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.

Complete Eye Care

A patient asked the other day, “Do you do regular eye exams?” 

Of course we do!  At Moran Eye Associates we offer Complete Eye Care, which includes Vision, Medical and Surgical services.

VISION:  We accept VSP & NVA 

  • Routine Eye Exams
  • Contact Lenses: Traditional & Specialty Lenses

MEDICAL: We accept most medical insurances

  • Diabetic Eye Care: Diabetic Retinopathy
  • Glaucoma Care: Medical and Surgical Treatment Options
  • Macular Degeneration
  • Dry Eye Treatment: Diagnostic Services & Thermal Therapy
  • Eye Emergencies
  • Infection/Inflammation
  • Low Vision Services

SURGICAL: Dr. Moran does surgery at the Surgery Center of Allentown, Sightpath LASIK Center in Bethlehem, as well as some procedures in our Delaware Avenue office

  • Cataracts
  • LASIK
  • PRK
  • Laser Floater Removal
  • Glaucoma Eye Surgery
  • Foreign Body Removal
  • Eye Lid Surgery

Please contact our office if you need an appointment for your eye care. Call or text us at 610-628-2022, or send us an email by filling out the form on the right!

 

 

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.

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.

 

 

 

 

 

What do Cataracts and M&Ms Have in Common?

The Cataract-M&M Connection!

Peanut M&M cross-section

If you know Dr. Moran, you know that he is an expert at making analogies to better explain vision and visual issues to our patients.  One of our favorite examples is how he explains what happens during cataract surgery.

 

Yes, that’s where the Peanut M&M comes in!

Dr. Moran explains that a mature cataract is like a peanut M&M. It has 3 major parts: capsule, cortex and nucleus.

  1. The capsule = candy coating.
  2. The cortex = chocolate.
  3. The nucleus = the peanut inside!

During cataract surgery, Dr. Moran will remove the nucleus and cortex (peanut & chocolate), while leaving

the capsule (the candy shell) in place.

After the cortex and the cataract are removed, he will insert a new lens in its place. This new intraocular lens (IOL) has a prescription in it, just like the lenses in your eyeglasses have a prescription in them.

After Cataract Surgery

Many patients tell us that they have the best vision of their lives following cataract surgery! They see more clearly and colors seem more vibrant.  Depending on the type of lens implant that they choose, they may not need to wear glasses at all!

If you, or someone you know, has noticed a change in their vision, come in for a cataract evaluation with Dr. Moran. He will dilate your eyes to see if cataracts are developing, and he will let you know if you are ready to have your cataracts removed.

Click here for more information about Cataracts.

 

 

 

 

 

Continuing to Learn and Innovate

Rooftop viewEducational Excursion 

Dr. Moran, Bobbi, and Cindy attended the ASCRS (American Society of Cataract and Refractive Surgeons) Conference in our nation’s capital, Washington, DC. The conference ran over a “long” April weekend and presented a great opportunity to learn more about the diagnosis and treatment of cataracts and glaucoma, as well as vision correction procedures like LASIK.

 

The ASCRS Conference a great way to learn.

“Ongoing education is a priority not only for physicians.  It is important for every member of our team to be up-to-date on innovations and technology now available to offer the best eye care.  While at this conference, we were able to learn from industry experts on ways to more effectively care for our patients.  It was also a chance to share what we do at Moran Eye Associates,”  Dr. Moran explains.

Information sessions at the conference included new treatment techniques to manage dry eye, cataract surgery case studies, and advances in pre-surgical measurements.  There was much to learn in classes and from networking and exchanging ideas with other professionals there.  They were able to talk about how our new in-office procedures for floaters and dry eye are helping our patients see more clearly.

Cindy uses Virtual Reality to LearnNew Ways to Learn

In addition to the formal educational sessions, there were also many opportunities for hands-on learning.

Using Virtual Reality, Bobbi & Cindy were able to have a 360-degree view inside the eye.  They were able to witness how the eye is affected by glaucoma, macular degeneration, and cataracts.  They agreed it was a little disorienting to be “floating” around inside an eye, but it was a memorable experience to see detailed images of changes to retina, vitreous and lens.

We look forward to using the knowledge gained to improve the care of our patients. After a busy and productive few days away, it is back to the office!

