Dr. Rottach is specially trained in the treatment of eye disease. With years of experience along with the latest instrumentation, he can promptly diagnosis and treat ocular health conditions. Dr. Rottach is experienced and certified in the the diagnosis and treatment of ocular conditions including conjunctivitis (pink eye), glaucoma, cataracts, macular degeneration, dry or allergy eyes, and the removal of foreign objects that can be embedded into the front surface of the eye and lids.
There are two types of blepharitis. Seborrheic blepharitis is often part of an overall skin condition called seborrhea, which may also affect the scalp, chest, back and the area behind the ears. The second form of blepharitis – staph blepharitis – is a more severe condition, caused by bacteria, that begins in childhood and may continue through adulthood.
CausesHormones, nutrition, general physical condition, and even stress may contribute to seborrheic blepharitis. Build-ups of naturally occurring bacteria contribute to staph blepharitis.
SymptomsBlepharitis could be described as dandruff of the eyelids. Seborrheic blepharitis results in redness of the eyelids, flaking and scaling of eyelashes, and greasy, waxy scales caused by abnormal tear production. Staph blepharitis can cause small ulcers, loss of eyelashes, eyelid scarring, and even red eye.
Treatment Careful cleaning of the eyelids can reduce seborrheic blepharitis. Application of hot packs to the eyes for 20 minutes a day can also help. Staph blepharitis may require antibiotic drops and ointments.
Recommended LinkEye Disease Information Resource: Blepharitis
A cataract is a cloudiness that occurs in the lens of the eye. The lens is made mostly of water and protein that is arranged to let light through. Sometimes the protein clumps, blocking light and making the lens appear cloudy.
SymptomsA person with cataracts may encounter faded colors, problems with light (such as halos, or headlights that seem too bright), poor night vision, double vision, or multiple vision.
Treatment Your eye doctor can detect the presence of cataracts through a thorough eye exam, including a visual acuity test and dilation of the pupils. Treatment is available to prevent or reduce cataracts.
Recommended LinkNational Eye Institute: Facts About Cataracts
Conjunctivitis, commonly called pink eye, is a redness of the eye. It is often accompanied by a discharge (clear, yellow, or white) and itching in the eye.
CausesPink eye is often a viral infection, but it may also be caused by bacteria or an allergic reaction. Viral pink eye is highly contagious.
Prevention and TreatmentTo avoid spreading conjunctivitis, wash your hands often, do not touch the infected area with your hands, do not share wash cloths or towels, and avoid using makeup which may become contaminated. A child with pink eye should be kept from school for a few days. Sometimes an eye doctor will need to prescribe antibiotic eye drops and ointments to clear up conjunctivitis.
Recommended LinkKidshealth for Parents: Pink Eye (Conjunctivitis)
Diabetic retinopathy is a condition associated with diabetes. High levels of blood sugar may damage tiny blood vessels in your eye. New vessels may form to replace the damaged vessels. The new vessels can burst, resulting in blurred vision or even blindness.
SymptomsSymptoms of diabetic retinopathy include:
Risk Factors and TreatmentIf you have diabetes, make sure you control your blood sugar level. This will reduce your risk of getting diabetic retinopathy. If you are experiencing some of the symptoms listed above, give us a call. If diagnosed properly, diabetic retinopathy can be treated with a laser procedure or a vitrectomy.
Recommended Link National Eye Institute: Facts About Diabetic Retinopathy
If your eyes are often itchy or dry, you may have dry eye syndrome, which affects almost 10 million Americans. Dry eye syndrome is caused by a lack of, or poor quality, tears. Tears lubricate the outer layers of the eye called the cornea and conjunctiva. If the tears are not composed of a proper balance of mucous, water, and oil, the eye becomes irritated.
SymptomsDry eye syndrome leads to a number of symptoms, including itchiness, irritation, burning, excessive tearing, redness, blurred vision that improves with blinking, and discomfort after long periods of watching television, using a computer, or reading.
