ophthalmology Archives

What is Optic Neuritis?

Posted on May 17, 2023 by Jacob Lobosco

Optic neuritis is inflammation of the optic nerve, which transmits visual signals from the eye to the brain. This inflammation causes damage to the myelin (an insulating sheath that covers the nerve and helps transmit these signals), leading to symptoms such as eye pain, temporary vision loss in one eye, a decreased ability to perceive colors vividly, and flashing or flickering lights.

Optic neuritis can be one of the first indicators of multiple sclerosis, a condition that can also cause inflammation in the optic nerve as well as the brain. Your lifetime risk of developing multiple sclerosis is roughly 50% after a single episode of optic neuritis; this risk is higher in people with lesions on their brain, which may appear on a magnetic resonance imaging (MRI) scan.

Other conditions are also frequently associated with optic neuritis. These include neuromyelitis optica (a condition that causes more severe inflammation in the optic nerve and spinal cord than multiple sclerosis), myelin oligodendrocyte glycoprotein (MOG) antibody disorder (which also causes inflammation in the optic nerve, spinal cord, or brain), bacterial infections, viruses, sarcoidosis, Behcet’s disease, and lupus. Certain substances, such as methanol and ethambutol, are also associated with optic neuritis.

It is rare for symptoms such as vision loss or reduced color perception to be permanent after an episode of optic neuritis. Although most people will regain most or all of their normal vision, some degree of permanent optic nerve damage is also common.

An ophthalmologist can diagnose optic neuritis based on a variety of tests, including:

A standard eye exam
An ophthalmoscopy
A pupillary light reaction test
An optical coherence tomography (OCT)
A visual field test
A visual evoked response test

In addition to these exams, you may require other diagnostic procedures such as an MRI scan or a blood test to check for other potential indicators of optic neuritis. Your doctor may refer you to other specialists or locations for these tests.

You can receive a diagnosis or treatment for optic neuritis at Jamaica Hospital Medical Center’s Department of Ophthalmology. To schedule an appointment, please call (718) 206-5900.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Low Vision Awareness Month: What is Age-Related Macular Degeneration?

Posted on February 1, 2023 by Jacob Lobosco

According to the American Academy of Ophthalmology, nearly three million Americans suffer from low vision, a visual impairment that cannot be corrected through medical treatments such as surgery, medication, or specialized eyewear. Low vision is most common among people aged 40 years and older.

One of the most common causes of low vision (and the leading cause of vision loss in people aged 50 and older) is age-related macular degeneration (AMD), which impairs a person’s central vision and interferes with tasks such as reading or driving. Your risk of developing this condition increases as you age, but this risk may be higher for people who have a family history of AMD, are Caucasian, or smoke.

This condition can occur as either “dry” (also known as “atrophic”) AMD or “wet” (also known as “advanced neovascular”) AMD. The majority of AMD cases involve dry AMD, which occurs in three stages: early, intermediate, and late.

Early dry AMD usually doesn’t involve any obvious symptoms, but during the intermediate stage, you may experience mild blurry vision or difficulties seeing in low lighting. Late AMD may cause symptoms such as straight lines appearing crooked, increased blurry vision, greater difficulty seeing in low lighting, colors appearing less bright, and visual blank spots.

There are no specific treatments available for the early stage of dry AMD, but during its intermediate and late stages, special dietary supplements may be able to slow or halt the progression of the disease. These supplements contain:

Vitamins C (500 milligrams)
Vitamin E (400 International Units)
Copper (2 milligrams)
Zinc (80 milligrams)
Beta-carotene
Lutein (10 milligrams)
Zeaxanthin (2 milligrams)

Wet AMD is a form of late-stage AMD that progresses quickly as abnormal blood vessels grow in the back of the eye, damaging the macula. It always begins as dry AMD and can occur during any stage of the condition. Unlike late-stage dry AMD, however, it can be treated through anti–vascular endothelial growth factor drugs or through photodynamic therapy (PDT), which combines injectable medications with laser treatments.

If you’re experiencing symptoms of dry or wet AMD, schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Center now by calling (718) 206-5900.

National Glaucoma Awareness Month

Posted on January 4, 2023 by Jacob Lobosco

Glaucoma is an eye condition that causes damage to your optic nerve, which transmits signals from your eye to your brain and allows you to see. This causes blind spots in your vision to develop over time.

Glaucoma often occurs due to increased pressure in the eye, which is itself typically caused by a buildup of fluid in the eye. However, it can still develop in an eye with normal pressure.

