COA Vision Blog


October 16, 2019 Eye careHealthcarePeople

Our measure of success at Columbus Ophthalmology Associates is how satisfied our patients are with their experience.  Our goal is to improve the lives of people in our community by improving their vision.  For many, poor vision hinders their ability to accomplish goals, and enjoy life. Recently, we have had 3 patients whose lives were changed by surgeries received by two of our doctors at COA, these are their stories.

William Ernst: Cataract Surgery

William said that his biggest complaint was not being comfortable driving, at night is when it became particularly worse because of distracting halos he would see around other lights. This made it nearly impossible to clearly see the road. Once he had enough, his optometrist referred him to Dr. McHale. William said “I liked Dr. McHale the moment I came into the office. Mr. Ernst described his procedure as “so relaxing” and “painless”. When asked what he expected out of the surgery he stated ” I was very reassured with the entire procedure, I’ve always had sensitive eyes so I was nervous it might be painful but talking to Dr. McHale reassured me that I had nothing to worry about. I told Dr. McHale I did not want to wear glasses after the surgery, so he recommended that we do mono vision. My one eye is in focus in the distance while the other eye can see up close and I never wear glasses the procedure went better than I could have ever expected. If I had to do any surgery again I would choose cataract surgery with Dr. McHale.”

Robert E. Hockenberger: Cataract Surgery with iStent for Glaucoma

Robert recently had cataract surgery with an iStent put into his eye for glaucoma treatment. The iStent is a relatively new minimally invasive glaucoma surgery designed for patients with mild to moderate glaucoma to help reduce the need for glaucoma drops. After being on glaucoma eye drops for over 5 years, he came to COA through a referral from his optometrist, “They told me, you have to go see the best surgeon for this, and that’s exactly what I did.” Robert mentioned that he could only see with his glasses and was getting tired of never seeing with full clarity. “To me, the television never had a clear picture and now I can see every hair on someone’s eyebrow,” he remarked. Mr. Hockenberger didn’t really know what to expect during the surgery but said overall it took about 10 minutes, it was painless and he was surprised by how quick the aftercare process was. In addition, he no longer requires medications for his glaucoma. His advice, “If you need the surgery, get it done and do it with Dr. Derick because not only will he do it right, he will listen to your bad jokes along the way.”

Kenneth Puterbaugh: Cataract Surgery and Hydrus Micro Stent for Glaucoma

Kenneth met Dr. Derick through his auto body repair business and was complaining about tension in his eyes causing headaches. When he came to COA Mr. Puterbaugh had nothing but kind words about the staff and the care he received. “Overall, it was a positive experience; I could not believe the incredible bedside manner I got from Dr. Derick and the rest of the staff.” He had cataract surgery along with implantation of the hydrus implant to help treat his glaucoma. The Hydrus, like the iStent , is a minimally invasive glaucoma surgery designed to treat patients with mild to moderate glaucoma.  Kenneth’s passion is art, he works with oils, watercolors, and sculpting, but as an artist with vision problems, he felt like he wasn’t at his best. “Being an artist, I want perfect vision. After my surgery, I now know that an eye doctor is an artist’s best friend.” Mr. Puterbaugh had his doubts when it came time for surgery, he stated: “I expected surgery of the eyes to be uncomfortable and not pleasant, but I was shocked on how simple and painless it all was, that’s why I told Dr. Derick I want to be your poster child for this!” Kenneth mentioned the healing process was quicker than he expected, he stated: “I would tell everyone you will only be inconvenienced for a day or two after surgery, but it will heal before you know it.” He now enjoys 20/20 vision is glaucoma medication free and is back to his painting and sculpting like never before.

 

Good patient experiences like this are why we come to work with excitement and purpose every day at Columbus Ophthalmology Associates.  We are humbled to be a part of each and every patient’s success story.


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September 6, 2019 Uncategorized

Ophthalmologists have been using Botox to treat patients longer than any other physician. In the 1950s, scientists discovered that botulinum toxic could reduce muscle spasms. In the 1960s and 1970s, researchers studied its effect on patients with crossed eyes. In 1989, Allergan (a pharmaceutical company that specializes in products for the eye) introduced Botox, the first botulinum toxin approved by the FDA to treat blepharospasms (eyelid spasms) as well as crossed eyes. Botox was used by Ophthalmologists exclusively for over a decade. But after recognizing the impact Botox had on decreasing the appearance of wrinkles, the FDA approved Botox to minimize frown lines between the brows in 2002.

