Doctor Kisling || Celebrating Three Decades of Caring For Fort Collins Eyes

November 22, 2009 By Leave a Comment
Happy Eye Doctor Patients Ft Collins

Ft Collins Optometrist | Visit Our Friendly Office

2011 Will be a year to celebrate for our Eye Care / Optometrist Practice in Fort Collins. I have had the honor of serving the Ft Collins Community since 1985. Over that time we have performed eye exams, fit contact lenses and eyeglasses, and treated eye diseases for thousands of residents in Northern Colorado. We always welcome new patients into our office and provide the personal type of eyecare service your family deserves. I have developed several special areas of interest and expertise over the years, some unique to the Fort Collins Eye Doctors community. Fort Collins Contact Lens Specialists:What an exciting field the contact lens arena has been the last decade. We have seen the revolutionary introduction of the silicone hydrogel super breathable contact lenses, now in their fourth generation. They offer great eye health advantages and vastly improved contact lens comfort. Contact Lenses in the Fort Collins low humidity environment can be very challenging to fit. We now have soft contact lenses suitable for the Fort Collins humidity available in toric astigmatism formats. Just this last year multi-focal contact lenses have become available in Northern Colorado made of the same materials. We also have expanded services to cover fitting more patients with difficult eye problems like kerataconus with contact lenses. So many new options have become available; daily disposable contact lenses, 30 day overnight wear contact lens, new gas permeable contact lenses, deposit resistant contact lens coatings, and safer & easier contact lens solution regimens. This is truly the Golden Period for contact lenses.

Dry Eyes and Contact Lenses
Dry Eyes and Contact Lenses

There is relief available for dry eyes-contact our office for an initial evaluation at (970) 226-0959.Dye Eye Syndrome is Epidemic in Fort Collins and increasingly so in all of the country. An aging population, dietary changes, and changes in the workplace are driving the dry eye epidemic. Today there are treatments for dry eyes that work. This an area of expertise we are rapidly expanding in new directions of treatment. If you live in the Ft Collins area and suffer from burning eyes, contact lens discomfort, feelings of gritty or itchy eyes, or transient blurring of your vision while wearing contact lenses, you may be able to have a remarkable improvement in your quality of life with the appropriate diagnosis and treatment for dry eye syndrome.

Eye Exams Ft Collins

Eye Exams Ft Collins

We provide all the extra time you need for a comprehensive eye exam. Fort Collins residents are not different from other areas of the country, we all worry about getting the wrong prescription from making mistakes during an eye test. We eliminate that concern completely. We first test your eyes with an eye computer that determines your prescription with no answers required from your side. You only need to look at a small target and hold your head still for about a minute! No

Eye Health Vision Exams

Eye Health Vision Exams

questioning which is better one or two-it is all automated during this part of your eye exam. Next we do ask those one or two questions when you sit behind the phoropter, the mask like instrument in the picture above. You are free to request that we slow down or repeat the comparison of lenses at any time during your eye exam. I always want my patients to feel like they are free to ask for whatever they need to feel comfortable with the final prescription we arrive at. If you need more time than we have scheduled you can reschedule for a second or third eye examination absolutely free. All of those one’s and two’s may seem confusing but it is more like tuning in a radio station. We go back and forth repeatedly verifying you are giving consistent responses to the same questions. Here is a secret eye doctors are loathe to reveal-sometimes the two different views are identical!So don’t feel bad if you really can’t tell the difference. I add a few extras to my eye exams when needed. Most Optometrists and Ophthalmologists no longer have the skill to utilize retinoscopy, the hand instrument technique that was used in the past. I use it frequently when a patient is having trouble telling the differences during the eye exam. This is also totally independent of verbal responses-and I go a step further. I will utilize readings from the eye computer and retinoscope before and after putting in dilation drops. These drops eliminate most of the variability in focusing that alter eye prescription readings. Even when children or adults are completely non verbal our testing sequence usually yields an eye correction of 20/20. Rest easy, we can provide you with an eye exam you can’t fail!

Eye Exams Are Fun!

Eye Exams Are Fun!

