How Common is Dry Eye Disease?


Dry eye disease (DED) is a multi-factorial ocular surface disease characterized by symptoms of dryness, grittiness, discomfort, irritation, and often visual disturbance. DED can create significant burdens on patients, including problems in social settings, occupational functioning, and reduced quality of life. Known risk factors for DED include female sex, increasing age, and certain systemic health conditions (i.e. autoimmune diseases), and a wide range of medications that are known to result in dry eyes. It is estimated that some 5% to 34% of individuals over 50 suffer from dry eyes depending on the definition of dry eye used to prepare the estimate.

If you or someone you know suffers from dry eyes 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, 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.

Heavy Smoking and Vision Loss


Researchers at Rutgers University Behavioral Health Care reported findings of a study in Psychiatry Research demonstrating that smoking more than 20 cigarettes a day can damage your vision. The Centers for Disease Control and Prevention estimates that 34.3 million adults in the US currently smoke cigarettes and that more than 16 million live with a smoking-related disease, many of which affect the cardiovascular system. Cigarette smoke consists of numerous neurotoxic compounds that are harmful to health. These neurotoxic chemicals are believed to result in nerve damage to the optic nerve and retinal nerve fiber layer resulting in a loss of color vision and contrast sensitivity. This damage is in addition to the known harmful effects of smoking which doubles the risk for age-related macular degeneration (AMD) and hastens the yellowing of the crystalline lens of the eye where cataracts form.

If you or someone you know is a smoker-now is the time to quit! To learn more about eye health and smoking 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, 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.

Deep Learning & Macular Degeneration Risk Assessment


Age Related Macular Degeneration (AMD) is a leading cause of vision loss in seniors. Aging is the greatest risk factor! In its most advanced stages, it can deprive an individual of his or her ability to perform basic activities such as reading, recognizing faces, and driving. Approximately 11 million individuals are affected with AMD in the United States (U.S.) alone and the prevalence of AMD in the U.S. is anticipated to increase to 22 million by the year 2050.

Early detection and treatment is critical in helping patients avoid vision loss from AMD. Recently researchers reported interesting results in the journal JAMA Ophthalmology regarding how “deep learning” (DL) or artificial intelligence (AI) might be a useful addition to the physician in the examination and monitoring process for patients at risk for AMD and its progression. Their findings suggest that using DL to grade and monitor AMD is comparable to experienced humans for estimating 5-year risk of progression to advanced AMD. This could be very helpful in assisting physicians in having a detailed risk assessment in the long term care of AMD patient.

If you want to learn more about your risk of age related macular degeneration (AMD), 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, 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.

Glaucoma Risk in Migraine Sufferers


Did you know that if you suffer from migraines you are at greater risk for developing glaucoma? There are many risk factors that can influence the likelihood that you will develop glaucoma. These include factors such as high pressure in the eye, called intraocular pressure or IOP, your family history-especially if your siblings have glaucoma, smoking, sleep apnea, diabetes and other vascular diseases, race-as patients of African-American heritage and Hispanic backgrounds are at greater risk and even the age of onset of menopause. Recently, researchers reported on a study where they found that patients who suffered from migraines had 1.68 times the risk of the average patient for developing glaucoma. When you visit us for your routine eye exam please share whether you have ever experienced a migraine and whether you currently have even an occasional migraine headache.

If you or someone you know suffers from migraine headaches it is important to have regular eye exams with glaucoma testing as migraines increase the 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, 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.

Microscopic Stents Help Lower Eye Pressure in Glaucoma


Glaucoma is the leading cause of irreversible blindness worldwide, and its prevalence will continue to increase as our population ages. For most patients, the initial treatment for glaucoma will begin with eye drops or laser treatment, or even both. Patients often have a difficult time adhering to a schedule of single or even multiple doses of eye drops and thus find an initial laser treatment beneficial. Sometimes even with eye drops and laser treatment for glaucoma it is not possible to lower the intraocular pressure enough to reduce the risk of vision loss. For these patients there has been the next step of complex incisional glaucoma surgery. Recent advances in Minimally Invasive Glaucoma Surgery (MIGS) using microscopic stents has been shown to provide excellent results for many glaucoma patients. Reports in the Journal of Cataract & Refractive Surgery of patients who had iStent-a tiny titanium stent-implanted through a microscopic incision, had excellent pressure lowering and even were able to reduce their need for eye drops! The data shared was from a long term 5 year clinical study and offers great promise for glaucoma patients.

The best way to prevent vision loss from glaucoma is by having regular eye exams and glaucoma testing as recommended by your eye doctor. 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, 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.

Laser Treatment Can Be First Choice for Glaucoma


Researchers reporting in The Lancet on the LiGHT Study concluded that a change in the clinical practice pattern of how we treat glaucoma should be implemented so that glaucoma laser treatment was a first choice treatment, rather than eye drops which is the typical approach to glaucoma treatment. The LiGHT Study compared eye drops to glaucoma Selective Laser Trabeculoplasty (SLT) treatment in terms of lowering intraocular pressure, health related quality of life, cost and cost effectiveness. The data was gathered and analyzed and concluded that Selective Laser Trabeculoplasty (SLT) should be offered as a first-line treatment for open angle glaucoma and ocular hypertension, supporting a change in clinical practice.

