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214 EAST MARKS STREET/ORLANDO, FLORIDA 32803 For Drs. Swanson, Sowers, Lee & Yager, P.A. A revolutionary new treatment for evaporative dry eye is now AVAILABLE! Eyes Spring 2012 With the LipiView® Ocular Surface Interferometer, we can observe the tear film using digital images. Dr. Jack Yager is the first and only doctor in Florida, and one of a select few in the country, to offer a revolutionary new treatment for dry eye. Thanks to a recent scientific breakthrough, it’s now possible to effectively treat evaporative dry eye with a simple, in-office procedure. The LipiFlow® Thermal Pulsation System from TearScience®, a significant technological breakthrough, effectively relieves blocked meibomian glands in the eyelid. Opening the blocked eyelid glands allows the body to resume the natural production of lipids (oils) needed for a healthy tear film. With the LipiView® Ocular Surface Interferometer, we can measure the thickness of the tear film using digital images. A LipiView image of the tear film can be captured during a noninvasive in-office exam that takes about five minutes. Contact our office today to schedule a dry eye assessment. And speaking of change and progress, you might have noticed our updated logo—Yager Eye Institute—which is being introduced to distinguish and promote our new dry eye treatment expertise. It is our goal that Yager Eye Once evaporative dry eye is Institute will swiftly be recognized throughout the South for excellence in the treatment of chronic dry eye conditions. Note, too, that we will continue to carry the identified, it can now be treated tried-and-true, familiar brand of Swanson, Sowers, Lee & Yager, P.A., which holds with a groundbreaking procedure. a wealth of history and professional acclaim. Of course, Optical Illusions is our upscale frames boutique that you have come to know well already. Please stop in and visit our recently redecorated showroom—the “look” is new, and fresh frame styles are coming in every day! Treatment of evaporative dry eye Treatment of evaporative dry eye involves opening the blocked eyelid glands by applying a combination of localized heat and pressure therapy. Previous approaches, such as the use of warm compresses, have been inconvenient and of limited effectiveness. Treatment can be performed the same day of your initial evaluation. The procedure takes 12 minutes. In a clinical study, 76 percent of patients reported improvement of their symptoms within two weeks. If you or someone close to you is experiencing a chronic dry eye condition, please make an appointment to discuss your situation with Dr. Yager. Thank you for all your referrals. We appreciate them! CONSIDERING CONTACTS for the first time? Some people enjoy the fashion statements that eyeglasses can make. Some prefer glasses because they’re squeamish about inserting small pieces of plastic underneath their eyelids. Others, however, are tired of accidentally bending them, having them knocked off their face, scratching the lenses, and dealing with constantly having to clean them. Most people can wear contact lenses. If you’ve grown weary of eyeglasses, here are a few of the advantages of contact lens wear: ■ Eyesight is more natural; you see things as they are. There is nothing to block your peripheral vision, and contacts don’t get dirty and smudged like eyeglasses do while wearing them. There is less distortion (and a lower prescription) since contacts are positioned directly on the eyeball, not a half-inch or more in front of the eyeball like eyeglasses. ■ Rain and snow have no effect on contacts, and running does not make contacts bob up and down (like glasses). Ask a baseball player about wearing glasses in the rain and what running can do to vision. You might get an earful. ■ Contacts don’t fog up with temperature changes. ■ If you accidentally sit on contacts, there generally is no harm. The same can’t be said of eyeglasses. ■ Contacts aren’t noticed by young children. Hence, they won’t yank them off your face. ■ Contacts are great for playing sports (sports goggles offer additional protection). Don’t wear “regular” eyewear while playing sports. Eyeglass frames and lenses knocked into the eye can cause serious injuries. If you follow our instructions for care and use of contacts, you should have a good experience. If you’re thinking of taking the plunge, “contact” our office for the help and expertise you need. Benjamin Franklin… father of the bifocal Benjamin Franklin was a man of many vocations, including inventor. If necessity is the mother of invention, irritation is its favorite aunt. Franklin grew weary of the nuisance of switching from one pair of glasses to another depending on the situation. Never one to sit idly by, he saw to it that lenses from two prescriptions were grafted together, the upper for distance vision and the lower for reading, forming his “double spectacle.” The official announcement of the “double spectacle,” or bifocals, only occurred in 1785, but it is likely that Franklin was wearing them as early as the 1760s. In the print archives of the Library Company of Philadelphia, there is a political cartoon from 1764 that depicts Franklin wearing an unusual pair of glasses. Many believe these were his bifocals. There were some problems early on with these new glasses. The lenses were circular, which meant that if/when the lenses rotated within the frame, it would cause an obvious problem. There was no such problem with single-vision lenses. Opticians had a challenging time in grinding the seam edge perfectly and preventing the half lenses from falling out of the frame. The seam formed by the two half lenses was a haven for dirt, which formed a visible line. The new benefits outweighed these annoyances. Thomas Jefferson was duly impressed with these new spectacles. In a letter he noted he had “adopted Dr. Franklin’s plan of half glasses of different focal distances with great advantage.” He suggested oval lenses to prevent them from turning in the frame. Jefferson was a pretty sharp guy himself. Benjamin Franklin was a practical and innovative man. Bifocal wearers everywhere are grateful. The dry eye/diabetes CONNECTION A recent study indicates that people with diabetes have roughly a 50 percent chance of developing dry eye. What’s the connection? An increased glucose level in the tears due Keeping diabetes to diabetes changes their chemical composiunder control through tion. Tears consist of three layers: an outer exercise, proper diet, layer of oil produced by the eyelids that prevents evaporation of tears from the surface and medication is the of the eye; a middle layer made mostly of most effective way to water; and