Cataract

A cataract is a clouding of the normally clear lens of the eye. It can be compared to a window that is frosted or yellowed.

The amount and pattern of cloudiness within the lens can vary. If the cloudiness is not near the center of the lens, you may not be aware that a cataract is present.

There are many misconceptions about cataract. A cataract is not caused by overusing the eyes, a film over the eye, spread from eye to the other, or irreversible.

The most common cause of cataracts include: natural aging changes of the eye; family history; diabetes; eye injury; certain medications, especially steroids; adn long-term sunlight exposure.


There are many symptoms of cataracts: blurry vision; light sensitivity; a need for brighter light to read; fading of colors; and difficulty with night driving.

A careful evaluation with your ophthalmologist can rule out other causes, besides cataracts, of blurry vision or other eye problems.

When activities of daily living are affected then cataracts should be considered. Cataract surgery can be preformed when ever your visual needs require it.

During cataract surgery, the cloudy lens is removed from the eye and replaced with a permanent intraocular lens implant. Cataract surgery is preformed in an outpatient setting under local or topical anesthesia. Your ophthalmologist preforms this procedure using a microscope and instruments made specifically for eye surgery.

After your surgery, you will need to use eyedrops as directed by your surgeon. You will have several appointments with your opthalmologist during the healing process to ensure that your eye is healing properly.

Feel free to contact Fry Eye Associates with any further questions.

FRY EYE ASSOCIATES
310 EAST WALNUT
GARDEN CITY, KS. 67846
620-275-7248
fryeye.com

Subconjunctival Hemorrhage



Definition

Sub = below or underneath

Conjunctiva = clear tissue over the white of the eye

Hemorrhage = blood

Subconjunctival Hemorrhage means: Blood under the conjunctiva.

Symptoms of subconjunctival hemorrhage are usually limited to the sudden appearance of blood, or a bright red spot, covering the white of the eye. This is usually noticed by surprise when looking in the mirror or by someone looking at you. These hemorrhages, or bleeds, are painless and self-limiting. This means the blood will stay in this area and not cause other problems, such as vision loss. Subconjunctival hemorrhages can vary in presentations from a very small spot of red, to completely covering the white of the eye. Some may even be a dark red color and appear to “bulge” from the eye surface.

Causes of subconjunctival hemorrhages include:

Idiopathic: (no particular reason) or spontaneous. This is the most common cause of subconjunctival hemorrhages.

Valsalva maneuvers: This includes any activity or action that cause you to hold your breath and bear down, such as lifting a heavy item, being constipated, violent coughing or sneezing.

Trauma/Injury: If the eye experiences an injury it is likely to break a blood vessel or group of blood vessels.

Diabetes: Diabetic tend to have weaker blood vessel walls, which break easier.

High Blood Pressure or Hypertension: An increase in pressure or volume of blood within a blood vessel can cause the vessel wall to break.

Side effect of blood-thinning medications: Aspirin, warfarin/coumadin, and other anti-coagulant or anti platelet medications can cause subconjunctival hemorrhages.

Bleeding Disorders: Although this is possible, it is extremely rare. It is highly unlikely that a subconjunctival hemorrhage will be the first symptom of a bleeding disorder.

Treatment is usually limited to patient education and reassurance. Uncontrolled hypertension or diabetes needs to be treated by the patients primary care provider. Blood tests can be ordered to rule out bleeding disorders if a patient has several hemorrhages in a short period of time. In most cases, subconjunctival hemorrhages resolve on their own, in 1 to 2 weeks.

If you have any further questions feel free to contact:

FRY EYE ASSOCIATES

310 EAST WALNUT

GARDEN CITY, KS 67846

620-275-7248

Western Kansas Low Vision

Western Kansas Low Vision

Western Kansas Low Vision Foundation(WKLV) is a non-profit founded by Dr. Luther Fry in 1990 for the purpose of assisting individuals with low vision have access to assistive technology and support for individuals with low vision.

Low vision means that the individuals vision effects their activities of daily living(ADL). Which means they have difficulty or an inability to accomplish tasks such as reading the newspaper, navigating stairs, or cooking due to their visual impairment. This decrease in vision is not able to be improved to 20/20 vision with either surgery or glasses.

Helping people overcome their visual limitations is the goal of WKLV. Robert L. Hoch, O.D. and Dawn D. Williams, O.D. are optometrists who specialize in low vision care, evaluate the degree of usable vision, and prescribe the most advanced optical devices available. Prescriptions for glasses are also available through this examination. Tara Keesling, C.O.A. is a low vision technician who works with individuals to help them adapt to these new devices. You can also make an appointment with Tara for personal instruction on optical devices before or after your appointment with the low vision specialist.

