Blindness Overview

For those with sight, it is easy to imagine going blind as being suddenly plunged into darkness. Thinking about it can bring about feelings of panic and helplessness. For some that is the real experience, but more often blindness comes on gradually as a result of disease and it occurs to varying degrees. Even those with total blindness can learn to live independently.

Legally Blind vs. Total Blindness
Total blindness typically involves damage to the optic nerves, disrupting the communication between the brain and the eye. A person is considered legally blind when their vision is 20/200 or worse, even with corrective lenses. While this is very poor vision, it does not mean there is no sight at all.

When legal blindness is the result of refractive error, LASIK surgery can sometimes significantly improve vision. Sometimes people who are legally blind achieve 20/20 vision or better, although in cases this severe most will still need corrective lenses to see clearly after laser vision correction.

Preventing Blindness
There are many diseases that lead to blindness, but with early detection and treatment, blindness may be prevented or delayed.

Some conditions, such as cataracts, can be corrected with simple, routine eye surgery. Others are caused by underlying health problems that must be addressed. Diabetic retinopathy, for instance, is very common in people with diabetes and is caused by uncontrolled blood sugar. In fact, declining vision is sometimes the first symptom of diabetes.

Regular eye exams and prompt attention to any changes in your vision can stop or slow vision loss, and may even prevent blindness.

If you have experienced a change in your vision, please contact a qualified eye doctor in your area today.

Aging Eyes

Most people experience some decline in their vision as they get older. It is something that we have come to expect, but it is not necessarily something that you have to live with. Most age-related vision problems can be improved, halted, slowed down, or reversed. Better yet, there are steps you can take to prevent or delay their development. You should never think of vision loss as an inevitable part of aging.

Common Symptoms of Aging Eyes

  • Needing more light to read or do fine work such as sewing
  • Difficulty with night driving
  • Colors seem faded or less intense
  • Difficulty adjusting to bright or dim lighting conditions
  • Frequent changes in prescriptions for your glasses or contacts
  • A constant haze in the air
  • Eyestrain and headaches
  • Eye irritation and constant blinking

Common Conditions Affecting Aging Eyes

  • Presbyopia – the lens of the eye no longer makes the fine adjustments needed for focusing clearly on close work such as reading
  • Cataracts – clouding of the lens of the eye
  • Age-related macular degeneration (AMD) – progressive damage to the center of the retina
  • Diabetic retinopathy – retinal disorders caused over time by high blood sugar levels in people with diabetes
  • Glaucoma – damage to the optic nerve, usually but not always involving elevated intraocular pressure
  • Dry Eye Syndrome – inadequate lubrication of the eyes, often caused by menopause or medications

Most people will develop one or more of these conditions as they age. The good news is that there is help and you can retain your vision in most cases. If you are experiencing a decline in your vision, please talk to an ophthalmologist in your area soon.

New Cornea Transplant Book

We are excited to announce that our very own Dr. Francis Price, along with Marianne Price, Ph.D., executive director of the Cornea Research Foundation of America, have co-authored the first-ever text for medical professionals on a pioneering cornea transplant procedure that is sutureless while offering a quicker recuperation, stronger post-operative eye and excellent clinical results.

All royalty proceeds from the sale of the text will benefit the Cornea Research Foundation‘s study of the groundbreaking technique.

Age-Related Macular Degeneration

Age-related macular degeneration (AMD) is characterized by the loss of central vision. It is the leading cause of blindness in people over 65 in the U.S. When you lose your central vision your peripheral vision still works fine, but you cannot see straight ahead. Faces become obscured and reading becomes difficult or impossible.

What is Macular Degeneration?
It is progressive damage to the macula of the eye. The macula is the center of the retina. When AMD becomes advanced abnormal blood vessels can form under the macula causing rapid deterioration of vision.

