Goodlettsville Hyperopia, Farsightedness Treatments

Farsightedness, or hyperopia, is a common vision problem that affects millions of people worldwide. Patients that have farsighted vision experience difficulty focusing on objects that are in close range. When reading, looking at photos, or working on the computer, these patients have trouble seeing the words or images that are within a couple of feet of their eyes. To compensate for the up-close blurry vision, patients will often squint or move some distance away from the object.

There are a number of treatment options available to patients who suffer from hyperopia. Patients can use visual aids that temporarily improve vision, or undergo surgical options to permanently correct this vision problem. In this blog post, Goodlettsville optometrist Walter Choate provides an overview of farsightedness treatment options.


By far the most popular treatment for hyperopia, eyeglasses can treat patients with all degrees of farsightedness. At Dr. Choate’s optical boutique, the staff will fit patients with eyeglasses that are comfortable, functional, fashionable, and long lasting. They offer the latest frame styles and lens technology so patients can find the glasses that are right for them.

Contact Lenses

The doctors at Choate Eye Associates offer many types of contact lenses for farsighted patients. Patients can choose from disposable lenses, extended-wear lenses, tinted lenses, and more. We invite patients to contact our practice for an updated contact lens prescription and the latest contact lens products.

Laser Vision Correction

There are a number of laser vision correction procedures that are designed to permanently correct hyperopia. LASIK, PRK, Epi-LASIK, and LASEK are techniques that reshape the curvature of the cornea so light is properly reflected and patients can focus clearly on near objects.

Farsightedness occurs when the cornea is not curved enough, causing light to focus behind the retina rather than on it. With laser vision correction, precise amounts of corneal tissue are removed to steepen the cornea and improve vision. The difference among all of the laser vision correction treatment options lies in the manner in which the corneal tissue is accessed.

Dr. Choate does not perform laser vision correction surgery, but he can refer patients to local surgeons who are skilled in these procedures.

Conductive Keratoplasty

Conductive keratoplasty can treat mild cases of farsightedness. In this approach, low energy radio waves are directed at the outer edges of the cornea to reshape it. The corneal tissue shrinks in response to the radio waves. This approach is not performed as frequently as LASIK and other laser vision correction procedures.

Dr. Choate does not perform conductive keratoplasty treatment, but he can refer patients to local surgeons who have experience with this procedure.

Implantable Contact Lenses

Implantable contact lenses, or ICLs, are placed in front of the eye’s natural lens. Because the natural lens is not removed, this procedure is reversible, unlike other farsightedness surgical treatment options. ICLs are an option for patients who are not good candidates for laser vision correction procedures such as LASIK.

Dr. Choate does not perform the ICL procedure, but he can refer patients to local surgeons who have experience with this treatment.

To schedule an appointment with Dr. Walter Choate, contact Choate Eye Associates today.

How to Choose the Correct Contact Lenses

contactlensWeighing out the pros and cons of specific contact lenses can help you find the perfect match according to your needs. Gone are the days where you only had access to a select few types of rigid lenses. Select solutions which fit your budget, lifestyle and vision problems by doing thorough due diligence. As more people turn to contact lenses over glasses to correct impaired vision you can expect more improvements and options based on your needs.

Wearing lenses to complement a party costume can create an unpleasant experience as everybody’s eye respond differently to lenses and you can suffer from an allergic reaction. Before you decide to don a pair of contact lens for recreational use make sure to consult a health care profession.

Hard Contact Lenses

Hard contact lenses create clear vision for people with sight problems. Since hard lenses allow your eyes to breathe more freely this option can reduce the risk of contracting infections.  One chief drawback; most hard lenses need to be removed for cleaning on a nightly basis. These lenses usually require about a week’s worth of adjustment time and since hard lenses tend to slip off the center of your eye you may experience blurred vision and discomfort.

Soft Contact Lenses

The most popular type of lens can correct conditions such as blurred vision, farsightedness, nearsightedness and age-related loss of close-up vision. Since soft contact lenses form to fit the shape of your eye this comfortable lens is ideal for active people. Disposable, daily wear and extended wear versions of soft contact lenses provide you with different styles which suit your needs.

Specialized Contact Lenses

Bifocal contact lenses, hybrid contact lenses and tinted contact lenses are specialized contact lenses. Bifocal lenses can be used to treat farsightedness and nearsightedness. Hybrid contact lenses can help individuals who suffer with irregular corneal curvature.  Tinted lenses offer therapeutic or cosmetic benefits to individuals who are afflicted with color blindness. Beware as these lenses can cause severe eye damage and infections.

Consult Your Eye-Care Specialist

Before getting contact lenses consult your ophthalmologist for an eye exam and fitting whether you wear daily or monthly contact lenses.  Set up exams on a regular basis under the recommendation of your specialist to determine if your lenses are effectively improving your vision.

Prevent Eye Infections

Avoid contact with water to reduce the likelihood of eye infections. Remove your contact lenses before going to bed to avoid increasing the risk of eye infections. Never expose your lenses to saliva and wash your hands before touch your contact lenses. Never use a homemade saline solution or water to clean your lenses. Avoid using contactlens cleaning solution which has passed the expiration date, rub and rinse your lenses while cleaning and replace lenses and lens containers based on the advice of manufacturers to reduce the risk of infection.

