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When Is a Cornea Transplant Necessary? Understanding the Basics

Cornea transplants – a beacon of hope for individuals facing severe corneal damage or disease – stand as a testament to the incredible advances in ocular medicine. This life-changing procedure, known medically as keratoplasty, offers a second chance at clear vision for those who have exhausted other treatments without success.  

From understanding the underlying causes that necessitate such a surgery to navigating the journey of recovery, understanding the critical aspects of cornea transplantation is essential. Here’s a look at why cornea problems occur, what cornea transplant procedures involve, and more.  

The Causes of Cornea Problems  

Cornea problems can arise for a variety of reasons, leading to impaired vision and, in severe cases, necessitating a cornea transplant. One of the primary causes of corneal damage is keratoconus, a progressive condition where the cornea thins and starts to bulge into a cone-like shape, distorting vision.  

Viral and bacterial infections can also lead to corneal scarring, reducing vision clarity. Additionally, physical injuries or chemical burns to the eye can cause similar scarring, disrupting the cornea’s transparency and function.  

Other cornea issues stem from degenerative conditions or inherited corneal diseases. Fuchs’ dystrophy, for example, is a slow-progressing disease that affects the inner layer of the cornea, leading to swelling, cloudiness, and, ultimately, vision impairment. Finally, complications from previous eye surgeries can result in corneal damage, making further intervention necessary.  

What to Expect with a Cornea Transplant  

A cornea transplant, also known as keratoplasty, involves the surgical replacement of a diseased or damaged cornea with healthy donor tissue. The procedure can be full-thickness (penetrating keratoplasty), where the entire cornea is replaced, or partial-thickness (deep anterior lamellar keratoplasty), targeting only the front or back layers of the cornea. The choice of procedure depends on the specific condition of the cornea.  

The process begins with a thorough examination and evaluation by an ophthalmologist to determine the suitability for a transplant. During the surgery, which is performed under local or general anesthesia, the surgeon removes the damaged corneal tissue and replaces it with a clear donor cornea, which is then sutured in place.  

Post-surgery, patients can expect a recovery period that varies in length, often several months, during which vision gradually improves. Regular follow-up visits are crucial to monitor the healing process and to manage any potential rejection of the donor tissue.  

Post-Transplant Care and Recovery  

Following a cornea transplant, patients are required to take prescribed medications – including anti-inflammatory and antibiotic eye drops – to assist in healing and prevent infection. The eye may initially feel irritated or sensitive to light, and it is essential to avoid rubbing or pressing on the eye, as well as engaging in activities that could impact the healing process, such as heavy lifting or contact sports.  

Vision recovery varies from person to person; some may notice an improvement within a few weeks, while others might take several months to achieve stable vision. Ultimately, the long-term success of the transplant hinges on the body’s acceptance of the donor cornea, and while rejection is possible, it can often be managed effectively with prompt medical treatment.  

WNY’s Top Eye Surgeons Are at ECVA

At ECVA, the safety and health of our patients’ eyes are our priority. If you are wondering if you’re a good candidate for a cornea transplant or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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How is a Laser Used in Laser Eye Surgery?

Laser eye surgery represents a groundbreaking leap in pursuing perfect vision, offering a sophisticated alternative to traditional eyewear and contact lenses. This transformative procedure harnesses the precision of laser technology to reshape the cornea, addressing refractive errors that blur our view of the world.  

Whether you’re nearsighted, farsighted, or dealing with astigmatism, laser eye surgery opens the door to enhanced visual clarity. Here’s a look into the heart of laser eye surgery, including how it works, the conditions it can remedy, and the myriad benefits it bestows upon those who choose this path to clearer vision.  

The Role of Lasers in Eye Surgery  

The advent of laser technology has revolutionized the field of ophthalmology, offering precise, less invasive procedures for correcting various eye conditions. At the core of laser eye surgery is the use of specialized lasers to reshape the cornea—the clear, dome-shaped surface of the eye. This reshaping corrects refractive errors by allowing light entering the eye to be properly focused onto the retina, thereby improving vision.  

One of the most common laser eye surgery techniques is LASIK (Laser-Assisted In Situ Keratomileusis), which involves creating a thin flap in the cornea and then using an excimer laser to correct visual clarity issues by reshaping the underlying corneal tissue. This procedure is highly effective for correcting myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.  