Symptoms of Macular Degeneration

  • Shadows, dark spots, or empty spots in the center of your vision
  • Color distortion or faded colors
  • Difficulty recognizing faces
  • Lines or text appearing wavy
  • Needing very bright light for close vision such as when reading or sewing
  • Difficulty adapting to low light

If you experience these symptoms you should talk to your ophthalmologist right away. Most AMD progresses slowly, but the symptoms of AMD can also be symptoms of other retinal problems, or wet macular degeneration which can rob you of your vision very quickly if left untreated.

AMD Treatment and Prevention
Generally, AMD treatment stops or slows the progression, preserving the eyesight you have left. The sooner you start treatment, the better your chances of retaining your vision.

Nutritional support is used in the early stages. Some patients even report an improvement in vision. The same eye-healthy nutrients used to treat AMD can also prevent its development.

When AMD is advanced, some drugs can prevent the formation of abnormal blood vessels and the severe and rapid vision loss that they cause.

To save your eyesight, please contact a qualified eye doctor in your area today if you are experiencing the symptoms of AMD.

The Retina

Every part of your eye is important for good vision, but if you had to rank them in order of importance the retina and optic nerve would tie for first place. The retina is truly amazing. Unlike the lens and cornea, it cannot be replaced if irreparably damaged. In some cases, damage can be repaired, and we are learning more every day about healing the retina, but retinal damage continues to be a cause of permanent vision loss.

The retina is the back wall of the eye. Light that passes into your eye is focused on the retina. It is densely paced with light sensitive cells. Those cells convert the light energy to nerve energy and send the image to the brain via nerve fibers.

So far, there have been three types of light-sensitive cells identified in the retina:

  • Rods for vision in dim light
  • Cones for color vision and vision in bright light
  • Ganglion which tell your body if the sun is rising or setting, playing a role in the circadian rhythm which determines sleep/wakefulness patterns

The Macula
The macula is in the middle of the retina and is responsible for picking up and communicating the finest details of an image along with the center vision needed for tasks such as driving and reading. Macular degeneration robs you of your center vision because it affects the macula.

Macular edema is swelling and/or thickening of the macula. The distorted macula can relay a distorted or blurry image.

Problems of the macula, including macular degeneration, often make straight lines or text appear wavy. More severe problems can cause a dark or missing spot in the center of your vision.

Conditions of the retina are serious and need immediate attention. If you are experiencing problems with your central vision, please contact an experienced ophthalmologist and schedule and exam right away.


Have you started noticing your vision growing blurry, colors that seem faded and increased glare when driving at night? If so, you might be developing cataracts. Cataracts are a common age-related vision problem, and one of the leading causes of blindness in older people in the U.S. Cataracts can be treated.

What are Cataracts?
The lens of your eye should be clear. As cataracts develop they cause cloudiness of the lens. They occur as the proteins in the lens clump together. At first this just scatters the light that passes through, causing vision to be blurry and causing problems such as glare. As cataracts progress they cause the lens to become more and more opaque, eventually leading to blindness if not treated.

Diet, Lifestyle, and Cataracts
Diet and lifestyle choices can help prevent cataracts or slow the progression even after symptoms have begun. Protecting your eyes from sun damage and eating a diet rich in eye-healthy nutrients will reduce your risk of developing cataracts and other vision destroying eye conditions.

Treating Cataracts
You may have heard people talk about getting their cataracts “removed.” Cataracts cannot actually be removed from the lens of the eye, but the lens can be replaced with an artificial lens called an Intraocular Lens (IOL). When the lens is replaced, cataracts do not return.

If you are experiencing the symptoms of cataracts, it is worth your while to talk to an eye doctor right away. You do not have to wait until your vision is severely impaired to undergo cataract treatment.

Contact Lens Risks

When used properly, contact lenses are very safe. However, they still carry a risk of complications, most of which are minor or easily resolved, but some can permanently damage your eyes. Irritation, dry eyes, and infections are the most common problems that people experience with their contacts. Learning to properly wear and care for them will go a long way toward minimizing contact lens risks and preventing complications.

