DOCSLIB.ORG

Pediatric from the Department Of

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pediatric from the Department Of From the Department of pediatric Ophthalmology, Division of Pediatric Ophthalmology, Columbia University Irving Medical Center and the Morgan Stanley Children’s eye news Hospital of New York Greeting FALL 2018 Dear Colleagues: Division This edition of the newsletter features an article that is particularly apropos before News Halloween: the use of costume contact lenses. The article is written by Dr. Lauren Yeager, one of our outstanding pediatric ophthalmologists. It focuses on some of The Department of the serious, sight-threatening risks associated with the use of costume contact Ophthalmology of Columbia lenses, and provides clinically relevant information intended to help primary care University Irving Medical Center practitioners on the front lines provide sound, informed management for their has moved into it newest patients. As always, we also provide an EyeQ test to challenge your ophthalmic satellite location at 240 west knowledge, as well as updates on the many things that are going on in the Division 64th St and West End Ave, close to Lincoln Center. We of Pediatric Ophthalmology at Columbia University Irving Medical Center. Copies have a beautiful, fully of this and prior newsletters, as well as detailed information about our physicians, equipped, new office space on services, and facilities can also be found on our webpages at www.columbiaeye.org. the third floor, in the Robert We want to remain an important resource for both you and your patients. Burch Family Eye Center. In this new space we provide comprehensive, family- Costume Contact Lenses centered eye care services for both adults and children. We Costume contact lenses, also in children, and anecdotally, many ophthal- are also happy to report that known as decorative or cosmetic mologists describe patients who have pre- we have received a generous contact lenses, change the appearance sented with serious ophthalmic issues from gift from Penny Mishkin to of the eye by changing the eye color costume lenses. support the purchase of or pupil shape. Popular costume Ophthalmic complications from costume medically necessary glasses lenses include black out contacts, cat lenses include corneal abrasions and ulcers, and contact lenses for children eyes, and zombie eyes. These lenses in need. The program will be are especially popular during administered by the Division of Halloween. In the United States it is Pediatric Ophthalmology and illegal to sell contact lenses without a available to children seen at our prescription from an eye care practice sites. professional. Despite this, such lenses On December 1, 2018 NYP are commonly found in costume will hold its 5th Annual shops, toy stores, and online retail Specialty Updates for the where they are advertised as toys. Left to right - Cat’s eye contact lens and General Pediatrician at the Although all contact lens Zombie eye contact lens wear has risks, lenses bought illegally Milstein Heart Center on the over-the-counter and worn without a and ulcers, and symptoms include redness, Columbia University Irving proper prescription are associated pain, tearing, light sensitivity, and decreased Medical Center campus. with a higher risk of ophthalmic vision. Although abrasions and ulcers may be Dr. Steven Brooks, the Division issues that can lead to injury, successfully treated with topical antibiotics Chief for Pediatric Ophthal- infection, and possibly blindness. A drops, they can also progress rapidly, leading mology and medical director of 2010 study published in the Journal of to permanent corneal scarring or even Jonas Children’s Vision Care, Pediatrics indicated that at least blindness. Timely, appropriate treatment is will co-direct the meeting, and 13,500 emergency room cases each critical. Less serious (continued on page 2) the Division will host an year are due to contact lens injuries informational table at meeting. Costume Contact Lenses (continued from page 1) EyeQ Test: complications may include dry eye 1. The following are signs of a corneal abrasion except: and superficial punctuate A. Redness keratopathy (an inflammation of B. Thick, white discharge the cornea with punctuate epithelial loss) that are similar but C. Pain generally less severe than those D. Sensitivity to light seen with abrasion or ulceration. 2. Corneal ulcers can lead to: A. Corneal thinning B. Perforation of the cornea C. Corneal scarring D. A and C E. All of the above 3. True or false: Contact lenses are considered medical devices by the FDA. 4. True or false: Costume contact lenses are approved by the FDA for over Above - Patient with a severe, the counter sales. vision threatening corneal ulcer. 