Why does my eye doctor need to know what medications I'm taking?

Certain medications have been known to cause some unusual ocular side effects. Therefore, it's important that we know what medications you take, as it may help guide the testing that we perform during your exam. I will give you 3 examples:

1) Plaquenil, commonly used to treat arthritis, lupus, and malaria, can cause "bulls eye maculopathy," a condition affecting the retina that can lead to central vision loss.
2) Amiodarone, used to treat arrhythmia, can cause "whorl keratopathy," affecting the cornea.
3) Prednisone can cause early-onset cataracts (see pic below) and/or glaucoma.

Baby photos may be first sign of eye cancer

"Leukocoria" is the term used to describe a pupil that appears white. Generally, this occurs because there is a white reflection from something inside the eyeball that isn't supposed to be there. Sometimes this is more noticeable when looking at photographs, as one eye may appear to have the normal "red reflex" in the photo, while the other eye appears to have a white reflex. Please, if you feel your child may have this sort of white reflection in one pupil, do not hesitate to have him/her examined by an eye doctor. This could be the first sign of a retinoblastoma (a very serious intraocular tumor) or a congenital cataract, both of which are rare but need to be treated ASAP.

For EYE pain, see an EYE doctor!

If you're having eye pain/redness, I strongly discourage going to the ER or your primary care doctor. Let me tell you a little story. When I first started practicing, I saw a patient with severe pain in one eye. She had gone to the ER one week prior to seeing me. The ER doctor gave her a bottle of Atropine dilating drops. By the time she came in to see me, she had a corneal ulcer so large that she could barely see. Luckily, with a heavy course of antibiotics, I was able to restore most of the vision she had lost. Had she been given antibiotic eye drops to begin with, she likely would have not lost any vision in that eye. Is this a one-time case? Unfortunately, no. I see this type of thing several times a year. It makes sense, though! If I didn't have a slit lamp microscope in my office, I wouldn't be able diagnose a corneal ulcer either! Case in point: If your EYES hurt, see an EYE doctor!

Google wants to take over your eyeballs!

Google is looking into a new technology that may eliminate the need for glasses, via insertion of "cyborg lenses" into your eyeballs. The downsides? The procedure is invasive and would involve removing the natural lens inside your eye, which has potential risks. Also, having a computerized lens in your eye could put you at risk for having your every move "tracked" by potential hackers! Yikes! It'll be interesting to see if this product actually launches. Click here for the full story!

 

Crying can reduce stress!

Crying after an emotional event produces tears that contain a large amount of the neurotransmitter leucine enkephalin, a natural painkiller that the body releases to reduce stress. Interestingly, tears that are produced when chopping an onion don't contain nearly as much of this neurotransmitter. So, a good cry while going through a difficult time can actually release some of those stress chemicals and help you feel more at peace.