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8 Ways to Protect Your Eyes at the Office

Everyone seems to be staring at a screen these days, whether their computer, their smartphone or another digital device. The stress it puts on your eyes can cause a condition called “digital eye strain” (DES) or “computer vision syndrome” (CVS). Symptoms include eye fatigue, dry eyes, blurred vision, headaches, neck and shoulder pain, red eyes, and eye twitching.

How To Protect Your Eyes While You Work

Below are a few things you can do to lower your risk or mitigate any discomfort associated with DES.

1. See your eye doctor for a comprehensive eye exam

This is one of the most important things you can do to prevent or treat symptoms associated with computer vision syndrome. During your eye doctor’s appointment, make sure to speak with Dr. Tom Ballard about your working habits, including the frequency and length of time you use a computer and other devices at work and at home.

If you get a chance before you come, measure the distance between your eyes and your computer screen and bring that information to the optometrist, so that you can get your eyes tested for that specific working distance.

Computer vision syndrome may be exacerbated by an underlying dry eye disease, which can be diagnosed and treated at our eye clinic in Dallas.

Sometimes people who have good visual acuity assume they don’t need any glasses. However, even very mild prescriptions can improve eyestrain and curb fatigue when working at a computer.

2. Good lighting is key

Excessively bright light, whether due to outdoor sunshine coming in through the window or harsh interior lighting, is a common cause of eyestrain. When using your computer, your ambient lighting should be about 50% dimmer than what is typically found in most offices.

You can reduce exterior light by closing drapes, blinds or shades and diminish interior illumination by using fewer or lower intensity bulbs. Computer users often find that turning off overhead fluorescent lights and replacing them with floor lamps is easier on their eyes.

First Eye Care Dallas Eye Clinic and Computer Vision Syndrome, Eye Care in Dallas, Texas

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Dallas eye doctor has prepared the following answers to your questions about eye disease.

3. Minimize glare

Eyestrain can be aggravated by glare from light reflecting off surfaces including your computer screen. Position your computer so that windows are neither directly in front of nor behind the monitor, but rather to the side of it. Consider installing an anti-glare screen on your display. If you wear glasses, get anti-reflective (AR) coating on your lenses to reduce glare by limiting the amount of light that reflects off the front and back surfaces of your lenses (more on that below.)

4. Upgrade your display

If you have a CRT (cathode) screen on your monitor, consider replacing it with a flat-panel LED (light-emitting diode) screen that includes an anti-reflective surface. Old-school CRT screens can be a major cause of computer eye strain due to the flickering images.

For your new flat panel desktop display, choose one with a diagonal screen size of at least 19 inches, and the higher the resolution, the better.

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5. Adjust display settings for added comfort

Adjusting your computer display settings can help decrease eye strain and fatigue too.

Brightness: Adjust your device’s brightness to match the luminance around you. If the white background of this page looks like a light source, then it should be dimmed. However, if it appears dull and gray, it may not provide enough contrast, which can make it hard to read.

Text size: Adjust the text size for maximum eye comfort, particularly when reading, editing or writing long documents. Increase the size if you find yourself squinting, but bigger isn’t always better, since overly large text display may force your eyes to track back and forth too quickly for comfort.

Color temperature: This refers to the spectrum of visible light emitted by a color display. Blue light is short-wavelength visible light, whereas orange and red are longer wavelength hues. Exposure to blue light helps keep you alert but tends to cause eye fatigue after a while; yellow to red tints are more relaxing and may be better for long-term viewing, especially at night. Many devices allow the user to adjust the color temperature.

6. Get computer glasses

Nearly 70% of North Americans experience digital eye strain related to prolonged use of electronic devices. To combat these effects, First Eye Care Dallas recommends digital protection coatings, which act as a shield to cut the glare and filter the blue light emanating from digital screens and artificial light.

For the greatest eye comfort, ask Dr. Tom Ballard for customized computer glasses, which feature mildly tinted lenses that filter out blue light. These can be made with or without prescription vision correction, for the benefit of those with 20/20 vision or contact lens wearers, though many people with contacts actually prefer to have alternative eyewear to use when their lenses become dry and uncomfortable from extended screen time.