Bianca Tang, O.D. Joins Moran Eye Associates

Bianca Tang, O.D. Joins Moran Eye Associates

Dr. Mark Moran is pleased to announce the addition of Bianca Tang, O.D. to the staff of Moran Eye Associates, P.C.  Dr. Tang, a native of the Lehigh Valley, joined the practice on March 1, 2018.

“Since we opened Moran Eye Associates in April of 2017, we have experienced steady growth,” Dr. Moran explains. “We’ve seen the need for additional services for low-vision patients.  When I met Dr. Tang, it was clear that she shared our vision of providing excellent service and care to our patients. Dr. Tangs’s impressive resume and work experience made her the right choice for this practice.”

Dr. Tang is a Summa cum laude graduate of Pennsylvania College of Optometry at Salus University.  She earned her undergraduate degree, also Summa cum laude, in Biological Sciences and Health Professions at Penn State University.  She was part of the Schreyer Honors College and was Phi Beta Kappa there.

Her clinical experience includes working with patients with low vision, prescribing low vision devices and rehabilitation techniques.  She was part of a team of occupational therapists and social workers providing device training, orientation and mobility training, as well as daily living services at The Eye Institute in Philadelphia. While working there, she developed a special interest in working with visually impaired children with special needs. She interned at the VA Medical Center in New Jersey, and Albert Einstein Medical Center in Philadelphia.

“I am thrilled to be joining the talented team led by Dr. Moran. I look forward to caring for the eye health of the community where I grew up. I am excited to bring my passions for low vision and medical optometry close to home.”

At Moran Eye Associates, Dr. Tang will focus on low-vision patients, as well as specialty lens fittings for contact lens patients.  She looks forward to working with pediatric patients as well.

To schedule an appointment with Dr. Tang, please call or text our office at 610-628-2022.  To learn more about the care and services offered at our office in Bethlehem, visit our website at www.MoranEyeAssociates.com

An Eye Drop Reminder for your Smartphone

To help maintain your great vision after LASIK, the use of eye drops is key.  A patient recently shared a smartphone alarm app with us that reminds you to use your eye drops regularly!

LASIK surgery is a high-tech procedure that improves your vision in about 20 minutes.  The laser application itself takes just seconds.   

drop information But LASIK is much more than just a quick LASER treatment to the eye. Pre-Operatively, there are multiple exams, measurements, interviews, and calculations.

The Post-Operative period is also important to a successful, stable outcome.   We consider the postoperative period to be ONE YEAR.  

During this year, Dr. Moran highly recommends that patients use a rigorous schedule of artificial tears.  Patients who follow this post-op protocol, do better, heal faster, and have less chance of their vision changing for the worse.

Using eye drops after surgery does a number of things:

  • Prevents Infection
  • Decreases Inflammation
  • Provides Added Moisture
  • Aids in Healing

Remembering to take your drops the first week is easy.

Seeing without glasses or contacts is an amazing change.  Patients are enthusiastic and stay on top of their drop schedule.  As more time passes, patients may not think about their new vision as much.  Although the newness of the better vision wears off,  the need for drops doesn’t!

Studies have shone that your eyes may need supplemental moisture for more than three months after the surgery.  Even though the eyes don’t feel dry, they need the added moisture to maintain quality tear film and to provide the best visual result.  

The Eye Drop Alarm smartphone app is a great way to help you keep up with your drop schedule: 

Eye Drop Alarm LogoA patient recently showed us an iPhone app he downloaded (iPhone only at this point, sorry Android users.) The app is free for download, well written, easy to use and comprehensive.  

The full description can be found at  http://www.eyedropalarm.com/  The app is free and requires no login or personal information. It has a full database of eye drops, even those used for other eye problems like glaucoma.

Eye Drop Alarm FeaturesThe features are useful and extensive. As seen in the illustration, this app also indicates if the drops need any special instructions, for example, the FML should be shaken before use.  Using multiple drops requires you to wait five minutes between each different drop so that the eye can absorb each medicine…the app automatically schedules each drop 5 minutes apart!

If you have an iPhone and have to take drops, we highly recommend EyeDropAlarm. You can download the app by scanning this QR code or through iTunes.