Botox works by blocking signals from the nerve to the muscles. The injected muscle can no longer contract which causes wrinkles to relax and soften. When injected into the eye muscles, it reduces their movement and can be very effetive in aligning in the eyes. They can also be injected for eye spasms, and can help with overactive blinking.

Since the FDA’s approval of Botox for cosmetic purposes, Botox use has exploded. It has been found to improve not only eye issues and wrinkles, but is now being used to treat severe underarm sweating and migraines. Botox is even being studied to measure its effects on treating depression. So while its uses continues to grow, Ophthalmologists will always be steeped in Botox history and will remain the physicians with the most experience.


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August 22, 2019 Uncategorized
Between school, soccer and family activities it can be difficult for parents to keep everything in order. Since good vision is essential for academic progress, comprehensive eye examinations should be a priority for your child’s annual health care strategy.  While screenings at the pediatrician or school nurse can detect significant visual disorders, they are not a substitute for a comprehensive eye examination.

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July 19, 2019 AnnouncementsPeople

Our measure of success at Columbus Ophthalmology Associates is how satisfied our patients are with their experience.  Our goal is to improve the lives of people in our community by improving their vision.  For many, poor vision hinders their ability to accomplish goals, and enjoy life. This was all too true for one of our patients, Joe Altomonte.

Having an extremely high prescription Joe’s struggles with his vision were life-long, and required thick glasses at an early age.  He then wore contacts for years, until having a surgical procedure to correct his vision.  The procedure that Joe had was the predecessor of LASIK, called radial keratotomy (RK).  Unlike LASIK, RK was found to be unstable and have many negative side effects and has therefore been abandoned by eye surgeons since the 1980s.

Joe was getting by with his surgically corrected vision for many years until he turned 60 when it rapidly declined which prevented him from fulfilling his dream of becoming a golf teaching professional.  Joe shared that “It seemed like all of a sudden I was losing quality, clarity, colors and overall vision. My poor vision actually led to me not passing the on-course portion of my exam.” Joe was diagnosed with cataracts that are routinely diagnosed and surgically corrected, but given his previous RK surgery his case would be complex and his chances of seeing well without glasses postoperatively were far smaller than someone who had not had RK.  “Because of this my optometrist told me that there was only one place I should go and that was to Columbus Ophthalmology Associates, to see Dr. Litzinger,” Joe recalled.  He also admitted that he was nervous and pessimistic about having a good outcome.  “I have been to many other ophthalmologists, and with the mistake of my last surgery, I wasn’t very confident. However, after the visit with Dr. Litzinger, I felt reassured.”

During his cataract surgery, Joe described being perfectly at ease.  “I had absolutely no pain, no discomfort, no anxiety, nothing during the entire procedure. I took the medication given to take the edge off but I didn’t really need it.  Being prepped by the nurses and all of my conversations with Dr. Litzinger made me 100% comfortable.”  After surgery, Joe couldn’t believe how well he could see.  “My vision is almost too perfect now.  It’s like I can see everything, far beyond what I ever thought could be accomplished with one surgery in one facility.  It’s really like being reborn because of the colors and the beauty I can see now.  I am now able to accomplish things I haven’t been able to over the past 10 years.”

A patient experience like Joe’s is why we come to work with excitement and purpose every day at Columbus Ophthalmology Associates.  We are confident that Joe will be central Ohio’s newest teaching golf professional in a few months, and are humbled to be a part of his success story.

 

 


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Blinking is essential. Every time our eyelids close, salty secretions from our tear glands sweep over our eyes’ surfaces, protecting them from harmful particles. The average person blinks 12 to 15 times per minute but when you’re in front of a computer screen, that number decreases dramatically to 3 to 4 times per minute. With the average American spending 6 to 8 hours each day in front of a computer, we’re missing out on hundreds of opportunities to cleanse and protect our eyes.