Other special concerns we address are:

  • Childrens Eyecare
  • Teens and Contact Lenses
  • Computer Vision Syndrome
  • Nutritional Eye Care and Supplements
  • Pinkeye
  • Lazy Eye (Using Drop Therapy to Save your time and money)
  • Vision Problems after Head Injuries
  • Glaucoma-Glaucoma Treatment, Borderline Glaucoma, Glaucoma Diagnosis open angle versus closed angle, New Generation Prescription Glaucoma Eye Drops to minimize eye discomfort and maximize ease of use, latest Eye Doctors Glaucoma Advice for Eye Nutrition and Supplements for Glaucoma.
  • Unique Eyeglass Selection-Frame styles to fit your lifestyle-Prescription Sunglasses to protect your eyes from harmful ultraviolet radiation, new frame materials that twist and flex or are designed to be much more resistant to breakage, cutting edge designer fashion eyewear, we can find what you need even if we don’t carry it-.
  • Here is another seceret Eye Doctors and Optical Retailors Don’t want you to know-Quality Eyeglasses can be purchased for a reasonable price! No we usually don’t keep that on display but we have worked out a special arrangement with our suppliers to provide quality eyeglasses for Fort Collins at a reasonable price. It is not cutting edge design but they are attractive frames. And they are not the type of eyeglasses that you purchase three pairs for a low fee and have no pairs after they all break three months later!
  • Eye Glass Lens Technology: We always on the lookout for new innovations in eye care products- fourth generation eyeglass lenses anti-reflection coatings to reduce glare and improve your night vision, new generations of line free bifocals to increase reading areas, lens designs for computer eyestrain,and ultra thin lightweight lenses with innovative technology to assure clear optical properties.

Appointments? Call (970) 226-0959

Insurance? We take care of the paper work and participate in most vision insurance plans including VSP Vision Service Plan

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Visit our other Web Page at: Harmony Eye Care Ft Collins

Chlidrens Eyes are Special

Chlidrens Eyes are Special

Fort Collins Eyeglasses

Fort Collins Eyeglasses

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Chase Credit Cards-Worlds Worst Customer Service

January 13, 2012 By Leave a Comment

Worlds Worst Credit Card-Chase

Who has the distinction of having the worst customer service in the credit card industry. IMHO Chase wins that hands down! A company that does not care about their clientele reaches new lows on a daily basis. Go somewhere else.

In January 2011, JPMorgan Chase admitted that it wrongly overcharged several thousand military families for their mortgages, including active duty personnel in Afghanistan. The bank also admitted it improperly foreclosed on more than a dozen military families; both actions were in clear violation of the Servicemembers Civil Relief Act which automatically lowers mortgage rates to 6 percent, and bars foreclosure proceedings of active duty personnel. The overcharges may have never come to light were it not for legal action taken by Marine Capt. Jonathan Rowles, a fighter pilot. (Wikipedia)

Worlds Best Credit Card Company- Cabelas!

 

 

 

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Eyeglasses Go High Tech

November 16, 2011 By Leave a Comment

Eyeglasses Today Are Art And Technolgy

Hundreds of EyeglassesEye glasses have gone the way of cell phones. Remember that old cell phone that looked (and felt) like a brick? The one with the three foot antenna that was always threatening to poke out someones eye? Well if you are under the age of 30 probably not. But the rest of us have seen cell phone technology advance into the current generations of iphones and android devices.

 

Eye Glasses Like Iphones

Steve Jobs at Apple made the iphone into art combined with the latest technology. Eyeglass frames have undergone a similar revolution, and today’s high tech materials include exotic metals like titanium, rhodium, bubinga wood, and buffalo horn. Many of these materials combine cutting edge fashion with the ultra light weight and durability of modern material science. Some eyeglass frame lines come with sunglass clips that adhere from magnets, making a seamless transition to sunwear. The Silhoutte rimless eyewear frames weigh about the same as a couple of paper clips and are extremley durable, often lasting for years.

Hundreds Of Unique Frames To Choose From 

We provide one of the most unique eyeglass selections in Northern Colorado. Hand chosen for our patients, many of frames are exclusive to our practice. Whether you want form or fashion (or both), we want to help you be the”Apple of someone else’s eyes”.

