How do you diagnose and treat giant cell arteritis?

Temporal arteritis patients present with scalp tenderness, malaise, polymyagia (muscle aching) … and in the eye clinic, decreased vision in one eye. If you have any suspicion for GCA, you need to draw an ESR and C-reactive protein serum level and start empiric oral steroids immediately. If the patient truly has temporal arteritis, the immediate risk for the other eye is very high.


More definite diagnosis is made with a biopsy of the temporal artery. This can be done at a later date, and some people believe that steroids won’t effect your path specimen for two weeks, so go ahead and start those steroids.READ MORE

How does optic neuritis present?

Optic neuritis is an inflammation of the optic nerve that tends to occur in younger people, and is associated with multiple sclerosis (but is NOT necessarily MS). Patients present with acute loss of vision. The optic nerve may look inflammed, but often doesn’t because the nerve is affected further back up the nerve. Signs of optic neuritis include:

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  • A vast decrease in color vision and contrast sensitivity
  • Central scotomas
  • Worsening symptoms in hot conditions (the Uthoff symptom)
  • Possible pain with eye movement.FOR MORE

What is an Adie’s pupil?

An Adie’s pupil is a dilated pupil, usually found incidentally, caused by paralysis of the parasympathetics that normally constrict the pupil. This usually occurs after a viral illness that hits the ciliary ganglion that sits behind the eye. It is harmless and in the absence of other neurologic signs, will not cause any problems except cosmetic.


The opposite of an Adie’s pupil would be a Horner’s pupil, where you get a constricted pupil from loss of sympathetic dilation. The sympathetic chain is quite long and so workup for a new Horner’s is much more involved.READ MORE

Meibomian Gland Dysfunction (MGD): The Cause Of Your Dry Eyes?

Meibomian gland dysfunction (MGD) may be one of the most common eye problems you’ve never heard of. Its odd-sounding name is probably part of the problem. Another name for MGD is “meibomianitis,” which sure isn’t any easier to remember!

Meibomian (“my-BOH-mee-an”) refers to a particular type of gland in the eyelids. They are named after Heinrich Meibom, the German doctor who first described and made drawings of them way back in 1666.

Meibomian Gland.jpg

There are about 25 to 40 meibomian glands in the upper eyelid and 20 to 30 in the lower eyelid. The function of these glands is to secrete oils onto the surface of the eye. These oils help keep the tears from evaporating too quickly.READ MORE

Advantages of DSEK over traditional Penetrating Keratoplasty (PK):


  • Quicker visual recovery – three (3) months for DSEK versus twelve (12) months forPK.
  • No sutures, resulting in less pain.
  • Little or no astigmatism and/or extreme nearsightedness.
  • Hard contact lenses aren’t required for your best post-surgery vision.
  • Stronger corneal wound, meaning you are less likely to rupture your eye with minor trauma.
  • You are less likely to reject the corneal transplant.
  • Less risk to the patient during surgery (e.g., expulsive hemorrhage, infection or retinal detachment).READ MORE

vision over40:Baby Boomers, Gen-Xers, Presbyopia and Vision Changes

If you are over age 40, you’ve probably noticed your vision has started to change. Most notably, presbyopia — the normal, age-related loss of near focusing ability — usually develops at this time.


Learn what you can do to keep seeing clearly for years to come with this collection of articles that includes information on multifocal lenses, surgery for presbyopia and when it’s time to buy your first pair of progressive lenses or reading glasses . Visit an eye doctor to learn more about your changing vision. If you haven’t established an eye doctor, click here to find one near you.READ MORE

Treatment for Lazy Eye

With early diagnosis and treatment, improved sight in a lazy eye can be accomplished. However, in the worst cases, an untreated eye can be left functionally blind.

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Treatments for lazy eye include:

1.Patching or covering the strong eye: this method forces the weaker eye to work harder, naturally strengthening its ability to move and focus
2.Contact lenses and eyeglasses: corrects the discrepancy of near- or farsightedness between the eyes
3.Surgery: Realigns muscles in the eyes, a more expensive and risky option than other forms of treatment.READ MORE

Eye-Healthy Infused Water Recipe

Stay hydrated! Drinking plenty of water throughout the day is important for several reasons — including eye health. Dehydration can lead to dry eyes, red eyes and puffy eyelids.

Follow these simple steps to create delicious and refreshing infused water for the whole family. These drinks are especially great during hot summer days and are a healthy alternative to soda.


Infusing water with cucumber and mint makes a refreshing, eye-healthy beverage. And there are lots of other fruits and vegetables you can try!

Eye-Healthy Infused Water

  1. Choose a glass pitcher or jar.
  2. Add a handful of chopped herbs from the list below.
  3. Choose one or two fruits and veggies from the list below. Slice and add to the pitcher.
  4. Fill the container with filtered water and let it sit in the fridge for two hours so the flavors can infuse into the water.

Herbs and spices: Mint, basil, rosemary, ginger.

Fruits and vegetables: Cucumber, fennel, strawberries, blueberries, raspberries, lemons, limes, oranges, kiwi, peaches, watermelon, mango.READ MORE