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


Eye Allergies

Itchy, Red Eyes

Allergy season is quickly approaching!  Do you suffer from seasonal ocular allergies? Are your eyes usually itching and red?  Are they feeling uncomfortable?  What is the cause of these symptoms and can anything be done?  Itching and redness can be very frustrating and uncomfortable.  You may be suffering from eye allergies.  Sometimes it is nearly impossible to avoid being exposed to the things we are allergic to.

You may have tried over the counter remedies to see if they can improve your symptoms.  If the over the counter treatments are not providing proper relief, it is important to have a comprehensive eye examination to determine the cause of your symptoms.  Your condition may or may not be ocular allergies.  You want to consider when your symptoms occur most.  Are they worse in the morning or evening?  Are they worse during a particular season of the year?

Diagnosis of Ocular Allergiesocular allergies | Alaina Kronenberg MD

Dr. Stanley Grandon, Dr. Cindy Wang and I will take a complete history and perform an eye examination.  It is important to distinguish if your eyeballs feel itchy or your eyelids are bothering you more.

Itchy eyes are often a symptoms of ocular allergies.  You may also complain of watery eyes, stringy mucous discharge, eyelid swelling, and irritation.  Ocular allergies are when the eyes are exposed to allergens.  Different patients can react to different allergens.   Your symptoms are often due to release of histamine and mast cells and symptoms will often vary during different seasons depending on what the allergen is that is causing your symptoms.

If your symptoms are more affecting your eyelids, you may be suffering from blepharitis instead of eye allergies.  Blepharitis is inflammation of the eyelid margin and the eyelids can become itchy, red and irritated.

If you wear contact lenses sometimes your condition can be related to your contact lenses.  You may have developed a sensitivity to your contact lenses or be wearing them too much.

It is important for your doctor to make the proper diagnosis so we can offer the treatments that will improve your symptoms.

Treatment of Eye Allergies

If you suffer from eye allergies, it is important to try to avoid the allergen if possible.  Ocular allergies are often initially treated with eye drops that are antihistamines and mast cell stabilizers.  These medications work more effectively if they are used regularly during your allergy season.  If your symptoms are severe, we may add a short course of a mild steroid eye drop also.  Sometimes chilled artificial tears can also help your symptoms.

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


Eye Myths Part 3

Eye Myths Part 3

Do you ever wonder if eye myths told to you by your family and friends are true?

Myth: If you lot a lot of carrots it will improve your vision.

Carrots have beta-carotene and are a good source of vitamin A.  Eating carrots will not improve your eye site regardless how many you eat.  It is always important to maintain a healthy diet with fruits and vegetables.

Myth:  Reading in the dark can damage your eyes.Eye Myths | Eye Surgery Institute | Alaina Kronenberg MD

We have all read in the dark.  The only thing this will cause is eye fatigue.  Your eyes will become tired a bit quicker causing words to seem blurry but this is only temporary and no permanent damage has been done to your vision.

Myth:  Starring at the computer all day will ruin your eyes.

When you stare at anything for an extended period of time you tend to blink less causing dryness and eye strain but will not affect your vision.  This can occur with reading, any kind of screen use, even watching tv or driving for a long time.  It is recommended for you to take regular breaks and frequently glance away from the computer when working for an extended amount of time.  Sometimes an artificial tear drop can help with eyes that feel tired or blurry.  Staring at the computer will not cause permanent damage to your vision.  If your eyes constantly feel dry with prolonged screen time Dr. Cindy Wang, Dr. Stanley Grandon and I can evaluate you and offer treatments to help make your eyes more comfortable.

Myth:  Crossing your eyes will make them stay crossed forever.

When you cross your eyes to be funny it may cause some laughs from your friends but it will not cause permanent damage to your eyes.  Afterwords, your eyes will return to the normal position.  This will not cause any permanent problems to your eyes.

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


Cataract Surgery and Implant Options

Cataract Evaluation

If you have been previously diagnosed with a cataract or if you feel you are experiencing blurry vision, a comprehensive eye examination is important.  The examination can determine if the cataract is the source of your visual complaints.  If the cataract is the source of your complaints, we can complete a cataract evaluation and discuss with you the options.

Most people develop a cataract as they get older.  Surgery is recommended when the cataract is interfering with your day to day activities.  Patients may experience difficulty driving especially at night or in the rain and bright sunlight.

Examinationcataract surgery | Alaina Kronenberg MD

A comprehensive eye examination involves checking your visual acuity, refracting to see if new eyeglasses can improve your vision, a slit lamp examination and a dilated examination.  Dr. Stanley Grandon and I will also take a comprehensive medical history.  This is done to assess for any conditions that would increase the risk of a problem during surgery.