an inner mucus layer that enables ward off diabeticthe watery layer to adhere to the surface of the eye. If any of these layers are impaired related dry eyes. (e.g., because of too much glucose), it will likely cause symptoms of dry eye. The lacrimal gland controls tear production. Diabetes can cause nerve damage affecting the coordination between the eye surface nerves and the lacrimal gland. This disruption interferes with the ability of the eye surface nerves to sense dryness and signal the lacrimal gland to produce tears to lubricate the eyes. Diabetes can also cause inflammation of the lacrimal gland, which can impede tear production. The grittiness and stinging sensation experienced by those with dry eye is caused by a decrease in or quicker evaporation rate of the watery middle layer of the eye. Since our tears are made of a salty solution, this results in a higher concentration of salt on the eye surface, which causes the irritation. Keeping diabetes under control through exercise, proper diet, and medication is the most effective way to ward off diabetic-related dry eyes. Please call our office if you have any questions about eye-related diabetes conditions. High blood pressure and your VISION The eyes are an excellent ALERT system A systemic disease is one that affects many parts of the body. For instance, diabetes can affect the kidneys, the cardiovascular system, the nervous system, the eyes, and so forth. The eyes are excellent early-warning indicators for many systemic diseases. Here’s why. The eye is composed of many different types of tissue, making it vulnerable to a vast array of diseases and providing valuable insight into a variety of bodily systems. For instance, eye movements and the health of the optic nerve can be indicative of changes in the central nervous system. In addition, an optometrist can easily see inside the eye due to its transparency and view the blood vessels directly (it’s the only organ in the body for which this can be done). The health of blood vessels in the eye is often an excellent sample of what shape the cardiovascular system is in elsewhere in the body. The eyes may also be an area where cancer cells from another part of the body wind up when cancer has metastasized (spread). An optometrist is sometimes the first person to call attention to diseases that otherwise may go undetected for a while longer. For many of these diseases, time is of the essence. Don’t delay in scheduling regular eye exams. The health of your entire body may be affected, not just your eyes. High blood pressure (hypertension) is serious business. Like throwing a rock at a beehive, nothing good can come of it. When the eyes are affected by hypertension, a possible result is hypertensive retinopathy. This condition is marked by damage to the blood vessels of the retina, which can lead to serious vision impairment if it’s not treated in a timely fashion. Oftentimes there are no symptoms of hypertensive retinopathy; it might only be discovered by an eye exam (time for a checkup?). If there are any symptoms, they’re likely to be blurred vision and headaches. An optometrist can spot retinal blood vessel damage by using an ophthalmoscope, an instrument that projects light to the back of the eye. The eyes are the only part of the body where blood vessels can be observed directly. Signs of hypertensive retinopathy include narrowing of blood vessels; fluid oozing from the blood vessels; spots on the retina; swelling of the macula and optic nerve; and bleeding at the back of the eye. The worst-case scenario is irreversible damage to the macula or optic nerve, which means vision impairment. The best way to prevent/treat hypertensive retinopathy is to get your blood pressure under control through a healthy diet, exercise, and medication. We urge you to do this before there’s a problem with your eyes. It’s a recipe for success. PRESORTED STANDARD U.S. POSTAGE PAID LANCASTER, PA PERMIT NO. 242 214 E. Marks Street Orlando, FL 32803 In our continuing effort to “Go Green,” this will be our last print newsletter. If you have not yet done so, please call us at 407-841-6220 to give us your e-mail address so we can continue to stay in touch with you. © Copyright 2012. Newsletters, Ink. Corp. Printed in the U.S.A. www.NewslettersInk.com Drs. Swanson, Sowers, Lee & Yager 214 E. Marks Street Orlando, FL 32803 Office Hours Monday & Wednesday 8:00 a.m.-4:30 p.m. Tuesday & Thursday 8:30 a.m.-7:00 p.m. Friday 8:00 a.m.-Noon Appointment and Emergency Phone: (407) 841-6220 Web site: www.yagereyeinstitute.com E-mail: [email protected] t abou e n o the hear u o y who Did ician is t p o nto h i the d e ck lly ba a de t n e d ma n a accid r rinde elf? lens g hims f o e l ctac a spe Vision’s role in falls among the elderly Various factors can increase the risk of falls in senior citizens, notably vision. Vision provides the nervous system with continually updated information on the body’s surroundings and the way the body’s parts and movements adjust accordingly in that environment. For example, stand on one leg. Now, stand on one leg and close your eyes. Notice the difference? (Hope you had something to grab on to.) If depth perception is impaired, the chance of a fall rises dramatically. According to research, those with good vision in both eyes had the lowest rate of falls. Those with good vision in one eye but substandard in the other have an elevated risk of falling. Being able to accurately judge distances and evaluate the positions of objects in our environment is key to avoiding falls…and the injuries and complications associated with them. Contrast sensitivity is important, too. An elderly person’s ability to clearly detect edges enables them to avoid or better negotiate ground-level hazards such as curbs, steps, pavement cracks, and so forth. Those who wear multifocal glasses may have trouble with stability when walking in unfamiliar territory because the lower lenses of their glasses blur their lower visual fields. Single-vision lenses may be better for certain activities. Sometimes the solution is as simple as corrective lenses or updated lens prescriptions. There may be an underlying disease or condition of the eye that hasn’t been detected because the person hasn’t been getting eye exams. Moving tripping hazards at home can be of help, too, but it doesn’t get to the root of the problem. Healthy vision plays a key role in lowering the incidence of falls among the elderly. If you have any questions or concerns, please don’t hesitate to give our office a call. The information included in this newsletter is not intended as a substitute for personal, professional advice. For your specific situation, please consult our office.