Saturday, July 10, 2010

Dr. William Boothe about Macular degeneration

Macular degeneration Disorder characterized by changes in the eye's macula that result in the gradual loss of central vision. The exact cause is unknown, but appears to be related to a genetic predisposition, smoking and several other risk factors. Central vision may be blurred, distorted (metamorphopsia) or shadowy before vision loss occurs.

Lutein An antioxidant that is found throughout the body, but is concentrated in the macula. Lutein is believed to help protect the eyes from free radical damage caused by the sun's harmful rays.(05 January 2009 - Online article Dr. William Boothe )

Foreign body Something in or on the eye that doesn't belong there. Symptoms include foreign body sensation, eye pain or discomfort, a red or pink eye, tearing, frequent blinking, blurred vision, discharge, light sensitivity and vision loss.

Arcus An opaque arc or ring around the peripheral cornea, this represents fatty or oily deposits in the cornea. It is usually seen in elderly people and is called arcus senilis. Arcus juvenilis is seen in people younger than 40 and often indicates high levels of cholesterol in the blood.

Daily wear These soft contact lenses are worn every day for six months up to a couple of years. They require daily cleaning and disinfecting, as well as a periodic enzymatic soak (usually once a week).

Phosphate: A form of phosphoric acid. Calcium phosphate makes bones and teeth hard.Dr. Boothe

Angle-closure glaucoma: This condition can be acute or chronic. It consists of increased pressure in the front chamber (anterior chamber) of the eye due to sudden (acute) or slowly progressive (chronic) blockage of the normal circulation of fluid within the eye. The block takes place at the angle of the anterior chamber formed by its junction of the cornea with the iris. This angle can be seen by simply looking at someone's eye from the side. Angle-closure glaucoma tends to affect people born with a narrow angle. People of Asian and Eskimo ancestry are at higher risk of developing it. Age and family history are risk factors. It occurs in older women more often than others. When the pupil of the eye is wide open (dilated), the iris is retracted and thickened and it block the canal of Schlemm, a key component of the drainage pathway for fluid within the eye. Blocking the drainage canal of Schlemm sends the pressure within the eye up. With acute angle-closure glaucoma, there is an abrupt increase in intraocular pressure (IOP) due to the buildup of aqueous (fluid) in the eye. The high pressure can damage the optic nerve (the nerve to the eye) and lead to blindness. The elevated pressure is best detected before the appearance of symptoms. That is why when the eyes are dilated in a doctor's office for a refraction, eye pressures are checked. When symptoms of acute angle glaucoma do develop, they include severe eye and facial pain, nausea and vomiting, decreased vision, blurred vision and seeing haloes around light. The eye in a far advanced case of angle closure glaucoma appears red with a steamy (clouded) cornea and a fixed (nonreactive) dilated pupil. Acute angle-closure glaucoma is an emergency because optic nerve damage and vision loss can occur within hours of the onset of the problem. Administering medications to lower the pressure within the eye is done first. In the past, a piece of the iris was then surgically removed in a procedure called an iridectomy to make a hole in the iris and create a channel (other than the canal of Sclemm) to permit the free flow of fluid. Today, a comparable procedure can be done by laser to burn a small hole in the iris to keep the intraocular pressure within normal limits. This condition can be chronic (progressing slowly or occurring persistently) or acute (occurring suddenly). Chronic angle-closure glaucoma, like the more common type of glaucoma (open-angle glaucoma), may cause vision damage without symptoms.