Caplan Eye Clinic is the oldest eye care practice in the State of Louisiana

For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

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Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

metairie lasik doctor

metairie eye doctor For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

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metairie eye doctor New Orleans cataract surgeryWorld Record Field Goal 63 Yards, cialis generic November 8, viagra sales 1970

“When it came time for me to look for cataract care, I called Caplan Eye Clinic. With their 70 plus years of outstanding results, I knew the Caplan Experience would be a winner for me. Now I have 20/20 vision!” For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

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Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

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“When it came time for me to look for cataract care, I called Caplan Eye Clinic. With their 70 plus years of outstanding results, I knew the Caplan Experience would be a winner for me. Now I have 20/20 vision!”

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Dr. Dan Caplan with long-time patient, Mr Warren Meyer. Mr Meyer began seeing the late Dr Harry Caplan in 1939 and has been a patient of Caplan Eye Clinic for over 70 years! For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

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For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

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Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

metairie lasik doctor

metairie eye doctor New Orleans cataract surgeryWorld Record Field Goal 63 Yards, cialis generic November 8, viagra sales 1970

“When it came time for me to look for cataract care, I called Caplan Eye Clinic. With their 70 plus years of outstanding results, I knew the Caplan Experience would be a winner for me. Now I have 20/20 vision!”

Eye care for the Northshore - Retina disordered, <a href=buy viagra glaucoma, cataract, LASIK” width=”225″ height=”220″ />

Dr. Dan Caplan with long-time patient, Mr Warren Meyer. Mr Meyer began seeing the late Dr Harry Caplan in 1939 and has been a patient of Caplan Eye Clinic for over 70 years! About CK You’ve had great vision your whole life, buy viagra but then you hit your 40s. Now, you find it difficult to read a menu, see your computer screen or even drive at night. If these issues describe your vision, then CK may be right for you.

It’s a quick procedure with no cutting involved. You don’t even have to go to an outpatient surgery center. In just a few minutes, Dr. Caplan can perform CK in his office.

new orleans laser eye surgery How does CK work?

Using radiofrequency (RF) energy, CK can change how the eye focuses light by reshaping the cornea. After the doctor has applied a topical anesthetic (eye drops), controlled RF energy is applied in a circular pattern to heat and shrink the corneal tissue. This pattern is along the periphery of your cornea and therefore minimizes interference with your line of sight. A device called a “speculum” holds your eye open during the procedure.

Once finished, you don’t have to wear a patch and can usually return to work or normal activities the next day. Vision generally begins improving in about a week’s time. As with many other procedures, the level of improved vision may be temporary.

Farsightedness, or hyperopia, is a condition in which the eye is too flat. CK modifies the topographical (surface) curvature, making it steeper.

Is CK Right For Me?

Conductive Keratoplasty (CK) is intended for people with farsightedness (clinically termed “hyperopia”). CK is not intended for people with nearsightedness (clinically termed “myopia”). All patients considering vision correction should undergo a complete examination by Dr. Caplan prior to the procedure.

Candidates for CK must meet the following criteria:

  • Be over 40 years of age
  • Have hyperopia between +0.75 to +3.00 diopters
  • Not have had previous vision surgery
  • Not have had any significant changes in vision for one year
  • Not have any chronic eye disorders
  • Not be pregnant or nursing
  • Not have any chronic illness or disease

Do you fit the above criteria and need an examination to proceed with CK?

If so, call Caplan Eye Clinic for a free CK demonstration.

Metairie: 504-888-2600 Mandeville: 985-845-3400 For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

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metairie eye doctor New Orleans cataract surgeryWorld Record Field Goal 63 Yards, cialis generic November 8, viagra sales 1970

“When it came time for me to look for cataract care, I called Caplan Eye Clinic. With their 70 plus years of outstanding results, I knew the Caplan Experience would be a winner for me. Now I have 20/20 vision!”

Eye care for the Northshore - Retina disordered, <a href=buy viagra glaucoma, cataract, LASIK” width=”225″ height=”220″ />

Dr. Dan Caplan with long-time patient, Mr Warren Meyer. Mr Meyer began seeing the late Dr Harry Caplan in 1939 and has been a patient of Caplan Eye Clinic for over 70 years! About CK You’ve had great vision your whole life, buy viagra but then you hit your 40s. Now, you find it difficult to read a menu, see your computer screen or even drive at night. If these issues describe your vision, then CK may be right for you.

It’s a quick procedure with no cutting involved. You don’t even have to go to an outpatient surgery center. In just a few minutes, Dr. Caplan can perform CK in his office.

new orleans laser eye surgery How does CK work?

Using radiofrequency (RF) energy, CK can change how the eye focuses light by reshaping the cornea. After the doctor has applied a topical anesthetic (eye drops), controlled RF energy is applied in a circular pattern to heat and shrink the corneal tissue. This pattern is along the periphery of your cornea and therefore minimizes interference with your line of sight. A device called a “speculum” holds your eye open during the procedure.