5. Which of the following increases the risk of corneal ulcer in contact lens Most people are unfortunately wearers? unaware of the safety risks A. Dry eye associated with costume lenses B. Decreased corneal sensation given the marketing and over-the- counter availability. It is C. Sleeping in contact lenses important that we educate our D. All of the above patients about proper contact lens wear and the safety hazards Answers: 1. B, 2. E, 3. T, 4. F, 5. D associated with these lenses, especially during the Halloween season. If a patient has been pediatric Division News wearing contact lenses and (continued) complains of eye symptoms, he or eye news she should promptly be seen by an A Publication of the Department of Ophthalmology, Dr. Brooks also has represented eye care professional. Division of Pediatric Ophthalmology, Columbia Columbia Children’s Health by University Irving Medical Center and the Morgan Stanley Children’s Hospital of New York participating in a Twitter chat hosted by the Lighthouse-Guild on August 29th, Pediatric Ophthalmologists: discussing the subject of children’s eye Steven Brooks, M.D. (Division Chief) health. The chat engaged parents and Lauren Yeager, M.D. was endorsed by the Children’s Eye Foundation and the American Academy Practice Locations: for Pediatric Ophthalmology and Morgan Stanley Children’s Hospital 3959 Broadway, New York, NY (5th floor) Strabismus. Lighthouse Guild 250 West 64th Street, New York, NY For Appointments Call: 212-305-9535, or on the web:www.ColumbiaEye.org pediatric 2 eye news FALL 2018.
Load more

Recommended publications
  • Prescription Companion
    PRESCRIPTION COMPANION ©2012Transitions Optical inc. ophthalmic lens technical reference JUBILEE YEAR 2012 E -Edition 7 www.norville.co.uk Introduction and Page Index The Norville Companion is a supporting publication for our Prescription Catalogue, providing further technical details, hints and ideas gleaned from everyday experiences. TOPIC Page(s) TOPIC Page(s) Index 2 - 3 Part II Rx Allsorts Lens Shapes 4 - 6 Lens Forms 49 Effective Diameter Chart 7 Base Curves 50 - 51 Simplify Rx 8 Aspherics 52 - 53 Ophthalmic Resins 9 Free-form Digital Design 54 Indices of Ophthalmic lenses - Resin 10 Compensated Lens Powers 55 - 56 Polycarbonate 11 Intelligent Prism Thinning 57 - 58 Trivex 12 - 13 Superlenti - Glass 59 Resin Photochromic Lenses 14 Superlenti - Resin 60 Transitions Availability Check List 15 V Value / Fresnels 61 Nupolar Polarising Lenses 16 E Style Bifocal / Trifocal 62 Drivewear Lenses 17 - 18 Photochromic / Glazing / Prisms 63 UV Protective Lenses 19 Lens Measures 64 Norville PLS Tints 20 Sports 65 Tinted Resin Lenses 21 3D Technology Overview 66 Mid and High Index Resins Tintability 22 Rx Ordering 67 Norlite Tint Transmission Charts 23 - 25 Order Progress 68 Norlite Speciality Tinted Resins 26 - 31 Rx Order Form 69 Norlite Mirror Coating 32 Queries 70 Reflection Free Coating 33 - 34 Optical Heritage 71 F.A.Q. Reflection Free Coatings 35 - 37 Rx House - Change afoot? 72 - 73 Indices of Ophthalmic Lenses - Glass 38 Remote Edging 74 Glass Photochromic Lenses 38 Remote edging - F.A.Q. 75 Speciality Absorbing Glass 39 Quality Assurance
    [Show full text]
  • The Eye Is a Natural Optical Tool
    KEY CONCEPT The eye is a natural optical tool. BEFORE, you learned NOW, you will learn •Mirrors and lenses focus light • How the eye depends on to form images natural lenses •Mirrors and lenses can alter • How artificial lenses can be images in useful ways used to correct vision problems VOCABULARY EXPLORE Focusing Vision cornea p. 607 How does the eye focus an image? pupil p. 607 retina p. 607 PROCEDURE 1 Position yourself so you can see an object about 6 meters (20 feet) away. 2 Close one eye, hold up your index finger, and bring it as close to your open eye as you can while keeping the finger clearly in focus. 3 Keeping your finger in place, look just to the side at the more distant object and focus your eye on it. 4 Without looking away from the more distant object, observe your finger. WHAT DO YOU THINK? • How does the nearby object look when you are focusing on something distant? • What might be happening in your eye to cause this change in the nearby object? The eye gathers and focuses light. The eyes of human beings and many other animals are natural optical tools that process visible light. Eyes transmit light, refract light, and respond to different wavelengths of light. Eyes contain natural lenses that focus images of objects. Eyes convert the energy of light waves into signals that can be sent to the brain. The brain interprets these signals as shape, brightness, and color. Altogether, these processes make vision possible. In this section, you will learn how the eye works.
