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Reminder: Flexible Spending Accounts

Do you have a flexible spending account expiring at the end of the year?  Time’s running out.  Do you need an extra box of contact lenses, prescription sunglasses, a back-up pair of glasses or computer glasses?  Give us a call at (909) 980-3535 or feel free to stop by our office and we’ll be glad to help.

Also, please check out my online radio show on Voiceamerica.com  The show appears weekly at 1:00 P.M. Pacific, Thursdays.  The next show is on Thursday, November 27.  You can tune in by going to www.voiceamerica.com and going to the “Health and Wellness” channel.  You can also find out about my show by going to my website at www.ranchoeyedoctor.com.  The shows usually have guests that are experts in their respective areas of vision or eye care.

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Prisms

EYE TALK WITH DR.BOB – Prisms

A patient of mine came in with her friend. She was 20/20 – no need for Prescription. Did a peripheral vision test and notice she could not see anything to the right of her nose while each eye was covered separately. She was not blind, or blurred, she had no vision.

With her left eye covered she could not see anything to the right of her nose. With her right eye covered, she could see nothing on the right of the nose.

No right field of vision…so that tells you it’s the brain. As it turns out she had brain surgery for another condition, and that surgery resulted this condition.

Maybe the fibers that that lead from her eye to the back of the brain were severed. They performed a brain scan, they determined that there was an aneurysm. We gave her specialized glasses, known as prisms that shifted her world from left

To right. It does not correct the vision, but just shifts them. Her life was restored. She was able to drive, read, and work, find house cleaning service near me.  Her quality of life improved dramatically.

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Radio Show Over Voiceamerica.com

I am really “jazzed.”  As stated in a prior post, starting November 13, Thursday at 1:00 P.M. -2:00P.M. Pacific Time,  I will be hosting an online radio broadcast discussing different areas of eye and vision care.  We will be having guest speakers discussing such areas as diabetes and other systemic diseases and their effects on the eye.  We’ll also be discussing what type of treatments are available for these patients.  Other areas will include the visual effects of concussion and how we treat them.  We’ll be having an optometrist discussing vision as relates to sports and how one can improve their performance by vision training.  We’ll also have doctors who specialize in patients who have vision related learning problems and how they’re helped.  We’ll also be discussing other areas of vision and pathology as related to the eye.  Stay tuned.

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Lesser Prescription Isn’t Always A Good Thing

Anytime there is a significant change in one’s glasses prescription over the course of a few days, a red flag should go up.  That includes even if you notice that all of a sudden you can see clearly at distance without your glasses even though before your were very blurred.  Two reasons come to mind.   One could be a reaction to change in medication.  The second reason could be a significant changes in one’s blood sugar.  This type of change warrants an immediate referral to the patient’s primary care physician to investigate a possible cause.  This finding could be the first sign the patient has developed diabetes or that their sugar is not stable.

If glasses are prescribed for this, the prescription could change by the time the patient receives their glasses.  I find that if there is a big change, the best remedy is to fit the patient with disposable contact lenses until the prescription stabilizes red truck fire.  Often times but not always, the prescription will change back to where it was originally.  Sometimes this could take a few weeks so different strength contact lenses need to be prescribed over the course of time..

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Enhancing Reading In A Cross-Eyed Patient

Several weeks ago I examined a young lady for nearsightedness.  Everything was normal.  She then started to tell me about her daughter who had eye surgery for a cross-eyed condition.  I told her the specialist whom she was seeing had a great reputation.  The eyes for the most part appeared straight.  I told the patient that I might want to see her daughter to see if there’s anything further that can be done.  I also mentioned to her that there were specialists at the Optometry School at Western University that could also help.

I subsequently examined her daughter.  The mom remarked that her daughter’s reading could be improved.  Her distant prescription she came in with was fairly close to what I found she needed.  However, when I placed an additional lens in front of these for up close, her reading increased significantly boofurniture.com.  This would require the patient to wear a bifocal.  I am really looking forward to the results of her daughter’s performance in school.  I also told the mom that her daughter may need vision training to help improve her vision skills.

