All About Styes

What is a Stye?

A stye is a painful swollen spot in the upper or lower eyelid, near the lash line.  The stye develops due to an infection in the eyelash follicles or oil glands at the lid margin.

The inflamed area may be tender to the touch.  It appears as a red bump, possibly with a yellowish spot where pus has collected, like a pimple. It can occur on both the upper and lower eyelid, and is common in both children and adults.  Styes develop gradually and sometimes go away on their own.

Home Care: What should I do if I feel a stye developing?

  1. Apply warm moist compresses 10 minutes 4 times a day.
  2. Keep your eyelids clean. Use warm water and baby shampoo on a cotton ball.
  3. STOP wearing eye makeup. Covering up a stye may slow your healing.
  4. Don’t wear contacts. Wear your glasses until the stye is gone.
  5. Wash your hands!  Keep your hands clean and don’t share washcloths or towels with others.
  6. Do NOT Squeeze! Styes should not be squeezed or punctured at home.
When should I see the doctor?

If the stye is painful, causes vision problems, or does not improve after a few days, call for an appointment. You may need medication to treat the infection. When in doubt, pick up the phone and give us a call.  We are always willing to discuss your symptoms and bring you in to the office if needed.

After your eye is healed, it is important to replace all of your eye makeup that has come in contact with your infected eye.  That includes eyeliner, mascara, concealer and eye pencils.

Is there any way to prevent a stye?

A stye develops due to a blocked pore, so it makes sense that keeping your eyelids clean is the best way to prevent styes. Don’t sleep in your makeup!  Take the time to remove ALL makeup before you go to bed each night.  Replace your eye makeup every six months, and don’t share it with others.

Cleanse your eyelids in the morning as well to keep the lid margins clear. The crusty discharge that accumulates overnight in the corners and on the lashes should be cleared away with the warm water and baby shampoo method.

To read more about keeping your eyes healthy…scroll through the Moran Eye Associates blog.  You’ll find helpful information on eye care from our doctors and staff.  

 

 

Your Vision After Cataract Surgery – Lens Choices

lens choicesWhen it is time for cataract surgery, you have choices to make that will determine your future vision.

During cataract surgery, Dr. Moran will remove the cloudy lens of your eye and replace it with a clear Intraocular Lens (IOL). Patients have the option to choose from different types of IOLs for their surgery.

While all the IOLs offer improved vision, there are some lens choices that offer additional features, such as astigmatism correction, and vision at fixed points of focus – near, intermediate and far vision. Dr. Moran will discuss these lens choices with you.  He will explain which option(s) are right for you, taking into consideration the health of your eye and your visual needs after surgery.

The chart below compares the features of the IOLs.  

The Basic lens offers 1 area of correction, and may be covered by your insurance. This lens offers clearer vision at one point of focus either distance or near.  For patients who don’t mind wearing glasses, this lens is a good option.

The Toric and ReSTOR lenses do more, so there is additional cost for these lenses. Insurance does not cover the cost of these lenses, since they are considered advanced technology lenses. These lenses are special order for you, so payment for these lenses is due one week prior to the surgery date.

The Toric lens corrects one point of focus, either distance or near, and corrects for astigmatism, which is an irregular shape of the cornea. Patients with a corneal astigmatism greater than 1.25 diopters are good candidates for this lens.

The ReSTOR lens offers multiple points of focus.  This lens is designed with concentric circles, each with a specific prescription power.  Your eye will be able to focus using the right power ring in the lens.  ReSTOR lenses are recommended for patients who have healthy eyes, and who are having surgery on both eyes done within a few weeks of each other.

More information about cataract surgery and your IOL choices will be discussed at your cataract evaluation appointment with Dr. Moran, and again with our surgery coordinator at your scheduling/measurement appointment.  We encourage all patients to check with their insurance company before their cataract surgery to find out specifics about what is covered under their plan.  Some plans have co-pays and deductibles that may affect the amount that the patient will have to pay.

