When is iLasik the Best Choice for You?

What is iLasik and is it Right for You?

Are you tired of fumbling around with your glasses, or paying for new contact lenses? iLasik may be able to help. iLasik is a laser vision correction surgery that’s been available since 2001. In all those years, the procedure has been performed on millions of patients – with great success!

How it Works

A series of tests are conducted on each eye with Advanced CustomVue ® Wavescan technology to create a personalized 3D map. The Wavescan is 25 times more accurate than the current instruments used to measure your eyes for glasses and contacts, ensuring that every unique characteristic is captured. The map is then used as a guide to drive the laser. All lasers used in the procedure are FDA approved.

iLasik procedures are 100% blade free, and there is no exception  in creating the corneal flap: a thin flap of tissue that’s held back during the surgery. An Intralase laser creates a precise flap by producing small bubbles in the cornea.

Finally, a VISX STAR S4™ excimer laser is used to reshape your eye. This laser can cover the broadest range of vision problems, including:

  • Farsightedness
  • Near-sightedness
  • Astigmatism – a refractive error where rays of light don’t converge on a focal point on the retina.

How is iLasik Different?

iLasik is the first procedure to be 100% personalized to the unique characteristics of each eye, and the only laser eye surgery method to be NASA approved. With traditional Lasik surgery, the risks can include overcorrection, undercorrection, and additional astigmatism. By producing a completely personalized map of your eye, these risks are significantly reduced. The Intralase laser-created corneal flap lowers the risk of infection and excess tears. It is one of the safest medical procedures in the world, and only takes seconds to correct each eye. After the surgery, you can return to work as soon as the next day.

Is it Right for You?

The majority of people who meet these basic age and health requirements are good candidates for this procedure:

  • Must be 21 years or older
  • Have good general health
  • Do not suffer from any existing eye diseases
  • Are open to taking consistent prescriptions for at least one year

Starting around age 40, most adults begin to have difficulty reading small fonts or doing close-up tasks. This is caused by Presbyopia, a condition that may worsen until age 65. For them, a possible solution other than iLasik could be in monovision correction, which makes adjustments to each eye. Always consult a doctor about your options before making any definitive decisions.

When is iLasik the Best Choice?

iLasik is the best choice for people who need a prescription and want to live life without glasses or contacts. The procedure is the safest on the market for permanent vision correction. Our dedicated team of doctors are available any time to answer any questions or concerns you may have. Contact us today.

Preventing Dry Eyes in Fall

Preventing Dry Eyes During Fall Weather

As summer is coming to an end, colder weather is on the horizon. With cooler conditions come changes to your eyes, especially in terms of drier eyes. This is due to the fact that a change in weather conditions affects the number of tears that your eyes need to produce to maintain eye comfort. When you live in the Orange County area, the weather can become drier than most places, and could negatively impact your eyesight.

That being said, you should not feel discouraged. There are many solutions you can try that will help prevent eye dryness, and make the fall season as comfortable as possible for you.

Signs and Symptoms of Dry Eyes

If you feel discomfort in your eyes, but aren’t sure what is causing it, there are many symptoms of dry eyes that you should be aware of. Here are the following signs that you may be suffering from dry eyes:

  • A dry, itching or burning sensation located in both eyes
  • Feeling like there’s something gritty stuck in your eyes, or an irritating scratching sensation
  • Light sensitivity – if you notice yourself blinking or squinting excessively, this may be an indicator
  • Not being able to focus your eyes because they feel extremely dry
  • Even though dry eyes implies dryness, watery eyes are also a common symptom

The Common Culprits

Dry eyes don’t just turn up out of the blue – there are many triggers or causes that lead to them. Here are some of the most common culprits:

  • Air conditioners and/or indoor heaters
  • Seasonal allergies
  • Certain medications, which can include antihistamines, antidepressants, or birth control pills. Check with your doctor to see if your prescribed medication could have the side effect of drying your eyes
  • Contact lens issues such as ones that fit poorly or haven’t been cleaned properly
  • Too much time spent in front of a computer, or reading for too long
  • Tear ducts that suffer from blockages

The Ultimate Dry Eye Treatments

If you feel at a loss, there are many treatments you can use to help with your dry eyes. Here are some solutions that could be of benefit to you:

