Resources for Seniors in Michigan

Resources for Seniors

Navigating resources for seniors and insurance options can be both confusing and stressful. There are many different medicare options available to you when you turn 65 years old.   You want to ensure that you have the best insurance coverage possible both for medical needs and prescription drugs that you are prescribed. The best options can vary depending on your healthcare needs and medications that you take.  The doctors at Eye Surgery Institute including Dr. Stanley Grandon, Dr. Cindy Wang and Dr. Alaina Kronenberg participate in most medicare plans inclulding advantage plans.

Many aging adults are unaware of the available care options and programs that can help them maintain their independence and quality of life.  This is a free resource that provides comprehensive information on Medicare Advantage options in Michigan. The following below is a summary of some of the options available.  These were compiled by a senior advocate.  Hopefully, a better understanding of options can help reduce stress and anxiety regarding insurance options.  If you have any questions regarding your insurance and eye care our staff at Eye Surgery Institute is available to answer your questions.  Eye Surgery Institute is a comprehensive ophthalmology practice that cares for patients of all ages.  We perform comprehensive eye examinations to ensure you maintain the best vision possible during your lifetime.  Some of the diseases we care for include cataracts, diabetes, macular degeneration, dry eyes, ocular allergies, glasses, contact lenses and glaucoma  Dr. Alaina Kronenberg performs cataract and glaucoma surgery at the Dearborn Surgical Center.  Our office has a full service optical department for glasses and contact lenses.  We are accepting new patients and accept same day appointments for all emergencies.  Please cal 313 582 8856 to schedule an appointment!

Resources Available

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


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


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


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


Vision As You Age

The Aging Eye

With the aging eye, you may notice more difficulty driving especially at night and in the rain. There are many diseases of the eyes that can contribute to more difficulty driving. These changes often become more common at age 60 or older. A comprehensive eye examination by Dr. Stanley Grandon, Dr. Cindy Wang and I can help diagnosis and treat eye diseases.

It is recommended at age 60 to have a yearly dilated eye examination. If you have a family history of certain diseases of the eye such as glaucoma or macular degeneration it is important to initiate regular eye examinations at an earlier age.

Normal Changes as You Ageaging and eye health

As you age, it is normal to rely on glasses for near vision tasks. It is also normal to need more light when reading and feel it takes longer to adjust when you move from the light to dark or vice versa. You may notice changes in your contrast sensitivity. A comprehensive eye exam can ensure you are in the best pair of glasses possible.  As you age, you may need glasses that correct for both distance and near tasks.

Eye Diseases

Vision loss is not a normal part of aging. As you age, you become more likely to develop diseases such as cataracts, glaucoma and age related macular degeneration. Many diseases of the eye are easier to treat if diagnosed at an earlier stage. Some eye diseases can lead to blindness if not treated properly. If diagnosed and treated at an earlier stage, you are more likely to maintain adequate vision for the rest of your life.

If you feel you are uncomfortable with your vision especially when driving, you may have a cataract. Cataract surgery may be indicated if it is interfering with you daily tasks.

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


January is Glaucoma Awareness Month

Glaucoma is a blinding disease | Eye Surgery InstituteJanuary is Glaucoma Awareness Month

Glaucoma is one of the leading causes of irreversible blindness.  Your vision loss can often be prevented with early diagnosis and treatment.  There are often no symptoms in the earliest stages.  The vision loss is usually first in the periphery.  Later more advanced stages can cause total blindness.

The American Academy of Ophthalmology advises the public that the best defense against developing glaucoma-related blindness is by having routine, comprehensive eye exams.  Dr. Stanley Grandon, Dr. Cindy Wang and I test for glaucoma at the time of your examination regardless of the reason for the visit.

What is Glaucoma?

Glaucoma is an eye disease where damage to your optic nerve causes vision loss that is not reversible.  It often happens when fluid builds up in your eye and may be related to eye pressure .  This extra fluid can damage your optic nerve and cause you to lose your vision.  You will often not notice vision loss from the earlier stages.  There is usually no pain or symptoms associated.

How is Glaucoma Diagnosed?