Click to read more about Cataracts

Innovative Cornea Care

Corneal Therapy offers Successful Healing

Moran Eye Associates’ Dr. Bianca Tang recently used an innovative treatment to help a patient’s cornea heal faster and more effectively.  This treatment promotes healing using amniotic membranes suspended in a ring that sits on the eye like a contact lens.

The patient had been using prescription drop therapy over a period of months to help with a painful area of corneal thinning, but her eye wasn’t getting better. She was in pain, and and she was having cloudy vision. She was over 80 years old, and had other health issues that caused slower healing.

What did the patient think of the process?

“Dr. Tang recommended a new procedure that cured my cornea erosion issue. It was a stem cell lens that aided healing of the cornea. I now have my sight back in both eyes with no pain. Thank you so much for using this new procedure. It worked like a charm.”

The treatment Dr. Tang recommended was Prokera.  The amniotic membranes in Prokera are safe, promote new cell growth, and prevent the development of scar tissue. The membrane itself dissolves after one week, and the doctor removes the ring following treatment.

Dr. Tang’s response to the results.

“The outcome was even better than I could have imagined. The area of epithelial defect that covered almost a quarter of her cornea was completely resolved. The most rewarding part of this treatment is knowing that the patient was no longer in pain, and that her vision was much improved.”

Studies show that using amniotic membranes:

  • Reduces pain
  • Reduces inflammation
  • Reduces Scar Formation
  • Introduces essential factors for new cell growth

Whether managing disease, trauma, or post-operative care, healing of the ocular surface is essential to patients’ comfort and vision.

At Moran Eye Associates, our doctors offer excellent care that is personalized, innovative and effective. You can depend on us for all of your eye care needs for your entire family.

Eyes are the Windows to your Health

Your annual eye exam offers a look at more than just your vision.

view of dilated eye

You may have heard that the eyes are the windows to your soul, but did you know that they provide a look at your overall health as well.

Your dilated eye is an open window where blood vessels and nerves can be clearly seen. The view through the open pupil is a unique means of detecting health issues including:

  • Diabetes
  • Glaucoma
  • Hardening of the Arteries
  • High Blood Pressure
  • Macular Degeneration

Your eye doctor may be the first to alert you to developing health problems.The American Optometric Society reported that in just one year, over 250,000 patients were diagnosed with diabetes after their optometrists reported concerns. Early diagnosis and treatment are vital for the health and vision of diabetic patients.

Changes or fluctuation in your vision may also be an indicator of a larger health problem.  Report blurred vision to your eye doctor, it may be a sign of increased blood sugar levels and the need for medical treatment.

Uncontrolled diabetes can have severe consequences. Loss of vision due to diabetic retinopathy is a primary concern. Diabetes is the leading cause of blindness in people under the age of 74, so a regular schedule of dilated eye exams are important for diabetic patients. If you know someone who is diabetic,or has a family history of the disease, make sure that they are getting the eye care that they need.

Our goal is to keep you healthy!

Dr. Moran and Dr. Tang not only provide excellent vision care, they are essential partners for your general health and well-being.  If you are overdue for a vision exam, don’t delay. Call us to schedule your appointment, Monday through Friday from 8 am to 4 pm.

 

For a video of a dilated eye exam, click here National Eye Institute Dilated Eye Exam

Quick Q&A: Diabetes & Your Eyes

How does Diabetes affect your eyes?Diabetic eyes

Diabetes can cause damage to the blood vessels that supply the retina.  These damaged blood vessels may leak, swell or bleed causing problems with your vision. Diabetes can also increase the growth of cataracts, and increase your risk of glaucoma.  Changes in your blood sugar can cause blurriness in your vision, and fluctuations to your glasses prescription.

What is the best way to keep my eyes healthy?

Annual eye exams are important, because left untreated, diabetic retinopathy can worsen, and lead to blindness.  Patients with uncontrolled blood sugar are at a higher risk for problems, but even patients who control their diabetes can develop issues.

