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Listed below are some eye conditions that many people commonly suffer from. If you'd like to learn more, click on any of the conditions to read a small paragraph outlining the symptoms and characteristics of each, as well as current methods of treatment.
 
» Cataracts
» Glaucoma
» Diabetic Retinopathy
» Macular Degeneration
» Corneal Disease/Disorders
» Blepharitis
» DES (Dry Eye Syndrome)
» Flashes & Floaters
» Dermatochalasis
» Nearsightedness
» Farsightedness
  » Astigmatism
» Presbyopia
» Monovision
» Nasolacrimal Duct Obstruction
» Retinal Tear/Detachment
» Pterygium
» Chalazion
» Keratoconus
» Ectropion/Entropion
» Iritis

Cataracts

A cataract scatters or blocks the light that passes into the eye. As a result, images appear blurry.


What Are Cataracts? A clear lens inside the eye helps focus light. This allows images to be seen sharply. As a person ages, the lens slowly grows cloudy and turns yellow. This cloudy lens is a cataract. A cataract scatters or blocks the light that passes into the eye. As a result, images appear blurry. Clouding usually happens slowly, so you might not notice it at first. But as time passes, your vision may grow fuzzy. Colors may not appear as vivid. Glare may bother you both in bright sunlight and at night. Or it may seem as if your glasses are always dirty.
Symptoms of Cataracts:
Decreasing vision with age
Blurred or double vision
Seeing halos around bright lights
Difficulty seeing at night
Vision that worsens in sunlight
Difficulty distinguishing colors
Poor depth perception
Frequent prescription changes for glasses

Treating Cataracts: Cataracts can't be treated with lasers or medication. Surgery is still the only treatment option. During surgery the cloudy lens is removed and replaced with a clear, manmade intraocular lens (IOL). Cataract surgery is one of the most common and reliable operations. Each year, more than a million people have their vision improved through cataract surgery. Now the clear-cornea technique makes the procedure even safer than before and makes recovery quicker.

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Glaucoma



Without treatment, people with glaucoma may find that they suddenly have no side vision. It may seem as though they are looking through a tunnel.

What is Glaucoma? Glaucoma is a group of eye diseases that gradually steals sight without warning and often without symptoms. Vision loss is caused by damage to the optic nerve. This nerve acts like an electric cable with over a million wires and is responsible for carrying the images we see to the brain.

Symptoms of Glaucoma:
At first, open-angle glaucoma has no symptoms. Vision stays normal, and there is no pain. As glaucoma remains untreated, people may notice that although they see things clearly in front of them, they miss objects to the side and out of the corner of their eye.
Without treatment, people with glaucoma may find that they suddenly have no side vision. It may seem as though they are looking through a tunnel. Over time, the remaining forward vision may decrease until there is no vision left.

Glaucoma treatments include:
Medicine:
Medicines are the most common early treatment for glaucoma. They come in the form of eyedrops and pills. Some cause the eye to make less fluid. Others lower pressure by helping fluid drain from the eye.
Laser surgery (also called laser trabeculoplasty):
Laser surgery helps fluid drain out of the eye. Although your eye care professional may suggest laser surgery at any time, it is often done after trying treatment with medicines. In many cases, you will need to keep taking glaucoma drugs even after laser surgery.
Conventional Surgery:
The purpose of surgery is to make a new opening for the fluid to leave the eye. Although your eye care professional may suggest it at any time, this surgery is often done after medicine and laser surgery have failed to control your pressure.

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Diabetic Retinopathy

Diabetes can affect sight. If you have diabetes mellitus, your body does not use and store sugar properly. High blood-sugar levels can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. It is a potentially blinding complication that affects half of all Americans diagnosed with diabetes.

Symptoms of Diabetic Retinopathy:
Diabetic retinopathy often has no early warning signs. At some point, though, you may have macular edema. It blurs vision, making it hard to do things like read and drive. In some cases, your vision will get better or worse during the day.

As new blood vessels form at the back of the eye, they can bleed (hemorrhage) and blur vision. The first time this happens it may not be very severe. In most cases, it will leave just a few specks of blood, or spots, floating in your vision. They often go away after a few hours.