Glaucoma is also one of the most common causes of blindness for people over the age of 60, but it can occur at any age. Other risk factors for this disease include:

A family history of glaucoma
Eye injuries
Chronic medical conditions such as diabetes, high blood pressure, or sickle cell anemia
Extended use of corticosteroids
Extreme nearsightedness or farsightedness

Glaucoma encompasses several different conditions that present varying symptoms, making it potentially challenging to identify. Additionally, many forms of glaucoma, such as open-angle and normal-tension glaucoma, may not present any symptoms in their early stages. Forms of glaucoma include:

Open-angle glaucoma
Acute angle-closure glaucoma
Normal-tension glaucoma
Pigmentary glaucoma
Pediatric glaucoma

There is no cure for glaucoma. However, there are steps you can take to reduce your risk of developing it. The first is to regularly visit an ophthalmologist for eye exams, including a comprehensive dilated eye exam by the age of 40. The second is to maintain an overall healthy lifestyle by maintaining a healthy weight, blood pressure, and physical activity level.

You can schedule an appointment with an ophthalmologist for glaucoma diagnosis or treatment at Jamaica Hospital Medical Center’s Ophthalmology Department by calling (718) 206-5900.

Jamaica Hospital Opens New, State-Of-The-Art Pediatric Eye Center

Posted on December 15, 2022 by Jamaica Hospital Medical Center

Earlier today, Jamaica Hospital Medical Center hosted a ribbon-cutting ceremony to celebrate the opening of its new pediatric ophthalmology center. Construction of the state-of-the-art facility and the purchase of equipment was made possible thanks to a generous donation of $1 million from Maspeth Federal Savings, one of New York City’s strongest community banks.

Maspeth Federal Savings has been working with Jamaica Hospital throughout the pandemic and has provided mission-critical equipment and supporting donations. Today, the organization is the sole donor to the pediatric ophthalmology center, which addresses an urgent need in the local area.

“As a community bank, it’s incredibly important to us that the people and facilities in our community have the resources they need to do what they do best; in this case, providing care that our children desperately need,” said Thomas Rudzewick, President and CEO of Maspeth Federal Savings.

Jamaica Hospital provides quality healthcare to an underserved community, including much-needed vision services to children who have limited access to comprehensive ophthalmologic care. By creating a dedicated ophthalmology center for children, the hospital aims to address the lack of access to care and other healthcare disparities that impact its community.

The need for a comprehensive pediatric ophthalmology service is reflected in current statistics. The Centers for Disease Control and Prevention reports that one in four preschool-aged children and approximately 6.8% of children younger than 18 years of age in the United States has undiagnosed or untreated vision problems. These numbers are amplified in communities that encounter disparities in receiving optimal healthcare. Children who reside in underserved communities are found to be at nearly twice the risk for developing eye disorders compared to children living in neighborhoods that are supplied with sufficient health services.

The Maspeth Federal Savings Pediatric Ophthalmology Center at Jamaica Hospital will be the only one of its kind to service Queens. “We are bringing a world-class, state-of-the-art center to Queens. Residents who live in our community no longer have to travel outside their local area to receive high-quality pediatric eye care. Our center is staffed by physicians who are among the best in their specialty and are highly skilled in performing a wide range of services to diagnose and treat pediatric ocular conditions,” said Bruce J. Flanz, Jamaica Hospital’s President and CEO.

“We are thrilled to have a center of excellence in pediatric ophthalmology in Queens County. This center will allow us to provide cutting-edge technology and treatment to our youngest patients,” shared Dr. Julia Shulman, Chairperson of Ophthalmology at Jamaica Hospital. The newly constructed 2900 square foot center consists of a modernly designed area waiting area, four spacious examination rooms, two testing rooms, three consultation offices, and two charting workstations. Each room is equipped with amenities to provide a comfortable environment for children.

“Our community needed a facility like this in Queens for a very long time. When our board member Dr. Cono Grasso came to us and explained the importance of the center, we immediately made it a priority,” stated Mr. Rudzewick of Maspeth Federal Savings.

“Jamaica Hospital is grateful to Maspeth Federal Savings for their generous donation to our pediatric ophthalmology center. Their philanthrophy and commitment to helping our communities thrive has helped our hospital make critical advancements that will greatly benefit our growing patient population,” said Mr. Flanz.

Children’s Eye Health and Safety Month

Posted on August 9, 2022 by Jacob Lobosco

This August is Children’s Eye Health and Safety Month, a time to learn more about some of the most common problems affecting children’s vision and ways to prevent and treat those conditions.