Common Conditions Treated with Laser Eye Surgery  

Laser eye surgery is primarily used to treat refractive errors, which are the most common types of vision problems. Myopia (nearsightedness), where distant objects appear blurry, can be corrected by flattening the cornea to reduce its refractive power. Hyperopia (farsightedness), characterized by difficulty focusing on close objects, is treated by steepening the cornea to increase its focusing ability. Astigmatism, which causes distorted or blurred vision at all distances due to an irregularly shaped cornea, is corrected by smoothing the irregularities to create a more symmetrical corneal shape.  

Beyond refractive errors, laser eye surgery is also employed in the treatment of certain corneal diseases and conditions. For example, Phototherapeutic Keratectomy (PTK) can remove corneal scars and reduce corneal irregularities, enhancing visual clarity. Additionally, diabetic retinopathy or wet macular degeneration treatment may involve thermal lasers to address leaking blood vessels.  

Advantages of Opting for Laser Eye Surgery  

Choosing laser eye surgery for vision correction comes with numerous benefits. First, the precision of laser treatment results in a high degree of accuracy in correcting refractive errors, leading to significantly improved vision for most patients. Many patients achieve 20/20 vision or better after the procedure, reducing or even eliminating their dependence on glasses or contact lenses. This can greatly enhance the quality of life, offering freedom from the physical and financial burdens associated with corrective eyewear.  

Additionally, laser eye surgery is known for its rapid recovery times. Procedures like LASIK allow patients to experience improved vision almost immediately, with most returning to their normal activities within a day or two. The minimally invasive nature of the surgery, combined with advanced techniques that promote quick healing, contributes to its popularity among patients seeking effective and efficient vision correction solutions.  

Laser Eye Surgery In Buffalo, NY

At ECVA, the safety and health of our patients’ eyes are our priority. If you’re considering laser eye surgery and want to see if you’re a good candidate or if you simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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Optometrists vs. Ophthalmologists in Buffalo, NY: What is the Difference

Protecting your vision and the health of your eyes is essential. However, there are two types of professionals available: optometrists and ophthalmologists. While both dedicate their lives to preserving and enhancing vision, they possess distinct roles, training, and areas of expertise. Understanding the differences between these two professions is crucial for making informed decisions regarding eye health.

Both Buffalo ophthalmologists and optometrists offer valuable services. Let’s explore the skills and disparities between the two and when to visit each.

What is the Role of an Optometrist in Buffalo, NY

Optometrists play a pivotal role in the primary care of your eyes, focusing on vision care and the health of these structures. Here’s a breakdown of their responsibilities, scope of practice, and services offered:

  • Definition and Role of an Optometrist

Optometrists are healthcare professionals who specialize in examining, diagnosing, and treating various eye conditions and diseases. They are trained to prescribe corrective lenses, such as glasses and contact lenses, and medications for specific eye problems. Optometrists also guide maintaining optimal eye health through lifestyle changes and preventive measures.

  • Scope of Practice

Optometrists are proficient in conducting comprehensive eye exams to assess visual acuity, eye coordination, and overall eye health. They diagnose refractive errors like myopia, hyperopia, and astigmatism and prescribe appropriate corrective measures. Additionally, they manage conditions such as dry eye syndrome, glaucoma, and diabetic retinopathy, often collaborating with other healthcare professionals for comprehensive patient care.

  • Services Offered

Optometrists offer an array of services, including routine eye exams, vision correction, contact lens fitting and prescriptions, treatment of eye infections and injuries, management of chronic eye conditions, and pre- and post-operative care for certain eye surgeries.

What is the Role of an Ophthalmologist in Buffalo, NY

In contrast to optometrists, ophthalmologists are medical doctors specializing in diagnosing, treating, and managing eye diseases and disorders. Let’s explore their role, scope of practice, and services provided:

  • Definition and Role of an Ophthalmologist

Ophthalmologists are physicians who undergo extensive medical training, including medical school, internship, residency, and often fellowship in a subspecialty of ophthalmology. They are qualified to provide comprehensive eye care, from routine eye exams to surgical interventions for complex conditions.

  • Scope of Practice

Ophthalmologists are trained and equipped to diagnose and treat a wide range of eye diseases and disorders, including cataracts, glaucoma, macular degeneration, retinal diseases, corneal conditions and more. They perform surgical procedures such as cataract surgery, LASIK, retinal detachment repair, and corneal transplants, among other procedures. Ophthalmologists may also specialize in areas such as pediatric ophthalmology, neuro-ophthalmology, or oculoplastic surgery.