First Eye Care Dallas can help you choose from a vast array of effective optical lenses and lens coatings to relieve the effects of digital eye strain.

7. Don’t forget to blink

When staring at a digital device people tend to blink up to 66% less often, and often the blinks performed during computer work are only partial which aren’t as effective at keeping the eyes moist and fresh feeling. Making a conscious effort to blink more while working or watching can prevent dryness and irritation.

8. Exercise your eyes

Another cause of computer eye strain is focusing fatigue. Look away from your computer every 20 minutes and gaze at an object located 20 feet away, for a minimum of 20 seconds. This “”20-20-20 rule”” is a classic exercise to relax the eyes’ focusing muscles and reduce computer vision syndrome.

The steps above don’t require a tremendous amount of time or money to be effective. Contact First Eye Care Dallas in Dallas to make an appointment with Dr. Tom Ballard and learn how the right eye drops, eye exercises, computer glasses, or AR coatings can improve eye comfort, reduce computer vision syndrome and potentially lead to increased productivity and job satisfaction.

Call First Eye Care Dallas on 972-960-2020 to schedule an eye exam with our Dallas optometrist.
Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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3 Ways Diabetes Can Affect Your Vision and Eyes

Did you know that people with diabetes are 20 times more likely to get eye diseases than those without it? There are three major eye conditions that diabetics are at risk for developing: cataracts, glaucoma, and diabetic retinopathy. To prevent these sight-threatening diseases, it’s important to control your blood sugar level and have your eyes checked at least once a year by an eye doctor.

But First, What Is Diabetes?

Diabetes is a disease that is associated with high blood glucose levels. Insulin, a hormone produced by the pancreas, helps our cells get energy from the sugars we eat. Diabetes develops when the body doesn’t produce or respond to insulin effectively, leaving too much sugar in the blood stream instead. Over time, diabetes can lead to potentially irreversible ocular damage and poor eyesight. However, by taking care of your blood sugar levels and your eyes, you can prevent vision loss.

Annual eye exams are recommended for everyone, but routine screenings are even more important for diabetics. Eye doctors may send diabetic eye health reports to a patient’s primary care physician or internist to adjust medication as needed to prevent complications.

First Eye Care Dallas Eye Clinic and Diabetes in Dallas, Texas

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Dallas eye doctor has prepared the following answers to your questions about eye disease.

What’s the Link Between Vision and Diabetes?

Blurred vision or fluctuating eyesight clarity is often one of the first noticeable signs that diabetes has begun to affect your eyes. Sometimes, fluid leaking into the eye causes the lens to swell and change shape. This, in turn, makes it difficult for the eyes to focus, resulting in fuzzy vision. Such symptoms can indicate that an eye disease is developing, or may simply be due to imbalanced blood sugar levels which can be rectified by getting your blood sugar back to healthy levels.

If you start to notice blurry vision, make an appointment with Dr. Tom Ballard as soon as possible.

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The 3 Ways Diabetes Impacts Vision

Cataracts

While cataracts are extremely common and a part of the natural aging process, those with diabetes tend to develop cataracts earlier in life. Characterized by a clouding or fogging of the lens within the eye, cataracts impede light from entering the eye, causing blurred vision and glares. The best treatment is cataract surgery, which is very safe and effective.

Glaucoma

Glaucoma refers to a group of eye diseases characterized by optic nerve damage. Since it tends to impact peripheral vision first, glaucoma often goes unnoticed until significant damage has occurred. However, routine glaucoma screenings can detect warning signs; early treatment can prevent disease progression and vision loss.

Although there is no true cure for glaucoma, most glaucoma patients successfully manage it with special eye drops, medication, and on occasion, laser treatment or other surgery. The earlier glaucoma is diagnosed and managed, the better the outcome.

