The Eye Clinic of 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.

Vision Loss is the Worst Disability

Most people would rather lose a limb than lose their eyesight, according to the results of a nationwide poll. Indeed, if given a choice, most people would prefer to lose their hearing, their memory, or their ability to speak rather than losing their vision, according to the survey results published in the journal JAMA Ophthalmology.

The survey polled 2,044 Americans from across all ethnic, racial, and economic demographics. Nearly 88% of respondents viewed eye health as critical to overall health, and 47% considered vision loss to be the worst possible health condition that could happen them, even worse than Alzheimer’s disease, cancer, or AIDS/HIV. Among the possible consequences of vision loss, respondents ranked quality of life as the greatest concern, followed by loss of independence.

While 81.5% of Americans reported having an eye examination, many were not well aware of the diseases and conditions that lead to vision loss. Nearly two-thirds of respondents reported awareness of cataracts (65.8%) or glaucoma (63.4%), but only half were aware of macular degeneration, and 37.3% were aware of diabetic retinopathy. As many as 25% of all respondents weren’t aware of any eye conditions that could cause loss of vision.

If you or someone you know does not have regular eye health and vision exams, please schedule one today. 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.

Early Detection of Juvenile Diabetic Retina Problems

Diabetic retinopathy is best treated and managed with early detection and diagnosis. This can be especially important for children with Type 1 Diabetes Mellitus. The earlier we can detect and diagnose the diabetic eye problems, the better we can prepare to help prevent vision loss. Most often diabetic retinopathy is diagnosed during a dilated exam of the retina during an eye exam. However, we also have a very sensitive non-invasive “kid friendly” imaging system in our office called Optical Coherence Tomography (OCT) that can help us detect the very earliest types of changes from diabetes-even before they might be visible during a dilated retinal exam.

According to a clinical study reported in the journal Ophthalmic Surgery, Laser and Imaging Retina Type 1 Diabetes Mellitus causes and degenerative effect on certain nerve cells in the retina even before the breakdown of blood vessels occurs with diabetic retinopathy. From this research, it is thought that OCT may be more useful than just a dilated retinal exam in kids with Type 1 Diabetes Mellitus.

If you or someone you know has a child or young adult with Type 1 Diabetes Mellitus, please make sure they are having regular eye exams but also know that we might perform an OCT as part of their care. If you have questions or wish to schedule an appointment 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.

Buying Online Internet Eyeglasses

Anyone who wears glasses and uses a computer is often presented with the availability and options of buying their eyewear online. When asked, most people say they are interested in internet eyeglass purchases because it seems to be convenient. Many others say it’s because they can get a good deal A recent study in the journal Optometry & Vision Science compared the overall quality and fit of eyeglasses bought online with eyewear purchased from optometry practices. The study found that patients preferred spectacles bought from optometry practices rather than those bought online, in spite of lens quality and prescription accuracy being similar. A greater number of online spectacles were deemed unsafe or unacceptable because of poor spectacle frame fit, poor cosmetic appearance, and inaccurate optical centration. This appears to especially be the case for Progressive Addition Lenses (PAL) or “Progressives” as when these lenses are not fit and positioned properly they can cause a great deal of unusual distortion and discomfort.

If you or someone you wishes to learn more or be fit with high definition digital progressive lenses or any type of eyeglasses 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.

Eye Health Tips for College Students

Going to college and perhaps living in a dormitory can be an exciting and hectic time for students. But, it’s worth mentioning some common-sense tips to preserve eye health and avoid eye problems for college students. College students can be susceptible to a host of vision and eye problems such as injury, infection and increased nearsightedness that can be avoided with a little bit of “smarts” and awareness.

Don't Shower or Swim with Contact Lenses. Acanthamoeba is a parasite that lives in water and can cause a rare but serious eye infection called Acanthamoeba keratitis. According to the CDC, 85 percent of Acanthamoeba eye infections occur in contact lens wearers, one of the main risks being exposure of lenses to water. To avoid this dangerous infection, do not wear contact lenses in showers, hot tubs or when swimming in lakes or pools. Also, never use water to clean or store contact lenses; only use sterile contact lens disinfecting solution and a clean contact lens case.

Get Out. We all want you to get good grades, but spending much of their time studying indoors, puts you at risk of becoming more nearsighted, or myopic. A recent study found that more than 50 percent of college graduates are nearsighted, with vision worsening for each year in school. Other research shows that spending more time outdoors can protect vision from getting worse. Take a break-get outside when possible.

Wash Your Hands. Conjunctivitis, or “pink eye” spreads really fast in schools and dorms. We know of a report where an outbreak struck more than 1,000 Ivy League college students! Avoid rubbing the eyes and wash hands with soap to avoid catching and spreading pink eye, not to mention other infections.

Give Your Eyes a Break. Dry eye from intense long hours of computer or video display terminal use can be a real problem for college students. To help avoid dry eye symptoms of burning, gritty red eyes, follow the 20-20-20 rule. Look at something 20 feet away every 20 minutes for 20 seconds. Because dry eye can also cause painful corneal ulcers, which are open sores on the front part of the eye, blink regularly and fully to keep eyes moist.

Don't Share Makeup. Harmless as it may seem, sharing makeup is a surefire way to spread infection such as herpes keratitis among friends. Infection-causing bacteria grow easily in creamy or liquid eye makeup. Stick to your own makeup and throw it away after three months. If you develop an eye infection, immediately toss all of your eye makeup.