  • Use a humidifier – this helps with moisturizing the eyes.
  • If allergies are the root cause, take antihistamines or use eye drops specific to allergies. If you put your eye drops in the fridge, this can also be quite refreshing.
  • As mentioned before, if dry eyes are a side effect of your medication, check with your doctor to find any alternatives.
  • Monitor how long you have kept your contacts in your eyes – it is essential not to wear contacts for an extended period of time. Another important step with contacts is to make sure you always wash your hands before touching them.
  • Take as many breaks as possible from computer or reading time, and if you must look at both of these things for a long time, make sure you blink often.
  • Turn off your ceiling fans as often as you can.
  • If your eyes are very dry and irritated, put a warm washcloth over them.
  • Never share your eye drops with anyone, and make sure they haven’t expired.
  • Stay hydrated throughout the day.
  • If you venture outside and it’s still sunny out in the fall (as is often the case in Orange County), wear sunglasses as protection. They will even protect you from windy weather.
  • Maintain a healthy diet, take a multivitamin, and get enough exercise.

Dry eyes don’t have to get you down. These tips should help you improve your eyesight, and act as a prevention of long-term eye damage and vision loss. If you try a number of these solutions to no avail, book an appointment with Dr. Ghosheh of Advanced Eye Medical.

He will perform an exam that determines any possible eye diseases, general health conditions, or other factors that could be leading to your uncomfortable dry eyes. You don’t want to leave this for too long in case it can have a permanent, detrimental effect on your vision for the long haul.

We hope these tips were of help to you, and we look forward to seeing you soon!

Nutrients and Eye Health

The Proper Nutrients for Eye Health

We’ve heard it time and time again – you are what you eat. Eating healthy leads to good general health, gives you more energy, and prevents illness. It may not have crossed your mind, but eating healthy and getting in the right vitamins and nutrients can also contribute to optimal eye health. Maintaining strong vision takes some work on your part, but it is quite simple to incorporate into your daily life.

Vitamins, minerals, and necessary fats, in combination with a healthy diet, will protect your vision and improve your lifestyle. Here are the best nutrients that work to give you the best vision possible:

Vitamin A

Vitamin A leads to a high functioning retina. The retina is essential for meticulous vision, and preventing night blindness, age-related macular degeneration, and cataracts. If you don’t take Vitamin A in pill form, you can find it in foods such an animal products, and orange, green, and yellow vegetables.

Vitamin C

The lenses in our eyes are actually full of vitamin C. Cloudy vision is caused by a clumping of protein the eye’s lens, and vitamin C can reduce this clumping to prevent cataracts. Vitamin C is found in citrus fruits, as well as sweet potatoes, potatoes, peppers, kale, and broccoli.

Vitamin E

Vitamin E is an antioxidant, which is essential in reducing the risk of eye diseases that increase with age. The top sources of vitamin E include nuts, green leafy vegetables, and even cereal.


Lutein is specifically found in the retina’s lens, and its function is to protect the eye’s central vision (the macula). You can find lutein in yellow and orange fruits, dark leafy greens, and egg yolk.

Omega-3 Fatty Acids

Omega-3 fatty acids function as an anti-inflammatory, which assists in disease prevention. You can find this nutrient in fish, especially salmon; ground flax seeds; and walnuts.


Like Vitamin E, selenium also functions as an antioxidant. This reduces the progression of potential eye diseases and is found in common foods such as seafood, walnuts, breads, and rice.


Zeaxanthin is similar to lutein, protecting the lens of the retina and reducing potential damage. Zeaxanthin is found commonly in yellow and orange fruits, and dark leafy greens.


Zinc is similar to Vitamin A in that it protects the eye through its antioxidant absorption. Several foods containing zinc include oysters, cheese, yogurt, red meat, legumes, and whole grains.

This list of food and vitamins should give you a good start on how you can improve your vision through diet. Exercise is also important to improve your lifestyle and cardiovascular health. Knowing what foods to avoid can contribute to better vision, and making the right choices will make you feel energized. Common foods that will negatively impact your health include high amounts of sugar and salt, processed foods, trans fats, and a large amount of saturated fats.