Diabetic Retinopathy

Diabetic retinopathy occurs when the small blood vessels on your retina (capillaries) become weakened and then balloon (microaneurysm) due to poorly controlled blood sugar levels. The resulting poor blood circulation in the back of the eye causes more abnormal blood vessels to grow, which also bleed or leak fluid, and can lead to scar tissue, retinal detachment and even blindness, over time.

Often there are no symptoms until the advanced stages of diabetic retinopathy, where patients may begin to see spots and missing patches in their vision. Retinopathy can be treated through surgery and eye injections, but the best way to prevent this disease from progressing is to regularly have your eyes screened.

The good news is that diabetic eye disease can often be prevented with early detection, proper management of your diabetes and regular diabetic eye exams. Contact First Eye Care Dallas in Dallas to set up your eye doctor’s appointment today.

Call First Eye Care Dallas on 972-960-2020 to schedule an eye exam with our Dallas optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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Here’s Why Hydrogen Peroxide is an Excellent Contact Lens Solution

Once you and your doctor have decided on the type of contact lenses you’ll need, it’s time to choose the most suitable contact lens solution for your eyes and contacts.

There exist 2 different types of solution for contact lenses: Multipurpose and Hydrogen Peroxide-based. While both remove debris and build-up, and disinfect lenses, only hydrogen peroxide is capable of penetrating the microbial biofilms for a deeper clean. As an added benefit, hydrogen peroxide does not contain preservatives — which can be particularly beneficial for those with allergies or eye sensitivities.

Multipurpose Contact Lens Solution

Multipurpose solutions are straightforward and easy to use; only one solution is needed to rinse, clean, disinfect and store your contacts (as seen in the image). Their convenience and low cost make them a popular choice.”

First Eye Care Dallas Eye Clinic and Contact Lens in Dallas, Texas

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Dallas eye doctor has prepared the following answers to your questions about eye disease.

Hydrogen Peroxide Contact Lens Solution

Hydrogen peroxide solutions, such as Clear Care® by Alcon or Refine One Step™ by CooperVision, contain no preservatives or allergens. This solution thoroughly breaks up the proteins and removes deposits on the lenses during the disinfection process, which can be beneficial for people who tend to accumulate large amounts of build-up on their lenses. Moreover, hydrogen peroxide is more effective at battling acanthamoeba keratitis (an eye infection that may lead to blindness) than all other types of contact lens solutions.

Since hydrogen peroxide is a chemical that causes stinging and burning when it touches the eye, after the contacts have been disinfected the solution must be neutralized to be healthy for your eyes. Included with every solution bottle is an upright contact lens case containing a platinum-coated disk that chemically reacts with hydrogen peroxide to decompose it into a safe, non-irritating, sterile saline solution. This chemical reaction produces bubbles inside the case as it undergoes the transformative process over a period of several hours. Since the neutralizing disk loses its effectiveness over time, it is critical to regularly replace it.

If your eyes do make contact with hydrogen peroxide, make sure to immediately flush it out with sterile saline. If saline is not available, wash your eyes with water or artificial tear drops and make sure to see Dr. Tom Ballard as soon as possible. Though painful, it doesn’t cause permanent eye or vision damage.

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How does it work?

To clean your lenses, place them in the designated case that is freshly filled with the hydrogen peroxide solution and soak them for 6-8 hours. This can be a one-step or two-step process, depending on the product. The one-step products contain a built-in neutralizer in the contact lens case, while the two-step products require you to add a neutralizing tablet to the solution after cleaning.

Make sure not to reuse or top off hydrogen peroxide solution after it has been neutralized, as it will have lost its disinfecting power.

Be sure to dry your case thoroughly between uses and to replace your case every 2-3 months to prevent infection.

It is important to note that hydrogen peroxide solutions will change into unpreserved saline. Therefore, if contact lenses are stored for extensive periods of time (e.g. more than a couple days), it is safer to consider multiple-purpose solutions for long term.

Hydrogen peroxide-based solutions are known for their exceptional disinfecting ability. At First Eye Care Dallas, in Dallas, our patients are extremely satisfied with the cleanliness and comfort they experience when using hydrogen peroxide-based solutions for their contact lenses. Speak with Dr. Tom Ballard to find out whether this solution is right for you.