  • Services Offered

Ophthalmologists provide comprehensive eye care services, including diagnostic testing, medical treatment, surgical interventions, and ongoing management of eye conditions. They offer specialized expertise in treating complex eye diseases and performing advanced surgical procedures to restore or improve vision.

Key Differences Between Optometry and Ophthalmology in Buffalo, NY

While optometrists and ophthalmologists share a common goal of preserving eye health, several distinctions set them apart:

  • Educational Background and Training

Optometrists typically complete a Doctor of Optometry (OD) degree program, which involves four years of undergraduate study followed by four years of optometry school. Ophthalmologists, on the other hand, are medical doctors (MDs) or doctors of osteopathic medicine (DOs) who undergo extensive medical training, including medical school, residency, and often a fellowship in a subspecialty of ophthalmology.

  • Scope of Practice and Services

Optometrists primarily focus on vision care and routine eye health, offering services such as eye exams, vision correction, and management of common eye conditions. Ophthalmologists have a broader scope of practice, encompassing medical and surgical management of eye diseases, specialized treatments, and surgical interventions for complex conditions.

  • Patient Care and Referral Process

Optometrists often serve as the first point of contact for patients seeking routine eye care or experiencing common eye problems. They may refer patients to ophthalmologists for specialized treatment or surgical interventions when necessary. Ophthalmologists collaborate with optometrists and other healthcare professionals to provide comprehensive care for patients with complex eye conditions.

  • Collaborative Efforts

Optometrists and ophthalmologists frequently collaborate to ensure optimal patient outcomes. They may work closely together to co-manage patients undergoing surgical procedures, monitor the progression of certain eye conditions, or provide interdisciplinary care for patients with systemic health issues affecting the eyes.

When to Visit an Optometrist in Buffalo

Optometrists are your go-to professionals for routine eye care, vision correction, and management of common eye conditions. Consider scheduling an appointment with an optometrist for the following reasons:

  • Routine Eye Exams and Vision Correction

Regular eye exams are essential for maintaining good eye health and detecting potential problems early. Optometrists can assess your vision, screen for eye diseases, and prescribe corrective lenses to improve visual acuity.

  • Contact Lens Fitting and Prescription

Suppose you wear contact lenses or consider them an alternative to glasses. In that case, optometrists can perform a comprehensive eye exam and fit you with contact lenses that suit your prescription and lifestyle.

  • Management of Common Eye Conditions

Optometrists can diagnose and manage various eye conditions, including dry eye syndrome, conjunctivitis (pink eye), allergies, and minor injuries. They can provide treatment options or refer you to an ophthalmologist for further evaluation if needed.

When to See an Ophthalmologist in Buffalo

Buffalo ophthalmologists specialize in diagnosing and treating complex eye diseases, performing surgical interventions, and providing specialized care for advanced conditions. Consider consulting an ophthalmology practice in Buffalo for the following reasons:

  • Diagnosis and Treatment of Eye Diseases and Disorders

Suppose you have been diagnosed with an eye disease or disorder such as cataracts, glaucoma, macular degeneration, or diabetic retinopathy. In that case, an ophthalmologist can provide expert evaluation, medical treatment, and ongoing management.

Buffalo ophthalmologists excel in diagnosing and treating a myriad of eye diseases and disorders. They utilize advanced diagnostic tools and techniques to accurately assess conditions such as cataracts, glaucoma, macular degeneration, diabetic retinopathy, and retinal detachment. Once diagnosed, ophthalmologists develop personalized treatment plans tailored to each patient’s needs, which may include prescription medications, laser therapy, or surgical interventions. Their expertise in managing complex eye conditions ensures patients receive the highest quality of care to preserve vision and enhance overall eye health. Consulting an ophthalmologist to diagnose and treat eye diseases and disorders ensures comprehensive evaluation and effective management strategies.

  • Surgical Interventions

Ophthalmologists are skilled in performing a wide range of surgical interventions to address various eye conditions. From routine procedures like cataract surgery to more complex surgeries such as retinal detachment repair and corneal transplants, ophthalmologists utilize advanced surgical techniques and technology to achieve optimal outcomes. Additionally, they specialize in refractive surgeries like LASIK and PRK to correct vision problems such as nearsightedness, farsightedness, and astigmatism. Patients can trust in the expertise of ophthalmologists to deliver safe and effective surgical care, helping to restore vision, alleviate discomfort, and improve overall quality of life. Seeking surgical intervention from an ophthalmologist ensures access to specialized expertise and state-of-the-art treatment options.

