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Eyeglass Lenses: Enhance Your Glasses

Selecting the right eyeglasses involves much more than just nice looking eyeglass frames.
Today there are a tremendous amount of options for eyeglasses lenses, which can really
improve the way you look and see through your glasses, as well as how long they last.

Here are a few of the most popular glass lenses Dr. Ronald Cauchard offers:

Polycarbonate Lenses or Trivex Lenses:
If you are looking for glasses lenses that are lightweight and durable, Polycarbonate lenses
or Trivex lenses are a good option. Great for children’s eyeglasses, sunglasses, safety
glasses and sports eyewear, these lenses are thinner and lighter than regular plastic lenses,
but 10 times more impact resistant. They also provide 100% UV protection.

Photochromic Lenses:
These eyeglass lenses are the perfect solution for those who are frequently on the go and
don’t like switching between eyeglasses and sunglasses. Photochromic lenses, such as
transition lenses, are sensitive to light – they are clear indoors and darken when exposed
to sunlight. Photochromic lenses are also great for children’s eyewear, offering hassle-
free UV protection for kids who spend a lot of time outdoors.

High Index and Aspheric Lenses:
If you have a particularly high prescription, but still want a thin, lighter lens, aspheric
or high index lenses are for you. Aspheric and high index lenses are created with a
slimmer curvature which improves the appearance of the eyeglasses by making the eye
appear less magnified and the lens bulge less from the frame. This also increases the
options for someone with strong prescription eyeglasses to wear a larger selection of eye
glass frames without the concern of lenses being too thick.

Anti-Reflective Coatings (AR) or Anti –Glare Coatings:
Anti-reflective and anti-glare coatings can be added to most lens materials. These
coatings improve the performance as well as the appearance of your glasses, by blocking
reflected light and reducing glare in both directions (both the glare you see reflecting off
objects in your view such as TV screens and the reflection others see on your eyeglass
lens). AR coatings are one of the most popular add-ons for lenses, since they significantly
reduce glare and eye fatigue. If you spend a lot of time on your computer, consider
computer glasses with an anti-glare coating.

Scratch-resistant coating (SRC):
Scratch resistant coatings create a harder surface on the eyeglass lens, making it more resistant to scratching. Many lenses, particularly polycarbonate and high-index lenses, are made scratch-resistant, so you should check with your optician to see if the treatment is necessary. SRC is recommended for children’s eyewear and for those who work or play in environments that pose a risk to the lenses.

Ultraviolet treatment:
Prolonged exposure to UV light, even in the winter months, is known to cause damage
to the eyes including cataracts and retinal damage. Check that your eye glass lenses have
100% UV protection. If they don’t, UV treatment for lenses is an invisible coating that
will give you added protection from the sun.

When purchasing your next pair of eyeglasses, speak to our eye doctor about the options
for eyeglass lenses. While you want to select a frame that looks and feels great, don’t
forget that seeing great is what eyeglasses are really made for.

Cutting Edge Glaucoma Technology

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Some 2.5 million North Americans struggle with glaucoma, a progressive eye disease that robs its sufferers of their vision, if unmanaged. Associated with high eye pressure and damage to the optic nerve, the main method of preventing blindness and low vision from glaucoma is by maintaining low levels of IOP (intraocular pressure). Unstable glaucoma may require frequent visits to an eye doctor for glaucoma monitoring to keep it under control.

In recent years a parallel disorder, high blood pressure, has become widely known for producing results that vary significantly, even from hour to hour. Both blood pressure and eye pressure can be affected by such a wide range of environmental and other factors – from the way you stand to the weather – that taking a single reading on a given day may not provide a good indication of patient health.

The need for more accurate diagnostic tools has prompted researchers at Stanford University and Bar Ilan University to collaborate in the development of a 24-hour a day IOP monitor for glaucoma patients. The device, which eye doctors hope will be available within a few years, is actually an eye implant!

It is so tiny, it’s designed to fit inside a standard intraocular lens – the kind used in cataract surgery – and, according to tests conducted by the U.S. Air Force, it will not distort vision.

The implanted glaucoma monitor is based on simple physics, using fluid levels in a tiny tube to precisely measure IOP. When available to the public, it may be paired with a custom smartphone app or wearable technology like Google glass to record eye pressure all the time, and the data can be shared with the patient’s ophthalmologist or optometrist.