These spots are often followed within a few days or weeks by a much greater leakage of blood. The blood will blur your vision. In extreme cases, a person will only be able to tell light from dark in that eye. It may take the blood anywhere from a few days to months or even years to clear from the inside of your eye. In some cases, the blood will not clear. You should be aware that large hemorrhages tend to happen more than once, often during sleep.

Diabetic Retinopathy treatments include:
There are two treatments for diabetic retinopathy. They are very effective in reducing vision loss from this disease. In fact, even people with advanced retinopathy have a 90 percent chance of keeping their vision when they get treatment before the retina is severely damaged.

These two treatments are laser surgery and vitrectomy. It is important to note that although these treatments are very successful, they do not cure diabetic retinopathy.

Early detection of diabetic retinopathy is the best protection against loss of vision. A medical eye examination is the only way to find changes inside your eye. An ophthalmologist can often diagnose and treat serious retinopathy before you are aware of any vision problems.

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One of the common ways vision loss is detected is when straight lines look distorted, as in the diagram above.

You can check your vision daily by using an Amsler grid.

Click here for a downloadable test.

What is Macular Degeneration? Macular degeneration is a deterioration or breakdown of the macula. The macula is a small area in the retina at the back of the eye that allows you to see fine details clearly and perform activities such as reading and driving. When the macula doesn't function correctly, your central vision can be affected by blurriness, dark areas or distortion. Macular degeneration affects your ability to see near and far, and can make some activities–like threading a needle or reading–difficult or impossible.

Although macular degeneration reduces vision in the central part of the retina, it does not affect the eye's side or peripheral vision. For example, you could see the outline of a clock but not be able to tell what time it is.

Macular degeneration alone does not result in total blindness. Even in more advanced cases, people continue to have some useful vision and are often able to take care of themselves. In many cases, macular degeneration's impact on your vision can be minimal.

Symptoms of Macular Degeneration:
Macular degeneration can cause different symptoms in different people. The condition may be hardly noticeable in its early stages. Sometimes only one eye loses vision while the other eye continues to see well for many years.

But when both eyes are affected, the loss of central vision may be noticed more quickly.

Following are some common ways vision loss is detected:
words on a page look blurred;
a dark or empty area appears in the center of vision;
straight lines look distorted, as in the above diagram.

Macular Degeneration treatments include:
Despite ongoing medical research, there is no cure yet for "dry" macular degeneration. Some doctors believe that nutritional supplements may slow macular degeneration, although this has not yet been proven. Treatment of this condition focuses on helping a person find ways to cope with visual impairment.

Laser surgery and photodynamic therapy
Certain types of "wet" macular degeneration can be treated with laser surgery, a brief and usually painless outpatient procedure. Laser surgery and photodynamic therapy use a focused beam of light to slow or stop leaking blood vessels that damage the macula. The procedure may preserve more sight overall, though it is not a cure that restores vision to normal.

Despite advanced medical treatment, many people with macular degeneration still experience some vision Loss.

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Diseases and disorders affecting the cornea: The cornea is the eye's outermost layer. It is the clear, dome-shaped surface that covers the front of the eye. Some diseases and disorders of the cornea are: Allergies, Conjunctivitis (Pink Eye), Corneal Infections, Dry Eye, Fuchs' Dystrophy, Herpes Zoster (Shingles), Iridocorneal Endothelial Syndrome, Keratoconus, Lattice Dystrophy, Map-Dot-Fingerprint Dystrophy, Ocular Herpes, Pterygium and Stevens-Johnson Syndrome.

Corneal Disease treatments include:
Many minor corneal disorders can be treated with the following:antibiotics, anti-bacterial eyedrops, eye ointment, wearing an eye patch, wearing corrective glasses or contact lenses.
Corneal Transplant: Corneal transplants are very common in the United States; about 40,000 are performed each year. A corneal transplant involves replacing a diseased or scarred cornea with a new one, usually donated through an eye bank.
Phototherapeutic keratectomy (PTK): Phototherapeutic keratectomy (PTK) is one of the latest advances in eye care for the treatment of corneal dystrophies, corneal scars, and certain corneal infections. Only a short time ago, people with these disorders would most likely have needed a corneal transplant. By combining the precision of the excimer laser with the control of a computer, doctors can vaporize microscopically thin layers of diseased corneal tissue and etch away the surface irregularities associated with many corneal dystrophies and scars. Surrounding areas suffer relatively little trauma. New tissue can then grow over the now-smooth surface. The PTK procedure is especially useful for people with inherited disorders, whose scars or other corneal opacities limit vision by blocking the way images form on the retina.