Use lubricating eye drops to cure eye redness or itchiness and consult your ophthalmologist if you experience pain in your eyes or blurry vision.

About the Author: Ryan Biddulph enjoys sharing tips for helping you pick the right type of lenses. If you are buying new lenses on a budget consider contact lens rebates.

– Image

FDA Approves Lasik Eye Surgical procedure

The Food and Drug Administration (FDA) authorized a new custom lasik procedure in September of 2005. This new procedure can now treat several patients who were previously ineligible for the surgical procedure.


Nearsightedness happens when the eye is as well lengthy and light rays concentrate in front of the retina, rather of focusing on the retina. Some of the symptoms of nearsightedness are blurred distant vision, eyestrain, and squinting, along with getting a difficult time seeing at evening.

Although nearsightedness can be easily fixed with glasses or get in touch with lenses (when not also serious), a lot of men and women do not like to hassle with either one. With this new lasik process, people will now be able to have pure vision.


Astigmatism is the effect of the eye being shaped like a football, instead of round like a baseball. Learn further about advertiser by visiting our splendid use with. This deformity — where the light rays concentrate on two points on the retina instead of one — final results in blurred vision, double vision, and shadows on letters when reading. Till not too long ago, this deformity has prevented some folks from even finding speak to lenses. Breakthroughs in contact lenses have only aided those with slight astigmatism.

Nonetheless, with this new lasik process, individuals can now have their eyes repaired to normal, or at least be repaired sufficient to comfortably put on speak to lenses. Either way, their vision is enhanced and a lot of are pleased just to get rid of the glasses and lastly be capable to put on contacts, or possibly nothing at all.


Farsightedness takes place when light rays concentrate behind the retina instead of on the retina, resulting in blurred close to vision. Some patients with severe farsightedness have to step back from what they are reading and other people call for magnifying glasses to see anything that is correct in front of them. Folks with farsightedness can see you 30 feet away, but when you get correct up close they cannot see you! This can be embarrassing and result in the afflicted particular person considerably insecurity along with the feeling that they are going blind.

Farsightedness is very easily remedied by wearing glasses to read and see items up close, but it really is really inconvenient to continually be taking your glasses on and off. Not only is it inconvenient, you take the opportunity of leaving your glasses behind. To get supplementary information, please consider taking a gander at: Perspective Correction So Many Options – studyjumper34′s blog. Some individuals maintain their glasses on a chain so they won’t lose them, but this tends to make them really feel old. Now, lasik surgery is another option for these patients.

New Laser Engineering

The FDA just lately authorized the new Visx STAR Excimer laser method. This telling best dallas lasik surgeons link has a few unique cautions for the meaning behind this view. This great breakthrough in technology makes it possible for physicians to do far more than they ever could prior to, giving them the potential to reshape the eye to correct astigmatism, farsightedness and nearsightedness. Ahead of this marvelous breakthrough these individuals had been not excellent candidates for lasik eye surgery. They now can join the rest of the vision impaired and have the choice for lasik.

Recent FDA studies show that more than 98% of all individuals receiving these new procedures have been seeing 20/40 or much better 6 months following surgical procedure. Over 84% had been seeing considerably better than 20/20 immediately after 6 months. Now that’s purpose to celebrate!

New breakthroughs in lasik eye surgical procedure technology are happening all the time. Now men and women do not have to be inconvenienced by the hassle of glasses or contacts. All they want to do is to be capable to get up in the morning and see usually. If you have an opinion about jewelry, you will possibly want to check up about read. These breakthroughs in lasik technologies are providing them an improved good quality of life that once was unattainable.

CXIAqss jordan 4 fire red e4KhREJME – Sag Harbor Chamber of …

Andrew I. has performed over fourteen thousand procedures to correct nearsightedness, farsightedness, and astigmatism. Dr. The use of latest technology low 11s and stateoftheart equipment is one of the most significant factors that have helped the company gain a strong foothold in the industry. Following a stepbystep and methodical approach, Better Air Quality ensures that a healthy and clean environment is provided to employees. By safely removing all contaminants that reside a buildings ventilation systems, Better Air Quality meets all air duct cleaning requirements in a hasslefree manner.

If you want to pack your household items yourselves, some of cool grey 12s Packers and Movers companies from India also provide useful tips of how to pack your households items giving them specialized touch. They can assist you in custom clearance and documentation as well as packing and moving. They provide air cargo jordan 13 services and sea cargo services.

Speaking of people who are no longer with us, if he were jordan 5 for sale still alive, Dr. W. Edwards Deming famous for helping the Japanese make “Made In Japan” a symbol of world class quality (even though right after World War II it meant the opposite) would be saying something like this to government leaders, manufacturers, and consumers in both the US and China:.

It is astounding how many items a simple search will provide, even on a focused area such as diecast cars. Since the popularity of diecast cars is increasing exponentially with the new designs that the marketplace is offering, the online demand for the products has increased proportionally. One can find many opportunities to build a collection simply by logging on to Ebay.