Dryness can be due to low tear volume, allergies, inflammation, evaporation, pollution, sensitivity to an eye drop or solution, or even contact lenses that do not fit as well as they should.
Risk FactorsPeople with abnormally dry skin, and the elderly are more likely to develop dry eye syndrome. You may also be more at risk if you take certain medications, have a thyroid condition, a vitamin-A deficiency, Parkinson’s or Sjorgen’s disease, or if you are a woman going through menopause.
Poper treatment could include:
Glaucoma is a very common eye disorder affecting millions of Americans. It is caused by too much pressure on the inside of the eye. The fluid in your eyes helps to nourish and cleanse the inside of your eyes by constantly flowing in and out. When the fluid is prevented from flowing out, the intraocular pressure builds and damages the optic nerve. This causes a gradual loss in peripheral vision.
SymptomsThose suffering from open-angle glaucoma experience a type of tunnel vision, where their field of vision gradually decreases. It can eventually lead to blindness. Narrow-angle glaucoma, which is rare, carries symptoms of sharp pain in the eyes, blurred vision, dilated pupils, and even nausea or vomiting. It can cause blindness in a matter of days, and it requires immediate medical attention.
Risk FactorsHeredity seems to be a risk factor. Also, you may be at greater risk if you are over 45, of African descent, near-sighted, or diabetic. Finally, if you have used steroids or cortizone for a long period of time, or if you have suffered an eye injury in the past, you have a greater chance of developing glaucoma.
Recommended LinkGlaucoma Research Foundation
Macular degeneration is a disease which affects a small area of the retina known as the macula. The macula is a specialized spot on the retina that allows us to see the fine detail of whatever is directly in front of us. Macular degeneration occurs when the macula begins to deteriorate.
“Wet” vs. “Dry” Most often, macular degeneration is accompanied by formation of yellow deposits, called “drusen,” under the macula, which dry out or thin the macula. This is called “dry” macular degeneration. In rare cases, abnormal blood vessels develop under the macula and leak fluid. This is called “wet” macular degeneration.
CausesA number of uncontrollable factors contribute to macular degeneration, including age, sex, eye color, farsightedness, and race. Risk factors you can control include smoking, high blood pressure, exposure to harmful sunlight, and diet.
SymptomsIt is difficult to detect dry macular degeneration in its early stages. The most common symptoms, when detected, include a spot of blurry vision, dark vision, or distorted vision. Wet macular degeneration progresses much faster than the dry variety. Both forms of macular degeneration can cause blindness.
TreatmentCurrently, there is no cure for macular degeneration, but treatment is available to slow the effects.
The part of the eye which collects light and transmits the light messages to the optic nerve and brain is the retina. It lines the inner back wall of the eye. When the retina separates from the back wall, it is known as retinal detachment. It is a serious condition which can cause permanent damage and vision loss if not treated quickly.
SymptomsA retinal detachment often causes sudden defects in your vision. It may just cause a blind spot too small to notice, or it may cause a noticeable shadow which obscures your vision. An increase in “floaters,” which look like small particles or fine threads, may also be noticed. Finally, flashes of light are associated with retinal detachment.
Risk FactorsEye injuries, tumors, and cataract surgery can cause retinal detachment. Near-sighted individuals and the elderly are at greater risk for spontaneous detachment. Also, diabetic retinopathy, a condition associated with diabetes, can cause bleeding which leads to retinal detachment.
An estimated 50 million Americans suffer from allergies and red, itchy, watery eyes ranks as one of the most annoying symptoms. Many people use over the counter allergy eye drops and for mild symptoms this can be successful. However, chronic use of some these products can cause rebound redness which can take weeks to resolve.
Our allergy exam can help determine whether OTC or prescription allergy eyedrops would be most beneficial for you. Dry eyes and conjunctivitis can masquerade as allergies and so an examination with our ocular microscope of the eye surface and lid tissue can help us determine the casue of the symptoms.
Treatment options for allergies include:
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