Flashes of Light

Flashes of Light

Do you experience flashes of light in or vision?  Are they new or have they been there for a long time?  What is the cause of them?

Flashes may be described as a lightning streak or the sensation of seeing a shooting star in your vision. They usually only last a few seconds.

Causes

Most of the time, the flashes of light are from changes in the vitreous jelly.  This is the viscous gel that fills the back of your eye.  As you age, it will liquify. Flashes of light may be associated with new floaters in your vision.  Flashes of light can also be caused from trauma.  For example if you are hit in your eye you may see flashes.  Migraine headaches can also cause a patient to experience flashes either before, during, or after the migraine.  Sometimes you can have the visual symptoms of a migraine without the headache!  This is called an ocular migraine.

When Should I Worry?flashes of light | Alaina Kronenberg MD

You should worry about flashes if they are new.  If you suddenly see flashes of light in your vision, you should call our office for an appointment.  It is also important to call our office if you notice new floaters in your vision or feel like there is a curtain or portion of your vision missing.  It is also important to have an eye examination if you have sustained trauma to your eye. Dr. Stanley Grandon, Dr. Cindy Wang or I will perform a comprehensive eye examination which will include dilating your pupils.

What Could it Mean?

If you are experiencing new flashes or floaters, we need to check your retina for a possible detached or torn retina.  You should call our office to be see as an urgent patient.   All urgent issues will be seen on the same day.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Coronavirus and the Eye

Coronavirus

Coronavirus is a respiratory virus that can cause flu like symptoms such as fever, cough, fatique, myalgias, shortness of breath, loss of a sense of smell and taste.  Symptoms can range from mild to severe.  Severe cases have caused significant morbidity and mortality worldwide.  It is primarily spread by respiratory droplets and it is important to wash your hands regularly and not touch your face.

Coronavirus and the EyeCoronaviurs and the Eye | Alaina Kronenberg MD | Eye Surgery Institute

Coronavirus can present as a viral pink eye (conjunctivitis) in a small percentage of patients.   It affects the eyes in approximately 1-3% of patients and may present as a red, swollen puffy eyes with watery discharge.

Eye Surgery Institute

At the time I am writing this blog, Dr. Stanley Grandon, Dr. Cindy Wang and I have been adhering to the recommendations of the American Academy of Ophthalmology (AAO) and the CDC.  We have closed our office to all routine appointments.  We are still available daily for emergent issues.  Please call our office to arrange an appointment if you are having an urgent issue.  I am also available for video conference appointment if the issue is one that can be addressed remotely.

If you do come into our office for an appointment, we have instituted additional safety and hygiene precautions to minimize any risk.  We are also spacing appointments so that contact with others can be minimized.  Dr. Stanley Grandon, Dr. Cindy Wang and I are available and happy to see both new and established patients for urgent issues at this time.  We hope to resume normal operations once it is safe to do so.  We have staff available during the business day to answer your phone calls at (313) 582-8856 and you can also book either a virtual appointment or an appointment in our office at www.zocdoc.com.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Macular Degeneration Awareness

What is Macular Degeneration?

February is macular degeneration awareness month.  This is when there is deterioration of the small, central portion of your retina called the macula.  You may develop deposits called drusen in your macula and sometimes bleeding. This can cause loss of your central vision. It is one of the leading causes of blindness and is more common with age.  Smoking is also a risk factor.

There are two main categories of macular degeneration, dry and wet.  Approximately 80% of cases are the dry form.  Typically the dry form is less likely to result in visual loss, although the advanced stages can cause central visual loss.  Dry macular degeneration can progress to wet macular degeneration.  This is typically more likely to cause visual loss.  Blood vessels can leak and cause scar tissue to form.

Diagnosismacular degeneration | Alaina Kronenberg MD

Macular degeneration is diagnosed with a comprehensive eye examination and usually a picture of the back of the eye called and OCT.  This images the central vision and helps determine if your macular degeneration is the dry or the wet form.  Sometimes additional testing will be required like a fluorescein angiogram.

