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COVID-19 –  What Constitutes an Eye Care Emergency? 

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An eye care emergency is defined as medical care for conditions requiring prompt medical attention due to a sudden change in ocular or visual health.

Eye trauma, chemical exposure to the eyes, foreign objects in the eye, and ocular infections are all considered eye emergencies and should be given immediate medical attention. If you have an eye emergency, it’s critical to get immediate care in order to avoid permanent damage to your vision.

While some may opt to visit an emergency room for an eye injury, research shows that most emergency room visits for eye emergencies could have been treated by an experienced optometrist. Furthermore, going to the hospital for an eye emergency during the coronavirus pandemic isn’t the fastest or safest way to treat the problem; the hospitals are already overloaded and you risk catching the virus during your visit.

Dr. Cynthia A. Cieszko, OD can offer personalized treatment for a wide range of eye emergencies and other ocular conditions. Call Perimeter Eye Group for further instructions or call the number provided in the voicemail.

What Is an Eye Emergency?

Eye emergencies refer to any sudden onset of symptoms or obvious eye trauma that affect vision. These emergencies range from severe eye pain or vision loss to a sudden blow to the eye or chemical exposure. Call us if you experience any of the following:

  • Eye pain
  • Bleeding of the eye
  • Blood in the white of the eye
  • Swollen or bulging eye
  • Vision loss or double vision
  • New eye flashes or floaters
  • Pupils that are unequal in size
  • Severe photophobia (light sensitivity)
  • Being hit in the eye
  • Bruising around the eye
  • Eye discharge
  • Suspected eye infection
  • Severe burning, stinging, itching eyes
  • Scratched or cut eye or eyelid
  • Split contact lenses in the eye
  • A piece of broken eyeglass lens in your eye
  • Foreign object stuck in the eye

If you’re uncertain whether or not your condition is an emergency, contact Perimeter Eye Group immediately.

What Should I Do If I Have An Eye Emergency?

If you have a cut or foreign object in your eye, or if you suffered from other forms of eye trauma, DO NOT:

  • Rub your eye
  • Attempt to remove any foreign objects embedded in the eye
  • Use tweezers or swabs in your eye
  • Put any ointments or medication into your eye

First Aid for Eye Injuries

Refer to the following guidelines to prevent any long-term vision loss or eye damage.

Chemical Exposure

If a contact lens is in the eye, do not attempt to remove the contact lens using your fingers. Instead, flush saline solution or water over the lens immediately as it may dislodge the lens. Contact lenses can trap harmful chemicals against the cornea, causing unnecessary damage.

Seek emergency medical care promptly after flushing.

To avoid eye exposure to toxic or abrasive chemicals, always wear protective eyewear and use caution when handling these types of products.

Foreign Objects

Although your first instinct may be to rub your eye to get the foreign object out, try to resist the urge–as rubbing can further damage the eye.

If the object isn’t embedded in the eye, you may try to remove it by flushing it out. First, wash your hands with warm water and soap to prevent contamination or infection. Then, flush the eye thoroughly with clean water or preferably saline, if available. You can also try to induce tearing by using your fingers to gently lift the upper eyelid over the lower eyelid. Causing the eye to tear may flush out the foreign object.

If the object is visible, and not embedded on the eye, you can try to gently wipe it away with a damp, clean washcloth.

Seek immediate medical attention if the above methods do not work.

Blows to the Eye

To treat a black eye, apply a cold compress to decrease swelling and support healing. Use the compress for 5 to 10 minutes at a time, allowing the eye to rest between applications. A cold compress can be made by wrapping a bag of peas, or other soft frozen items, in a clean cloth.

Never place ice directly on the skin; use a clean cloth between the skin and ice.

Call Dr. Cynthia A. Cieszko, OD immediately if you notice any of the following symptoms after the eye is impacted:

  • Changes in vision
  • Persistent or increasing pain
  • Bleeding or any blood on the outside or inside the eye
  • Any visible difference to the appearance of your eyes

Cut or Puncture to the Eye

This type of injury always requires immediate medical care, so after you call us, make sure to follow these precautionary measures to avoid further injury:

  • Don’t attempt to remove something embedded in the eye
  • Don’t wash the eye or eyelid
  • Try to shield the eye with something protective, for example – use a pad of cotton wool as an eye shield and tape it to the surrounding eye area

If you have an eye emergency, don’t delay treatment. Timing is everything — the earlier you get treatment, the less vision damage you’ll have over the long term. Take immediate action by contacting Perimeter Eye Group today. Dr. Cynthia A. Cieszko, OD will treat any eye emergency you have or refer you to specialized care (i.e. surgery), as needed.

