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Doctor insights on: Advance Eye Care

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Help please! is contact lens recommended for grade 25 blurry vision?

Help please! is contact lens recommended for grade 25 blurry vision?

Need data: I am unfamiliar with the term "grade 25 blurry vision". Does this correspond to a spectacles correction? Or some other phenomenon? Please define this or elaborate. ...Read more

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Should a normal urgent care physician assistant or nurse practitioner tell the different between pink eye and uveitis?

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 more

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What eye pressure do doctors start patients on eye drops to prevent glaucoma?

What eye pressure do doctors start patients on eye drops to prevent glaucoma?

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 more

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Vision eye therapy at home, any good advice for someone pursuing this?

Vision eye therapy at home, any good advice for someone pursuing this?

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

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Do eye optometrists usually charge you for phone advice?

Do eye optometrists usually charge you for phone advice?

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 more

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Will alcohol make my wet macular degeneration worse? I'm going to an eye specialist (or ophthalmologist) soon, what should I expect?

Will alcohol make my wet macular degeneration worse? I'm going to an eye specialist (or ophthalmologist) soon, what should I expect?

Unlikely: There is no known association between wet macular degeneration worsening and alcohol. Please remember that too much alcohol is of course not healthy in any way, so enjoy in moderation. ...Read more

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What is multi coated lens eyeglasses? How to take care or clean multicoated lens eyeglasses?

What is multi coated lens eyeglasses? How to take care or clean multicoated lens eyeglasses?

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

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Woud you please discuss the cosmetic lenses eye doctors prescribe?

Woud you please discuss the cosmetic lenses eye doctors prescribe?

Many brands: There are many brands of cosmetic contact lenses. All require a prescription to purchase. ...Read more

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How do physicians keep your eye from moving during eye surgery?

How do physicians keep your eye from moving during eye surgery?

By using anesthesth: By using an anesthetic to paralyze the muscles that move the eye or by using numbing drops to keep the eye pain free and have the patient cooperate fixating on a specific target. ...Read more

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Do glasses can correct vision for an advance catarat ?

Do glasses can correct vision for an advance catarat ?

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 more

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At which eye pressure do doctors start patients on eye drops to prevent glaucoma?

At which eye pressure do doctors start patients on eye drops to prevent glaucoma?

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 more

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Are HealthTap doctors able to refill existing prescriptions when in-person primary care doctors are unavailable?

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

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How are preventive care services covered under the new health care reform law?

How are preventive care services covered under the new health care reform law?

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

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Mother w/glaucoma is having problem keeping eye pressure low & stabilized with eye drops and laser treatment. Why wouldn't treatment work?

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

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Please tell me, are contact lenses good for your eyes?

Please tell me, are contact lenses good for your eyes?

Contact lenses: Are a great way to correct your vision and are well tolerated most of the time. They can cause problems in some people, especially if they are sensitive to the contact lens material or if they don't take proper care of their lenses (i.e. Regular cleaning and disposal). ...Read more

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Doctor recommendation for eyelid surgery to reduce staring/under eye bags from thyroid eye disease.Can anyone recommend an eyelid surgeon? Thanks

Doctor recommendation for eyelid surgery to reduce staring/under eye bags from thyroid eye disease.Can anyone recommend an eyelid surgeon? Thanks

Depends on location : You should seek out an oculoplastic surgeon in your general region for this type of surgery. Some ENT surgeons and plastic surgeons can also do this type of work. Hopefully your thyroid problem is under control. ...Read more

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How can I best take care of eye floaters?

How can I best take care of eye floaters?

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 more

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Can a doctor refuse to honor advance directive?

Can a doctor refuse to honor advance directive?

No: I wouldn't think so providing it was done in right mind and with a witness. ...Read more