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W i n t e r 2008 O n T h e C u t t i n g Edg e Without The Blade! L ASIK is the nation’s most-popular vision correction procedure. Now, Grutzmacher and Lewis is proud to introduce IntraLase Laser – iLASIK, the safest, most effective and only alllaser LASIK. We’re very excited about this new technology because we are consistently looking for ways to improve the quality of the care we provide for our patients. There are two steps in the iLASIK procedure. The first step involves the creation of a corneal flap (figure 1) that is folded back to prepare the eye for the second step where an excimer laser (figure 2) is used to change the shape of the cornea and correct the vision. In the past, a handheld oscillating surgical blade (microkeratome) was used to create the corneal flap. In iLASIK, the flap is created with the computer-guided precision of a laser. While traditional LASIK is a successful and safe procedure, the IntraLase Laser (iLASIK) makes it even safer by virtually eliminating the possibility of blade related complications. iLASIK provides unmatched precision and has become the technology of choice among the nation’s leading LASIK surgeons. Studies have found significant differences in the vision that patients achieve when iLASIK is used. Data shows: n More patients achieve 20/20 or better vision n Less night glare and halos n Reduced incidence of post-operative dry eye symptoms n Fewer enhancement procedures The end result: a safer procedure and better vision. Call us for more information. Dr. Sierra on Univision D r. Patricia Sierra, originally from Honduras, recently made several appearances on the Spanish television, Univision. She has been on Sacramento’s morning news show, A Primera Hora, discussing common ocular conditions including laser vision correction (LASIK), glaucoma, and diabetic retinopathy. The show also sent their camera crew to Capitol City Surgical Center for close-up coverage of new technologies in cataract and ocular surgery. If you speak Spanish, stay tuned for more eye-related topics. The show airs every day from 6:00 to 7:00 am. Inside this issue: Eye-Myth Busters – Fact or Fiction?- - - - - - - - - - - - - - - - - p2 G&L Office Update - - - - - - - - - - - - - p3 Websites- - - - - - - - - - - - - - - - - - - - - - - p3 Research Studies- - - - - - - - - - - - - - - p3 Advanced CustomVue™ Monovision LASIK- -- -- -- -- -- -- -p4 1515 River Park Drive, Suite 100 Sacramento CA 95815 916 649-1515 www.eyelasik.com D r s. G r u t z m ac h e r & L e w i s E y e - M y t h B u s t e r s – Fac t o r F i c t i o n ? How is your Eye Knowledge? Test yourself with this information packed Quiz. 1. Marijuana is useful in the treatment of glaucoma. Fiction Marijuana can help to lower eye pressure, however, “...based on reviews by the National Eye Institute and the Institute of Medicine and on available scientific evidence, the Task Force on Complementary Therapies believes that no scientific evidence has been found that demonstrates increased benefits and/or diminished risks of marijuana use to treat glaucoma compared with the wide variety of pharmaceutical agents now available.” Taken from www.aao.org abstract Complementary Therapy Assessment Marijuana in the Treatment of Glaucoma May 2003. 2. For some people drug store reading glasses are just as good as prescription glasses. Fact Drug store reading glasses can be an excellent alternative for someone with presbyopia (someone who suffers from “My arm’s not long enough”) and requires little or no distance prescription. However, S 3. Prescription eyeglasses will provide adequate protection while working around the house and yard. FICTION Hazardous situations require the use of eyewear with both lenses and frames that meet high-level safety standards. Lenses made from polycarbonate materials provide the highest level of impact protection. Check to see what type of material your glasses’ lenses are made of. You may want to use goggles that fit over your glasses when working in hazardous situations. They could protect both your eyes and your prescription glasses. 4. Looking straight at the sun can damage your sight. Fact Looking at the sun may cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cu- mulative effects of ultraviolet radiation (UV) on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies. 4. Natural, preservative-free eye makeup is best to use. FICTION Bacteria are more likely to thrive in natural, preservative-free eye makeup products therefore increasing your risk of eye infection. When skin or eye sensitivities are present, choose an eye makeup that is hypoallergenic and/or fragrance free and use disposable applicators. 5. Reading in poor lighting will permanently damage your eyes. Fiction Although reading in low or poor lighting can cause some eye strain or a headache, it will not cause permanent damage to your eyes. Good lighting is important to see your best when you are focusing on a printed page and/or detailed work. S e a s o n a l O c u l a r All e r g i e s pring is just around the corner and while many are looking forward to getting outside and enjoying the nice warm weather, millions of allergy sufferers are dreading the times when the trees, grass and weeds begin to pollinate. Seasonal allergies impact those who are susceptible during certain months of the year and typically have their strongest allergic reactions during the spring and fall. They are caused by plants that release pollen and mold spores into the air. While most people associate allergies with runny noses, sinus congestion and sneezing, allergies can also affect various organs including the eyes. Symptoms of ocular allergies include itching, redness and tearing of the eye and eyelid swell- 2 if both eyes do not have the same near or distance vision, prescription glasses are a better option. ing. If symptoms are mild to moderate, try applying cold compresses to the eyes and using over-the-counter medications such as artificial tears. By minimizing exposure to allergens during allergy season, sufferers can do much to manage the severity of their symptoms. However, if one is outdoors, avoidance of pollen is often impossible so medical treatment might become necessary. Recently, a prescription eyedrop for the treatment of eye allergies has become over-the-counter. Zaditor (ketotifen fumarate) can be purchased at your local pharmacy and used