Once finished, you don’t have to wear a patch and can usually return to work or normal activities the next day. Vision generally begins improving in about a week’s time. As with many other procedures, the level of improved vision may be temporary.

Farsightedness, or hyperopia, is a condition in which the eye is too flat. CK modifies the topographical (surface) curvature, making it steeper.

Is CK Right For Me?

Conductive Keratoplasty (CK) is intended for people with farsightedness (clinically termed “hyperopia”). CK is not intended for people with nearsightedness (clinically termed “myopia”). All patients considering vision correction should undergo a complete examination by Dr. Caplan prior to the procedure.

Candidates for CK must meet the following criteria:

  • Be over 40 years of age
  • Have hyperopia between +0.75 to +3.00 diopters
  • Not have had previous vision surgery
  • Not have had any significant changes in vision for one year
  • Not have any chronic eye disorders
  • Not be pregnant or nursing
  • Not have any chronic illness or disease

Do you fit the above criteria and need an examination to proceed with CK?

If so, call Caplan Eye Clinic for a free CK demonstration.

Metairie: 504-888-2600 Mandeville: 985-845-3400 Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic viagra early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, viagra generic in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American heritage, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is the Heidleberg Retinal Tomogram (HRT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

optic-nerve

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma.

At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma.

For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville). For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens having a non-spherical shape.

Unlike older generation lasers, the VISX excimer laser used by the surgeons at Caplan Eye Clinic has the ability to correct astigmatism at the same time as the myopia is being treated by making the cornea “more spherical”. The Caplan Eye Clinic was established in 1938 by the late Dr. Harry B. Caplan. For more than 70 years, discount viagra we have established a tradition of providing the highest quality eye care in a caring atmosphere.

We will try to make your visit with us as pleasant as possible. If you are currently using eye medications from another eye doctor or seeing another eye doctor for any eye condition, please let us know prior to your visit. We may require other information or records prior to your visit. Please note that we do not see patients for “second opinions” without prior approval of our Clinic Manager.

Patients are responsible for obtaining, prior to the visit, any needed referral or approval required by your Insurance.

Our policy is to require payment of all deductibles and co-pays prior to each visit at check-in. We accept cash, check, Visa, MasterCard, Discover and American Express.

Please arrive about 20 minutes before your appointment time. To expedite the check in process, please print out and complete the two “new patient” forms on this web site.

The length of time of your office visit may vary. If you do not require dilation of your eyes or other testing, please allow approximately one hour (60 minutes) for your visit. If you require dilating drops and/or special testing, please allow at least one and one-half hours (90 minutes) for your visit.

We protect the privacy of your medical information in accordance with the federal HIPPA guidelines.

If you do need to cancel or change your appointment, we require a 48 hour advance notice by telephone during business hours. Otherwise, a $50 cancellation fee is charged.

Thank you.

Astigmatism is one of several eye conditions known as refractive errors. Refractive errors are those that deal with the angle at which the light enters the eye. This effects the focus of the light on the retina, buy viagra the nerve that interprets the light into images for the brain.

An astigmatism usually results from an irregular curvature of the cornea, discount cialis the front surface of the eye. It is not a disease, and is actually a common problem. It can cause a blurring or both distant and nearby objects. This blurred vision can cause headache, fatigue, squinting, and eye discomfort or irritation. A chalazion is a lump-type swelling of the eyelid that is often confused with a stye. It is caused by an inflammation of the small oil producing glands located in the upper or lower eyelids. It is typically caused by trapped oil secretions and may involve a secondary bacterial infection. If it is not too large or does not cause blurred vision, discount cialis it may disappear on its own. However, viagra canada it is typically treated by a variety of methods. These include: antibiotic and/or steroid drops or injections; warm compresses (warm water washcloth compresses held against the eye for five to ten minutes); massage of the area; or in severe cases, a surgical procedure.

Chalazions usually respond well to treatment, but some individuals are prone to reoccurence that might be symptomatic of other conditions. If you believe you are suffering from a chalazion, contact your ophthalmologist for advice. The conjunctiva is what is commonly call the “white of the eye”, generic viagra but actually it is a thin tissue membrane covering the white portion of the eye (the sclera). Conjunctivitis is an inflammation of the conjunctiva. You may have heard of this as “pink eye”.

Conjunctivitis has many causes including: bacterial infections; viral infections; allergies; and environmental irritants such as smoke and chemical fumes. The eyes normal reaction to this is to increase blood flow to the area that creates the red appearance.

If the amount of discharge from the eye is great or if pus is present, the infection may be acute (intense). Yet, some infections are chronic (long-lasting) and produce very little symptoms. You may experience little or no discharge and may only notice crusting of the eye lashes in the morning in addition to the redness. Prompt consultation with your ophthalmologist is advised for acute or chronic conjunctivitis. At times, buy viagra some people may see specks or threadlike strands drifting across their vision. When they try to look at them, these objects seem to speed away. These are called spots and floaters by ophthalmologists and are commonly experienced by older individuals. Although, anyone can experience them on occasion.