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What is Blepharitis? Blepharitis is a common and persistent inflammation of the eyelids. This condition frequently occurs in people who have a tendency towards oily skin, dandruff, or dry eyes. Blepharitis can begin in early childhood, producing granulated eyelids, and continue throughout life as a chronic condition, or develop later in life.

Symptoms of Blepharitis:
Symptoms include irritation, itching, and occasionally, a red eye.

Blepharitis treatments include:
B
lepharitis is a condition that may not be cured, but can be controlled with a few simple daily measures:
At least twice a day, wet a washcloth with comfortably warm water, wring it out, and place over the closed eyelids for a minute. Rewet it as it cools, two or three times. This will soften and loosen scales and debris. More importantly, it helps liquefy the oily secretions from the eyelids' oil glands that help prevent the development of a chalazion, an inflamed lump in an eyelid oil gland.
With your finger covered with a thin washcloth, cotton swab, or commercial lint-free pad, gently scrub the base of the lashes about 15 seconds per lid.
If an antibiotic ointment has been prescribed, apply a dab at the base of the lashes (usually at bedtime), using your fingertip or a cotton swab. Simple, daily hygienic measures will minimize the following additional medications that might be needed to control blepharitis and its symptoms:
Artificial tears may be used to relieve symptoms of dry eye. (These are eye drops that are available without a prescription.)
Steroid eye drops may be used short-term to decrease inflammation.
Antibiotic ointment or antibiotic pills may be used to decrease the bacterial content of the eyelids.

Medications alone are not sufficient; the application of warmth and detailed cleansing of the lashes daily is the key to controlling blepharitis.

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What is Dry Eye Syndrome? Some people do not produce enough tears to keep the eye comfortable. This is known as dry eye.

Symptoms of DES:
stinging or burning eyes
scratchiness
stringy mucus in or around the eyes
eye irritation from smoke or wind
excess tearing

Excess tearing from "dry eye" sounds illogical, but if the tears responsible for maintenance lubrication do not keep the eye wet enough, the eye becomes irritated. When the eye is irritated, the lacrimal gland produces a large volume of tears which overwhelms the tear drainage system. These excess tears then overflow from your eye.

DES treatments include:
Eye drops called artificial tears are similar to your own tears. They lubricate the eyes and help maintain moisture.

Artificial tears are available without a prescription. There are many brands on the market, so you may want to try several to find the one you like best.

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What are Floaters? You may sometimes see small specks or clouds moving in your field of vision. They are called floaters. Floaters can have different shapes: little dots, circles, lines, clouds or cobwebs.

Floaters are actually tiny clumps of gel or cells inside the vitreous, the clear jelly-like fluid that fills the inside of your eye.

While these objects look like they are in front of your eye, they are actually floating inside. What you see are the shadows they cast on the retina, the nerve layer at the back of the eye that senses light and allows you to see.

Are Floaters ever serious?
The retina can tear if the shrinking vitreous gel pulls away from the wall of the eye. This sometimes causes a small amount of bleeding in the eye that may appear as new floaters.

A torn retina is always a serious problem, since it can lead to a retinal detachment. You should see your ophthalmologist as soon as possible if:
even one new floater appears suddenly;
you see sudden flashes of light.

If you notice other symptoms, like the loss of side vision, you should see your ophthalmologist.

What can be done about Floaters?
Because you need to know if your retina is torn, call your ophthalmologist if a new floater appears suddenly.

Floaters can get in the way of clear vision, which may be quite annoying, especially if you are trying to read. You can try moving your eyes, looking up and then down to move the floaters out of the way.

