Welcome to Del Negro & Senft Eye Associates

Archives

Author's Posts

This year, everyone will be celebrating Halloween while complying with our new COVID restrictions. As you venture out into the “new normal,” dressed to haunt/scare/get the perfect Insta pic, we feel it is extremely important for you to consider this: One misguided, impulsive decision to use the wrong decorative contact lenses can affect your vision for months or years to come.

Note:
You should never buy lenses from:
  • Street vendors
  • Salons or beauty supply stores
  • Boutiques
  • Flea markets
  • Novelty stores
  • Halloween stores
  • Record or video stores
  • Convenience stores
  • Beach shops
  • Internet sites that do not require a prescription
These are not authorized distributors of contact lenses, which are prescription devices by federal law.

Check out this informative article by the FDA, which highlights things you should consider when purchasing decorative and prescription contact lenses to complete the look you are hoping to achieve. Most importantly, one size does not fit all. If the testimonial doesn’t scare you straight, we don’t know what will.

This Halloween, take the proper steps BEFORE purchasing decorative contact lenses. Wear them responsibly to ward off any bad luck associated with poor decision making. Remember, one bad decision can potentially haunt your vision for the rest of your life.

In honor of AMD awareness, we would like to share with you the important benefits of being proactive about your eye health. A dilated exam, especially with the screening capabilities of the Optos® which delivers a high-resolution 200° image in order to ascertain the health of your retina, is the ideal means to monitor the health of the retina.

In addition, the Amsler Grid, with regard to Macular Degeneration, is also an essential tool because it helps detect the early signs and continues to monitor any changes to the macula. Best part, you can work it into your daily routine so that any changes will demand attention in real-time, thus preventing any lapse in critical care.

DIRECTIONS FOR USE OF AMSLER GRID

  1. With your reading glasses on, test ONE eye at a time while holding grid at normal reading distance.
  2. Look at the dot in the center of the page for three seconds with each eye.
  3. All the lines should be straight.
  4. If the lines become wavy, or if part of the grid is missing, notify our office immediately.
  5. Test each eye for three seconds, once per week.

 

Here’s some additional steps to take:

  • Ensure proper diet and nutritional supplement
  • Protect your eyes from sunlight (sunglasses, hat, etc.)
  • Don’t smoke

 

And, most of all, by following these simple at home steps YOU will gain a sense of pride knowing that you have a hand in maintaining the quality of your current vision.

Are your red, irritated, burning, stinging, scratchy eyes making you miserable? In 2020, resolve to take control of your dry eye. Is your issue dry eye syndrome, meibomian gland dysfunction (MGD), and/or blepharitis? Our doctors will determine what is at the root cause of your discomfort and diagnose and treat your dry eye symptoms so you can get back to living your life free from irritation. Each treatment is customized to your individual needs, and we have a plethora of treatment options to choose from, including:
  • PRN Dry Eye Omega Benefits® (Omega-3s)
  • Warm compress (heat mask)
  • Wash lashes with baby shampoo
  • Wipe eyelids with medicated lid scrubs
  • Lubricating Tears
  • Restasis® or Xiidra® , Cequa ™ Drops
  • Gel Tears
  • Punctal plugs (tear savers)
  • Topical antibiotics
  • Doxycycline
  • Steroid eye drops
  • BlephEx™ in-office treatment with Lid Hygenix™ Foam Eyelid Cleanser
  • LipiFlow
We invite you to schedule an appointment to investigate what your customized treatment plan will look like. Haven’t you wasted enough time squinting to clear up your vision, tearing, wiping your lids with a tissue, walking around with bloodshot eyes, having a feeling that there’s something constantly in your eye, being less productive at the computer screen, or sleeping instead of watching your favorite show because you just couldn’t bare to keep your eyes opened even one more second? The list goes on and on. Relief is in sight – New year, new vision.

One more reason to schedule your annual eye exam: Macular degeneration.

The inside layer of the back of the eye is called the retina. The retina is like the film of a camera. The central 10% of the retina is called the macula. The macula is responsible for sharp, central vision required for “straight ahead” vision activities, such as driving, reading, recognizing faces, and performing close up work.

Age Related Macular Degeneration (AMD) is a deterioration or breakdown of the macula and is one of the most common causes of poor vision in people over age 60. The visual symptoms of AMD involve the loss of central vision (reading, recognizing faces, etc.), while peripheral vision is unaffected. While age is the most significant risk factor for developing AMD, heredity, blue eyes, high blood pressure, cardiovascular disease, and smoking have also been identified as risk factors.

While AMD is one disease, it may be categorized into two forms: dry and wet.