The inner part of the eye is composed of a gelatin-like fluid called vitreous. Occasionally, small flecks of protein and other matter are trapped in this fluid when the eye is formed before birth. It will remain in the eye resulting in periodic spots, or flashes of light that become visible when they drift into the line of sight.

Most spots and floaters are normal and rarely cause blindness, but spots can be an indicator of serious problems. If you notice an increase in the number of spots you occasionally see or if you begin noticing them on a regular basis, you should immediately consult with an eye-care professional. He or she will help determine if it is “normal” or the result of a more serious condition. At Caplan Eye Clinic, viagra we specialize in a large variety of contact lenses. Our contact lens specialists have a combined total of more than 35 years experience in fitting contact lenses, viagra buy and caring for patents with contact lens problems.

Our team of eye doctors and contact lens technicians can provide the highest quality care for your contact lens needs

Among the types of contact lenses we specialize are:

  • Daily wear soft lenses
  • Gas permeable (semi soft) lenses
  • Extended wear soft lenses
  • Color contact lenses
  • Bifocal contact lenses
  • Toric contact lenses
  • Disposable contact lenses

George Boudreaux, discount viagra creator of the world-famous Boudreaux’s Butt Paste, had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. George Boudreaux, tadalafil creator of the world-famous Boudreaux’s Butt Paste, generic viagra had NearVision CK by Dr. Caplan. “I can read without glasses thanks to Dr. Caplan and CK.”

On a recent morning George Boudreaux, the creator of world-famous Boudreaux’s Butt Paste, underwent the NearVision CK procedure at Caplan Eye Clinic.

Dr. Dan Caplan welcomes Mr. Boudreaux to the NearVision CK suite at Caplan Eye Clinic.

Dr. Caplan instills anesthetic (numbing) drops into Mr. Boudreaux’s eye.

Dr. Caplan applies the NearVision CK radio waves to the eye in less than 1 minute.

Mr. Boudreaux sits up & relaxes after NearVision CK.

Immediately following his NearVision CK, diagnosis Mr. Boudreaux begins reading small print without glasses!

A happy patient gives the “thumbs up” sign following a painless, in-office NearVision CK procedure. Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic cialis early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American ethnicity, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is Optical Coherence Tomography (OCT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma. At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma. For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Glaucoma Treatments

Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, called the trabecular meshwork. The objective of the laser procedure is to help fluid drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and are settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations are required.

Dr. Caplan or Dr. Sumich will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan or Dr. Sumich decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information.

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Mandeville
Across from Beau Chene
4700 Highway 22
Mandeville, sildenafil LA 70471
Tel: 985-845-3400 On Personal Eyes™ you will be able to access your medical records, cialis usa prescriptions, request appointments, and ask billing questions.

In the coming months, look for even more services including bill payments, ordering contact lenses and more.

Personal Eyes™ is our way to connect with you, our patients, through our Electronic Health Records sever.

Click Here to Enter Personal Eyes™ In 2013, viagra buy we were presented with proclamations by the Jefferson Parish Council and the St. Tammany Parish Council, in honor of our 75th anniversary and in recognition of our status as the oldest eye care practice in the State of Louisiana.

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metairie eye doctor New Orleans cataract surgeryWorld Record Field Goal 63 Yards, cialis generic November 8, viagra sales 1970

“When it came time for me to look for cataract care, I called Caplan Eye Clinic. With their 70 plus years of outstanding results, I knew the Caplan Experience would be a winner for me. Now I have 20/20 vision!”

Eye care for the Northshore - Retina disordered, <a href=buy viagra glaucoma, cataract, LASIK” width=”225″ height=”220″ />

Dr. Dan Caplan with long-time patient, Mr Warren Meyer. Mr Meyer began seeing the late Dr Harry Caplan in 1939 and has been a patient of Caplan Eye Clinic for over 70 years! About CK You’ve had great vision your whole life, buy viagra but then you hit your 40s. Now, you find it difficult to read a menu, see your computer screen or even drive at night. If these issues describe your vision, then CK may be right for you.

It’s a quick procedure with no cutting involved. You don’t even have to go to an outpatient surgery center. In just a few minutes, Dr. Caplan can perform CK in his office.

new orleans laser eye surgery How does CK work?

Using radiofrequency (RF) energy, CK can change how the eye focuses light by reshaping the cornea. After the doctor has applied a topical anesthetic (eye drops), controlled RF energy is applied in a circular pattern to heat and shrink the corneal tissue. This pattern is along the periphery of your cornea and therefore minimizes interference with your line of sight. A device called a “speculum” holds your eye open during the procedure.