Treatment

The treatment for macular degeneration depends on whether you have been diagnosed with the dry form or the wet form.  For the dry form Dr. Stanley Grandon, Dr. Cindy Wang and I will recommend vitamins twice a day based on the age related eye disease study (AREDS2).  We will also give you an amsler grid to monitor your vision at home.

If you have the wet form typically you will need  injections to treat this.  The injections can help maintain your current vision and sometimes will improve your vision.  The injections are typically given frequently at the beginning and then the intervals can be extended depending on the examination findings.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Cataract Surgery

What is a Cataract?

A cataract is a clouding of the lens inside your eye.  You will most likely develop a cataract as you age.  Cataracts can progress at different rates and they occur when the proteins inside the lens break down.  Most cataract develop gradually although there are some types of cataracts that can progress more rapidly.  It is the most common cause of vision loss as you age.

How do I Know if I have a Cataract?cataract | Alaina Kronenberg MD

You may have a cataract if your vision is blurry.  Other symptoms can include more difficulty seeing at night especially with driving and more light sensitivity.  Most cataracts develop gradually so you may not notice the gradual changes that occur over time.  Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination to determine the cause of your blurry vision.  We will check for all eye diseases during the examination.  If you feel the quality of your vision is limiting your daily activities especially driving you may be ready for cataract surgery.

Cataract Surgery

I perform cataract surgery at an outpatient surgical center in Dearborn, Michigan.  There typically is no pain.  At your evaluation for surgery, I will discuss the surgery in detail as well as review what to expect and the potential risks involved.  When I perform cataract surgery, I place an implant into your eye.  I will discuss the implant options at the time of your evaluation.  The options can vary depending on the health of your eye.  Some implants will correct only distance vision, others will also correct astigmatism and near vision.  I will personalize the discussion depending on your desires and the health of your eye.  I only perform surgery on one eye at a time.  You will need to come in to see me a few times the first month after the surgery for check ups.  Typically you can return to normal daily activities the next day.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Looking For a New Eye Doctor?

Are You Looking For a New Eye Doctor?

The Eye Surgery Institute has been serving the Dearborn community for over 60 years.  We are a full service eye care office offering the most up to date, quality eye care.   Our office has a full service optical department with both glasses and contact lenses.  Most medical and insurance plans are accepted.  Our eye doctors have early morning hours available and always will accept same day emergency appointments.  You can book an appointment by either calling our office at 313 582-8856 or online at www.eyesurgeryinstitute.com.  You can also book online at www.zocdoc.com.

Our Doctorseye examinations

Dr. Stanley Grandon and Dr. Alaina Kronenberg are both board certified ophthalmologists.  We perform comprehensive eye examinations and will examine you for all eye diseases as well as check you for new glasses.  We perform surgery of the eye if necessary including lasik, cataract surgery, glaucoma surgery and glaucoma lasers.

Dr. Cindy Wang is an optometrist who specializes in fitting glasses and contact lenses. Dr. Wang has much success in fitting patients who were unable to be properly fit elsewhere.  She enjoys fitting specialty fit contact lenses for patients that have particular eye conditions such as keratoconus and prior RK eye surgery.  These are difficult to fit patients.  She also provides low vision examinations for patients who require additional magnification due to vision loss.

All of our doctors will thoroughly explain everything and ensure that all of your questions are answered.  We will address all of your concerns before you leave the office.  Our practice understands that your time is valuable and we try to run on time and minimize wait times.  For your convenience, we also provide same day testing for conditions like glaucoma and macular degeneration.  Call our office for an appointment!

 

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Aging of the Eye

Aging of the Eye

The risk of serious eye diseases increases with age.   One in 6 Americans age 65 and older have a serious eye condition that permanently affects their vision.  This means that the vision cannot be corrected with glasses or contact lenses.  Many older adults do not see eye care that could diagnose conditions at earlier stages.   It is important for you to have regular comprehensive eye examinations to diagnose eye conditions that become more common with the aging of the eye.

