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Friedman Optometry Blog

Friedman Optometry Blog is your trusted source for informative articles, expert insights, and valuable tips related to eye health and vision care. Explore a wealth of knowledge on topics ranging from eye conditions, vision correction options, to maintaining optimal eye wellness. Stay informed and prioritize your eye health with our engaging and educational blog content.

Post-Surgical Contact Lenses

Post-Surgical Contact Lenses

If you have recently undergone eye surgery, your eye doctor may recommend the use of post-surgical contact lenses as part of your recovery process. These specialized lenses are designed to aid in the healing and protection of your eyes after surgery.

Why Post-Surgical Contact Lenses May Be Necessary

After eye surgery, your eyes are in a delicate state and require extra care to ensure proper healing. Post-surgical contact lenses can play a crucial role in this process. These lenses act as a protective barrier, shielding your eyes from irritants such as dust, debris, and bright lights. They also help to maintain the shape of the cornea and aid in the prevention of infection. By wearing post-surgical contact lenses, you can minimize the risk of complications and promote a faster and smoother recovery.

Different Types of Post-Surgical Contact Lenses

There are various types of post-surgical contact lenses available, and the specific type recommended for you will depend on the nature of your surgery and your eye condition. One common type is the bandage contact lens, which is a soft, therapeutic lens that covers the cornea, providing protection and promoting healing.
 

Another type is scleral lenses, which is larger and covers a larger portion of the eye, providing enhanced protection and support. Your optometrist will determine the most suitable type of post-surgical contact lens for your individual needs.

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Lens Technology

Lens Technology

Thanks to the advancement of lens technology, glasses lenses are no longer a single, one size fits all solution. There are a variety of different lens types that can be used in glasses, giving patients greater flexibility and control over their vision than ever before.

Single Vision Lenses

Also known as monovision lenses, these lenses are designed to correct the wearer’s vision at just one distance, and have a single prescription covering the entire surface of the lens. They are most often recommended for people who are either nearsighted (myopia) or farsighted (hyperopia) and who need glasses for a specific activity, such as driving or reading.

Progressive Lenses

Progressive lenses are multifocal lenses that can correct a patient’s vision at different working distances, ranging from far distance to reading distance. However, rather than designating different areas on the lenses for different distances with visible lines separating them, progressive lenses have a gradual change so that the wearer can smoothly transition from one lens power to another.

Bifocal and Trifocal Lenses

As you may have guessed from the name, bifocal and trifocal lenses have either two or three lens powers depending on which type you choose. Bifocal lenses support distance vision in the top half of the lens, and near vision in the lower half. Trifocal lenses support distance vision in the top third of the lens, intermediate vision in the middle segment and near vision in the bottom third. Whichever variety you choose, you will see visible lines separating each segment.

Bifocal and trifocal lenses are recommended for patients who are near or farsighted, and those who develop presbyopia, which is the natural hardening of the eye lens, that occurs as we get older. Presbyopia makes it harder for the lens of the eye to adapt to focus at different distances.

Multifocal Lenses

Multifocal lenses are the alternative name given to bifocal, trifocal and progressive lenses.

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Surgical Co-Management

Surgical Co-Management

In the realm of eye care, surgical co-management has emerged as a collaborative approach that aims to provide patients with comprehensive and seamless treatment. This concept involves the joint efforts of optometrists and ophthalmologists, each bringing their unique expertise to the table. By working together, these eye care professionals strive to enhance patient outcomes and deliver exceptional care.

The Role of Optometrist and Ophthalmologist in Surgical Co-Management

Surgical co-management is built upon the unique skill sets and areas of expertise of optometrists and ophthalmologists. By understanding their respective roles, you can appreciate the synergy that this collaborative approach fosters.


Optometrists are primary eye care professionals who specialize in the examination, diagnosis, and non-surgical treatment of vision disorders. Their responsibilities in surgical co-management include:

  • Performing comprehensive eye examinations and evaluations

  • Monitoring and managing pre-existing eye conditions

  • Providing pre-operative and post-operative care

  • Educating patients on surgical procedures and aftercare

  • Collaborating with ophthalmologists to ensure continuity of care

Ophthalmologists are medical doctors who specialize in the diagnosis, treatment, and surgical management of eye diseases and disorders. Their role in surgical co-management encompasses:

  • Evaluating patients' candidacy for surgical interventions

  • Performing complex surgical procedures

  • Providing specialized medical and surgical care

  • Collaborating with optometrists to ensure seamless patient care

  • Monitoring and managing post-operative complications

  • By combining the expertise of optometrists and ophthalmologists, surgical co-management ensures that patients receive comprehensive and coordinated care throughout their treatment journey.

