Age-Related-Macro-Degeneration

AGE-RELATED MACULAR DEGENERATION EARLY DETECTION

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Age-Related-Macro-DegenerationFebruary is National Age-Related Macular Degeneration (AMD) awareness month. We want to make sure that you know what side effects to be on the lookout for. While there is not a cure for Macular Degeneration early detection is key to slowing down vision loss and keeping your sight.

Macular degeneration is one of the leading causes of vision loss. It is caused by the deterioration of the central portion of the retina. The central portion of the retina, known as the macula, is responsible for focusing vision for your eye, allowing us to read, recognize faces or colors, drive and do many day-to-day activities.

While there is no cure for this disease, there are treatments to help slow it down. It is important to maintain yearly eye exams for early detection. AMD is very difficult to notice until you have already lost a large portion of your vision.

Bissell Eye Care utilized Optical Coherence Tomography (OCT) is a non-invasive, office-based imaging test that uses a special light to scan the macula and determine whether there is fluid in the macula, potentially signifying wet AMD.

Lifestyle changes can help lower your risk of developing AMD. Some lifestyle changes might include proper exercise and diet, avoiding smoking, and protecting your eyes from the UV rays of the sun. People that run a higher risk of developing AMD are people who have a family history and race. Caucasians are more likely to develop the disease than African American or Hispanic heritage, and smokers.

There are three stages of AMD:

  1. Early AMD: At this stage most people do not experience vision loss. The presence of medium-sized drusen (yellow deposits beneath the retina), is usually an early sign you eye doctor looks for.
  2. Intermediate AMD: This is where vision loss may start to be noticed, however it may not be enough to be noticeable. Specific tests will look for pigment changes in the retina and larger drusen deposits.
  3. Late AMD: At this stage vision loss has become noticeable.

There are some new medications available that can help slow the progression of wet AMD.

Remember that early detection and treatment is key to help save your vision. Be sure to tell your eye doctor if anyone in your family has or had Macular Degeneration. Take charge of your health and see clearly with routine eye exams.

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.

WINTER WEATHER EYECARE

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Mother and children skiing in the mountains. Active mom and three kids with safety helmet, goggles and poles. Ski lesson for young children. Winter sport and snow fun for family. Child learning to ski

If you live in the Northeast, then you are well aware that this year is off to a blistering start. Erie has been buried in blizzard conditions with multiple feet of snow. Pittsburgh is shivering in the deep freeze. With December having temperatures near zero and wind chills below zero, many people find it a struggle to get bundled up to fight the cold.

For those who enjoy the outdoor sports associated with colder weather such as snow skiing, boarding, sled riding, riding snow mobiles or even ice fishing, it is important to have the right clothes to keep you warm and comfy as you brave the freezing temperatures.

Did you know that your eyes can get sunburned in the winter? Snow and ice reflect up to 80% of the sun’s ultraviolet (UV) rays. When you are out on the slopes, or sliding down the big hill in your yard, UV rays are hitting you from every angle.
UV exposure can cause a painful condition called photokeratitis, or “snow blindness.” While you can get snow blindness any time of the year it is most common in the winter due the amount of UV rays that are reflected off of the snow and ice.

Protecting your eyes during the winter months can also help to prevent:

  • Wrinkles around the eyes
  • Age-related macular degeneration
  • Cataracts

Exposure to extreme cold can also affect your eyes. Some of the symptoms of extreme cold exposure often include eye pain and blurred vision. The cornea, or the front of your eye, can freeze if temperatures are cold enough and your eyes are not protected.

So the question is, “Do you have the right eye protection to get through the winter?” Eye protection can range from sunglasses that have UV protection to protective goggles that not only protect your eyes from the UV rays but also can help to block out wind and cold.

Which type of eyewear is right for you? To answer that question, first you need to look at what type of outdoor activities are you planning on doing. If you are involved in an active sport such as snow skiing, snow tubing, or sled riding, goggles will help to protect from the sun, cold and even from debris getting into your eye. If you are out shoveling the driveway or grabbing the snow shoes to go for a walk through the woods, sunglasses may be your best bet.

In any case it is important to make sure that your eye protection has UV protection. Having the right gear this winter can help to keep you and your kids outside, playing in the snow and enjoying everything winter has to offer.

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.

BEYOND THE GARDEN

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For many, summertime means taking care of the garden. It also means less trips to the grocery store as you are able to find your favorite vegetables just a few steps from your back door.  This ease of access along with a free price tag often lead to many of us eating healthier throughout the summer.