    [Show full text]
  • Patient Instruction Guide
    1‐DAY ACUVUE® MOIST Brand Contact Lenses 1‐DAY ACUVUE® MOIST Brand Contact Lenses for ASTIGMATISM 1‐DAY ACUVUE® MOIST Brand MULTIFOCAL Contact Lenses etafilcon A Soft (hydrophilic) Contact Lenses Visibility Tinted with UV Blocker for Daily Disposable Wear PATIENT INSTRUCTION GUIDE CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed practitioner. 1 TABLE OF CONTENTS TABLE OF CONTENTS ............................................................................................................................................... 2 INTRODUCTION ....................................................................................................................................................... 3 SYMBOLS KEY .......................................................................................................................................................... 4 UNDERSTANDING YOUR PRESCRIPTION ................................................................................................................. 5 GLOSSARY OF COMMONLY USED TERMS ............................................................................................................... 5 WEARING RESTRICTIONS & INDICATIONS ............................................................................................................... 6 WHEN LENSES SHOULD NOT BE WORN (CONTRAINDICATIONS) ............................................................................ 6 WARNINGS .............................................................................................................................................................
    [Show full text]
  • Intraocular Lenses and Spectacle Correction
    MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER MP-6.058 Original Issue Date (Created): 6/2/2020 Most Recent Review Date (Revised): 6/9/2020 Effective Date: 2/1/2021 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY I. POLICY Intraocular Lens Implant (IOL) Initial IOL Implant A standard monofocal intraocular lens (IOL) implant is medically necessary when the eye’s natural lens is absent including the following: Following cataract extraction Trauma to the eye which has damaged the lens Congenital cataract Congenital aphakia Lens subluxation/displacement A standard monofocal intraocular lens (IOL) implant is medically necessary for anisometropia of 3 diopters or greater, and uncorrectable vision with the use of glasses or contact lenses. Premium intraocular lens implants including but not limited to the following are not medically necessary for any indication, including aphakia, because each is intended to reduce the need for reading glasses. Presbyopia correcting IOL (e.g., Array® Model SA40, ReZoom™, AcrySof® ReStor®, TECNIS® Multifocal IOL, Tecnis Symfony and Tecnis SymfonyToric, TRULIGN, Toric IO, Crystalens Aspheric Optic™) Astigmatism correcting IOL (e.g., AcrySof IQ Toric IOL (Alcon) and Tecnis Toric Aspheric IOL) Phakic IOL (e.g., ARTISAN®, STAAR Visian ICL™) Replacement IOLs MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER
    [Show full text]
  • Contact Lenses
    Buying Contact Lenses Some common Questions and Answers to help you buy your lenses safely Wearing contact lenses offers many benefits. Following some simple precautions when buying lenses can help to make sure that you don’t put the health and comfort of your eyes at risk. The British Contact Lens Association and General Optical Council have put together some common questions and answers to help you buy your lenses safely 2 Images courtesy of College of Optometrists, General Optical Council and Optician How do I find out about wearing contact lenses? ● If you want to wear contact lenses to correct your eyesight, you must start by consulting an eye care practitioner for a fitting. Only registered optometrists, dispensing opticians with a specialist qualification (contact lens opticians) and medical practitioners can fit contact lenses. Fitting includes discussing your visual and lifestyle requirements, an eye examination to make sure your eyes are healthy and find out if you’re suitable, and measurements of your eyes to ensure the best lens type, fit and vision, before trying lenses. Once you have worn the lenses, you should have the health of your eyes checked again. You will also need to learn how to handle and care for your lenses. Your practitioner will advise you when you should wear the lenses and how often you should replace them. When is the fitting completed? ● Your prescribing practitioner will tell you when the fitting is completed. How long the fitting takes will depend on your lens type and your eye health. Don’t forget that, once fitted, you will need to have regular check-ups to make sure your eyes are healthy and to get the best from your contact lenses.