How Surgical Co-Management Works

Surgical co-management is a well-orchestrated process that involves several key steps. Understanding how it works can help you navigate this collaborative approach with confidence.

  • Initial Evaluation: The process typically begins with an optometrist conducting a comprehensive eye examination. During this evaluation, the optometrist assesses the patient's visual needs, identifies any potential issues, and determines if a surgical intervention is necessary.

  • Referral and Consultation: If surgery is recommended, the optometrist refers the patient to an ophthalmologist for further evaluation and consultation. This step ensures that the patient receives specialized medical advice and a thorough assessment of their suitability for the proposed surgical procedure.

  • Pre-operative Care: The optometrist plays a crucial role in providing pre-operative care, which may include managing any existing eye conditions, ensuring the patient understands the surgical process, and addressing any concerns or questions they may have.

  • Surgical Procedure: The ophthalmologist performs the necessary surgical intervention, leveraging their specialized training and expertise in surgical techniques.

  • Post-operative Care: After the surgery, the patient's care transitions back to the optometrist, who closely monitors the recovery process and provides post-operative care and management. This may involve follow-up appointments, monitoring for any complications, and ensuring the patient adheres to the prescribed treatment plan.

  • Ongoing Collaboration: Throughout the entire process, the optometrist and ophthalmologist maintain open communication and collaborate closely. This ensures that the patient's care is seamless, and any concerns or issues are promptly addressed by the appropriate healthcare professional.

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Lipiflow

Lipiflow

Dry eyes are one of the most common conditions that can affect our eyes and is estimated to affect millions of Americans. As you’ve probably guessed, dry eyes occur when tears fail to provide enough natural lubrication for the eyes to be comfortable and healthy. Exactly what causes dry eyes can vary significantly, from side effects from medications to prolonged computer use. What is clear is that while the condition isn’t sight-threatening, it can make day to day life much harder than it needs to be. Fortunately, there are treatments that can help, and arguably one of the most effective is Lipiflow.

What is Lipiflow?

Lipiflow is a new technological solution that addresses the underlying cause of your dry eyes, rather than simply treating the symptoms. It is most effective at helping patients whose dry eyes are caused by meibomian gland dysfunction – a condition characterized by problems with the way that the meibomian glands produce the oil that forms an essential part of our tear film. The meibomian glands can become less productive, or in some cases, even blocked by hardened oil deposits. This prevents the oil from reaching your tear film, making it less effective. Lipiflow targets the meibomian glands, warming them to break down oily blockages and massaging your eyes to make sure that the oil, and then the tear film, is evenly dispersed. This helps to combat the symptoms associated with dry eyes, which can include:

  • Eye fatigue

  • Dry, scratchy and uncomfortable eyes

  • Blurred vision

  • Sensitivity to light

  • Difficulty wearing contact lenses
     

Your eye doctor will be able to advise you if Lipiflow has the potential to be a suitable solution for your dry eyes.

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Medical Eye Exam

Medical Eye Exam

Medical eye exams are comprehensive evaluations of the health and function of the eyes, essential for maintaining optimal vision and preventing potential eye conditions. Regular medical eye exams are fundamental for proactive eye health management and ensuring ongoing visual wellness.

What is a Medical Eye Exam?

A medical eye exam is a comprehensive examination of your eyes conducted by an optometrist. This examination goes beyond a routine vision test and delves into the overall health of your eyes. During a medical eye exam, various tests will be performed to assess your visual acuity, peripheral vision, eye movement, and the health of your eye structures.

Medical eye exams can detect early signs of eye conditions that may not present noticeable symptoms in their initial stages. By diagnosing these conditions early, you have a greater chance of successful treatment and preventing further deterioration of your vision.

Medical eye exams can also identify underlying health conditions that may manifest in your eyes, providing an opportunity for early intervention and management.