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Eye Infection Gone Bad

A contact lens patient called my office saying she was recently treated medically at an urgent care center  for an eye infection last week.  She was given a basic antibiotic and did not return for care.  She noticed the vision was getting worse.  She called my office (for the first time) about a week later and my staff told her she needed to be seen in our office immediately.  When we examined her she couldn’t even see the big E with her glasses.  Worse, though, was that she had a dense, central corneal scar.  We immediately contacted her insurance company and we referred her to the emergency room immediately at a local hospital where it was stated she needed to seen an ophthalmologist and preferably, a corneal specialist.

The take home point is that if you’re treated at urgent care for an eye infection, you need to be followed up by an optometrist or ophthalmologist to rule out progression of the disease.  We are hoping that there isn’t any permanent loss of vision with this patient.

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Vision Is An Interesting Topic

I was at Long Beach Airport heading out for the weekend.  I engaged in a conversation with a lady who was picking up her daughter.  I told her I was an optometrist.  She discussed with me that her daughter had strabismus (eyes are not straight) and she had surgery.  She was wondering if there was anything that could be done for her to enhance her vision.  I went over some information with her and she seemed most interested.  She’s up toward Magic Mountain and possibly will bring her daughter in for a consultation.  The second person whom I engaged in conversation was actually sitting next to me on the plane.  It turned out she was about 55 wearing contact lenses.  She told me that she required reading glasses over the contacts to see up close.  She also stated that bifocal contact lenses didn’t work.  I told her to put her reading glasses in front of one eye and keep the other eye open.  This creates a monovision situation of one eye for reading and one eye for distance.  She was able to see far and near.  I told her she might be able to wear this type of contact lens system some of the time where she wouldn’t have to wear reading glasses for up close print.

I so enjoy doing this.  As applies to myself and any business, “nobody cares what you know until they know that you care.”

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Great Stuff on YouTube

I’ve become a great fan of YouTube. In addition to sports, music and old reruns, There is so much material on personal self development, almost limitless.  Individuals such as Dr. Wayne Dyer discuss some of the books they’ve authored.  Napolean Hill discusses his book, “Think and Grow Rich.”  Discussions by Jim Rohn, Les Brown, Darren Hardy and Tony Robbins are great.  John Maxwell’s discussions on leadership apply to any age and position. Eric Wore’s discussions on the benefits of network marketing have a lot of insight.  Literally, the material available is priceless and can have a tremendously positive impact for you, your friends and your family.

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Old Medications Should Be Discarded

Many times, I will prescribe a medication for a specific type of eye infection.  Generally, within a few days the condition is remedied.  What do you do with the left over medication.  Generally I’ll have the patient hold onto to it for up to couple of weeks after the eyes have healed.  After that I’ll have them discard it. Check this out https://www.sideeffects.com/drugs/eliquis.

Some patient may decide to use the residual medication for another infection perhaps six months later.  At best, the drops will start to burn.  At worst, it could make the new infection a lot worse, especially if it’s not the same type of infection.  Here’s a good example.  A patient comes into the office with a bacterial conjunctivitis and we prescribe a combination antibiotic and steroid and it really works well on the infection.  Three months later the patient develops a red eye.  It has been diagnosed as a herpes virus.  If the patient decided to treat this conditions with the left over medication, the patient’s vision could be in jeopardy.  The antibiotic would have no effect on the virus and the steroid could actually make the virus grow.

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Another Great Reason For Practicing Optometry

A couple of days ago, a seven-year-old boy came in for an eye examination.  The mom came in with information from the school nurse as well as the history of her son.  The nurse at the school said the boy’s distance vision was about 20/50 and he had a lot of trouble focusing up close.  There was also a history of a non-malignant growth on the brain.  The mom said even though her son was in second grade, he was only reading at kindergarten level.  The school was developing a special individualized plan for his education.

When I examined the patient, I found him to be 20/20 in each eye and he responded to questions exceedingly well.  He perceived him to be very intelligent, well spoken and probably very frustrated.  When I checked his focusing ability at near (around 12″), he had a very poor focusing system.  I held a pair of lenses in front of him and checked his reading.  To the almost shock of the mother and my surprise, his reading ability was tremendously improved.  Most young patients don’t have this type of focusing deficit and response to this type of prescription,  but this patient did.

I get so excited when we are able to make such a dramatic change in an individual’s vision as well as performance.  I am looking forward to following up with this patient.

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