Recent studies indicated that round-the-clock IOP monitoring would result in modified treatment for up to 80% of patients. Prevention of intraocular pressure spikes by measuring IOP throughout a 24 hour cycle would enable eye doctors to optimize a treatment plan. Since peripheral vision loss from optic nerve damage is not reversible, treatment is aimed at preventing vision loss from glaucoma. 

10 Steps to Prevent Vision Loss

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March is Save Your Vision Month, a time to raise public awareness about how to protect your eyes and your vision. Most people aren’t aware that 75% of potential vision loss can be prevented or treated. This largely depends on patients being proactive and educated about their eye health.

Here are 10 important steps to protect and preserve your precious eyesight:

  1. Regularly have your eyes checked: For a number of eye diseases, early detection and treatment is critical to success in saving your vision. Many conditions – such as diabetic eye disease, age-related macular degeneration (AMD) and glaucoma – have minimal or no symptoms, particularly in the early stages. A comprehensive dilated eye exam is sometimes the only way to detect eye disease early enough to save your sight and prevent vision loss.
  2. Know your family history: A number of eye diseases involve genetic risk factors, including glaucoma, diabetic retinopathy and age-related macular degeneration (AMD). Be aware of the incidence of eye disease in your family and if you do have a family history make sure to be monitored regularly by a trusted eye doctor.
  3. Wear sunglasses: Exposure to UVA and UVB rays from sunlight is associated with a higher risk of AMD and cataracts. Wear sunglasses with 100% UV protection year round, any time you are outdoors. It’s worthwhile to invest in a pair of quality sunglasses which will have UV protection that lasts, as well as better glare protection and optics.
  4. Eat healthy: Diet plays a large role in eye health, especially certain nutrients such as antioxidants, zinc, omega-3 fatty acids and vitamins and minerals found in leafy green and orange vegetables. Keep your diet low in fat and sugar and high in nutrients and you can reduce your risk of developing AMD or diabetes, two of the leading causes of blindness.  
  5. Stop smoking: Smokers are four times more likely to develop AMD.
  6. Wear eye protection: If you play sports, use power tools or work with dangerous equipment or chemicals, make sure to wear proper safety glasses or goggles to protect your eyes from injury. Never take risks as many permanent eye injuries happen within seconds.
  7. Manage diabetes: If you have diabetes or hyperglycemia, manage your blood sugar levels to reduce the risks of diabetic retinopathy.
  8. Limit alcohol intake: Heavy drinking is associated with higher risks of developing cataracts and AMD.
  9. Exercise: Yet another benefit of regular physical activity is eye health including reduced risk of AMD.
  10. Educate yourself: Below is some basic information about four of the most common vision impairing eye conditions.

4 Most Common Eye Conditions:

  • Cataracts

Typically an age-related disease, cataracts cause a clouding of the lens of the eye which impairs vision.  You can’t completely prevent this condition as more than half of individuals will develop a cataract by the time they are 70-80 years old. Cataract treatment involves a common surgical procedure that is one of the safest and most commonly performed medical procedures with a 98% success rate.

  • AMD (age-related macular degeneration)

A progressive condition that attacks central vision, AMD usually affects individuals 50 and older. Disease progression may be slow and early symptoms minimal, making an eye exam critical in early detection. Risk factors include race (more common in Caucasians), family history, age, UV exposure, lack of exercise, smoking and poor diet and nutrition. AMD can cause irreversible vision loss. While there is no cure, the progression of the vision loss can be slowed or halted when caught early. Individuals often develop a condition called low-vision which is not complete blindness but does require a change in lifestyle to deal with limited eye sight.

  • Glaucoma

Glaucoma is the 2nd leading cause of blindness worldwide, resulting from damage to the optic nerve most often caused by pressure build up in the eye. Vision loss is progressive and irreversible. Studies show that 50% of people with the disease don’t know they have it. While there is no cure, early detection and treatment can protect your eyes against serious vision loss and if caught early enough vision impairment could be close to zero. Risk factors include old age, diabetes, family history, ethnic groups (African Americans and Mexican Americans have higher risk factors), and previous eye injury.

  • Diabetic retinopathy

The most common diabetic eye disease, this is a leading cause of blindness in adults which is caused by changes in the blood vessels of the retina. All people with diabetes both type 1 and type 2 are at risk, and the disease can often progress without symptoms, so regular eye exams are essential to prevent permanent vision loss. Regular eye exams and maintaining normal blood sugar levels are the best ways to protect vision.

The best way to protect your vision is to be informed, develop healthy habits and to get your eyes checked regularly. See you soon!