Common Conditions Detected During a Medical Eye Exam

During a medical eye exam, several common eye conditions can be detected, even before noticeable symptoms occur. One such condition is age-related macular degeneration (AMD), which affects the central part of the retina responsible for sharp, central vision. By examining the retina, your optometrist can identify early signs of AMD and recommend appropriate treatment to slow its progression.

Another condition that can be detected during a medical eye exam is cataracts. Cataracts occur when the lens of your eye becomes cloudy, leading to blurred vision. Through a comprehensive examination, your eye doctor can assess the severity of your cataracts and recommend the most suitable treatment option, which may include surgery to remove the cloudy lens.

Hypertension is a common health condition that can have serious consequences if left untreated. The health of your eyes can provide valuable insights into your cardiovascular health. During a medical eye exam, an optometrist can observe changes in the blood vessels of your retina, such as narrowing or leaking. These changes can indicate underlying hypertension.

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Multifocal Contact Lenses

Multifocal Contact Lenses

In the ever-evolving world of vision correction, multifocal contact lenses have emerged as a game-changer for individuals seeking a seamless solution to address their presbyopia. As you navigate through life's various stages, your eyes may undergo changes that can impact your ability to focus clearly on objects at different distances. Multifocal contact lenses offer a convenient and effective way to combat this challenge, providing you with a versatile and comfortable option for correcting your vision.

What Are Multifocal Contact Lenses?

Multifocal contact lenses are specialized lenses designed to correct presbyopia, a condition that typically occurs as you age, making it difficult to focus on near objects. Unlike traditional single-vision lenses that correct either near or distance vision, multifocal contact lenses incorporate multiple prescriptions into a single lens. This innovative design allows you to enjoy clear vision at various distances, eliminating the need for separate reading glasses or bifocals.
 

How Do Multifocal Contact Lenses Work?

Multifocal contact lenses employ advanced optical technologies to provide seamless vision correction. These lenses feature distinct zones or concentric rings that correspond to different prescriptions for near, intermediate, and distance vision. As your eyes move and focus on objects at varying distances, the appropriate zone of the lens comes into play, ensuring a clear and comfortable visual experience.

There are two main types of multifocal contact lens designs:

  • Simultaneous Vision Design: In this design, the lens incorporates multiple prescriptions simultaneously, allowing your eyes to utilize the appropriate zone based on the viewing distance. This design can take some time to adjust to, as your brain learns to interpret the different visual inputs.

  • Alternating Vision Design: Also known as "segmented" or "translating" lenses, these lenses have distinct zones for near and distance vision. As you move your eyes or shift your gaze, the appropriate zone is positioned in front of your pupil, providing the necessary correction.

 

Eye Conditions That Multifocal Contact Lenses Can Treat

Multifocal contact lenses are primarily designed to address the following vision-related conditions:

  • Presbyopia: As you age, the natural lenses in your eyes lose flexibility, making it challenging to focus on nearby objects. Multifocal contact lenses can correct this age-related farsightedness, allowing you to see clearly at all distances.

  • Myopia (Nearsightedness): If you struggle to see distant objects clearly, multifocal contact lenses can incorporate a prescription to correct myopia, while also providing near and intermediate vision correction.

  • Hyperopia (Farsightedness): For individuals with farsightedness, multifocal contact lenses can offer a solution by incorporating a prescription to improve distance vision, along with near and intermediate vision correction.

  • Astigmatism: Some multifocal contact lenses are designed to correct astigmatism, a condition caused by an irregularly shaped cornea or lens, resulting in blurred or distorted vision.

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Optikam

Optikam

Eye care professionals use Optikam’s technology to capture more than 3 million eyewear measurements every year. The OptikamPad iPad app is a total dispensing solution that enables eye care professionals to successfully assist patients at all stages of the eyewear dispensing process, providing them with a unique and custom patient experience.

Optikam Posture Devise (OPD)

You may be surprised to learn that wearing glasses can and likely will affect your posture. Glasses lenses are most accurate when you look directly through their center. This means if your glasses are sitting too low or have slipped down your nose, you may find that you are subconsciously tilting your head back and this can affect your overall posture.