At Dr. Ghosheh’s Advanced Eye Medical, we encourage our patients to engage in a healthy lifestyle and make good choices for themselves so they won’t have to worry about their vision and related issues in the long-term. We are experts in our field and have many tips on how you can maintain proper eye health. Get in touch with us – we are always here to help!

Monovision Correction

The Benefits of Monovision Correction

If you struggle with close-up vision, you may benefit from monovision correction. Monovision correction is a way to treat an eye condition that occurs quite commonly: presbyopia. With this eye condition, people have issues seeing objects from up close.

Your eye doctor can come up with an individualized plan that works for your vision. Whether that is a contact lens fitting or corrective surgery, there are many solutions that can improve your quality of life.

The Different Types of Monovision Correction

Correction of your vision with monovision can be expensive and take up more time than a regular contact lens fitting. With a typical monovision lens fitting, your eye doctor will prescribe one contact lens to be used for seeing at a closer distance, and the other from a distance. If you find that this works for you, the need for additional reading glasses becomes less common and can be convenient in your lifestyle. Carrying around different pairs of glasses and knowing which ones to use at which time can be confusing, with adjusting your vision with monovision correction being less of a hassle for the patient.

Here are other methods that can be beneficial for correcting your vision with monovision:

  • Computer-monovision: Computer-monovision uses less magnification in the eye for seeing things from up close. As a result, patients are able to view objects from a mid-level distance (like the distance they are from a computer screen). However, for everyday tasks such as reading a book, they may still need their set of reading glasses. This type of monovision solution works well for people who do a lot of computer work daily, and want to improve their vision.
  • Modified monovision: In this method, patients will wear one bifocal contact lens on the weaker eye. This helps with close-up vision, and will improve depth perception and distance vision.
  • Surgical monovision: LASIK surgery can be a permanent solution to contacts that adjusts one of the eyes for seeing far-away, and the other from up close. The surgery entails work done on the cornea, and has a fast recovery time with noticeable differences happening right away. This type of surgery is done on the cornea, and people who undergo LASIK surgery usually heal quickly and see a change in their vision right away.

Is Monovision Correction Right for You?

When you see your eye doctor and try out your new solutions, you’ll notice that you will rely on your reading glasses less, but you may not have as much clarity or depth perception with your vision.

Other issues reported from people with monovision correction is that even though you can see better from up close and far away, it is still not as clear is it could be. Some patients also struggle with the loss of their depth perception, and it may interfere with their profession or daily life. Monovision correction can also be an expensive and time consuming investment if you are considering the contact lens method.

However, most patients we see feel, overall, that monovision correction works well for them and is worth the investment. LASIK surgery can be an especially effective solution that remains permanent and hassle-free. Surgery is always a major decision so be sure to consult with your eye doctor if you think this type of mono vision correction is right for you.

We hope to see you soon at Dr. Ghosheh Advanced Eye Medical! We encourage our patients to get in touch with us if they have any questions or concerns, or want to know about the latest on monovision correction.

Advanced Custom Cataract Surgery

What is Advanced Custom Cataract Surgery?

Developing cataracts is becoming quite common. Statistically, more than 50% of Americans will have had a cataract or surgery for cataracts in their lifetime. On average, this condition develops after the age of 65.

These days, with all the advancements in medicine, cataracts can be treated with lasers and advanced lenses, which will dramatically enhance your quality of life over an extended period of time.

You may be wondering what advanced custom cataract surgery entails. This procedure involves the removal of the clouded lens of the eye, which is then replaced by an intraocular lens (IOL). If you’re wondering if this procedure is safe – it is one of the safest and most common operations in the world.

Advanced Surgeries that are Available Today

Medical device companies have manufactured FDA approved systems worldwide. Here are some options available for advanced custom cataract surgery:

  • LenSx – This was the first laser system to get approval by the FDA. It is used for corneal incisions, capsulotamies, lens fragmentation, and has been used for more than 400,000 surgeries.
  • LensAR – Also approved for corneal incisions, capsulotamies, and lens fragmentation. It uses sophisticated 3D imaging to get a closer look at a patient’s eye.
  • Catalys – This system has been FDA-approved for the same three conditions, and uses liquid optics that are gentle on the eye. This reduces risk that comes with eye pressure from laser cataract surgery.
  • Victus – This is another FDA-approved procedure for laser cataract surgery. The Victus system reduces eye distortion and maintains the eye’s natural shape during surgery.

