Combining the latest state-of-the-art technology with advanced treatment options can aid in the treatment of multiple eye pathologies.
Our ophthalmology clinic uses the latest state of the art technology with advance treatment options to aid in the treatment of multiple eye pathologies. Dry eye syndrome is a common condition that we see in our practice,” says Silviano Matamoros, MD, a board-certified ophthalmologist. It has been estimated that more than 5.5 million people in the US suffer from some type of symptom associated with dry eyes. Of these, more than 3 million are women and more than 2 million are men. It is also estimated that there are tens of millions more who suffer from this condition and still have not been diagnosed.
“For most people with occasional symptoms, treatment involves over-thecounter eye drops,” says Dr. Matamoros. “However, it is important to determine what is causing the dry eyes and treat the underlying condition.” Dry eye symptoms may be secondary to aqueous tear deficiency, in which the lacrimal glands fail to produce enough watery component to maintain a healthy eye surface. The condition could also be due to meibomian gland dysfunction, causing excessive evaporation of the natural tears. “In the past, the disease was defined as a disorder of the tear film caused by tear deficiency or excessive evaporation. Patients were given samples of over-thecounter artificial tears, and were advised to try them. Of course, this approach, we’ve learned, does not always work.”
Accredited care Dr. Matamoros and
the staff at the Center for Eye Care & Surgery have in place a comprehensive approach to dry eye syndrome. As an accredited dry eye center, staff follows strict protocols to diagnose, manage, and treat this disease. Patients fill out a questionnaire about their symptoms and afterwards review thoroughly their medical history with staff. Once this part of the process is complete, the doctor will then recommend the most appropriate diagnostic tests.
“At the Center for Eye Care and Surgery dry eye clinic, staff measure tear osmolarity with the TearLab™ test, among other diagnostic tests such as ocular surface staining with fluorescein and
lissamine green,” states Dr. Matamoros.
“This helps us diagnose, treat, and monitor a patient’s dry eyes. We are dedicated to providing the highest quality of dry eye care, using advanced ophthalmic diagnostic techniques and treatments.”
In terms of severity, only 12 percent of those affected by dry eye syndrome suffer from severe disease, while the greater proportion have mild disease, 58 percent, or moderate disease, 30 percent.” The severity scale of the TearLab osmolarity test places the diagnosis in context. The higher the osmolarity, the more severe the disease. Osmalarity being the salt content in Tear film at the cellular level. Patient confidence and comprehension are enhanced when they see where their condition falls in the range of severity.
The doctor explains: “Knowing the osmolarity of a patient’s tear film is essential to the proper management of dry eye disorders. This test also measures the therapeutic response of a patient.”
Treatment is prescribed based on the measurements from the Center for Eye Care & Surgery-designed protocols. Depending on the particular case, patients may be prescribed omega-3 supplements, topical
or oral antibiotics, punctal plugs, and/or anti-inflammatory drops. Staff works with primary care physicians if it is determined that an underlying condition is causing the ocular symptoms.
“As we evaluate patients, it’s also important to consider lid margin assessment, as lid condition plays a contributing factor in this pathology,” emphasizes Dr. Matamoros. “We follow guidelines recommended by the International Workshop of Meibomian Gland Dysfunction (MGD), and actively express these glands in some dry eye patients.”
The doctor continues: “A consultation in our dry eye clinic will give the patient a clear understanding of the etiology of their condition and a regimen to follow to participate in the management of dry eye syndrome (DES).
“Dry eye continues to be among the most common complaints that we encounter in our clinical practice, and the frequency of dry eye conditions will likely increase in our aging, multi-medicated population. Successful management requires a complex treatment response, as the condition is multifactorial in origin. By employing the latest developments in diagnostic techniques and products to help patients, we’re able to more effectively treat dry eye.”
Dry eye and cataracts
“In our practice,” informs Dr. Matamoros, “we are very proactive in testing and treating our cataract patients. We realize that even mild dry eye can affect cataract surgical outcomes. An irregular cornea will degrade the optics of the captured image and this may cause inaccurate wavefront aberrometry. Subsequently, this can also affect intraocular lens [IOL] calculations and surgical results.”
Clinical studies have shown that most cataract patients are not symptomatic of dry eye syndrome, even though they may have it. Patients with pre-operative hyperosmolarity demonstrated worse visual acuity after surgery. Optimizing the ocular surface prior to implantation of an intraocular lens will help ensure success with these lenses. Additionally, the variable refraction and decreased contrast sensitivity caused by a poor tear film can significantly degrade the image quality created by a premium intraocular lens.
Superb eye care
The Center for Eye Care & Surgery in Port St. Lucie has been providing excellent eye care for over 22 years. The center offers patients the very latest in surgical and diagnostic equipment available.
“We also specialize in refractive cataract surgery with advanced intraocular lenses,” says Dr. Matamoros. “This technology is often requested by patients with a desire for greater independence
from glasses. These lenses give patients a wider range of vision – distance, intermediate, and near.
“There are a few things in life that we can acquire that never depreciate, and vision with premium lenses is one of them. There are also very few things that we purchase that we use every waking moment for the rest of our lives, and again, a premium IOL is one of those things.”
Before having cataracts removed, Dr. Matamoros and the patient discuss what their functional needs are and together decide the best choice of advanced premium intraocular lenses to use.
“There are many intraocular lens options and techniques to choose from,” he notes, “and my goal is to educate our patients and to reduce the patient’s dependency on eyewear. Listening to my patients and spending enough time with them is critical as we discuss their lifestyles so we can determine which lens will work best.”
Dr. Matamoros and his staff evaluate patients using the latest diagnostic and refractive equipment. Cataract evaluation has been taken to another dimension, thanks to the OPD-Scan 3. “We have recently added this new technology for use in our office, enabling us to assess patients using this state-of-the-art technology. The depth and detailed information it provides is particularly valuable when planning cataract surgery using premium lenses.”
To take full advantage of the new intraocular lens designs, it is critical to consider a number of factors: size and shape of the cornea; minimum and maximum pupil size; and distortions in the eye, such as spherical aberrations. “This is the third generation instrument that allows us to have all this information about a patient’s eye condition,” reports Dr. Matamoros.
“The OPD-Scan 3 is making it possible for us to bring better surgical results to our patients. It’s truly bringing the cataract evaluation process to another level.
“This diagnostic equipment is also integrated to our specialized opthalmic specific EMR (electronic medical record) system. We are confident that the technology we have invested in will help us
to enhance the patient’s experience and comply with the need for complete and proper record documentation.” FHCN