  • Specialized Care for Complex Eye Conditions

Ophthalmologists provide specialized care for complex eye conditions, offering expertise in diagnosing and managing challenging cases that require intricate treatment approaches. These conditions may include rare disorders, advanced stages of common eye diseases, or cases with complicating factors that necessitate specialized attention.

For example, if you have a complex or rare eye condition requiring specialized expertise, such as pediatric eye disorders, neuro-ophthalmic conditions, or ocular oncology, an ophthalmologist with expertise in that area can provide tailored treatment and management. In pediatric ophthalmology, ophthalmologists are adept at diagnosing and treating eye conditions unique to children, such as amblyopia (lazy eye), strabismus (misalignment of the eyes), and congenital cataracts. These doctors employ specialized techniques and tools to assess visual development and address issues that may impact a child’s vision for life.

Ophthalmologists specializing in ocular oncology provide comprehensive care for patients with eye tumors, including melanoma, retinoblastoma, and ocular lymphoma. They employ advanced diagnostic imaging, genetic testing, and treatment modalities such as radiation therapy, chemotherapy, or surgical removal to manage these complex conditions.

In addition to these subspecialties, ophthalmologists may focus on cornea and external diseases, glaucoma, retina and vitreous, or oculoplastic surgery. Each subspecialty requires additional training and expertise to deliver specialized care tailored to patients with unique needs related to complex eye conditions.

In addition to these subspecialties, ophthalmologists may focus on areas such as cornea and external diseases, glaucoma, retina and vitreous, or oculoplastic surgery. Each subspecialty requires additional training and expertise to deliver specialized care tailored to the unique needs of patients with complex eye conditions.

Patients with complex eye conditions benefit from the multidisciplinary approach adopted by specialized ophthalmologists, who collaborate with other healthcare professionals to provide comprehensive care. By harnessing the latest advancements in technology and treatment modalities, ophthalmologists strive to improve outcomes, preserve vision, and enhance the quality of life for individuals facing challenging eye conditions. Seeking specialized care from an ophthalmologist ensures access to the expertise and resources necessary to manage complex eye conditions and optimize visual health effectively.

For All of Your Eye Health Needs Contact the Top Optometrists and Ophthalmologists in Buffalo, NY

If you seek out ophthalmology in Buffalo, call on the experienced, caring professionals at Eye Care & Vision Associations. We are highly dedicated to preserving and enhancing your vision. We offer a variety of locations and are staffed by top clinicians along with a caring and professional administrative and support team. You can reach us at 716-631-EYES (3937).

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Neurological Disease and the Eye

The intricate connection between the eye and the brain unfolds a compelling narrative in medical science, particularly in detecting and understanding neurological diseases such as Alzheimer’s. Understanding how conditions affecting the brain manifest within the eye makes it easier to see how an eye care professional can play a role in the early diagnosis of specific neurological conditions. Here’s what you need to know.  

The Eye-Brain Connection: A Window to Neurological Health  

The eye is often heralded as a window to the soul, but it is also a window to the brain’s health. Groundbreaking research has illuminated the link between neurological conditions, notably Alzheimer’s disease, and ocular manifestations. The retina, an extension of the central nervous system, shares many characteristics with brain tissue, making it an accessible and non-invasive site for detecting early signs of brain pathology.  

In Alzheimer’s disease, for instance, the accumulation of amyloid-beta plaques, a hallmark of the condition, is not confined to the brain but is also present in the retina. These retinal changes, observable through advanced imaging techniques, mirror the neurodegenerative processes occurring in the brain, offering a unique vantage point for early detection.  

Who Is at Risk?  

Neurological diseases casting a shadow over the eye do not discriminate, but specific populations are more susceptible. Age stands out as a significant risk factor, with older individuals facing a higher likelihood of conditions like Alzheimer’s.  

Genetic predisposition also plays a crucial role, with specific gene mutations elevating the risk. Additionally, lifestyle factors – including diet, exercise, and exposure to environmental toxins – further influence one’s vulnerability to these neurological conditions.  

The Role of Ophthalmologists in Early Diagnosis  

Ophthalmologists are at the forefront of this diagnostic revolution, equipped with cutting-edge tools to detect subtle retinal changes indicative of brain diseases. Through comprehensive eye exams, they can identify signs such as thinning of the retinal nerve fiber layer or the presence of abnormal blood vessels, which may point to the early stages of neurological disorders.  

