1888-914-EYES

Blog

How Diet Can Prevent Age-Related Macular Degeneration

How Diet Can Prevent Age-Related Macular Degeneration


The National Institute of Health (NIH) conducted a landmark study called the Age-Related Eye Disease Study (AREDS) that followed nearly 5,000 patients for more than a decade.  The patients’ dietary habits were examined as part of the research.  Patients eating the highest amounts of leafy greens such as kale, collard greens and spinach had a 40% reduction in the likelihood of developing age-related macular degeneration (ARMD). Further, the same risk reduction was found in those patients eating fish high in omega-3 fatty acids such as salmon at least twice a week.

Lutein and zeaxanthin are members of the carotenoid family and are present in large amounts in leafy greens.  These compounds are concentrated in the macula, the part of the retina needed for sharp central vision.  Omega-3 fatty acids are present in the macula as well.  Interestingly, for those of you wondering about carrots and eye health, no beta-carotene was found in the retina, debunking the myth that eating carrots is good for your eyesight.

In patients with macular degeneration, taking a supplement that contains lutein and zeaxanthin (AREDS-2 formula vitamins) reduces the risk of the macular degeneration progressing.  There has not been a study that shows that omega-3 supplements prevent macular degeneration, although eating fish can.

In those patients without macular degeneration wanting to keep their eyes healthy, a diet rich in leafy vegetables and fish containing omega-3 fatty acids is recommended.

Source:  The Relationship of Major American Dietary Patterns to Age-Related Macular Degeneration, American Journal of Ophthalmology, July 2014.

Dr. Michelle Akler

Akler Eye Center, Michelle Akler, M.D.

 

Posted in Best News In Sight | Leave a comment

Our Time At ASCRS Conference 2015

Dear Patients, Friends and Family,

I just returned from the annual meeting of the American Society of Cataract and Refractive Surgeons (ASCRS). One of my favorite parts of the meeting is the Innovator Session, where cutting edge research from around the world is presented. In this issue, I will share some of these exciting developments with you.

An Update From ASCRS

The Charles D. Kelman Innovator’s Lecture is named for the physician who created the original phacoemulsification machine; this device is the basis of modern cataract surgery. This year the lecture was given by an outstanding Japanese ophthalmologist, Shigeru Kinoshita, MD, PhD. The talk was titled “Novel Treatment Dimensions for Corneal Endothelial Dysfunction”.

The cornea is the clear window on the front of the eye. The light must pass through the cornea and the lens before focusing on the retina in the back of the eye. On the back layer of the cornea there are endothelial cells. The job of these cells is to pump water out of the cornea, thus maintaining its clarity. If there are not enough cells, the cornea becomes cloudy. Currently, the only way to replace corneal endothelial cells is with a surgery called a corneal transplant.

Dr. Kinoshita has developed a growth media for corneal endothelial cells in the lab that allows him to reproduce these cells. He has injected these reproduced cells into the eyes of human subjects, and the cloudy corneas became completely clear. He can reproduce enough cells from one donor cornea to treat 199 patients with cloudy corneas who would otherwise require a corneal transplant.

This represents an amazing development in the treatment of patients with Fuch’s Dystrophy and other conditions causing corneal blindness. I look forward to the technology being introduced in the US.
Source: ASCRS Innovator’s Session, April 20, 2015

Akler Eye Center and the Community
Dearborn Heights Spirit Festival
Join Us June 10th, 10am – 2pm
Canfield Community Center

Dr. Michelle Akler
 

 

 

 

Michelle Akler, MD

Posted in About Akler Eye, Best News In Sight | Leave a comment

Presbyopia Treatment in the Detroit Area, A Remedy For Reading Glasses?

Learn about your options for presbyopia treatments at our Detroit area eye surgery centers

When it comes to reading glasses, you do have options in Michigan with Akler Eye Center

Welcome spring!  I hope the weather soon catches up with what the calendar is telling us!  I did see a crocus on a walk the other day – always welcome after all that cold and snow!  This month I’ll be sharing information about a new treatment for presbyopia – the loss the ability of our eyes to focus up close as we age.

One of the commonest eye conditions I discuss in the office is the blurry near vision that all of us experience at some point after age 40.  This condition, known as presbyopia, is caused by the lens inside the eye becoming less flexible as we age.  This creates difficulty seeing up close for near tasks including reading, using cell phones, and seeing computer screens clearly without reading glasses.

A thin ring-like device known as a corneal inlay is being investigated in the United States to reduce the dependence on reading glasses in presbyopic patients. The ring is called a KAMRA inlay and is 3 mm in diameter with a 1.6 mm hole in the middle.  The device is implanted in the cornea, the clear tissue on the front of the eye in a 10 minute outpatient procedure.  The inlay acts like a camera aperture, adjusting the depth of field so both near and far can be seen without wearing reading glasses.

Presbyopia treatment detroit

KAMRA corneal inlay next to a contact lens

In a study of 507 patients with presbyopia, the ring was implanted and the patients were followed for 3 years.  In 83 percent of eyes the patients were able to see 20/40 or better both at distance and reading.  This is considered the standard for being able to read a newspaper and drive a vehicle without glasses. The device can be removed should complications occur.