As winter quickly approaches it is important to keep up the healthy diet that many of you enjoy during the summer months. A proper diet can help to reduce the chances of certain eye diseases.

Having a diet full of vitamins and nutrients is not only good for overall health, but in some cases, may help to prevent issues associated with vision loss. Nutrients that are linked with eye health are Vitamins C and E, B12, B9, B6, carotenoids, beta carotene, lutein and zeaxanthin.

Antioxidants are important in your diet as they help to deter build-up of waste products in the retina, reducing your risk for age related macular degeneration, or AMD for short. Vitamin B6 and Folate, or Vitamin B9, help to lower the blood chemical homocysteine, which helps to lower your risk for AMD.  Antioxidants also help to prevent protein from linking which can cause cataracts.

Some foods that contain eye-healthy nutrients are:

  • Dark green vegetables such as spinach and kale for lutein and vitamin E.
  • Yellow and orange fruits and vegetables for beta carotene and zeaxanthin.
  • Fruits and vegetables for vitamins C and E.
  • Fish for omega 3 fatty acids.
  • Citrus fruits, dried beans, green leafy vegetables, mushrooms and nuts for folic acid.
  • Dairy products, eggs, meat, and poultry for vitamin B12.

Avoid selecting carbohydrates such as white rice, white bread and pasta. These foods have a high glycemic index which means they are broken down rapidly into blood glucose or sugar. Choose breads and pasta made from whole grains and brown rice.

Keeping a healthy diet will not only help to improve your overall health, but also will help you to see clearly into the future. Choose foods that are high in vitamins and nutrients, even if that means going to the store to get them, until next year’s gardening season begins.

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.

BLOCKING OUT UV

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As summer is finally underway, and temperatures reach up into the 90’s, many of us will find ourselves at annual pool parties, on the way to the beach, or just soaking up the sun’s rays outside. While sun exposure is encouraged, as it provides a good source of vitamin D, overdoing it can cause more harm than good if you fail to use the proper protection.

July is National UV Safety month and it is a great time to spread information and awareness about UV safety. UV radiation is the leading cause of skin cancer in the United States and is also responsible for eye damage, including cataracts and macular degeneration, which are the primary causes of vision loss among seniors.

There are some characteristics that make people more susceptible than others. Individuals with light colored eyes, blue or green, are generally at a larger risk from UV exposure than those who have darker eye colors.

There are some ways that you can help to prevent UV Damage.

  • Put on your sunglasses. The most effective type of sunglasses block out 99-100% of UV and are the wrap around type. This style helps to prevent UV rays from entering around the sides of the glasses.
  • Find the shade. Avoiding the sun when the UV rays are at the most intense, between the hours of 10 am to 3 pm, will lower the amount of UV you are exposed to.
  • Grab the cap. Wearing a hat will also help to limit exposure not only to your eyes but also to your face, scalp and neck depending on the type of hat you choose.

Remember that more than your skin can get burned by the UV rays. This is referred to as photokeratitis or sun burned eyes.
Symptoms of sun burned eyes are:

  • Eye pain
  • Burning sensation
  • Swollen eyes or lids
  • Watery eyes
  • Blurred vision
  • Sensitivity to light
  • Headaches
  • A gritty feeling
  • Red eyes.

These symptoms are usually temporary and will generally resolve themselves in 24-48 hours. If you find your symptoms are prolonged, contact your eye doctor immediately.

When the pool bag is packed and the sun screen is applied, don’t forget to grab your sunglasses as you head outdoors this summer. Proper UV protection will help to prevent your eyes from being burned by the sun but will also help to reduce the chances of eye troubles years down the road!

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.

Age-Related-Macular-Degeneration, Bissell Eye Care

LIVING WITH AGE-RELATED MACULAR DEGENERATION

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Age-Related-Macular-Degeneration, Bissell Eye CareAs you age not only does your wealth of knowledge grow, but also the chances increase that you may develop Age-Related Macular Degeneration or AMD. It is important to maintain not only routine doctor appointments, but eye doctor and dental checkups as we age. Doing so may help you to have a better quality of life as you enter the golden years.

With February being national AMD awareness month we want to educate you on the signs, symptoms and treatments of AMD. Knowing not only what to look for, but also how you can treat AMD will help ease the apprehension of maintaining your routine eye exams.

AMD is the leading cause of vision loss of people above the age of 50. AMD causes damage to the macula, a spot near the center of the retina. This disease blurs the sharp, central vision you need for “straight-ahead” activities such as reading, sewing, and driving. AMD affects the macula, the part of the eye that allows you to see fine detail. The rate at which damage can be done can vary. In some people it is a slow process over years. While with others it is more quickly and can also involve both eyes. While Age-related Macular Degeneration does not result in complete vision loss it can interfere with activities of daily living.