Are there warning signs of diabetic eye disease?

Whether you are diabetic or not, if you notice any changes to your vision, you should see your doctor as soon as possible.  If you notice a change in prescription, any cloudiness, blind spots or increased floaters in your vision, you should see your eye doctor.

Will controlling my blood sugar help my vision?

Yes. Swings in your blood sugar readings can cause changes to your vision.  High blood sugar can cause swelling in the eye, which can affect your vision.  If your blood sugar fluctuates, your vision will fluctuate too, and you may find that your glasses don’t work effectively.

Is there a way to treat diabetic retinopathy?

There are different options for treating diabetic retinopathy. Dr. Moran and Dr. Tang can discuss which options are best for your needs.  There laser treatments which target the damaged vessels, as well as medications which can help preserve your vision.

If you are Diabetic, Annual Vision Exams are a MUST!

Diabetics have special needs when it comes to taking care of their eyesight.  With a dilated exam, your doctor can detect and begin to treat diabetic eye disease before you notice any vision changes. Your annual exam allows our doctors to check for early onset cataracts and glaucoma.

If you (or someone you care about) has diabetes, make sure to connect with the trusted eye care team at Moran Eye Associates.
Call our office to schedule an appointment 610-628-2022.

 

Treating Cataracts & Glaucoma Together!

The iStent Inject: This procedure, done during your cataract surgery, may eliminate the need for daily glaucoma drops!

Dr. Mark Moran is now offering Micro-Invasive Glaucoma Surgery (MIGS) with the iStent Inject.  This option is currently available for glaucoma patients who are having cataract surgery.

Clinical studies have shown significant decrease in eye pressure in mild-to-moderate glaucoma with this implant. The iStent Inject is the smallest medical device known to be implanted in the human body. The picture to the right shows the actual iStent as a tiny speck on the face of a penny!

If using drops to control your glaucoma poses problems for you, this procedure may be a great alternative.  Ask yourself if you have these issues with your glaucoma medication:

  • Do you have problems putting drops in your eyes?
  • Do you forget to use your drops as prescribed?
  • Do you have financial concerns with the cost of prescription drops?

How the iStent works: During cataract surgery, Dr. Moran inserts these tiny stents to create two openings between the front part of the eye and the eye’s natural drainage pathway. This improved flow decreases the pressure in the eye.

The iStent Inject procedure is painless, and is approved by the FDA. You won’t be able to see or feel these microscopic devices. They are so small that you won’t have to worry about going through an airport metal detector or having an MRI.

This combined cataract/stent procedure does not significantly increase the amount of time that you will spend in the operating room.  The recovery time from this procedure is the same as with cataract surgery alone.

Dr. Moran explains the results: “I’ve seen a decrease in pressure in the patients who have had the stents inserted. Many have stopped using their drops altogether. We remind patients that this stent procedure is a treatment, NOT a cure for glaucoma. You still need to follow up with regular appointments to monitor your glaucoma, and maintain the health of your eyes.”

If you have questions about glaucoma, cataracts, or any other vision concern, call to make an appointment at 610-628-2022.  Dr. Moran and Dr. Tang would be happy to review your history and discuss if this procedure is right for you.

Another Staff Certification Achievement!

The certificate has arrived, so now it is official!

 

Bobbi Spain has received her COA designation from the International Joint Commission on Allied Health Personnel in Ophthalmology (JCAPHO). Bobbi is our surgical coordinator, who works with LASIK and cataract patients. She was surprised to see that the package from JCAPHO also included an official COA card, pin and patch!

The Certified Ophthalmic Assistant (COA) is a core designation for eye care professionals. Along with hours spent under the teaching and supervision of an Ophthalmologist, COA applicants must complete an independent study course. The COA exam is three hours in length.  It is comprised of 200 scored multiple-choice questions in 19 specific content areas including:

  • Microbiology
  • Surgical Assisting
  • Ophthalmic Imaging
  • Patient services and education
  • Medical ethics, legal and regulatory issues.