According to the CDC, about 1 in every 4 children in the United States suffers from an undiagnosed eye health problem. These issues come in a wide variety of different forms, but some are more frequent than others, including:

Strabismus: This condition causes crossed eyes, preventing both eyes from focusing on the same object.

Amblyopia: Also known as “lazy eye,” amblyopia disrupts communication between the brain and the affected eye, leading to a greater reliance on the stronger eye and deteriorating vision in the affected eye.

Blurred vision: This issue can result from a few different conditions, including refractive errors like myopia (nearsightedness), hyperopia (farsightedness), or astigmatism (a misshapen cornea). Convergence insufficiency can also blur your child’s vision when looking at an object up close.

Binocular vision dysfunction (BVD): This problem occurs when your child’s eyes are misaligned and failing to work together, leading to symptoms like double vision and light sensitivity.

Nystagmus: As many as 1 in 1,000 school-aged children suffer from nystagmus, which causes uncontrollable eye movements that may lead to dizziness, balance problems, and shaky vision.

You can prevent these problems from negatively impacting your child’s quality of life in a few different ways, including getting recommended vision screenings during your child’s regular checkups with a pediatrician or other healthcare professional.

If any signs of an eye health issue are found during a vision screening, an eye exam by an ophthalmologist or optometrist can more accurately diagnose the cause of that problem and help create an effective treatment plan. Protective eyewear, adequate sleep, and limited screen time also go a long way toward preserving your child’s eye health.

To schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Department, please call 718-206-5900.

Pink Eye Or Allergies?

Posted on July 14, 2020 by Xavia Malcolm

Allergies of the eye and pink eye are both types of conjunctivitis, which is an inflammation of the outer membrane that covers the eyeball.

Many of the symptoms of pink eye and eye allergies are similar, and this can sometimes make it difficult to tell each condition apart. However, it is important that we learn about the characteristics that make them distinct- especially now that pink eye is considered a warning sign of a COVID-19 infection.

The symptoms of eye allergies can include:

Redness
Tearing
Gritty feeling in the eye
Itchiness
Blurred vision
Swelling of the eyelid

Symptoms of bacterial or viral pink eye can include:

Redness
Tearing
Gritty feeling in the eye
Itchiness
A green or white discharge in one or both eyes, that can result in crusting at night
Soreness of the eyes

Although eye allergies and pink eye share common symptoms, the causes of each condition are different. Allergies are typically caused by a reaction to an allergen such as pollen while pink eye can be caused by bacteria or a virus.

An additional distinction between the two conditions is viral or bacterial pink eye is extremely contagious and can be spread by contact with an infected individual or exposure to a contaminated surface. Eye allergies on the other hand are non-infectious.

If you are experiencing symptoms associated with either type of conjunctivitis, it is important that you consult your eye doctor. Your physician will be able to examine your eyes or order tests to determine the reason for inflammation and provide the appropriate treatment.

To schedule an appointment with an eye doctor at Jamaica Hospital Medical Center, please call 718-206-5900.

Laser Eye Surgery

Posted on October 8, 2019 by Xavia Malcolm

Laser eye surgery is one of the most popular, elective vision correction surgery procedures performed in the United States. It is estimated that over 10 million people have received laser eye surgery since it was first approved by the U.S. Food and Drug Administration (FDA) in 1999.

While there are different types of laser eye surgery procedures, laser-assisted in-situ keratomileusis (LASIK) is the most commonly utilized to correct the vision of people who are nearsighted, farsighted or diagnosed with astigmatism. LASIK surgery involves the use of a laser to reshape the tissue underneath the cornea, allowing it to focus light properly and improve vision.

Other types of laser eye procedures include photorefractive keratectomy (PRK) eye surgery- best for those with mild or moderate vision problems and laser-assisted subepithelial keratectomy (LASEK)-a good option for those with thin corneas or at an increased risk for eye injuries.

LASIK remains the most commonly performed procedure due to its efficiency and the potential benefits patients could receive. These benefits may include:

Shorter recovery times
Improved vision
Long-lasting results
Eliminating or minimizing the need for contacts or glasses.

Along with the benefits, there are certain complications patients should consider before opting for surgery. Although rare, complications can include:

Dry eyes
Glares, halos or double vision
Discomfort
Dry eyes
Flap problems
Infection
Overcorrection, undercorrection or regression of vision

Choosing an experienced doctor can minimize the risk of complications. According to the FDA, if you are considering surgery; you should compare doctors (choose surgeons who have performed several procedures and meet industry standards). Do not base your decision simply on cost, and be wary of eye centers that guarantee 20/20 vision.