Once finished, you don’t have to wear a patch and can usually return to work or normal activities the next day. Vision generally begins improving in about a week’s time. As with many other procedures, the level of improved vision may be temporary.

Farsightedness, or hyperopia, is a condition in which the eye is too flat. CK modifies the topographical (surface) curvature, making it steeper.

Is CK Right For Me?

Conductive Keratoplasty (CK) is intended for people with farsightedness (clinically termed “hyperopia”). CK is not intended for people with nearsightedness (clinically termed “myopia”). All patients considering vision correction should undergo a complete examination by Dr. Caplan prior to the procedure.

Candidates for CK must meet the following criteria:

  • Be over 40 years of age
  • Have hyperopia between +0.75 to +3.00 diopters
  • Not have had previous vision surgery
  • Not have had any significant changes in vision for one year
  • Not have any chronic eye disorders
  • Not be pregnant or nursing
  • Not have any chronic illness or disease

Do you fit the above criteria and need an examination to proceed with CK?

If so, call Caplan Eye Clinic for a free CK demonstration.

Metairie: 504-888-2600 Mandeville: 985-845-3400 Glaucoma is one of the leading causes of blindness in the United States and the single most common cause of blindness in African-Americans. Glaucoma has often been referred to as “the silent thief of sight” since most people with the disease are unaware that they have it until detected by an eye physician. It may cause permanent vision loss if not detected and treated early. Since the damage caused by glaucoma is irreversible, generic viagra early detection is extremely important.

Glaucoma occurs when pressure within the eye is elevated enough to cause progressive damage to the optic nerve. This first results in loss of peripheral vision and then, viagra generic in the later stages, loss of central vision.

glaucoma-pressure

There are several risk factors that increase a person’s chance of developing glaucoma. They include increasing age, African-American heritage, family history of the disease, high blood pressure, diabetes, long-term steroid treatment, nearsightedness, and eye injuries.

A comprehensive eye examination is the first step in detecting glaucoma. During this exam, the doctors at Caplan Eye Clinic will perform several tests that will provide clues as to whether or not a person is a “suspect” for the disease. One such test is tonometry, better known as “the eye pressure test.” Elevated intraocular pressure is one of the first signs of glaucoma. However, sometimes patients may have normal eye pressure and still have glaucoma. That is why it is important for the doctor to perform a dilated retinal exam, which allows an evaluation of the optic nerve. The appearance of the optic nerve is another key factor in diagnosing glaucoma. Once the doctor deems the patient a “glaucoma suspect,” various tests are performed. One of the newest high tech instruments for evaluating and following glaucoma is the Heidleberg Retinal Tomogram (HRT). This device performs a laser scan of the optic nerve in just a few seconds in our office. It provides a very detailed evaluation of the health of the optic nerve. Another test that we perform is the visual field test. This test is a very sensitive way of evaluating peripheral vision and, hence, detecting glaucoma. The earlier the disease is detected, the better chance a person has for preserving his or her vision.

optic-nerve

The goal in glaucoma treatment is to prevent further optic nerve damage and visual field loss by lowering intraocular pressure. This is achieved either by medication (usually in the form of eye drops) or by surgery (primarily in the form of laser). Drops are the first type of therapy instituted in most cases. The newest and most effective laser treatment for glaucoma is Selective Laser Trabeculoplasty (SLT). In just a few minutes right in our office, SLT laser may be performed to better control glaucoma.

At Caplan Eye Clinic, we have always invested in the latest proven technology to enhance and preserve eyesight.

Once target intraocular pressure has been reached, it will usually be monitored every 3-4 months. A dilated retinal exam and a visual field test will need to be performed yearly to monitor any disease progression. These follow-up appointments are very important in the proper management of glaucoma.

For more information about glaucoma, or to schedule an eye examination, call Caplan Eye Clinic at (504)-888-2600 (Metairie) or (985)-845-3400 (Mandeville).

Macular degeneration is a deterioration or breakdown of the eye’s macula. The macula is a small area in the retina – the light-sensitive tissue lining the back of the eye. The macula is the part of the retina that is responsible for your central vision, viagra generic allowing you to see fine details clearly.

The macula makes up only a small part of the retina, yet it is much more sensitive to detail than the rest of the retina (called the peripheral retina). The macula is what allows you to thread a needle, read small print, and read street signs. The peripheral retina gives you side (or peripheral) vision. If someone is standing off to one side of your vision, your peripheral retina helps you know that person is there by allowing you to see their general shape. Many older people develop macular degeneration as part of the body’s natural aging process. There are different kinds of macular problems, but the most common is age-related macular degeneration.

One symptom of macular degeneration is dark areas in your central vision.

With macular degeneration, you may have symptoms such as blurriness, dark areas or distortion in your central vision, and perhaps permanent loss of your central vision. It usually does not affect your side, or peripheral vision. For example, with advanced macular degeneration, you could see the outline of a clock, yet may not be able to see the hands of the clock to tell what time it is.