WKLV also runs a Support group for individuals with low vision, and/or family of individuals with visual impairments, and a quarterly free newsletter. The newsletter is packed with updates within WKLV, and information regarding deseases of the eye that case visual impairment, and assistance information for individuals with visual impairment.


For more information please contact:

Tara Keesling, C.O.A.
Western Kansas Low Vision
310 East Walnut
Garden City, Ks. 67846
620-275-7248

Presbyopia and Monovision

Presbyopia: A big word that means if your distance prescription is fully corrected, you will need bifocals or reading glasses around age 40.

Presbyopia is an unavoidable and frustrating fact of life. It is caused by the normal aging process and is mostly due to the natural lens in your eye becoming less able to change shapes, or accomodate. If you give a young eye a near target, the natural lens in the eye will automatically fatten, creating magnification to move the focal point on to the near target. The same eye, will naturally relax, allowing the lens to lengthen or flatten, when the focal point moves to a distance target. the process of losing accomodation starts around age 40 and continues to worsen until around age 65, at which time no accomodation remains.

Some of you may be thinking about someone you know who is older than 40, and sees well both at distance and near without glasses (or contacts). This is possible if one eye has a naturally low near-sighted refractive error (or prescription) such as -2.00. If you do not correct that distance refractive error, you essentially have two units of magnification for clear near vision. This eye will be blurry in the distance, and clear at near. If this same person is lucky enough to have a good uncorrected distance vision in the other eye, they have monovision. This means one eye is set for good near vision and one is set for good distance vision. Many people enjoy monovision because it allows them to avoid needing reading glasses for most tasks. Monovision can be created fairly easily with contact lenses in one or both eyes. Regardless of the refractive erroe in each eye, If contacts can set one eye for distance and one for near, the patient should be able to see failry well at a distance. (Example: if a patient is -4.00 in easch eye, then this patient should wear -4.00 in one eye and -2.00 in the other eye.)

We have learned that is a patient likes monovision in contact lenses, they may also enjoy monovision after cataract surgery. The implant that replaces the cloudy natural lens, or cataract, come in various powers, much like contact lenses. Your cataract surgeon can use a computer program to predict each eye’s post-operative results, and select the implant power according to how tha patient wants to see after surgery. It is common for a patient to achieve good overall vision without the need for glasses following cataract surgery if one eye is set for distance (basically no power neede) and one eye set for near (approximately -2.00)

If you have any questions, feel free to contact us at-
Fry Eye Associates
310 East Walnut
Garden City, Ks. 67846
620-275-7248

Dry Eyes

Dry eyes occur when the eye does not produce tears properly or when the tears are not of the correct consistency and evaporate to quickly.
Tears are composed of three major componets; an oily (lipid) layer, a watery (lacrimal) layer, and a mucus layer. All three components are important and necessary for comfort, ocular health and clear vision.
Dry eyes can be a temporary or chronic condition. Dry eyes can be caused by seasonal allergies or a side effect of some medications, oral contraceptives and anti-depressants. Women who are on hormone replacement therapy (HRT) often experience dry eye symptoms. Dry eyes are also a temporary symptom following LASIK refractive surgery. Insufficient blinking, associated with staring at a computer or video monitor, may also cause dry eye symptoms.
Dry eyes can affect quality of life in a variety of ways. Common complaints or symptoms of dry eye include: stinging or burning, a sandy or foreign body sensation, pain or redness, blurred vision, intolerance to contact lenses, and the inability to read or work on a computer for extended periods of time. Surprisingly enough, eyes that water or tear too much may also be dry. An insuficient or unbalanced tear film can cause the cornea to dry out. This initiates a foreign body sensation, so the eyes are flooded with a “flushing” tear. This tear does not moisturize the eye; it is intended to flush the irritant away.

Dry eyes can be treated in a variety of ways. We usually look at treatment options in three catagories: ways to supplement the insufficient tear level, ways to preserve the tears the eye makes, and ways to improve tear quality and/or production. Artificial tears are an easy way of supplementing tear production. Punctal occlusion, which can be temporary or permanent, keeps the tears on the ocular surface longer. Cyclosporine treatment and omega-3 fats can improve tear quality. Inflammation of the eye surface often accompanies dry eyes. If this occurs, steroidal or non-steroidal anti-inflammatory topical medications may be indicated for short term use.