Know How and When to Treat an Eye Infection

It’s that time of year again…coughs, sneezing, running noses and itchy, red eyes.  How do you know when an eye irritation is something that needs medical attention?

First of all, any time an eye infection is accompanied by fever, excessive discharge or pain, you should see your eye doctor immediately.  

The eyes are sensitive and there could be a number of factors that contribute to discomfort and irritation, some of which require medication. There are also some types of eye infections that are very contagious, which you want to treat as soon as possible.

Pink Eye

Pinkeye, also known as conjunctivitis, occurs when the conjunctiva, the thin membrane lining the eyelids and the whites of the eyes, becomes inflamed or swollen. The white part of the eye often also becomes red, thus the name, “Pink Eye”. 

Pinkeye is common among school-aged children because infectious pink-eye can be very contagious and spread quickly in classrooms, but it can occur at any age. The most common cause of pinkeye is a virus, although it can also be due to a bacterial infection or a non-infectious source such as allergies. One or both eyes may be affected. 

The symptoms and treatment for pink eye depend upon the type of pink eye you have.

Typically, bacterial pink eye, which can be treated by an antibiotic eye drops or ointment, is associated with burning, itchy eyes accompanied by a thick, yellow pus-like discharge that makes the eyes difficult to open upon awakening.  This must be treated by antibiotic according to the eye doctor’s instructions for a minimum of 5 days, to prevent bacterial resistance.  On occasion if the infection is not responding to topical medications, oral antibiotics may be used. 

Viral pink eye, which can’t be treated by antibiotics, usually runs its course between 1 and 3 weeks. It typically causes teary eyes, swollen lymph nodes and a lighter more translucent mucus discharge. Sometimes the eye symptoms come in conjunction with an upper respiratory infection or a cold.  Viral pink eye is extremely contagious.

Allergic pink eye is often characterized by redness, intense itching, and tears in both eyes and will usually respond to antihistamines, topical vasoconstrictors, or steroid eye drops (which should only be used with a doctor’s prescription).  Eye rubbing can aggravate the itching and swelling, so try to use cool compresses and allergy medication as prescribed.

Preservative-free artificial tears may also provide some relief.  

Any time pink eye symptoms do not improve after a few days, particularly if there is significant discharge, see your eye doctor. Make sure to clean the hands thoroughly after every encounter with the infected eye. 

Styes

Styes are inflamed oil glands or hair follicles on the eyelid (usually along the lash line or under the lid). The inflammation is caused by bacteria and results in a swollen, red and painful bump. Often styes will eventually go away on their own, but if they occur often, a doctor might prescribe topical or oral antibiotics or sometimes even drain it though a minor surgical procedure.  

Warm compresses can be used not only to ease the pressure and discomfort but also to open up the stye to facilitate healing. Styes are typically not contagious. 

Most eye infections are not dangerous but they can be quite uncomfortable.  If you have an eye infection make sure you take the proper steps to stay comfortable and prevent the infection from spreading to your loved ones.  

8 Tips to Beat Winter Dry Eyes

One of the most common patient complaints during the winter months is dry eyes. In the cooler climates, cold winds and dry air, coupled with dry indoor heating can be a recipe for eye discomfort.  Dryness and irritation can be particularly debilitating for those who wear contact lenses or suffer from chronic dry eyes – a condition in which the eyes produce a low quality tear film.   
 
Harsh weather conditions can reduce the natural moisture in your eyes and the irritation usually results in a burning or itching sensation that often leads to rubbing or scratching your eyes which can worsen the symptoms. Sometimes it feels like there is a foreign object in your eye and for some, dry eyes can even cause excessive tearing, as your eyes try to overcompensate for their lack of protective tears. Prolonged, untreated dry eyes can lead to blurred vision as well.
 
Whatever the symptoms, dry eyes can cause significant discomfort during the long winters and relief can seriously improve your quality of life.
 
