- Osteoporosis
- ArthritisDry Eye is a condition in which there is a deficiency of the tear film that is due to either an insufficient production of natural tears or an excessive evaporation of tears. Systemic conditions such as Sjorgren’s Syndrome or autoimmune connective tissue diseases such as Rheumatoid Arthritis and Lupus Erythematosus, inflammation of the Lacrimal Gland, long term contact lens wear, past eye infections, medications such as antihistamines or allergy medicine, blood pressure medicine, certain allergies and even vitamin deficiencies may decrease the quantity of tears that you produce. Your tears may evaporate too quickly if you suffer from low-grade eyelid inflammation, called blepharitis, which is often caused by Meibomian Gland Dysfunction (MGD), a problem within the tiny tubular glands in your eyelids. Hormonal changes make perimenopausal woman particularly susceptible to dry eyes. Whether you suffer from insufficient production of tears or excessive evaporation of tears, or both, you may experience a decrease in the quantity and quality of your tear film resulting in the surface of the eye being affected.
- High Cholesterol
- Emergency CareDuring business hours, patients should call any of our office locations to speak with a staff member. After business hours, our answering service is available to route your call to a member of our on-call patient care team. Please note, any patient with a medical emergency is advised to dial 911 to receive emergency medical care.
- GlaucomaWe may perform a number of tests in order to provide you with early detection and make the most accurate diagnosis of glaucoma. These include the following...
- OphthalmologyChildren’s eye exams at Doctor & Associates are a routine part of our pediatric ophthalmology practice. Our ophthalmologists, deal with problems common to or seen exclusively in the pediatric or children’s age group such as Crossed Eyes & Strabismus.
- Macular DegenerationAge Related Macular Degeneration (AMD) is a is a leading cause of vision loss in seniors in which the central portion of the retina, called the macula, is damaged as a result of the hardening of the small arteries supplying oxygen and nutrients to the retinal tissue.
- Laser Eye SurgeryLeslie Doctor, M.D. at Doctor & Associates provides laser eye surgery for vision correction including nearsightedness, farsightedness and astigmatism. An experienced eye surgeon in LASIK Laser Vision Correction, Dr. Doctor performs thorough examination, consultation and goal setting in order to help patients seeking freedom from the hassle of glasses and contact lenses achieve their personal goals. Dr. Doctor's experience allows her patients to benefit from careful patient selection to help determine who is a good candidate and for what type of vision correction.
- CataractsFor seniors concerned about aging eye problems and other patients concerned about their risk of developing cataracts it is helpful to have some information on cataract risk factors. The more common cataract risk factors that most people are familiar with include...
- Cataract SurgeryThere are a number of types of Intraocular Lens Implants (IOL) we use to correct your vision after cataract surgery. During your preoperative measurement visit we will discuss choosing a cataract lens implant to correct your vision and help you see clearly. Our eye surgeons can use cataract lens implants to correct vision at distance, arm’s length and up close, as well as astigmatism, so that you are not dependent on glasses after cataract surgery allowing you to have the best results to match your lifestyle.
- Eye ExamAfter a thorough dilated eye examination at Doctor & Associates we will be able to diagnose whether your floaters are part of normal aging or due to a more serious and possible sight-threatening problem. If the flashes and floaters are simply a sign of a PVD, and no other problem is present, then no treatment is necessary. The flashes are likely to go away on their own within a few days or weeks. Floaters may take weeks or months to diminish, and may not completely go away. With time, floaters will become less apparent as the mind adjusts to their presence.
- Mental HealthMedications -Steroids prescribed for asthma or other systemic inflammatory disease or allergies, statins prescribed for high cholesterol and certain medications prescribed for mental health problems can result in an increased risk of cataracts.
- Anxiety
- Diabetes Care
- Diabetic RetinopathyDiabetic Retinopathy results from damage to the small blood vessels in the retina and is the most frequent cause of new blindness among adults aged 20-74 years old. However, with early diagnosis and treatment, progression of the disease and its associated vision loss can be slowed, and in many cases can be prevented. Diabetic Retinopathy tends to appear and progress in stages beginning with Mild Nonproliferative Retinopathy, progressing to Moderate Nonproliferative Retinopathy, further advancing to Severe Nonproliferative Retinopathy and without proper attention progressing into the most severe stage, Proliferative Retinopathy.
- UltrasoundThis incision will be just large enough to allow microscopic instruments, about the size of a pen tip to pass through it. First, a small opening will be made in the membrane or “capsule†that covers the crystalline lens. Next, a delicate sophisticated microscopic instrument will be inserted that allows the removal of your cataract using ultrasound.
- X-Rays
- Computed TomographyWe also use the advanced computer imaging technology called OCT or Optical Coherence Tomography that creates digital images of the retina and macula through the use of special beams of light in order to create a contour map of the retina and macula and detect microscopic changes in thickness or the accumulation of fluid beneath the retina or macula. This technique is similar to the CT Scans used to study organ systems and tissues throughout your body.
- ChemotherapyTypically the treatment of Ocular Inflammatory Disease, Eye Inflammation or Uveitis is approached in a stepwise manner beginning with steroid medication which is an anti-inflammatory immunosuppressive medication that can be administered in many forms: drops, oral, injection, or intravenous infusion. The form of steroid that is prescribed depends on the severity and type of ocular inflammatory disease being treated. If the inflammation continues after slowly discontinuing the steroid medication, your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDS) such as Motrin®, Celebrex® or Naprosyn. NSAIDS are another type of medication that works to suppress inflammation. If the inflammation persists even after the use of NSAIDs, it is possible that your doctor will prescribe immunosuppressive chemotherapy medications or Immunomodulatory Therapy (IMT) including such medications as Methotrexate, CellCept, Imuran, Cytoxan, Leukeran and Cyclosporin which requires special, regular monitoring and blood tests in order to avoid side effects. A newer category of medications used for the treatment of autoimmune diseases called biologic response modifiers (BRM). This category of medications may more effectively target components of the immune system and thus avoid some of the potential risks of the more conventional IMT medications. Such medications include Humira® and Remicade®. In conjunction with immunosuppressant medication and/or antibiotics, additional medications may be used as well. These may include eye drops that dilate the pupil and reduce spasm of the Ciliary Body if inflammation is in the Iris. By preventing Ciliary Body contraction and spasm it will reduce the pain or discomfort you might otherwise experience. However, with a dilated pupil, it may be necessary to wear sunglasses because bright light may cause discomfort.
- Allergies