Ask Your Doctor about Your Options

If you think that cataract surgery is the way to go for you, it is wise to book a consultation with your ophthalmologist so they can discuss the best option for you. Not every cataract surgery is the same depending on the individual, so your doctor will help you decide what operation will serve you best.

If you’re hesitant about surgery and want to look into having a “monofocal” lens, this may give you better distance vision without glasses. However, you may need reading glasses and there are downsides to this approach.

In the past, cataract surgery was not as practical and patients still had to rely on using glasses. Now there is so much up-do-date, advanced IOL technology that it may be a better strategy for you in the long-term. The choices are unlimited nowadays, and you’ll want to find out what will be the best option for your eye health. Your doctor will perform a detailed evaluation using the most state-of-art technology to target options for the unique individual.

Your doctor will also take into account your lifestyle choices. They may ask you the following questions:

  • What is your occupation?
  • What do you do for hobbies and in your spare time?
  • Do you do any work that requires close-up vision?
  • Do you read before bed and do you have to wear glasses while reading?
  • Is wearing glasses a hassle for you?
  • Do you carry reading glasses with you?
  • How often have you replaced your glasses and how much do they cost?
  • Do you eat properly, exercise regularly, and take vitamins?

If you’re considering Advanced Custom Cataract Surgery, our team utilizes the most up-to-date procedures in eye care, and would be happy to speak to you about your options. Dr. Ghosheh is a top quality professional who will take you through all the steps so you can decide if Advanced Custom Cataract Surgery is the right choice for you.

Symptoms of Age-Related Macular Degeneration

What is Age-Related Macular Degeneration?

Age-related macular degeneration (AMD) is the most common cause of vision loss in those aged over 50. It causes a gradual loss of central (but not peripheral) vision. While painless, AMD can interfere with simple everyday activities, such as the ability to see faces, drive, read, write, or do close work, such as cooking.

In some people, AMD advances so slowly that it does not occur for a long time. In others, the disease progresses faster and may lead to a loss of vision in one or both eyes. As it progresses, the blurred area near the center of the vision surfaces. It may grow larger over time, and objects may not appear to be as bright as they used to be.

What are the Causes?

While there is no exact cause to age-related macular degeneration, it may be related to a combination of heredity and environmental factors, including smoking and diet. The disease develops as the eye ages with tissue breakdown.

Factors that may increase your risk include:

  • This condition is most common in people over 65.
  • Family history and genetics. This disease is hereditary.
  • Most commonly diagnosed in Caucasians than others.
  • Regular exposure to smoke or smoking cigarettes significantly increases your risk.
  • Obesity can increase the likelihood of early or intermediate AMD progressing to a more severe disease.

What are the Symptoms?

Age-Related Macular Degeneration can cause a variety of symptoms that can affect your daily life. These symptoms, as noted by the BrightFocus Foundation, include:

  • Visual Field Defect: Visual field is the wide angel of vision that a healthy eye can see. As AMD progresses, the center of a person’s visual field may become smudged, distorted or lost. This leads to problems with reading, driving, watching TV and recognizing faces.
  • Contrast Sensitivity: As AMD progresses, it may become more difficult to see textures and subtle changes in the environment. Patients may be at risk of falls if their contrast sensitivity is lost. Difficulty in distinguishing between two colors of a similar hue when placed side by side may arise.
  • Poor Tolerance for Changing Light Levels: AMD patients may find it difficult to adjust their eyes when driving and walking at sunset or when going from a darker room to lighter one.
  • Need for Higher Light Levels: AMD patients may find the need for bright light levels for activities such as reading, cooking, and taking on day-to-day tasks.
  • Impaired Depth Perception: As AMD progresses, patients may have difficulty in properly judging distance, which can make walking harder and cause patients to be more susceptible to missteps and falls.

What are the Treatment Options?

