Aspirin use and Age Related Macular Degeneration.

Age Related Macular Degeneration is a progressive disease of the macula, the eye’s central part of vision, which usually occurs in elderly people and can result in blindness if untreated. In this European Eye Study conducted at the Queen’s University in the United Kingdom, almost 4700 participants over 65 years of age were divided into 4 groups, ranging from those who never take aspirin to those who take aspirin every day. About 1/3 of the participants who developed wet macular degeneration were daily aspirin consumers compared to 16% without macular degeneration who took daily aspirin. The authors concluded that frequent aspirin use was associated with early and late macular degeneration and the frequency increased with increasing aspirin consumption.
Before one stops aspirin use, consider the small size of the study and that each patient must be considered individually and discuss their specific condition with their medical doctor. Is their a high risk of cardiovascular disease? then frequent aspirin use may be beneficial. Is their a high risk of macular degeneration with a strong family history in an elderly patient? then warning against aspirin may be appropriate. A thorough review of each patient’s medical history is necesssary before any recommendations can be made. Please discuss your situation with your medical doctor and ophthalmologist.

Amniotic Membrane Transplants and Eye Surgery

Amniotic Membrane Transplants are the newest wave in ocular surgery. Cryopreserved amniotic membrane is used to restore ocular tissue with minimal scarring and inflammation. The donor tissue is screened for HIV, Hepatitis, Syphilis, West Nile virus and is sterile and contains no micro-organisms. This tissue is used for patients who have pterygium, chemical and thermal burns, persistent epithelial defects, recurrent corneal erosions, and other corneal problems. I have used amniotic membranes in surgery and found it to speed would healing, decrease post surgical pain and prevent scarring. Hopefully the reader will never need this, but it is available for severely damaged eyes as well as for cosmetic improvement.This procedure is FDA approved in the United States.
On a lighter note, I would like to wish everyone a Happy New Year and Best Wishes for 2012.
I also would like to thank my staff for all their hard work this past year.

Xeomin, A new Botox

Xeomin (incobotulinum Toxin A) is the newest of the Botox like drugs to become FDA approved. Xeomin is manufactured by Merz pharmaceuticals and is the third botulinum toxin available in the US to treat cervical dystonia, blepharospasm, and glabeller lines. It joins Botox (onabotulinum toxin A, Allergan) and Dysport (abobotulinum toxin A, Medicis). These neurotoxins also have many “off-label” uses including migraine treatment, forehead lines, “crows feet” as well as for decreasing sweating. Xeomin is marketed as a “purer” botulinum toxin and seems to have a faster onset of action than Botox. It is also supplied similarly to Botox, available in both 50 and 100 unit vials. Time will tell whether it will be able to penetrate the strong Botox name and market.

Laser Cataract Surgery

There is alot of discussion about the hot topic of “laser cataract surgery”. Firstly, cataract surgery is currently performed with an ultrasonic unit called “phacoemulsification:. With this technique, which is the standard around the world, sound waves break up the cataract into little pieces that can be aspirated from the eye. After the cataract, or “cloudy lens” , is removed, an intraocular lens is inserted in the eye so the patient can see. Lately, there is new technology which uses a femtosecond laser to perform parts of the cataract surgery. This laser is used to make the initial incision into the cornea. Next the laser is used to perform the opening of the lens capsule, or outer cover, of the lens. Finally the laser is used to make cuts into the lens so the parts can be easily removed from the eye. The only laser FDA approved for cataract surgery in the US is LenSx made by Alcon. At the present time, most ophthalmologists do not feel that this technology is worth the cost, which is not covered by insurance. Time will tell if this technology will become the new “standard” for cataract surgery

Cohen Laser and Vision Center

The Cohen Laser and Vision Center is a state of the art Lasik center located in Boca Raton, Florida since 1991. Dr. G. Richard Cohen is a fellowship trained cornea specialist who performs LASIK,PRK, Intralase, cataract surgery, INTACS, cornea transplants as well as BOTOX. RESTYLANE, JUVEDERM and RADIESSE. The purpose of this blog is to educate and inform readers interested in news and the latest developments in laser vision correction, cataract surgery, keratoconus treatment as well as cosmetic injections. Occasionally, there may also be personal blogs about Dr. Cohen and his family.

Cohen Laser and Vision Center Blog

Hello World, this is my first blog. I would like to tell you about a new treatment for keratoconus. It is called INTACS. INTACS are FDA approved to treat keratoconus and prevent its progression. The INTACS surgery is performed in a physicians office and takes approximately 15-20 minutes. Afterwards, antibiotic eye drops are used and the patient usually notices an improvement in vision in a few days. Contact lenses and glasses may now be more easily worn.