Here are eight tips to keep your eyes comfortable during the harsh winter months:
 
  1. To keep eyes moist, apply artificial tears/eye drops a few times a day. If you have chronic dry eyes, speak to your eye doctor about the best product for your condition. 
  2. Drink a lot of fluids – keeping your body hydrated will also help maintain the moisture in your eyes.
  3. If you spend a lot of time indoors in heated environments, use a humidifier to add some moisture back into the air.
  4. Try to situate yourself away from sources of heat, especially if they are blowing. While a nice cozy fire can add to the perfect winter evening, make sure to keep your distance so dry eyes don’t ruin it. 
  5. Staring at a computer or digital device for extended amounts of time can further dry out your eyes. If you spend a lot of time staring at the screen, make sure you blink often and practice the 20/20/20 rule – every 20 minutes, look 20 feet away for 20 seconds. 
  6. Don’t rub your eyes! This will only increase irritation and can also lead to infections if your hands are not clean.
  7. Give your eyes a break and break out your glasses. If your contact lenses are causing further irritation, take a break and wear your glasses for a few days. Also talk to your optometrist about switching to contacts that are better for dry eyes.
  8. Protect your eyes. If you know you are going to be venturing into harsh weather conditions, such as extreme cold or wind, make sure you wear protection. Try large, 100% UV protective eyeglasses and a hat with a visor to keep the wind and particles from getting near your eyes. If you are a winter sports enthusiast, make sure you wear well-fitted ski goggles.
 
If you find that after following these tips you continue to suffer, contact your eye doctor. It could be that your condition requires medical intervention.

“Eye” Am Home for the Holidays – 7 Eye Tips for College Students

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Winter break is in a few weeks and, with college students finding their way home for the holidays, it is a good time for parents to check in and make sure their independent kids are taking care of themselves properly.Vision plays a key role in learning as well as extra-curricular activities and college students in particular are susceptible to a host of eye and vision problems including injuries, infections and increased nearsightedness. Here are 7 tips for college students to keep their eyes and vision safe and healthy during the semester.

1) Wash your hands frequently.

College dorms and crowded classrooms can be a breeding ground for germs and bacteria, one of the most common of which is conjunctivitis or pink eye. To keep the germs away and stay healthy, wash your hands regularly with soap and warm water and try as much as possible not to touch your eyes

2) Take care of your contact lenses.

With the late nights and busy college life, it can be easy to get lax with contact lens care, but don't! Always adhere to your eye doctor's instructions for proper contact lens hygiene. Don't sleep in your contacts if they’re not approved for extended wear, disinfect and store properly, only use contact lens solution and don't swim or shower with your lenses in.  In addition to causing dry eyes and irritation, improper care of lenses can result in serious infections and in the worst cases permanent scarring and vision loss.   

3) Take a break.

Many hours of studying can take its toll on your and in today's digital age, the results could be even more dramatic.  Blue light from computers, tablets and mobile phones has been linked to vision complications and computer vision syndrome which can cause blurred vision, headaches and neck and shoulder pain.  If you are working at a computer or in front of a screen for hours at a time, follow the 20-20-20 rule – every 20 minutes take a break and look at something 20 feet away for 20 seconds.  If you spend most of your day on the computer consider purchasing a pair of computer glasses to lessen the effects of the screen on your eyes.

4) Get out.

Do yourself a favor and get outside regularly. Studies show that more than 50 percent of college graduates are nearsighted, with eyesight worsening with each school year.  Further research has shown that spending more time outdoors can protect vision from getting worse.

5)  Handle Makeup with Care.

Makeup, particularly liquid or creamy eye makeup, can be a breeding ground for infectious bacteria. Never share makeup with friends and if you get an eye infection throw away your makeup asap.  A good rule of thumb is to replace all eye makeup every three months.

6) Use Eye Protection.

If sports are part of your college experience, make sure you are keeping your eyes safe with proper eye and vision gear. Protective, polycarbonate or trivex sports glasses, skiing and swim goggles can protect your eyes from scratches, bumps, bruises or worse.

7) Get a Yearly Eye Exam.

As mentioned above, it is common for college students to experience a decline in vision which could have an impact in and out of class. Get a yearly exam to make sure you can see your best and that your eyes in general are healthy. If you enjoy sitting at the back of the lecture hall, your eye checkup can ensure you have updated glasses or contact lenses at your optimal vision.

With all of the excitement of winter break, many college students find that their vacation flies by. Before the fun comes to an end, consider that winter vacation is the perfect time to schedule your yearly eye exam. You may even get a brand new pair of eyeglasses to spruce up your post vacation wardrobe.

Do You Know the Facts About Diabetic Eye Disease?

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If you or a loved one suffers from diabetes, awareness of the threat of vision loss due to diabetic eye disease should be a top priority. Don't wait until it is too late to learn about the risks.

Here are eight true and false questions about diabetic eye disease to test your knowledge. If you have any questions, contact your eye care professional to find out more.

1) Diabetic Retinopathy is the only eye and vision risk associated with diabetes.