    [Show full text]
  • Comparative Analysis of Cosmetic Contact Lens Fitting By
    Report of the Staff to the Federal Trade Commission A Comparative ~alysis of Cosmetic Coritact Lens Fitting by Ophtha1ffiologists, Optometrists, and Opticians .,... ... ---. ) by . Gary D. Hailey· Jonathan R. Bromberg Joseph P. Mulholland (Note: This report has been prepared by staff members of the Bureau of Consumer Protection and Bureau of Economics of the Federal Trade Commission. The Commission has reviewed the report and authorized its publication.) Acknowledgements The authors owe an enormous debt of gratitude to the many ophthalmologists, optometrists, and opticians wh~ assisted in the design and performance of this study out of a sense of responsi­ bility to their professions and to the public. Not all of them can be listed here. &ut the following individuals, who repre-. sen ted their respective professions at all stages of th~ study,' deserve special mention: Oliver H. Dabezies, Jr;, M.D., of the' Contact Lens Association of Ophthalmology and the American Academy of Ophthalmology; Earle L. Hunter, O.D., of the American Optometric Association; and Frank B. Sanning and Joseph W. Soper, of the Contact Lens Society of America and the Opticians Associa­ tion of America. Of course, none of these individuals or asso­ ciations necessarily endorses the ultimate conclusions of this report. A number ,of current and former FTC staff members have con­ tr ibuted to the study in important ways.· "'''Me-iribers of the Bureau of Consumer Protection's Impact Evaluation Unit, including Tom Maronick, Sandy Gleason,' Ron Stiff, Michael Sesnowitz, and Ken Bernhardt, helped answer innumerable technical questions related to the design and administration of the study. Christine Latsey, Elizabeth Hilder, Janis Klurfeld, Scott Klurfeld, Erica Summers, Matthew Daynard, Te~ry Latanich, and Gail Jensen interviewed study subjects, supervised the field examinat~ons, prepared data for analysis, wrote preliminary drafts, and helped with a number 6f 6ther ~asks.
    [Show full text]
  • Your Glasses Need to Be Right. Your Glasses Should Be Comfortable, Complement Your Face, and Provide You with the Best Possible Vision and Protection of Your Sight
    Your glasses need to be right. Your glasses should be comfortable, complement your face, and provide you with the best possible vision and protection of your sight. Because anything less is not good enough for our patients, we have a full-service optical shop that stands up to the quality you can expect from the office of your board- certified eye MD. Dr. Gray is very particular that our optical sales are not on commission. This is to ensure that the only factor guiding your purchase is our aim to give you the best quality of vision and comfort. You will not find this non-commissioned sales approach elsewhere. We are not interested in making a fast deal and a one-time sale. We aim to give you the best glasses you have ever owned, and to earn your business for a lifetime. We are frequently asked what makes a quality pair of glasses. We can help you cut through all the confusing choices and marketing hype, and give you the assurance that you are getting a high quality product that will be the best for your eyes and your vision. We will be here to service and stand behind our products to ensure that you get a high level of value for your money, and not just a quick “deal”. There are many different types of lenses and frames on today’s market. When you get your glasses here, our expert optician presents all the options and the latest optical technology and tailors your glasses to your individual needs.