Some Problems That May be Caused by Contact Lenses

  • Infections
  • Scratches or abrasions on the cornea
  • Inflammation of the eye or eyelid
  • Allergic reaction to contact lens solutions
  • Swelling and hazy vision caused by lack of oxygen to the cornea
  • Change in the shape of your cornea
  • Dry eyes
  • Irritation and discomfort

If you are experiencing irritation with your contacts, talk to your eye doctor. Take your lenses out and do not try to wear them again until you have seen your ophthalmologist and had the lenses examined.

A few people simply cannot wear contacts comfortably, but in many cases a change in the type of lens can solve the problem. You may need to change the type of contact solution you use, or there may be a problem with the lens itself, such as a defect or protein deposit.

To avoid infections and other complications, always follow your eye doctor’s instructions for wearing your contacts, such as taking them out while you sleep. Above all, cleanliness is key.

If you are tired of wearing contact lenses or believe it is time for a change, please contact a qualified eye doctor in your area today to learn more about your vision correction options.


Valentine’s Day Gift Cards

We have awesome gift cards that can be used to give your Valentine a special treat!! Available in any denomination and accepted at all offices. Give your loved one the gift of sight or pampering this Valentine’s Day.

Fogg, Maxwell, Lanier & Remington EyeCare Gift Cards are available for:

Call 559-449-5010 or visit our website at for more information!

Child Eye Care

We tend to think of declining vision as a problem of aging, and therefore overlook early signs of vision problems in children. However, refractive errors, such as nearsightedness (myopia), often begin in childhood. Because children’s eyes and brains are still developing, untreated vision problems in early childhood can lead to permanent vision loss. Unrecognized vision problems can severely hinder a child’s progress in school. Child eye care is an important part of your child’s overall health care.

Problems That May Be Reversed
Crossed eyes (strabismus) and lazy eye (amblyopia) are treatable. Left untreated they can lead to permanent vision loss. When the images from the eyes are not the same, the brain automatically chooses the best image and ignores the bad image. When your child’s brain is still developing, ignoring one eye interferes with the development of the brain’s ability to use that eye.

Refractive Error
Nearsightedness (myopia), farsightedness (hyperopia), and astigmatism in children are corrected with glasses. Unfortunately, LASIK and other refractive surgeries are not an option because children’s vision does not stabilize until they have finished growing.

Regular eye exams are very important for children. Undetected vision problems can mimic learning disabilities or show up as behavioral problems.

Protecting Your Child’s Eyes
Protection from sun damage is especially important for children. Their eyes cannot block out damaging UV rays as well as adult eyes. Every time your child goes outside he should be wearing UV protective lenses. Damage to the lens of the eye does not go away.

Do not forget to find appropriate eye protection for whatever sports your child engages in as well.

If your child has not had an eye exam recently, please talk to an eye doctor near you and make an appointment today.

Welcome to the Schulze Eye & Surgery Center blog; a source of regular information for our practice in Savannah, Georgia, with our satellite office in Bluffton, SC, adjacent to Hilton Head Island. What distinguishes our practice is our commitment to excellence in surgical and medical eyecare, unlike other practices that are in the business of selling glasses and contact lenses.

It has been said that if your only tool is a hammer, all of your problems will look like nails. Corporate LASIK chains, for instance, offer essentially only one product to their patient: LASIK, when in fact LASIK may not be appropriate for everyone. Here is where our practice is unique in many respects. Not only do we offer LASIK for appropriate candidates, we also offer PRK, the ICL (implantable contact lenses), refractive lens exchange, and, of course, cataract surgery with the latest technology, including multifocal implants. In other words, we can offer you the appropriate technology for your individual situation, having at our disposal all of the surgical tools in our state of the art surgery center. Whether you are young or old, our approach to improving your vision will be customized with the most appropriate technology to you.

Check back to this location in the future for more updates and detailed information about our practice, the Schulze Eye & Surgery Center, and the technology we offer.