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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Ophthalmology
Languages spoken
English
Doctor Q&A
430 Answers
11 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
NO: Posterior vitreous detachment is unusual at your age but may be associated with high myopia. Usually a PVD leaves a floater but can be associated wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Generally No: The vast majority of visual development is complete by age 7 or 8. Some improvement in vision may be attained at ages up to 18 or so but the gains ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
NO: Itching is usually a sign of allergy. This may be due to environmental factors or occasionally irritation from a chronically tearing eye. Best to ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Not recommended: Marfan's syndrome can affect the support structure of the lens and the corneal stability. Sometimes the lens may fall back in the eye requiring catar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Dry eye: Usually, when visually concentrating on something like a computer screen for extended periods of time the eyes may become dry and blurred causing a se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Lengthy: After eye muscle surgery the eye surface can be irritated for a few weeks with the redness lasting a few months. You should have very few activity re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
NO: Something is irritating your eye and causing reactive tearing (epiphora). Sometime it is dryness, sensitivity to glare or poor focusing leading to the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Depends: This is highly dependent upon the age and depth of the amblyopia. Generally the time varies from 4-12 hours or more per day. The most important thin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Corneal shape: Astigmatism can best be thought of as a spoon or football-shaped cornea. Lasik reshapes the cornea to make it round and alters the degree of roundnes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
May be difficult: If headaches get progressively worse with extended use of the eyes are disappear completely when relaxed then they are likely caused by vision. Heada... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Depends on severity: A microhyphema without blood layering may resolve in a few days. An "eight-ball" hyphema or completely filled anterior chamber may take weeks to heal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
No: Wearing a soft contact lens won't damage your eye but it certainly will be blurry and the lens will be uncomfortable and move around a lot with each b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Yes: It is due to a differing vertex distance or where the corrective lens is placed in relationship to the corneal surface - this is normal.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Distortion: Astigmatism is an optical "warping" of the focus usually resulting from a slightly football-shaped cornea. If mild, it provides greater depth of fiel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 53-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Many: Macular degneration, diabetes, retinitis pigmentosa, macular holes, retinal detachments, vascular disease and others...
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 28-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Maybe...: The common "pink eye" question! it all depends! if you have something as contagious as adenoviral conjunctivitis (aka epidemic adenoviral conjunctiv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Lots of things!: The diagnosis is broad: infection, glaucoma, iritis, abrasion, foreign body, etc. Be sure to get it checked out by your ophthalmologist quickly espec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Unlikely: I believe you mean "styes"? These inflammatory lesions originate from oil glands on the margin of lids called meibomian glands. Rarely, scarring of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Yes: The small blood vessels in the conjunctiva are very small and easily ruptured. This usually takes about 10 days. If you are experiencing any other e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Eye problems!: Wearing contact lenses longer can contribute to eye irritation and papillary conjunctivitis from small defects on the lens surface from wear and prote... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Well rounded diet: Deficiencies are unlikely with a healthy and varied diet. Eat lots of foods with beta carotene (yellow/orange), omega-3 acids for dry eye and vitamin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Sometimes: Some people are sensitive to the color temperature or flicker from fluorescent lights. Warmer bulbs can help.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
YES!: These two diseases account for a large percentage of permanent vision loss. For diabetes and macular degeneration we are concerned about blood vessel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Diopter: The plus powers are for reading and make you more nearsighted and reduce your focusing or accommodation requirement. The units are in diopters or the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
None specific: There is no specified direct therapy for the charles bonnet syndrome of visual hallucinations. Often, patients are become depressed and withdrawn wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 26-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Sure: We give them the names "fomites" but any object can spread infection by touch if contaminated. We sometimes see this in households. Be sure to use y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Tinting: Sometimes, lenses are differentially tinted to correspond to each eye. Say a lightly tinted blue lens for the right eye and a green for the left. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Generally: Corrective lenses adjust the focus - they can be glasses or contact lenses.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Unlikely: Keeping your eyes closed should block all the uv light from the cornea and lens. But why tan with uv? You risk the development of skin cancers (mela... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Accommodation: Extended focusing at near (accommodation) can be uncomfortable if the focus range is incorrect. Presbyopia or limited focusing range when we age can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
As soon as possible.: Earlier treatment for amblyopia usually results in improved outcomes. Therefore, early identification of the problem and treatment is essential espec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Maybe: The blackness should be differentiated from blurring. True blackness is a different problem and should be addressed immediately. The blur is usually... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Special cleaners: Anti-reflective coatings are very thin and somewhat fragile. They should be rinsed of loose material and carefully cleaned with an special cleaner an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Sometimes: There are difference between inexpensive "fashion" frames and "ophthalmic" frames designed for custom lenses. Visit your optician and see if your fra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Yes: It's what you consider natural. The only therapy found to be beneficial so far for dry macular degeneration is the use of high-dose antioxidant vitam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Maybe: This may signifiy a problem with the retina. When you blink it stresses the retina with rapid changes in light intensity and may uncover a weaker spo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Rarely: Usually, injuries which are limited to the corneal surface (epithelium) heal quickly and completely. Sometimes, recurrent corneal erosion (a reopenin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Fatigue: At the end of the day your eyes have done a lot of focusing. Sometimes, the power of the contact lenses can uncover a bit of strabismus which is norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Maybe: Eye infections can be painful from the irritation. This can be referred to the skull area as well causing a headache.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Yes: Any ophthalmologist is qualified to diagnose and treat eye infections. We're first md's or do's and have completed medical school and internship - we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Daily: For chemical disinfection - the solution should be changed daily and the case allowed to dry. For hydrogen peroxide systems, the lenses can sit safel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 52-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Retinal breakdown: Scarring the in the maculae can occur in both the wet and dry forms of macular degeneration. Usually, it is problematic in the wet form when there is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Itching: Ocular allergy is usually accompanied by itching. If chronic, a condition called papillary conjunctivitis can start with small bumps on the back of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Irritation: We call this "reactive epiphora" it is a natural reflex of the eye to stimulation and irritation. The best way to combat this is to use sunglasses. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Variety of ways: Depending upon the location and extent of the break the following techniques may be employed: laser, gas injection, encircling retinal buckle, vitrect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Probably Not: There is no conclusive evidence that alcohol consumption increases the risk of or control of glaucoma. In fact, it may be suggested that moderate alc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Two main forms: There are two general types: the dry form accounting for about 85% of cases which is generally a slow decrease of central vision. The wet form which i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Sometimes: The focus of the eye is greatly affected by the lens - diseases such as cataract and presbyopia can dramatically affect the focus. Sometimes corneal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Usually not: Certainly very vigorous exercise or hit to the eye may induce a retinal detachment at a place of weakness but generally, normal exercise should pose n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. David Kiraanswered
Ophthalmology 23 years experience
Older family history: The risk factors for macular degeneration can include: age, lightly pigmented eyes, history in primary relative, smoking, etc. Overall, the highest r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
410
Thank you notes
Mar 29, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Kira is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kira is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I am being treated for ms the last 3 plus years.....I was born 2 months premature and my medical team said my legions could be very old.
HealthTap member
Your answer was very helpful, thanks! Thanks Doctor you’re very helpful
HealthTap member
Nite b4 hd cough spell, felt like elect current. Agree mini stroke, TY
Education & Training
Medical/Graduate school
University of Pittsburgh School of Medicine, PA
Graduated 2000MD
Awards
Top Ophthalmologist , First Place, Sacramento Region - Summer
2014
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