    [Show full text]
  • Release of Prescriptions for Eyeglasses and Contact Lenses
    STATE AND CONSUMER SERVICES AGENCY Governor Edmund G. Brown Jr. BOARD OF OPTOMETRY 2450 DEL PASO ROAD, SUITE 105 SACRAMENTO, CALIFORNIA 95834 TEL: (916) 575-7170 www.optometry.ca.gov FACT SHEET RELEASE OF PRESCRIPTIONS FOR EYEGLASSES AND CONTACT LENSES The Federal Trade Commission adopted the Ophthalmic Practice Rules (Eyeglass Rule) and the Contact Lens Rule, which set-forth national requirements for the release of eyeglass and contact lens prescriptions. According to these Rules, all prescriptions for corrective lenses must be released to patients, whether requested or not. The Federal Contact Lens Rule preempts California law regarding the release of contact lens prescriptions, including exceptions carved out for specialty lenses and the 2 p.m. deadline established in AB 2020 (Chapter 814, Statutes of 2002). The following is a brief description of the prescription release requirements: Eyeglass prescriptions must be released immediately following the eye exam. Contact lens prescriptions must be released immediately upon completion of the eye exam or the contact lens fitting (if a fitting is necessary). If specialty lenses must be purchased in order to complete to the fitting process, the charges for those lenses can be passed along to the patient as part of the fitting process. • Contact lens fitting means the process that begins after an initial eye examination for contact lenses and ends when a successful fit has been achieved. In cases of renewal prescriptions, the fitting ends when the prescriber determines that no change in the existing prescription is required. • If a patient elects to purchase contact lenses from a third party, the seller must verify the prescription before filling it.
    [Show full text]
  • Answers to Some Frequently Asked Questions
    UniView VisionSM Answers to Some Frequently Asked Questions What is covered in a comprehensive eye exam? Log in at Some of the tests and procedures performed in a comprehensive eye exam include: unicare.com to: • Case history Find an eye care provider • Evaluation of visual system’s status (including dilation) • Refractive status Print a list of eye care providers in your area • Binocular function • Assessment, diagnosis and treatment plan View your benefit information Are contact lens fitting fees included in the vision exam? See when you’re eligible Professional contact lens fitting fees are not considered a part of routine eye care and for more benefits are not included in the vision exam. Plan coverage and discounts vary so members should refer to their specific plan design for details. Members can view their specific View claim status vision coverage by signing into the secure member portal and selecting View Vision, Vision Benefit Details and then My Benefits. What is the difference between standard and premium contact lens fit and follow-up? Your eye doctor will determine what type of contact lens is best for you. In general, contact lens evaluation fees are based on the type of contact lens the doctor prescribes. Standard contact lenses are considered to be single vision, clear, soft, and for daily wear. If you are prescribed standard contact lenses, your eye doctor will perform a standard fitting with follow up evaluation. If the contact lens your eye doctor prescribes for you does not fall into the category of a standard contact lens, it is considered to be a premium contact lens.
