DRY EYE - Treat the Cause!

Lipiflow in the treatment of Dry Eye --- soon to be highlighted on the hit TV show 'The Doctors'

Being the first Eye Care practice in New York to use both the Lipiview and Lipiflow technology (since 2011) has not only led us to best understand this incredible analysis and treatment technology, but has allowed us to help and change the lives of countless patients suffering with meibomian gland dysfunction and dry eye disease.

Most dry eye patients with inflamed and/or blocked meibomian (oil secreting eyelid glands) would be good candidates for the procedure and this can easily be assessed and measured in office.

The treatment, if appropriate for you, helps prevent the evaporation of your tears, improves tear quality and thus keep good tears on the eyes surface for longer, aiding in decreasing associated inflammation, ultimately decreasing dryness and burning symptoms.

Dry eye disease is an extremely common and sometimes debilitating condition affecting approximately 28 million Americans. Up to 80% of dry eye disease is as a result of evaporative dry eye known as meibomian gland dysfunction (MGD).

We here at Farkas, Kassalow, Resnick and Associates have had great success with the Lipiflow and have seen amazing improvements in both signs and symptoms with prolonged benefits in most patients. Patients report much improved comfort and we see significant clinical improvements related to their eyes and eyelids.

Lipiflow thermal pulsation offers a simple, quick, easy, safe, painless treatment solution for evaporative dry eye and has been shown to be significantly (2-3x) more effective then 10 minutes of diligent, warm compresses and lid massage done daily for several months.

LipiFlow is designed to treat the root cause of Evaporative Dry Eye, blocked Meibomian glands. Opening and clearing these blocked glands can allow them to resume natural production of lipids (oils) needed for a healthy tear film.

Remember to watch the TV show 'The Doctors' most likely being aired on May 6th, 2013 covering this innovative and novel solution to evaporative dry eye.


Please feel free to call me Dr. Kevin Rosin @ 212-355-5145 or my colleagues, Dr's Barry Farks, Jordan Kassalow, Susan Resnick and Regina Zyskowski or email me at doctors@eyewise.com with any other questions. If this is something you want to explore further it would be our pleasure to have you come in for an evaluation and to help manage this frustrating, uncomfortable and often painful condition.


Dr. Kevin Rosin
212-355-5145
30 East 60th St.
Suite 201
New York, NY

Visit www.lipiflow.blogspot.com for more info on Lipiflow in the treatment of meibomian gland dysfunction

RED AND ITCHY EYES

After a long winter and a delayed spring, Allergists are expecting a "rough" allergy season this spring and summer. We are already seeing lots of symptomatic patients complaining of itching, watering, red uncomfortable eyes often more severe than years past.

It is imperative that you have your eye doctor examine you to differentiate between allergies and other types of eye infections (such as viral conjunctivitis) and eye conditions as often there can be similiar symptoms among various maladies.

Oral allergy medications such as Zyrtec and Clarityn are often not enough to control and alleviate ocular allergy symptoms and in many cases may result in or add to dryness of the eyes.

An eye drop is usually needed when eyes are affected by allergies and there are some eye drops that can also prevent symptoms from occuring if started early enough. These drops have antihistamine properties (reduce or eliminate itching and redness) and are mast cell stabilizers which prevent the eyes from reacting to allergens in the environment. Drops like Pataday, Lastacaft, Bepreve, Elestat, Optivar among others fall into this category and also have different dosing and side effects so it is best to consult with your doctor before using. In more severe cases steroid eydrops are often very helpful in bringing relief and eliminating symptoms. Using these drops prior to the onset of symptoms can help prevent and ultimately decrease the overall severity of the allergic symptoms.

I often tell my patients to refrigerate their unpreseved artificial tears and they love the cooling soothing effect this brings about in addition to decreasing redness and flushing out or diluting the eye allergens.

Dry eyes also can result in greater and more exagerated symptoms and it is therefor imperative to have this managed by your eye doctor as well.

