, or drops! I love my new eyes and how well I see. Best decision I made!”-Nevia A.

If you or some 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 with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573 and 2302 Avenue P, Galveston, Texas.

Cataract Risk from Working Outdoors

Bernard Milstein, M.D.



Cataract Risk from Working Outdoors
Cataracts are a leading cause of decreased vision, especially in seniors. Patients always ask us if it is possible to prevent cataract from forming. There has been a great deal of research that has identified your exposure to solar radiation-or sunlight-as a main risk factor for developing a cataract. This is one of the reasons we urge patients to wear proper UV absorbing eyewear when they are exposed to sunlight. Further, patients who have outdoor occupations and are exposed to long hours of sunlight on a daily basis should be especially aware of the need for UV protection as they perform their daily work activities. A recent review of 15 different cataract studies regarding the relationship between cataract risk and sunlight or solar radiation exposure confirms the increased risk, and reinforces the need to limit sunlight exposure.

If you or someone you know spends a great deal of time outdoors or is exposed to sunlight as part of each day due to your work environment please be sure to wear UV protecting eyewear. If you are concerned about developing a cataract 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.

Improvement in Glaucoma Blindness Rate


Glaucoma affects more than 2.7 million people in the United States and over 60 million globally. Although the disease is a leading cause of blindness worldwide, the probability of going blind from glaucoma has been significantly reduced due to advances in diagnosis and treatment. In office use of optical coherence tomography (OCT) to study and measure the nerve fiber layer of the retina and optic nerve as well lasers and implantable microscopic devices to change the risk of blindness from glaucoma. Researchers from Mayo Clinic College of Medicine studied the change in the rate of blindness from glaucoma over 2 consecutive 20 year periods and found that the rate of blindness was decreased by half but still remained unacceptably high! The best ways to avoid vision loss from glaucoma are to know your risk factors-such as family history, African and Hispanic descent, smoking, diabetes and sleep apnea, and be sure to schedule regular eye exams with glaucoma testing within timeframes recommended by your eye doctor.

If you or someone you now is concerned about their risk of glaucoma, 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.

Floaters, Flashes, Retinal Tears & Nearsightedness

Floaters are an eye condition that can be an annoyance and may even be frightening. Floaters may appear as tiny specks or “cobwebs” or as ...