Perimeter Eye Group serves patients from Atlanta, all throughout Georgia .

In loving memory of Dr. Sinyoung Jun

With our deepest condolences, we regret to inform that our caring, loving, Dr. Sinyoung Jun, has passed away too soon. Dr. Jun practiced at our office for more than 10 years, and established many positive relationships with our patients that will be cherished for many years to come. Our family stays strong in the belief that she brought much joy and care every day with her.

Dr. Jun and her family will be in our hearts and prayers.

Why a New Pair of Glasses Is NOT the Best Holiday Gift for Your Child

girl hugging her present 3154363If your child is nearsighted (myopic), it may seem like a great idea to get him or her a new pair of glasses. They will surely improve how well your child sees but, unfortunately, will do nothing to slow myopia progression. You can offer your child MUCH more than a pair of specs — something that will ensure long term vision health care and quality of life: Myopia Management.

Myopia Management is made up of several treatments designed to slow down how quickly myopia, or shortsightedness, progresses. In other words, their prescription will remain the same as they grow older. The treatments include uniquely designed multifocal contact lenses, atropine eye drops, and orthokeratology (“ortho-k”). Evidence suggests that myopia management can reduce the progression of myopia by up to 60% after two years of treatment.

What Makes Myopia Management An Excellent Gift?

Currently, myopia is among the leading causes of permanent vision loss and legal blindness.

As a child quickly develops and their nearsighted vision worsens, the child is at a higher risk of developing dangerous eye diseases later in life, such as retinal detachment, macular degeneration, glaucoma, and cataracts.

To thwart any of these sight-robbing conditions, The Myopia Center at Perimeter Eye Group offers evidence-based treatment to prevent the onset or reduce the progression of myopia in our pediatric patients.

Myopia management enables your child to experience a more mild form of myopia than he or she would have otherwise had without treatment. Having mild-degree myopia means that your child’s likelihood of developing retinal detachment or macular degeneration is dramatically reduced.

So why don’t you make this holiday gift a particularly special one by protecting your child’s precious gift of sight. And the best part? It will pay off well after the holidays are over.

On behalf of Dr. Cynthia A. Cieszko, OD and the staff at The Myopia Center at Perimeter Eye Group in Atlanta, we’d like to wish you all the best for the holiday season and the New Year!

November 10 is World Keratoconus Day

World Keratoconus Day FB Post
November 10 will be the fourth annual World Keratoconus Day. Keratoconus is an eye disease in which the eye bulges and its shape becomes less spherical, leading to potentially significant loss of vision. Symptoms can also include sensitivity to light and red, puffy eyes.

Sometimes, a cornea transplant is required in order to treat the eyes. Often, however, patients will make use of specialty lenses (such as scleral lenses, rigid gas permeable lenses, and hybrid lenses) or cross-linking (a minor procedure involving eye drops and ultraviolet light) to obtain the clearer vision. Regular contact lenses are often too ineffective and uncomfortable for patients with keratoconus to use.

Modern research is showing that keratoconus may be far more common than we had believed. It affects those of all ethnic groups and genders, usually manifesting itself in early adulthood. People from communities worldwide experience life with keratoconus, and Atlanta is no different.

At Perimeter Eye Group, we offer treatment to keratoconus patients from the greater community. Being very familiar with the challenges of life with keratoconus, we join together with friends around the globe in celebrating Keratoconus Day. This annual event is a great opportunity to raise awareness of keratoconus and the treatments available to those who have it.

If you or a loved one would like to be examined for keratoconus and other eye conditions or to discuss treatment options, call us or schedule an appointment. Click here to learn more about keratoconus and the treatments we offer for it.

Blinking and Dry Eye: The Clear Connection

Dry Eye Syndrome Affects Your Blinking

Ever notice that when you blink your eyes, your vision goes out of focus?