Call First Eye Care Dallas on 972-960-2020 to schedule an eye exam with our Dallas optometrist. Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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12 Tips for Optimal Eye Health

Good Eye Care Habits & Hygiene

By practicing good eye care habits and hygiene, you can prevent many vision problems from occurring. Eye problems and the risks associated with vision loss only grow as you age. By neglecting eye care, you place yourself at a higher risk of suffering from cataracts, macular degeneration, glaucoma, diabetic retinopathy, and low vision.

So make sure you maintain great eye health by following these 12 tips for optimal eye health.

1. Avoid rubbing your eyes

Itchy eyes can be a hallmark symptom of allergies, and though rubbing may bring temporary relief, it ultimately increases swelling and worsens the itch. If you wear contact lenses, rubbing your eyes can also dislodge or even break a lens, causing the lens to get lost or scratch the cornea. Plus, eye rubbing can lead to eye infections, since our hands are typically covered with a host of germs.

2. Regularly wash your hands

Conjunctivitis (pink eye) is often caused by germs and bacteria carried to your eyes by unclean hands. Frequently washing your hands with soap and warm water helps keep bacteria away and prevents eye contamination. Prior to inserting or removing contact lenses, make sure to wash your hands with mild soap and dry them using a lint-free towel.

3. Beware of UV rays

By exposing yourself to sunlight and UV rays, you increase the risk of developing macular degeneration and corneal sunburn. Beyond just adding some style and zest to your look, sunglasses should protect your eyes from dangerous UV rays. Speak to your optometrist about the different options available for people who wear prescription eyeglasses or contact lenses too, to keep your eyes safe in the sun.

4. Stay hydrated

Staying hydrated is crucial for your body’s overall health and wellbeing — and that includes your eyes. Among other complications, if you don’t have enough fluid in your body, it impacts tear production and can cause dry eyes and irritation. Drink up! ”

First Eye Care Dallas Eye Clinic and Eye Health in Dallas, Texas

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Dallas eye doctor has prepared the following answers to your questions about eye disease.

5. Don’t smoke cigarettes Need some extra motivation to quit smoking?

Smokers are more prone to developing age-related macular degeneration, cataracts, and other eye conditions. Cigarette smoking can also destroy optic nerves, which can adversely affect your vision over time. So think twice before you light up, and speak to your doctor about getting help to quit.

6. Eat a healthy diet

Eat plenty of fruits and vegetables to ensure that your diet is rich in antioxidants, such as Vitamins A and C. These can be found in leafy greens (your mom was right about spinach!), orange vegetables (think, carrots and sweet potato) and citrus fruit. Furthermore, fatty fish like salmon contain essential omega-3 fatty acids which also promote excellent eye health.

7. Keep a healthy distance from screens

Nip digital eye strain in the bud by positioning your computer monitor about an arm’s length away from the eyes and 20 degrees below eye level. Ideally, work in a room with enough diffused lighting to reduce stress on your eyes from the computer light.

8. Remember the 20-20-20 rule

Speaking of computers, have you heard of the 20-20-20 rule? When using digital devices, rest your eyes every 20 minutes by looking 20 feet away for 20 continuous seconds.

Once you’re at it, blink 20 times in succession to prevent dry eyes, and make it a habit to rise from your seat and take 20 steps to promote good posture and blood circulation, which helps your vision too. ”

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9. Be careful with eye make-up

Make sure that your eye shadow, mascara, and eyeliner don’t cause your eyes an allergic reaction. Get in the habit of removing your make-up before going to sleep in order to avoid bacterial build-up from residual make-up left in the eye area. And, from time to time, clean your make-up brushes, especially those used to apply cosmetics around the eye area.

10. Sleep is golden

Just as with the rest of your body, your eyes need a break. So make sure that you get sufficient shut-eye (8 hours) each night to keep your eyes revitalized and healthy.

11. Wear protective eyewear

Whatever you do, make sure your eyes are well-protected. If you’re swimming, wear goggles to prevent chlorine from entering your eyes. If you’re gardening or engaged in a DIY project at home, wear safety glasses to keep dust particles and bacteria at bay and prevent eye injuries. Ask your local eye doctor about protective eyewear for sports and other activities.

