Seeing Eye To Eye

Quality Eye Care Does Not Take Place in a Factory
Written By: | September 27, 2011

Have you ever waited one, two, even three hours to see your eye doctor? Was the waiting room packed with not enough chairs for all the people? Were the technician’s who saw you before the doctor rushed? Then, once you were finally in the examination room did you receive less than 10 minutes of the doctor’s attention? Did you leave the office not really knowing your diagnosis or why the tests were ordered? If the answer to any of these questions is yes, you may need a new ophthalmologist or retina specialist. High quality, compassionate, patient-centered care doesn’t look like this. Pepose Vision Institute care does not look like this. At the Pepose Vision Institute, each patient is given individual attention from being walked back to the ophthalmic technician room, to getting state-of the art diagnostic testing from skilled staff, to seeing the doctor in a timely, professional manner, and finally to be walked to the front office for check-out. At Pepose Vision Institute, we believe that personalized healthcare is possible – and it doesn’t take place in a factory.

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Specialty Contact Lenses
Written By: | September 15, 2011

At Pepose Vision Institute not only do we have surgical solutions to treat visual problems, but we also fit specialty contact lenses that can enhance your vision and comfort. Before considering LASIK, most people use some sort of correction in the form of glasses or contact lenses to help them see at distance, near or both. As of March 2008, 34 million Americans wear contact lenses. Most people can be fit into regular soft or rigid contacts; however, some people have problems that can not be helped with these standard types of lenses.
Some of the more common eye problems that require special contacts that we see and treat at Pepose Vision Institute are: Astigmatism, Presbyopia, Keratoconus, Corneal Scars, Eye Trauma, Eye Disease, Corneal Transplants, Irregular Corneas, Severely Dry Eyes and other eye conditions.
To help determine which lens would work the best requires advanced testing and measurements. At Pepose Vision Institute we have the latest and greatest testing equipment to evaluate vision potential and Topography, (Topography measures corneal surface irregularities.) We also have the most advanced trial contact lenses to evaluate the proper fit and power for best vision and comfort.
These are some of the lenses we have available, in addition to regular soft disposable and rigid Gas Permeable (RGP) contacts. Toric contact lenses to correct for astigmatism. Bifocal and multifocal contacts. Prosthetic contacts to hide corneal scars or irregular pupils. Hybrid contact lenses that have a rigid center with better optics for clear vision and a soft skirt for comfort and stabilization. Scleral contact lenses which are a larger rigid lens that is designed to vault over the entire cornea to provide good comfort and vision for patients with sever corneal issues.
If you, or someone you know, have any special issues with their eyes, or just need contact lenses feel free to set up an appointment for a thorough evaluation at our clinic. Call 636-728-0111 to schedule your appointment

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How Dry I Am!
Written By: | September 2, 2011

Do you know of someone who has gritty, sandy, irritated eyes, with fluctuating vision that gets worse as the day goes on? If this sounds familiar, then you or a loved one may be suffering from dry eyes—one of the most prevalent ocular conditions.
Dry eyes are ten times more common in women than men, and are more common following the onset of menopause. It can be made worse by taking hormone replacement therapy, as it is the male rather than female hormones that support tear production by the lacrimal gland above the upper lid. Patients with both dry eye and dry mouth may have a very severe form called Sjögren’s syndrome. Dry eye can also also be exacerbated by common medications, such as diuretics, antihistamines and anti-depressants.
At Pepose Vision Institute, we are involved in clinical research to better diagnose dry eye syndromes and monitor treatment. This includes evaluating new devices that measure the lipid layer of the tears and the tear osmolarity. The first step towards relief is always the correct diagnosis, as dry eye can mimic some of the signs of allergy or other conditions and be easily missed.
If you suffer from dry eyes, what can be done? There are 3 steps to therapy. The first is the use of artificial tear supplements and night time gels. There are differences in artificial tears, regarding their thickness, viscosity and components, and so do not give up if you have tried one product. The second step is a prescription drop called Restasis that actually increases tear production. It also has an anti-inflammatory effect, which can be supplemented with short time use of other topical medications. Oral omega-3 supplements using fish oil and flaxseed also help.
However, one of the most immediate and effective treatment for dry eye is the one least utilized. Punctal plugs are microscopic (about the size of the tip of a ball point pen) and are molded to exactly fit into the tiny holes in the lids that drain away the tears. This is not where the tears come from, but rather how they drain away. The tears go down these 4 ducts, one in each lid, into the bony tissue and then to the back of our throat. We actually are drinking our tears all day long, which is why some people can taste their eye medicines! Punctal plugs can be painlessly placed in the office, not the operating room, with just the use of numbing drops. You do not feel the plugs and there is no maintenance required. They work instantly, just like putting a stopper in the drain when the faucet is dripping.
If you have chronically red, irritated eyes, with fluctuating vision and feel eye strain by the end of the day, please consider making an appointment with Pepose Vision Institute to have an evaluation for dry eyes and other conditions that could affect your sight. We are here to help you protect the most precious of our 5 senses.

I talked to 94.1 KPVR about Williams and Sjögren’s, click the play button below to hear the audio:

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