If  the cataract if the cause of your visual complaints, Dr. Stanley Grandon and I will discuss with you the risks and benefits of surgery as part of the cataract evaluation.  We will take the time to discuss implant options with you.  For example, if you have astigmatism you may be a candidate for a toric implant to correct the astigmatism.  If you have a desire to be less dependent on glasses for near activities, you may be a candidate for a presbyopic implant that allows some vision for near and intermediate activities.

Cataract Surgery Implants

When I first trained, monofocal intraocular implants were primarily used.  Most patients still required glasses after their surgery due to either astigmatism and/or near vision needs.

Many patients have astigmatism and benefit from a toric intraocular implant.  I discuss the option of this implant with all patients who have corneal astigmatism.  It reduces the dependence on glasses after surgery.

Multifocal implants can help correct vision both at distance and for near activities.  These intraocular implants can work well for patients who wish to be less dependant on glasses for both distance and near and intermediate vision.   To determine which implant is best for you, it is important to understand your visual needs.  For example, do you wish to have better intermediate or reading vision?  Are you willing to accept that you may have decreased contrast sensitivity or some halos at night?

The extended depth of focus implants (Symfony) corrects vision provides more of a continuous vision by using an extended range of focus technology.  This lens will be a good option for patients who have a desire to be less dependent on glasses for all activities.  You may still need a low power reading glasses for some up close activities.

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


Can I Use My Medical Insurance to Visit the Eye Doctor?

 

What are medical insurance and vision insurance plans?

There is much confusion regarding what type of insurance you can use when you go to the eye doctor.  Most people do not understand the difference between medical insurance and vision insurance plans.  Most ophthalmologists practices accept both medical insurance and vision insurance plans.  The Eye Surgery Institute is a medical practice and the majority of our examinations are billed to your medical insurance.  Dr. Stanley Grandon and I are board certified ophthalmologists and we care mostly for medical eye conditions.

An examination is considered a medical eye exam if Dr. Stanley Grandon, Dr. Cindy Wang or I are evaluating and treating a problem, disease or particular complaint.  For example, if you are being treated or evaluated for common eye conditions such as glaucoma, cataracts or age related macular degeneration (ARMD) it is considered as a medical appointment.  Also, if you are requesting the appointment for a complaint such as pain, irritation, itching, headaches or redness it is also considered a medical appointment.

What Do I Use My Vision Plan For?Eye Surgery Institute | Alaina Kronenberg MD

A vision exam is an examination for a prescription for eyeglasses or for contact lenses.  At the Eye Surgery Institute, we will also check the general health of your eye.  We will inform you if any problems or concerns are noted.  If particular concerns are raised Dr. Stanley Grandon, Dr. Cindy Wang or I may request for you to return to the office for a medical appointment.

You can also often use your vision plan to help in purchasing glasses or contact lenses.  It is important that you learn the benefits of your vision plan and the coverage options.   We offer a full service optical department that also accepts most insurance plans.

How Do I Know If My Insurance is Accepted?

Our experienced staff can assist you with your insurance choices when you call for your appointment.  It can be very confusing to determine the difference between medical insurance and vision insurance plans.  When you arrive to our office, we will also verify your insurance plan.  You are responsible for knowing any co-pays or deductibles with your plan.

 

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


Eye Health

Eye Health

Eye health is an important part of your overall health.  It is important to have a comprehensive eye exam to ensure that your eyes are healthy.  Dr. Stanley Grandon, Dr. Cindy Wang and I can ensure you are seeing properly and ensure that no eye diseases are present.

You may assume that your eyes are healthy if you have no difficulty with your vision.  Sometimes, we can determine that a glasses prescription can allow even better vision.  Common eye diseases such as glaucoma, age related macular degeneration (ARMD), diabetic eye disease and early cataracts often have no symptoms at the early or even moderate stages.  Early diagnosis and treatment can be very important.

Our goal at the Eye Surgery Institute is to allow you to keep optimal vision your entire life.  Many diseases require diagnosis and treatment at early stages to help prevent vision loss in the future.

Family Historyeye health  Alaina Kronenberg MD | Eye Surgery Institute

Many eye diseases can run in your family.  It is important to know your family history of eye diseases.  If you have a strong family history of eye problems, it is important to have more frequent eye examinations especially as you age.

Eye Safety

It is important to wear safety eye protection especially when working with tools, machines or chemicals.  This can include safety glasses, eye shields and goggles.  Many are made of polycarbonate because it is much stronger and more protective.   It is especially important to wear eye protection if you only have one eye that sees well.

Lifestyle

It can be helpful to eat a healthy diet with lots of green, leafy vegetables.  This can help prevent certain eye diseases such as macular degeneration.

It is useful to wear sunglasses when outside.  This can help prevent against cataracts and macular degeneration.  It is also helpful to not smoke.  Smoking is bad for your overall health, including your eyes.

