Fouad Melamed, OD Los Angeles Eye Doctor

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Lasik surgery is not for everyone. Once the patient has decided to have Lasik surgery, an exam needs to be done to see if they are indeed a good candidate for the procedure. There are certain criteria that must be met before Lasik can be preformed. In my home area of Los Angeles, California, you can even get a free Lasik Consultation evaluation.

First is patient age, most physicians will not perform surgery on patients that are under 21 years of age. This is to allow for growth to be completed. Patients will also need to have stable corrective prescription for about two years.

Your corneas will be examined to make sure they are thick enough for surgery to proceed safely. Corneal thickness is crucial to the making of the flap necessary for the surgery and subsequent recovery.

Your eyes will also be examined for their general health. This is so important for many reasons. While Lasik is minor surgery, it is still surgery. You will have wounds that will need to heal. Your eyes will need to be in peak health to heal rapidly. Healthy eyes also help prevent surgical site infections.

Your eye care professional will also discuss past and current medical history. If you are pregnant or nursing, your Lasik procedure will need to be delayed. You will also need to discuss any past history of ocular herpes. Lasik surgery will need to be postponed for a year after treatment of ocular herpes.

Occasionally the corrections needed are just too great for current Lasik technology. The technology surrounding Lasik is constantly improving. So if you are one of the few that can’t be helped by Lasik, don’t give up hope. As you have your regular eye exams, check with your eye care professional to see what changes have occurred in the technology. You may be pleasantly surprised.

Some conditions will need to be evaluated on a case by case basis. Those include previous corneal scars, dry eyes, and any issues that might slow healing. Those include immunosuppressant medications and steroids. Patients that have autoimmune disorders may also be at risk for healing issues.

Some patients will not be candidates for Lasik procedure. Cataract patients, those with corneal diseases, and those with corneal thinning will probably be excluded from having the procedure. Those patients that have a history of wound healing issues may also be excluded, as well as those patients with rheumatoid arthritis.

Your Los Angeles eye doctor will also discuss realistic expectation for surgery results. In fact, you can take advantage of a free Lasik Consultation Evaluation While 20/20 vision is the goal, not everyone will achieve this result. Also as you age you may well need to wear reading glasses even though your Lasik procedure was successful.

Now is the perfect time to get new contact lenses. With the end of the year fast approaching, it is time to get those cafeteria plan benefits used up. Most plans will give you well into the winter to finish using all your deducted money for this year. Be sure to check with your plan to see when the last date to use benefits paid for in 2010 is.

When you and your eye care professional are discussing contacts, you might want to discuss the Acuvue line of products. These lenses are the most popular and include the top of line in terms of technology, comfort and health.

Another nifty feature is the 1-2-3 that is on the edge of some of the lenses. Soft contacts are pliable, which makes them comfortable. However, if you get one turned inside out it can be difficult to tell. With some of the Acuvue lenses, all you have to do is look at the edge and if the 1-2-3 is readable, then the lens is right side out. It is that simple.

There are several types of Acuvue lenses available to fit almost any eye. The Acuvue Oasys can correct either nearsightedness,  farsightedness or astigmatism. The amount of oxygen available to the eye is 98%. The lenses do have UV protection although any prolonged exposure to the sun should be augmented with additional UV blocking sunglasses. Patients typically find this lens to be very comfortable.

Another Acuvue lens available is the new 1 Day TruEye. This lens is made to be worn one day and then thrown away, so it is truly a new pair of lenses every day. And they are the only lens in the US of daily disposable modality that is made of the high oxygen permeability. UV protection is also provided in the TruEye lens. There is no schedule to remember. They can correct either nearsightedness or farsightedness. They also have the Acuvue 1-2-3 mark and the very light tint to allow for ease in handling. To the open eye, they provide 96% of the available oxygen.

Allergy sufferers may want to discuss the 1 Day Acuvue Moist lenses with their eye care provider. These lenses are worn for one day and then discarded. These lenses have the other Acuvue ease of handling features such as the light tint and the 1-2-3 mark. They also have UV protection. Patients report comfort with these lenses that they didn’t enjoy with other lenses with their allergy symptoms.

If you have astigmatism, Acuvue has a lens for that too. And if you are over 40, the new multifocal, Acuvue Oasys for Presbyopia, allows you to wear contact lenses without the need for over reading glasses on top. They will need to be replaced about every two weeks. They come with the visibility tint so they are easy to see in the case. They offer UV protection and the available oxygen to the eye is 97%. They do not have the 1-2-3 mark.

Due to changing IRS laws, you might want to purchase any wetting solutions that you might need in the next month or two before the end of the year if you are using a flex plan. These solutions do have a self life, so you can’t stock up for the entire year. Of course, if you purchase one of the daily lenses, you won’t need the storage solutions.

If you have been contemplating the switch from glasses to contact lenses, now is the perfect time to make that appointment with your eye care professional. If it has been awhile since you have had your prescription changed, you really do need to make that appointment today. Give your self the gift of great eye sight this year.

Corneal abrasion is a painful scratch that occurs on the clear covering over the pupil and colored portion or iris of the eye. Even though the cornea is clear, there are many nerve endings sitting right under the surface. These nerve endings an early warning detector. When there is pain in the eye something is wrong and needs to be treated. This early warning lets the patient know to see their eye care professional immediately. How to deal with corneal abrasion will involve the services of a Los Angeles Eye Doctor, or an eye doctor in your part of the U.S.

Corneal abrasions occur usually occur when a foreign object hits the cornea and scratches it. This can be almost anything from a piece of sand or small rock, a finger nail, an animal scratch, a piece of metal from an industrial accident to a tree branch

Corneal abrasions can be very difficult for the casual observer to see with the naked eye. There is also the danger in some corneal injuries that a small fragment penetrated the eye to involve deeper structures. That is a true medical emergency and demands immediate attention to preserve eye sight. If you can’t get in to see your eye care professional immediately, you will need to go to Urgent Care Eye Doctor (if one cannot be reached, seek an Emergency Room). These usually occur when small, fast moving objects hit the eye, like small pieces of metal or wood.

The most common sensation with a corneal abrasion is the feeling that there is something in the eye and you can’t get it out. You probably will not be able to see anything, but the sensation continues and is painful. You may also have a new sensitivity to bright lights. Your eye may even be red and watery. It is time to seek the help of your eye care professional.

Your eye care professional may use a local anesthetic eye drop to temporarily numb the eye. A drop of a yellow medication will then be used. Under a special light the scratch or abrasion can then be viewed by your eye care professional. A treatment plan can then be formulated.

You may be prescribed antibiotic drops or an ointment to use in your eye at home. This will help with the healing process and help prevent infection. Many times, a bandage contact lens, is used to cover the abrasion, help healing and dramatically improve comfort, but must be used under a supervision of an eye doctor.

Wearing sunglasses will help with the sensitivity to light. Simply lying down and taking a nap between eye drops may help with the discomfort. Your eye will start to feel better within a day or two. You will probably go back to see your Los Angeles Eye Doctor in a couple of days, just to make sure the cornea is healing properly.