What will replace LASIK? Keraflex?

January 19th, 2010

Ok, so every day a few patients ask me about what is new in lasik. These are exciting times as the technology is changing and here comes Avedro’s Keraflex procedure. It is a form of C3-R better known as Corneal Collagen Cross linking with Riboflavin (yes the vitamin!) which has been performed for some time.

The amazing thing is that this is an alternative to LASIK, and one for those who would never consider surgery. The Keraflex procedure is not surgery. As per the website “it is a non-incisional, non-invasive procedure currently under clinical study for the correction of myopia and the treatment of keratoconus“. This is very cool since it does not cut the eye or remove any eye tissue hence minimizing the risk of complications or surgical induced errors.

You can see the procedure performed here. KeraFlex video

There is more information in their website: www.Avedro.com

Computer Strain

January 18th, 2010

Computer Users: 11 Suggestions

With so many people using computers at work, eyestrain has become one of the leading office-related health complaints.

Experts estimate between 50% and 90% of computer users experience some degree of eyestrain or other symptoms  during their work day. Studies show eye strain and CVS (computer Vision Syndrome) often cause fatigue, decreased productivity and more worker errors.

So what can you do about it? Here are steps I suggest you (and your employer) can take to reduce computer eye strain and the other common symptoms:

1. Get an eye exam.

Ok, so this might sound self serving but it is true! Make sure your prescription is up to date! According to the National Institute of Occupational Safety and Health (NIOSH), computer users should have an eye exam once yearly. Be sure to tell your eye doctor how often you use a computer at work and at home.

2. Use proper lighting.

Computer eyestrain is often caused by excessively bright ambient lighting - either from outdoor sunlight coming in through a window or from harsh interior lighting. If possible, position your monitor so that windows are to the side of it, instead of in front or back. Adjust window blinds to reduce the amount of sunlight entering your workstation.

3. Minimize glare.

Glare from walls and finished surfaces as well as reflections on the computer screen can also cause computer eyestrain.  Make sure that your glasses have an anti-reflective (AR) coating applied to your lenses. AR coatings  help reduce glare by minimizing the amount of light reflected off the front and back surfaces of your lenses.

4. Adjust the brightness and contrast of your computer screen.

One little secret from an IBM employee many years ago was to adjust the display settings on your computer monitor so the brightness of the screen is about the same as your work environment.

As a test, try looking at the white background of this web page. If it looks like a light source, it’s too bright. If it seems dull and gray, it may be too dark.

5. Blink, Blink, Blink more often.

Blinking is very important - it re establishes the tear film keeping your eye moist and wets your eyes to keep them comfortable and clear.

Studies show that, during periods of concentration such as reading and computer use, most people blink less . This  will greatly increase the evaporation rate of the tears and increase the risk for eye irritation.

I suggest you keep a bottle of artificial tears at your workplace (we would be happy for you to stop over by the office and we will supply a sample at no cost) and use them to moisten your eyes o2 to 3 times during he day.

6. Upgrade your display.

Most workplaces that I have seen do have the newer LCD screens. These are easier on the eyes and usually have an anti-reflective surface. When choosing a new display, select a screen with the highest resolution possible. Resolution is related to the “dot pitch” of the display. Make it easy on your eyes, a displays with a lower dot pitch have sharper images., I would suggest a display with a dot pitch of .28 mm or smaller. For a desktop computer, select a comfortable size display that has a diagonal screen size of at least 19 inches.

 7. Re Focus on your work and your eyes.

Focusing fatigue is another cause of computer eyestrain. Research suggest that it is harder for our eyes to maintain focus on computer-generated images than on printed images in a book or magazine.

To reduce focusing fatigue, look away from your screen or monitor every 20 to 30 minutes and gaze at a distant object across the room. Looking far away relaxes the focusing muscles (ciliary muscle) inside your eyes, reducing focusing fatigue.

8. Take frequent breaks, yeah water cooler!

Take short breaks from your computer work throughout the day. Stand up, walk away from your work station and stretch your arms, legs, back, neck and shoulders. This will reduce your risk for eye strain as well as neck, back and shoulder pain and discomfort.

A recent NIOSH study suggested computer workers experienced less discomfort if they took four additional “mini breaks” during the day. In the same study, these supplementary breaks did not reduce productivity.

9. Modify your workstation.

Looking back and forth between a printed page and your computer screen (as during data entry tasks), can also cause eyestrain. To improve comfort, place the print material on a copy stand adjacent to your screen or monitor. If necessary, use a desk lamp to illuminate the print material, but remember not to glare the light off so that it doesn’t shine into your eyes or onto the computer screen.

10. Your mom told you to Sit up Straight!

Improper posture during computer work also contributes to CVS as well as back and neck pain. Adjust your workstation and chair to a comfortable height. It is suggested your feet lay flat on the floor in front of you and your arms have a comfortable bend.

I would suggest you adjust your chair and computer so your screen is between 20 to 24 inches from your eyes and slightly below eye level so you can view it comfortably. If you use bifocals this will also make the vision throw the progressive better.  This will also keep your head and neck in a natural position.

11. Consider computer eye glasses.

For comfort and best performance at your computer, you may benefit from having an eyeglasses prescription just for your computer work. This is also helpful if you normally wear contact lenses, that can become dry and uncomfortable during  a day of  computer work. Computer glasses are also a good alternative if you normally wear eyeglasses with bifocal or progressive lenses. Keep in mind we can prescribe specially designed computer prescription to give you the best possible vision.

If you have any questions, feel free to contact our office!

Glucose meters, from sweet tooth to bluetooth

December 22nd, 2009

USB and bluetooth technology feature heavily in two new handheld glucose meters for patients with diabetes!

Bayer’s CONTOUR USB provides on the spot analysis of blood samples using simple test strips. It can also be plugged directly into a computer for storage and further analysis of blood sugar levels. It is the first meter to connect directly to a PC or Mac using USB technology. This is very cool since the patient can analyse glucose levels using a variety of charts and can be printed or emailed to their doctor.

The MyGlucoHealth Meter  allows users to transmit their glucose data over short distances to their computer without cables. This one using bluetooth technology, patients can also send the data to their mobile phone. Myglucohealth also enables patients to upload their information from both phone or computer to a web site where they can sort and track the blood sugar levels according to criteria including meals, exercise and time of day. Physicians can be automatically updated on their patients and may be involved if results require a physician’s attention.