Presbyopia Syracuse, NY, 13210

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Who We Are About Us Dr. Cecchi offers a wide variety of eye and vision related services. Specializing in cataract surgery, he also offers comprehensive eye exams, glaucoma screening and treatment, macular degeneration monitoring, and functional eyelid surgery. Contact Us Phone: 315-425-7722 Email: [email protected] Web: cecchimd.com Locations Madison-Irving Building 475 Irving Ave. Suite 420 Presbyopia Syracuse, NY, 13210 581 Main St. Oneida, NY, 13421 The lens inside the eye functions just like Bifocals: This is the most common Contact Lenses: Monovision can be the lens of a camera. It actually changes option if there is need for distance achieved to have one eye in focus for shape by becoming fatter when we correction as well as near. The top reading and one for distance. This can be attempt to see objects up close and portion of the lenses provide the difficult for many patients to adjust to. thinner when we gaze into the distance. distance correction while at the Those who can adjust it do very well with This system works well until we get close bottom is the reading power. These this option. Contact lenses also come in a to forty. The lens gradually loses its ability can be with a line delineating the bifocal form which can provide good to focus up close. Blurred vision for near reading section, or can be a distance and near correction. objects is the result. Slowness in changing transitional type lens without a visible Surgery: In some cases, if a cataract is focus from near to far may be noted. This line. The advantage to “no line” present, the eye’s natural lens which has loss of the ability to focus up close is bifocals is that there is a blending of called Presbyopia or age-related focusing the transition from distance at top to become cloudy can be removed and replaced with an intraocular lens (IOL). dysfunction. Near sighted (myopic) reading at bottom. The disadvantage The IOL can be of a bifocal variety which patients in this age group may take their is that the appropriate place through can also aid with reading. Monovision glasses off to read. This is one of the the bottom needed to keep clear near can also be achieved while using standard advantages to myopia. Hyperopic (far- vision can be small and hard to find. monofocal IOL’s. So called “Clear lens sighted) patients may have more difficulty Reading Glasses: These work extraction” (CLE) is an option for those with focusing at an earlier age because they start out with too little focusing well and have the advantage of giving wanting to pursue surgical options before the full field of vision while reading. a cataract has formed. Other corneal ability. This is an excellent option for those procedures are being developed for The chief complaint of patients with who are avid readers or spend a presbyopia as well such as corneal inlays. presbyopia is difficulty seeing up close, prolonged time with near work. which may be aggravated by reading small print or reading in dim light. Holding the Half-glasses: These are the kind reading matter further away may alleviate made famous by Ben Franklin. They the strain temporarily, but the best way to provide good near vision, and if the correct for presbyopia is with lenses of the patient has good distance vision proper power to bring things into focus. without glasses, clear distance vision This can be achieved in several different is obtained by simply looking over the ways. top of the glasses. .

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ICO Guidelines for Glaucoma Eye Care

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Presbyopia and Glaucoma: Two Diseases, One Pathophysiology? the 2017 Friedenwald Lecture

Lecture Presbyopia and Glaucoma: Two Diseases, One Pathophysiology? The 2017 Friedenwald Lecture Paul L. Kaufman,1 Elke Lutjen¨ Drecoll,2 and Mary Ann Croft1 1Department of Ophthalmology and Visual Sciences, Wisconsin National Primate Research Center, McPherson Eye Research Institute, University of Wisconsin-Madison, Madison, Wisconsin, United States 2Institute of Anatomy II, Erlangen, Germany Correspondence: Paul L. Kaufman, Department of Ophthalmology and Visual Sciences, University of Wisconsin Clinical Sciences Center, 600 Highland Avenue, Madison, WI 53792-3220, USA; [email protected]. Citation: Kaufman PL, Lutjen¨ Drecoll E, Croft MA. Presbyopia and glaucoma: two diseases, one pathophysiology? The 2017 Friedenwald Lecture. Invest Ophthalmol Vis Sci. 2019;60:1801–1812. https://doi.org/10.1167/iovs.19-26899 resbyopia, the progressive loss of near focus as we age, is choroid and the retina stretch in parallel with each other during P the world’s most prevalent ocular affliction. Accommoda- the accommodative response. The question remains how far tive amplitude is at its maximum (~15 diopters) in the teen back the accommodative choroid/retina movement goes. years and declines fairly linearly thereafter (Fig. 1).1 By age 25 By ‘‘marking’’ points on retinal photographs (e.g., vascular about half the maximum accommodative amplitude has been bifurcations) in aphakic (to avoid lens magnification artifacts lost, by age 35 two-thirds are gone, and by the mid-40s all is during accommodation) monkey eyes, movement of the retina gone. Clinical symptoms usually begin at age ~40. The during accommodation can be quantified in terms of both accommodative apparatus of the rhesus monkey is very similar direction and magnitude (Fig.
Cataract Surgery & Glaucoma

