The retina is a thin sheet of nerve tissue in the back of the eye where light rays are focused and transmitted to the brain. The vitreous is a gel-like substance that fills the eye and is connected to the retina, optic nerve and many blood vessels. Problems with the retina and vitreous -- including retinal tear and detachment, macular degeneration, diabetic retinopathy, infection and trauma -- can lead to vision loss and blindness. Early detection and treatment are critical in correcting problems before vision is lost and preventing further deterioration from occurring.
Diabetic Eye Care
Patients with diabetes are at an increased risk of developing eye diseases that can cause vision loss and blindness, such as diabetic retinopathy, cataracts and glaucoma. These and other serious conditions often develop without pain, so significant damage may be done to the eyes by the time the patient notices any symptoms. For this reason it is very important for patients with diabetes to have their eyes examined once a year. Diagnosing and treating eye disease early can help prevent vision loss. It is also important to properly maintain your blood-sugar level, take your prescribed medications, follow a healthy diet, exercise regularly and avoid smoking.
If diabetic eye disease develops it is important to have a retina specialist available to provide early treatment to protect your eye health. Dr. Barowsky works closely with an experienced retinologist from Wilmington who sees patients in our office. We feel that total care close to home is important for the continued health of our patients’ eyes.
Ectropion & Entropion Repair
An ectropion is a "turning out" of the lower eyelid that causes redness, irritation, tearing and an increased likelihood of infection.Common causes of ectropion include aging, sun damage, tumors and trauma. An ectropion can be corrected in a surgical procedure under local anesthesia in which the lid is tightened or repositioned. Occasionally, Dr. Barowsky needs to graft a small segment of skin to ensure that the eyelid is fully repaired.
An entropion is a "turning in" of the eyelid. The lid and lashes rub painfully against the cornea. The entropion usually occurs as a result of aging, but other causes can include injury and various inflammatory conditions. The entropion can usuallybe corrected in the office with a simple surgical procedure under local anesthesia.
A pterygium is a raised growth on the surface of the eye (the conjunctiva) made mostly of collagen and tiny red blood vessels. They are usually caused by extended exposure to the ultraviolet light present especially in sunlight. They may remain stable after appearing, or they may grow onto the cornea and affect vision.
Treatments include eye drops for irritation and redness, protection from sunlight and dust to prevent the pterygium from worsening, and occasionally steroids to lessen inflammation. If the pterygium grows onto the central cornea, surgical removal is recommended. This prevents the pterygium from creating scar tissue that mayalter the cornea’s shape and affect vision.
Glasses & Contact Lens
Over 140 million people in the U.S. wear eyeglasses, and over 30 million wear contact lenses. Glasses and contact lenses improve vision by adjusting the way the eyes bend and focus light. Ideally, light rays are refracted (bent) as they pass through the cornea so that they focus on the retina in the back of the eye. In a healthy eye, this means that objects can be seen clearly. However, many people’s corneas have a shallow or steep curvature which causes light rays to focus in front of or behind the retina. Objects may then appear blurry at certain distances or at all distances.
Glasses and contact lenses correct these refractive errors. Prescriptions are measured for each eye so patients can enjoy optimal vision clarity, usually 20/20. Eyewear may be used for certain activities, such as reading for farsighted (hyperopic) patients and driving or watching television for nearsighted (myopic) patients, or may be worn at all times. Regular eye exams test for the development and progression of refractive errors and help your optometrist provide a proper prescription if eyeglasses or contact lenses are needed. Exams are also an invaluable tool in the early detection of eye disease.