What causes Flashing Lights? When the vitreous gel rubs or pulls on the retina, you may see what look like flashing lights or lightning streaks. You may have experienced this same sensation if you have ever been hit in the eye and seen "stars."

The flashes of light can appear off and on for several weeks or months. As we grow older, it is more common to experience flashes. If you notice the sudden appearance of light flashes, you should visit your ophthalmologist immediately to see if the retina has been torn.

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What is Dermatochalasis? This is the long medical term for baggy eye lids. It occurs most frequently in patients older than 50.

The cause of the disorder lies in the elastic fibers underneath the skin surface. These become stretched, and with this stretching there is thinning and protrusion of the skin. The tissues around the eyes are very loose and movable, thereby making this area the most likely of all in the body for early wrinkles and droops. The true cause of the elastic degeneration, other than aging, is unknown. It is not a dietary or vitamin deficiency. It is aggravated by exposure to the sun, however.

Dermatochalasis is most easily seen in the soft, loose skin of the upper lids. Sometimes this skin actually lies on top of the lashes. Some patients are able to keep their eyes open only by keeping the brow elevated with the muscles of the forehead and scalp. This may cause headaches and excessive fatigue, especially with reading. The upper portion of the vision may also be cut off by this excessive tissue. The lower lids are also affected, but usually to a lesser degree. They do not cause the functional problems, i.e. reading and general vision difficulties as with upper lids; however, they do present a cosmetic concern for many patients.

Dermatochalasis treatments include:
Treatment is first directed at prevention by avoiding the harmful rays of the sun. Dermatochalasis is probably hereditary, will occur with time, and is a part of the normal aging process. The only treatment we have to offer is surgery. This procedure is simply a tightening of the loose tissues around the eyes. The excess skin is removed, and sometimes the muscle underlying the skin is also taken. Occasionally the deeper layers of fat are also excised. The scarring after surgery is usually minimal; these tissues are very forgiving and heal very well.

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Normal vision.


The myopic eye is longer than normal. Incoming light focuses in front of, instead of directly on, the retina.

What is Nearsightedness? Nearsightedness, or myopia, occurs when the cornea is too steep or the eye is too long. This causes visual images to focus in front of the retina causing blurry distance vision. Treatments include glasses, contact lenses, or refractive surgery.

Signs of Nearsightedness:
Myopic people often have headaches or eyestrain, and might squint or feel fatigued when driving or playing sports. If you experience these symptoms while wearing your glasses or contact lenses, you may need a comprehensive eye examination as well as a new prescription.

Nearsightedness treatments include:
Nearsightedness may be corrected with glasses, contact lenses, or refractive surgery. Refractive surgery, such as IntraLASIK, PRK or Refractive Lensectomy can reduce or even eliminate your dependence on glasses or contacts. The most common procedures are performed with an excimer laser.

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Normal vision.

The hyperopic eye is shorter than normal. Incoming light focuses behind, instead of directly on, the retina.

What is Farsightedness? Farsightedness, or hyperopia, occurs when the cornea is too flat or the eye is too short. This causes visual images to focus at a point behind the retina resulting in blurry vision at near tasks and occasionally at distance as well.

Signs of Farsightedness:
Farsighted people sometimes have headaches or eyestrain, and may squint or feel fatigued when performing work at close range. If you get these symptoms while wearing your glasses or contact lenses, you may need an eye exam and a new prescription.

Farsightedness treatments include:
Farsightedness can be corrected with glasses or contact lenses to change the way light rays bend into the eyes. Refractive surgery, such as IntraLASIK®, PRK or Refractive Lensectomy is another option for correcting hyperopia. It may reduce or eliminate your need to wear glasses or contact lenses. 

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Normal vision.


Astigmatism occurs when the cornea is shaped more like an oblong football than a spherical baseball, which is the normal shape. The oblong shape causes light rays to focus on two points in the back of your eye, rather than on just one.

What is Astigmatism? Astigmatism occurs when the cornea is curved more in one direction than another (like a football). A patient with astigmatism will have difficulty focusing on objects at any distance. Astigmatism often occurs in combination with nearsightedness (myopia) and farsightedness (hyperopia).