Screening and monitoring your vision for Macular Degeneration is key in early detection to protect your vision against future vision loss. Our doctors offer the optomap® as an important part of our eye exams. The first time a new patient is seen in the office, our doctors dilate as normal, establishing a baseline. Following this initial dilated exam, a welcome benefit to our patients is that that a routine exam can be performed without dilation, if there are no additional findings to suggest otherwise. The image produced is unique and provides Drs. Del Negro, Senft, Glatman, Shah, Wiedeman, and Carniglia with a high-resolution 200° image in order to ascertain the health of your retina. This is much wider than a traditional 45° image. It’s an excellent retina screening tool.

The inclusion of optomap as part of a comprehensive eye exam provides:
  • A scan to show a healthy eye or detect disease.
  • A view of the retina, giving your doctor a more comprehensive view than they can get by other means.
  • The opportunity to view and discuss the optomap image of your eye with your doctor at the time of your exam.
  • Creates a baseline, which allows our doctors to view your images with you each year to look for changes.
In addition to the Optos, another screening tool, known as the Spectralis, uses an advanced eye tracking system that produces 3D images of the eye, allowing our doctors to more easily identify change over time. This helps reveal eye disease which may not yet be noticeable by the patient or detectable with a traditional visual exam. The Spectralis not only aids in the detection of such diseases as glaucoma and macular degeneration, it also provides essential information for monitoring these sight-stealing diseases in follow-up examinations.

Similar to the Optos, the Spectralis exam is fast, safe, and usually does not require dilating the eye. While a patient comfortably sits in a stationary position, the eye is scanned in a few seconds, providing unique views of the structure and function of the eye.

Your physician will review findings with you in real-time and let you know what treatment options you are a candidate for based upon your diagnosis. Keep your retina in check – this year make it a point to schedule your annual exam so you can continue doing all the activities you’ve come to know and love for years to come. New year, new vision.

Glaucoma: The sneak thief of sight.

It is a devastating disease that can slowly destroy the delicate nerve fibers that carry signals from the back of the eye to the brain. Generally, high pressure within the eye is responsible for the damage, but even patients with normal pressure can experience loss of this important nerve function due to glaucoma.

Did you know that annual eye exams are your first line of defense against permanently losing your vision to glaucoma? It’s such a simple thing to schedule, but if you are not proactive about making the time and penciling in this exam, you will regret your decision forever. Sadly, regret can never restore vision lost to glaucoma.

Remember:

  • No treatment can restore vision already lost to glaucoma.
  • Because it can be inherited, if one family member has glaucoma, other family members should be checked.
  • The goal of treatment is to prevent further vision loss.

Advances in treatment options of this disease are available to those who qualify. So, this year, be thoughtful about your New Year’s resolution . . . make the call to schedule your annual eye exam today. See your best this year and beyond!

Are you truly happy with your vision?

If your answer is one of the following, or something similar, you may want to consider scheduling a cataract evaluation:

  • “I’m managing.”
  • “I’m just not driving at night anymore.”
  • “I’m wearing sunglasses at night to help with the glare.”
  • “I’m just staying off the highway.”

If you have been diagnosed with cataracts or have been experiencing decreased vision, make it your New Year’s resolution to investigate whether you are a candidate for cataract surgery. A cataract evaluation is very thorough, lasting approximately two hours. Drs. Del Negro, Senft, or Glatman will review the testing in real-time and discuss how far along your cataract(s) have progressed and determine the next appropriate step—monitoring progression or scheduling the procedure. Additionally, you would learn whether standard or laser cataract surgery is right for you, as well as your candidacy for advanced technology lenses, including Toric and presbyopia correcting lenses.

The idea behind modern cataract surgery is quite simple: the surgeon removes the clouded natural lens and implants a new, clear lens in its place. Our surgeons remove cataracts on an outpatient basis at Seashore Surgical Institute* both state-of-the-art surgical facilities. No hospital stay is required.

Don’t procrastinate in the New Year! It is a 10-minute procedure that will make you 20/Happy so you can start doing – or continue doing – all the activities you’ve come to know and love. Cheers to a New Year with new vision.

*Drs. Del Negro & Senft have an ownership interest in Seashore Surgical Institute.

Many people use yoga as a form of meditation — to clear the mind. But practicing yoga is also incredibly beneficial for your body as a whole. It calls on your entire frame to work like a well-oiled machine, which allows you to identify both your strengths and your weaknesses. It helps to expose any deficiencies you may have by calling on your whole form to deliver your pose and maintain it, which requires complete control.

Christian Valeriani, owner of EvenFlow Yoga in Red Bank, explains, “In balancing poses on one foot, looking ahead is critical in that it keeps the skull aligned over the sacrum for a plumb line. Any downward energy, such as eyelids descending, which ultimately moves the vision to the floor, creates forward head position (FHP for short). In FHP, the SI joints tend to rotate, which creates imbalance. And, since energy finds the path of least resistance, the ‘stronger’ standing leg gets stronger, and the weaker gets weaker. The idea is to keep strength and flexibility in the front, back, and lateral planes of the body. And the body follows the eyes.”