To speak with an eye doctor at Jamaica Hospital about laser surgery, please call 718 206-5900.

Blepharitis

Posted on September 17, 2019 by Xavia Malcolm

Blepharitis is an inflammation of the eyelid- typically involving the part of the lid where our lashes grow. It is a disorder that can affect anyone of any age; however, people with oily skin, dandruff or rosacea are more prone to getting infections.

There are several possible factors that can contribute to blepharitis, including:

A buildup of bacteria
Dandruff of the scalp and eyebrows
Clogged or malfunctioning oil glands of the eyelids
Eyelash mites or lice
Allergic reactions to eye makeup, eye medications or contact lens solutions.
Rosacea

Blepharitis can result in the following complications:

Excess tearing or dry eyes
Burning or stinging eyes
Crusty debris at the base of the eyelid
Loss of lashes
A sty
Chronic pink eye
A chalazion ( a blockage of an oil gland at the margin of the eyelid)
Blurry vision
Sensitivity to light
Red and swollen eyes or eyelids
Scarring of the eyelids

Unfortunately, there is no cure for blepharitis but there are a number of treatments used to control symptoms. Treatments an eye doctor may prescribe or recommend include:

Warm compresses
Eyelid scrubs
Medications such as antibiotics to fight infection
Medications such as steroid eye drops or ointments to control inflammation
Medications to treat underlying conditions such as dandruff or rosacea
Procedures to remove mites or open clogged glands

Practicing good eyelid hygiene tips can help to reduce the risk of inflammation. Doctors recommend practicing daily self-care regimens which can involve applying a warm compress to break down the buildup of debris, cleaning your eyelids daily with a solution such as baby wash diluted with water or using dandruff- controlling shampoos.

If you are experiencing symptoms of blepharitis and would like to schedule an appointment with an eye doctor at Jamaica Hospital Medical Center, please call 718- 206- 5900.

Retinal Detachment

Posted on August 7, 2019 by Joann Ariola

According to the Mayo Clinic, retinal detachment is an emergency situation in which a thin layer of tissue (the retina) at the back of the eye pulls away from its underlying support tissue.

The warning signs of retinal detachment are:

The appearance of tiny specks that seem to drift through your field of vision commonly referred to as floaters
Flashes of light in one or both eyes
Blurred vision
A gradual reduction in peripheral or side vision
A shadow over the visual field

There are three different types of retinal detachment:

Rhegamtogeneous – The most common type of detachment which occures slowly over time.

Tractional – A detachment that occurs when there is scar tissue growing on the retina’s surface

Exudative – Occurs when fluid accumulates beneath the retna without any tears or holes in the retna.

Aging and family history of retinal detachment are the most common risk factors for this condition. Those who already have a retinal detachment in one eye, have severe nearsightedness, have had previous eye surgery, have received a trauma to the eye or have an eye disorder that thins the retina are equally at risk.

Retinal detachment is an emergency so if you are experiencing flashes of light, floaters or a darkening of your field of vision, you will want to contact your eye doctor immediately. If a detachment isn’t repaired, you may have permanent vision loss.

If you are experiencing any of the symptoms of retinal detachment or would like to schecule an eye exam, please call the Jamaica Hospital Ophthalmology Center at 718-206-5900 for an appointment.

Over The Counter Readers vs. RX Glasses

Posted on June 5, 2019 by Joann Ariola

If your vision is blurred or you are having issues with your sight, an eye doctor will conduct a regular exam, assessing your overall eye health. At the end of the exam, it may be suggested that you are in need of glasses. If you do not have a serious eye condition, the doctor may suggest magnifiers or over the counter (OTC) “readers.”

When making the decision to get glasses, many people wonder if there is difference between prescription lenses and OTC glasses. The answer is, yes.

Some differences between OTC and prescription glasses are:

Over the counter (OTC) readers are best used for age-related presbyopia. Presbyopia is an age-related issue where your eyes become less flexible, making it harder to focus on close objects.
OTC readers have the same prescription in each lens. Having the same eyesight in both eyes is extremely rare. Therefore, your vision will not be properly corrected and you may still experience difficulty focusing even when wearing OTC readers.
Prescriptions glasses offer more options and benefits, such as quality in materials, accurate vision correction, lens clarity, as well as scratch and glare resistance. Additionally, unlike OTC readers, prescription glasses can help with astigmatism, myopia or glaucoma.

If you are having difficulty with your vision, you should schedule an appointment to have your eyes examined. To schedule an appointment with the Jamaica Hospital Medical Center’s Ophthalmology Center call 718-206-5900.