This early detection is paramount, as it opens the door to timely intervention, potentially slowing the progression of diseases like Alzheimer’s. Additionally, regular eye exams can unveil other health issues, underscoring the eye’s role as a critical indicator of overall well-being.  

Ultimately, the convergence of neurology and ophthalmology heralds a new era in the early diagnosis of brain diseases. As research unravels the connections between the eye and the brain, the potential for ophthalmologists to contribute to early detection and intervention grows. Understanding the risk factors and recognizing the signs through the eye’s lens enhances our ability to combat these debilitating diseases and underscores the eye’s profound significance in gauging our neurological health.  

Need an Ophthalmologist in Buffalo? 

Whether you’re concerned about subtle changes in vision, or simply seek comprehensive eye care, our team is dedicated to your well-being. Schedule an appointment at your nearest ECVA clinic today. 

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What Is Corneal Cross-linking?

In the world of ophthalmology, corneal cross-linking (CXL) stands out as a momentous advancement in treating corneal disorders. The procedure has significant potential benefits for people with specific cornea-related conditions. Here’s an overview of CXL, the individuals who stand to benefit most from this treatment, and how to set realistic expectations for the recovery process post-procedure.  

Understanding Corneal Cross-linking  

Corneal cross-linking is a minimally invasive procedure designed to strengthen the cornea, the eye’s clear, protective outer layer. The essence of CXL lies in its ability to enhance the corneal fibers’ bonds, thereby increasing the cornea’s structural integrity. This is achieved by applying riboflavin (vitamin B2) drops to the eye, which are then activated by ultraviolet (UV) light. The interaction between the riboflavin and UV light triggers the formation of new collagen bonds within the cornea, making it more robust and resistant to deformation.  

Who Stands to Benefit?  

CXL is primarily targeted at individuals suffering from keratoconus, a progressive eye disorder where the cornea thins and gradually bulges outward into a cone shape, causing vision distortion. It is also beneficial for patients with other ectatic disorders or those experiencing corneal weakening due to refractive surgery.  

CXL can prevent further vision deterioration by halting the progression of corneal deformation. It can also avert the need for corneal transplants in advanced cases, allowing patients to avoid a more invasive and higher-risk procedure.  

The Procedure and Recovery Expectations  

The CXL procedure is performed on an outpatient basis and typically takes about an hour. In most cases, patients should anticipate a relatively straightforward recovery process, although experiences can vary.  

Immediately following the procedure, it’s common to experience some level of discomfort. Additionally, light sensitivity and a foreign body sensation in the eye aren’t uncommon. These symptoms are usually transient. Plus, they can typically be managed with medications prescribed by the treating ophthalmologist.  

Most individuals can return to normal activities within a few days, but it’s crucial to meticulously adhere to post-procedure care instructions. This includes wearing an eye patch or protective shield as advised, avoiding rubbing the eyes, and attending follow-up appointments to monitor healing and corneal stabilization.  

Ultimately, corneal cross-linking represents a beacon of hope for individuals grappling with keratoconus and similar corneal conditions. Its ability to fortify the cornea and arrest the progression of diseases makes it a pivotal treatment in the field of eye health. As with any medical procedure, patient education and setting realistic expectations are key to a successful outcome. Those considering CXL should consult with a qualified ophthalmologist to discuss their suitability for the procedure and to gain a comprehensive understanding of the recovery process.  

Find The Best Cornea Specialist in Buffalo 

At ECVA, we’re dedicated to guiding our patients toward the best possible outcomes. Whether you’re exploring the potential of corneal cross-linking or seeking comprehensive eye care, our team is here to support you every step of the way. Don’t let uncertainty cloud your vision – schedule an appointment at your nearest ECVA clinic today. 

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How is Lazy Eye Treated in Adults

Amblyopia, which is also colloquially referred to as lazy eye, is a condition that can impact people of all ages. While it’s more common in children, adults can develop it later in life for various reasons. Additionally, some people may have had lazy eye for most of their lives but weren’t in a position to receive treatment until they reached adulthood.  

Fortunately, there are effective amblyopia treatment options that work well in adults. Here’s a quick overview of what lazy eye involves, as well as an overview of how amblyopia in adults is typically treated.  

What Is Amblyopia?  

Amblyopia is an eye condition primarily characterized by poor eye teaming, meaning a person’s eyes aren’t working well together and won’t always point in the same direction. When the eyes are misaligned with one another, one or both eyes may struggle to see clearly.  