In recent age, more and more female pay more mind to their exterior. Believe it or not, you could gain a lot profit from the styles. It will jordan concords bring in you very fascinating and elegant. Run faster. While using the ASYLUM volume 2 we have on top of that having sports progression drills to totally stage it up. The initial getting this kind of step ladder soar exercise the place you’re within planks, human body similar on the corporate, therefore you leap you for 20 secs on the primary step, next 20 just a few seconds to the Second, and an additional Something like 20 jordan 9 white black just a few seconds to your 3 rd.

You could also simply leap from section to section. For this you will need some markers that you can place on the ground. You will need about 11 in order to snuff bottle space them at 1yard increments over 10 yards. Apart from the furniture, you will be able to find all types of home decorative items in this store. Apart from the furniture, it is also important to have proper lighting in your room. Without proper lighting arrangements, you will not be able to create jordan 5 that feeling of homeliness that you would like to create..

I bought the Essential Anime releases of the series. I enjoyed it after the first one, but as has already been said the same concepts keep getting reused, taking the fun out of later episodes. The show’s resolution was jordan 11 cool grey decent enough, but overall I don’t have much desire to watch it again.

Uncategorized , ,

5 Effective Herbal Remedies For Farsightedness – How To Treat …

FarsightednessIf you are farsighted it means you have difficult in seeing nearer objects, but no difficulty in seeing things that are situated or happening at a distance. You may face difficulty in reading, writing or sewing because things will appear to be blurry for you. In this case the light from nearer objects is getting focused behind the retina and because of this nearer objects are appearing blurry. You may also have an eye ache along with headaches.

As you move your eyes from distant objects to nearer objects the eye must try harder to focus the light on the retina. If the cornea and the lens become weak then they cannot focus the light on the retina and that results in blurred image. The abnormality may arise because either the cornea is not curved enough or the lens of the eye is situated further away than normal.

It may be a hereditary problem or may be secondary to some disease such as diabetes. The common treatment for farsightedness is wearing corrective glasses. However, there are some herbs that can be quite effective in correcting farsightedness to some extent or at least save the problem from getting worse. Let us discuss some herbal remedies for farsightedness.

Herbal Remedies For Farsightedness


This herb may well be one of the best remedies for farsightedness. It is anti-inflammatory and a stress buster. For using this herb make a decoction with it by adding 15 gm of celandine in a liter of water. Let it boil for at least 2 minutes. Let it cool, strain and take the liquid.


Now soak a piece of cotton in the liquid and apply that on the eyes. With regular and frequent application the stress will come down, and you will be able to focus on objects better.



This herb has been found to be quite effective in treating farsightedness. It helps your eyes relax by taking the strain out. Drops of eyebright tea can do the trick for your eyes. Your eyes can deteriorate due to strain, and in that case this herb will be very useful for you.


This is an anti-inflammatory herb. It is useful in reducing eye strain and prevent deterioration of vision. You can use a decoction of horsetail herb to heal the eyes. For this pour one litre of water in 100 gm of dried herb and boil it for not more than 10 minutes.


After the decoction cools down strain it. Now soak a clean towel in this liquid and apply on the eyes. Do this at least thrice a day. This will correct farsightedness to some extent.



This herb can increase the flow of blood through the blood vessels in your eyes. Improved blood flow can make the cornea and lens more flexible and able to focus the light. On regular use of bilberry extract as eye drop you can cure farsightedness to some extent.


Here is another herb that is very good for alleviating stress. It is soothing for the eyes. It may be used as a natural eye drop. Infuse some dry herb in a cup of water and boil it for not more than 5 minutes, then strain and take the liquid.


Now soak a clean piece of cloth in the liquid and apply that on the eyes. Do this at least twice a day. This will remove the strain and rectify farsightedness to some extent.

Photo Credit:

5 Effective Herbal Remedies For Farsightedness, 5.0 out of 5 based on 1 rating

Welcome To Our Blog « Dr. Kevin Niksarli – NYC Eye Doc

To correct your vision there are two options i.e. traditional or blade LASIK or bladeless Intralase surgery. Patients who want to undergo LASIK procedures have a responsibility to know as much as they can gain knowledge about it. Getting more knowledge will facilitate them in optimizing their results and choose a procedure presumably to create optimistic results, says Dr. Kevin Niksarli.

Several studies that are available on blade and bladeless surgery are contradicting and signifying both blade LASIK and Intralase (bladeless) procedures bring similar outcomes. Though it may appear quite overwhelming to a layman, but being a patient you should know the difference among these two types of surgery and the benefits and risks associated with each of them.

In the process of traditional (blade) LASIK microkeratome is used to cut a thin flap in the cornea. In order to reveal the stoma (the middle cover of the cornea) the flap is folded back. To reshape the corneal surface by correcting refractive errors a laser of high accuracy, called the excimer laser, is used by the surgeon. The flap is then relocated to perform as a natural cover. The microkeratome which used to produce a flap in actual is a surgical blade and hence the process is also termed as blade LASIK.

With the advent of innovative techniques a high energy laser (Intralase laser) is used to produce a flap during surgery. It is just opposite to conventional LASIK as in Intralase surgical blade is not employed and this is the reason why the procedure is often promoted “all laser” or “bladeless” LASIK. The word itself has raged a dispute between eye surgeons, as to whether it should be employed in Intralase promotions or not. A number of surgeons emphasized that the term “bladeless” involves that conventional LASIK, which is done by using microkeratome (surgical blade), is a scarier proposal, when in reality it’s not.