twice a day as needed. Be sure to follow the instructions. Above and beyond these methods, you should speak with your eyecare provider regarding prescription eyedrops. Pataday (Olopatadine), Optivar (Azelastine) and Elestat (Epinastine), are newer ophthalmic medications that can provide fast relief of multiple allergy symptoms. Keep in mind that in order to prevent allergic reactions, treatment should be continued until pollen season is over. Common Seasonal Allergens Spring - Tree Pollens, Flower Pollens Summer - Grass Pollens Fall - Ragweed, Flower Pollens, Mold Spores Winter - Tree Pollen S t a ff Upd a t e G rutzmacher & Lewis is pleased to announce the addition of our new Certified Ophthalmic Assistant (COA), Alice M. She has been active in the medical field for 25 years W e b s i t e Upd a t e G lacial Multimedia Inc. (www. glacialmultimedia.com) has been working hard to update our web site. Our site, www.eyelasik.com, will be a powerful and informative website full of animations, descriptions and information designed to keep you informed and to ease your decision-making process. Soon you will be able to visit us on the web and see our new features. Let us know what you think! W e App r e c i a t e Your Referr als! T hank you for choosing Grutzmacher & Lewis for your eye healthcare. spending the past 20 years in Ophthalmology. Alice’s experience is broad, serving practices with multi-specialties such as cornea, retina and oculoplastics. When she’s not working here, Alice enjoys spending time with her grandchildren. The next time you’re in, please help us welcome Alice! If someone you know is also in need of an eye doctor, we would be happy to offer our services. Your referral is the greatest compliment we could receive. Be sure to have your family or friends let us know you sent them. We would like to personally thank you for referring your friends and loved ones to our care. Websites To assist you in your research, we suggest the following websites: Grutzmacher & Lewis www.eyelasik.com Glaucoma www.glaucomaweb.org www.glaucoma.org http://www.medrounds.org/glaucoma-guide/2006/02/table-of-contents-patients-guide-to.html Multi-Focal Lens & Implantable Contacts Verisyse and Rezoom Lens www.visioninfocus.com Alcon Restor www.cataractsurgery.com Visian www.staar.com Wavefront LASIK www.visx.com/patients LASIK www.fda.gov/cdrh/lasik www.lasikinstitute.com Food & Drug Administration www.fda.gov CURRENT O F F ICE C L INICA L TRIA L S W e are currently enrolling for an Allergan Ocular Lubricant study to assess the effectiveness of two artificial tear products in the treatment of dry eye symptoms post LASIK surgery. To qualify for this study you must be a candidate for LASIK refractive surgery with no prior history of eye surgery. Participants will be compensated for their time and study drops will be provided at no cost. A second device trial is in the start-up phase in our office. AcuFocus ACI 7000, is a corneal inlay designed to correct presbyopia. It requires a 30-minute out patient procedure along with follow up visits over three years. To qualify for this study, you must be between the ages of 45-55 years old, no prior eye surgery and meet other medical criteria that will be evaluated by your doctor. Our office will be an investigational site for the upcoming CORE study which is slated to begin enrollment in the second quarter. This is a device study using a new punctal plug delivery system of the glaucoma drug Xalatan which will allow for a slow-release delivery of the medication without the need for use of daily drops. We are looking for subjects with glaucoma or those who are considered a glaucoma suspect and are currently using Xalatan, Travatan or Lumigan. If you are interested in being a subject in any of these clinical trials, please call Dr. Monica Robinson or Wendy McElrath at (916) 649-1515. Cataracts www.eyesurgeryeducation.com Low Vision Society for the Blind www.societyfortheblind.org General Eye Health www.aao.org/public Check out the Grutzmacher & Lewis website! When you want to know more about your eye health, condition, surgical procedure or our doctors visit us first: www.eyelasik.com We provide up-to-date information about much of what you want to know. 3 S e r v i c e s o ff e r e d at G r u t z m a c h e r & Lewis: ■■ Annual Eye Exams ■■ Cataract Evaluation and Surgery ■■ ReSTOR IOL ■■ ReZoom IOL ■■ Diabetic Eye Exams ■■ Plaquenil Eye Exams ■■ Second Opinions ■■ Allergy & Dry Eye Care ■■ Glaucoma Evaluation, Therapy and Surgery ■■ Glaucoma Study Participation ■■ Corneal Transplants ■■ Visual Fields ■■ CustomVue LASIK & PRK ■■ Verisyse ICL ■■ Staar Visian ICL ■■ DSEK Ad v a n c e d C u s t o m V u e ™ M o n o v i s i o n L ASI K I f you are over the age of 40 and contemplating laser vision correction, a new approved procedure may give you the freedom from distance and reading glasses you were waiting for. The U.S. Food and Drug Administration (FDA) has approved Advanced CustomVue™ Monovision, the first wavefront-guided laser vision correction procedure for the visual correction of both nearsightedness and presbyopia. Presbyopia is part of the natural aging process and affects most people sometime in their 40s. The person’s ability to focus on objects up close gradually diminishes and they start to require reading glasses to see clearly. The term, monovision, refers to a common method of vision correction in which one eye is corrected for distance vision, and the other eye for near vision. The brain learns to adapt in a short period of time. Advanced CustomVue™ Monovision LASIK treatment provides the highest and most effective level of laser correc- tion, resulting in decreased dependency on glasses for distance and reading. According to the clinical trial results, six months after being treated more than 96 percent of patients decreased or eliminated their use of corrective lenses for both distance and near vision. NASA Endorsement for LASIK and PRK T his is HUGE news! In July 2007 NASA announced its expanded candidacy requirements regarding vision. Like other military branches that have relaxed the vision requirements necessary to apply for pilot training, NASA now accepts applications from those men and women who have previously undergone LASIK or PRK. For more information you can visit www.nasa.gov. Presorted Standard U.S. Postage PAID Sacramento CA Permit No. 1704 1515 River Park Drive, Suite 100 Sacramento CA 95815