Optikam’s OPD measurement device is a cutting-edge tool that obtains eyewear measurements that take into account how the frame will be worn by patients, enabling the fit to be customized to their individual parameters. The ten measurements taken into account when determining each patient’s position of wear include:

  • Monocular pupillary distance

  • Multifocal seg heights

  • Pantoscopic tilt

  • Rear vertex distance

  • Wrap (face form tilt)

  • Near pupillary distance

This results in frames that not only look fantastic, but that also fit perfectly, remaining both comfortable and stable on the face without you needing to adopt an unnatural posture. The measurements obtained by the Optikam OPD measurement tool are immediately visible on your eye doctor’s tablet so that they can recommend which alterations to the frames are needed to ensure that the frames fit with precision and gives you the best visual experience.

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CLE

CLE

Clear Lens Extraction (CLE) is a surgical procedure that involves the removal of the natural lens of the eye and replacing it with an artificial lens implant, also known as an intraocular lens (IOL). CLE is primarily performed to correct refractive errors, such as nearsightedness, farsightedness, and astigmatism.

Understanding CLE and How It Works

Clear Lens Extraction is similar to cataract surgery, where the natural lens is removed and replaced with an IOL. However, in CLE, the lens is clear and not clouded as in the case of cataracts. The procedure begins with the administration of local anesthesia to numb the eye and ensure a painless experience for the patient.
 

Once the eye is numb, a small incision is made on the cornea, which is the clear front surface of the eye. Through this incision, your eye surgeon accesses the lens and carefully removes it. The artificial IOL is then inserted into the empty lens capsule. The IOL is specifically chosen to correct the patient's refractive error, providing them with improved vision.
 

After the IOL is implanted, the incision is closed with tiny sutures or self-sealing techniques. Following the surgery, patients are usually prescribed antibiotic and anti-inflammatory eye drops to prevent infection and reduce inflammation.

Factors to Consider Before Undergoing Clear Lens Extraction

Before deciding to undergo Clear Lens Extraction, there are several factors that need to be considered. Firstly, it is crucial to have a thorough eye examination to determine if you are a suitable candidate for the procedure. Your optometrist will evaluate your overall eye health and discuss your expectations and goals for vision correction.
 

Age is another important factor to consider. CLE is typically recommended for individuals over the age of 40 who have developed presbyopia, a condition that affects near vision. It is also important to have stable vision, as any changes in prescription can affect the accuracy of the IOL power calculation.
 

Additionally, it is essential to understand the potential risks and complications associated with the procedure. While CLE is generally safe, there is a small risk of infection, bleeding, and retinal detachment. Your optometrist will discuss these risks with you and address any concerns you may have.

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Corneal Refractive Therapy

Corneal Refractive Therapy

Corneal refractive therapy, also known as CRT, is a simple, painless treatment for refractive eye errors like myopia and has two core benefits. First, it can be used to help patients see clearly during the day without using glasses or contact lenses, giving them the freedom and flexibility that they need to live life to the fullest. Second, CRT has been shown to help slow the progression of myopia, keeping prescriptions under control and potentially reducing the likelihood of patients developing serious eye health problems associated with high myopia in the future. 

Here’s everything that you need to know about corneal refractive therapy and what it means for you. 

Understanding refractive eye problems

Refractive eye problems like nearsightedness, farsightedness and astigmatism are extremely common, with nearsightedness – also known as myopia – being the most common of all. Patients with myopia can see nearby objects clearly, but those further away become progressively more blurred. Refractive eye errors occur when the shape of the clear dome covering the front part of the eye, called the cornea, impair the light-bending and focusing process in your eyes. This leads to the light ending up in the wrong place inside the eye, and the message that is sent to our brain from our eyes is muddled, causing blurred vision. 

What is corneal refractive therapy?

Corneal refractive therapy was initially developed as a treatment to correct and slow the progression of nearsightedness. However, it has also been found to be effective at controlling other refractive errors, including farsightedness, astigmatism and an age-related refractive condition called presbyopia.