Blurry vision does not necessarily mean that you need new glasses. In fact, a very common cause of blurry vision is called dry eye syndrome. Often confused with eye allergies, when your eyes fail to produce tears with the right balance of oils, here eyes can become irritated, red, and even itchy. Over time, this can, in a severe case of dry eye, even affect your vision and make things blurry.

Nearly every week, Perimeter Eye Group sees patients who complain about the following:

  • Driving at night is difficult
  • Very light-sensitive
  • Glare from bright lights can be painful
  • Eyes are constantly red
  • Watery eyes are teary eyes
  • Continuous eye rubbing

While not everybody suffers from dry eye syndrome, there are certainly a number of shared symptoms that can indicate dry eye. One of the telltale signs, however, is when you blink and your vision goes to the focus. Because your vision is dependent on the quality of your tears, any imbalance will tend to disrupt the way your eyes can focus and receive light.

Dry Eye Specialist – Eye Doctor in Atlanta

If you have noticed any of the following symptoms such as blurry vision or red eyes, schedule an appointment at Perimeter Eye Group for a complete eye exam and dry eye evaluation.

woman holding eyeIs It Eye Allergies or Dry Eyes?

Eye Allergy and Dry Eye symptoms tend to be very similar. They both include redness, itchiness, tearing, and a gritty or burning sensation in the eyes.

 

Is it really an allergic reaction, or could it be Dry Eyes? Before running to the pharmacy for some antihistamines, it would be worth digging into the cause of these reactions in order to assure that you’re choosing the right treatment option.

If you’ve been using artificial tears, prescription allergy medication, or other over the counter medicine to relieve the itchy, dry feeling, but see no improvement— it may be worth visiting the The Dry Eye Center at Perimeter Eye Group and speaking with Dr. Cynthia A. Cieszko, OD, who can provide a diagnosis and solution for your condition.

What’s the Difference Between Eye Allergies and Dry Eyes?

Eye allergies, also known as allergic conjunctivitis, occur when the eyes react to elements that irritate them (allergens). One can develop eye allergies from pet dander, dust, pollen, smoke, perfumes, or even certain foods. To fight off the allergen, the eyes produce a substance called histamine, which causes the eyelids to become red, swollen and itchy — and at times to tear and burn. Those with eye allergies tend to experience nasal allergies as well, which include an itchy, stuffy nose, along with frequent sneezing.

People with Dry Eyes suffer from eyes that feel dry, itchy, swollen, irritated, and at times very painful. Dry eye syndrome can be developed as a result of genetics, age, environment, lifestyle, medications, and the overall health of your eyes. When one has dry eyes, the eyes are either not producing enough tears to keep your eye lubricated, or the tears are not composed of the correct balance of water, lipids, and mucous to maintain proper lubrication.

How Are Eye Allergies and Dry Eyes Treated?

eye drops

Eye allergies can be treated using artificial tears, medicated eye drops, decongestants, antihistamines, or anti-inflammatory medications. Depending on your specific case, Dr. Cynthia A. Cieszko, OD may recommend a combination of treatments.

However, if it is determined that you have dry eyes, Dr. Cynthia A. Cieszko, OD may suggest artificial tears or lubricant eye drops to alleviate the discomfort, and in some cases, may even prescribe drops or steroids. For patients with more acute cases of dry eyes, the doctor might suggest alternative treatment options, such as LipiFlow, True Tear, TearCare or scleral lenses.

If you’re suffering from any of the above symptoms, speak with , who will examine and thoroughly assess the source of these reactions, determine whether they are caused by allergies or Dry Eyes, and provide the right treatment.

The The Dry Eye Center at Perimeter Eye Group services patients from Atlanta, Sandy Springs, Brookhaven, Dunwoody, and throughout Georgia .

Your Child’s Eye Exam & Their Future

Preparing for school means new school supplies, meeting new friends and teachers, and ensuring your child visits their eye doctor for an eye exam. Although schools may offer vision screenings within a few weeks or days of the new school year to ensure a child doesn’t struggle with poor visual acuity, none of the staff or even trained nurses check for visual problems, such as binocular vision and accommodative eye skills that play a significant role in near vision. Children who develop reading problems may have passed vision screenings yet were never examined by a professional optometrist.

