Bladeless LASIK & Laser Cataract Surgery at Baltimore Washington Eye Center

Baltimore Washington Eye Center, Maryland

Sunday, March 19, 2017

Keratoconus, Risks & Systemic Disease



Keratoconus, Risks & Systemic Disease

Keratoconus is a progressive degenerative disorder of the cornea whereby structural changes within the cornea cause it to thin and change to a more conical shape than the more normal gradual spherical shape. Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light all often becoming troubling to the patient. Usually, we diagnose keratoconus during the adolescent years. If both eyes are significantly affected, the deterioration in vision can affect the person's ability to drive a car or read normal print.

In most cases, we can fit specialized contact lenses to correct vision sufficiently to allow the person to continue to drive legally and likewise function normally. Further progression of the disease may require surgery, for which several options are available and most popular, including intrastromal corneal ring segments, corneal collagen cross-linking, and in about 25% of cases, corneal transplantation. Estimates of the rates for keratoconus range from 1 in 500 to 1 in 2000 people. Recent information alerts us to a number of demographic, ancestry and systemic risk factors. These include that those of African ancestry have a 57% greater risk of a keratoconus and Latino persons have a 43% greater risk of being diagnosed compared with a Caucasian population. Asians had 39% reduced risks of keratoconus and patients with uncomplicated diabetes mellitus (DM) had 20% less risk. Other conditions found to have significantly increased risk of developing keratoconus include sleep apnea and asthma.

If you or someone you know is at risk for keratoconus or wishes to be evaluated for keratoconus please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061, 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042, serving the greater Baltimore and Washington, D.C. area.

Wednesday, March 15, 2017

Satisfaction with LASIK vs. Contact Lenses

Satisfaction with LASIK vs. Contact Lenses
Patients who have been wearing contact lenses have made the choice to minimize their dependence on eyeglasses, but still have many of the inconvenient aspects of contact lens and care to contend with. For contact lens wearers, the decision to have LASIK represents the desire to experience a lifestyle and convenience with independence and freedom from the hassle of BOTH glasses and contacts. But, how does satisfaction with LASIK actually compare with contact lens wear? Researchers reporting in the journal Ophthalmology assessed patient satisfaction and perceived outcomes of 1800 patients split into two groups-one continuing to wear contact lenses and the other having LASIK, through annual surveys administered over a 3-year period. Most contact lens users had worn them successfully ≥5 years. The proportion expressing strong satisfaction with their current vision correction method decreased from 63% at baseline to 54% at year 3 in the contact lens control group, whereas 88% of former contact lens wearers and 77% of former glasses wearers were strongly satisfied with LASIK at year 3. Patients 40 years of age or younger when they had LASIK were somewhat more likely to be strongly satisfied than older patients. LASIK significantly reduced difficulties with night driving and nighttime visual disturbances among former contact lens users and former glasses users. The proportion with dry eye symptoms at 1, 2, or 3 years after LASIK was not significantly increased relative to baseline contact lens wear but was significantly increased relative to baseline glasses use, consistent with many glasses users having tried and abandoned contact lenses because of latent dry eye problems. Compared with continued contact lens wear, LASIK significantly reduced the self-reported rates of eye infections, ulcers, and abrasions each year.

The overall conclusions then were that compared with contact lens wear, current LASIK technology improved ease of night driving, did not significantly increase dry eye symptoms, and resulted in higher levels of satisfaction at 1, 2, and 3 years follow-up.

If you or someone you know is wearing glasses or contact lenses and would like be free of the hassle they create for seeing clearly at distance, please schedule a Free LASIK Consultation by calling Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061, 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042, serving the greater Baltimore and Washington, D.C. area.

Monday, February 27, 2017

Lower AMD Risk with Cholesterol Medication?

AMD Risk with Cholesterol Medication
Age Related Macular Degeneration (AMD) continues to be a leading cause of vision loss in seniors-especially those with a family history or other risk factors such as smoking and other forms of vascular disease. While we have progressed a very long way in the treatment of Wet AMD through the use of anti-VEGF therapeutic injections such as Lucentis® and Eylea® , we are always hoping to find additional medications, vitamins or supplements that might be useful in preventing or delaying senior vision loss. There have been a number of clinical studies and reports about whether the use of the cholesterol lowering medications called “statins” are helpful in preventing or delaying AMD. Common statins include Lipitor®, Crestor®, Zocor®, Mevacor® and Pravachol®. Unfortunately, the most recent information we reviewed in a study reported in the Ophthalmology evaluated the association of statin use with progression of age-related macular degeneration (AMD) and found that statin use was not statistically significantly associated with the progression of AMD and showed no evidence of a beneficial effect on slowing AMD progression.

As with many eye problems, conditions and diseases, age related macular degeneration (AMD) can be best addressed with early detection, diagnosis and treatment. If you or some you know is concerned about age related macular degeneration (AMD) and has not had a comprehensive eye exam please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations in Glen Burnie at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061; in Gambrills at 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and in Ellicott City at Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042. Baltimore Washington Eye Center serves the greater Baltimore and Washington, D.C. area.

