Archive for the ‘Uncategorized’ Category

Allergies and your Eyes

Wednesday, May 18th, 2016

Spring is such a great season. Warm winds, longer daylight hours and, unfortunately, allergies. Do you get red, itchy, watery eyes every year around this time? One in five Americans get eye allergy symptoms at this time of year, so you are not alone. Finding relief may be hard, but we have a few suggestions for you so you can enjoy the outdoors, again, this spring and summer.

What are seasonal eye allergies?

Eye allergies are also called ocular allergies and have common symptoms that are both annoying and can be unsightly. Symptoms could include:

  • red, itchy, burning, and watery eyes
  • swollen or puffy eyelids
  • temporary blurriness

If using over the counter allergy medicines do not seem to reduce symptoms see your eye doctor to check for other eye disorders. Seasonal eye allergies happen only at certain times of the year—usually early spring through summer and into autumn. Usually the cause is pollen from trees, flowers, grasses or possibly the mold from spores in the yard.

Methods to Reduce your Eye Allergy Symptoms

  • Keep your windows shut during the night due to tree and flower pollen being released early in the morning.  Run the air conditioning during the night to keep air moving. This will keep pollen out of your bedroom and home.
  • Stay indoors when pollen counts are highest, usually in mid-morning and early evening.
  • Clean surfaces regularly to keep pollen from building up and irritating you in your home.
  • Wear sunglasses to block pollen from entering your eyes.
  • Don’t rub your eyes. That’s likely to make symptoms worse. Try cool compresses instead.

If you find that antihistamines and over the counter drops are not helping, you may need to see your eye doctor to rule out eye diseases that could be confused as eye allergies. Eye doctors can prescribe stronger medications to stop the allergy or, at least, reduce the symptoms. Call us at Boston Eye Physicians and Surgeons at 617-232-9600.

Angle Closure Glaucoma

Friday, September 11th, 2009

Your eye is red, painful, and the vision is blurred, with haloes around lights, add nausea; then acute angle closure glaucoma is a fairly obvious diagnosis.   That eye will be partly blinded by this attack.  But one of the most difficult diagnoses in all of eye care is the common related condition – chronic angle closure glaucoma.   The condition which may in fact precede an acute attack.

The doctor must place a mirrored contact lens on your ocular surface, while you cooperate as best you can to permit the doctor to study a circle of tissue 50 microns wide (0.050 millimeters!) that is inspected through the mirror.   [The Barkan gonio lens was a direct technique for such inspection, eliminating the mirrors, but the patient must lay flat (a position normal to us only during sleep) and the doctor must hold a 15 pound microscope to see the fine details.]

Easy to imagine that subtle trouble with the observations will, and often do, happen.  When the drainage angle for fluid closes in part, pressure in the eye will increase slightly.  The goal of treatment is to remove the obstructing iris folds which roll up to and over the fine meshwork which percolates fluid through and out of the eye.

The treatment?  Create a second opening in the iris other than the pupil, which will allow fluid to pass directly to the drains, and eliminate the pupil – blocking part of the fluid stream.

This was performed by surgery prior to the 1970s but the advent of laser technology improved surgery.  Each generation of laser has proved effective at puncturing a hole in the iris, without surgically opening the eye.  The surgeon’s  job is to ascertain who will benefit from this procedure as to eliminate the folds which block fluid exiting the eye.

Patients come in for a routine eye exam, and they may have partly or completely blocked drains.  If the eye pressure has – or has not – built up, should a laser treatment be recommended?  How risky is it for the laser treatment, verses the risk of having low grade glaucoma, or even an acute attack – as decribed at this blog’s outset?

Even second opinion glaucoma patients arrive with the same dilemma – are they “open angle” or “closed angle” patients – and are the treatments correct?

A yearly “gonioscopy” by your eye doctor is an important part of maintenance for every glaucoma patient, and we will perform this exam in any patient with suspicious findings seen during the course of any eye examination.

International Glaucoma

Wednesday, July 29th, 2009

Traveling to Singapore, Netherlands, Or Prague.  Next year in Beijing?  For me, not this year:

Nice and simple to take the MBTA Green D Train 4 stops to the Hynes in Boston to rendez-vous with every major glaucoma contributor in the contemporary literature…

A thumbnail of news from the meeting – a fair amount devoted to world issues of health access in Africa and Asia.  Increased recognition of populations with higher risk for the disease?  Caribbean and west African blacks, Japanese with normal tension glaucomas, and aboriginal communities with angle closure disease.

What about medical breakthroughs?  This year’s research award to a North Texas cell biologist who characterized the WH-1 gene in mouse, showing “up regulation” and “down regulation” of intraocular pressure by chemical messaging of proteins to (mouse) trabecular meshwork.  This is important because chemical messengers may be critical for a permanent cure, or for definitive diagnoses.

What is trabecular meshwork?  This important tissue regulates eye pressure by controlling egress of the nutrient aqueous fluid that circulates through and inflates the eye.  Too little exiting?  High pressure.  Is there a over -secretion glaucoma, patients ask?  These are rare and sporadic.  The principal cause of the disease is failure of fluid leaving the eye.  All glaucoma treatments are directed at resolving this defect.

                                                                                 Dr. Kevin Kaufman

Contact Lens Fittings at BEPS

Tuesday, July 21st, 2009

Hello all.  Today I am going to talk about Contact Lenses.   BEPS fits both soft contact and hard contact lenses.  There has even been a new trend of adults getting fitted for contacts.  I am finding that most of these people had tried contact lenses over 20 years ago.  They experienced difficult fits and contacts that were hard to wear for any length of time. Most are not aware of the comfort, value and the many types of lenses available to our patients.  Wether you need dailies, monthlies, atigmatism or bifocal lenses, we have all the best brands  to fit you with.  But don’t forget, Contact Lens fittings are considered cosmetic and are not covered by insurance.   Please call our office today to schedule a fitting.

welcome patients, old and new

Wednesday, July 8th, 2009

Hi there,  I am Rob Stone, Clinical manager and Ophthalmic tech for Boston Eye Physicians and Surgeons(BEPS). I am proud to work for doctors like, Dr. Richard Floyd, Dr Anthony Fraioli, Dr. Ernest Kornmehl and Dr. Kevin Kaufman.  They are the core of this wonderful practice that is also complimented by Dr’s Robert Gorn, Caroline Baumel, James Lee, J. Wallace McMeel and Peter Rubin.  All of them dedicated to their patients and the practice of Ophthamology.  In the coming months I will be telling you more about our practice, our services(cataract, glaucoma, crystalens, ophthalmic plastic surgery, including Botox, Restalyn and other fillers) and our staff.  I look forward to serving you.  Thanks, and talk to you soon.