If you or someone you know is at risk for glaucoma, has ocular hypertension or is being treated for glaucoma, please be certain you have regular eye exams with glaucoma testing to prevent vision loss. Ask your eye doctor about treatment options such as SLT for glaucoma when you schedule your exam at The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, 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.

Cataract Patient Story from Cathy W.


“Hi, I am Cathy and I am 57 years old.  I have worn glasses since I was 5 years old.  I decided to give myself the gift of never having to wear glasses again.  Dr. Milstein decided I needed lens replacement surgery in both eyes and he recommended the ReSTOR multifocal lens.  Although a relatively easy one, this process does take time.  My surgeries were about 3 weeks a part.  On the day of my second eye surgery, I went home and took a nap and when I woke up I could read the smallest print!  I never dreamed I would have to never wear glasses again.  It was so worth the investment and was the best money I ever spent on myself.  Thank you Dr. Milstein.”-Cathy W.

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.

Five Tips to Avoid Toy-Related Eye Injuries


With the holiday shopping season now in full swing, we want you to keep in mind certain eye injury prevention safety guidelines when choosing the perfect gifts for the little ones in their lives. Some popular toy types are commonly associated with childhood eye injuries. These include air guns and other toys that shoot projectiles, high-powered lasers, and sports equipment.

We want to encourage parents to consider these tips when gifting toys to children this holiday season. 
  • Beware of airsoft, BB guns, and other projectile toys. Every year we treat thousands of patients with serious eye injuries caused by seemingly safe toys. Avoid items with sharp, protruding or projectile parts such as airsoft guns, BB guns and other non-powder gun–related foreign objects can easily propel into the sensitive tissue of the eye.
  • Never allow children to play with high-powered laser pointers. A number of reports in the United States and internationally show that children have sustained serious eye injuries by playing with high-powered lasers (between 1500 and 6000 milliwatts). Over the years, these lasers have become increasingly more powerful, with enough potential to cause severe retinal damage, with just seconds of laser exposure to the eye. The FDA advises the public to never aim or shine a laser pointer at anyone and to not buy laser pointers for children.
  • Read labels for age recommendations before you buy. To select appropriate gifts suited for a child's age, look for and follow the age recommendations and instructions about proper assembly, use, and supervision.
  • Don't just give presents. Make sure to be present. Always make sure an adult is supervising when children are playing with potentially hazardous toys or games that could cause an eye injury.
  • Know what to do (and what not to). If someone you know experiences an eye injury, seek immediate medical attention from an ophthalmologist. As you wait for medical help, make sure to never to touch, rub, apply pressure, or try to remove any object stuck in the eye. If an eye injury occurs follow these important care and treatment guidelines.

Please take steps to shop and play responsibly this year. Following these tips can help make sure our little loved ones have healthy vision for many holiday seasons to come. If you have questions or need 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.

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.

Larry F. LASIK Experience


“I had LASIK in October and it was fantastic! Dr. Milstein and his staff were very nice and courteous. I was scared about the procedure, but Dr. Milstein explains every step while he's doing it, which helped tremendously. I went back in for my follow-up (on day 2) and while my vision is a little cloudy still, I'm at 20/20 eyesight. The price was VERY reasonable and much less than I thought it would be, too! Highly recommended!”-Larry F.

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.

Google Artificial Intelligence Can Help Diabetic Eye Exams



According to the Centers for Disease Control (CDC) more than 29 million people in the U.S. have diabetes and are therefore at risk for diabetic retinopathy and its associated vision loss and potential blinding complications. All diabetics should have regular eye exams with thorough retina exams. The task of diabetic eye exams is enormous and soon will be assisted by Google Artificial Intelligence disease detecting software. Researchers, reporting in Ophthalmology, the journal of the American Academy of Ophthalmology showed that by using Google software to analyze images and then having retina specialists provide input to refine the algorithms,  it allowed the computer software disease detection software to become roughly as effective at the retina specialists. This technique of using machine learning “neural networks” to refine disease detection is hopefully able to bring even more effective early detection and diagnosis of diabetic retinopathy to those at risk.

If you or someone you know has diabetes please be sure to have regular eye exams as early detection, diagnosis and treatment are the keys to preventing vision loss from diabetes. Schedule a diabetic 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.

Lipid Lowering Medication Can Help Diabetic Retinopathy


Did you know that medications used to treat high cholesterol and triglycerides in your blood can help diabetic retinopathy? In two clinical studies, the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study and the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, the medications Fenofibrate (TriCor, Lipofen, Triglide, Trilipix) and Statins (Lipitor, Crestor, Mevacor, Pravachol, Zocor) have been found, to reduce the signs of blood vessel disease in the retina from diabetic retinopathy but also to actually reduce the need for certain treatments for diabetic retinopathy.  We are hoping that additional research becomes available that helps us help patients with diabetes avoid the sight threatening complications of this terribly common disease.

If you or someone you know has diabetes please be sure to have regular eye exams in order to avoid the potentially blinding vision loss from this disease. 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.

Eye Drops for Droopy Eyelids

Did you know that there is a prescription eye drop to help droopy eyelids? It is estimated that 10-12% of adults have a droopy eyelid, but m...