Sunday, February 19, 2017

Macular Degeneration Biomarker



Biomarker for Macular Degeneration

Age Related Macular Degeneration (AMD) continues to be a leading cause of vision loss for seniors. The most effective way to avoid vision loss is through early detection, diagnosis and treatment. Now, researchers have found a functional “biomarker” that can help predict which patients might have a greater risk for developing age related macular degeneration (AMD). Dark adaptation refers to the time it takes for a person’s eyes to adjust to darkness after being exposed to bright light. The process of “dark adaptation” appears to be a predictor so that patients over 60 years of age who have slowed “dark adaptation” times are telling us that they are at greater risk. In fact according to a National Institute on Aging study of adults age 60 or older, those whose eyes are slow to adjust to the dark have a 2x greater risk of developing age related macular degeneration.

If you or someone you know is over 50, especially if they have increased risk factors for age related macular degeneration such as being a smoker, a family history, diabetes or other vascular disease, please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations in Glen Burnie at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061; in Gambrills at 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and in Ellicott City at Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042. Baltimore Washington Eye Center serves the greater Baltimore and Washington, D.C. area.

Sunday, February 12, 2017

Supplements Lower Macular Degeneration Risk

Age Related Macular Degeneration (AMD) is a very common senior eye problem and in fact is the most common cause of visual loss after the age of 65. AMD affects the cells in the center of the retina-the macula-which contains the majority of photoreceptors responsible for crisp clear vision. Drusen are deposits in the retina that can cause the macula to deteriorate and degenerate and may predispose you to AMD and allow for potentially undesirable new blood vessel growth in the macula. Research shows that antioxidants neutralize drusen and prophylactic treatment of drusen maculopathy with high doses of antioxidants such as vitamins C and E, lutein, zeaxanthin and zinc, used in the recommended forms and doses from the Age-Related Eye Disease Study 2 (AREDS 2). Can lower the risk of developing advanced AMD was reduced by 27% over a 10 year period.

If you are concerned about senior eye health and specifically AMD, when you visit us for your annual eye exam, we will discuss whether in your particular case taking supplements might be beneficial to preserve your eye health and vision. If you have not had a recent eye exam please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations in Glen Burnie at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061; in Gambrills at 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and in Ellicott City at Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042. Baltimore Washington Eye Center serves the greater Baltimore and Washington, D.C. area.

Sunday, February 5, 2017

LASIK Patient Story at Baltimore Washington Eye Center

“I have been wearing glasses and then contact lenses since I was 10 years old. I did a lot of research on LASIK prior to finally deciding to go for it. Dr. Spagnolo and the BWEye were extremely helpful and professional in allowing me to make the final decision. The surgery was painless and almost immediately my vision had significantly improved. I am enjoying not having to wear lenses and am glad I made the choice to go with the Baltimore Washington Eye Center and Dr. Spagnolo.”-Sunil

If you or some you know is tired of the hassle of glasses or contact lenses for seeing at distance and would like to find out if LASIK might be a good vision correction option, please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations in Glen Burnie at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061; in Gambrills at 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and in Ellicott City at Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042. Baltimore Washington Eye Center serves the greater Baltimore and Washington, D.C. area.

Monday, January 30, 2017

Sunglasses: Tinted or Polarized

Aside from being a fashion statement, there are several reasons to wear sunglasses:

  • UV Protection - helps with the prevention of cataracts
  • Blue Light Protection - long term exposure is a risk factor for macular degeneration
  • Dark Adaptation - aids in the ability for the eye to adapt quickly at night and indoor lighting
  • Skin Cancer - the eyelids and skin around the eye is thin and more prone to skin cancer
  • Comfortable Vision - glare and light interferes with the ability to see clearly without squinting
That being said, which is the better choice for sun protection, tinted or polarized? Light is made up of lots of waves traveling in all different directions. The vertical rays are the rays that are good for human eyes. The horizontal rays are the ones that cause all the problems with being harmful and causing glare. Glare is light that is reflected off different surfaces such as, water, sand, asphalt or car windshields.

Tinted sunglasses effectively work by filtering all light, whether horizontal or vertical. Doing this decreases the brightness and visual acuity but does little to reduce the glare. If the sunglass lenses are not treated/coated with a UV blocker then they can actually be more harmful, since the pupil is enlarged, allowing more of the UVA and UVB rays to enter the eye. Tinted lenses offer a variety of tinting styles and colors.

Polarized lenses have a thin laminated filter built in the lens that blocks the more harmful glare causing horizontal rays. This allows the more comfortable vertical rays to enter effectively eliminating the bothersome glare and reflections. Also the polarizing process blocks UVA and UVB rays. However, even though polarized lenses improve visibility and provide better protection, they have some disadvantages. In some cases, polarized lenses may reduce the visibility of images produced by liquid crystal displays (LCD) screens such as cell phones, GPS devices found on cars and boats and other flat LCD screens. Our eyes are sensitive. Prolonged exposure to the sun can lead to a variety of ailments. Some are simply painful or irritating, others can be deadly serious. It is important to remember to wear a pair of high quality sunglasses to can help keep you safe from the sun’s damaging rays.

If you or some you know would like to see or be fit with the latest in high quality designer eyeglass frames or learn about digital high definition eyeglass lenses please call Baltimore Washington Eye Center at 800-495-3937, or visit Baltimore Washington Eye Center, Google+ or facebook.com/baltimorewashingtoneyecenter.

Baltimore Washington Eye Center is a leading eye care practice with office locations in Glen Burnie at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061; in Gambrills at 2391 Brandermill Blvd., Suite 200, Gambrills, Maryland 21061 and in Ellicott City at Turf Valley Town Center, 11089 Resort Road, Suite 206, Ellicott City, Maryland 21042. Baltimore Washington Eye Center serves the greater Baltimore and Washington, D.C. area.