12. Regularly visit your eye doctor

Don’t underestimate the importance of getting a routine eye exam, whether you need an updated prescription or not. Even if you can see well today, a comprehensive eye exam can pick up early signs of eye diseases and conditions before symptoms become noticeable, such as glaucoma, diabetes, retinal holes which could lead to retinal detachment, and cancers like melanoma. Early detection and management can prevent further complications and serious vision loss down the line.

Only an eye doctor has the required knowledge, experience, tools and techniques to determine whether you have these or other eye conditions.” “It is recommended that everyone gets a comprehensive eye exam once a year (or at least every two years). Children, whose eyes are rapidly developing, and people at higher risk for developing eye problems such as diabetics and older people, need to undergo eye exams even more frequently: at the minimum, yearly.

During the evaluation, the eye doctor will check for things like:

Farsightedness, nearsightedness, astigmatism and/or presbyopia Eye coordination Optic nerve and eye pressure tests to spot glaucoma It’s also important to be on the look-out for any changes in your vision. If you experience hazy or double vision, worsening eyesight, red eyes, eye pain, swelling or floaters, contact Dr. Gary Stocker.

Incorporate these tips and habits into your lifestyle to maintain healthy eyes and a high quality of life. Milpitas Optometric Group offers comprehensive eye exams in Milpitas, California , and will be happy to answer any questions you may have about ways to maintain healthy vision.”

Call First Eye Care Dallas on 972-960-2020 to schedule an eye exam with our Dallas optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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What are the dangers of an Online Eye Test

First Eye Care Dallas – What are the dangers of an Online Eye Test, Dallas, Texas

An online eye test may seem like a convenient way to check your vision or get an eyeglass prescription but beware, these tests aren’t all they are chocked up to be. In fact, they may even be dangerous.


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What is an online eye test really testing?

An online eye test is actually not an eye test at all but just a vision or sight test – and a partial test at that. It is designed to measure your visual acuity and refractive error (nearsightedness, farsightedness or astigmatism) and to determine an eyeglass prescription – which is the lens power needed to correct the refractive error in your vision.

Given that there is no one with medical training actually performing or checking the accuracy of the test, it is questionable how well the exam does even this. In fact, when an eye doctor does a refraction for glasses or contact lenses it also involves some judgement on the doctor’s part. The eye doctor will often adjust the prescription slightly based on the patient’s age, occupation or hobbies. The doctor may prescribe a prism in the lenses to help with binocularity and to prevent double vision in those who have deviations of the eye. There is no way an online exam can do any of this.

Further, a refraction is only one very small part of an eye exam and if it takes the place of a regular comprehensive eye exam by an eye doctor, you put your eyes and vision at serious risk.

The American Optometric Association is warning consumers about possible risks associated with online refractive eye exams. Such online sites tout convenience. But any alleged advantages come with risks, the AOA cautions.

Comprehensive Eye Exams

Even if the eyes see clearly and you have 20/20 vision, there may still be vision problems or eye disease present even without pain, blurred vision or other symptoms. What the online eye test fails to measure is your complete visual health and capacity (beyond just visual acuity), the curvature of the eye (which is needed for accurate lens prescriptions- especially for contact lenses) and an assessment of the health of the eye itself.

Just as we need regular medical and dental checkups as a part of preventative health care to prevent disease and maintain our health, we also need regular eye exams. A vision test does not suffice. A comprehensive eye exam will examine much more than just how well you see. It will also check for visual processing, color vision, depth perception and proper eye movement. It will measure your eye pressure, examine the back of your eye and look for early signs of eye disease or conditions such as glaucoma, macular degeneration, diabetes, tumors and high blood pressure – many of which threaten your eyes and vision if not caught early.