Signs of Astigmatism:
If you have only a small amount of astigmatism, you may not notice it or have just slightly blurred vision. Sometimes uncorrected astigmatism can give you headaches or eyestrain, and distort or blur your vision.

Astigmatism treatments include:
Astigmatism can be corrected with glasses or contact lenses. You also may choose refractive surgery for correcting your astigmatism.

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What is Presbyopia? Presbyopia occurs when the lens of the eye loses its flexibility. This condition usually starts around the age of 40. A patient with presbyopia will have difficulty focusing on objects up close and difficulty adjusting focus when switching from distance to near.

Signs of Presbyopia:
When people develop presbyopia, they find they need to hold books, magazines, newspapers, menus and other reading materials at arm's length in order to focus properly. When they perform near work, they may have headaches or eyestrain, or feel fatigued.

Presbyopia treatments include:
Glasses with bifocal or progressive addition lenses (PALs) are the most common correction for presbyopia. Reading glasses are another choice. They may be worn just while doing close work, and may even be prescribed to wear over the top of contact lenses (usually worn for distance correction).

There are contact lenses for presbyopes, called multifocal lenses. You can obtain multifocal contact lenses in gas permeable or soft lens materials. Another type of contact lens correction for presbyopia is monovision, in which one eye wears a distance prescription, and the other wears a prescription for near vision. The brain learns to favor one eye or the other for different tasks. But while some people are delighted with this solution, others complain of dizziness or nausea, or miss the depth perception they once had.

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What is Monovision? Monovision is a technique that allows presbyopic patients to see distance clearly in one eye (usually the dominant eye) and up close clearly with the other eye. Patients who have monovision are often able to see well both at distance and near without corrective lenses. Monovision can be achieved with contact lenses or with refractive surgery procedures.

Your eye doctor can fit you with trial monovision contact lenses before you have your eyes corrected surgically with monovision. Most people's brains get accustomed to monovision within a matter of weeks.

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What is Nasolacrimal Duct Obstruction? The tears are constantly manufactured by glands within the eyelids. After lubricating the eye, the tears normally drain into two small holes ("puncta") located on the inner corner of the upper and lower eyelids. From there, the tears drain into the back of the nose via the tear duct (a.k.a. nasolacrimal duct). This is why we tend to have a runny nose when we cry!

Approximately six percent of all infants are born with a nasolacrimal duct obstruction (tear duct blockage) affecting one or both eyes. Fortunately, at least 90% of these obstructions will clear by themselves within the first year of life. Infants with a nasolacrimal duct obstruction typically have a blockage at the most distant end of the duct immediately before it empties into the nose.

Symptoms of Nasolacrimal Duct Obstruction:
As the tears have nowhere to drain, they will well up on the surface of the eye and often overflow onto the eyelashes, lids and cheek. Normally there are bacteria in the tears which also have nowhere to drain when a blockage is present. These bacteria tend to grow within the tear duct and cause a pus-like discharge from the inner corner of the eye and on the lashes.

Nasolacrimal Duct Obstruction treatments include:
As the majority of tear duct obstructions will resolve without any intervention by age twelve months, conservative measures are usually recommended. The typical treatment protocol includes:

Tear duct massage (as demonstrated by the doctor) three times each day if any signs of a tear duct obstruction are evident. The massage is performed only on the affected side.
Antibiotic eye drops three times daily after the massage. These eye drops should be used only when a yellow or green pus-like discharge is present throughout the day. The eye drops should be discontinued if only a white mucus-like discharge or no discharge is present.

A probing of the nasolacrimal duct is a surgical procedure performed to relieve the obstruction for any of the following reasons:
If the signs of the tear duct obstruction persist by the first birthday.
If the pus-like discharge persists despite use of the antibiotic eye drops and massage.
If a more serious infection of the tear duct ("dacryocystitis") or infection of the skin over the tear duct occurs as a result of the obstruction.

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What is Retinal Detachment? Retinal detachment is a serious and sight-threatening event, occurring when the retina becomes separated from its underlying supportive tissue. The retina cannot function when these layers are detached, and unless it is re-attached soon, permanent vision loss may result.