Producing a flap is a significant part of the laser eye surgery process. It’s fact that flap certainty is enhanced with a laser flap or bladeless LASIK. Furthermore, there is an abridged risk of flap complications, such as flap dislocation, free flaps, partial flaps etc. However, a professional surgeon manipulating a contemporary microkeratome can very well meet the refinement of bladeless LASIK. Although the possibilities are exceptional, there is a concern of ephemeral light sensitivity as well – a distinctive risk related with bladeless LASIK.

Moreover, as compared to the traditional LASIK procedure, the LASIK method which is bladeless may cost additional $300 for every eye. Whether it’s blade or bladeless, LASIK itself is one of the harmless refractive surgery technique, it mainly depends on the eye surgeon of your preference. It is a good option to go for a microkeratome procedure only if the surgeon is well experienced in carrying it out. If otherwise, you can prefer the relatively innovative bladeless LASIK surgery.

So knowing everything about the blade LASIK and Bladeless LASIK you can opt the one about which you are more confident, says Dr. Kevin Niksarli.

About Manhattan LASIK Center and Dr. Niksarli

Dr. Kevin Niksarli has performed thousands of successful LASIK procedures. Learn more about LASIK eye surgery by watching Dr. Kevin Niksarli’s video.

Why Choose Dr. Kevin Niksarli ?

  • Dr. Kevin Niksarli’s practice is exclusively dedicated to LASIK and Laser Vision Correction. Since approval of the Excimer Laser in 1995, Dr. Niksarli has performed over 45,000 successful LASIK procedures.
  • There are two main ways ophthalmologist get involved with LASIK: 1) Year long fellowship in refractive surgery, or 2) a weekend course. Fellowship training is much more detailed, and involves managing complicated cases as well as performing surgeries with varying degrees of complexity. Dr. Kevin Niksarli is fellowship trained in Cornea, LASIK, Laser Vision Correction and Refractive Surgery. His qualifications are well above the average surgeon performing LASIK.
  • Other physicians and surgeons entrust their vision with Dr. Kevin Niksarli based on his experiences, training and LASIK results.
  • Dr. Kevin Niksarli’s practice  is dedicated 100% to LASIK and laser vision correction.

For more information contact Dr. Kevin Niksarli for a FREE Lasik  consultation.

Read Some of our Testimonials

My name is Elvis T. and I have been wearing eye glasses since I was 5 years old. Yesterday I had lasik surgery and today when I wake up I was able to see my alarm clock and everthything else in my room. For the first time in my life I could see everything and didn’t have to scramble around for my eye glasses. This painless procedure gave me 20/20 vision and enabled me to do things I could not do with my glasses or contacts. This is a dream come true and I would recommend Dr. Kevin Niksarli and the Lasik procedure to anyone. My mother, sister and I have all had it done and don’t regret a thing.”

“My name is Ellona. I had my procedure done on Wednesday and the next day, Thursday I was better than perfect. My vision currently is 20/20. I feel like a brand new person, it feels great to be able to see without my glasses. Everything seems so much brighter and more vivid. The staff at Manhattan Lasik Center is outrageous, very friendly and most of all helpful. I would highly recommend Manhattan Lasik Center”

“I got my LASIK at Manhattan Lasik Center a month ago. My younger brother had his eyes corrected 2 years ago by Dr. Kevin Niksarli. Dr. Niksarli is an awesome surgeon, and is a really nice guy. He has the best technology in NY. I came from NJ for my LASIK. Worth the trip. Now I’ve got 20/15 vision, better than 20/20! Everyone I met there was great too. The staff, the technicians. The best money I ever spent. My brother is coming in 2 weeks for his LASIK. My friend will be here next week for his LASIK.
Thank you so much for giving me back my vision!”

“I had really bad vision to the point that i could not see the BIG E on the vision chart…-9.25 and -8.50. I went in on a friday 10/6/2006 was a little nervous, but the procedure was painless and done in 10 Minutes!!!… Doctor Kevin K. Niksarli is great at what he does and makes sure every operation is calculated and costumized for each person…When i came in on saturday morning they tested me on the chart and told me that i am at 20/20!!!! I am soooo HAPPYY…I would recomend Lasik to anyone that is thinking of doing it ….BEST MONEY I EVER SPENT!!!!”

“Don’t dream more glasses, no more contacts, no more red eyes…
If you still hesitate don’t.
The surgery will change your life.
My only regret is to have waited so long.
I recommend Manhattan Lasik Center because everything went better than expected.
It is pricey than other places but it is my eyes we are talking about and I don’t want a bargain there.
I am 6 months after the surgery and still reaching to take my glasses off at night…LOL. I smile and go to sleep.”

Lasik…Just do it!

“Thank you so much for your wonderful and amazing work. I am totally impressed with your loving staff and the support I was provided with. Your experience, compassion was just mind blowing. I visited 3 centers before I came to this one. And like they say, First impression is the last impression. Honestly, my first impression of this center was good, friendly staff greeted me and then led by the patient consultant, manager and then the doctors.

Myself being a medical resident, I had many questions in mind before getting this procedure done as I look forward for my future career; it was a major decision for me. But at the end of it all, I am now fully satisfied and would definitely refer this center to my patients.