If your condition is diagnosed early on, you can take steps to help slow down the progress, such as taking vitamin supplements, eating healthily, and not smoking. Other treatments options include:

Low Vision Rehabilitation

AMD doesn’t affect your peripheral vision and usually doesn’t cause total blindness. It can, however, reduce or eliminate your central vision, which is necessary for everyday tasks such as reading, facial recognition, and driving. Consult a low vision rehabilitation specialist, occupational therapist and your eye doctor to discuss rehabilitation options to help you adapt to your changing vision.

Surgery to Implant a Telescopic Lens

For patients with advanced dry macular degeneration in both eyes, one option for improving vision may be surgery to implant a telescopic lens in one eye. This will look like a tiny plastic tube, which is equipped with lenses that magnify your field of vision. It may improve both distant and close-up vision, but also narrows field of view.

How to Live with Age-Related Macular Degeneration

Even after receiving a diagnosis of AMD, you can take steps that may help slow vision loss.

  • Don’t smoke. Smoking can increase the progression. Consult your doctor for help.
  • Healthy diet. Antioxidant-high fruits and vegetables contribute to eye health. These include kale, spinach, broccoli, peas, and other vegetables with high levels of antioxidants, lutein, and zeaxanthin. Foods containing high levels of zinc may also be particularly beneficial, along with high-protein foods such as beef, pork, and lamb.
  • Healthy weight and regular exercise. Maintaining a healthy weight by exercising regularly helps reduce health risks and improves overall health.
  • Routine eye exams. Schedule routine follow up exams. In between appointments, assess your vision using an Amsler grid. This will help identify if your condition develops into a more advanced stage of AMD, which can be treated with drugs.

If you believe you could be in the early stages of age-related macular degeneration, seek the help of an eye care professional. Dr. Ghosheh and the caring team at Advanced Eye Medical can help diagnose your condition and determine the next steps to treatment.

Why Do I Have Eye Floaters?

Eye Floaters: The Causes and What You Can Do

Ever experience small specks or clouds moving in your field of vision? These are called eye floaters. You can often see them when looking at a plain background, like a blank white wall or blue sky. They can appear as black or gray dots or threadlike stands that drift about when you move your eyes and appear to dart away when you try to look at them directly.

Symptoms of Eye Floaters

Once you develop eye floaters, they usually do not go away, though they tend to improve over time. Eye floaters can appear in many different shapes, such as:

  • Black or gray dots
  • Squiggly lines
  • Threadlike strands, which can be knobby and semi-transparent
  • Cobwebs
  • Ring shaped

Contact an eye specialist immediately if you notice:

  • Many more eye floaters than usual
  • A sudden onset of new floaters
  • Flashes of light
  • Darkness on the sides of your vision (peripheral vision loss)

Causes of Eye Floaters

Eye floaters are caused by age-related changes that occur as the jelly-like substance (vitreous) inside your eye becomes more liquid. As you age, the vitreous and its millions of fine collagen fibers shrink and become shred-like. As it shrinks, this attachment to the optic nerve may release, and this former attachment floats within the eye. As a result, the back surface of the vitreous that floats within the eye casts a shadow onto the retina, producing eye floaters.

These changes can occur at any age, most often between ages 50 and 75 and for those who are very nearsighted or have had cataract surgery.

Rarely, but still possible, eye floaters can result from other eye surgeries or eye diseases, eye injuries, diabetic retinopathy, or crystal-like deposits that form in the vitreous among others.

Treatment of Eye Floaters

Benign eye floaters never require medical treatment. If they are bothersome, you can move them away from your vision by shifting your eyes. This move shifts the fluid in your eyes, and looking up and down is usually more effective than looking from side to side.

If eye floaters are so dense that they impact your vision, consult your eye doctor about a surgical procedure called a vitrectomy. During this procedure, the vitreous and its floating debris are removed and replaced with a salt solution. Risks associated with this procedure may include: retinal detachment, retinal tears, or cataracts. The likelihood of these risks is rare, but if they occur they can result in permanent damage. For this reason, most surgeons do not perform a vitrectomy unless eye floaters are causing an extraordinary visual handicap.

An alternative procedure is laser vitreolysis, a much safer alternative to a vitrectomy for eye floater treatment. In this in-office procedure, a laser beam is projected into the eye through the pupil and is targeted on large floaters. During this process, the laser beam breaks the floaters apart and vaporizes them so they disappear or become much less bothersome. Consult your doctor to determine whether this procedure is right for you. Considerations may include age, how quickly your symptoms started, what your floaters look like, and where they are located.