FALSE: People with diabetes have a higher risk of not only losing sight through diabetic retinopathy, but also a greater chance of developing other eye diseases such as cataracts and glaucoma. People with diabetes are 40% more likely to develop glaucoma and this number increases with age and the amount of time the individual has diabetes. Diabetics are also 60% more likely to develop cataracts and at an earlier age than those without diabetes. Additionally, during the advanced stages of diabetes, people can also lose corneal sensitivity and develop double vision from eye muscle palsies.

2) Diabetic retinopathy can cause blindness.

True: In fact, diabetes is the leading cause of blindness in adults age 20 to 74. 

3) With proper treatment, diabetic eye disease is reversible.

FALSE: Although early detection and timely treatment can greatly reduce the chances of vision loss from diabetic eye disease, without prompt and preventative treatment measures, diabetic eye disease can result in permanent vision loss and even blindness. Currently, there is no cure that reverses lost eyesight from diabetic retinopathy; however, there are a variety of low vision aids that can improve quality of life for those with vision loss.

4) People who have good control of their diabetes and their blood glucose levels are not at high risk for diabetic eye disease.

FALSE: While studies do show that proper management of blood sugar levels in diabetics can slow the onset and progression of diabetic retinopathy, there is a still a higher risk of developing diabetic eye disease. Age and length of the disease can be factors for eye diseases such as glaucoma and cataracts. The risk of diabetic retinopathy can be influenced by factors such as blood sugar control, blood pressure levels, how long the person has had diabetes and genetics.

5) You can always prevent diabetic eye disease by paying attention to the early warning signs

FALSE: Oftentimes there aren't any early warning signs of diabetic eye disease and vision loss only starts to become apparent when the disease is already at an advanced and irreversible stage.

6) A yearly, dilated eye exam can help prevent vision loss through diabetic eye disease.

TRUE: Diabetics should get a dilated eye exam at least once a year. Since diabetic eye disease often has no symptoms, routine eye exams are critical for early detection and treatment. Everyone with diabetes should get an eye examination through dilated pupils every year, because it can reduce the risk of blindness from diabetic eye disease by up to 95%. 

7) Both type 1 and type 2 diabetes are at risk of developing diabetic eye disease.

TRUE: Everyone with diabetes – even gestational diabetes – is at risk and should have a yearly eye exam. In fact, 40% to 45% of those diagnosed with diabetes have some stage of diabetic retinopathy.

8) Smoking increases the risk of diabetic eye disease.

TRUE: In addition to getting regular eye exams, stop smoking, partake in daily physical activity, maintain a healthy weight and control blood sugar, blood pressure and cholesterol: they all help reduce the risks of eye disease. 

Whatever your score on the quiz above, the most important take-away is that if you have diabetes, even if you aren't having any symptoms of vision loss: make an appointment for a comprehensive, dilated eye exam every year. It could save your sight. 

7 Things You Should Know About Eyelid Twitches

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You may have experienced this before. Out of nowhere, your eyelid starts twitching uncontrollably. While this can be a cause of aggravation, eyelid twitches, spasms or tics are actually quite common.

Here are 7 things you should know about this eye condition:

  1. Eye twitches are generally caused by a repetitive, involuntary spasm in your eyelid muscles and are known in medical terms as a blepharospasm.
  2. Almost all sudden-onset eye twitching is not considered to be a serious medical condition, though it can be hard to treat without knowing the underlying cause.
  3. Eyelid twitches can occur sporadically, though some people have been known to feel them for a few consecutive days or weeks
  4. Stress, tiredness, eyestrain, caffeine alcohol or tobacco usage, dry eyes, allergies or nutritional imbalances are factors that can trigger or exacerbate eye twitches. The body produces endogenous cortisol (a steroid) when stressed, which may cause biological warning signs to the body to de-stress.
  5. If reducing stress does not alleviate the twitches, your eye doctor can perform a refraction (vision test) and comprehensive eye health exam to see if eye treatment can resolve the problem. Sometimes the solution is relieving eyestrain by updating your glasses.
  6. Rarely, a twitch will continue despite these efforts to alleviate triggers. In that case, they can be treated with Botox injections to help stop the muscles in your eyelid from contracting.
  7. Eyelid spasms are only considered a medical emergency when the twitch is accompanied by red or swollen eyes, unusual discharge, a drooping eyelid or twitching in other parts of the face. These may be symptoms of a more serious neurological disorder

If the twitching persists, talk to your eye doctor to help you treat it.

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