Eye Examination

A comprehensive eye examination will start with checking your vision and checking for the best pair of glasses.  As you age your near vision will deteriorate and you will require vision correction for near activities.  The vision can be corrected with glasses, contact lenses or Lasik eye surgery.

There are several options for glasses that will help with your near vision. Glasses can be made as progressive lenses which is a no line bifocal.  The advantage of these is that it provides correction for distance, intermediate distance tasks such as your computer and reading.  Another option is to have a bifocal with a line in it.  This only provides correction for distance and reading but offers no correction for intermediate tasks.  The other glasses option for near correction is to have a separate pair of glasses for distance and near.

Afterwords, Dr. Stanley Grandon, Dr. Cindy Wang or I will perform a glaucoma test, a slit lamp examination and a dilated fundus examination to determine the health of your eyes.  Common diseases we assess for are cataracts, glaucoma and macular degeneration.

Eye Diseases

It is important to diagnose eye diseases at early stages so treatment can be initiated.  If we have diagnosed a cataract, we will recommend cataract surgery when it is affecting your daily activities.  If you feel you are struggling to perform daily activities due to the quality of your vision, cataract surgery may be indicated.  Diseases such as glaucoma and macular degeneration can be more effectively treated if diagnosed at an early stage.  Early diagnosis and treatment can help assure you maintain good vision the rest of your life!

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Contact Lens Health

Contact Lens

Many patients do not like to wear glasses and prefer to wear a contact lens instead.  Contact lenses are a great option to provide vision correction.  The options for vision correction with contact lenses have greatly expanded.  There are many types of contact lenses on the market to meet most vision needs.  A comprehensive eye examination and refraction will determine your best options.

Contact lenses can correct nearsightedness, farsightedness, astigmatism and near vision.  Dr. Cindy Wang, Dr. Stanley Grandon and I will discuss with you your visual needs and desires to determine the best options for you.  Our professional opticians will teach you how to insert and remove the contact lenses.  We will ensure you are confident in the care of your contact lenses.

The options on the market have many different wear schedules.  Some lenses are discarded daily.  This can be a great option for patients who have had difficulty with the comfort of other lenses.  It is also a great option for an occasional wearer and it is probably the safest option to minimize risk of infections.  Some lenses are discarded every 2 or 4 weeks depending on the brand.  Longer wear contact lenses are generally for people who have special contact lens needs.

Contacts and Eye Healthcataract surgery | Alaina Kronenberg MD

If cared for properly, contact lenses can be a safe and effective option for vision correction.  We will teach you how to care for your contact lenses.  It is important to follow our instructions and care for your lenses properly.

We do not recommend sleeping in your contacts.  This increases the risk of a serious infection.  It is also not recommended that you use tap water for your lenses or case.  It is important to store your lenses each night in fresh solution.  We recommend a multipurpose disinfecting solution.  There are many brands on the market.

What do I do if I Have a Problem?

If you have a red, painful eye or discharge it is important to come to our office for an evaluation.  We offer same day appointments for all emergencies.  As a contact lens wearer, you need to understand that serious eye infections can occur.

 

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


How Do I Know if I Have a Cataract?

How Do I Know if I Have a Cataract?

Cataracts are best diagnosed with a comprehensive eye examinationDr. Stanley Grandon, Dr. Cindy Wang and I will ask you questions about the quality of your vision and your ability to perform normal daily tasks.  We will then perform an examination which will include checking your visual acuity, checking your glasses prescription and performing a slit lamp examination and a dilated fundus examination.  It is important to check for all possible eye conditions.

Most people develop  cataracts as they get older.  You do not need surgery until it is interfering with your day to day vision.  Surgery is recommended when the cataract is interfering with your day to day activities. You may experience difficulty driving especially at night or in the rain and bright sunlight.

What is Cataract Surgery?Cataract | Alaina Kronenberg MD | Eye Surgery Institute

Cataract surgery is an outpatient operation that removes the cloudy lens inside the eye and replaces it with a lens implant. The purpose of cataract surgery is to improve your overall vision.