The KAMRA and several similar devices are available in other countries such as Europe and Asia but are not yet FDA approved for use in the US.

Source:  American Academy of Ophthalmology 118th Annual Meeting, October 2014

Dr. Michelle Akler

 

 

 

Michelle Akler, MD
Detroit Area Presbyopia Surgeon

Posted in Best News In Sight, Reading Glasses | Leave a comment

A New Year…Looking Into 2015

As any frequent reader of my blog knows, I love to start with a quote.  This year I’ve chosen to go simple with a quote from Charles Kettering – “Every time you tear a leaf off a calendar, you present a new place for new ideas and progress”.  In this age of electronic devices, that calendar leaf is probably on your iPhone or Android, but the idea resonates.

winter 1_1

I am very excited to be entering my 4th year at Akler Eye Center and my 16th year practicing ophthalmology.  Our practice is constantly evolving and changing, and the new year gives us a chance to both look back at what has been accomplished and look forward to what we can achieve.  In the last 4 years I have integrated femtosecond LASER technology into both my LASIK and cataract practice resulting in excellent visual results for my patients.  In the coming year I hope to continue to be a leader in the Metro Detroit area in both LASIK and cataract surgery.  Akler Eye Center will also continue to offer comprehensive care in all ophthalmic areas including diabetic eye examinations, glaucoma management, macular degeneration management and management of dry eyes.

I have written before that the greatest gift the practice of medicine has given me is the ongoing relationships I have developed with my patients.  I hope 2015 affords me the chance to enjoy the relationships I have as well as forge many new ones.  I wish all of you a happy and healthy new year!

Michelle E. Akler, MD

Posted in About Akler Eye, Cataract Surgery, LASIK | Tagged | Leave a comment

Dry Eyes in Detroit’s Fall Weather? LASIK is still an Option


Lasik for dry eyes in detroitI love the early fall – the colors, apple cider, the crisp air.  As the humidity drops, though, dry eyes become more problematic for many patients, especially contact lens wearers.

In our Detroit LASIK Surgery practice, one of the most common questions asked is whether having dry eyes eliminates the possibility of LASIK vision correction.  The answer is: generally LASIK can be successful even in patients with dry eyes.

At Akler Eye Center, we perform a comprehensive LASIK evaluation that includes obtaining detailed information about dryness in the eyes, eye allergies, and contact lens intolerance.  During the examination, a test called a Schirmer tear film test is performed to assess the amount of tears being produced.  The cornea (clear window on the front of the eye on which LASIK is performed) is carefully examined for dry spots and the tear film is assessed.

Once the evaluation is complete, I will review all of the findings with you to determine which procedure is best suited to your eyes based on the examination.  Generally speaking, if the dryness is mild to moderate, LASIK can usually be done.

Although worsening of dryness is a common side effect of LASIK, it is usually temporary, and patients are often more comfortable afterwards than they were in their contact lenses.  If the dryness is more severe, sometimes treatments are recommended preoperatively to improve the tear film and corneal surface.

These can include punctual plugs (tiny plugs placed in the part of the eyelid that drains the tears from the eye) or Restasis, a prescription eye drop that increases the tear production.  If the dryness is unresponsive to treatments, patients may opt to have a surface treatment (PRK) instead of LASIK.  PRK is a safe alternative to LASIK which is associated with less long-term dryness than LASIK.

I have been performing LASIK since 1999, and I never tire of seeing all the happy faces at the 1 day postoperative appointments.  It is a life-changing procedure, and with all the advances in care is an option even for patients who in the past may have been told they were not candidates.

Enjoy this lovely fall weather before winter sets in.  Let’s hope this one is more forgiving than last year! If you suffer from dry eyes, contact our Detroit area laser eye surgery location in Dearborn or Sterling Heights office today for a free consultation.

Michelle E. Akler, MD

Posted in LASIK | Leave a comment

Throwback Thursdays – Appreciating our Teachers

MEA&Dr.JohnsonIn my mind, I’m still about 21 years old – hip, current, on top of all the trends.

However, learning to function in today’s world of social media has taught me again and again that I’m not as current as I would like to believe.

What does TBT mean anyway?  It took my receptionist, currently a college student, to set me straight.  #Throwback Thursdays!!  So that’s the reason for all the baby pictures!

It has been 15 years since I completed my ophthalmology training at the University of Colorado Health Sciences Center, now known as the Rocky Mountain Lions Eye Institute.  I will always be grateful to all my mentors who gave me the foundation on which my practice rests today.  They patiently guided me from a novice doctor to a confident surgeon and instilled in me the importance of lifelong learning.  In a field that’s changing at such a rapid pace, the best lesson taught to me was to never become set in my ways and to be open to new ideas.

As for my #Throwback Thursday photo, here is one of me and David W. Johnson, MD, my program director in Colorado, circa 1999.  Thank you for believing in me and growing me into the physician I am today.  Now, back to the future – off to learn how to use #Tumblr!

