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welcome to another edition of the new
our guest experts help you learn about the latest medical advances and
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get ready for your consultation
coming up
we will be on location at usm and i care specialist income bony a maryland
discussing the latest treatment options for tryout is with one of this region
stoplight care specialist doctor or when as men
doctor has been graduated from the illinois college of optometry
and has been in private practice since nineteen seventy seven
he has received many awards for excellence in optometry including
recognition for his participation in the vision u_s_a_ project anne is a member
of the american optometric association and the maryland optometric association
amman others
welcome back doctor as well
well thank you were having back again i do appreciate your time how it's our
pleasure
i wanted to get by asking if you can please tell us what the dry ice and
romance
well dr syndrome has involved throughout the years of
being defined many different ways but riesling the latest definition is
it said that multifactorial meaning many many things he calls it
disease of the art
that can cause visual discomfort meaning visual disturbance or blurry vision
and also
argues confrontations complaining of discomfort trip
now is also so seder with eight-term quart
pos more worried which means salt content
of the cures meaning the more soldiers in the tears
the more than i will burn and staying and become irritated
so that's the general definition now
years ago
the definition did not include visual disturbances that the day
many patients and we see her practice that are complaining of blurry vision
it's not just the *** actively remaining there near center for civic it
could also mean they have a dry eye
very interesting set would not put those two together i would not think that
blurry vision could be a result of
dry ice editor of the most basic zone put together an unfortunate most like
your prep
fish eaters
have a hard time putting that together also
at what risk factors would you say doctor aston
contribute to this problem okay the number one risk factor is in the whole
host of the number one is being
uh... the gender being a female
the aging process
medication such as hypertension medication medication or diabetes
firework problem systemic issues can call the
people are using computer a lot
people replicators all day long
beckoning has intensified
on dry eyes syndrome on the environment itself working next to a ah... ah... on
here okay
where appear dark they're coming out from calls it also camel pools in the
environment and calls it
on soho host of things they were part of that
the patient wears contact lenses
it's not fair profit
a contact lens connection hindus some drawing this
patient of had laser refractive surgery candies dryness also or even cataract
surgeries from the main symptoms with aging in being a female with top the
list
very interesting
i want to ask you doctor has been how common
would you say that dr syndrome problem is for the dealers that's a great
question and the studies have shown depending published studies you look at
it reaches from around
proxy twenty percent is sixty percent of the u_s_ population have dr
the dries really varies between a mortal drive to the severe chronic
most people have dries half somewhere between a marginal
than a mile dry or a
that's a majority of them with k
and a very small portion have very severe dry eyes
so the top
now that the other factors the older you get for greater chance you don't have
the dry eyes
so the older population
might have a seventy percent
chance of getting tries
significant numbers of the very significant gains consider epidemic
market at this point i'm
which you recommend as
successful treatment options that are available talked rasmin to take care of
the dry ice and well today we have a lot of
treatment options out there
and introductions truly depend when the type of dry you have
and severe really begin example of their kids are too general
categories of dry eyes
one is called the vapid too dry
and one is called increased efficiency
depending upon which trial you have
torment how we treat the problem
and then depending upon the severity of
those problems
that also helps determine how we treat to try
as far as options and treatment
what's the evaluations done and we go over all the
possible ways of treating it
knows options will will range from
prescribing over-the-counter are drops
and their many different types of over over-the-counter are dropped in the
paper which profits best will prescribe
some patients when the prescription diet drugs
some patients need aural medication
some patients need a a a procedure called late hygiene
which can range from a single lid expressions of just keeping the lid
margins very very clean
some patients needed surgery in some patients need laser surgery
so dependent on the evaluation which
physically weakened
type of dry all you have and how severe it is
that's when we can prescribe the options
and look at the results
would you feel are now available based on the many treatment options that you
have oval to eliminate the dreyfus and when we look at results will results was
would be the patient has the mal
so it working towards a little mile drive by
the success rate is almost a hundred percent
for those patients are you guys are treated properly
with the right medication
and in the right sequence an expensive which is very important
a lot of doctors that you just describe certain medications with regard rocks
that world network or pop or drops
and
but there's one more factor of all the sequencing of them
for example if the patient has a developer deprive or a
and i think we stood fishing too dry
you always have to treat
the event that the dry first
if you tried to treat the opposite way he will not be successful so getting
back to success rate prognosis we call it
more jobs from wild ride freemen window properly
in the proper sequence
it's almost like a percent
when you get into a moderate dry like the success rate is probably right
eighty two nine percent
severe dries between twenty to fifty percent says you can see the standard
rise in most of the board of trade
and these are the individual to have very very severe symptoms
how long would the treatments typically take again i'm sure it varies
based on each particular patient
and his or her needs and how uh... severe the problem is
in general terms are we looking at that's a great question
the unfortunate thing is what you're going to run on a
riley is a life
by disease
it is no
sure for dries
we only can manager promptly
the great thing about is if you have a more jobs from old right
in whaley have to use water to options to treat to drive the rest of her life
well-mannered ryan might need one two three things unsavory might need four
five six things four options but the most important thing the patient has to
understand
this is a lifelong disease
to a comparable to diabetes for hypertension is no cure for our
pretension
is that your for diabetes
stinking goes for drawers it's always onesies okay that is just a matter of as
you've mentioned earlier
how best to that
control it
minimize it and effectively treat it with their options that you are hereby
quinones mejor properly
important management is for the patient to return back to the doctor's office
to make sure they're being managed properly so it might be one suite
formally have things under proper control
they might have to come back once a year or once every six months paper in each
case that weekend we only have a few moments left doctor askmen
and certainly you and your practice as than i care specialist here in somalia
maryland have developed the reputation for excellence within your field and and
specialty not wanted to ask you
what separates you and your practice apart from so many other eye care
specialist in this week
great question again uh... again most patients think dry eyes are dries across
the border provided through the same way as i just told you earlier
historic patients treated differently depending upon their exact diagnosis and
severity of their condition
what separates us from the other eyecare practitioners is
our commitment
to the treatment of the dry patient
my partner who have to my brother
had been partners and we found that the uh...
you try center maryland back in nineteen seventy seven
and so we've been doing this for a long time to we have the experience
we have commitment we have the passion we love helping patients elf
we have a technology goes along with this
when the technology comes down we instantly if u doing research
we buy the new instrumentation
we still have the research we travel mug for education going abroad in the u_s_
so and we have repeat team of o support team here
of technicians receptionist doctors that work together
primary for the past what's best for the patients interest
we certainly our state of the art first technology goes you can just tell but
but looking at everything you have your this beautiful location of yours not to
mention the vast experience as you touched on since nineteen seventy seven
you all a bit here helping many patients
and you certainly have many many testimonials doctor has been in fact if
i'm not mistaken
a number of them are on your website for
potential patients to review and look over yes we electorate patients as a
testimony when we have hundreds of them
we've become when our winner websites for other page to see how successful
arab practices in their scope
for those patients out there that are suffering from a severe disease of dry
yes indeed on that none of my thank you again
procuring isn't being addressed in our program doctor as well as our pleasure
infected with having thank you