Tuesday, December 30, 2014

What Causes Dry Eye Syndrome? What is Dry Eye Syndrome?

Problematic dry eyes are one of the most common problems reported to eye doctors. Dry eyes can result from either a decrease in the amount of tear production or the quality or composition of the tears produced.

According to Dr. David Karp, M.D. of Koby Karp Doctors Eye Institute in Louisville, Kentucky, "Common causes may include advancing age, allergies, poor diet, heating/cooling environmental circumstances, hormonal changes, health status such as diabetes, arthritis, lupus, thyroid dysfunction, chemotherapy or radiation treatments and acne, rosacea, contact lens use, computer use and patients that have a history of LASIK or refractive surgery."

In addition, certain medications can contribute to dry eye symptoms such as antidepressants, antihistamines, decongestants, acne treatments, diuretics and some blood pressure medications.

Common symptoms of dry eyes may include blurred or variable vision, sensitivity to light, dryness, burning, stinging, gritty or foreign body sensations. Occasionally, the dry eye patient may experience a paradoxical excess or "reflex" tearing caused by the underlying eye surface irritation.

If you'll click here, you can use our Dry Eye Questionnaire.

Treatment of this condition may include artificial tears, gels and/or lubricating ointments at bedtime, daily eyelid hygiene scrub procedures, a prescribed medication regimen, omega-3 nutritional supplements (fish and flaxseed oil), and punctal (tear drainage) occlusion of the eyelid to retain moisture.
As you can see the causes and possible treatments are complex. Your eye doctor can formulate and individual treatment plan for you based on severity and known causes. Here are some helpful tips:
  • Wear sunglasses outdoors to reduce glare and block the drying wind effect
  • Stay hydrated by drinking plenty of water and fluids
  • Add a humidifier in the bedroom and turn off fans
  • Aim vents in cars away from your face · Take frequent "blink breaks" when using a computer
  • If taking hormone replacement therapy be sure your doctor knows about your tear problem.
Use over-the-counter lubricants such as SYSTANE ULTRA Lubricant Eye drops as needed for extra relief.
  • Supplements such as flaxseed oil and omega-3 could provide extra benefits
  • Avoid excessive caffeine
  • Smoking aggravates this problem
  • Environmental factors can add to your discomfort (smoke, fumes, dust)
  • Airline travel can increase symptoms
  • Taking antihistamines for allergy can increase symptoms
Call us to set up an appointment in our Center for Dry Eye Excellence - (502)897-1604

Wednesday, December 17, 2014

Snow Blindness Is Real.

Is there such a thing as snow blindness? Yes, there truly is.

In fact, in the world of ophthalmology, it is known as Photokeratitis. It also may be referred to by several other terms including arc eye, welder's flash, bake eyes, corneal flash, niphablepsia,  or (if you don't like that one, how about)  keratoconjunctivitis photoelectrica. Say that next time you're hanging out with your friends and really impress them.
Now, while we're on the subject of snow blindness, are you one of those folks who can't wear plain old store-bought sunglasses because you need prescription eyewear? Then this would be the perfect time for you to visit our Optical Department and check out the special lenses we offer that can protect your eyes from  good ol' Photokeratitis.

DriveWear Lens-click to learn more
Transition® Lenses  automatically darken in sunlight or high bright light conditions allowing you the convenience of having one pair of glasses for indoors and out no matter the weather.
DriveWear® Lenses are the first changeable polarized outdoor lens. They darken outside as well as behind a windshield. This lens reacts to all different outdoor weather and light conditions.
Xperio® Polarized Lenses eliminate all indirect reflection such as from water or snow, allowing greater depth perception and visual acuity. That's why sports enthusiasts like skiers and boaters absolutely love them.
We carry those super cool RayBan® and Panama Jack® sunglasses, too!
Come in to our Optical Department at Koby Karp Doctors Eye Institute and get the best for your eyes. You can also call for more info (502)893-0187.

Thursday, December 11, 2014

Can Astigmatism be corrected with Limbal Relaxing Incision?

Astigmatism is an irregularity in the shape of the cornea. There are degrees of astigmatism that may cause blurred vision even after the cataract surgery has been performed. Low to moderate astigmatism may be corrected by Limbal Relaxing Incisions (LRI) or a Toric IOL.

In LRI, incisions are made at the opposite edges of the cornea, following the curve of the iris, allowing the cornea to become more rounded when it heals. Because the incisions are outside of the field of view, they do not cause glare and other visual effects that result from other corneal surgeries like Radial Keratotomy.

LRIs are often combined with other surgical and laser vision correction procedures and cataract surgery.

It is possible that with LRI astigmatism may remain, requiring glasses for clearest vision. As with any incision, there is a small risk of infection or hemorrhage, which rarely could affect the vision. If there is full thickness incision, it may be necessary to place a suture to achieve a safe closure. Other risks of cataract surgery remain the same. As with any change of your eye's focus, there will be a period of adjustment to new vision and you may still wish to wear glasses or contacts to achieve your best vision.

(At this time most insurances do not cover the cost of LRI and you will be responsible for this additional cost. A toric IntraOcular lens contains both spherical and astigmatic correction. Your surgeon will advise you as to the best form of astigmatic correction for your situation.)

Thursday, December 4, 2014

How to give LASIK for Christmas

So you think you know someone who would love to have LASIK but you haven't thought about actually giving this procedure to someone else as a Christmas gift!

Well, it just so happens that at Koby Karp Doctors Eye Institute we offer "LASIK for Christmas" in one neat package that includes everything - the preoperative consultation, the procedure itself and all medications and post operative follow-up visits. It's truly a complete LASIK package.

And that's not all - you can use our 20% off coupon available on our website along with one of our no-interest finance plans for 12, 18 or 24 months. And it only requires 10% down. Actually, the monthly payments would be as low as $105 per month. We also accept all major credit cards. One more thing - Koby Karp has even come up with a gift certificate and a nifty Holiday gift bag & card that you can put under the Christmas tree!

Sound interesting? Perhaps you may want to talk it over with the person to whom you would like to give the gift of LASIK and even like them to have a free, no-obligation consultation with one of our ophthalmologists to be sure that they are a good candidate for the procedure. That's easy to arrange. No cost involved.

Simply call (502) 897-1604 for more information or to make an appointment for a free LASIK consultation.

By the way, you may want to know that LASIK is now so precise that it is approved by NASA for their astronauts and by the Navy for their “Top Gun” fighter pilots.

Our gift suggestion is LASIK for Christmas from Koby Karp Doctors Eye Institute and it may be exactly the gift you've been looking for!