Concussions and Vision

Recently attended a seminar at Western University where they discussed concussions and how your vision is affected. Rancho Cucamonga Optometric Center 7211 Haven Ave, Ste A Rancho Cucamonga, California 91701 (909) 980-3535 www.ranchoeyedoctor.com

Screen Time for Kids

How is screen time is affecting kids vision.

Rancho Cucamonga Optometric Center 7211 Haven Ave, Ste A Rancho Cucamonga, California 91701 (909) 980-3535 www.ranchoeyedoctor.com

Angle Closure Glaucoma

Is it safe to dilate everyone's eyes? This video explains different cases in which it may not be safe. 

Getting The Prescription Right

It is very important to spend time with patients and get the prescription correct. We never rush through an exam and are very thorough.

A Patient Testimony

One of my patients gave a testimony on how our office helped save his life.

Rancho Cucamonga Optometric Center

7211 Haven Ave

909-980-3535

Rancho Cucamonga, CA 91701

Keratoconus

A patient came to see me and we ended up referring him to a specialist on Keratoconus.

Rancho Cucamonga Optometric Center 7211 Haven Avenue Rancho Cucamonga, CA 91730

Glasses for Computer Use

How many hours of the day are you sitting at a computer? Please ask our office for a blue lens which helps protect your eyes from the blue light emitted by screens. 

Keratoconus

Keratoconus, a condition in which the clear tissue on the front of the eye (cornea) bulges outward.

Archived On-line Radio Broadcasts

Over the previous few months, I was privileged to interview experts in the field of optometry and ophthalmology.  The areas discussed were very diverse.  These areas included macular degeneration and glaucoma, and concussions as they affect vision.  Areas related to severe injury to the eye as well as eye muscle surgery were discussed.  Lasik was also discussed by one of our guests.  In a totally different area,  vision problems were discussed.  Vision as relates to learning disabilities and sports performance were topics covered by several of our guests.  Areas including autism and Down’s Syndrome and being able to examine the infant were discussed.

To tune into these archived areas, please visit our website at www.ranchoeyedoctor.com.  There you would go to episode on demand and this will lead you to the particular guest.

I am really proud of these shows and I thin you will find them of interest. 

Enhancing Reading In A Cross-Eyed Patient

Several weeks ago I examined a young lady for nearsightedness.  Everything was normal.  She then started to tell me about her daughter who had eye surgery for a cross-eyed condition.  I told her the specialist whom she was seeing had a great reputation.  The eyes for the most part appeared straight.  I told the patient that I might want to see her daughter to see if there’s anything further that can be done.  I also mentioned to her that there were specialists at the Optometry School at Western University that could also help.

I subsequently examined her daughter.  The mom remarked that her daughter’s reading could be improved.  Her distant prescription she came in with was fairly close to what I found she needed.  However, when I placed an additional lens in front of these for up close, her reading increased significantly.  This would require the patient to wear a bifocal.  I am really looking forward to the results of her daughter’s performance in school.  I also told the mom that her daughter may need vision training to help improve her vision skills.

Another Great Reason For Practicing Optometry

A couple of days ago, a seven-year-old boy came in for an eye examination.  The mom came in with information from the school nurse as well as the history of her son.  The nurse at the school said the boy’s distance vision was about 20/50 and he had a lot of trouble focusing up close.  There was also a history of a non-malignant growth on the brain.  The mom said even though her son was in second grade, he was only reading at kindergarten level.  The school was developing a special individualized plan for his education.

When I examined the patient, I found him to be 20/20 in each eye and he responded to questions exceedingly well.  He perceived him to be very intelligent, well spoken and probably very frustrated.  When I checked his focusing ability at near (around 12″), he had a very poor focusing system.  I held a pair of lenses in front of him and checked his reading.  To the almost shock of the mother and my surprise, his reading ability was tremendously improved.  Most young patients don’t have this type of focusing deficit and response to this type of prescription,  but this patient did.

I get so excited when we are able to make such a dramatic change in an individual’s vision as well as performance.  I am looking forward to following up with this patient.

- Dr. Robert Rothbard

Personal Development

Over the last several years I’ve gotten so involved in my own personal development.  A good part of that is the immense amount of material presenting itself in the form of books, CDs and videos.  Books from authors like Jim Rohn, Darren Hardy, Napolean Hill, Andy Andrews, Tony Robbins and  are such a great source of information.  There are so many other authors also to choose from.  In addition to the books, there are CDs and videos that appear on Youtube that are immense in content.  In my opinion, it sure beats the heck out of listening to the news.  As stated by some of the above authors,  it’s just as important to fuel the mind with positive information as it is to fuel the body with nutritious food.

 As an optometrist, I feel so fortunate in working in a field I sincerely feel passionate about.  Most of this stems from the wonderful interactions I have with my patients, staff and the community.  I feel a lot of this has developed from listening, reading and learning from the above authors.

Patient Conditions

Technology plays such an important part in all our lives.  One of the neatest things is when I diagnose a condition concerning a patient, many times I can pull it up online and visually demonstrate the condition to the patient.  For example, if a patient is over wearing their contact lenses, certain findings on the corneal part of the eye can be seen by me with a bio microscope.  I can actually show the patient on the computer what their condition is.  Neovascularization or new blood vessel formation on the cornea can be very serious.  I am actually able to show the patient what this looks like.  Then the patient can realize what I’m concerned about.

Another condition that can be looked at on the computer is macular degeneration.  This demonstration to the patient is such a powerful tool in helping them understand their eye health and why they’re possibly seeing so poorly or why glasses can’t fully correct their condition.  There are a myriad of conditions that I can show the patient that are found online.  Cataracts or even the retinal effects of diabetes are just a couple of other eye conditions that can be viewed.

- Dr. Robert Rothbard

A Patient In Pain

A patient was referred to me from a friend of mine who’s a psychologist.  He was suffering from extreme headaches and shoulder pain.  He was receiving injections from his physician to help relieve the pain.  The psychologist wanted to know if there were a vision component to the pain.  In a nutshell the extreme discomfort the patient felt while viewing the computer was due to his visual condition and the set-up of his work station.

The patient was basically using single vision reading glasses even though he was in his 50′s and his computer was about two feet away from him while the text he was viewing was about 16″ away.  That meant the patient had to lean into the screen, constantly. OUCH.  Also the prescription he was using was different from what I found.  One last thing.  The patient had a small but significant distant prescription. that he was not prescribed for.

When I showed the patient the prescription (mounted in a trial frame) for the computer, you could see the comfort that ensued.  I am looking forward the patient receiving the prescription in the next week or two and seeing the results.

- Dr. Robert Rothbard