For patients under age 45, the floaters may be located too close to the retina and can’t be safely treated with laser vitreolysis. Patients with sizable eye floaters located farther away from the retina are ideal candidates for the procedure.

What Types of Doctor Should I Consult?

If you develop eye floaters, schedule an appointment with a professional trained in the diagnosis and treatment of eye disease. These include ophthalmologists and optometrists.

An ophthalmologist is a medical doctor who specializes in eye and vision care. They can deliver total eye care, including performing a complete eye examination, prescribing eyeglasses and contact lenses, diagnosing and treating eye diseases, and performing surgery on the eyes and areas around the eye.

An optometrist is a doctor of optometry. Licensed by the individual states to practice optometry, optometrists can perform an eye examination and can determine the presence of vision-related problems. They can also prescribe eyeglasses and contact lenses. Depending on the state they are licensed in, they may be allowed to treat eye diseases and prescribe eye drops for various conditions, but they are not trained or licensed to perform surgery.

No matter your eye health issue or the help you’re seeking, the team of ophthalmologists and optometrists at Advanced Eye Medical can help. Get in contact with us today.

The Future of Eye Care

The Future of Eye Care: Where We’re Headed

The eye care industry is an exciting one, as it is always innovating. As more advanced technologies progress, the standard of eye care has improved in kind. So what’s next for the future eye care? Here are some advancements you can expect.

All about Image

Imaging technology is continuing to thrive in the eye care world. With better imaging technology, eye doctors are able to spend less time taking measurements, and can concentrate on patient management.

Another amazing advancement in eye care is digital retinal photography. The retina is one of the most important eye structures to assess during an exam, and this type of camera holds a library of images that the patient can see, and these images can also be consulted for future visits. Plus, this technology is a huge step in being able to diagnose diabetic retinopathy earlier.

Catching It Early

Since eye technology is getting so sophisticated, early detection is much more common. This type of technology includes optical coherence tomography (OCT). As a result, the retina can be viewed in exceptional detail, and doctors can go deep beneath the layers of the retina to detect potential diseases earlier.

OCT is a non-invasive test that does not take long to administer. This test is convenient for opticians as well as patients, as they are able to cater a management plan for the patient. This technology takes 3D images of the retina, and takes such detailed measurements that eye doctors are able to treat potential retinal diseases such as macular degeneration, macular edema, and the previously mentioned diabetic retinopathy.

OCT can also diagnose diseases located in the optic nerve. This exam can easily see changes that occur in the optic nerve, and if there is cause of concern, they can detect diseases such as glaucoma at its earliest stages. Plus, OCT prevents patients from having to make a rush to the emergency. Certain doctors share their findings with ophthalmologists working in hospitals and their own patients, so this gives the patient more knowledge about their condition.

Convenient Contacts

Imaging isn’t the only technology that’s advancing. Your everyday contact lenses are becoming more convenient for clients. This is because the latest technology in contact lenses allows for them to be more comfortable to use while improving vision. These lenses are able to correct patients’ long-distance and near-sighted vision, and are especially useful for elderly patients.

Contacts are generally preferred by patients as opposed to glasses. Since contacts are used so often, it is important to ensure contacts are simple to use in order for patients to see more clearly. Specifically, the latest in contact lens technology is lenses that slow down myopia (short-sightedness) from developing in children. This is huge news for children who struggle with their vision, and will shape how it improves in the next few years. Even though there is no preventative measure for myopia, reducing the amount it progresses will help ameliorate eye disease later in life.

Another benefit of emerging contact lens technology is something convenient for many patients: anti-allergy contact lenses. These lenses are not only effective when it comes to wearing contact lenses and accounting for allergies – they also have the capability to monitor both diabetes and glaucoma.

The world of eye care is definitely the one to watch, with new innovations being developed constantly. At Dr. Ghosheh’s Advanced Eye Medical, we are thrilled to implement the latest technologies. Our team always stays up-to-date so our patients can receive the best eye care possible.