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


Midwest Eye Clinic

Midwest Eye Clinic/ Midwest Medical Clinic

The Midwest Eye Clinic in Dearborn, Michigan has now closed.  It served the population of Dearborn and the surrounding communities for eye and other health care needs.  Eye Surgery Institute is accepting new patients.  The Eye Surgery Institute has been serving the Dearborn and surrounding community for over 60 years.  We are happy to welcome patients of the Midwest Clinic who are looking for health care.

Dr. Stanley Grandon, Dr. Alaina Kronenberg and Dr. Cindy Wang would like to welcome you to join our practice.  We perform comprehensive medical and surgical eye care and have a full service optical department also.  Our doctors can serve all of your eye care needs.  We accept most insurance plans.

Eye Surgery Institute/Midwest Eye ClinicMidwest Eye Clinic | Eye Surgery Institute

Dr. Stanley Grandon, Dr. Alaina Kronenberg are comprehensive board certified ophthalmologists who perform medical and surgical care of your eyes.  We strive to provide the highest quality care and pride ourselves on taking much time with each patient to ensure all your questions and concerns are addressed.  We perform a thorough, comprehensive eye examination.

Dr. Cindy Wang is an optometrist who specializes in fitting glasses and contact lenses.  She is excellent at fitting contact lenses in patients who have been difficult to fit with contacts in the past.  Dr. Wang has also been specially trained in fitting patient who have corneal conditions such as keratoconus and prior RK eye surgery.  She also specializes in low vision eye care.  She can help provide special glasses and other low vision aids to allow a better quality of life for patients with low vision.

We Hope You Join Our Practice from Midwest Eye Clinic!

If you were previously a patient at the Midwest Eye Clinic, we hope you will join us at the Eye Surgery Institute for your continued eye care needs!

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


Itchy, Red Eyes

Why Are My Eyes Itchy and Red?

Ocular itching can be very uncomfortable, red and look unsightly.  Others may think you have an eye infection and be concerned that you are contagious.  They may be worried about being around you.  Your eyes may be watery and your vision may be blurry as well.  Eye allergies can be very uncomfortable.

The most common cause of both itching of the eyes and redness is ocular allergies.  Ocular allergies can be either seasonal, year round or associated with particular things you are allergic to such as an animal.

How Do I Treat Allergies In My Eyes?Eye allergies | Alaina Kronenberg MD | Eye Surgery Institute

It is important to have an eye examination to determine if your symptoms are from ocular allergies.  If at all possible, avoiding the allergen will help tremendously.  Most of the time this is not practical as many people are allergic to things wer are exposed to in our environment.

It is very helpful to treat before you are exposed to the allergen.  For example, if you have spring allergies it is advised to initiate allergy drops 2 weeks or so prior to the expected allergy season.

It is typically treated with allergy drops.  Most of the appropriate drops are given by a prescription, although there are a few good over the counter products as well.  Some of the prescription drops are once daily medications and the rest are dosed twice a day.  Cool compresses can be helpful.  Artificial tears can wash out allergies and also offer some relief.

If your symptoms are not improved with these remedies, Dr. Stanley Grandon, Dr. Cindy Wang and I can prescribe a short course of topical steroid eye drops.  This can offer quick relief.  It is important for you to be watched if you are taking steroid eye drops.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 4


How Do I Get Rid of My Glasses?

Need For Glasses

Wearing glasses can sometimes be frustrating.  You may need to wear glasses to allow you to see properly.  They are often needed when the light rays are not focused onto the retina.  Depending on the severity, you may need glasses some of the time or all of the time.  As we get into our 40’s, most of us need glasses for reading and other up close activities.

Contact LensesGlasses | Contacts | Lasik

Contact lenses are an option to reduce your need to wear glasses.  It is a lens that sits on the eye that allows you to see clearly.  Contact lenses need to be fit properly by an optometrist or an ophthalmologist.  At the Eye Surgery Institute, we provide full service optical services.

Dr. Cindy Wang, Dr. Stanley Grandon and I can perform a comprehensive eye examination and a contact lens fitting.  We can spend the proper time needed to teach you how to insert and remove the contacts and how to care for them properly.  Sometimes you may need to try different types and brands of contacts to find the ones that work best for you.

Lasik

Lasik is an elective surgical procedure and the goal is improve vision and reduce or eliminate the need for glasses.  We use a laser to correct nearsightedness, farsightedness, and/or astigmatism.  The purpose of Lasik is to reshape the cornea so that the light rays entering into the eye are focused onto the retina.

Determining if you are a candidate for Lasik requires a comprehensive eye examination.  Dr. Stanley Grandon, Dr. Cindy Wang and I will perform a thorough exam to determine the general health of your eye and if you are a candidate.  Dr. Stanley Grandon and I are board certified ophthalmologists and we will perform your surgery.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 4