Stay in the Game. Did you know that nearly 1 in 18 college athletes will get an eye injury playing sports? Common injuries, like scratches on the eye surface and broken bones near the eye socket, happen most often in high-risk sports such as baseball, basketball and lacrosse. Athletes should consider wearing polycarbonate sports glasses to help keep stray balls and elbows from hitting their eyes.

In college, taking care of their eye health may be the last thing on your mind but we wanted to share some common-sense tips. If you or someone you experience an eye health or vision problem 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.

Artificial Intelligence Can Help Prevent Diabetic Eye Problems

Diabetic retinopathy (DR) is one of the leading causes of preventable blindness globally. Yet, many diabetic patients still do not schedule regular diabetic eye exams as requested by their physicians. Referral to an eye doctor for early diagnosis and treatment is the key to preventing vision loss in diabetics. Performing retinal screening examinations on all diabetic patients is an unmet need, and leads to many undiagnosed and untreated cases of DR. Recently researcher-clinicians reported their work to develop an artificial intelligence automated algorithm for retinal photographs that would help with referral from primary care physicians to ophthalmologists of eyes with DR for further evaluation and treatment. The study suggests that this method of screening would aid in reducing the rate of vision loss, enabling timely and accurate diagnoses.

Cataract Surgery Story from Joe

“I came to The Eye Clinic of Texas because I knew there was something wrong with my vision. I wasn’t seeing well anymore, felt uncomfortable driving and the light sensitivity and glare I had was debilitating. Working as a car salesman, the lighting in the show room is so bright and it was at times painful to be at work and I would often put my shades on at the office. I did not expect to be diagnosed with cataracts and needing cataract surgery. I am only 55, I thought this would happen later in life! I took Dr. Milstein’s recommendation and selected the astigmatism correcting lens which would improve my distance vision. The pre-operative testing and surgery were easy. Not many people I would assume say this but I was anxious to get back to work to see how better my vision was and if the sensitivity to light and glare improved. It did! Something else I noticed is that while test driving the cars with my clients, I did not realized until AFTER surgery how bad my distance vision for driving really was prior to surgery. Thanks Dr. Milstein and staff, I could not be more satisfied!”-Joe T

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 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.

Migraines Affect Retina Too!

Migraine Headaches Can Affect the Retina

If you suffer from migraine headaches you know the painful debilitating effect they can have on your life. Migraine headaches are one of the most common problems seen in emergency departments and doctors' offices. Migraines are believed to be due to changes in the brain and surrounding blood vessels. Your optic nerve and the nerve fiber layer of the retina are extensions of the brain. Until recently there were few studies to understand if and how the retina was affected by migraine headaches. Using a testing method we actually use in our office called Optical Coherence tomography (OCT), researchers evaluated whether there were structural changes and damage to the nerve fiber layer of patients who suffered from chronic migraines. The researchers reported findings in the Journal of Neurology that showed that chronic migraine suffers had significantly thinner nerve fiber layers and that degree to which they were thinned was inversely proportional to the frequency of their migraine headaches. That is, the more frequent the headaches, the greater the changes and damage to the retina. They believe that although migraine is an episodic and recurrent disease, its chronic nature might cause permanent structural abnormalities involving not only the brain, but also the retina. Thus, it is important to get help to control your migraines not just because of the pain and disability but to avoid compromising the retina.

If you or someone you know suffers from migraines or headaches of any type and has not a recent 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.

Adrianna’s LASIK Experience

“I was referred by two co-workers/friends that had LASIK done here and boy was I glad I took them up on the referral. I scheduled my consultation, went in for my pre-op procedures which involves dilation and measurements of your eyes and cornea, scheduled my LASIK procedure date and now I can see 20/20 just two days after the procedure. I went from -7.50 prescription wearing glasses to being able to see! It's amazing! Dr. Van is a sweet person and the whole experience was amazing. Everyone was very helpful and the procedure itself takes only around 15 minutes. More time prepping prior to the procedure. Dr. Van talked me through what to expect during the procedure and really eased my nerves. If you're tired of wearing glasses and contacts, definitely need to pay them a visit. $210 for pre-op and I paid $1099/eye and this price includes any follow ups and retouch-ups after the procedure up to 6 months. Go and check them out!”-Adrianna

Laser Treatment or Eye Drops for Glaucoma?

Can Laser Treatment Replace Eye Drops for Glaucoma?

Chronic Open Angle Glaucoma, which is the most common type of glaucoma, has no cure. Glaucoma is lifelong eye disease that will require you to be treated throughout your life in some manner. This may require using one or more eye drops on a daily or even more frequent basis, by having laser treatments or even surgery-or some combination of treatments, in order to maintain stability and prevent vision loss. in some manner. A recent study that might be of interest to those stable glaucoma patients who in fact use one or more eye drops each day was published in the journal Acta Ophthalmologica demonstrated that a form of glaucoma laser treatment called Selective Laser Trabeculoplasty was able to complete replace the need for eyedrops in 77% of stable glaucoma patients and still maintain excellent control of intraocular pressure! In most other patients, the laser treatment was able to reduce the number of different eye drops used or the number of times a single eye drop needed to be used to maintain stable eye pressure. This is very helpful for most glaucoma patients as it reduces medication side effects and helps those who might have a tough time instilling eye drops or remembering to use them at the prescribed time each day.

If you or someone you know has glaucoma and uses eye drops each day and wishes to explore the possibility of glaucoma laser treatment or anyone concerned about their risk of glaucoma and might need to schedule an eye exam we welcome you to 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.