    [Show full text]
  • Fall Newsletter
    A MINUTE'I w i! ^ S i ,%, f'C ' -ir$> ^ ■I' I WITH■ 'JU ,\^v\ /■ October 2019 MONOCLE MM Fall Newsletter Highlights DRY EYE NOW BOOKING GALLERY NEWS Follow our newsletters Find our in office specials, for all things Dry Eye. Schedule now ADDED rebates From causes and to use your end of year - and - symptoms to the benefits and stay latest in dry eye ahead of the crowd. See all our non-eye treatments. related activities! LET THE LEAVES BE THE ONLY THINGS THAT ARE DRY! In a healthy eye, tears and proper blinking are responsible for the perfectly smooth ocular surface which allows clear vision. Every time we blink, a fresh layer of tears, called the tear film, spreads over the eye. If the eye stops producing enough tears or tears evaporate too quickly, you can develop a chronic condition referred to as dry eye syndrome (DES). DES symptoms include: irritated, gritty, scratchy, or burning eyes, excess watering, poor contact lens vision or comfort, and blurred vision. We are proud to offer advanced technology with the Oculus Keratgraph 5M, used to examine your tear film. This allows for faster diagnosis and a customized treatment plan to regain that smooth ocular surface for clear vision! You have more than one pair of shoes. W hy only have one pair of glasses?? FALL IS HERE: DON’T WAIT TO SCHEDULE Insurance FSA/HSA benefits will expire December 31st! As the end of the year approaches don’t wait to schedule your appointment. Guarantee your spot without the headache of long wait times.
    [Show full text]
  • New Contact Lens Makes Glasses Obsolete Hydroeye
    Davis EyeCare Associates EyeCare Update A Quarterly bulletin on new developments in the field of eyecare from Davis EyeCare —Your EyeCare Specialists Spring 2003 Vol. 9 No. 2 With innovative technol- ogy, excellent service and New Contact Lens Makes Glasses Obsolete a caring team, we at Davis EyeCare have a re- Monica Guterez has an many cases of astigmatism. who do not like wearing sponsibility to make our unusual contact lens glasses or contacts during patients aware of what wearing schedule. She Nearsightedness is caused the day but leery of the total eye health really puts them in before going by a steepening of the cor- LASIK surgical procedure. means. We do this with to bed and takes them out nea, the transparent tissue The LASIK patients often great pride and commit- when she wakes up. in front of the colored part complain of halos at night ment of the eye. In the LASIK and dry eyes and some- The lenses, described as procedure, a doctor uses a Special points of interest: times require a follow-up an alternate to LASIK laser and secondary proce- surgery, gently reshape surgical dure. Laser sur- DAVISEYECARE.COM Monica’s cornea while she knife to flat- gery did not Visit us at our new website. sleeps, allowing her to see ten the cor- seem like an op- You can now make an appointment, clearly during the day. nea. tion for me said order your contact lenses and solu- Wearing contacts during These spe- Rod Hurst of tions, find out information about the day can be a hassle.
    [Show full text]
  • Managing the Presbyope
    Essential Contact Lens Practice Managing the Presbyope As the number of patients wearing contact KEY POINTS lenses around the world grows, so does the The number of presbyopic patients requiring contact lens number requiring presbyopic correction. Many correction is increasing and is predicted to continue to patients fitted with lenses are now beginning to do so over the next five years KEY POINTS experience presbyopia and demand satisfactory In fitting the presbyope, the practitioner should correction without recourse to spectacles. have access to a number of different lens designs and be aware of alternative There is also the demand from presbyopic fitting approaches hyperopes who, on reaching presbyopia, now The availability of single use need full-time correction for distance and disposable trial lenses allows ease of trial for both patients near and, with more active lifestyles and and practitioners increased awareness of contact lenses, are Lens power adjustments should not be based on asking for contact lens correction. The number objective visual acuity alone of presbyopic patients in Europe is on a steady Subjective visual performance assessment is most effectively incline and is forecast to grow further over the achieved by experiencing lens wear in both the work and next five years. Practitioners can therefore home environment expect to see an increase in the number of There is a significant untapped opportunity for contact lens presbyopes attending for contact lens fittings correction of presbyopes over the next few years. 91 Managing the Presbyope s the size of the presbyopic market increases, so too does the number of options of correcting presbyopia with A contact lenses.
    [Show full text]