Dr. Grossman’s Blog

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A new clinical trial seeks to find alternative ways to treat glaucoma, specifically investigating how to help those who’ve been told that no more can be done.  This trial is operating under the hyopothesis that “state-of-the-art low vision aids in patients with advanced glaucomatous visual loss will provide an improvement in visual tasks and thereby an improvement in quality of life.”  Researchers want to study how low vision rehabilitation can help those suffering from glaucoma.  Source: http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01262209

We believe that is is possible to both prevent and treat glaucoma naturally.  Visit our website for tips and information on dealing with glaucoma.

Hemianopia is a blindness in one half of the visual field due to damage of the optic pathways in the brain. This damage can result from brain injuries caused by stroke, tumor or trauma.  A patient with hemianopia may be unaware of what he or she cannot see and may frequently bump into walls, trip over objects or walk into people on the side in which the visual field is missing.

Prism eyeglasses were invented by Dr. Eli Peli of the Schepens Eye Research Institute, an affiliate of Harvard Medical School, to assist patients with hemianopia.  Dr. Peli attached small high power prisms on the top and bottom of one spectacle lens, leaving the center of the lens untouched. The prisms pull in images missing from the visual field above and below the line of sight on the side of the vision loss.  The prisms alert the patient to the presence of a potential obstacle, so that the patient can then move his/her head and eyes to examine the prism-captured image directly through the clear center of the lens.

In the trial, 32 of 43 participants (74%) who were fitted with prism glasses continued wearing the glasses at week six; at 12 months, 20 (47%) were still wearing the spectacles eight hours daily and rating them as “very helpful” for obstacle avoidance.

A larger study is currently underway to evaluate a newer model of the eyeglasses. 

SOURCE: “Community-Based Trial of a Peripheral Prism Visual Field Expansion Device for Hemianopia”, Bowers, et al, Archives of Ophthalmology, 2008, vol. 126, no5, pp. 657-664.

Regular Eye Exams are Vital for Driver Safety

11 million Americans with could be driving with uncorrected vision problems. Depending on where those drivers live, their last DMV-required vision screening could have been eighteen years ago; some may never have had one at all, according to a report by the Vision Council of America (VCA). 

“Our already crowded roads are made that much more dangerous by drivers with uncorrected vision problems getting behind the wheel,” said Ed Greene, VCA chief executive officer. “Since 85 percent of the information needed for safe driving is visual, regular eye exams are an important part of driver safety.”

The VCA report “Keeping Our Eyes on the Road,” reviewed vision screening laws and found them to be inconsistent. While some states require vision screenings every time drivers renew their licenses, other drivers may go as long as 18 years before they are required to have their vision re-checked. Nine states require no vision screening at all for license renewal. In the absence of standards for vision screenings, drivers must be responsible for maintaining good vision.

“We rely on our eyes every time we step into a car; especially our peripheral vision, depth perception and focusing skills,” said Greene.  “This link between vision and driving makes it essential for motorists to take steps to maintain healthy vision, just as they take other safety precautions on the road.”

“People often don’t notice gradual changes in their vision which, over time, can impede their ability to drive safely,” said ophthalmologist Elaine G. Hathaway, M.D. “Checking your eyes is important not only to determine proper vision correction, but also to detect cataracts and sight-threatening diseases such as glaucoma and macular degeneration so they can be properly treated.”

VCA suggests the following tips to help drivers stay safe on the roads:

• Take breaks when driving long distances to reduce eye strain and fatigue
• Use sunglasses with at least 99 percent UV protection when appropriate
• Investigate anti-reflective or polarized lenses to allow more light to enter the eye and to minimize glare
• Keep headlights, taillights and windshield (both inside and outside) clean
• Receive regular eye exams by an eye care professional to ensure that your eyes stay healthy and your prescription remains current

Regardless of what your state requires, VCA recommends that drivers receive a regular comprehensive eye exam by an eye care professional to maintain healthy vision.  With regular vision care, drivers can prevent poor sight from putting themselves and their loved ones at risk on the road.

SOURCE:  Vision Council of America, Keeping Our Eyes on the Road, November 19, 2007.

NATIONAL EYE INSTITUTE (NEI) SURVEY: Most Americans do not know the risks and warning signs of diseases that could cause blindness without timely detection and treatment, according to recent findings of the Survey of Public Knowledge, Attitudes, and Practices Related to Eye Health and Disease, sponsored by the National Eye Institute and the Lions Clubs International Foundation.

More than 3,000 adults were selected randomly to participate in a national telephone survey conducted between October 2005 and January 2006. Seventy-one percent of respondents reported that a loss of their eyesight would rate as a 10 on a scale of 1 to 10 (meaning that it would have the greatest impact on their day-to-day life); however, only eight percent knew that there are no early warning signs of glaucoma.

Fifty-one percent were aware that people with diabetes are at increased risk of developing eye disease, but only 11 percent knew that there are usually no early warning signs of diabetes-associated eye disease. Only 16 percent had ever heard the term “low vision.” Hispanic respondents reported the lowest access to eye health information and knew the least about eye health; they were also the least likely to have their eyes examined among all racial/ethnic groups in the survey.

NEI plans to use the survey results to raise public awareness of eye disease and the importance of early detection and treatment; it will also expand its educational outreach to Hispanics and increase its efforts to educate healthcare providers on how to communicate with patients about preserving and protecting their vision.