Our Location & Hours

Our Location & Hours

Optometrist, San Ramon, Optometric Center & Eyewear Galleria

2551 San Ramon Valley Blvd.
Suite #101
San Ramon, CA 94583 View Map

 
Mon, Wed, Thurs: 9:00am - 6:00pm
Tuesday: 9:00am - 7:00pm
Friday: 10:00am - 5:00pm

* Exams 9am-5:15pm Mon-Thurs; 10am-4pm Fri

Save Your Vision Month

 

by Michael Duong, OD, FAAO

It is easy to take vision for granted because all we have to do is open our eyes to see the world around us!  Most of us don’t think about eye care until we notice that something is wrong. Would you wait until your tooth hurt to go to the dentist or go every 6 months for preventative care? Just like visiting the dentist regularly, its is important to get annual eye exams. One of the main benefits of getting your eyes checked regularly is to measure the power of your eyes to correct any prescription that is measured so you can see clearly and comfortably.  This is much better than waiting for your eyes to strain which can cause headaches, blurred vision, and tired eyes.

 

Eye exams can tell you a lot about your general health.  For example, conditions like high blood pressure, high cholesterol and diabetes can often be detected during an eye exam.  Blood vessels in your eye become damaged and leaky which can lead to permanent vision loss. If these disorders are detected in your eye exam, your optometrist can communicate with your primary care physician so that you can be treated in a timely manner.

 

Today, we are surrounded by digital screens in the form of laptops, cell phones, tablets, and computers.  One of the biggest problems I see at our office is eye strain from digital screens. Many of our patients work on the computer for long hours and complain of dry eyes, blurred vision, and eye pain.  When using computers it is best to take breaks. Every 20 minutes look at something 20 feet away for 20 seconds. This is called the 20-20-20 rule. Look at something at a distance so that your eyes can rest, preferably outside.

 

When we look at screens, we do not blink as much and that can dry out our eyes.  Studies show that our blink rate actually decreases about 50% while looking on a digital screen.  It is important to take breaks and remember to blink to prevent dryness. Artificial tears can be used to lubricate your eyes while on digital devices.  Blue light or high-energy visible (HEV) light emitted from digital devices can cause headaches, migraines, fatigue and insomnia. Ask your doctor about special lenses that filter out harmful blue light.  We only get one set of eyes, so it is important to take a preventative approach to eye care by making sure you get your eye exam at least once a year.

 lasik eye surgery blue

 

By Michael Duong, OD FAAO

A study published Feb 19th, in Nature and Biomedical Engineering, researches reported that they used retinal images from 284,335 people to determine signs of cardiovascular disease. Using Google algorithms, they then created models to predict 70 percent of the time which patients were likely to have a heart attack in 5 years.  “The clinical utility of such features still requires further study”, researchers said.

 

Diabetic retinopathy is the leading cause of blindness in the United States caused by diabetes.  The blood sugar causes blood vessels in the back of the eye (retina) to breakdown. This results in leaky blood vessels that can cause vision loss overtime.  By teaching software to distinguish stages of diabetic retinopathy, artificial intelligence had sensitivities of 87 percent to 95 percent.

googleairetina

 

Currently, retinal imaging is offered at our office during a comprehensive eye exam.  Cardiovascular diseases such as diabetes, high blood pressure, and high cholesterol are often picked up during these retinal exams.   With the help of aritifical intelligence eye doctors may be able to catch ife threatening conditions earlier than with current screening methods. This is an exciting time in eye care and we look forward to integrating artificial intelligence algorithms to our retinal imaging as they become available.   This technology can provide better communication and coordination of care between primary care physicians, eye doctors, and patients leading to better health care.

 

 Survive Spring Allergies

 

By Michael Duong, OD, FAAO

Spring is around the corner, which brings warmer temperatures and increased pollen counts.  This results in an increase of patients seen with eye allergies at our office.  Pollen and mold are the two most common causes of allergies.  Stay indoors if you can on high-pollen count days while keeping windows and doors closed.  Make sure your air filter is changed out in your vehicle and your air conditioner at home.  If you will be outside, the pollen count will be highest in the morning and will be lower after rain.  Mold spores are found in shady, wooded areas, so if you plan to hike, plan accordingly.  

 What can be done?

Wear wraparound sunglasses to shield your eyes from allergens.  If you were contact lenses, avoid wearing them during high-pollen times and switch to eyeglasses.  Switching to daily disposable contact lenses are a great option as the allergens that adhere to the contact lens are thrown away at the end of the day. Allergens can attach themselves to fabric, shoes, and pets.  More laundering, vacuuming, hand washing, and pet scrubbing will be necessary to reduce allergens in the home.  