There are two types of macular degeneration:

Dry macular degeneration Most people who have macular degeneration have the dry form. This condition is caused by aging and thinning of the tissues of the macula. Macular degeneration usually begins when tiny yellow or white pieces of fatty protein called drusen form under the retina. Eventually, the macula may become thinner and stop working properly.

With dry macular degeneration, vision loss is usually gradual. People who develop dry macular degeneration must carefully and constantly monitor their central vision. If you notice any changes in your vision, you should tell your ophthalmologist (Eye M.D.) right away, as the dry form can change into the more damaging form of macular degeneration called wet (exudative) macular degeneration. While there is no medication or treatment for dry macular degeneration, some people may benefit from a vitamin therapy regimen for dry macular degeneration.

Wet macular degeneration About 10 percent of people who have macular degeneration have the wet form, but it can cause more damage to your central or detail vision than the dry form.

Wet macular degeneration occurs when abnormal blood vessels begin to grow underneath the retina. This blood vessel growth is called choroidal neovascularization (CNV) because these vessels grow from the layer under the retina called the choroid. These new blood vessels may leak fluid or blood, blurring or distorting central vision.

Also, if abnormal blood vessel growth happens in one eye, there is a risk that it will occur in the other eye. The earlier that wet macular degeneration is diagnosed and treated, the better chance you have of preserving some or much of your central vision. That is why it is so important that you and your ophthalmologist monitor your vision in each eye carefully.

Treatment The Age-Related Eye Disease Study 2 (AREDS2) showed that among people at high risk for developing late-stage, or wet, macular degeneration (such as those who have large amounts of drusen or who have significant vision loss in at least one eye), taking a dietary supplement, including among other things lutein and zeaxanthin, lowered the risk of macular degeneration progressing to advanced stages by at least 25 percent. It is very important to remember that vitamin supplements are not a cure for macular degeneration, nor will they give you back vision that you may have already lost from the disease. However, specific amounts of these supplements do play a key role in helping some people at high risk for developing advanced (wet) AMD to maintain their vision. Talk with your ophthalmologist to find out if you are at risk for developing advanced macular degeneration, and to learn if supplements are recommended for you.

At Caplan Eye Clinic, we are committed to helping preserve your vision. Call for an eye evaluation to see if you might have macular degeneration or have an increased risk of getting this sight-stealing disease. If you are diagnosed with macular degeneration, you should see our retinal specialist, Dr. Sean Hendricks, at regular intervals. For our patients convenience, cialis sales Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, sildenafil invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

For our patients convenience, viagra Delta Optical is located in both the Metairie and Mandeville office. Both of our locations have a full-service optical shop offering hundreds of frame selections, shop invisible (no-line) bifocals, thin lenses, and the latest in fashion frames and designer sunglasses for men, online women, and children. Stop in after your appointment or when shopping for new glasses.

At Delta Optical we offer first class quality service. Our staff is professionally trained and can handle all of your optical needs. We offer designer frames including Coach, Michael Kors, Guess, Versace, LaCoste, Claiborne, Candies, D&G and many more. Delta Optical shop has a wide range of designer sunglasses to suit your lifestyle.

Delta offers competitive pricing for all your eye wear needs and does complimentary adjustments on site.

. metairie eyewear

Metairie
Behind Morning Call & Lakeside Mall
3409 North Hullen Street
Metairie, viagra generic LA 70002
Tel: 504-888-2600 Selective Laser Trabeculoplasty (SLT) For Glaucoma

Laser has become increasingly popular as an effective treatment for glaucoma. Selective Laser Trabeculoplasty (SLT) is an established laser treatment for open-angle glaucoma. SLT uses short pulses of low energy laser light to target melanin-containing cells in a network of tiny channels, cialis sales called the trabecular meshwork. The objective of the laser procedure is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

The selective technique is much less traumatic to the eye than Argon Laser Trabeculoplasty (ALT), which had been the standard laser procedure. SLT reduces intra-ocular pressure without the risk of tissue damage which occurred with ALT. SLT can be used to effectively treat some patients who could not benefit from ALT. This includes patients who have already been treated with ALT.

In many cases, you will need to keep taking glaucoma drugs even after laser procedure, although many patients will not require drops after SLT treatment.

SLT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that SLT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day:

Your treatment will be performed in a specially equipped laser room located at the Metairie office at Caplan Eye Clinic. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. Since no other anesthesia is needed, you may usually drive yourself to and from the Clinic. No other special preparations is required.

Dr. Caplan will hold up a special lens to your eye as the laser light is aimed at the lens and reflected onto the meshwork inside your eye. You may see flashes of bright green or red light. The laser will selectively target melanin-containing cells, resulting in increased fluid outflow. You will not feel any pain during the procedure. It takes just a few minutes to perform the laser treatment, but the entire process may take an hour or so.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any mild soreness. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. .