 

 

 

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Mad Hatter Day

October 4, 2011 By Leave a Comment

Keep An Eye On Your Calender

 

Keep you eyes out for October 6th! Its Mad Hatter Day. Started in 1986 in

Boulder Colorado

it was developed by some bored computer programmers who were supposed to be developing Star Wars Technology. Someone reportedly spilled a Mt. Dew on a keyboard which of course shorted out launching three prototypes towards Iceland. The lead tech had reached for the Dew as it tipped but just missed it. Just short of launching Armageddon, the team was quite mad at him-to which he replied “I thought I had her”. 

A government observer commented on how mad everyone was in spite of the “Had Her” and, well the rest is history. Mad Had Her became Mad Hatter. Our survival is now celebrated as Mad Hatter Day.

Every top hat present will testify to the veracity of this story. If you don’t believe it, go on ahead-you will get to the top of it at some point in the future!

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How Long Can You Use Eye Drops?

September 19, 2011 By Leave a Comment

To Use or Not To Use (Opened Eye Medications)

Can you keep using those old eye drops and when should you throw them away? It is not the easiest question to answer but there are some guidelines.

Eye drops come in single use containers (small plastic vials with twist off caps) and in multiple dose bottles. The multidose bottles normally contain preservatives to prevent contamination. Frequently dropper tips touch the eyelids or countertops if you are not very careful. That point of contact can contaminate the bottle with bacteria. Preservatives are added to help overcome any inadvertent contamination. Preservative taken over the course of years can damage some of the surface cells on the eyes tissues and contribute to dry eye syndrome and red eyes. Preservative free single use eye drops have been developed to circumvent this problem, but they come with a hefty price tag.

Refrigerators And Eye Drops-Cool Or Not!

Most prescription eye drops are OK to use for 30 days after opening if they are kept refrigerated. Most bacteria are inhibited below 40 °F and above 140 °F. (The listeria bacteria that have been in the Colorado news of late are an exception since they thrive in cooler environments). Not only does refrigeration inhibit bacterial growth but it also helps maintain the stabilty of the drops and prevent them from degrading into other compounds. One study found the glaucoma eye drop Lumigan was much more stable than the well known xalatan drop at room temperatures. For people with glaucoma that spend frequent time traveling, eye doctors may prescribe an eyedrop like Lumigan when refrigeration is unlikely to be available. For about every 20 &deg:F rise in temperature drugs double in their instability. One thing to keep in mind is that refrigeration does not stop bacterial growth, it only slow it down. Prescription eye drops can become contaminated from bacteria inside of foods and refrigerators so it may not be the best choice for drops that are used only on a short term basis- and you should keep that thing clean anyway!

Who Knows What Really Lurks In Older Eye Medications-The Government And They Are Only Guessing!

Most prescription eye drops have a range of concentrations that are effective in killing bacteria. The potency of antibiotics is usually based on complex calculations that may not be accurate. A few drugs like tetracycline actually degrade to products that increase the resistance of bacteria to treatment. Determining shelf life is no easy task so the FDA tends to err a little on the conservative side. Eye institutions like Mooresfield Hospital in the UK frequently prepare unpreserved multiuse drops for special, severe eye infections. They have tested the sterility of these drops over the years and found that non preserved drops are typically safe to use for a week when refrigerated. Most studies indicate that multiuse preserved eye drops are good for 1 month after opening when refrigerated. 

The rule of thumb is a week for non preserved multidose drops that are kept refrigerated and 30 days for preserved multidose drops that are kept refrigerated. A study of cycloporine, the same eye medicine found in restasis for dry eye treatment, also indicated 1 week when refrigerated. The formulation was slightly different, and restasis is approved as a single time use per vial. Some eye doctors allow their patients to use the same vial for 24-48 hours. 

When you have opened eye drop prescriptions it is best to discard them after 30 days. As always, you should ask your prescribing optometrist first before using any eye medications in a manner that has not been through a formal approval and testing process. And clean that refrigerator!

Filed Under: Eye Diseases, Uncategorized Tagged With: , , , , , , , , ,

Eyes Herbs Supplements Questions

September 13, 2011 By Leave a Comment

Are Eye Supplements Safe?

Almost everyone takes some form of supplements these days. Many things fall under the definition of supplements including herbs, vitamins, minerals, enzymes, and a host of other categories. These supplements categories were laid out in the Dietary Supplement Health and Education Act (DSHEA) by congress in 1994. They must be labeled as dietary supplements and ingredients, and not as food or medicine. This act changed supplements from being regulated as food items to a new class. So are they safe?