I was yet once again very delighted with all the work that was put in by the doctors and the staff. They all spent immense time with me, answering all my questions, making me feel comfortable.
My ability to see 20/20 the next morning was an amazing feeling which cannot be described in words, on how it feels to be able to see without glasses or contacts.

The only things I now leave behind when I leave my house are my “Glasses”.

I can now wear my long awaited coolers once again. Thank you so very much.”

Patient Eduction Articles >

Macular Degeneration

Macular degeneration is an eye disease mostly affecting people over the age of 55 says Dr. Kevin Niksarli.  It is one of the leading causes of blindness today.  Macular degeneration is often referred to as age-related macular degeneration, or ARMD.  As America’s population ages, this affliction will become more common.  Dr. Kevin Niksarli says when an eye becomes affected by macular degeneration, the central part of the retina, the macula, loses its ability to focus sharply.  This can result in the loss of a person’s central vision and will impact the ability to read and drive says Dr. Niksarli.  When looking at anything, the middle portion of the object will be a dark blur.  There is some peripheral vision remaining in most cases of macular degeneration according to Dr. Kevin Niksarli.

The retina is the part of the eye that has the nerves that send visual information to the brain.  Macular degeneration occurs in two forms – wet and dry – but both will cause vision loss to some degree.  Dry ARMD actually causes the loss of the rods and cones from the eye.  An increased deposition of retinal pigment is what causes this condition.  This form of macular degeneration is the most common kind and usually has a slow progression says Dr. Kevin Niksarli.  At this time, there is no specific treatment for dry macular degeneration, but research continues to try to find an effective medical treatment.  Nutritional supplements, antioxidants, have been shown to delay or slow down the progression of this disease.

Wet macular degeneration is the more rarely occurring form of the disease, but it will often produce symptoms more quickly than the dry form.  In this form of ARMD, blood vessels grow behind the retina.  These blood vessels will leak and destroy retinal cells, and seriously impact vision.  The good news is that there are now new drug treatments available that can help to stop and, in some cases, reverse the growth of the problematic blood vessels.  As Dr. Kevin Niksarli has always kept himself current in the latest methods and treatments of eye care, he is your best source of information about both forms of macular degeneration –  how to diagnose the condition, and possible treatment.

To some extent, macular degeneration will be unavoidable if this disease has a genetic link.  If macular degeneration runs in your family, it will increase the probability that you will also develop it.  A certain percentage of older people will also develop macular degeneration simply as a by product of aging, without a hereditary connection.  Regardless, it is often beneficial to begin a vitamin and antioxidant therapy before symptoms actually show up.

Besides the factors of age and genetics, there are other things that have been found to increase the chances of developing macular degeneration.  High blood pressure can often found to contribute to ARMD, so controlling high blood pressure will help to prevent macular degeneration to some extent.  Dr. Kevin Niksarli will help to determine is high blood pressure is affecting your vision and help you take steps to control it.  He will also explain that smoking and obesity will make it more likely that macular degeneration will develop.  Smoking not only will double your chance of being afflicted with ARMD, but will also make the symptoms more severe.

Cost of Cataract Surgery

When looking into the costs associated with cataract eye surgery, Dr. Kevin Niksarli says the patient should first become familiar with the different types of lens available.  Probably the most widely used lens is the standard artificial lens, or intraocular lens (IOL).  This lens will generally provide good distance vision, but glasses for reading or driving will be necessary.  According to Dr. Kevin Niksarli, your condition after surgery will basically be that of a far sighted person.  Sometimes, people will choose to have a lens that provides distance vision put into one eye, and a lens for close up vision in the other.  This is termed monovision, and may need some time to adjust to says Dr. Kevin Niksarli.

It is also possible to have a premium artificial lens put in at the time of your surgery.  This premium IOL will allow you to see at various distances – near, middle, and far.  Generally, you will not need to wear any kind of glasses after the installation of premium lenses.  However, Dr. Kevin Niksarli says you  should be aware that premium lenses will cost quite a bit more than the standard kind.

The cost for most cataract surgeries is borne mostly by Medicare and private insurance plans.  Surgical implantation of a standard lens will usually cost between $1,500 and $3,000 per eye.  Dr. Niksarli also says the price that will be charged for cataract surgery will also depend in part on what area of the country you live in.  The price can also be dependent upon the surgeon that you choose, what he or she believes their expertise should cost.  You should feel free to discuss the costs associated with cataract surgery with Dr. Kevin Niksarli and his staff.  They will help you to find a method to pay for the surgery that will be the easiest for you.

Most insurances and Medicare, while covering treatment with a standard IOL, will not pay for the implantation of a premium artificial lens.  This is a cost that will considered elective, and you will have to pay for it yourself.  The cost for surgical implantation of a premium lens in both eyes can be up to $5,000 per eye.

Although the cost of these cataract surgeries might seem high, you must remember that your eye surgeon underwent years of training and testing just to acquire the knowledge and skill to restore your vision.  You might also take into account the fact that in all likeliness, if you choose to have Premium IOLs implanted,  you will never need to buy a pair of eyeglasses again.  As eyeglasses can easily cost $500 or more, it is easy to see that dispensing with them, or contact lenses, makes the cost of this cataract surgery much more reasonable.