Dry eyes are common; however, syptoms can often be reduced or eliminated with a proper diagnosis and recommendation of one or more treatment option. See your eye care professional for a complete evaluation.

For an examination at Fry Eye Associates, call 620-275-7248.

FRY EYE ASSOCIATES

Fry Eye Associates was founded in January of 1978 in Garden City Kansas by Dr. Luther Fry (pictured seated.) He is a fellow of the American College of Surgeons and a diplomat of the American Board of Ophthalmology. His specialty is cataract extraction and intraocular lens implants. He has preformed more than 36,000 cataract surgeries. Dr. Fry stays on the cutting edge of ophthalmic surgical technology by attending and giving lectures worldwide. He also has the most state of the art technology and equipment available, to assure only the highest level of eye care.

Dr. William Clifford (pictured right) joined the practice in 1995. He completed a joint fellowship in the sub-specialties of cornea and glaucoma, and spent a year on the staff at the prestigious King Khaled Eye Specialty Hospital in Saudi Arabia. He is also certified by the American Board of Ophthalmology and is very active within the Kansas Society of Eye Physicians and Surgeons, and the American Academy of Ophthalmology. He specializes in Glaucoma treatment and surgeries, Corneal diseases and surgeries, Cataract surgeries, as well as Lasik surgery.

Dr. Gloria Hopkins (pictured middle) is an optometrist and joined the practice in 1995. Her practice includes: diagnosis and treatment of ocular disease, infection, minor ocular injuries, foreign body removal, and post-operative care. (No primary care service; such as healthy eye exams, glasses, or contact lens fittings are provided.) Dr. Hopkins is active in the Kansas Optometric Association and she coordinates continuing education for the optometrist in our area.

Dr. Eric Fry (pictured left) joined Fry Eye Associates in 2007. “Dr. Eric” is son of Dr. and Mrs. Luther Fry. He completed his medical and postgraduate training at Kansas University School of Medicine. He specializes in oculo-plastics; which includes surgeries of the eyelids and tear drainage systems. Like his father, he also performs cataract and laser procedures.

We have a number of visiting doctors who we are proud to have visit our clinic on a monthly basis:

Dr. Mark Scott is our pediatric and strabismus specialist. His home is in Oklahoma City, Oklahoma. He sees most of the children referred to our clinic, and patients of all ages with ocular alignment problems.

Drs. Varenhorst, Weishaar, and Dalla are our visiting vitreo-retinal specialist. They each visit our office once a month. Their primary clinic is in Wichita, Kansas. They primarily treat diseases of the retina, including diabetes and macular degeneration.

Henery Lafuente is an ocularist. He visits our clinic as needed to fit and create ocular prosthetics.

With three full time ophthalmologist and four ophthalmologist who visit our clinic on a monthly basis, Fry Eye Associates is able to offer specialized medical and surgical eye care to the patients of Southwest Kansas and the surrounding states. We also have satellite locations in Oakley, Colby, and Goodland, Kansas.

Fry Eye Surgery Center was established in 1997, and provides the most modern surgical technology available.

POST CATARACT SURGERY: Elevated Intraocular Pressure: What You Should Know….

During cataract surgery, a thick protective gel, called Visoelastic Gel, is used to coat the structures inside the front of the eye and protect them. At the end of surgery, this gel is removed; however a certain amount remains and continues to form a protective coat on the structures inside the eye. One of these structures is called the Trabecular Network. This is a sieve-like structure through which fluid produced inside the eye is drained out of the eye. This residual protective coating (Viscoelastic Gel) dissipates and leaves the eye within a few hours, however during that time it can block fluid outflow and cause a pressure rise of the fluid filling the eye.
Normal pressure is around 23mm of mercury or less. (The eye is always pressurized, somewhere between 8 and 23.) These pressure elevations after Surgery go away on their own. If the pressure of the eye is mildly elevated, drops may be installed to lower the pressure faster than it would on its own. If the pressure of the eye is markedly elevated, we may let some fluid out of the eye to immediately lower the pressure. This is done by pressing on the side port incision with the side of a sterile disposable needle. This needle is not poked into the eye, only the side of it is placed against the eye. This procedure does not hurt.
Chronic intraocular pressure elevation can cause optic nerve damage and we call that Glaucoma. The transient (short term) pressure elevation after Cataract surgery caused by Viscoelastic Gel does NOT cause damage, and is not Glaucoma.