The Manufacturing Company Is Now Responsible For Eye Supplement Safety Instead Of The FDA

It is the manufactures responsibility to make sure existing supplements are safe and that any assertions made are true and not misleading. There are no requirements for testing or FDA approval for exsiting supplements. While herbal manufacturing companies have liability for any problems that arise from the use of their products, that is something that occurs after the fact. New supplements are required to undergo a review process. The issue underlying this procedure is the lack of a defining list of existing supplements. Since the manufacturer is responsible for determining if the dietary ingredient is new or if it was previously found in food, there is realistically no guarantee of a review for new supplements. The Good Manufacturing Practices Regulations were passed in 2007 to assure the purity, quality, and content of supplements. While it provides a process for record keeping and inspections the mainstay of quality control is dependent on the reports of adverse events or complications arising from the use of a supplement.

Vision Supplements Are Still A Buyer Beware Market

You can check for adverse event reports at Dietary Supplements – Adverse Event Reporting. Being informed about the products you are taking and the reputation of the company is probably the best assurance you can find about their safety and usefulness. Your eye doctor can also be a resource for finding the best brands available.

 

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B&L Recalls Eye Drops

August 22, 2011 By Leave a Comment

Bausch & Lomb Recalls Eye Drops

Bausch & Lomb recalled lot number 507521 of its Murocel® Methylcellulose Lubricant Ophthalmic Solution, USP 1% eyedrops in July 2011. If you have been using this drop check the recall date and lot number. Only one lot is being recalled:

Lot Number: 507521
UPC Code: 3 24208 28015 7
Expiration Date: 1-31-2012

 

Call Your Eye Doctor If You Have Any Eye Irritation

The preservatives may not work as expected and the drops are being recalled to avoid possible eye infections. If you have eye drops with this lot number you can contact Bausch & Lomb at:

1-800-553-5340

No compliccations from use of this eye drop have been reported, but if you are using this lot and have any eye redness, discomfort, or decreased vision you should call your eye doctor immediatley.

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Contact Lens Cure For Nearsightedness

August 4, 2011 By Leave a Comment

Nearsightedness Controlled With New Contact Lens Technology

On June 30 2011 the Myopia Control With Simultaneous Vision Approach Clinical Study was registered as complete at ClinicalTrials.gov. This double blind study involved 100 children testing a contact lens designed to slow the progression of nearsightedness (myopia). Optometry researchers have been studying the interaction between central deatailed vision and peripheral vision. Eye doctors have found defocusing peripheral vision with specially designed lenses can reduce progression of nearsightedness in animal studies. Now we are awaiting the results of this clinical vision study with children.

Optometry Study On Controlling Myopia In Children With Contact Lenses

Vision researchers at the Hong Kong PolyU School of Optometry were led by optometrist Carly SY Lam in studying the effect of simaltaneous multifocal contact lens wear on the progression of myopia in children. Simaltaneous bifocal contact lenses are currnetly used for contact lens patients over the age of 40 that can no longer focus clearly for near vision. The current generation of multifocal contact lenses correct aging eyes presbyopia by presenting near and distance vision images at the same time, or simultaneously. The brain learns how ot adapt and focus only on the distance required, while ignoring the other image. The images are typically produced by a central zone for one distance and the surrounding part of the lens for the range needed. It sounds complicated but with todays contact lenses about 75% of the over 40 crowd will be successful with this type of contact lens option. Children are even more flexible and readily adapt to unusaul visual conditions.

The lens in this study was referred to as a “Defocus Incorporated Soft Contact (DISC) lens”.-also as a “simultaneous vision bifocal soft contact lenses with myopic defocus to control the progression of myopia”. It is undoubtably very similiar to the type of contact lenses we use today when patients start complaining that their arms are too short.

CIBA Vision Future Bifocal Contact Lens To Prevent Nearsightedness?

Several players appear to be poised to take advantage of this type of technology, CIBA Vision (now Alcon) for contact lenses and Ziess for the eyeglasses version. While the outcome of the trial has not been published yet, there appears to be forward motion in the industry and I believe we can expect a blockbuster product in the near (or nearer) future. WIth nearsightedness effecting close over 1 billion people in the world and growing, the market is enormous. The consequences of myopia go far beyond requiring corrective contact len or eye glass wear. The elongation of the eye from nearsighted changes results in significant blindness and visual problems within the myopic population. Research has been forwarded by the Vision Cooperative Research Centre (Vision CRC) in Australia led by optometrist Brien Holden and the University of Houston under Dr. Earl Smith.