However, lazy eye isn’t solely characterized by a physical misalignment. Instead, the condition can cause vision loss due to the brain not fully acknowledging visual stimuli from both eyes. Essentially, it favors visual information from one eye over the other, causing it to functionally ignore stimuli that are primarily received through the weaker eye.   

Since how the brain processes visual information may be limited in individuals with amblyopia, glasses or other corrective lenses aren’t always sufficient to ensure good vision. Instead, other treatment approaches may be necessary.  

How Lazy Eye Is Treated in Adults  

Since amblyopia involves the brain not properly processing visual stimuli, treatment beyond corrective lenses is often necessary. Even in adults, it’s possible to functionally retrain the brain to interpret the visual signals correctly, leading to improved visual acuity. Additionally, physical alignment issues are often correctable, including in adults. Again, that allows treatment to improve a patient’s vision.  

In many cases, vision therapy is beneficial for treating amblyopia. Typically, it involves a series of activities or exercises designed to develop a person’s eye teaming or binocular vision.  

For some, eye patching is a potential course of action. By fogging or blocking the favored eye, it’s possible to force the weaker eye to carry more visual load, effectively teaching the brain to rely on it more for vision.  

Getting the Amblyopia Treatment You Need  

While there is plenty of information online that discusses patching techniques or exercises to correct lazy eye, relying on them is risky. Every patient’s condition is unique, and an approach that works well for some may cause harm to others.  

As a result, the best strategy is to work with your eye care provider to determine which treatment options are best for your amblyopia. Your eye care provider can select exercises or patching approaches that specifically address your unique situation, leading to better results while reducing risk dramatically.  

Find an Ophthalmologist in WNY 

At ECVA, safeguarding the well-being of your eyes is our unwavering commitment. If you’re navigating the challenges of amblyopia or if it’s been a while since your last eye checkup, our dedicated team is ready to guide you on the path to optimal eye health. Don’t let uncertainty linger – take charge and schedule an appointment at your nearest ECVA clinic today. Your vision deserves the best care, right here in Buffalo. 

Family looking at eyeglasses
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Macular Degeneration Treatment Options in Western New York

Macular degeneration is an eye condition that leads to visual distortions and potentially permanent central vision loss. Often, it’s a devastating diagnosis initially, but there are treatments available that can help preserve vision and slow further degeneration.  

The exact treatment options available depend on the kind of AMD present. Here’s a brief overview of macular degeneration, including a look at the two primary types and some treatment options.  

What Is Macular Degeneration?  

Age-related macular degeneration – which some simply refer to as macular degeneration – is an eye condition impacting the retina that leads to central vision loss. The loss of visual acuity in AMD patients classically worsens over time, and it can be severe. Overall, AMD is a leading cause of vision loss in individuals aged 50 and older. There are two primary forms of AMD: wet and dry.  

Dry macular degeneration occurs when drusen collects in the macula, leading to visual distortions and damage to the macula. Wet AMD involves abnormal blood vessel activity under the macular, causing visual distortions and scarring that can lead to central vision loss.  

Treatment Options for Wet AMD  

There are several treatment options for wet AMD. Anti-VEGF medications can reduce abnormal vessels in the retina, as well as slow leakage. These treatments are delivered via an injection and administered by a suitably credentialed eye care provider. Generally, the medication is administered on a regular schedule, typically every one to three months. For many people, this approach may dramatically slow or halt vision loss, and some patients may even experience vision improvements.  

For some patients with wet AMD, laser surgery is potentially beneficial, particularly if the medication-based approach isn’t yielding positive results. The laser procedures allow an eye care provider to reduce the number of vessels present or stem any leaking, which can slow the progression of AMD.  

Treatment Options for Dry AMD  

Currently, treatments are available for patients with dry AMD with geographic atrophy. There are prescription medications available that an eye care specialist can administer by injection.  

Specific nutritional supplements are also potentially beneficial. Taking copper, vitamin C, vitamin E, lutein, zeaxanthin, and zinc daily may make a difference, though it’s wise to consult with your eye care provider before incorporating any supplements into your diet.  

Finally, some patients with advanced dry AMD in both eyes may benefit from telescopic lens implantation. Once in place, the lenses magnify a person’s field of vision, though they offer a relatively narrow field of view.  

Finding the Right Macular Degeneration Treatment Option for You  

Determining which macular degeneration treatment options are best for you requires expertise. By scheduling an appointment with your eye care provider, you can find out more information about your condition and receive details about treatments that may benefit you.  

