Doctor insights on:
Advance Eye Care
Should a normal urgent care physician assistant or nurse practitioner tell the different between pink eye and uveitis?
Depends : Uveitis requires a slit lamp biomicroscopic examination of the anterior and posterior chambers of the eye to make the diagnosis. Some ER's have these instruments. Pink eye, infectious or allergic, can often be made by history and external examination aided by a light source and magnification. A slit lamp is useful but not always required in an ER or quick care facility. So the answer: It depends. ...Read moreSee 1 more doctor answer
Depends: Every patient needs a risk analysis of the various risk factors. Based on that analysis a target pressure is determined. As a group only about 10% of patients with IOP 24 or greater will develop glaucoma therefore not all patients with elevated need to be treated. I have many patients with elevated pressure that I have followed for decades who have not developed glaucoma. ...Read moreSee 2 more doctor answers
Mostly bogus: "vision therapy" is used to improve basic visual function and is practiced by a subset of optometrists who charge heavily for this practice. This has not been subjected to the normal clinical tests and there is no proven value. Be sure you don't have an underlying problem by consulting with an ophthalmologist to discover any other condition. ...Read more
Probably not: Most optometrists and doctors in general do not charge for telephone advice, although there has been an increasing trend to attempt to do this. Similarly, online consultations are sometimes fee based. If this is the case, you should be told up front exactly what the charges would be and under what circumstances they would be charged. ...Read moreSee 1 more doctor answer
Will alcohol make my wet macular degeneration worse? I'm going to an eye specialist (or ophthalmologist) soon, what should I expect?
Eyeglass coating: Coatings can include anti glare coating, anti scratch coating or coating for uv light. Best care involves using a special cloth for optical plastic and eyeglass cleaner. ...Read more
Many brands: There are many brands of cosmetic contact lenses. All require a prescription to purchase. ...Read more
Get hot seering pain in right, pus forming in corner of eye, lose some vision, use pataday eye drops, & seen 3 eye specialists. Told eye is healthy?
A little: As a cataract matures, frequently it gets thicker which makes the vision more nearsighted (myopic). Glasses can help this but as the thickness increases, the transmission decreases and acuity gradually drops. At some point, the lack of clarity dominates and the glasses cannot compensate with surgery being the only option. ...Read moreSee 1 more doctor answer
It depends...: on the individual. If the glaucoma is early, moderate, or severe, then the target eye pressure will be set according to the appearance of the optic nerve, visual field test, and a number of other tests for glaucoma. Typically though, if the pressure approaches the mid to upper 20s or higher, treatment is usually started. ...Read moreSee 1 more doctor answer
Are HealthTap doctors able to refill existing prescriptions when in-person primary care doctors are unavailable?
Contact Health Tap: Ask your question or it may be answered in the FAQ section of HealthTap.com. Depends upon the medication! Hope this helps Dr Z ...Read more
Access for all: Unfortunately, our focus in the us is on treatment rather than prevention. However, accountable care organizations are designed to care for populations of patients rather than just hospital care. Therefore, it will be in everyone's best interest to keep people well and out of the hospital. Probably the most important part of the affordable care act is the provision for healthcare for all. ...Read more
Mother w/glaucoma is having problem keeping eye pressure low & stabilized with eye drops and laser treatment. Why wouldn't treatment work?
Many reasons: Is she using her drops as prescribed? Is she using the proper technique to get them into her eyes and keep them there until they can be absorbed? Are the drops stored properly? A few need to be refrigerated. If you are sure she is using them properly, then it is possible she needs another combination of medications to control her pressure. Go over all of this with her and her ophthalmologist. ...Read more
Doctor recommendation for eyelid surgery to reduce staring/under eye bags from thyroid eye disease.Can anyone recommend an eyelid surgeon? Thanks
Time: Most symptoms from floaters will diminish to a tolerable level with time. Patients will notice them in certain lighting situations or activities. Vitrectomy surgery markedly increases the risk of cataract formation and the small but real risk of retinal tear and detachment. Surgery is only indicated if floaters are severely diminishing your ability to perform activities of daily living. ...Read moreSee 1 more doctor answer
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