CRT is a non-invasive, painless and straightforward method of correcting patient vision so that they don’t need to wear contacts or glasses, and they don’t need laser vision correction surgery to see clearly. CRT uses special contact lenses that are worn overnight and apply light pressure to the cornea in order to reshape it so that light is refracted correctly, and the image sent from the eyes to the brain is clear. The cornea is able to retain this new shape even after the contact lenses are removed the next morning, meaning that you can continue to see clearly for several hours. The more consistently you wear your CRT lenses overnight, the longer your eyes will learn to retain their new shape and eventually, patients can enjoy up to 48 hours of clear vision without using prescription lenses. However, the effects aren’t permanent so if you stop wearing the lenses, your vision will gradually return back to normal over the course of a few days. 

Slowing the progression of myopia with corneal refractive therapy

Another key benefit of CRT is that it can actually help to slow the progression of myopia. Most people who are nearsighted find that their eyesight gets progressively worse as they get older. This deterioration may not be rapid, but it can end in patients requiring high prescriptions. Studies have found that patients who have high myopia are more likely to develop serious eye problems in the future, including glaucoma, macular degeneration, cataracts and a detached retina. Regular use of your corneal refractive therapy lenses could help keep your prescription stable and lower your risk of developing these problems. 

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Ocular Aesthetics

Ocular Aesthetics

Ocular aesthetics, which focuses on improving the appearance of the eyes and the surrounding area, has gained significant popularity in recent years. Ocular aesthetics aims to rejuvenate the eyes, making them appear more youthful, vibrant, and refreshed. This can be achieved through advanced technology treatments that are designed to address specific concerns and enhance the overall appearance of the eyes.

Common Concerns in Ocular Aesthetics

There are several common concerns that individuals seek to address through ocular aesthetics. These concerns may be a result of natural aging, genetics, or lifestyle factors. One of the most common concerns is the appearance of wrinkles and fine lines around the eyes, commonly known as crow's feet. These lines can make you look older and tired.

Another common concern is the presence of dark circles and puffiness under the eyes. This can give the impression of fatigue and detract from the overall attractiveness of the eyes.

IPL and How it Works

Intense Pulsed Light (IPL) has emerged as a popular and effective treatment option in ocular aesthetics. IPL works by emitting high-intensity light pulses that target specific chromophores in the skin, such as melanin and blood vessels. This targeted approach allows for precise treatment of various concerns around the eyes.

IPL treatments can effectively address pigmentation irregularities, such as age spots and sun damage, which often contribute to an aged appearance. By targeting these concerns, IPL can help restore a more even skin tone and improve the overall aesthetics of the eyes.

IPL treatments are non-invasive and typically require minimal downtime. The number of sessions needed may vary depending on the specific concerns being addressed. By consulting your optometrist, you can determine the best treatment plan to achieve your desired ocular aesthetics.

Radiofrequency (RF) for Ocular Aesthetics

Radiofrequency (RF) treatments have gained significant popularity in ocular aesthetics due to their effectiveness in addressing various concerns around the eyes. RF works by delivering controlled radiofrequency waves into the deeper layers of the skin, stimulating collagen production and tightening the tissues.

One of the primary concerns that RF treatments can address is drooping eyelids. As we age, the skin around the eyes can lose elasticity, causing the eyelids to sag. RF treatments can effectively tighten the skin, resulting in a more youthful and lifted appearance. This can help restore the natural contour and symmetry of the eyes, enhancing their overall aesthetics.

RF treatments can also target under-eye bags, which can make the eyes appear tired and aged. By stimulating collagen production, RF can improve the overall tone and texture of the skin, reducing the appearance of under-eye bags and giving the eyes a more refreshed and vibrant look.

Exploring Low-Level Light Therapy (LLLT)

Low-Level Light Therapy (LLLT) has gained recognition in ocular aesthetics for its ability to promote cellular activity and stimulate collagen production. LLLT utilizes specific wavelengths of light that penetrate the skin, triggering a series of biological responses that can improve the health and appearance of the eyes.

LLLT treatments can effectively address concerns such as fine lines, wrinkles, and dark circles around the eyes. By stimulating collagen production, LLLT can help reduce the appearance of these concerns, resulting in a more youthful and vibrant look.

In addition to its anti-aging benefits, LLLT can also improve the overall health of the eyes. By promoting cellular activity, LLLT can enhance circulation, reduce inflammation, and support the natural healing process. This can be particularly beneficial for individuals with conditions such as dry eyes or eye fatigue.

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