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Miotics in Closed-Angle Glaucoma

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Drug Class Review Ophthalmic Cholinergic Agonists

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Clinical Findings and Management of Posterior Vitreous Detachment

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Association Between Visual Field Damage and Corneal Structural

www.nature.com/scientificreports OPEN Association between visual feld damage and corneal structural parameters Alexandru Lavric1*, Valentin Popa1, Hidenori Takahashi2, Rossen M. Hazarbassanov3 & Siamak Yousef4,5 The main goal of this study is to identify the association between corneal shape, elevation, and thickness parameters and visual feld damage using machine learning. A total of 676 eyes from 568 patients from the Jichi Medical University in Japan were included in this study. Corneal topography, pachymetry, and elevation images were obtained using anterior segment optical coherence tomography (OCT) and visual feld tests were collected using standard automated perimetry with 24-2 Swedish Interactive Threshold Algorithm. The association between corneal structural parameters and visual feld damage was investigated using machine learning and evaluated through tenfold cross-validation of the area under the receiver operating characteristic curves (AUC). The average mean deviation was − 8.0 dB and the average central corneal thickness (CCT) was 513.1 µm. Using ensemble machine learning bagged trees classifers, we detected visual feld abnormality from corneal parameters with an AUC of 0.83. Using a tree-based machine learning classifer, we detected four visual feld severity levels from corneal parameters with an AUC of 0.74. Although CCT and corneal hysteresis have long been accepted as predictors of glaucoma development and future visual feld loss, corneal shape and elevation parameters may also predict glaucoma-induced visual functional loss. While intraocular pressure (IOP), age, disc hemorrhage, and optic cup characteristics have been long identifed as classic risk factors for development of primary open-angle glaucoma (POAG)1,2, the Ocular Hypertension Treatment Study (OHTS) suggested central corneal thickness (CCT) as a new risk factor for development of POAG3.
Flammer Syndrome, a Potential Risk Factor for Central Serous Chorioretinopathy?

Review Article ISSN: 2574 -1241 DOI: 10.26717/BJSTR.2020.24.004026 Flammer Syndrome, A Potential Risk Factor for Central Serous Chorioretinopathy? Tatjana Josifova 1*, Franz Fankhauser1 and Katarzyna Konieczka1,2 1Augenzentrum Prof Fankhauser, Bern, Switzerland 2Universitätspital Basel, Augenklinik, Basel, Switzerland *Corresponding author: Tatjana Josifova, Augenzentrum Prof Fankhauser, Bern, Switzerland ARTICLE INFO Abstract Received: December 16, 2019 Central serous chorioretinopathy (CSCR) is forth most common retinal disease, Published: January 06, 2020 mostly affecting men in their third and fourth life decade. Changes most often involve the macula and are associated with pigment epithelial and neurosensory retinal detachment. The literature highlights an involvement of the choroidal veins and pigment Citation: Tatjana Josifova, Franz Fankhaus- epithelium in the pathogenesis of CSCR. Nevertheless, both the risk factors and the molecular mechanisms of CSCR remain uncertain. The Flammer syndrome refers to a er, Katarzyna Konieczka. Flammer Syn- phenotype characterized by the combination of primary vascular dysregulation with drome, A Potential Risk Factor for Central a cluster of additional symptoms and signs. Subjects affected by the syndrome have Serous Chorioretinopathy?. Biomed J Sci & a predisposition to react differently to a number of stimuli, such as cold, physical or Tech Res 24(2)-2020. BJSTR. MS.ID.004026. emotional stress, or high altitude. We postulate that Flammer syndrome might be one of the risk factors for CSCR. This
$Refractive Errors a Closer Look$

