Everything “Macular” – What is the Macula?

The macula is a place.  It is the functional center of the retina.  The term macular is an adjective.  "Macular" is not a disease. Too many patients also believe that "macular" and macular degeneration are synonyms.  They are not. Definition - The macula is the most sensitive area of your retina.  It is approximately 1.5 mm x 1.5 mm.  It provides us with our central vision, best color … [Read more...]

Intraocular Drug Delivery – It’s About Timing

Ok, maybe a little pun in the title. Yesterday, I wrote about Alimera's study using Iluvien™ for the treatment of diabetic macular edema.  As we have been commonly using intraocular steroid injections to treat this condition (see previous posts under "treatments"), it only makes sense that there are now products (Ozurdex/Allergan and Iluvien/Alimera) that have been designed for long-term … [Read more...]

Company Hopes Injectable Implant Cures Diabetic Macular Edema

Alimera Sciences hopes that its Iluvien ™ insert will be effective against diabetic macular edema.  Iluvien™ will release a steroid called fluocinalone acetonide (FA) after insertion into the eye.  The Iluvien™ system will deliver the steroid for up to 3 years.  It is anticipated that intraocular steroid release may control macular edema and improve vision.  The company has a study … [Read more...]

Floaters, Are They Normal or due to Diabetic Retinopathy?

Floaters are generically defined as black spots in your vision.  They move to and fro with eye movement.  Most of the time they are small, tiny and black, but really can be large and translucent, too.  From a doctor's standpoint, size does not matter.  New floaters can mean a retinal tear and the development of a retinal detachment. Floaters can develop from a variety of causes such as a … [Read more...]

Laser Treatment for Diabetic Retinopathy Still The Best: True Cases

I saw two patients (RJ and JR)  yesterday that have the same "problem."  They both are patients with diabetes and both have advanced, or proliferative, diabetic retinopathy.  Both have had diabetes for over 20 years, are on insulin and have been treated with pan-retinal photocoagulation to control the proliferative diabetic retinopathy.  Both still have 20/20 vision.  Neither have ever … [Read more...]

Part 3. “Credible Information.” Using Social Media to Build Your Practice

Good morning. I closed yesterday by talking about the need for relevant and credible information.  Providing relevant information is Google's (and the other search engines) responsibility.  Providing credible information is my responsibility.  Promoting relevant and credible information is your responsibility. "Because the Internet says so...................." Now that you are provided … [Read more...]

Making Social Media a Part of Medical Practice, Part II

I closed my last post (yesterday) with a comment that doctors are not too internet savvy.  It is true.   I do think many doctors are very good with email and can search the internet, but the rest is a blackbox, especially this social media stuff.  Doctors need to catch up.  Social media is going to make us catch up.  I want to close the gap. One attribute of social media is the ability … [Read more...]

Social Media for a Medical Practice

When I started this blog/web site in April, I had a good idea of what I wanted to say, but I had no idea how a blog and social media would work together. Yesterday, I addressed over 60 eye doctors at a local continuing education conference. I discussed how I envision social media helping doctors and their patients by providing both with relevant and credible health information. My … [Read more...]

Macular Degeneration And Your Diet: Part 3

Good morning!  This is the last post, of 3, regarding your diet and how it may effect macular degeneration. Part I: What has been proven to be effective; the AREDS vitamin formula. PartII:  What has yet to be proven to be effective; omega 3 fatty acids. Part 3:  The AREDS Diet The Age Related Eye Disease Study (ARED 2) is presently underway and should complete in about 5 years.  It is … [Read more...]

Does Your Diet Affect Macular Degeneration? Part II

Foods That May Slow Down the Disease Last post (Read Part I) was about vitamins and their role as defined by the AREDS 1 study.  In short, a vitamin formulation containing antioxidants (vitamins C and E), beta-carotene and zinc have been proven to be effective in patients with intermediate or advanced macular degeneration.  This AREDS formulation reduces the chances of a patient with macular … [Read more...]

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