Dr. Stanley Grandon, Dr. Cindy Wang and I may suspect it if your intraocular pressure is elevated or if your optic nerve looks that is may have damage.  Up to half of patients with glaucoma do not have an elevated intraocular pressure when examined.  If we have a high suspicion, extra tests such as a peripheral vision test (a visual field), a picture of the optic nerve and checking the thickness of your cornea (pachymetry) may be recommended.  Depending on the level of suspicion, we may decide to observe you or opt to initiate treatment.

If My Doctor Diagnosed Glaucoma Does That Mean I am Going Blind?

No!  It can be treated by various modalities.  It is important to diagnose it at an early stage.  Dr. Stanley Grandon, Dr. Cindy Wang and I will often initially treat your glaucoma with a once daily drop at bedtime.  We are trying to lower your eye pressure.  Depending on your response to the medication and the severity of your disease, we made opt to add additional drops.

We can also treat it with laser.  This laser is often performed in the office.  It can be used in addition to your drops or sometimes instead of your drops, depending on the severity of your disease.

If your disease is not adequately controlled with drops and /or laser, you may require surgery to achieve control.  There are several surgical options that can be performed.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Eyelid Twitching

Eyelid Twitching

Eyelid twitching is a common complaint that from patients.   You are often very concerned about the health of their eye.  The medical term for twitching is called myokymia.  It can occur on either the upper or lower eyelid and it is a repetitive involuntary spasm of the muscle.

If you are experience this, Dr. Stanley Grandon, Dr. Cindy Wang or I can perform a comprehensive eye examination to determine the health of your eye.  We will focus on the surface of the eye to make sure that it looks healthy.

CausesEyelid twitching| Alaina Kronenberg MD| Eye Surgery Insittute

Twitching can be caused by many things.   Some causes include stress, fatigue, dry eyes, blephartis (inflammation of the eyelid), too much caffeine, irritants in the environment and a foreign body touching the eye.  Certain medications can also cause eyelid twitching sometimes.

Treatment Options

It is important that we treat the underlying cause of the twitching.  If signs of dry eyes or blepharitis is detected then we can initiate dry eye or blepharitis treatment.  This may include over the counter drops, prescription eye drops, lid hygeine, warm compresses and ointments.  We will determine what treatment is best for your condition.  If a foreign body is detected, removing it may help also.  It is important for you to minimize irritants in your environment also.

Is It Serious?

Usually twitching is not the sign of a serious underlying problem. If the spasms become chronic, you may have what’s known as benign essential blepharospasm.  This is the name for chronic and uncontrollable blinking.  This can sometimes be treated with injections into the muscle area.  Very rarely, eye twitching may be a sign of certain brain and nervous system disorders.  Most importantly, it is almost always accompanied by other signs and symptoms.   Conditions that can cause this include Bells Palsy, Multiple Sclerosis, Tourettes and Parkinson’s Disease.

In summary, most of the time eyelid twitching is not the sign of a serious medical condition.  Treating the surface of the eye can be helpful.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Ultraviolet Light and the Eyes

What are the Effects of Ultraviolet (UV) Light and the Eyes?

Ultraviolet light has been linked to the progression of several eye conditions.  The most common conditions are the development of macular degeneration and cataracts.  Both of these conditions can affect the quality of your vision.  Ultraviolet light rays can also cause ptergium (fleshy growths on the eye surface that grow onto the cornea) and eye cancers such as melanoma and basal cell carcinoma.

Macular degeneration can potentially lead to irreversible blindness.  Cataract development can affect the quality of your vision and sometimes require surgery to improve the vision.  Although most people develop cataracts as they age, cataracts can develop quicker due to ultraviolet light.

Ultraviolet Light Protection for the EyesUltraviolet light | Alaina Kronenberg MD | Eye Surgery Institute

When you purchase sunglasses, you want to look for ones that eliminate 100% of UV A and UV B rays.  The glasses do not necessarily need to be expensive.  The darkness of the lens is not as important. Most lenses will state the amount of UVA and UVB protection that they provide.

Lenses that wrap around the side of your face provide more protection than regular sunglasses.  Wearing a hat with a large rim can also be helpful.  Although some contact lenses do offer some UV protection, it is important to also wear sunglasses if you are a contact lens wearer to protect your eyes.

Detecting Eye Problems

Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination to detect eye conditions.  If a problem does develop, it is often better to diagnose and offer potential treatments early.  We can perform a dilated eye exam and check for problems.  The Eye Surgery Institute also sells good quality sunglasses that can help to protect your eyes from sun damage.

 

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126