Refractive Errors a Closer Look

2011-2012 refractive errors a closer look WHAT ARE REFRACTIVE ERRORS? WHAT ARE THE DIFFERENT TYPES OF REFRACTIVE ERRORS? In order for our eyes to be able to see, light rays must be bent or refracted by the cornea and the lens MYOPIA (NEARSIGHTEDNESS) so they can focus on the retina, the layer of light- sensitive cells lining the back of the eye. A myopic eye is longer than normal or has a cornea that is too steep. As a result, light rays focus in front of The retina receives the picture formed by these light the retina instead of on it. Close objects look clear but rays and sends the image to the brain through the distant objects appear blurred. optic nerve. Myopia is inherited and is often discovered in children A refractive error means that due to its shape, your when they are between ages eight and 12 years old. eye doesn’t refract the light properly, so the image you During the teenage years, when the body grows see is blurred. Although refractive errors are called rapidly, myopia may become worse. Between the eye disorders, they are not diseases. ages of 20 and 40, there is usually little change. If the myopia is mild, it is called low myopia. Severe myopia is known as high myopia. Lens Retina Cornea Lens Retina Cornea Light rays Light is focused onto the retina Light rays Light is focused In a normal eye, the cornea and lens focus light rays on in front of the retina the retina. In myopia, the eye is too long or the cornea is too steep.
Retinal Detachment with Subretinal and Vitreous Hemorrhages Causing Secondary Angle Closure Glaucoma Diagnosed with Ultrasound

Henry Ford Health System Henry Ford Health System Scholarly Commons Emergency Medicine Articles Emergency Medicine 5-22-2020 Retinal detachment with subretinal and vitreous hemorrhages causing secondary angle closure glaucoma diagnosed with ultrasound Michael B. Holbrook Daniel Kaitis Lily Van Laere Jeffrey Van Laere Christopher R. Clark Follow this and additional works at: https://scholarlycommons.henryford.com/ emergencymedicine_articles YAJEM-159017; No of Pages 2 American Journal of Emergency Medicine xxx (xxxx) xxx Contents lists available at ScienceDirect American Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/ajem Retinal detachment with subretinal and vitreous hemorrhages causing secondary angle closure glaucoma diagnosed with ultrasound Michael B. Holbrook, MD, MBA a,⁎, Daniel Kaitis, MD b, Lily Van Laere, MD b, Jeffrey Van Laere, MD, MPH a, Chris Clark, MD a a Henry Ford Hospital, Department of Emergency Medicine, Detroit, MI, United States of America b Henry Ford Hospital, Department of Ophthalmology, Detroit, MI, United States of America A 90-year-old female with a past medical history of trigeminal neu- choroid/retina consistent with a retinal detachment. Her pain was con- ralgia and age-related macular degeneration (AMD) presented with a trolled with oral hydrocodone/acetaminophen. Ultimately her vision four-day history of a left-sided headache, nausea, and vomiting. Regard- was deemed unsalvageable given her age, length of symptoms, and ing her left eye, she reported intermittent ﬂashes of light over the past lack of light perception. At time of discharge, her left eye's IOP was month and complete vision loss for four days. She denied a history of di- 49 mmHg.
Perspectives on Presbyopia

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Guidelines for Universal Eye Screening in Newborns Including RETINOPATHY of Prematurity

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