EYE INFECTIONS AND COLD AND FLU SEASON

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Woman with watery eyes

Experts are predicting epidemic levels of cold and flu during the upcoming season. It seems like everywhere you turn, someone is sick. For those individuals who received a flu shot your symptoms may not be quite as severe, but we’ve also learned that the flu shot may not be as effective in 2015.

When we think of the flu, things such as body aches, fever, and stomach viruses come to mind but flu season may also bring an unexpected surprise in the form of conjunctivitis most commonly referred to as “pink eye”.

There are three types of conjunctivitis:

1) Bacterial 2) Allergic and 3) Viral Conjunctivitis.

Symptoms that present with conjunctivitis include:

  • Gritty feeling in the eye or both eyes
  • Excessive tearing
  • Itchy or burning sensation
  • Discharge and/or swollen eyelids
  • Pink Discoloration
  • Sensitivity to light

Conjunctivitis is contagious so take these steps to avoid “sharing the joy” with others:

  • Practice good hygiene and teach your children how to properly wash their hands
  • Don’t touch your face with your hands
  • Avoid using cosmetics and eye care items and discard those currently used (particularly mascara) when first diagnosed with conjunctivitis to prevent spreading the infection.
  • Change towels and washcloths daily and avoid sharing with others
  • Avoid wearing contact lenses and dispose of those used at the start of the infection.

Conjunctivitis treatment varies. Topical steroid drops and/or antibiotics based on which type of conjunctivitis you have will be used to treat conjunctivitis. Viral conjunctivitis much like the common cold must run the course and only in severe cases are steroids used.

The best course of action is to schedule an appointment with your optometrist to properly diagnose and treat your infection. At Bissell Eye Care, we also have tests that examine the optic nerve to ensure there’s not an underlying problem that can become more serious.

 

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

WHAT YOU SHOULD KNOW ABOUT GLAUCOMA

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Did you know over 2.8 million Americans have glaucoma and that number is expected to rise by 50% by the year 2032? Glaucoma is caused by the eye’s failure to maintain the balance of pressure between the internal fluid and the amount of fluid it drains away. High eye pressure caused by this imbalance causes pressure to build up against the optic nerve causing nerve damage.

Damage typically starts in the outside peripheral vision and is often not recognized by patients. A dilated eye exam is necessary to examine the optic nerve. This video from the National Eye Institute explains the importance of regular eye exams and how glaucoma patients are diagnosed and treated.

Treatment generally begins with eye drops. Just as in any other prescribed medication, it’s important to consistently take the drops as prescribed. Since glaucoma symptoms are typically undetected, patients will not realize the damage that can be done without following the prescription.

If your optometrist deems that eye drops aren’t the best course of action, lasers or in extreme cases surgical procedures may be necessary to treat the disease.

Types of glaucoma include:

Chronic (Open Angle) Glaucoma: The most common form. In open angle glaucoma, aqueous fluid drains too slowly and pressure inside the eye builds up. It usually results from aging of the drainage channel, which doesn’t work as well over time. However, younger people can also get this type of glaucoma.

Normal Tension Glaucoma: This is a form of open angle glaucoma not related to high pressure. People with normal tension glaucoma may be unusually sensitive to normal levels of pressure. Reduced blood supply to the optic nerve may also play a role in normal tension glaucoma.

Acute (Angle Closure) Glaucoma: Those of Asian and Native American descent are at higher risk for this form of glaucoma. It occurs when the drainage system of the eye becomes blocked. It causes a sudden rise in pressure, requiring immediate, emergency medical care. The signs are usually serious and may include blurred vision, severe headaches, eye pain, nausea, vomiting or seeing rainbow-like halos around lights.

January is Glaucoma Awareness Month.

If you haven’t scheduled a regular eye exam, now is the time to do so. Call it your New Year’s Resolution to better health. Take action and call our office at 724-443-6767 today!

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

HAVE YOU SPENT DOWN YOUR FLEXIBLE SPENDING ACCOUNT?

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Perhaps you over budgeted for this year’s Flexible Spending Account (FSA) and coming to the end of the year have too much left in the account. Are you taking steps to use up those monies? Depending on your employer and the type of plan you have, left over monies may or may not be eligible to carry over into 2015. So now is the time to act.