According to Christian, your eyes hold the critical job of informing the body’s motion and position to create specific poses. If your eyesight is not up to par, you will feel it, and your form may suffer.

Interestingly, we have heard patient experiences that explain this phenomenon in an unexpected way. For example, Julius didn’t even realize the full extent of his balance issue until he underwent blepharoplasty (upper eyelid surgery) with Marina Glatman, MD. Following an in-depth consultation with Dr. Glatman, who addressed the droopiness of his upper eyelids, it was determined that he was a candidate for the procedure. After undergoing the procedure, Julius immediately noticed a positive difference in his balance and stability during his weekly yoga sessions. He didn’t realize until getting back to the gym that the excess tissue on his upper lids made it difficult to maintain balance during his workouts prior to surgery.

Ultimately, we should make more of an effort to recognize how much the deficiencies in our eyesight play a role in impacting our daily activities. If you are having any difficulties, don’t be afraid to investigate your options so you can work toward being a better participant in your life and what you love to do.

 


Christian Valeriani is a contributor to our Vision & Yoga blogs

March is Save Your Vision Month! Your vision is important all year round, but it is nice that during March we can celebrate and really spread the importance of a dilated eye exam and being pro-active about your eye health. Hopefully, this will have a trickle-down effect in that your ears will perk up when someone admits, “My vision isn’t what it used to be,” or “My vision has been bothering me lately.” You can then confidently say, “You should schedule an eye exam to eliminate any concern.”

Of course there can be a number of complaints, but it always returns to the sage advice: “Get it checked out.” This applies to yourself, a friend, or a loved one. A dilated eye exam can uncover issues with high cholesterol, diabetes, glaucoma, retina, as well as other conditions, and can ultimately save your sight.

A visit to the ophthalmologist or optometrist will set you on track to maintaining your current vision. Unfortunately, not every vision loss can be reversed. This is why a dilated eye exam is priceless–and should be scheduled every one-to-two years, depending on what your ophthalmologist or optometrist recommends.

There you have it–feel free to spread the word that your eyes are worth a second look. After all, you use them from the moment you wake up until your lids close at night.

Be in the know when it comes to your vision.

View Video

What is AMD?
Age Related Macular Degeneration (AMD) is a deterioration or breakdown of the macula and is one of the most common causes of poor vision in people over age 60.

How do the Retina and Macula relate to AMD?
The inside layer of the back of the eye is called the retina. The retina is like the film of a camera. The central 10% of the retina is called the macula. The macula is responsible for sharp, central vision required for “straight ahead” vision activities, such as driving, reading, recognizing faces, and performing close up work.

What are the Symptoms and Risk Factors of AMD?
The visual symptoms of AMD involve the loss of central vision (reading, recognizing faces, etc.), while peripheral vision is unaffected. While age is the most significant risk factor for developing AMD, heredity, blue eyes, high blood pressure, cardiovascular disease, and smoking have also been identified as risk factors.

Click here to learn more.

If you have concerns about your vision and would like to speak to one of our doctors, call us today to schedule an appointment.

Individuals with diabetes should be aware that they may experience signs of MGD (Meibomian Gland Dysfunction) at a greater rate than the average person, according to a recent article in Ocular Surgery News. As we approach Diabetic Awareness Month, it is important to take note that MGD “was found to be more severe in patients with diabetes, possibly contributing to a greater prevalence of dry eye disease in these patients.”

According to Patricia Nale’s article, Johanna Garzon, PhD, and colleagues in Colombia formulated this conclusion based on a study of 37 patients with type 2 diabetes and 36 healthy controls used to assess the Meibomian glands, ocular surface, and tear function of its participants. The standout finding was that “if the blood glucose is higher, the symptoms [of MGD] are worse.” Diabetes affects so much, including MGD and dry eye, even if this is not one of the more prevalent discussions for those diagnosed with the disease.

“In the group with diabetes,” Garzon explains, “major changes in lids and tear function correlated with meibomian gland inflammation and obstruction.” Furthermore, “in both groups, 71% of participants presented with MGD: 76% in the diabetes group and 67% in the control group.” Even with the best of intentions to keep blood glucose levels in check with daily medication, diet, and exercise, chronic MGD and dry eye still responds best to a tailored regimen to prevent flare-ups.

To keep these frustrating symptoms at bay, feel free to schedule a dry eye evaluation any time. Our eye doctors will customize a program that works for your particular situation, which may include LipiFlow®, an in-office treatment designed to remove blockages from the Meibomian glands, allowing them to properly function and produce the oils that make up the top protective lipid layer of the tear film.

Be proactive, not reactive, and live your best life — free from the irritation and annoyance of this chronic disease.