Blog
Consumer news alert regarding decorative contact lenses
- A cut or scratch on the top layer of the eyeball (corneal abrasion)
- Allergic reactions like itchy, watery red eyes
- Decreased vision
- Infection
- Blindness
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An Angry Eye
Not a pretty picture, huh? This picture shows an eye with a fungal corneal ulcer. Aka an angry eye. This ulcer is an example of what could happen when contacts are worn on an extended wear basis. Although patients have always improperly over worn and slept in there contact lenses, the introduction of extended wear lenses has likely pushed this trend over the edge.
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Who should take care of the uninsured?
I was asked to participate in a health fair on Friday October 22nd at the Woodstock Baptist Church. As I walked through this massive church I couldn't believe the amount of people that were there for services. I would estimate that well over 1000 men ,women and children were there to see the Doctor's and volunteers that were there for 3 days to treat their every need. I heard from the people that i examined that told me that they had arrived at 1am to get in line to see the medical doctor's,dentist's and the eye doctor's. I know for a fact that we turned people away at the end of every day due to lack of time. I saw so much eye disease that had gone untreated due to lack of insurance and of course money. Today, October 29th we treated one of the gentlemen that i had seen for Glaucoma. His intraocular pressures were approximately 40 in his right eye with definite loss of field of vision.I prescribed Lumigan and Instructed him in my broken Spanish to see me in 3 weeks. He has no insurance and his finances barely cover a roof over his head and put groceries on the table. Suffice it to say we will not charge him but I have been haunted by the amount of people in trouble out there. Who is going to care for them? We all want to give back and be good stewards but do we draw a line? When do we draw a line? My father told us many stories of the depression era and the one that I have never forgotten was about his grandfather. He had very little money left but he did have a small grocery store. People would come in to get food with no money. My dad asked his grandfather how come he would give food to these people without money. He responded, " we should always give to those with less than we have." My question to you is should we follow my great grandfathers advise? Just a thought. Stuart Tasman
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Hey Doc, I think I have got Pink Eye
In summary, pink eye is not a condition. Anything that causes ocular redness could essentially be termed “pink eye”. The important thing is getting to the bottom of what may be hindering the eye. And I can assure you that using Visine is not the answer. So the next time your eye is looking pink, feeling goopy, and a little strange, get in to your optometrist and have them take a look.
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Vision Screening
Dr. Tasman volunteered to help give vision screenings to hundreds of elementary school students this week. The project took place at Annette Winn Elementary in Lithia Springs. It was a huge success!!
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High Refractive Errors in Children often go Undiagnosed, leading to Visual Impairment
We had the pleasure of being introduced to the sweetest little girl at our office a few months ago. She came in to have an eye examination because her preschool teacher had sent home a note stating that she was holding things very close to her eyes in an attempt to see. The mother of the child had not noticed any visual problems and the little girl had not complained of any.
Upon visual testing, she was only able to count fingers across the room with her right eye, while she could see 20/400 (the big E) with her left eye. Her refractive error was determined to be approximately +10.50 D in the right eye and +8.00 D in the left. With this prescription in place, the child immediately noticed some improvement in vision, now able to see 20/200 with her right and 20/80 with her left.
This charming little girl has a very high hyperopic (far-sighted) prescription. Because she had probably been born with some degree of this refractive error the child had grown accustomed to seeing blurry. She knew no difference. Additionally, because her uncorrected refractive error had been present for some time before being diagnosed, her brain never developed neurons that gave her the potential to reach 20/20 or anything close to it. When ocular disease is absent and 20/20 can not be reached even with a spectacle correction, we call this condition Amblyopia. Amblyopia works on the principal that when one’s eyesight is blurred, the brain is never completely visually stimulated. Thus, the eye and brain are not able to develop visual neurons that are capable of seeing all the fine, detailed stuff. The good news is that if the refractive condition is caught early enough, the eyesight can be improved after being corrected with spectacle or contact lenses. An earlier diagnosis betters the chances of success, as the brain and visual system are dynamic and open to change when a child is still growing.
In this patient’s case, we chose to fit her in contact lenses instead of glasses as this would ensure that the child was visually corrected at all times without having to wear thick “coke bottle” glasses. Contact lenses are also the correction of choice if a significant power difference exists between the two eyes. We gave the mother a lesson on how to insert and remove the contacts then fit the child with a contact prescription that was slightly cut back on to allow her to adapt more easily to her new corrective lenses.
Within a month, the child returned to our office claiming that she “could see the cats across the street now!” Both mother and child were excited at the progress she had seen. Her new visual acuities with her full prescription were measured at 20/100 in the right eye and 20/40 in the left. Almost a three-fold improvement!! The power of her lenses were increased to full strength and we will continue to follow-up with her every few months until her best potential acuity is achieved. If full improvement is not achieved with visual correction alone, we may consider patching her better seeing right eye to allow full stimulation of the left eye. Because the mother and daughter are diligent and compliant, the prognosis for her is good despite the measured progress it may take to get there.
This case demonstrates the importance of complete eye examinations at an early age. Uncorrected hyperopia, myopia, astigmatism, an eye turn, or a congenital cataract can result in amblyopia and permanent visual impairment if not treated early enough. Like with this little girl, she did not know to complain of her vision being blurry, because this was the only world she knew. We encourage you all to start thinking about your children’s eyes and set up an exam today.
Thanks for reading!!
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Welcome to our Blog!!
Hello patients and friends,
We are excited to announce the addition of a blog to our web page. Dr. Tasman and Dr. Fowler hope to keep you informed on interesting topics and the latest news in optometry.
We encourage you to provide us with feedback and ask questions when a topic interests you.
Thanks for your support! More to come soon..
Dr. Stuart Tasman and Dr. Tara Fowler
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