If you do have some vision loss, the doctor will be able to determine if there is any serious underlying problem that is causing the disturbance in your vision. If you don’t have symptoms that doesn’t mean there isn’t a problem. Many serious eye conditions develop gradually without any symptoms. Some eye diseases do not affect the macula, and therefore you may still have good vision even though there is a problem (such as glaucoma, early dry macular degeneration, early cataract, diabetes, blood pressure and even tumors). Many of these conditions threaten the eyes and even general health if not caught early and when undetected they can cause permanent and irreversible damage to your vision

Eye exams are the best way to detect these early and treat them before they develop into serious eye problems.

Whether online vision tests are inaccurate, misleading or simply insufficient, they can fail to provide essential information and can delay or prevent vision saving treatments. Additionally, you could be walking around with the wrong vision prescription which can cause unnecessary eye strain, headaches and difficulty.

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Online Eye Test

No. Besides the fact that most eye exams are covered by insurance, the eye exam you are getting from an eye doctor is much more thorough and comprehensive than an online eye test, so you are not comparing apples to apples. The eye doctor’s exam uses real equipment and performs a complete and professional evaluation of your vision and eye health. There is simply no comparing this to a self administered test on a computer screen.
An online eye test may be touted as a time and money saving convenience however, that is hardly the case. An eye exam is a medical procedure that requires training, precision, and proper equipment. Anything less can put your eyes and vision at serious risk.

In addition to visual acuity testing to check your vision prescription, we will perform various procedures during your eye exam to inspect ocular health. Using advanced optics and high-powered magnification, our eye doctors will check for any abnormalities in your eye tissues. Comprehensive eye exams are the only way to discover the beginning stages of eye disease.

Why is it so important to catch eye disease as early as possible? Because the earlier you receive treatment, the easier it is to prevent vision loss and complications.

Call First Eye Care Dallas on 972-960-2020 in Dallas, Texas to schedule an eye exam with our optometrist.

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Cataracts & Treatment, Dr. Bourque – First Eye Care Dallas, Dallas, cataracts,optometrist

When looking at an object, light is received through the pupil. It is then focused onto the the back of the eye, where there is a collection of light sensitive cells called the retina. A cataract occurs when the eye’s normally clear lens becomes fogged up, making it hard or even impossible for light to travel properly through the lens and be clearly focused on the retina.

Cataracts are often considered a common part of aging. The lens, which is made of mostly water and protein, grows excess layers on its surface as the years go by. When these layers harden, protein in the lens may form clumps and become cloudy, forming a cataract. Although cataracts are usually considered an eye condition of old age, previous eye disease or eye surgery, chronic disease, diabetes, and eye injuries can bring on cataracts much earlier.

“Increased difficulty seeing at night or in dim lighting is another easily overlooked symptom. You should consult your eye care professional for an appointment if you have any of these symptoms and, if diagnosed, be sure to have regular check-ups thereafter.”

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Treatment of a cataract varies. In cases in which clouding is minimal, vision is hardly affected and a slight change in eyeglasses prescription may be enough. Alternatively, if all or a large part of the lens is clouded, surgery is required to restore sight. Cataract surgery involves the removal of the cloudy natural lens and replacement of the natural lens with an artificial lens made of plastic, silicone or acrylic. The surgery is extremely low risk and is normally done as an outpatient procedure without overnight stay.

Dr. Bourque advises, “Proper pre- and post-op care are very important. Proper co-management means your optometrist and eye surgeon are on the same page when it comes to your treatment before, during and and after surgery.” A thorough exam should be conducted by your primary eye doctor to diagnose and decide on treatment of your cataract. After this your doctor should be able to advise about the surgery and refer you to a surgeon, who will answer any questions you have about the surgery. Afterwards, follow ups should take place with both your surgeon and your optometrist to assess your recovery.

Please don’t forget to make an appointment to see our Eye Care Specialist

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In accordance to the City of Dallas & CDC social distancing restrictions, we are open by appointment only, with limited staff. Our call volume is extremely high and creating difficulty reaching us. The most efficient way to reach us is by emailing us at lbjfreeway@myeyedr.com. We apologize for the inconvenience but please know we take the needs of our patients seriously, and are working diligently to respond to each inquiry.