Unknown Eye Diseases

Top Unknown and Rare Eye Diseases

Eye conditions and diseases can occur in patients both young and old, for numerous reasons. While some are known, many lesser-known conditions can result from disease, genetics, tumors, or trauma. Among these, lagophthalmos, ptosis, anopthalmia and other conditions can often result from an uncommon eye condition.


Patients affected with lagophthalmos are unable to fully close their eyelids, and may experience dry and irritated eyes. Causes can include:

Bell’s Palsy is a condition that causes paralysis of one side of the face. Lagophthalmos develops on the affected side, and sufferers often develop severe dry eye, which can lead to permanent vision loss if not corrected.

Eye Trauma and Tumors may cause damage to the facial nerve responsible for proper eyelid closure and the blink reflex. Skull fractures and eyelid surgical procedures can also cause damage to this nerve. Rare tumors, such as acoustic neuromas, can also lead to lagophthalmos.

Infectious Diseases such as lyme disease, chickenpox, mumps, polio, leprosy, diphtheria, and botulism can all cause lagophthalmos in patients.


Ptosis occurs as a drooping of the upper or lower eyelid. This condition can cause eye fatigue, double vision, and trouble blinking. It often develops as a result of aging, but may also be credited to the following causes:

Congenital Defects can present themselves at birth and may be caused by abnormalities in a person’s inherent anatomy.

Trauma and Neurological Disease can affect the muscles responsible for lifting the eyelid.

Eye Surgery involving the nerves and muscles of the eye rarely cause ptosis.

Anopthalmia and Micropthalmia

Anopthalmia and Micropthalmia are very rare conditions that are both caused by congenital defects. They can also be the result of enucleation or evisceration after a severe traumatic event. Micropthalmia is the underdevelopment of the eye, whereas anopthalmia is the complete lack of eye development. Both of these present an issue when the cause is congenital, and can be treated with orbital eye surgery.


Glaucoma is an eye condition that occurs as a result of damaged optic nerves. The optic nerve is responsible for the transference of visual information to the brain, which eventually makes it possible for you to see. This damage occurs as a result of high pressure inside the eye, which could lead to partial or complete blindness.

The pressure originates from the aqueous humor, the fluid of the eye that is continuously formed. It fills the front of the eye and goes out through the cornea and iris. If the passages are blocked, then natural pressure of the eye shoots up. Eventually, this pressure damages the optic nerves, causing this condition.

Subconjunctival Hemorrhage

Subconjunctival hemorrhage occurs when blood gathers under the transparent tissues of the eye. Many tiny vessels, in millions, lay as a carpet on the surface of the conjunctiva and the space between the sclera. When one of these vessels burst, it causes the flow of blood. This condition does not affect the vision, but is rare in nature.


Nevi develops with a mole on the eye. It can occur anywhere on the eye – the front, around the iris, on the colored part of the eye, and beneath the retina in the back of the eye. This condition is rare and typically harmless, but some can develop into cancers. Medical check-up is essential if diagnosed.

Additional Unknown Eye Diseases

Bietti’s Crystalline Dystrophy is an inherited disease that causes crystals to develop in the cornea, as well as yellow deposits on the retina, and may cause progressive vision loss. Symptoms may include visual field constriction and night blindness, and at this time, there is no solution for this rare disease.

Retinoblastoma is a type of cancer that forms in the retina. It usually occurs in children younger than 5 years, and it is sometimes hereditary. Although it is life threatening, it can be treated with surgery if diagnosed early enough.

Retinitis Pigmentosa is a progressive degeneration of the retina. Common symptoms include night blindness and a loss of peripheral vision. At this time, there is no treatment, but the use of Vitamin A may slow down the progression of this condition.

Coloboma is a condition that is caused by a lack of development of one or more structure of the eye. The missing structure can be part of the eyelid, lens, macula, optic nerve, or uvea. No treatment currently exists for this condition, but using corrective lenses and treating complications can reduce the negative effects of this condition.

If you’re concerned you may be suffering from a possible eye health problem or you just want to have a checkup, contact Dr. Ghosheh at Advanced Eye Medical.

7 Steps to Eye Care

Eye Care: 7 Essential Steps to Looking after Your Eyes

Looking after your eyes is crucial in maintaining strong vision in the long-term. There are many ways in which you can take care of your eyes, and all of these strategies are very simple. Here are 7 essential steps to looking after your eyes.