Another benefit of coming to our practice is that we specialize in myopia management. Traditionally, the only way to handle nearsightedness or myopia progression in a child is to increase the prescription, often resulting in thicker glasses. Over a few years, a child will end up jumping from a low prescription of -.5 or -1 to a high prescription of -3 or worse! Unfortunately, high myopia has been identified as a lead cause for eye disease in old age, such as macular degeneration, cataracts, glaucoma, and even retinal detachment. A person can be 3-4x at risk for eye disease from having a prescription of -4 compared to someone with a low prescription.

Why does myopia cause eye disease?

Although LASIK surgery can help you see without eyeglasses, once a person’s eyes have worsened to a low prescription, the shape of their eye has elongated to a point that leaves the retina in a precarious state. Laser vision correction merely corrects the surface of the eye, but without preventing myopia progression, the damage has already been done. Therefore, the only way to safely secure one’s vision from greater risk is myopia management, in other words, taking steps to stop progression in its tracks.

What should a parent consider for their child’s next year at school?

Come to our practice and schedule an eye exam with our eye doctor, Dr. Cynthia A. Cieszko, OD. We’ll not only evaluate the child’s complete eye health, but we’ll guide on the proper steps to slow myopia progression. We have methods through specialty contact lenses to stop advancing myopia, but often we’ll educate parents on how to slow progression through good habit building.

  • Children need 2 hours of outside play. Build their long-vision muscles!
  • Reduce screen time
  • Practice the 20-20-20 Rule.
    • Take a break from close vision work every 20 minutes,
    • Then look at something 20 feet away (or further)
    • Spend at least 20 seconds doing this before returning to your close-up work.

We look forward to seeing you and your children and getting the entire family prepared for the new school year with confidence & healthy vision.

Spring Dry Eyes

woman applying eyedroppers, close upSpring is a time of renewal, when the harsh winter is just a memory and the outdoors seem to beckon us to go outside. While spring may be in the air, so are allergens. Allergies during the spring season can cause dry eyes and have a particularly severe effect on people with Dry Eye Syndrome.

During the spring months, pollen, pet dander, mold, and dust can be found in the air. These airborne allergens can trigger uncomfortable reactions like itchy, red, and watery eyes, as well as sneezing and sinus congestion. At The Practice Name Dry Eye Center, we can offer you long-term relief for your seasonal dry eyes.

How Do The Seasons Affect Dry Eyes?

Although certain people with sensitivities to allergens may be more prone to allergic reactions, the seasons of the year can trigger these responses, too. In the winter, for instance, dry eyes can develop in people who live in climates with a lot of dry, cold air or strong winds. Sitting in direct aim of a heater may feel wonderful when it’s cold, but it can also dry out the eyes. In the summer when the heat is intense and people run their air conditioning systems regularly, dry eyes can develop from being in the direction of cold air.

A 5-year study found that 21% of the 3.4 million visits to an eye doctor during that time were related to dry eyes. Each year, there was a peak during April, proving that there is a likely correlation between allergens and dry eye cases.

Common Symptoms Of Seasonal Dry Eyes

The most common symptoms of dry eyes in the spring are:

  • Blurry vision
  • Burning
  • Gritty feeling
  • Itchiness
  • Redness
  • Stinging
  • Soreness
  • Watery eyes

It may seem odd, but watery eyes are a frequent symptom of dry eyes. It’s the body’s way of trying to self-heal the dryness by releasing excess tears, a condition called Keratoconjunctivitis Sicca (KCS). This condition gives some relief, but because these tears contain an inadequate amount of water, the relief is temporary and more long-lasting options are needed.

If you’re experiencing any of these symptoms, schedule an appointment with The Practice Name Dry Eye Center. We have the knowledge, years of experience, latest technologies, and effective solutions to give you relief for your dry eyes this spring season.

Relief For Dry Eyes In The Springtime

Close up of blue eyeDry Eye Doctor Name treats patients from all over CITY 1, State who are suffering from seasonal dry eyes. Depending on your specific case and the intensity of your symptoms, the doctor may recommend daily artificial tears or lubricant eye drops to alleviate the pain. These can stimulate your eye’s natural tear production to moisturize the eyes and provide comfort. In some cases, prescription drops or steroids can produce similar results.

For patients with severe types of dry eyes, the doctor may talk to you about punctual plugs. These are tiny devices that are inserted inside the tear duct. They block your tears from draining out, which forces them to stay in your eye, coating and moisturizing the area.