Realistic expectations:

The effect of the surgery may wear off over time. Serious complications with SLT are extremely rare, but like any laser or surgical procedure, it does have some risks. Going to a specialist experienced in SLT can minimize the risks.

If Dr. Caplan decides that SLT is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like more information about this procedure you can make an appointment or contact Caplan Eye Clinic for additional information. LASIK-2LASIK is the most advanced form of Laser Vision Correction. Not only is LASIK the most comfortable technique for correcting vision, viagra canada it offers the quickest vision recovery. In fact, most LASIK patients return to work after only one day!

The doctors performing LASIK at the Caplan Eye Clinic are among the most experienced refractive surgeons in the U.S. For over 15 years, the Caplan Eye Clinic has been a leader in providing technologically advanced vision correction such as LASIK.

Custom Wavefront LASIK – Personalized LASIK

Custom LASIK (also called wavefront LASIK or wavefront-guided LASIK) is an advanced form of LASIK surgery that is capable of producing sharper vision than conventional, non-wavefront LASIK.

Higher-Order Aberrations

To understand the value of custom LASIK, it’s important to know that every eye is unique and that the human eye is not a perfect optical system.

LASIK-1Nearsightedness, farsightedness and astigmatism are vision problems (or, more accurately, refractive errors) most patients recognize. But virtually every eye also has subtle optical errors called “higher-order aberrations.” Higher-order aberrations have less familiar, even strange, names like spherical aberration, coma and trefoil.

Though it’s estimated that higher-order aberrations typically account for no more than 10 percent of the total refractive error of an average eye, these subtle optical defects contribute to glare, halos, starbursts and other vision problems — especially in low-light situations, such as driving at night.

Wavefront Aberrometry: Detecting Higher-Order Aberrations

Higher-order aberrations (HOAs) cannot be detected by the tests performed in a traditional eye exam. Even if your eye doctor uses automated instruments to determine your eyeglasses prescription, it is likely these instruments only measure nearsightedness, farsightedness and astigmatism.

Detecting and measuring higher-order aberrations require advanced technology called wavefront analysis.

VISXA wavefront is a three-dimensional representation of the optical quality of a beam of light. If the optical quality of the light beam is “perfect” — that is, it has not been degraded by aberrations in an optical system (the eye, for example) — the wavefront is flat. When the light beam is distorted by optical aberrations, such as HOAs, the wavefront has a disrupted shape.

Wavefronts of the human eye are measured by automated instruments called aberrometers. Wavefront aberrometers objectively measure the overall refractive power and refractive errors of the eye, including nearsightedness, farsightedness, astigmatism and a variety of higher-order aberrations. The aberrometer then displays a highly detailed, three-dimensional “map” of all the optical irregularities of the eye—including higher-order aberrations.

Custom LASIK is Wavefront-Guided LASIK

In custom LASIK, the data from the wavefront aberrometer is transferred to the computer on the excimer laser that reshapes the cornea. Rather than simply being programmed to correct nearsightedness, farsightedness and/or astigmatism (as in conventional LASIK) the excimer laser is programmed to deliver a much more complex ablation pattern in custom LASIK to reduce or eliminate higher-order aberrations as well as traditional refractive errors.

In other words, in custom LASIK, the excimer laser is wavefront-guided, not guided by just an eyeglasses prescription.

It is important to know that it’s virtually impossible to eliminate all higher-order aberrations of the eye with wavefront-guided LASIK. But studies have shown that because custom LASIK reduces pre-existing HOAs in the eye, wavefront LASIK typically produces a post-surgical eye that has fewer higher-order aberrations than eyes that have undergone conventional, non-wavefront LASIK. .

Make an Informed Decision

We want you to make an informed decision about LASIK. For more information, please attend one of our Free LASIK Consultations. For more information call us in Metairie (504) 888-2600, Mandeville (985) 845-3400, or toll-free (877) 870-2600. Cataract is a condition that causes a loss of transparency in the lens of the eye. This “cloudiness” causes a loss of light entering the eye and results in “foggy vision”. Cataracts are most common in people who are over age 55. While it is a condition generally associated with aging, best cialis it can effect people of all ages. While there is no know prevention for cataracts, there is evidence that exposure to ultraviolet light (a part of sunlight) and cigarette smoking may speed its development. In its later stages, it may seriously impact vision and require corrective surgery. Detached and Torn Retina

A retinal detachment is a very serious problem that almost always causes blindness unless treated. The appearance of flashing lights, viagra canada floating objects, or a gray curtain moving across the field of vision are all indications of a retinal detachment. If any of these occur, see an ophthalmologist right away.

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

A retinal detachment begins as a small hole in the retina. As fluid collects behind the retina, more of it is detached.

If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body’s fluids.

Age-Related Macular Degeneration (AMD)

Macular degeneration is the most common cause of legal blindness in developed countries and affects up to 1 in 10 patients over the age of 60 in the United States. Macular degeneration affects the central portion of the retina, the layer of tissue which detects light and lines the inner surface of the eye (similar to film in a camera). As the disease progresses, the central portion of the retina is damaged and results in a decrease in the central vision (see simulated photo below).

