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EYE EXAMS
Patients should see their doctor for a comprehensive eye exam every one to three years, depending on their age, risk of disease and overall physical condition. Children should have regular tests to ensure the proper development of their vision and prevent any interference with their academic achievements. Older adults are often at a higher risk for eye conditions such as glaucoma, macular degeneration and cataracts. Even if your eyes are healthy, you should still have a regular eye exam to detect any problems as soon as possible and begin necessary treatment.

DRY EYE
Dry eye occurs when the eyes aren't sufficiently moisturized, leading to itching, redness and pain from dry spots on the surface of the eye. The eyes may become dry and irritated because the tear ducts don't produce enough tears, or because the tears themselves have a chemical imbalance.

People usually begin experiencing dry eye symptoms as they age, but the condition can also result from certain medications, conditions or injuries.

Dry eye is not only painful, it can also damage the eye's tissues and impair vision. Fortunately, many treatment options are available.

Non-surgical treatments for dry eye include blinking exercises, increasing humidity at home or work, and use of artificial tears or moisturizing ointment. If these methods fail, small punctal plugs may be inserted in the corners of the eyes to limit tear drainage, or the drainage tubes in the eyes may be surgically closed. Eyelid surgery is also a solution if an eyelid condition is causing your dry eyes.

DIABETIC EYE DISEASES
Patients with diabetes are at a higher risk for developing eye conditions because a high blood sugar level can damage blood vessels in the eye. Over 40 percent of patients diagnosed with diabetes develop some form of eye disease as a result. These conditions can cause blood or fluid to leak from the retina or new blood vessels to grow on the surface of the retina which can lead to significant damages to your vision and overall quality of life.

It is important for patients with diabetes to have dilated eye exams once a year to detect any signs of diabetic eye disease as soon as possible. You can also minimize your risk of developing diabetic eye disease by keeping your blood sugar and blood pressure under control, eating a healthy diet and exercising regularly.

DIABETIC RETINOPATHY
Diabetic retinopathy is the most common diabetic eye disease and is a leading cause of blindness in adults. Diabetic retinopathy develops as a result of changes in blood sugar levels or simply the presence of long-term diabetes. Most patients don't develop this condition until they have had diabetes for at least 10 years. If high blood sugar levels cause blood vessels in the retina to leak blood or fluid, the retina may become swollen and form deposits.

Early stages of diabetic retinopathy do not usually require treatment, just that patients monitor their blood sugar level to prevent the disease from progressing. If the disease does progress, treatment may be necessary to preserve your vision.

MACULAR DEGENERATION
The macula is a part of the retina in the back of the eye that ensures that our central vision is clear and sharp. Age-related macular degeneration (AMD) occurs when the arteries that nourish the retina harden. Deprived of nutrients, the retinal tissues begin to weaken and die, causing vision loss. Patients may experience anything from a blurry, gray or distorted area to a blind spot in the center of vision.

AMD is the number-one cause of vision loss in the U.S. Macular degeneration doesn't cause total blindness because it doesn't affect the peripheral vision. Possible risk factors include genetics, age, diet, smoking and sunlight exposure. Regular eye exams are highly recommended to detect macular degeneration early and prevent permanent vision loss.

There are two kinds of AMD: wet (neovascular/exudative) and dry (non-neovascular). About 10-15% of people with AMD have the wet form. "Neovascular" means "new vessels." Accordingly, wet AMD occurs when new blood vessels grow into the retina as the eye attempts to compensate for the blocked arteries. These new vessels are very fragile, and often leak blood and fluid between the layers of the retina. Not only does this leakage distort vision, but when the blood dries, scar tissue forms on the retina as well. This creates a dark spot in the patient's vision.

Dry AMD is much more common than wet AMD. Patients with this type of macular degeneration do not experience new vessel growth. Instead, symptoms include thinning of the retina, loss of retinal pigment and the formation of small, round particles inside the retina called drusen. Vision loss with dry AMD is slower and often less severe than with wet AMD.

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