DryEyeTreatmentLipiflow

Discussion of a new and effective treatment for evaporative dry eye (Meibomitis)



Dry Eye Treatment- combating Meibomian Gland Dysfunction - Lipiflow Thermal Pulsation

'Meibomitis' or Posterior Blepharitis - A new buzz word in eye-care but an old chronic annoying condition.

Eye Doctors - Optometrists and Ophthalmologists have been taking care of dry eye related conditions often caused by meibomian gland dysfunction (reported in up to 65% of cases)for many decades. Blepharitis has also been reported in as many as 47% of patients presenting to the eye doctor.

Meibomitis is as a result of blocked meibomian glands which line the eyelids just behind the eyelashes. These glands are responsible for secreting oil into the tears and preventing evaporation of the Aqueous (watery)layer of the tears therefore keeping the tears on the surface of the eyes for longer, between blinks.

Treatment has routinely included warm compresses with eyelid massage, in addition to eye drops, supplements (fish oils) and oral medication (Doxycycline).

The mainstay management utilizing the warm compresses has come with poor patient compliance and thus varying and often undesirable results leading to a deterioration in the condition and thus worsening of Dry eye and its symptoms.

A new and dynamic therapy called 'Lipiflow thermal pulsation' has recently become commercially available and prior clinical studies have shown impressive results and amazing patient testimonials.

We, at the eye care practice of Dr's. Farkas, Kassalow, Resnick and Associates have been fortunate to be the first practice in New York to use this amazing treatment, and over the past several months have seen many happy and successful patients treated with the Lipiflow treatment. It is very exciting to finally have a treatment for this chronic and often cumbersome condition that does not require daily involvement from the patient and may keep them free from eye medications as well. Studies have shown patients reporting a reduction in there dry eye symptoms, often in excess of a year and this has been mirrored by the clinical objective findings too.

Lipiflow works by applying energy to the affected glands with warmth to the back eyelids and gentle pressure to the front of the eyelid. The procedure takes less than fifteen minutes and is well tolerated.

We also use a new and revolutionary tool called the Lipiview ocular surface interferometer to analyze the lipid (oil) layer of the tears obtaining an objective and repeatable quantification of ones tear stability, giving us more critical information in assessing Dry eye disease and its management.

Please do not hesitate to call me, Dr. Kevin Rosin @ 212-355-5145 or email me at doctors@eyewise.com should you need any other information. You can also go to http://www.tearscience.com/en/ to get information on the Lipiflow treatment and the Lipiview system.



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

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/

Excessive "unwanted" tearing - Epiphora

Do you find walking outside especially on a cold winter day a chore, because of eyes that don't seem to stop streaming with tears, constantly having to blot excess tears traveling down your cheeks?

Epiphora (chronic tearing) often caused by a blockage to the drainage ducts/canals or abnormal lid position, but paradoxically may be also be a result of reflex tearing in response to dryness. The latter cause is often the result if the tearing is sporadic and associated with specific environmental conditions.

There are a number of tests and evaluations that should be done, primarily to discover the cause and then next to implement a treatment protocol. Topical drops may be included in the treatment to help eradicate symptoms especially if dry eye is found to be the cause.

At Farkas, Kassalow, Resnick and Associates we encounter patients on a regular basis with varying forms of epiphora and have had great success in helping patients manage this frustrating condition.

For more information contact me Dr. Kevin Rosin or my associates Dr. Barry Farkas, Dr. Jordan Kassalow, Dr. Susan Resnick and Dr. Regina Zyszkowski.

Tel: 212-355-5145
30 East 60th St, Suite 201 New York, NY
http://www.eyewise.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/

Corneal Refractive Therapy - correction free vision

CORNEAL REFRACTIVE THERAPY (CRT) – The Best Kept Secret in Vision Correction
CRT is an alternative to laser refractive surgery. What CRT patients don’t understand is why more low to moderately nearsighted (myopic) folks aren’t taking advantage of this opportunity.

The process involves the wearing of specially designed gas permeable lenses only while you sleep and having great spectacle and contact lens free vision during the entire day. It’s easy, it’s safe and it’s even reversible if you want it to be.
Need another reason why CRT can be so miraculous? Both our extensive experiences, as well as the latest scientific research studies, clearly demonstrate that CRT significantly reduces the progression of nearsightedness in children. Visual freedom and nothing to lose or break. Isn’t that the way you should be sending your child off to school or camp?
CRT is not for everyone, but if you are a candidate, just ask someone who has gone through the process. It brings enthusiasm to a new level!

For more information or to find out if you are a candidate for Corneal Reshaping Therapy, feel free to contact me Dr. Kevin Rosin or my associates Dr. Barry Farkas, Dr Jordan Kassalow, Dr. Susan Resnick and Dr.Regina Zyszkowski. Go to http://www.eyewise.com/ for contact details.

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