To provide the best care for our patients, the staff at Moran Eye Associates makes learning a priority.  Every member of the team takes part in monthly compliance training, as well as taking on additional programs of study in general ophthalmology, low vision, dry eye management, regulations and billing.  They also attend industry conferences each year to keep up with advances in technology and and patient care.

In 2017, Mandy, Beth and Dr. Moran attended the American Academy of Ophthalmology (AAO) conference in New Orleans. In April of this year, Bobbi and Cindy accompanied Dr. Moran to the American Society of Cataract and Refractive Surgeons (ASCRS) in Washington, D.C.

Bobbi joins Mandy and Cindy, who already have their COA certificates on display.  Mandy received her COA in 2017.  Cindy has been a COA since 2004.  In order to maintain certification, a total of 18 credits in continuing education must be completed every three years. Eighteen credits is an easy to complete at Moran Eye Associates, where continuing education plays a key role in our success!

 

Providing Education to Doctors

Dr. Moran leads continuing education session on new technology and treatments.

This past month, Moran Eye Associates held an educational event for local optometrists in the Lehigh Valley. Dr. Moran presented two lectures one on dry eye heat therapy, and the other on laser treatment for floaters.  These sessions  were approved by the Council on Optometric Practitioner Education (COPE) for continuing education credits for the doctors whoattended.

During the lecture, our visiting doctors enjoyed a Summery spread of barbecue, salad, and snacks while listening to Dr. Moran’s lectures. Everyone in the office pitched in to make this homemade buffet. Beth made her famous barbecue (the secret is bacon!), Dr. Tang provided a chocolate fountain, Cindy brought her mom’s special recipe potato salad, Bobbi made the tossed salad, Mandy made the drinks and decorated the office for the occasion.

Buffet bbqDessert table

 

Back to the topic at hand! Dr. Moran explained the advantages and benefits of the novel treatments we offer in the office: “Dry eye treatment has become more sophisticated as the tools for analyzing tear film have developed. Now that we can image the tear film and the oil producing glands in the eye, we can more accurately diagnose the cause of dry eye. A more accurate diagnosis allows for more effective treatment.”

Until recently, doctors had limited options to offer their patients who experienced discomfort from dry eye, or whose vision was obstructed by bothersome floaters. Moran Eye Associates has been successfully implementing these new treatment options for the past six months with great feedback from our patients!

“I feel that I had an extremely positive experience with the laser surgery on both eyes performed by Dr.Moran. I would recommend it highly.”  Trudy S.

After the lecture, each optometrist had the opportunity to experience the heat therapy firsthand. They relaxed in our comfortable heat therapy room for 15-minutes, which is the same treatment that we provide our patients.

The heat therapy treatment works by targeting the Meibomian glands in the lids. Our lids are lined with small Meibomian glands that secrete oil, which is an integral component of our tears. The oil prevents our tears from evaporating too quickly. Oftentimes, the glands become clogged, and the lack of oil flow leads to dryness, discomfort, and blurred vision. The focused heat treatment helps to improve the flow of oils. After the treatment, either Dr. Moran or Dr. Tang will help to further improve oil flow by manually manipulating the glands.

After a 15-minute heat therapy treatment, they could see (and feel!) how this process improved the quality of their tear film. Dr. Dan Klinger, who practices in Schnecksville, remarked “The treatment was soothing and comfortable. I could feel the difference after just one session.”

Treating Eye Floaters

Dr. Moran showed a video that showed the YAG laser in action as it targeted floaters. This painless treatment uses laser energy to transform the solid floater into a gas bubble, which then dissolves on its own. Moran Eye Associates is one of a few practices in the area that offers this unique in-office treatment.

Educating patients and professionals is key to offering the best care to our patients.  If you have any questions about Heat Therapy Treatment or  Laser Floater Treatment , contact our office for more information or to schedule an appointment.