Who is more susceptible to developing AMD? Can your lifestyle make a difference as to your chances of developing AMD? As we discussed, people over the age of 50 are most likely to develop this disease.

Additional factors that may increase your risk are:

  • Smoking. Research shows that smoking doubles the risk of developing AMD.
  • Family history. If your family history includes AMD you are at a higher risk.
  • Ethnicity. AMD is more common in Caucasians that other races.
  • You have the power to take control of your health. These are some things you can do to help prevent AMD:

Exercise Regularly

  • Eat a healthy diet rich in leafy veggies and fish
  • Avoid smoking
  • Maintain proper vitals such as blood pressure and cholesterol.

AMD is best detected by maintaining routine eye exams. Often people question why dilation is part of a regular exam. This allows us to look into the back of your eyes for any changes that may be occurring.

While there is no cure for this disease, things such changing your diet and adding proper exercise can help to slow down the loss of vision. You have the power to choose. Take control and choose a healthier lifestyle. Your eyes will thank you for it.

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.

SEE BETTER BY EATING HEALTHY

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Age related eye-diseases such as cataracts and macular degeneration commonly cause impaired vision and blindness in older adults. By changing your diet to include proper nutrition, you may be able to help delay or prevent certain eye problems, as well as prevent diseases caused by being overweight.

As children we were always told to eat our vegetables so that we would grow up big and strong. As time passed and you grew older, and wiser, it is often all too easy to forget about those things that our parents instilled in us when we were younger. Simple life choices, such as what you eat, may affect your eye sight more that you think.

Your diet is one of your life choices that will affect the quality of your life both now and as we age. A diet that is high in saturated fat and sugar may increase your risk of eye disease. By choosing a diet that has greens, fruits and vegetables, you may help to prevent eye diseases, along with other health-related conditions that occur with being overweight.

Age-related cataracts and age-related macular degeneration have been shown to occur less frequently in people who eat diets rich in vitamins, minerals, omega-3 fatty acids and healthy protein. You should try to consume at least 5-10 servings of fresh, colorful fruits and vegetables daily.

Proper hydration can also play a role in your eye health. Healthy beverages such as 100% vegetable juice, fruit juices, caffeine free teas and plenty of water, are extremely important to eye health. As you look at the labels, check out the sugar content. Try to consume less juice and more water. By staying properly hydrated you help to prevent dry eyes, which can cause irritation and lead to other eye complications.

As we grow older, and wiser, it is important to take care of our bodies. Having a proper diet is not only important to your body’s overall health, but is also important to you eye sight. Eating the proper amount of fruits and vegetables, along with staying properly hydrated, are keys to success. So take advantage of the summer and support your neighborhood farmers. Stop by the local farm stand and pick up some fresh fruits and vegetables to help boost your immune system and live a happy healthy life!

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-Sate 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.

LIVING WITH AGE-RELATED MACULAR DEGENERATION

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February is National Age-Related Macular Degeneration (AMD) awareness month. We want to make sure that you know what side effects to be on the lookout for. While there is not cure for Macular Degeneration early detection is key to slowing down vision loss and keeping your sight.

Macular degeneration is one of the leading causes of vision loss. It is caused by the deterioration of the central portion of the retina. The central portion of the retina, known as the macula, is responsible for focusing vision for the eye, allowing us to read, recognize faces or colors, drive and do many day-to-day activities.

While there is no cure for this disease, there are treatments to help slow it down. It is important to maintain yearly eye exams for early detection. AMD is very difficult to notice until you have already lost a large portion of your vision.

Lifestyle changes can help lower your risk of developing AMD. Some lifestyle changes might include proper exercise and diet, avoiding smoking, and protecting your eyes from the UV rays of the sun. People that run a higher risk of developing AMD are people who have a family history, race, Caucasians are more likely to develop the disease than African American or Hispanic heritage, and smokers.

There are three stages of AMD:

  1. Early AMD: At this stage most people do not experience vision loss. The presence of medium-sized drusen (yellow deposits beneath the retina), is usually an early sign you eye doctor looks for.
  2. Intermediate AMD: This is where vision loss may start to be noticed, however it may not be enough to be noticeable. Specific tests will look for pigment changes in the retina and larger drusen deposits.
  3. Late AMD: At this stage vision loss has become noticeable.

Remember that early detection and treatment is key to help save your vision. Be sure to tell your eye doctor if anyone in your family has or had Macular Degeneration. Take charge of your health and see clearly with routine eye exams.