Symptoms of Retinal Detachment:
If you suddenly notice spots, floaters and flashes of light, you may be experiencing the warning signs of retinal detachment. Your vision might become blurry, or you might have poor vision. Another sign is seeing a shadow or a curtain coming down from the top of the eye or across from the side. These signs can occur gradually as the retina pulls away from the supportive tissue, or they may occur suddenly if the retina detaches immediately.

There is no pain associated with retinal detachment. If you experience any of the signs, consult your eyecare practitioner right away. Immediate treatment increases your odds of regaining lost vision.

Retinal Detachment treatments include:
An eye surgeon must reattach a detached retina. Laser photocoagulation, a method of sealing off leaking blood vessels and destroying new blood vessel growth with a laser beam, is another way to reattach the retina.

Some eyecare practitioners inject silicone oil into the eye to keep the detached retina in place. A similar treatment is pneumatic retinopexy, in which a bubble of gas is injected into the vitreous humor, the transparent gel filling the eyeball in front of the retina. The gas bubble expands and presses against the retina to hold it against its supportive tissue. Cryotherapy (freezing) or photocoagulation will then permanently reattach the retina.

Sometimes vision lost by a retinal detachment will come back after treatment. The sooner the retina is reattached, the better the chances of regaining vision.

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What is Pterygium? A pterygium is fleshy tissue that grows over the cornea (the clear front window of the eye). It may remain small or may grow large enough to interfere with vision. A pterygium most commonly occurs on the inner corner of the eye, but can appear on the outer corner as well.

Pterygium treatments include:
When a pterygium becomes red and irritated, eyedrops or ointments may be used to help reduce the inflammation. If the pterygium is large enough to threaten sight, grows or is unsightly, it can be removed surgically.

Despite proper surgical removal, the pterygium may return, particularly in young people. Surface radiation or medications are sometimes used to help prevent recurrences.

Protecting the eyes from excessive ultraviolet light with proper sunglasses and avoiding dry, dusty conditions and use of artificial tears may also help.

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What is Chalazion? The term chalazion comes from a Greek word meaning a small lump. It refers to a swelling in the eyelid caused by inflammation of one of the small oil-producing glands (meibomian glands) located in the upper and lower eyelids.

A chalazion is sometimes confused with a stye, which also appears as a lump in the eyelid. A stye is an infection of a lash follicle that forms a red, sore lump near the edge of the eyelid.

A chalazion is an inflammatory reaction to trapped oil secretions. It is not caused by bacteria, although the site can become infected by bacteria.

Chalazions tend to occur farther from the edge of the eyelid than styes and tend to "point" toward the inside of the eyelid.

Sometimes a chalazion can cause the entire eyelid to swell suddenly, but usually there is a definite tender point.

Chalazion treatments include:
When a chalazion is small and without symptoms, it may disappear on its own. If the chalazion is large, it may cause blurred vision.

Chalazions are treated with any or a combination of the following methods:

Warm compresses:

Warm compresses can be applied in a variety of ways. The simplest way is to hold a clean washcloth, soaked in hot water, against the closed lid. Do this for five to ten minutes, three or four times a day. Repeatedly soak the washcloth in hot water to maintain adequate heat. The majority of chalazions will disappear within a few weeks. Sometimes antibiotic ointments are used in combination with warm compresses.
Steroid injections:
lnjections can be useful after soaks have been tried and a small lump remains.
Surgical incision or excision:
Large chalazions which do not respond to other treatments can be surgically opened after the early inflammation is reduced.

Chalazions usually respond well to treatment, although some people are prone to recurrences. If a chalazion recurs in the same place, your ophthalmologist may suggest a biopsy to rule out more serious problems.

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Keratoconus,
side view

What is Keratoconus? Keratoconus is an uncommon condition in which the cornea (the clear front window of the eye) becomes thin and protrudes. Keratoconus literally means a cone-shaped cornea. This abnormal shape can cause serious distortion of vision.

Symptoms of Keratoconus:
Blurring and distortion of vision are the earliest symptoms of keratoconus. Symptoms usually appear in the late teens or early twenties. The disease will often progress slowly for 10 to 20 years, then stop.