Cataract surgery is a pain free procedure and usually takes about 15 minutes.  You will need to be at the surgical center for a few hours for the surgery.  In general, cataract surgery is a low risk operation with regards to your overall health.  There are risks of cataract surgery that I will discuss with you at the time of your evaluation.  You can expect to use drops in the eye for approximately 3 days prior and 1 month after the operation.  I perform cataract surgery on only one eye at a time.

At the time of your evaluation, I will discuss the various options for lens implants.  There are many choices of implants on the market and the best choice of an implant is different for each patient.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Ophthalmologist in Dearborn, Michigan

Ophthalmologist in Dearborn, Michigan

Were you a former patient at the Dearborn office of Kresge Eye Institute?  The office has closed.   Are you looking for a new local ophthalmologist?  The Eye Surgery Institute has been serving the Dearborn community for over 60 years.   We accept most medical and vision insurances and have a full service optical department.  Same day urgent appointments are accepted.  Same week appointments for non urgent issues.

Dr. Alaina Kronenberg, Dr. Stanley Grandon and Dr. Cindy Wang provide the highest quality eye care in the Dearborn community.   We take the time to listen to your concerns and will address all of your eye care needs.  We strive to offer the most modern, up to date care for all of your eye care needs.

Dr. Alaina Kronenberg and Dr. Stanley Grandon are board certified ophthalmologists and Dr. Cindy Wang is a board certified optometrist.   We perform cataract surgery, glaucoma surgery and refractive eye surgery.  Dr. Cindy Wang specializes in glasses and contact lenses.  She performs complex contact lens fittings and offers low vision services.

Diseases of the EyeAre you looking for an ophthalmologist?

We offer the highest quality care for patients with all diseases of the eye.  We care for patients with all eye diseases of the eye including cataracts, glaucoma, macular degeneration, dry eyes, allergies, diabetes and eye pain.  We also can provide all of your needs for glasses and contact lenses.

Make an Appointment!

If you were a patient at Kresge Eye Institute in Dearborn, Michigan and are looking for a new eye care provider, make an appointment at the Eye Surgery Institute!  We are happy to have you as a patient and will offer the highest quality, most up to date eye care.  Our office phone number is 313 582 8856 or you can visit our website www.eyesurgeryinstitute.com and book an appointment online.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Diabetic Eye Disease

Diabetes

 Diabetes is a disease in which the body’s ability to produce or respond to the hormone insulin is impaired.  This causes in abnormal metabolism of carbohydrates and elevated levels of glucose in both the blood and urine.

More than 100 million U.S. adults are now living with diabetes or prediabetes.  Approximately 9.4% of the United States population have diabetes.  One in four adults with diabetes are not aware that they have this disease.  Your doctor can diagnose it with blood tests.

Risk factors for developing diabetes include being overweight or obese.  A lack of physical activity can contribute also. A family history can also increase your risk.

Diabetes and the EyeAlaina Kronenberg MD | Eye Surgery Institute | Diabetic Eye Disease

Dr. Stanley Grandon, Dr. Cindy Wang and I can diagnose diabetic eye disease with a comprehensive eye examination.  It is recommended that you have a comprehensive eye examination once a year.  Medical insurance will cover the office visit.  If I diagnose diabetic eye disease, I will likely recommend more frequent examinations.  I will also likely recommend we take a picture of your eye in the office to check for swelling in the center of your vision.

Diabetes can cause severe vision loss and possibly blindness.  Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults.  The better you control your diabetes the less likely it will affect your eye as well as other organ systems.

Types of Diabetic Eye Disease

Diabetic retinopathy can cause changes to retinal blood vessels that can cause them to either bleed or leak.  I may recommend treatment for your disease if there is swelling in the center of your vision (macular edema) or blood vessels growing that are not expected to be there.  If you require treatment, the earlier it is administered, the better the chances of a good visual outcome.  If you are a diabetic make sure to make your appointment at the Eye Surgery Institute!

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126