Over-the-counter eye drops may help reduce cases of mild or moderate itchy, scratchy, watery, and burning eyes due to allergies.  Talk to your eye doctor first because symptoms of watery and red eyes might be caused by an eye infection. The treatment for eye allergies and eye infections differ. More severe eye allergies may require prescription eye drops. If spring time starts to take a toll on your eyes, do not hesitate to contact us!

infantSEE 

 

By Michael Duong, OD FAAO

Yes, absolutely! I am proud to be part of the InfantSEE program, which optometrists will provide a one-time, comprehensive eye assessment to infants between 6 - 12 months age.  There are more than 3,700 optometrists participating in the program.  According to the American Optometric Association, one in twenty infants was found to need a prescription to prevent visual impairment.  

izzy1 izzy2

                        Izzy's First Eye Exam

Although infants cannot respond verbally, the first year of life is an ideal time to perform their first eye exam. Infants do not yet fear the doctor and the visit is often painless.  It is best to bring in your infant when they are well fed and not during nap time.  This results in better cooperation.  Typically, the infant sits on their parent’s lap during the assessment, the doctor uses lights and  hand-held colorful targets to evaluate the eye focusing, tracking, teaming, and  need for glasses.  To ensure that the back of the eye (retina and optic nerve) are healthy, dilation drops will be placed in the infant’s eyes to dilate them.  Magnifying lenses will be used to look at the internal structures of the eyes.  

 

A rare tumor called retinoblastoma affects 200-300 infants a year.  If not treated, it can be life threatening.  Treatment involves removal of the eye to protect spread to the brain.  I have seen one case of retinoblastoma.  It is something that I will never forget.  Fortunately, it was caught in time and treated to prevent loss of life.  

 

We look forward to providing the first visual assessment for your infant. Please contact us at 925-743-1222 for more information.


To learn more about InfantSEE, call 1(888) 396 - 3937 or visit www.infantsee.org

macular degeneration 600x255

 

by Michael Duong, OD, FAAO

Macular degeneration is an age-related disease that affects the macula.  It is the leading cause of vision loss in older Americans.  The macula is located on the retina in the back of the eye.  The macula is the center of the retina and its function is to provide color vision and the ability to see fine detail.  There are two types of macular degeneration: dry AMD and wet AMD.  Dry macular degeneration is the most common type of macular degeneration accounting for 80 to 90 percent of AMD.  Dry AMD  occurs when yellow spots called drusen begin to accumulate in and around the macula.  In wet AMD, the drusen can break down the macula causing blood vessels beneath the retina to leak into the macula. This is the more serious type of AMD and can lead to more severe vision loss.  

Who is at risk?

Smoking - doubles the risk for AMD

Race - AMD is more common in Caucasians, however risk for people of all races increases with age

Family history - people with a family history AMD are at a higher risk.  

 

What are the symptoms?

A common symptom is a blurry spot in the center of your vision.  Glasses and contact lenses do not provide clear vision.  As the disease progresses, the central vision deteriorates leading to difficulty driving, reading, and recognizing faces.  AMD affects central vision and can lead to serious vision impairment and disability.  

 

 

How is AMD Detected?

During a comprehensive eye exam, your doctor will be able to determine if you have signs of AMD even before you notice symptoms. Additional testing includes:

Fundus photography - a photo is taken of the back of your eye to provide a baseline for the stage of macular degeneration and to monitor for changes over time.  

Optical Coherence Tomography (OCT) - This technology uses light waves to image the layers beneath the retina to determine the severity of AMD.  It is like a CT scan of the eye.

Amsler grid - This test is a grid that has a black circle in the middle, AMD causes the lines in the grid to disappear or appear wavy.  This test can be taken home and patients can monitor for changes in their vision.  

How is AMD treated?

There is no FDA-approved treatments for early dry AMD.  For intermediate AMD, the Age-Related Eye Disease Study 2 (AREDS 2) showed that taking a specific formulation of can reduce the risk of intermediate AMD to severe AMD by 25% over a 5 year period.  The ingredients are below:

 

  • 500 milligrams (mg) of vitamin C
  • 400 international units of vitamin E
  • 80 mg zinc as zinc oxide
  • 2 mg copper as cupric oxide
  • 10 mg lutein and 2 mg zeaxanthin

 

In wet AMD, treatments include injections of medicine in the eye and laser therapy to reduce the amount of blood vessel growth.  The treatments can stop or slow the progression of wet AMD, but vision that is loss cannot be recovered. The best way to protect your eyes for a lifetime is to have yearly eye exams and follow the advice of your eye doctor. Call us at 925-743-1222 to schedule your eye exam today.

Our Location & Hours

Optometrist, San Ramon, Optometric Center & Eyewear Galleria

2551 San Ramon Valley Blvd.
Suite #101
San Ramon, CA 94583 View Map

 
Mon, Wed, Thurs: 9:00am - 6:00pm
Tuesday: 9:00am - 7:00pm
Friday: 10:00am - 5:00pm

* Exams 9am-5:15pm Mon-Thurs; 10am-4pm Fri