Many of our patients come to Westchester Eye Associates for their annual eye examination. During that exam, we check your vision, measure for eyeglass and contact lens prescription, determine your eye pressure and check your eyes to rule out any problems such as cataracts, glaucoma and macular degeneration. We may dilate your pupils to get a complete view of your retina which is the inside lining of your eye, so your vision may appear blurry for a short while after the visit.
The doctors at Westchester Eye Associates are always available for the evaluation and treatment of any and all ocular emergencies. Our Board Certified Ophthalmologists have years of experience managing injuries and acute eye problems.
As a rule, if your eye is red, painful or your vision is blurry, you should call our offices and have your eyes examined quickly. Make sure you tell our operators that you are having an urgent problem so that we can see you as quickly as possible. Emergency ophthalmic care is a priority in our office.
Pterygium is a painless, non-cancerous growth of the conjunctiva, the lining that covers the white part of the eye. The pterygium may grow on the cornea, which covers the iris, the colored part of the eye. A pterygium usually begins at the nasal side of the eye and can be different colors, including red, pink, white, yellow or gray.
Patients with pterygium often first notice the condition because of the appearance of a lesion on their eye or because of dryness, itching, irritation, tearing or redness. Pterygium is initially noticed when it is confined only to the conjunctiva. At this stage of development it is called a pinguecula. As it extends to the cornea it is termed a pterygium and can eventually lead to impaired vision.
In most mild cases of pterygium, artificial tears can be used to reduce dryness and irritation. For those patients with severe cases of pterygium and whose vision has been affected, different types of surgery are available. Surgery is the only way to definitively remove a pterygium, but it is not a perfect solution; it requires long-term follow-up, and the recurrence rate is between 30 to 40 percent.
Blepharitis is a chronic inflammation - a long-term swelling - of the eyelids and eyelash follicles. It may be caused by seborrheic dermatitis, acne, bacterial infection, allergic reaction or poor eyelid hygiene. The eyes may become red or blurry and they may tear frequently. The eyelids crust, flake, scale or redden, and the smooth inside lining of the lids may become rough. In more serious cases, sores can form when the crusting skin is removed, the eyelashes may fall out, the eyelids can deform, the infection can spread to the cornea, and patients often suffer from excessive tearing. Blepharitis can also predispose patients to styes, chalazions and problems with the tear film.
do you need to clean your scalp if you have blepharitis?
Treatment and preventative care for blepharitis involves thorough but gentle cleaning of the eyelids, face and scalp. Warm compresses can be applied to loosen crust and dandruff shampoo can help keep the eyelids clear. This may be combined with antibiotics if a bacterial infection is causing or contributing to the problems.
Styes and Chalazions
Styes and chalazions are small fluid-filled cysts that develop along the eyelid as a result of an infection or blocked oil gland. While these bumps do not usually lead to any serious complications, they may cause pain, swelling and tearing of the eye. Larger chalazions may gradually obstruct vision.
A stye appears on the eyelid as a small red bump, while a chalazion is similar but usually larger and not as painful. Styes usually heal within a week, while chalazions can take up to a few months.
Many styes and chalazions go away on their own with no need for treatment other than warm, wet compresses. Your doctor may prescribe antibiotic eye drops or recommend over-the-counter treatments for those that do not heal on their own. Patients should avoid wearing makeup or contact lenses until after the stye or chalazion has healed.
Strabismus, or crossed eyes, is the term for when a person cannot align both eyes on an object at the same time. The condition occurs in about 5% of children, and many adults suffer from it as well. Strabismus can be congenital (present from birth) or acquired from eye injury, diabetes, stroke and other conditions. Strabismus may manifest at first as double vision. If left untreated, it can lead to visual impairment, loss of binocular vision, and blindness in the weaker eye.
For children, early treatment is best. Have your child's eyes evaluated the moment you have a concern regarding strabismus. Oftentimes eye glasses are all that is needed to improve ocular alignment. Sometimes, an occlusive eye patch is needed if amblyopia (poor best corrected vision) is present. Less commonly, surgery might be recommended if strabismus is present and other treatment alternatives have been exhausted.