 

 

 

 

 

Solve Your Glare Problems!

Cocoons Fit-Over Eyewear

Moran Eye Associates now offers Cocoons Eyewear, our doctors’ choice for professional-grade fitover sunglasses.  Designed specifically to fit over your prescription glasses, these lightweight sunglasses come in a variety of tints, styles and sizes to fit your vision needs. Stop in our office to see for yourself!

The unique design of Cocoons isolates your eyes from the elements, keeping you free from glare, harmful UV rays, and fluctuating light conditions.  These lenses and the frames work together to keep your eyes protected.

Eliminates glare for people with normal vision and low vision.

These polarized glasses offer UV400 protection, scratch resistant technology, and a one-year warranty. If glare is a problem, polarized lenses provide a significant reduction in glare compared to regular tinted sunglasses. Most sunglasses sold at the store are not polarized unless specifically indicated.

Cocoons are designed to reduce glare and to enhance vision. The specialized color options were developed to  target different issues. We recommend that you try on the different lens types to see what works best for you.

  • Gray: for natural color definition and general daily use. Reduces light sensitivity while eliminating reflected surface glare.
  • Amber: filters scattered blue light to increase contrast and provide improved depth perception in varying lights conditions. Amber is the preferred color for driving.
  • Copper: filters scattered blue light and minimizes color distortion to deliver enhanced contrast and color definition
  • Yellow: ideal for low light conditions.  Maximizes contrast for improved definition and depth perception while eliminating glare. Best in dusk and dawn light, but not the best option for general daily use.
  • Blue Mirror: maximizes glare elimination and filters additional blue light for improved contrast while delivering true color definition.
Recommended for Nighttime Driving – Twilight Lenses

Nighttime driving has unique vision issues, due to glare from headlights and reduced available light. Cocoons have developed a special Twilight lens that Dr. Tang recommends. These specialty Twilight lenses help to solve night driving issues because of their anti-reflective coating.

Dr. Tang explains the benefits of the Twilight lenses, “The key to better nighttime vision is anti-reflective coating.  Although yellow and amber lenses help with contrast and clarity, they reduce the available light, which can make it hard to see well when you are driving. You have to balance the benefit of increased contrast with the reduction in brightness. Polarized lenses work well in the natural daylight, but don’t help with artificial lights from headlights and streetlights at night. Additionally, polarized lenses cut out 50% of light, which is counterproductive in the dark.”

The Twilight lens system blocks 100% of harmful UV light and 60% or more of harmful High Energy Visible (HEV) blue light while providing 93% overall visible light transmission. The unique filtering properties of these HEV filters effectively reduce scattered blue light and improve contrast without compromising overall light transmission. The lens system is protected by a one-year scratch resistance warranty and includes an anti-reflective coating to minimize glare and halos created by artificial light sources.

Help for patients who have heightened photophobia (light sensitivity).

Low-vision patients may benefit from a different colored tints to give them the best acuity.  Dr. Bianca Tang explains, “Sometimes, the tint correlates with specific medical conditions, but most of the time, it is a matter of personal preference. All of these lenses reduce glare and heighten contrast, which is important for low-vision patients.”  Additional color options include.

  • Boysenberry (pink): reduces glare and heightens contrast. Blocks 90% of blue light.
  • Hazelnut (brown:) reduces glare and heightens contrast. Blocks 98% of blue light.
  • Orange: enhances contrast by intensifying the background to improve object definition and clarity. Blocks 100% of blue light.
  • Lemon (yellow): enhances contrast and visual acuity in low light conditions. Blocks 40% of blue light.

Whatever your vision needs, we can help you to see your best.  We offer the latest technology to help keep your eyes healthy and to protect your vision for years to come.

Call or text us at 610-628-2022 for more information on enhancing your vision. If you’d like to schedule a visit, just click to request an appointment.