Eye / Vision Problems
Many Hispanics with diabetes unaware of potential eye disease, do not receive eye exams
Hispanic patients with diabetes appear to have less frequent eye examinations than the national average for Hispanic individuals, and many are not aware of the potential ocular complications of diabetes, according to a report in the July issue of Archives of Ophthalmology, one of the JAMA/Archives journals.
One in five Hispanic individuals older than 40 years currently has diabetes, and almost half have diabetic retinopathy, a related eye disease, according to background information in the article. “The limited use of health care services in minority groups may make them more susceptible to the complications of uncontrolled diabetes,” the authors write. “In addition, a substantial proportion of those with diabetes are unaware of their condition, although already presenting signs of moderate to severe diabetic retinopathy. The importance of appropriate and timely care for diabetic retinopathy or macular edema [swelling in the retina] is paramount, as it is the leading cause of visual loss among working-age Hispanic individuals.”
Beatriz Muñoz, M.Sc., of the Wilmer Eye Institute, Johns Hopkins University, Baltimore, and colleagues interviewed 349 randomly selected Hispanic individuals without diabetes and a group of 204 Hispanic individuals with diabetes. Participants answered questions about demographic information, health care habits and knowledge of diabetes and diabetic retinopathy.
Eating fish may curb risk of age-related eye disease
Diets high in omega-3 fatty acids and oily fish appear to lower the risk of age-related macular degeneration (AMD), according to pooled data from nine “observational” studies that evaluated omega-3 or fish intake in the prevention of AMD.
AMD is the leading cause of severe vision loss among elderly people, the Australian research team notes in the latest issue of Archives of Ophthalmology. New treatments for AMD carry risks and treat only certain forms of the disease. Therefore, preventing AMD by modifying risk factors, like cigarette smoking, “remains an important public health strategy,” they write.
Glaucoma vision loss leads to more health problems
A new study of Medicare beneficiaries with glaucoma demonstrates that vision loss is associated with a greater risk of depression, nursing home admission, and femur fracture.
Care became more costly as vision worsened, Dr. Thomas Bramley of Xcenda in Salt Lake City and colleagues also found, ranging from $8,157 for patients with no vision loss to $18,670 for those with complete blindness.
Glaucoma accounts for about three quarters of all cases of visual impairment, Bramley and his team note in their report. Recently, they add, Medicare has been emphasizing awareness of glaucoma and progression of the disease.
Paralysed Israeli paints with his eyes
First his arms and legs stopped working, then his respiratory system. Now Rahamim Melamed-Cohen can hardly speak and sits motionless in a wheelchair except for the barely visible flicker of his eyes.
But thanks to technology and his own tenacity, the 70-year-old Israeli has harnessed the power of those tiny eye movements to write books, compose music, and now create pictures that have been made into a book and shown at a Jerusalem exhibition.
“Most people paint with their hands, some use their toes, others use their mouths - but I paint with my eyes,” Melamed-Cohen wrote in the forward to his recently published book “With a blink of an eye”.
Glaucoma Associated With Increased Risk of Cardiovascular Death in Black Patients
In a population of African origin, persons with diagnosed and treated glaucoma appeared to have an increased risk of death from cardiovascular causes, according to a study by Suh-Yuh Wu, and colleagues in the Departments of Preventive Medicine and Ophthalmology at Stony Brook University, the University of the West Indies, and the Cleveland Clinic Foundation. The study results are published in the March issue of Archives of Ophthalmology.
Glaucoma is one of the leading causes of visual impairment worldwide. The most common type, primary open-angle glaucoma, is especially prevalent in populations of African origin, including African-Americans, in which it is the foremost cause of blindness. According to Wu and coauthors, populations of African origin have higher rates of death from chronic disease than white populations and also tend to have and higher eye pressure (ocular hypertension).
Wu and colleagues studied 4,092 participants age 40 to 84 (average age 58.6) in the Barbados Eye Studies, which assessed a predominantly black population with similar ancestry to African-Americans. Initial visits occurred between 1987 and 1992. Height, weight and blood pressure were recorded. Interviews were conducted, and eye photographs and various eye measurements were taken, including eye pressure. Participants with specific findings were also referred for a comprehensive ophthalmologic examination.
Disease Leads to Vision Loss More Often in Blacks
Black people are more likely to lose vision as a result of idiopathic intracranial hypertension, or increased pressure in the brain, according to a study published in the March 11, 2008, issue of Neurology®, the medical journal of the American Academy of Neurology.
“The racial difference does not appear to be based on differences in diagnosis, treatment or access to care,” said study author Beau Bruce, MD, of Emory University School of Medicine in Atlanta, GA. “The disease affects black people more aggressively. Doctors may need to monitor their black patients more closely and take steps to prevent vision loss earlier than with other patients.”
The cause of idiopathic intracranial hypertension is not known. Symptoms include headache, ringing in the ears, and vision problems such as blurriness and double vision. It is most common in young, obese women.
Study finds degenerative eye disease raises stroke risk
People with age-related macular degeneration, a leading cause of severe vision loss, have double the usual risk of dying from a heart attack or stroke, Australian researchers reported on Thursday.