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.

MACULAR DEGENERATION AND LOW VISION DEFINED

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Imagine the area around the center of your vision becoming fuzzy and then that fuzziness continues to worsen until you are unable to see clearly. You no longer can function independently and are unable to perform the tasks of daily living such as reading prescription labels, driving or preparing food. That is what happens to people who have Macular degeneration. You may ask what Macular Degeneration is, how can it be cured, or how can I help prevent it?

What is Macular Degeneration?

Macular degeneration is the irreversible destruction of the central area of the retina, known as the macula. It can cause a patient to lose sharpness in vision making it difficult to see fine details. As the disease progresses it can become increasingly difficult for a person to be able to read drive or even recognize faces. Macular Degeneration is most common in people over the age of 60 and is the leading cause of irreversible blindness and visual impairment in the world. There are two forms of this disease, dry and wet macular degeneration. While dry macular degeneration accounts for 90% of diagnoses, wet macular degeneration accounts for 90% of legal blindness. The wet form is considered advanced macular degeneration and is always preceded by the dry form.

Detection

There are several tests that can be performed by eye care professional that specialize in low vision. A dilated eye exam, including a visual acuity test, are tests that an eye specialist will perform to diagnose dry macular degeneration. If wet macular degeneration is suspected they may also perform fluorescein angiography, where the eye specialist uses a dye to detect blood vessels that are leaking. It is important to be seen and tested regularly by an eye care specialist.
Treatment.

Currently there is no cure for dry macular degeneration. If a patient is in the intermediate stage of macular degeneration, a high dosage formula of zinc and antioxidant vitamins may be used to help delay and or possibly prevent the disease from progressing to the advanced stage. Research into treatment for this disease is hopeful to help find a means of prevention and reversal, but have not been able to find one as of yet!

Prevention

While there is no 100% sure way of preventing this disease, there are measures that you can take to help reduce the risk of developing it. The first course of action is to schedule regular eye exams to help in the early detection of macular degeneration and other diseases such as glaucoma.
Studies show that individuals who exercise, eat leafy green foods eating a balanced diet and who maintain a healthy blood pressure reduce their risk of developing macular degeneration; while smoking can greatly increase your risk of developing this disease.

As a member of the International Academy of Low Vision Specialists (IALVS), Dr. Bissell has undergone extensive training to treat patients with low vision. You have one set of eyes, make it a priority to take care of them. Call our office today to schedule your exam.

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.

 

MACULAR DEGENERATION, FAITH AND HOPE

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Macular degeneration (AMD or ARMD)- is a medical condition which may result in blurred or no vision in the center of the visual field. Diagnosis in Opthalmology.

Many people have a vision loss that is not correctable with typical eyeglasses or contact lenses. They’ve lost some vision and are unable to see well enough to participate in activities that are important to them – activities of daily living such as reading, driving, safely walking down a sidewalk and enjoying a sunset. These people are said to have low vision. Eye diseases like macular degeneration, Stargardt’s Disease, diabetic retinopathy and glaucoma, are among the many causes of low vision. Some people have been told that they are legally blind.

Low Vision Optometrists trained through the International Academy of Low Vision Specialists (IALVS) use telescopic glasses to help improve vision loss. With the use of telescopic glasses, they often are able to improve vision and the lives of those affected with vision loss.

There is a wonderful article in Guidepost magazine of how these glasses worked for a set of twins who suffered from Stargardt’s disease (juvenile macular degeneration) since they were teens. The article “Double Vision” by Karen Young shared the journey that Karen and her twin sister, Sharon had with Stargardt’s disease since they were teenagers.

Their progressive vision loss caused them to change their college and career plans. They remained positive and were sustained by their faith and live very full lives. Both married and have children. A friend told them of a low vision optometrist who prescribed low vision reading glasses. “For the first time in thirty years we could read” says Karen.

As a trained IALVS Optometrist, it is one of the most rewarding experiences to watch someone regain the ability to read a book, watch TV or walk safely down a sidewalk without fear of injury. Low Vision appointments last longer than regular appointments due to the additional time needed to test various telescopic prescription lenses. The glasses are not covered by insurance with costs starting at $500. But, it’s a small price to pay for independence.

These sisters are experiencing a better quality of life and have new goals in mind as a result of their low vision glasses. If you know of someone who suffers from vision loss that isn’t correctable with typical eyeglasses, we may be able to help. To learn more about low vision, visit Tri-State Low Vision – a division of Bissell Eye Care or call 1-855-552-2020.

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.