Confused on how and what an FSA is? A Flexible Spending Account (FSA) is a tax-favored program offered by employers that allows their employees to pay for eligible out-of-pocket health care and dependent care expenses with pre-tax dollars. By using pre-tax dollars to pay for eligible health care and dependent care expenses, an FSA gives you an immediate discount on these expenses that equals the taxes you would otherwise pay on that money.

In other words, with an FSA, you can both reduce your taxes and get more for your money by saving from 20% to more than 40% of what you would normally pay for out-of-pocket health care and dependent care expenses with after-tax (as opposed to taxed) dollars.

Your participation in any FSA is completely voluntary, and it’s important to remember that unlike other Federal benefits, your FSA election is only effective for one Benefit Period. In other words, you must enroll each year that you choose to participate. If you do not enroll during Open Enrollment in November and December each year, you will not be able to participate in the next Benefit Period, unless you experience a Qualifying Life Event that allows you to make an election outside of Open Enrollment.

The most common type of FSA is used to pay for medical, vision and dental expenses not paid for by insurance; usually deductibles, copayments, and coinsurance for the employee’s health plan. Over-the-counter medical devices, such as bandages, crutches, and eyeglass repair kits are allowable. Generally, allowable items are the same as those allowable for the medical tax deduction, as outlined in IRS publication 502.

Some employers choose to issue a debit card to their employees who participate in the FSA. Participants may use the debit card to pay for their FSA-eligible expenses at the point of sale. Pharmacies and grocery stores who choose to accept the debit card as payment must disallow transactions at point of sale if the participant attempts to pay for items that are not eligible under an FSA. In addition, employers still must require employees to provide itemized receipts for all expenses charged to the debit card.

The key in budgeting and using the FSA account is unless your employer approves carrying monies forward into the next year, these pretax dollars must be spent in the current calendar year. So as the year comes to a close, if you have monies left in your account, consider purchasing a new pair of eye glasses, extra contact lenses, contact solution or some other type of approved medical deduction so you don’t lose monies you’ve put into your account.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

NATIONAL DIABETES AWARENESS MONTH

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November is National Diabetes Month, just like having a yearly physical, November is a perfect time to remind people with diabetes how important it is to take care of their eyes. Everyone with diabetes, type 1 and type 2, are at risk for diabetic eye disease, a leading cause of vision loss and blindness.

Unfortunately, diabetic eye disease often has no early warning signs so people with diabetes might not even know they have an eye disease until it progresses and they start to notice problems with their vision.

 

You are at increased risk for developing pre-diabetes and type 2 diabetes if you:

  • are 45 years of age or older
  • overweight
  • have a parent, brother or sister with diabetes
  • have a family background that is African-American, Hispanic/Latino, American-Indian, Asian-American, or Pacific-Islander
  • had diabetes while pregnant (gestational diabetes)
  • gave birth to a baby weighing 9 pounds or more
  • or are physically active less than three times a week

Some types of eye problems people with diabetes may have may include: cataracts, clouding of the lens of the eye, diabetic retinopathy, damage to blood vessels in the retina, glaucoma, or damage to the optic nerve. There are 7.7 million people ages 40 and older that have diabetic retinopathy and it is projected that number will reach 11 million people by 2030.

There are often NO early warning signs, but 95% of severe vision loss from diabetic retinopathy can be prevented by early detection, timely treatment, and appropriate follow-up.

The longer you have diabetes, the higher your risk of getting diabetic eye disease. Early detection for eye disease is done through a yearly comprehensive dilated eye exam.

Take control of your health and particularly if you are diabetic, your diabetes. Get a comprehensive dilated eye exam at least once a year. Take your medications. Reach and maintain a healthy weight. Add physical activity to your daily routine and control your blood sugar, blood pressure, and cholesterol. Kick the smoking habit. Only YOU can make these changes in your lifestyle.

Taking steps to take care of yourself today can lead to an improved quality of life tomorrow.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

HALLOWEEN COSTUME SAFETY

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Happy group of children in costumes during Halloween party playing around the table with pumpkins and bottle of potion

There’s a nip in the air, pumpkin patches are in full swing and children’s Halloween costumes are being planned. We wanted to offer a few tips to ensure a safe and enjoyable holiday for you and your family.

Does your costume block your vision?

