Eye Disease

Glaucoma
- Glaucoma is a disease of the optic nerve where there is a loss of nerve tissue over time.
- When the disease progresses, peripheral vision is affected. In end stages, central vision can be decreased.
- Treatment typically includes eye drops or surgical procedures.
- We screen for glaucoma at every yearly eye exam by checking eye pressure and by assessing the optic nerve and visual field.
- We have testing equipment that can monitor the progression of glaucoma to ensure treatment is working to slow the disease.

Macular Degeneration
- The macula is an area of the retina that is responsible for our clear central vision.
- Macular degeneration is an age-related disease that disrupts this area and can cause mild to severe central vision loss.
- There are two forms of macular degeneration: dry and wet.
- The dry form is most often treated with vitamins to slow the progression and prevent the conversion to wet form.
- Wet macular degeneration is treatable with injections, but vision already lost cannot be restored.
- When caught and treated early, wet macular degeneration can be controlled before major vision loss occurs.
- We assess the health of the macula at every yearly eye exam and can do additional testing to specifically diagnose and monitor the condition.

Floaters
- Floaters appear as black or clear spots (or sometimes strings) in our vision.
- They tend to be more noticeable on plain bright backgrounds like white walls and blue skies.
- They are typically the result of jelly strands in the back of our eye floating as a result of something called vitreous degeneration.
- New floaters however can indicate a serious eye problem such as a hemorrhage or a retinal detachment.
- Due to this risk, it is extremely important to see an eye doctor ASAP if noticing new or worsening floaters.

Cataracts
- Cataracts occur when the lens of the eye (located behind the pupil) starts to cloud over time.
- Almost everyone will develop mild cataracts in their lifetime.
- Increased glare and decreased vision are the main symptoms.
- When cataracts are removed via surgery, a clear lens implant is used to replace the focusing power of the eye’s lens.
- This lens implant can be used to correct vision to reduce need for glasses.
- There are specialty lens implants that can correct vision at multiple distances.
- Dr. Arlow is an experienced cataract surgeon. He explains the cataract surgery process here.

Keratoconus
- Keratoconus is a disease of the cornea which is the clear area that goes over the iris and pupil.
- In this disease, the cornea becomes very steep in one area, which is referred to as the “cone”.
- This causes distorted vision to varying degrees due to irregular astigmatism.
- When diagnosed early, a procedure known as corneal cross-linking can be used to slow the progression.
- Specialty contacts such as hybrid or scleral lenses can be used to regulate the corneal surface and achieve best vision when glasses cannot.
- In advanced cases, corneal transplant may be necessary.

Diabetic Retinopathy
- Diabetes can cause many eye complications varying from fluctuating vision to blindness.
- Diabetic retinopathy describes changes in the back of the eye resulting from the weakening of blood vessels.
- Often there will be no symptoms of this condition until very late in the disease process which is why yearly diabetic eye exams are so important.
- Laser surgery or injections are indicated in severe cases.
- Learn more about diabetes and the eye here.