They found that for people under the age of 75 when the study began, those who developed early age-related macular degeneration had twice the risk of dying from a heart attack or stroke within the next decade.
People with the late stage of the incurable disease at the start of the study had five times the risk of dying from a heart attack, and 10 times the risk of dying from a stroke, Paul Mitchell of the Centre for Vision Research at the University of Sydney and colleagues found.
Role identified for glaucoma gene and related signaling pathway
Researchers have found that a gene and a related signaling pathway play a role in the development of glaucoma, which is a common cause of visual impairment and blindness worldwide. The team was led by Alcon Research and included investigators from the University of Iowa and the National Cancer Institute (NCI), part of the National Institutes of Health.
The study, which revealed that over-expression of the gene, sFRP1, elevates pressure in the eye, could help improve glaucoma diagnosis and lead to the development of sight-saving treatments. The study results appeared online Feb. 14 in the Journal of Clinical Investigation.
“The cause of glaucoma and the resulting elevation of intraocular pressure has been poorly understood,” said Abe Clark, Ph.D., Alcon’s vice president of discovery research and head of glaucoma research. “This new discovery may allow researchers to develop therapies to treat the underlying cause of the disease.”
New Implantable Lenses Can Reduce the Need for Glasses After Cataract Surgery
Cataract surgery involves removing a clouded natural lens from inside the eye and replacing it with a plastic one. While the operation itself hasn’t changed much over recent years, the plastic lenses have. The biggest advantage of the newer lenses is their ability to reduce the need for glasses after surgery, says a newly updated report from Harvard Medical School.
The Aging Eye: Preventing and Treating Eye Disease explains that the older types of plastic lenses help people see well at one distance—be it close up, far away, or at a medium distance. Two newer types of lenses, accommodating and multifocal, let the eye focus at varying distances, so fewer patients need glasses for reading or distance vision.
The accommodating intraocular lens has hinges on its sides that permit it to move as the eye’s ciliary muscle contracts or relaxes. This improves the ability to change focus from near to far. The multifocal intraocular lens uses a new type of refractive technology to provide focus for multiple distances.
Contact lenses purchased over Internet may place individuals at risk for harmful eyecare practices
Purchasing contact lenses online may save consumers time, but the process could cause more problems in the long run, according to a new study reported in the January issue of Optometry: Journal of the American Optometric Association. The research, conducted by Joshua Fogel, Ph.D., and Chaya Zidile of Brooklyn College, found that individuals who did not purchase their contact lenses from an eye doctor, but from an online site or store, are potentially placing themselves at greater risk. The findings indicated that online and store purchasers (consumers who get their contacts at a wholesale club or optical chain outlet) are less likely to adhere to healthy eye care practices, as recommended by their eye doctor.
According to the Contact Lens Institute (CLI), more than 30 million individuals wear contact lenses.
FDA approves combo eye drop for glaucoma
U.S. regulators approved a new glaucoma treatment—Combigan, an eye drop that treats the potentially blinding eye condition with two drugs that work through different mechanisms, Allergan Inc said Wednesday.
Scientists Eye Secrets of Retinal Regeneration
Peering at microscopic changes within the retina, scientists in the Department of Ophthalmology at Weill Cornell Medical College in New York City, have discovered a key mechanism driving eye health and eye disease.
Reporting in the cover article of a recent edition of Cell, the team says they have discovered just how light-sensing discs in the retina’s rod cells regenerate themselves.
Glaucoma surgery in the blink of an eye
Prof. Ehud Assia, of Tel Aviv University’s Sackler School of Medicine is, quite simply, a rock star in the field of eye surgery.
One of a small number of surgeons in the world who currently perform a complicated form of glaucoma surgery, Prof. Assia has developed a novel laser device that promises to revolutionize treatment of the disease. The laser, called the OTS134 for now, is expected to give most practicing eye surgeons the ability to master complex glaucoma surgery very quickly.
Miniature Implanted Devices Could Treat Epilepsy, Glaucoma
Purdue University researchers have developed new miniature devices designed to be implanted in the brain to predict and prevent epileptic seizures and a nanotech sensor for implantation in the eye to treat glaucoma.
Findings will be detailed in three research papers being presented at the Engineering in Medicine and Biology Society’s Sciences and Technologies for Health conference from Aug. 23-26 in Lyon, France.
Link identified between Alzheimer’s disease and glaucoma
UK scientists have shown for the first time that key proteins involved in Alzheimer’s disease are also implicated in glaucoma, the major cause of irreversible blindness worldwide. Research carried out at the UCL Institute of Ophthalmology and funded by the Wellcome Trust has also shown that novel drugs being trialled for Alzheimer’s disease which target this protein may be used to treat glaucoma.
The research team has developed a new technology for visualising nerve cell damage in the retina, known as Detection of Apoptosing Retinal Cells. Using this technology, they demonstrated that the protein beta-amyloid, which causes the so-called “plaque” lesions in the brains of Alzheimer’s patients, also leads to nerve cell death in the retina. The research is published online today in the journal Proceedings of the National Academy of Sciences of the USA.