Masks, wigs and eye patches may make an outfit complete, but make sure these accessories don’t significantly obstruct your field of view. Some masks are very dangerous for children because they block their side vision and can cause a trip hazard. A better, safer option is to decorate your child’s face with face paint or makeup.

Use FDA approved makeup

If you decide to disguise your child with makeup instead of a mask, use hypo-allergenic options and keep it away from the eyes. Make sure that any color additives to the face paint are FDA approved (check the Summary of Additives on the FDA website). When applying make-up near or around the eye, stay away from the lid margin, or lash line—the area where you would normally apply eye liner. If you are applying make-up very close to the eye, use only products approved for use in that area such as an eye-liner or eye shadow. Do not use blush or lip-liner to create a “red” effect. It is a good idea to carry a damp towel or washcloth in case the makeup begins to run while trick-or-treating.

Don’t allow sharp objects to be used as props

Some costumes don’t seem complete without swords or wands. Elementary and nursery schools are very strict in prohibiting these props for school parties. Sharp, pointed props endanger your child’s eyes as well as the eyes of other children. If your child must carry a sword, find a belt carrier or scabbard where the sword can stay safely nestled while the kids roam the neighborhood. Buy or construct only accessories made of soft or flexible materials.

Avoid decorative contact lenses

Don’t buy or wear decorative contact lenses that have not been prescribed by an eye doctor. The decorative lenses make the wearer’s eyes appear to glow in the dark, create the illusion of vertical “cat eyes,” or change the wearer’s eye color. These lenses are particularly popular for teens.

Despite the fact that it’s illegal to sell decorative contact lenses without a valid prescription, FDA says the lenses are sold on the Internet and in retail shops and salons. Decorative lenses from unlicensed manufacturers may be made from inferior plastic or may contain toxic dyes. In addition, untrained individuals may not follow proper hygiene in inserting or removing the devices. Eye infections related to improper wearing and handling of contact lenses can rapidly develop into corneal ulcers, which can cause permanent blindness.

Make sure costumes are reflective

If the costume your child chooses is not made of reflective material, sew on reflective fabric strips or use stick-on strips of reflective tape. You want your child to be seen, especially crossing streets in the dark. Place reflective material on the front, back and sides of your child’s costume.

Be informed…be safe….and have a Happy Halloween.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

Bissell Eye Care - Eye Safety Monthg

EYE INJURY PREVENTION MONTH

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Bissell Eye Care - Eye Safety Monthg

October is eye injury prevention Month. Did you know that nearly 2.5 million people suffer eye injuries each year in the United States, and nearly one million people have lost some degree of vision as a result of their injury? Most injuries could have been prevented with protective eyewear.

Think about the things you do around the house to get ready for winter. Flying debris or other small particles can be created from outside jobs such as trimming shrubs, raking leaves, mowing the lawn and cleaning up after a wind storm. These particles can get into your eyes and have the potential to scratch or damage your eye. Put on protective eyewear before you use a lawnmower, power trimmer or edger and be sure to check for rocks and stones when mowing as they can become dangerous projectiles as they shoot from these machines

Closing up swimming pools, cleaning windows and other projects around the house that involve the use of chemicals can lead to injury. Splashing chemicals can burn your eyes causing permanent damage. When using household chemicals, be sure to work in a well-ventilated area and keep the spray nozzle pointed away from you.

Flying fragments, fumes, dust particles, sparks can occur in the workshop or while doing woodworking projects. For those car buffs, battery acid sparks and debris from damaged or improperly jump-started auto batteries can severely damage your eyes. Learn the proper way to jump-start an automobile, and keep protective goggles in the trunk of your car to use for those emergencies and everyday repairs.

We recommend that every household have at least one pair of ANSI-approved protective eyewear to be worn when doing projects and activities at home to safeguard against eye injuries.

At Bissell Eye Care, we have many options for safety and sport eye wear available both our Bakerstown and Natrona Heights locations. If you would like to make an investment in your eye health, consider purchasing a reliable pair of safety glasses! As always, UV Protection is also important for optimum ocular health. Ensuring that the exposure of the eye to harmful UV radiation is as limited as possible is equally as important as wearing protective glasses during risky activities. Sunglasses may be covered under your insurance care provider (especially if they are dispensed with your current prescription). If you have any questions or concerns or would like to schedule an appointment for an eye examination, call us today!