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June 21, 2019 CataractsEye care

Diabetes is a disease that affects the amount of sugar in the blood, and can also cause cataracts. Cataracts cloud the eye’s naturally clear lens, and diabetics are more likely to develop this condition that impairs your vision. Columbus Ophthalmology Associates specializes in eye care for patients with diabetes, and the following video with Dr. McHale shows how we can help restore your eyesight through cataract surgery.


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Dr. Derick and Dr. Litzinger are a valuable part of our team at Columbus Ophthalmology Associates. Their love for helping their patients and providing the best service possible is evident to everyone they see. On an average day, patients from Central Ohio trust both Dr. Derick and Dr. Litzinger with one of their most valuable possessions: their sight. Time and time again, patient after patient, we have seen success story after success story in patients regaining their vision and satisfied with their procedure. This is what they live for. Or is it? What you may not know about both Dr. Derick and Dr. Litzinger is that their passion for assisting patients’ regain their vision goes well beyond Central Ohio. These brilliant surgeons have been making a difference in the lives of people around the world, helping others regain their sight, one cataract or glaucoma surgery at a time. In order to learn more about their personal decision to give back in this way and about their passion, we’ve invited them to share their personal experiences with you!


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June 14, 2019 Eye care

With the talk of cannabis constantly growing, we get a number of patients who ask about marijuana and glaucoma. We would like to shed some light on the reality of the situation and have asked Dr. Orlando, founder of Columbus Ophthalmology Associates and expert cataract surgeon to shed some light on the reality of using marijuana to treat glaucoma.

But first, let’s start with what is glaucoma?

Glaucoma is a common sight-threatening disease that can cause damage to the optic nerve damage, the delicate cable-like structure that connects the eye to the brain. Most often, the damage is a result of chronic high pressure within the eye that slowly destroys the nerve fibers from the inside of the nerve outward. The loss of optic nerve fibers is not reversible but at detection and with treatment, the progression of the disease can be stopped.

 

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Now that we’re clear about glaucoma, we’ve asked Dr. Orlando to give us a glimpse of what he shares with his patients about glaucoma and the use of cannabis.

“Last year Ohio voted to legalize medical marijuana and almost immediately patients began to ask if it would help them with their glaucoma. So far, Ohio has not determined what medical conditions and in what clinical circumstance cannabis can be used. However, the drug has been studied for many years by ophthalmologists as public opinion has more or less approved it’s use for glaucoma. But the scientific reality is that it does not really work as treatment for this potentially blinding disorder. First of all, one must understand that glaucoma is a very multi-faceted and challenging disease that can present in a variety of ways. Basically, the internal pressure of the eye damages the delicate optic nerve which connects the eye to the brain where images are created. Eye doctors measure this pressure as part of their routine eye exam and look for elevation that is above the normal of 20mmHg. However, damage can occur even with pressure readings lower than 20 and so the optic nerve itself needs evaluation with a variety of tests that can pick up early signs of damage. When diagnosed, the glaucoma specialist will set a “target pressure” and begin the most appropriate treatment to lower the readings to that point. Follow up visits are required in order to make sure there is no further damage to the nerve with the initial medical therapy. In some cases, a special laser known as the SLT will open the internal canals and allow the pressure to drop if topical drops do not control the pressure readings at a safe level. In extreme cases, microsurgery will create a drain from inside to drop the pressure and prevent further damage.

Scientific research on the use of cannabis for glaucoma treatment has been done for over 30 years. Initial studies done with patients smoking the drug found pressure readings that dropped around 25% but the effect lasted only 2 to 4 hours. Other studies with oral administration of cannabis extract also showed only a short time frame for lowering of the intra-ocular pressures. Some case reports have showed variable response to the drug in lowering pressures and so the overall consensus is that cannabis is ineffective for long term treatment of glaucoma. There are far more proven effective therapies and the American Glaucoma Society has stated there is no form of cannabis that is recommended for treatment of this disease.  The University of Mississippi is currently the only approved site for cannabis research and we will await further studies to see if this can be an effective adjunct to our current treatment options.”

Hopefully this update from Dr. Orlando has helped shed some light on the use of cannabis for the treatment of glaucoma. If you are suffering from glaucoma and would like to speak with a specialist, please call our offices and we will be happy to assist you.




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