Get The Best Macular Degeneration Treatment in Buffalo, NY 

Take the proactive step towards preserving your vision – schedule a consultation with ECVA today at one of our 4 WNY locations. Don’t let macular degeneration define your vision, act now to see a clearer tomorrow. 

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The Evolution of LASIK: From PRK to Bladeless Femtosecond LASIK

Vision correction surgery began making headlines in the 1980s and 1990s. It generated excitement as people learned they may have a path to see clearly without needing corrective lenses, including prescription glasses or contacts.  

LASIK (laser-assisted in situ keratomileusis) quickly became one of the most popular options available. It offered less discomfort and faster recovery times, as well as the possibility to achieve 20/20 vision within one day.  

However, there are several types of vision correction surgery on the market and each works best in different situations. Here’s an overview of the options, including LASIK, PRK, bladeless femtosecond LASIK, and more.  

PRK  

PRK (photorefractive keratectomy) is a laser eye surgery that predates LASIK. While it’s not as widely used as LASIK, it remains relevant since it’s a bladeless procedure. As a result, it’s an option for people with thin corneas. However, it’s generally limited to individuals with myopia and astigmatism, and it’s appropriate for significant hyperopia.  

With PRK, vision correction is achieved by working through the outer layer and reshaping the cornea to address refractive errors. Most patients see vision improvements within one month, though some may take closer to three months to achieve proper results, depending on how quickly the outer layer repairs.  

LASIK  

LASIK is a procedure that uses lasers to reshape the cornea, allowing it to treat myopia, presbyopia, hyperopia, and astigmatism. A microkeratome (a type of blade) creates a flap to make the cornea accessible. Then, a laser removes specific tissue to correct refractive errors. Once the tissues are removed, the flap is put back into place to heal.  

While LASIK is effective, there’s a higher chance of dry eye as a side effect, which may make it a less-than-ideal choice for patients who already experience dry eyes. However, the bladed approach can more easily navigate certain cornea or pupil abnormalities when compared to a laser-based alternative.  

ASA  

ASA (advanced surface ablation) is similar to PRK, but it relies on a different type of laser. The laser loosens the outer layer of the cornea to allow the laser to penetrate more deeply to correct refractive issues, and it’s a bladeless procedure. Generally, ASA complication rates are lower than PRK, and outcomes are typically better due to the high degree of precision.  

LASEK  

LASEK (laser-assisted sub-epithelial keratomileusis) is also similar to PRK, but it creates an ultra-thin flap using the laser that remains attached. That layer is moved to the side to allow the laser to reshape the cornea and is then repositioned. The results are usually akin to what’s seen with PRK, and it’s a potential option for patients with thin corneas that make them ineligible for traditional LASIK. Additionally, it may work for patients who already struggle with dry eyes, a condition that can be exacerbated by LASIK.  

Bladeless Femtosecond LASIK  

Bladeless femtosecond LASIK, also known as femtoLASIK, uses a femtosecond laser instead of a blade to create the flap. Since it relies on all-laser technology, it may offer a greater degree of precision when creating the flap and may reduce the risk of complications. Once that’s done, lasers reshape the cornea to address the refractive errors before the flap is put back into place.  

With Bladeless femtosecond LASIK, it’s possible to correct the same refractive errors as you would with traditional LASIK. It may also work particularly well for patients who already experience dry eye, as that side effect is typically less pronounced and may not last as long.  

Connect With Top LASIK Doctors in Buffalo

At ECVA, the safety and health of our patients’ eyes are our priority. If you’re considering laser vision correction surgery or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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Diabetic Eye Disease and Vitreoretinal Surgery: Navigating Treatment Options

Diabetic eye disease like diabetic retinopathy can permanently alter a person’s vision, leading to vision loss or, in severe cases, blindness. With diabetic retinopathy, the blood vessels in the eye weaken. At times, that can lead vessels to bulge and leak, and the latter can cause fluids to enter various parts of the eye, causing retinal tissue swelling. As those tissues are impacted, visual acuity changes, and any damage caused is potentially irreversible.  

However, treating diabetic eye disease can slow or prevent future eye changes, allowing a person to limit their vision loss. One such option is vitreoretinal surgery, also known as vitrectomy, but different paths are also available.  

Here’s a look at vitreoretinal surgery and a few other treatments for diabetic eye disease, as well as what you can do to navigate your treatment options.  