Have you heard about scleral lenses? These are contact lenses that are made from rigid materials and contain a tiny pool of water, which provides moisture to dry eyes. Scleral lenses have a large diameter that covers the entire sclera (white part of the eye) without touching the cornea, so they can fit more comfortably. Because each person’s eye is unique, scleral lenses must be custom-fitted for each patient.

When It’s More Than Allergies

If your symptoms persist long after spring is over, and especially if they worsen, this may indicate signs of a more serious eye condition.

Examples can include any of the following:

  • Blepharitis (inflamed eyelids)
  • Conjunctivitis (pink eye)
  • Corneal Abrasions
  • Dry Eye Disease
  • Styes (an oil gland infection that causes a bump in the eyelid

We hope you take the time to enjoy this spring season. Should you experience any visual discomfort or are naturally prone to dry eyes, contact Dry Eye Doctor Name and the caring staff at The Practice Name Dry Eye Center. We’ll examine your eyes and discuss your personal needs to create an action plan that’s right for you.



Prevalence of Keratoconus & Likelihood of Detection

Eye Doctor, Keratoconus Treatment in Kelowna, BC.

Ever wonder how common is keratoconus in Atlanta, Georgia ?
Do people simply develop keratoconus overtime? Is it genetic?

Keratoconus has been a very complex and elusive eye disease that continues to baffle the world of eye health. Still, recent advanced surgical procedures and specialty contact lenses can help keratoconus patients achieve relatively normal vision, although the costs are generally high.

In severe cases where a cornea transplant is required, a patient will need to recover at home for weeks or longer placing strain on the rest of the family and finances.

How likely is someone to end up with keratoconus?

Estimates suggest that 1 out of 2000 people suffer from keratoconus.
Some optometrists who work with keratoconus patients speculate the rate is far more common nearing 1 out of 1000. Keratoconus, regardless, is considered rare, and there aren’t many indications that pinpoint which person is more likely to develop keratoconus.

Keratoconus is most commonly diagnosed with:

  • African Americans
  • Males
  • Teenagers/Early 20s

Keratoconus means that the cornea has developed an irregular shape, often leading to light sensitivity, blurry vision, and the inability to wear soft contact lenses.

These symptoms can indicate keratoconus, but further examination by an eye doctor will best assess whether you have keratoconus. An optometrist would need to use digital imaging to assess the health of the eye’s surface. Some forms of digital imaging check inside the eye to review blood vessels, the retina, or macula to ensure the critical aspects of the eyes structure is healthy. A patient with keratoconus who skips digital imaging or receives the wrong form of assessment will often go undiagnosed or misdiagnosed for years.

In order to ensure the best care and earliest detection for keratoconus or any corneal irregularity, schedule your next eye exam with one of our eye doctors in Atlanta, Georgia , today.

Using a flex benefits and health spending account on Orthokeratology | Atlanta, GA

Do you visit your eye doctor every year to simply replenish your supply of contact lenses or find the most affordable pair of frames? Eyewear costs can vary anywhere from $500 to even $1,000 on average per year. But, did you know that some eye doctors can help you achieve true vision correction throughout the day without the need of glasses or contacts?

Flex Benefits in Atlanta, GAFor decades, the only form of vision correction that people knew about was laser vision correction or LASIK. However, some aren’t candidates for LASIK, while others don’t want to brave the risks associated with eye surgery. Therefore, many patients decide to spend their end of year benefits towards another pair of designer eyewear or contact lenses.

Fortunately, an effective form of non-surgical vision correction exists called Orthokeratology. Not only do you have the same benefits as LASIK, but ortho-k is a 100% safe alternative for adults and even children.

Discover Orthokeratology at

Plus, research has shown that orthokeratology effectively slows the progression of myopia in children and young teens keeping their level of nearsightedness stable. This ensures healthier eyes for years to come as well as a lower risk for ocular diseases, such as cataracts, glaucoma, and macular degeneration.

Because flex benefits or health spending accounts typically include an expiration date, many people feel rushed when making a decision about their eye care needs. We encourage our patients to schedule an ortho-k consultation or even a routine eye exam early on so that they can learn about the available vision correction options and make an informed decision.

The ability to see perfectly throughout the day is an incredible change that brings better eyesight, enjoyment, and freedom. Use your benefits for something special like Orthokeratology, today.