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Doctor Q&A for Dr. Marc Lieberman

A 21-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
Risk factors are...: Family/ethnicity are important. Those at highest risk for open-angle glaucoma have a sibling with glaucoma; or a parent. African-americans and hispanics are at higher risk than caucasians. Asians have a higher risk for angle-closure disease (e.g., chinese); others are at for risk low-pressure glaucoma (japanese.) other risks include a serious eye injury, or long exposure to Prednisone therapy.
A 21-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
Consistent follow-up: Vision loss from glaucoma is often subtle at first.. But with significant damage, loss may rapidly worsen. Consistent, regular care is essential. The patient must use his medications and keep regular appointments for eye-pressure checks, visual field tests, and optic nerve exams. An ophthalmologist is best trained to offer the most appropriate treatments of drops, laser or surgery.
A 22-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
Continued monitoring: Technically glaucoma is optic nerve damage, which can painlessly & gradually cause vision loss (as tested with a 'visual field' test). Such damage usually occurs with eye pressures too high for the optic nerve to tolerate. If nerve damage and visual field have been documented, pressures can be treated. Consistent, regular testing by a well-trained eye-care specialist is key to good care!
A 37-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
Not really...: In complicated situations, such as eye injury or infection, the loss of vision can be caused by several simultaneous processes. For example when the clear cornea has been damaged, and there is glaucoma as well, a corneal transplant (with cataract or glaucoma surgery as well) may help improve vision.... But this is not technically an "eye transplant for glaucoma.".
A 37-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
No: Usually this sad question arises when an eye has already lost a great deal of vision to glaucoma damage. When advanced, glaucoma painlessly destroys the optic nerve— when this tissue is lost, no methods for transplantation or regeneration are yet available. Desperation has understandably led to trying stem-cell transplants, etc.— but there is no well-documented evidence to establish its worth....
A 21-year-old member asked:
Dr. Marc Lieberman
Ophthalmology 45 years experience
No: In glaucoma, three parameters must be carefully measured & monitored— the pressure in the eye, the damage to the optic nerve, and the extent of vision loss—and treatment started or adjusted. Unfortunately none of these examinations are performed by acupuncturists, herbalists, or any alternative practitioners. Progressive glaucoma can lead to blindness if these tests are neglected.
Dr. Marc Lieberman agreed with the answer
A member asked:

Dr. David Sachs
Ophthalmology 18 years experience
Very safe: Lasik is a very safe procedure if done on the appropriate pt. The biggest risk of the surgery is infection which is very rare as long as the pt takes the appropriate post op drops, and something called ectasia, where you can develop irregular astigmatism after the procedure. Fortunately this also is rare and is one of the things that your dr is screening for during your work up.
Dr. Marc Lieberman agreed with the answer
A member asked:

Dr. Jeffrey Gold
Ophthalmology 53 years experience
No exercises for Amb: I do not believe there are any exercises that will impact amblyopia. If it is diagnosed before age 5 patching or eyedrops to blur the "good" eye along with any necessary muscle surgery can be beneficial.
Dr. Marc Lieberman agreed with the answer
A member asked:

Dr. Jeffrey Gold
Ophthalmology 53 years experience
Redness and Discharg: Conjunctivitis can be due to many causes: bacterial, viral, allergic, chemical, etc. The most common in probably bacterial and causes redness, mucus discharge and sometimes foreign body feeling or frank pain. Sometimes there is associated blurred vision from the mucus discharge. Bacterial conjunctivitis will frequently cause enlarge a painful lymph node just in front of the ear on that side.
Dr. Marc Lieberman agreed with the answer
A member asked:

Dr. Jeffrey Gold
Ophthalmology 53 years experience
Cleopatra makeup: Blepharitis probably affects half of the earth's population. It is a blockage of the oil in the oil glands of the eyelashes. Poor oil flow contributes to dry eye. The most common cause is eye makeup applied to the edge of the eyelid, occluding the openings of the glands. Warm compresses and cleaning the edges of the eyelids with cotton swab and baby shampoo provide the best control.
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