1. The Importance of a Healthy Lifestyle

Keeping your body healthy in general has a positive influence on your eye health. If your immune system is strong, the chances of developing an eye infection are much slimmer. Even if you do develop an eye condition, the recovery time is much quicker and the odds of contracting another eye infection are less likely.

There are a few components to a healthy lifestyle. These include proper diet, regular exercise, vitamin intake, and getting adequate sleep.

A diet that has a positive effect on your eye health is one low in cholesterol and trans-fatty acids. It also helps to eat a well-balanced diet with the proper vitamins, minerals, carbohydrates, protein, vegetables, and fruit. You can also take vitamins and nutritional supplements to further enhance your health. Vitamins have proven benefits due to the high amount of antioxidants.

If you get at least 30 minutes of exercise three times during the week, this is a tremendous step in assisting eye health. It can prevent diabetes, which can lead to eye conditions, as well as glaucoma and macular degeneration.

Getting enough sleep is one of the most important things you can do for your health. Improper sleep can lead to eye fatigue, which causes irritated eyes, trouble concentrating, and many other eye issues. Adults need approximately 7-8 hours of sleep every night, so do your best to get in enough sleep time.

2. Keep Your Eyes Safe

Being mindful of eye safety will protect your eyes. Eye damage can be caused by physical, chemical, or radiation injury. Always wear protective eye gear and pay attention to your surroundings.

3. Get in Your Eye Care Exercises

If you engage in regular eye exercises, this can improve your eyesight and prevent eye issues like nearsightedness and farsightedness. They can also improve your focus, strengthen your eye muscles, and maintain your current level of eyesight. Talk to your optometrist about eye exercises you can practice to help enhance your vision.

4. Don’t Forget Your Eye Checkups

To keep on top of your eye health, it is crucial to get in your regular eye checkups. Even if you have perfect vision, it’s always good to err on the side of caution and get a comprehensive exam by an eye care professional. This will help prevent or treat potential future eye conditions like glaucoma and age-related macular degeneration. Make sure to follow up on your eye exam every 2 years.

5. Practice Good Habits

If you’re a regular wearer of contact lenses, you’ll want to take the proper steps in practicing good eye care habits. Here are some tips that you’ll want to follow:

  • Never wear contacts longer than 19 hours
  • Never sleep with your contacts in
  • Do not swim while wearing contacts (unless you are wearing goggles)
  • Always follow the instructions on wearing contacts
  • Wash your hands before inserting your contact lenses or handling them in general

Another useful eye care tip is to remove your makeup at the end of the day. It is essential to never go to bed with eye makeup still on as it will cause irritation and even sometimes an infection. Sleeping with eye makeup can also clog your pores around the eyes which can lead to further eye issues. If you have trouble remembering to take off your makeup or are too tired, keep some eye makeup remover pads or toilettes near your bed.

6. Find the Right Pair of Sunglasses

It is important not only to wear sunglasses, but to wear sunglasses with the proper UV protection. When buying a pair of sunglasses, make sure it says that the lens blocks 99% to 100% of UVB and UVA rays.

If your eyes are exposed to the sun for too long, this can do irreversible damage to your eyesight. UV ray exposure to your eyes has also been known to lead to conditions such as cataracts, macular degeneration, pinguecula and pterygium. What you may not also know is that it’s important to wear sunglasses while you are in the shade. You are still exposed to the UV rays in shade that is reflected off buildings, so it’s best to wear those shades even if you think you are more protected out of the sun.

Even if you are sporting shades, never look directly at the sun. The sun’s rays are so powerful that they can harm areas of the retina that are more sensitive.

7. Cut Down on Technology Time

Screens from technology can strain your eyes. If you make it a habit of looking at your computer, tablet and phone screens constantly, it may be good to take a break. Staring at screens for too long can cause eye fatigue and dry eyes. Giving your eyes a rest is, overall, beneficial to your health, so cutting down the time used on technology will have a positive impact on your lifestyle.

We hope these tips will give you some ideas on how you can best protect your vision. If you’re concerned you may have some eye health issues or just think it’s time for a checkup, get in contact with the friendly staff at Advanced Eye Medical.