Should you have any questions please feel free to email me, Doctor Kevin Rosin at eyedockev@yahoo.com. Together with Doctors Barry Farkas, Jordan Kassalow, Susan Resnick and Regina Zyskowski we focus on Dry Eye , contact lenses and Ocular Allergies.

Visit us at our website www.eyewise.com or call me at 212-355-5145

Dr. Kevin Rosin - New York City

Dry Eye - Tear Lab

The average person blinks about 10,000 times a day. Tears are essential allowing the eyelid to move smoothly over the front of the eye. The tears are made of a number of layers and a deficiency in any of these layers will ultimately lead to drying and ocular surface inflammation, often with accompanying symptoms.

A common cause or result of dry eye is hyperosmolarity, indicating an excess of salt in the tears.

Only recently has a test become commercially available to measure tear osmolarity previously only performed in academic and research settings.

We are fortunate in our practice in New York City to be one of the few to have the TearLab system which is the first objective and quantitative test for diagnosing and managing Dry Eye patients. It is fast and accurate and aids in the diagnosis in patients suspected of having dry eye disease.


This testing has been extremely helpful in managing and treating our numerous patients who have suffered with ocular surface disease (Dry Eye Syndrome).



www.eyewise.com
Kevin Rosin in association with Dr's Farkas kassalow & Resnick
Tel: 212-355-5145
30 East 60th St, Suite 201 New York, NY

http://tearlab.com/

Presbyopia - Transcleral light therapy

Presbyopia - the diminished ability to focus on near objects related to increasing age



In our late thirties and early forties most of us will notice that it is more difficult and strenuous to read up close. Many people require reading glasses, multifocal glasses (progressives or bifocals) or an adjustment in their contact lenses to adjust for near . This difficulty increases with age. The theories include a thickening of our internal (intraocular) lenses and a weakening of our internal eye muscles responsible for changing focus.



We are very fortunate to be one of the only practices in the country to have the Oculatek transcleral light therapy system (www.oculatek.com) in our office and currently involved in clinical trials. Transcleral light therapy is a new presbyopia treatment in which a laser device emits a low level of light aimed at strengthening the ciliary muscle (which bends and straightens the lens) under the sclera - the whites of the eyes.

There was a recent article in the New York times discussing this treatment as well as various treatment options. http://www.nytimes.com/2009/01/01/fashion/01skin.html?_r=1&scp=1&sq=skin%20deep%20January%201,%202009&st=cse)



We have seen some promising results and look forward to trying various treatment protocols to find the optimum treatment program so this therapy can soon be one of the options that the presbyopic population can turn to for an alternative to glasses and multifocal contact lenses.

I, Dr Kevin Rosin and my colleagues at Farkas, Kassalow, Resnick and Associates (http://www.eyewise.com/) are glad to be at the forefront of the Eyecare world, not only utilising and evaluating various mainstream and specialty contact lenses, but also having the opportunity to work with some of the latest devices and treatment related to vision correction including the Oculatek transcleral light therapy system.

Please feel free to contact me, Dr. Kevin Rosin or Dr. Jordan Kassalow (founder and chairman of Visionspring formerly the Scojo foundation - http://www.visionspring.org/) for any questions or information you may require.
Tel : 212-355-514530

East 60th street, Suite 201, New York, NY 10022

http://www.eyewise.com/

The importance of regular eye exams

A recent survey by the American Optometric Association revealed that a large percentage of Americans are not paying enough attention to their eye health and eye sight .

A large portion of the people surveyed (81%) are eyeglass wearers and/or contact lens wearers. Twenty six percent of the respondents had not visited an eye doctor in over two years.

Most Americans are not aware that eye exams can reveal more than just eye and vision problems. More than sixty percent are unaware that Optometrists and Ophthalmologists can detect signs of diabetes, over seventy percent are unaware that hypertension, cardiovascular disease, multiple sclerosis, cancer and brain tumors may be detected through a comprehensive eye exam.

http://www.eyewise.com/

www.aoanews.org