The US National Institue of Health provides the registry and results database of federally and privately supported clinical trials conducted in the United States and around the world. The registry can be found at ClinicalTrials.gov. where over 100,000 trials are currently listed in the database. It is important to note that clinical trials do have limitations. There are two major criteria listed:
(1) Trials need to be in conformance with any applicable human subject or ethics review regulations (or equivalent)
(2) Trial need to be in conformance with any applicable regulations of the national (or regional) health authority (or equivalent).


International research publishing standards help keep honesty in the system. Regulations and standards can still vary by country so all clinical trials should be taken as just that, trial findings. That being said, I believe this will prove to be one of the largest changes in optometric care we see in our lifetimes.

Filed Under: Contact Lenses, Nearsighted -Myopia, Uncategorized Tagged With: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Eye Drops For Macular Degeneration

August 4, 2011 By Leave a Comment

Macular Degeneration Eye Drops On The Horizon

Eye drops instead of injections into the eye may sson become the standard way of treating wet macular degeneration by eye doctors. Squalamine, derived from the livers of certain shark species, is being put on a fast track clinical study. It has been used as an antibiotic in the past, but it also has properties that interfere with the growth of new blood vessels. 

Wet  Macular Degeneration Eye Damage Is Caused By Blood Vessel  Growth

When blood vessels grow rapidly in the choroidal tissue under the retina, the damage to vision can be fast and severe. These blood vessels leak resulting in damage and scarring of the retina. Anti vascular edothlelial growth factors (Anti-VEGF) are substances used to inhibit the expansion of these blood vessels.  Avastin  has become the most common anti-VEGF treatment for wet macula degeneration, and it requires ongoing injections into the eye. Due to the anti-VEGF nature of  Squalamine, it has been tried in the past to restrict the new blood supply to growing tumors. Now it looks like it may be used by eye doctors to help prevent the damage new blood vessel growth creates in macular degeneration. 

Eye Drops Instead Of Injections For Eye Doctors And Patients

With luck, we may see eye drops being used by optometrists to treat macular degeneration before 2012 is over. Because many people have a strong aversion to any type of injection in or around their eyes, these new eye drops may help prevent blindness and save a lot of eyesight with people much more willing to seek treatment from their eye doctor. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Contact Lenses To Treat Eye Allergies

July 5, 2011 By Leave a Comment

Acuvue K The Contact Lenses For Itchy Eyes


Contact lenses are about to enter a new realm as drug delivery devices.  While a number of applications are expected, Acuvue may be the first off the block with an antihistamine releasing lens. In 2007 Vistakon,  the manufacturer of the Acuvue lens family, sponsored a clinical study of healthy patients wearing a lenses with ketotifen.  Eye doctors followed over 300 patients and evaluated for any complications over a period of 12 weeks while they wore the lenses. On June 23 2011 the final comments were added.

Acuvue K-Lens For Eye Allergies Appears to Be A Safe Contact Lens

There were two serious problems in people wearing the Acuvue K contact lenses. One patient had to be hospitalized for gastrointestinal problems and another for a nose fracture from a fall. I believe it is unlikely these were related to the contact lenses but time will tell.  Statistical analysis of the results has not been made public but it appears that every marker of eye inflammation measured was not significantly changed by the contact lenses.  Ketotifen is the same anti-allergy drug found in the over the counter drops Zaditor and Alaway.

Itchy Red Eyes Are Only The Beginning!

Eye allergies can  diminish the quality of life when they are severe and constant. All eye drops share the common problems of accurate and prolonged dosing over time. A single drop may be blinked out and/or the amount your eye receives may last for a very short duration. By adding drugs to contact lenses eye doctors should be able to assure a steady dosage over long periods.

Many eye diseases may show much higher response rates when they are delivered in contact lenses. Glaucoma, eye infections, and uveitis (inflammation inside the eye) are probably going to be treated with contact lenses in the near future.

Someday you may even be told to take two contact lenses and call in the morning!


Filed Under: Contact Lens Problems, Eye Allergies, Uncategorized Tagged With: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
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