Simulation of the distorted central vision of a patient with macular degeneration.

Damage to the retina can be seen by your eye doctor in the form of yellowish deposits in the retina (drusen) in the early form of the disease and by atrophy (or cell death) as the macular degeneration progresses.

Picture of the retina of a patient with macular degeneration. Notice the yellowish deposits (drusen) in the center of the picture.

About 10% of patients develop blood vessel growth (neovascularization) underneath the retina, which can lead to a precipitous drop in vision. This is called the “wet” form of AMD. In some of these patients, the use of a laser to destroy the abnormal blood vessels can help stabilize the vision. In other cases, injection of medications such as Avastin, Lucentis, or Eylea may stabilize or even reverse some of the effects of AMD. The vast majority of patients with macular degeneration have the “dry” form of AMD, in which the progression of disease is slow and is related to a gradual cellular death in the central retina (atrophy). Until recently, there was no scientifically proven treatment for these patients. However, a recent study (the Age-Related Eye Disease Study, or AREDS) funded by the National Eye Institute revealed that daily supplementation with vitamins A, C, E, and zinc delayed the progression of macular degeneration. Specifically, almost 4000 patients with mild, intermediate, or advanced AMD were enrolled in the study and followed for an average of more than 6 years. Patients were randomly assigned to receive daily oral tablets containing 1) high doses of antioxidants (vitamins A, C, and E); 2) zinc; 3) antioxidants plus zinc; or 4) placebo. In patients with intermediate or advanced forms of macular degeneration, supplementation with antioxidants plus zinc decreased their risk for advancement by 25% over the follow-up period! More details of the results of this study can be seen here.

Based on this study, Caplan Eye Clinic recommends that all patients with intermediate or advanced forms of macular degeneration take oral vitamin and zinc supplementation at the dosages used in the study.

A variety of brands are available over-the-counter at most drugstores. Be sure that they contain the following vitamins and zinc in the dosages indicated: vitamin C, 500 mg; vitamin E, 400 IU; beta carotene, 15mg; zinc, 80 mg, as zinc oxide; and copper, 2 mg, as cupric oxide. Smokers should be careful taking high dosages of vitamin A, as some studies have shown this to increase mortality rates.

You can monitor your central vision for the progression of macular degeneration using an Amsler grid (see below). A rapid change in the central distortion of your vision may indicate the “wet” form of macular degeneration (see above) which may be amenable to laser treatment. The Amsler grid test consists of a grid of lines. The grid should be held about 12 inches from the eyes and each eye should be tested independently. While looking at the central dot with each eye separately, be sure that you can see all four corners of the grid. If not, or if any of the lines are blurry, wavy, distorted, bent, gray, or missing, you should call Caplan Eye Clinic to have your eyes examined. We recommend using the grid at least once a week. You can remind yourself of this by placing the grid in a convenient place (i.e. on the refrigerator door or bathroom mirror). Use the grid below to take the test on your computer screen.

Diabetic Retinopathy

NONPROLIFERATIVE DIABETIC RETINOPATHY (NPDR)

If you have diabetes mellitus, your body does not use and store sugar properly. Over time, diabetes can damage blood vessels in the retina, the nerve layer at the back of the eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy.

Nonproliferative diabetic retinopathy (NPDR), commonly known as background retinopathy, is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

NPDR is seen in the retina as tiny hemorrhages and areas of leaking fluid.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is the result of macular edema and/or macular ischemia.

Macular edema is swelling, or thickening, of the macula, a small area in the center of the retina that allows us to see fine details clearly. The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes. Vision loss may be mild to severe, but even in the worst cases, peripheral (side) vision continues to function. Laser treatment can be used to help control vision loss from macular edema.

Defects in vision resulting from chronic macular edema in a diabetic.

Macular ischemia occurs when small blood vessels (capillaries) close. Vision blurs because the macula no longer receives sufficient blood supply to work properly. Unfortunately, there are no effective treatments for macular ischemia.

A medical eye examination is the only way to find changes inside your eye. If your ophthalmologist finds diabetic retinopathy, he or she may order color photographs of the retina or a special test called fluorescein angiography to find out if you need treatment. In this test a dye is injected in your arm and photos of your eye are taken to detect where fluid is leaking.

If you have diabetes, early detection of diabetic retinopathy is the best protection against loss of vision. You can significantly lower your risk of vision loss by maintaining strict control of your blood sugar and visiting your ophthalmologist regularly. People with diabetes should schedule examinations at least once a year. Pregnant women with diabetes should schedule an appointment in the first trimester because retinopathy can progress quickly during pregnancy. More frequent medical eye examinations may be necessary after the diagnosis of diabetic retinopathy.

PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

Proliferative diabetic retinopathy is a complication of diabetes caused by changes in the blood vessels of the eye. If you have diabetes, your body does not use and store sugar properly. High blood sugar levels create changes in the veins, arteries and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.

In PDR, the retinal blood vessels are so damaged they close off. In response, the retina grows new, fragile blood vessels. Unfortunately, these new blood vessels are abnormal and grow on the surface of the retina, so they do not resupply the retina with blood.

PDR results in aggressive new blood vessel growth that, if left untreated, can lead to blindness.

Occasionally, these new blood vessels leak and cause a vitreous hemorrhage. Blood in the vitreous, the clear gel-like substance that fills the inside of the eye, blocks light rays from reaching the retina. A small amount of blood will cause dark floaters, while a large hemorrhage might block all vision, leaving only light and dark perception.

The new blood vessels can also cause scar tissue to grow. The scar tissue shrinks, wrinkling and pulling on the retina and distorting vision. If the pulling is severe, the macula may detach from its normal position and cause vision loss.

Laser surgery may be used to shrink the abnormal blood vessels and reduce the risk of bleeding. The body will usually absorb blood from a vitreous hemorrhage, but that can take days, months or even years. If the vitreous hemorrhage does not clear within a reasonable time, or if a retinal detachment is detected, an operation called a vitrectomy can be performed. During a vitrectomy, the eye surgeon removes the hemorrhage and the abnormal blood vessels that caused the bleeding.

People with PDR sometimes have no symptoms until it is too late to treat them. The retina may be badly injured before there is any change in vision. There is considerable evidence to suggest that rigorous control of blood sugar decreases the chance of developing serious proliferative diabetic retinopathy.

Because PDR often has no symptoms, if you have any form of diabetes you should have your eyes examined.

Fluorescein Angiography

Fluorescein angiography, a clinical test to look at blood circulation inside the back of the eye, aids in the diagnosis of retinal conditions associated with diabetes, age-related macular degeneration, and other eye abnormalities. The test can also help follow the course of a disease and monitor its treatment. It may be repeated on multiple occasions with no harm to the eye or body.

Fluorescein, a harmless orange-red dye, is injected into a vein in the arm. The dye travels through the body to the blood vessels in the retina, the light-sensitive nerve layer at the back of the eye. A special camera with a green filter flashes a blue light into the eye and takes multiple photographs of the retina. The technique uses regular photographic film. No X-rays are involved.

If there are abnormal blood vessels, the dye leaks into the retina or stains the blood vessels. Damage to the lining of the retina or atypical new blood vessels may be revealed as well. These abnormalities are determined through a careful interpretation of the photographs by an ophthalmologist.

A fluorescein angiogram reveals areas of leaking fluid from retinal blood vessels.

The dye can discolor skin and urine until it is removed from the body by the kidneys. There is little risk in having fluorescein angiography, though some people may have mild allergic reactions to the dye. Severe allergic reactions have been reported but very rarely. Being allergic to X-ray dyes with iodine does not mean you’ll be allergic to fluorescein. Occasionally, some of the dye leaks out of the vein at the injection site, causing a slight burning sensation that usually goes away quickly. LASIK can be used to correct myopia (nearsightedness), generic viagra hyperopia (farsightedness) and astigmatism.
In a “normal” eye, cialis canada light from a distant object is focused precisely on the retina, making the object appear clear and distinct.

In the normal eye, the cornea is the “clear window” on the front part of the eye. More than two-thirds of the refractive power of the eye is in the cornea. The retina is the inner lining of the back part of the eye that converts light into electrical signals which are then interpreted by the brain.

Correction of Myopia (Nearsightedness) with LASIK
With myopia, light from a distant object focuses in front of the retina, making the object appear blurred.

Myopia is a relatively common condition in which distant objects appear blurred while near objects can be seen clearly. Myopia is caused by an eye that is “too long”, or a cornea that has too steep of a curvature in relation to the length of the eye.

Myopia is corrected by making the central cornea flatter, thereby refocusing the light on the retina as in a “normal” eye.

Correction of Hyperopia (Farsightedness) with LASIK
With hyperopia, light focuses behind the retina, making near objects appear more blurred than distant objects.

Hyperopia is caused by the eye being “too short”, or a cornea that has too flat of a curvature in relation to the length of the eye. Although the primary problem is near vision being blurred, distant objects can also appear blurry depending on the degree of hyperopia and the age of the individual.

Hyperopia is corrected by making the central cornea steeper, thereby refocusing the light on the retina as in a “normal” eye.

Hyperopia should not be confused with presbyopia, which is poor near vision due to the normal aging process in the crystalline lens of the eye. A comprehensive eye exam can determine whether poor near vision is due to hyperopia, presbyopia, astigmatism, a combination of these refractive errors, or an eye health problem.

Correction of Astigmatism with LASIK
With astigmatism, light focuses in two distinct places in the back of the eye, distorting both distance and near vision. It is caused by the cornea or the lens hav