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

Bissell Eye Care - Eye Exams for Infants

EYE EXAMS FOR INFANTS

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Bissell Eye Care - Eye Exams for InfantsIn 2005, the InfantSEE® program was developed by the American Optometric Association and The Vision Care Institute of Johnson & Johnson Vision Care Inc. The goal of the program is ensure all infants and their families have access to quality eye care as part of a no-cost public service.

Bissell Eye Care is a proud member of the InfantSEE® program providing early detection of eye disease. Under this program, participating optometrists provide a comprehensive infant eye assessment between 6 and 12 months of age as a no-cost public service. This public health program is committed to encourage early eye examinations for children 6 months of age or older. Many children do not receive a comprehensive eye examination until they are in their later elementary grades and only get an examination when it is perceived that something is wrong. Most problems occur much earlier and can be prevented with early detection and treatment.

The American Optometric Association recommends having your child’s first eye assessment at six months to check for eye movement, eye tracking and excessive amounts of nearsightedness, farsightedness, or astigmatism.

As baby’s eyes develop in their early months they first begin to focus on objects that are about a foot away. Complex shapes and color contrasts stimulate a baby’s interest. During the first four months, your baby should begin to track movement as they develop hand-eye coordination and depth perception. At six months an eye exam is important to determine any eye conditions that may be present. Although these problems aren’t common, treatment is often most effective when conditions are caught early.

During the eye exam – you will be asked to hold your infant on your lap. The optometrists at Bissell Eye Care will use a variety of things such as puppets and colorful objects in our examination. It’s best to schedule the exam when your child is most alert. During our evaluation, we examine the eye’s structure as well as eyelids, tear ducts, and other parts of the eye.

There are factors that place an infant at risk for eye disease in infants. In reviewing the family history, we look for things such as low birth rate, family history of eye disease, infection of the mother during pregnancy, sexually transmitted disease and difficult or assisted labor.

From eight to twelve months, your baby becomes mobile and is attracted to objects using both eyes to judge distances. Crawling helps to further develop your baby’s hand-eye coordination.

Many eye conditions have no symptoms that can be identified by a parent or in a well visit. Having your child’s eyes checked at an early age provides parents peace of mind in knowing about their child’s eye health.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

ARE YOUR CHILD’S EYES READY FOR SCHOOL?

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health care, medicine, people, eyesight and technology concept – optometrist with trial frame checking girl patient vision at eye clinic or optics store

A Back to School comprehensive eye exam can be a key to your child’s success at school. Will your child be among the 86% of children that don’t have a comprehensive vision exam before returning to school or entering school/preschool for the first time?

We’re entering the back to school mode, a time for excitement and learning. Our children receive so much information at school….are they ready to thrive in today’s fast paced and challenging educational environment?

Students with poor vision are often misdiagnosed as learning impaired, having attention deficient disorder, or are just plain left behind from their peer group. These kids don’t know that they can’t see what their friend sees, because they don’t know what normal vision is like. Without healthy vision, children may struggle not only at school, but also socially.

Don’t wait until kindergarten to schedule your child’s exam. Children as young as 3 years old should have a comprehensive eye exam prior to starting preschool. Think about what your child learns at preschool, colors, numbers and social skills. Yet, if your child can’t see well, or has other vision issues, they miss out on the foundation building blocks of recognizing shapes and letters, as well as social interaction.

Vision is a dominant process in a child’s growth, development and daily performance. Your child interacts with computers, iPods, educational TV, reading books – they all require vision. Reports have shown that 60% of students classified with a learning disability really have undetected vision issues.

There is a difference between a vision screening done at school or the pediatrician’s office and a comprehensive eye exam done by an eye care professional. Two studies published by the American Academy of Ophthalmology found that 40 to 67% of children who fail a vision screening do not receive the recommended follow-up care by an eye doctor.

One reason for this lack of compliance is poor communication with parents who may or may not be present at the screening. One study found that two months later, 50% of parents were unaware their child had failed a vision screening.