In the early stages, vision may be only slightly affected, causing glare, light sensitivity and irritation. Each eye may be affected differently. As the disease progresses and the cornea steepens and scars, vision may become distorted.

A sudden decrease in vision can occur if the cornea swells. The cornea swells when the elastic part of the cornea develops a tiny crack, created by the strain of the cornea's protruded cone-like shape. The swelling may persist for weeks or months as the crack heals and is gradually replaced by scar tissue.

Keratoconus treatments include:
If eyeglasses cannot fully correct vision, rigid contact lenses can make a remarkable difference in the clarity of vision. Newer materials and designs enable many people with keratoconus to enjoy wearing contact lenses longer.

Other ocular conditions are often seen in association with keratoconus, such as eyelid inflammation (blepharitis) or atopic or allergic red eye (conjunctivitis). These conditions can be treated with the appropriate drops and cleansing routine to enable comfortable contact lens wear. Your ophthalmologist can advise you on how to appropriately treat these conditions.

When contact lenses cannot improve your vision adequately, a corneal transplant may be necessary. (It is estimated that only 20% of people with keratoconus will require corneal transplant surgery.) Keratoconus is one of the most common reasons for corneal transplant, and one of the most successful. Your ophthalmologist can discuss the risks, benefits, and alternatives to surgery in your particular case.

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Normal eyelid, Ectropion, Entropion

What is Ectropion? Ectropion is the outward turning of the lower eyelid. Stretching of the lower eyelid with age allows the eyelid to droop downward and turn outward. Eyelid burns or skin disease may also cause this problem. Ectropion can cause dryness of the eyes, excessive tearing, redness and sensitivity to light and wind.

How is Ectropion treated?
Surgery may restore the normal position of the eyelid, improving these symptoms.

What is Entropion? Entropion is the inward turning of the lower eyelid. It most commonly occurs as a result of aging. lnfection and scarring inside the eyelid are other causes of entropion. When the eyelid turns inward, the eyelashes and skin rub against the eye, making it red, irritated and sensitive to light and wind.

How is Entropion treated?
If entropion is not treated, an ulcerous infection may develop on the clear surface of the eye called the cornea.

With surgery, the eyelid can be turned outward to its normal position, protecting the eye and improving these symptoms.

Eyelid plastic surgery
Eyelid plastic surgery is almost always performed on an outpatient basis using local anesthesia. Before surgery, your ophthalmologist will perform an eye examination and make recommendations. Photographs and visual field testing are often required by insurance companies before blepharoplasty and ptosis surgery.

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What is Iritis? Iritis, a form of Anterior Uveitis is a term for an inflammatory disorder of the colored part of the eye (iris). In the majority of cases there is no specific cause. Occasionally, iritis is just one symptom of a disease that affects other organ systems. These are called connective tissue diseases and include: rheumatoid arthritis, sarcoid, lupus, scleroderma, Behcet's disease, anklylosing spondylitis, Reiter's disease, Crohn's disease, ulcerative colitis, and B-27 disease. Sometimes, it is necessary to establish whether iritis/uveitis is a manifestation of one of these or some other underlying systemic disease.

Symptoms of Iritis:
The symptoms of iritis include light sensitivity, red eye, blurred vision, tearing, pain, and sometimes floaters . The pupil may appear small in the affected eye when compared to the normal pupil. Frequently iritis is a recurrent problem; after a few episodes patients become very astute at early diagnosis. Iritis is sometimes confused with conjunctivitis , a much less serious disorder of the clear outer lining of the eye.

Iritis treatments include:
Treatment of iritis is often directed at finding and removing the cause of the inflammation. In addition, eye drops and ointments are used to relieve pain, quiet the inflammation, dilate the pupil, and reduce any scarring which may occur. Both steroids and antibiotics may be used. The application of hot packs may also provide relief from the symptoms of iritis. In severe cases, oral medications and injections may be necessary to treat the condition.

A case of iritis usually lasts 6 to 8 weeks. During this time, the patient must be observed carefully to monitor potential side effects from medications and any complications which may occur. Cataracts, glaucoma, corneal changes, and secondary inflammation of the retina may occur as a result of iritis and the medications used to treat the disorder.

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