If you do choose a premium lens for your cataract surgery, most surgeons like Kevin Niksarli will help you to finance your surgery through one of several plans available.  There are several nationally available plans that deal specifically with vision or other health costs.  Dr. Niksarli and his billing staff will be your best source of information for these.

Children's Vision FAQs | Merrimack Vision Care

Q How often should children have their eyes examined?

A According to the American Optometric Association (AOA), infants should have their first comprehensive eye exam at 6 months of age. After that, kids should have routine eye exams at age 3 and again at age 5 or 6 (just before they enter kindergarten or the first grade).

For school-aged children, the AOA recommends an eye exam every two years if no vision correction is needed. Children who need eyeglasses or contact lenses should be examined annually.

Q My 5-year-old daughter just had a vision screening at school and she passed. Does she still need an eye exam?

A Yes. School vision screenings are designed to detect gross vision problems. But kids can pass a screening at school and still have vision problems that can affect their learning and school performance. A comprehensive eye exam by an optometrist can detect vision problems a school screening may miss.  Also, a comprehensive eye exam includes an evaluation of your child’s eye health, which is not part of a school vision screening.

Q What is vision therapy?

A Vision therapy (also called vision training) is an individualized program of eye exercises and other methods to correct vision problems other than nearsightedness, farsightedness and astigmatism. Problems treated with vision therapy include amblyopia (‘lazy eye”), eye movement and alignment problems, focusing problems, and certain visual-perceptual disorders. Vision therapy is usually performed in an optometrist’s office, but most treatment plans also include daily vision exercises to be performed at home.

Q Can vision therapy cure learning disabilities?

A No, vision therapy cannot correct learning disabilities. However, children with learning disabilities often have vision problems as well. Vision therapy can correct underlying vision problems that may be contributing to a child’s learning problems.

Q Our active 1-year-old boy needs glasses to correct his farsightedness and the tendency for his eyes to cross. But he pulls them off the second they go on. We’ve tried an elastic band, holding his arms, tape… He just struggles and cries. How do we get him to wear his glasses?

A In most cases, it just takes awhile for a toddler to get used to the sensation of wearing glasses. So persistence is the key. Also, you may want to put his glasses on as soon as he wakes up – this will usually help him adapt to the glasses easier.

But it’s also a good idea to recheck the prescription and make sure his glasses were made correctly and are fitting properly. Today, there are many styles of frames for young children, including some that come with an integrated elastic band to help keep them comfortably on the child’s head. Bring your son and the eyewear to our office. Even if you didn’t purchase the glasses from us, we will be happy to give you our opinion about why your son is having a tough time wearing them and what you can do about it.

Q Our 3-year-old daughter was just diagnosed with strabismus and amblyopia. What are the percentages of a cure at this age?

A With proper treatment, the odds are very good. Many researchers believe the visual system can still develop better visual acuity up to about age 8 to 10. If your daughter’s eye turn (strabismus) is constant, it’s likely surgery will be necessary to straighten her eyes in order for her therapy for amblyopia (or “lazy eye”) to be successful. Strabismus surgery may be needed even if her eyes alternate in their misalignment. See a pediatric ophthalmologist who specializes in strabismus surgery for more information.

Q My daughter (age 10) is farsighted and has been wearing glasses since age two. We think she may have problems with depth perception. How can she be tested for this, and if there is a problem, can it be treated?

A We can perform a very simple stereopsis test to determine if your daughter has normal depth perception. In this test, she wears “3-D glasses” and looks at a number of objects in a special book or on a chart across the room. If she has reduced stereopsis, a program of vision therapy may help improve her depth perception.

Q We have an 11-year-old son who first became nearsighted when he was 7. Every year, his eyes get worse. Is there anything that can be done to prevent this?

A Rigid gas permeable (GP) contact lenses may help. Research shows that, in many cases, fitting myopic youngsters with GP lenses may slow the progression of their nearsightedness. There’s also a special fitting technique with GP contacts called orthokeratology (or “ortho-k”) that can even reverse certain amounts of myopia. There is also research that suggests bifocals and/or reading glasses may slow down the progression of myopia in some children.

Q My 7-year-old son’s teacher thinks he has “convergence insufficiency.” What is this, and what can I do about it?

A Convergence insufficiency (CI) is a common learning-related vision problem where a person’s eyes don’t stay comfortably aligned when they are reading or doing close work. For reading and other close-up tasks, our eyes need to be pointed slightly inward (converged). A person with convergence insufficiency has a tough time doing this, which leads to eyestrain, headaches, fatigue, blurred vision and reading problems. Usually, a program of vision therapy can effectively treat CI and reduce or eliminate these problems. Sometimes, special reading glasses can also help.

Q My son is 5 years old and has 20/40 vision in both eyes. Should I be concerned, or could this improve with time?

A Usually, 5-year-olds can see 20/25 or better. But keep in mind that visual acuity testing is a subjective matter – during the test, your child is being asked to read smaller and smaller letters on a wall chart. Sometimes, kids give up at a certain line on the chart when they can actually read smaller letters. Other times, they may say they can’t read smaller letters because they want glasses. (Yes, this happens!) Also, if your son had his vision tested at a school screening (where there can be plenty of distractions), it’s a good idea to schedule a comprehensive eye exam to rule out nearsightedness, astigmatism or an eye health problem that may be keeping him from having better visual acuity.