Comprehensive vision examinations can only be conducted by an eye care professional with the specialized training needed to make a definitive diagnosis and prescribe treatment. Keep in mind that a vision screening, while a useful tool, is a limited process and cannot be used to diagnose an eye or vision problem, but rather to indicate a potential need for further evaluation. The best way to make sure your child has the visual skills he or she needs to excel in and outside the classroom is to schedule routine comprehensive eye exams with an eye doctor

About Bissell Eye Care: John D. Bissell, OD owns and operates Bissell Eye Care servicing Northern Pittsburgh and Alle-Kiski Valley regions. With two locations to treat patients, we offer evening and Saturday appointments. Bissell Eye Care provide comprehensive eye examinations for the entire family beginning as early as 6 months, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. We accept most types of vision and health insurance plans. For more information, visit bisselleyecare.com or call 724-443-6767.

IS MY CHILD READY FOR SUNGLASSES?

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We all love sunshine, but the UV rays that the sun puts out aren’t good for our eyes. As adults, we put on sunglasses and enjoy the outdoors. But, how often do you see kids wearing sunglasses? Children spend much more time outdoors than many adults and it’s important for them to have sunglasses that block 100 percent of the UV rays.

Young children and toddlers will mimic what they see their parents and older siblings doing. If they express interest in wearing sunglasses, allowing them to pick something they like may result in the likelihood of them wearing the sunglasses. For infants and very young toddlers, a visor or hat may be a better choice.

Children’s eyes are more susceptible to UV and HEV radiation than adult eyes because the lens inside a child’s eye is less capable of filtering these high-energy rays. This is especially true for young children. Begin wearing protective sunglasses outdoors as early in life as possible.

Think about looking out into the ocean or on a lake. If you’re on a boat you tend to burn easier because the sun reflects off the water. The same applies to ski slopes. These reflective environments cause an increase in the UV rays. Protective sun wear is important for the entire family.

When choosing sunglasses, buy a pair with a label saying it blocks 99 to 100 percent of both UVA and UVB rays. Labels that say the glasses meet ANSI (American National Standards Institute) requirements or block UV absorption up to 400 nm (nanometers) mean you’re getting this protection, too.

Sunglasses for children come in rubber frames for rugged use. Tinted goggles help protect eyes from snow glare. Choose polycarbonate for your child’s sunglass lenses, because it’s very shatter-resistant.
As children age, they may begin to follow trends in sunglasses that mimic styles of adult sunglasses and are rich in colors. Clip-on sunglasses are available for prescription eyeglasses and some types of clip-ons are designed to magnetically attach to the glasses. Brand names such as Disney are also popular.

Sunglasses are important for the entire family. For questions regarding sunglass fitting for your child, give our office a call.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify.  The practice accepts most types of vision and health insurance plans.

EYE STRAIN AND MACULAR DEGENERATION

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Man in formal clothes sitting by the table with laptop and feels bad.

Did you know according to the American Optometric Association that 75% of computer workers complain of eye strain?  Computer Vision Syndrome (CVS) occurs when the eyes focus on the computer display for a protracted amount of time resulting fatigue, eye strain and dry eyes.  According to the National Institute of Occupational Safety and Health, computer vision syndrome affects some 90% of the people who spend three hours or more a day at a computer.

It’s no wonder with the amount of time we spend in front of the computer, tablets and other electronic devices that more individuals are experiencing computer-related eye strain.  Due to the exposure of blue light which is omitted from the devices, we are beginning to see the effects of digital eye strain – headaches, eye pain, double vision, watery eyes, and burning. Blue light may cause oxidative damage to the eyes, and may play an integral role in causing age-related macular degeneration, which can lead to significant vision loss.

For years now, professionals in the fields of light energy and vision have known about the hazards ultraviolet (UV) light presents to ocular health. We are gradually having longer and more intense exposures to blue light.  While some people find blue light irritates their eyes or causes headache, most are able to ignore it. Scientists only now are beginning to investigate its long term effects and offer some solutions for maintaining ocular health in the presence of blue light.

Some tips to avoid eye strain

  • Take a break from the screen
  • Blink frequently
  • Consider the use of computer glasses they have a different focal point than glasses
  • Keep a bright monitor and reduce the blue light at night
  • Reposition your computer 20-28 inches from your eye

These symptoms not only apply to adults, but we are seeing more kids than ever before with eye strain from hours spent on video games, portable electronic devices and computer use.  If you see your kids rubbing their eyes or notice an increase in headaches, it may be time to limit usage and schedule an eye exam with an optometrist.  Technology is here to stay, but we must be aware of long term effects with overuse.

About the author:  John D.  Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify.  The practice accepts most types of vision and health insurance plans.