Vitreoretinal Surgery for Diabetic Retinopathy 

Vitreoretinal surgery is a procedure that’s often used in the treatment of advanced diabetic retinopathy. While it isn’t a cure for diabetic retinopathy, it can slow its progression and may reverse some of its impact, causing your vision to possibly improve, stabilize, or avoid significant ongoing losses.  

With a vitrectomy, your eye care provider addresses vitreous gel clouding that can occur when blood vessels leak by removing impacted tissue and replacing it with a clear artificial substitute. In many cases, replacing the cloudy vitreous gel with a clear artificial solution leads to significant vision improvement.  

During the procedure, your eye care provider will also remove built-up scar tissue that’s developed in the eye. Scar tissue can pull on the retina, leading to visual distortions and increasing the chances of a retinal detachment. As a result, scar tissue removal can lead to vision improvements and reduce the risk of retinal detachment.  

Other Treatments for Diabetic Retinopathy

Generally, vitreoretinal surgery is reserved for advanced diabetic retinopathy cases. Other treatment options may provide positive results if your case isn’t that severe. For example, blood sugar management could prevent further damage, which may make additional treatment unnecessary.  

For more severe cases, medication injections involving vascular endothelial growth factor inhibitors can help prevent abnormal blood vessel development that can occur with diabetic retinopathy and reduce fluid buildup. Focal laser or scatter laser treatment – also known as photocoagulation – can also slow or stop blood vessel leakage or shrink abnormal vessels, making them a viable option in some cases.  

How to Navigate Your Treatment Options

Selecting a treatment option after being diagnosed with diabetic retinopathy is often intimidating. Fortunately, by working with your eye care provider, you can receive critical guidance and support that makes selecting an appropriate approach easier. 

Your eye care provider can look at the details of your situation, identifying treatment options that are both viable and have the highest chances of making a positive impact. They can also answer questions to help you understand the recommendations, ensuring you can find the best treatment option for you.  

At ECVA, the safety and health of our patients’ eyes are our priority. If you’ve been diagnosed with diabetic retinopathy, are concerned you may develop diabetic eye disease, or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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The Role of Genetics in Eye Health: Understanding Inherited Eye Conditions

Some eye conditions are related to specific genetic markers. As a result, these eye conditions can be inherited. By understanding what conditions have genetic factors, it’s easier to anticipate your risk of developing them. In turn, it can help you take a more proactive approach to your eye health, which can make a significant difference in overall outcomes.

Here is a look at some common eye conditions that can be linked to genetics.

Myopia and Hyperopia

Both myopia (nearsightedness) and hyperopia (farsightedness) can have a genetic component. Anyone with a first-degree relative with either condition is significantly more likely to develop it than individuals without family members with the condition.

Research involving myopia in children also demonstrates that specific demographics are more likely to develop the condition. For example, one study showed the prevalence is far higher in South Asian children, coming in at nine times greater than among white Europeans.

Glaucoma

Glaucoma is the most common cause of blindness worldwide, as the condition can permanently damage the optic nerve due to increased pressure in the eye. Having a family history of glaucoma puts you at far greater risk, making you four to nine times more likely to develop the condition.

Additionally, people of Hispanic descent are at greater risk than those of European descent. Individuals of Asian descent have a heightened risk of angle-closure glaucoma than other demographics. Glaucoma is also up to eight times more prevalent in the African-American community than in the Caucasian community.

Age-Related Macular Degeneration

Age-related macular degeneration (AMD) – an eye condition that leads to a damaged macula, which causes a reduction in central vision – also seemingly has a genetic component. According to research, an estimated 20 percent of patients with AMD have a family member with the condition, and having a family history makes you four times more likely to develop AMD.

Studies also suggest that Caucasians are more likely to develop AMD than African Americans. Data on whether individuals of Hispanic descent are more or less likely to develop AMD than Caucasians is conflicting, with some reports showing a higher occurrence while others a lower one.

Cataracts

While cataracts are common as people age, specific occurrences of the condition have genetic components. Congenital or childhood bilateral cataracts autosomal dominant inheritance was present among 44 percent of cases examined in one particular study.

Specific ethnic heritages are also at greater risk of developing cataracts in general. For example, African Americans and Latinx Americans are at greater risk than Caucasian Americans.

While a genetic predisposition to specific eye conditions is often concerning, being proactive makes a difference. Proper care and monitoring can lead to an earlier diagnosis, allowing for treatment plans that can slow disease progression and preserve eye health and vision.

At ECVA, the safety and health of our patients’ eyes are our priority. If you’re concerned about whether you’re developing an eye condition with a genetic component or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.