Q My daughter has been diagnosed with refractive amblyopia due to severe farsightedness in one eye. She just got her glasses and the lens for her bad eye is much thicker than the other lens. She complains that the glasses make her dizzy and she refuses to wear them. Can anything be done about this?

A In situations like this, where one eye needs a much stronger correction than the other, contact lenses are a better option. With glasses, the unequal lens powers cause an unequal magnification effect, so the two eyes form images in the brain that are different in size. This can cause nausea, dizziness because the brain may not be able to blend the two separate images into a single, three-dimensional one. And, of course, the glasses will be unattractive because one lens will be much thicker than the other.

Even if your child is quite young, she can probably handle contact lens wear. Contact lenses don’t cause the differences in image magnification that glasses do. Continuous wear lenses (worn day and night for up to 30 days, then discarded) or one-day disposable lenses may be good options.

Keep in mind that amblyopia is a condition where one eye doesn’t see as well as the other, even with the best possible correction lens in place. Simply wearing the contacts may not improve the vision in her weak eye. Usually a program of vision therapy will also be needed.

For more information on children’s vision, visit

What's Echoing Eye Surgery? | EEIV

Echoing eye surgery is a kind of eye surgery that’s accustomed to rectify echoing errors from the eye and reduce reliance upon corrective contacts for example eyeglasses and phone contacts. Effective echoing methods can help to eliminate myopia or nearsightedness, hyperopia or farsightedness, and astigmatism or elongated corneas. A variety of methods exists for echoing eye surgery based upon the kind and harshness of the echoing error.

You will find four primary kinds of echoing eye surgery methods: flap and photoablation methods cornael cut methods thermal methods and implants. Presently, the most typical echoing eye surgical procedures involve using lasers to reshape the cornea.

Flap methods involve cutting a little flap within the cornea to ensure that the tissue underneath could be reformed to fix the echoing error. Laser eye surgery, short for Laser Aided In-Situ Keratomileusis, is easily the most popular echoing surgery and it is accustomed to correct myopia, hyperopia, and astigmatism. The Laser eye surgery procedure involves utilizing a microkeratome or IntraLase to chop a flap in to the stroma, moving the flap taken care of, getting rid of excess cornael tissue by having an excimer laser, then changing and removing the flap. LASEK is most effective for people with thin or flat corneas. The LASEK procedure utilizes a small trephine edge to chop in to the shallow epithelium, then the attention is bathed inside a mild alcohol means to fix soften the perimeters from the epithelium. The flap is lightly moved taken care of to ensure that an excimer laser can remove excess cornael tissue, then the flap is changed and smoothed out. Epi-Laser eye surgery, like LASEK, involves a shallow reduce the epithelium, but utilizes epikeratome to produce a thin epithelium sheet for removal rather than the harsher edge and alcohol.

Photoablation, the 2nd stage in flap methods, utilizes ultraviolet radiation to get rid of excess cornael tissue. PRK, or photorefractive keratectomy, was the initial lasek procedure. PRK involves mind-numbing the attention with local anesthetic eye drops, and re-shaping the cornea by wrecking tiny levels of tissue from the top of eye. The laser used, an excimer laser, is really a computer-controlled ultraviolet laser beam. It burns awesome so they won’t warm up and damage the nearby eye tissue.

Cornael cut methods for example radial keratotomy and arcuate keratotomy use tiny incisions within the cornea to change its surface and proper echoing errors. Radial keratotomy, or RK, utilizes a gemstone expected knife to create a quantity of spoke-formed incisions within the cornea. Caused by the incisions would be that the cornea flattens out, reducing the results of myopia. Arcuate keratotomy, or AK, is much like RK. The gemstone knife can be used to chop incisions which are parallel towards the fringe of the cornea, instead of the spoke-formed incisions from the RK procedure. These methods happen to be a smaller amount normal with the emergence of laser-aided echoing eye surgical procedures.

Thermal methods use warmth to fix temporarily hyperopic echoing errors, or farsightedness. The thermal keratoplasty procedure involves placing a ring of 8 or 16 small burns around the eye immediately all around the pupil. The use of the warmth boosts the slope from the cornea, which makes it steeper, through thermal contractions. You will find two primary kinds of thermal keratoplasty. Laser Thermal Keratoplasty, or LTK, is really a no-touch method that utilizes a holmium laser. Conductive Keratoplasty, or CK, utilizes a high-frequency electric probe.

The ultimate kind of echoing eye surgery involves using implants. Implantable contact contacts, or ICL, may be used to correct severe amounts of myopia, hyperopia, and astigmatism. The implants are really small contact contacts which are placed via a small cut within the side from the cornea. Implants are sitting so that they sit immediately while watching eye’s natural lens just behind the cornea. ICL works with the eyes natural lens to refocus light around the retina and convey a very obvious image.