Michelle E.  Akler, MD

Posted in Uncategorized | Leave a comment

Three Years Later

Last evening I attended a women’s philanthropic event in our community. The keynote speaker was Laurie Ann Goldman, the CEO of Spanx. I love hearing what strong, powerful women have to say about being a good leader in both their professional and family lives. When Ms. Goldman stops to reevaluate, or “reset her personal GPS” as she calls it, she asks herself three questions: am I doing what I love? Am I still learning? Am I leading as well as I can? On the eve of the three-year anniversary of Akler Eye Center’s inception, it is a good time for me to take a breath and ask myself these questions.

Am I doing what I love? Yes, absolutely. I feel privileged to work in a field where I am making a difference in patients’ lives every day. I believe Akler Eye Center patients can feel the passion I and my team have about providing state-of-the art ophthalmic care, and often comment that they have never had such a positive doctor’s office experience.

Am I still learning? In the ever-changing field of ophthalmology, the learning can never stop. In the past year I continued to hone my skills performing femtosecond laser cataract surgery and ORA intraoperative aberrometry, while simultaneously implementing electronic medical records into our practice.

Am I leading as well as I can? Depending on the day, my staff and my family may have different answers. What I do believe is that I model what my expectations are of those around me – setting long-term goals and working hard to achieve them.

Ms. Goldman also noted that to lead effectively, you have to grow and stretch like an elastic band. As I look forward to the next 3 years, I promise my family, friends, staff and patients that I will keep reaching and stretching. I can’t wait to see what happens next.

Michelle E. Akler, MD

Posted in Uncategorized | Leave a comment

A Medical Education

Blog from the American Society of Cataract and Refractive Surgery Annual Meeting
San Francisco, CA

“Live as if you were to die tomorrow. Learn as if you were to live forever” –Mahatma Ghandi

One of the greatest gifts of my chosen profession is the opportunity we have to meet at one of our national meetings and learn from each other. Speaking one-on-one with innovators in ophthalmology, sharing challenging cases with colleagues and learning new techniques from one another allows Akler Eye Center to stay at the forefront of ophthalmology.

This year, the range of topics is broad, from advances in laser-assisted cataract removal to injection of retinal stem cells in patients with advanced retinal diseases. I have learned many things about delivering quality, cost-effective, premium medical and surgical ophthalmic care that will directly benefit my patients. I look forward to implementing new medications, techniques and protocols in our office so that I can continue to provide the type of care all my patients expect and deserve.

But that’s for tomorrow. Tonight, I’m off to the ASCRS film festival awards ceremony. No, it’s not the Academy Awards – but for an ophthalmologist producer, it’s the next best thing!

By: Michelle Akler, MD

Posted in Uncategorized | Leave a comment

New Year’s Day Blog

I start my first blog of 2013 on this icy-cold January morning with a quote from John D. Rockerfeller – “If you want to succeed you should strike out on new paths, rather than travel the worn paths of accepted success”. This embodies the Akler Eye Center approach for 2013 and every year that follows. From our inception almost two years ago, we have always strived to be a different ophthalmology practice – one where the patient always comes first. The affirmation we have received from the communities we serve shows that we have filled a needed void in eye care.

This year, we are thrilled to be one of the few practices locally to offer LASER-assisted cataract surgery – an extremely safe and minimally invasive procedure. We continue to be leaders in LASIK surgery in Michigan offering a full range of LASIK options including customized all-LASER LASIK. Our embracing of state-of-the-art technology coupled with the personalized care provided by myself and my experienced team is what sets us apart, and our drive to always be better is why we succeed.

I look forward to seeing you and your family and friends this year. I wish you all a happy and healthy new year!

By: Michelle Akler, MD

Posted in Uncategorized | Leave a comment

The Art of Listening

Listen

  1. To make an effort to hear something
  2. To pay attention; heed

In a recent news magazine I read an article titled “The End of the Doctor-Patient Relationship”. The piece detailed how our relationship with patients has eroded due to time pressures as we try to see more and more patients in a day. Patients complain of feeling rushed by harried doctors who don’t take the time to make a personal connection with their patients or offer an explanation of their condition in language that is easy to grasp.

I just returned from a national ophthalmology meeting where I heard leading experts in my field speak on the latest developments in cataract and refractive surgery. The excitement was palpable as we learned about advances in LASER-assisted cataract surgery, and new devices to measure and treat many common eye conditions. However, all the technology in the world cannot mend a doctor-patient relationship that lacks trust.

From its inception, Akler Eye Center has been a practice where individualized care is prized. By carefully listening to my patients’ complaints, I can perform a directed examination and selectively order tests only if they will help me diagnose or manage the patient’s condition. By offering detailed explanations of conditions and treatment plans in layman’s terms, I believe my patients are more likely to comply with my management suggestions and therefore positively impact their visual results. As medicine becomes more and more technology driven, time and patience are perhaps the most valuable resources that we, as physicians, can give to our patients.

By: Michelle Akler, MD

Posted in Uncategorized | Leave a comment
Loading
Center map
Traffic
Bicycling
Transit

Your Free Consultation

Join over 20,000 people who trust Dr. Akler with their eyes