All these methods has its own pros and cons, and never all people are appropriate candidates for echoing eye surgery. People who are curious about being familiar with surgical options should contact their ophthalmologist to learn more about these methods, in addition to question other new cutting-edge methods. Since ophthalmologic surgical treatment is constantly growing and altering with emergence of recent technologies and techniques, you will find always new approaches to development. As new devices are developed and techniques refined that may enhance the success and reduce the unwanted effects of echoing eye surgery, new methods will emerge to exchange outdated techniques.

The Eyes have it: part one | Peter D Springberg, MD, FACP

I already have an eye disease, a corneal problem called map-dot-fingerprint dystrophy (translated as “it grew incorrectly”), but I’m much more concerned about the one my father had late in life, age-related macular degeneration. I need to walk you through the anatomy of the eye (How’s that for a mixed metaphor?) before I can outline what either of those ophthalmologic problems are and what can be done to correct, treat or prevent them.

The National Eye Institute has a discussion of the visual system, at a level most appropriate for kids, but very worth viewing and listening to by anyone who is visually oriented in their learning style. I think it’s the one link I’d suggest clicking on if you want an elementary, but accurate audio-pictorial description of how our vision works.

I’ll also give you a link to the WebMD’s Eye Health Center, which has a very nice picture of the parts of the eye and links to many eye diseases, but eventually I plan only write in any detail about two of those parts, the cornea and the retina.

a cross section of the human eyeWe each have two eyes, unlike spiders which usually have eight (I wonder how many Spiderman has). Each eye sees a slightly different view of an object, so we have stereoscopic vision, important in judging distance and in fine manipulation. The front of our eyes have a pigmented part called the iris, a clear domelike structure called the cornea over the iris and an opening in the iris (the pupil) to let light through.The size of the pupil varies, as we’ve all noticed, with how bright the light is. You can’t see the conjunctiva, which is a covering for all of the rest of the front part of the eye except for the cornea. Then a tough fibrous white membrane called the sclera surrounds most of the eyeball  posterior to the cornea.

When you’re looking at something, for instance, your family dog, light representing that object enters your eyes through your pupils, passes through a lens (this is a focusing device) and through a gel-like material called the vitreous humor to the retina, the light-sensitive tissue in the back of the eyeball.

The picture of the object you’re looking at is inverted by the time it gets to the retina whose cells convert the light into electrics impulses which are then carried via the optic nerve to a part of the brain called the visual cortex. That’s located way in the back of your skull in the occipital lobe of the brain (if you feel the back of your head, you’ll note a bump called the occiput).

Then things get very complicated, much more so than I want to delve into, but if you’re really interested here’s a link to a 24-page convoluted article I found. The author, a professor at Weber State University, made the statement about six years ago that if we want to fully understand what happens when the signal leaves the retina, there are two fundamental questions: “What are the discrete anatomical pathways that carry the signal?” and “What information do the signals actually carry?”

His conclusion was that the answers to these questions do not (currently) exist.

So let’s go back to the two parts of the eye that I personally have been most concerned about and start with the National Eye Institute’ comprehensive online discussion, Facts About The Cornea and Corneal Disease. I’d term this article “Everything you might possibly want to know about the cornea and lots more,” so I’ll attempt to abstract some salient points.

First the cornea, in order for us to have good vision, must be free of any cloudy or opaque areas, so unlike most parts of our bodies, it doesn’t have any blood vessels. How does it get its nourishment? Both our tears and the vitreous humour (British spelling), the gel-like watery substance that fills the eyeball between the lens and the retina, play a role in keeping our corneas healthy.

The cornea is both clear and strong and has several functions: it protects the eye from dust and germs and, at the same time acts as an outer lens to help focus light. It also screens out some of the potentially damaging ultraviolet (UV) light in sunlight.

The cornea is frequently misshapen and if it is curved too much or the eye is overly long, objects at a distance don’t focus on the retina. So about 25% of us, those who have this corneal issue, are nearsighted (myopic). The opposite causes farsightedness (hyperopia) and that’s seen in 5 to 10% of both kids and adults.

glasses can often correct myopia, hyperopia or astigmatism

glasses can often correct myopia, hyperopia or astigmatism

Two-thirds of Americans who are myopic (and some who are hyperopic) also have a condition called astigmatism where the curvature of the cornea isn’t smooth, so both near and distant objects appear blurry. This often is correctable by glasses, but special contact lenses or laser surgery are sometimes needed.

Those of us who are allergic to pollen can note corneal irritation, especially during dry, hot weather and may have tearing, corneal redness, itching or other symptoms. Most of the time those problems don’t necessitate medical visits. Antihistamine decongestant eyedrops often reduce our symptoms. Some of us are allergic to animal hair (dander), cosmetics, or medications and those substances or even rubbing/touching your eyes after using soaps, chemicals or applying nail polish can cause a corneal reaction.

Minor injuries to the cornea may be self-healing, but more severe ones clearly require an eye professional’s attention. Similarly corneal infections from a poke in the eye or a contaminated contact lens may necessitate professional help.

As I mentioned before, tears are important for a healthy cornea so dry eye, a condition more common in women, particularly after menopause, may require the use of artificial tears and may be helped by using humidifiers and wrap-around glasses for outdoor wear. Interestingly, people who have dry eye may sometimes have tears running down their faces.

I’ll get to corneal dystrophies and macular problems in my next post.






Tags: , , , , , , ,

You can leave a response, or trackback from your own site.