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Talk with the Doc Facebook Live Q&A
Featuring Elizabeth Schwartz, O.D. | Quigley Eye Specialists

Dr. Liz Schwartz discusses the top five common eye words you’ve heard, but never truly understood.

Automatically generated transcription below:

Okay, I think we’re live. Are you ready? Okay. Hi, guys. Hi. I’m Doctor Liz Schwartz, part of. Oops part of Quigly Eye Specialists and I have my trusty team right here. I have Lordes, Missy, and Linda. And we’re here to speak about five of the most common eye words you’ve always heard. But maybe you’re not really sure what they are. So let’s get started. So Doctor Schwartz. Yeah. What is 2020 vision? Okay. So 2020 vision happens to be the way we quantify our vision, How we see our visual acuity. Most people don’t realize that it’s actually a fraction. We’re the top number, the numerator, is the testing which is 20 feet. That’s a standard. That’s constant. What changes is the denominator which is the bottom number and that actually indicates how we’re seeing. So, the bottom number being 2020 actually means that that’s what the average person would be seeing at 20 feet. If the vision is now twenty forty, that person is actually seeing two times worse than the person with 2020 vision and that means that at 40 feet, the normal person could see something that that person would only see at 20 feet Does that make sense? It sure does. Okay, cool. Alright, what do I say? I have a question. Yes, Linda. These are cataracts. Okay. So, thank you very much. So, cataracts is another term that I’m sure everybody’s always heard of but they’re not really sure. So, what the heck is a cataract? So, I have my trusty little eye model here which I love this thing. So, this is a model of the eye. I’m going to take it apart so you guys can see the inside. If it wants to cooperate and maybe. Yeah. Oh, wait. There goes. Okay. So, basically, this is your eye, right? So, the front part here, that’s the cornea. That’s where your contact lens will sit on. And then, you have the iris which is the color part of the eye and then, just posterior to that is this little guy. So, this is the lens. So, everybody is born with a lens in our eye and that is as we get older, that lens, sometimes becomes cloudy, gets cloudy, it’ll pacify, yellowed, and when that happens, we term it a cataract. So, cataract something that we need to address if and only if it affects vision and when it affects vision, if we can’t help you with glasses anymore, then, we think of cataracts surgery. And when did that help? That’s intel. Thank you for answering my question. Okay. Well, I have a question of course too. So, what it actually is glaucoma? I’ve heard about it but what is it? Very good question. So, glaucoma, unlike cataracts, is an ocular disease. So, with glaucoma, not everybody will get glaucoma cataracts. Everybody gets cataracts. They’re like wrinkled and gray hair but glaucoma is actually a disease process that happens in the eye where we look at four different things. We look at family history. Absolutely. Thank you. Uh we look at family history. We look at the optic nerve appearance. We look at what’s called the intraocular pressure which is after the pressure that’s in the eye, the system and blood pressure and we look at something called the visual fields. So, that actually measures your peripheral vision. So, with glaucoma, it’s asymptomatic. So, if you got forbid did have glaucoma, you would have no symptoms. You have no way of knowing. It doesn’t affect your vision. It affects your peripheral vision. So, at the very end stage of glaucoma, you lose your peripheral vision. So, death center is always nice and intact. It’s just a side vision that kind of goes so can so if my relatives have glaucoma, am I likely to get glaucoma as well? Is that a great question, Missy? Um well, you have a genetic predisposition predisposition to having this. So, with the knowledge of the fact that the genetics are there, you should definitely get your eyes checked every single year just to be sure that everything is checking out perfectly. So, yearly eye exam is what’s best at all practices. 100%. Okay. Well, okay. So, if I go to the doctor and I’m in the and they say, do you want a refraction? What what does that mean, doc? Another big question. Okay. So, refraction, people also confuse refraction for dilation. So, a dilation is when we actually put in some drops in the eyes and then actually opens up the pupil or dilated. So, I get a better look at the back of your eyes. A refraction is that fun part of an eye exam where basically, I am putting little instrument in front of the eye color. It’s like a pair of binoculars. It has a whole bunch of lenses inside and I’m asking you to the fun, famous session, which is better. One or 2. This one or this one. And so that’s how we determine the best prescription for you in a pair of glasses if you need glasses. That’s what our attraction is. So, do most people need glasses eventually, maybe? Well, generally speaking, yes, at some point, one, or another, you need glasses either for reading. As we get older, all of us need some help with magnetification, generally speaking. Unless you’re nearsighted. So, if you’re nearsighted, it’s just like the word says, you’re near sight. You can see mirror. You can’t see far. I can’t see far when I’m near sided, correct? So, whatever’s hiding, you can’t see a plus. Exactly. Oh, okay. Good. Exactly. That’s so exciting. I never confused it because it actually is what the word says it is. So, that’s how that’s how that works. Okay. Well, that was, thank you, doc. That’s finally the questions I’ve been having a long time. So, that’s great. Awesome. Know that. My pleasure. And I have another question. Okay. So, I have a little spider that comes to visit all the time inside my eyeball. Really? It just comes and says hello and then it goes away. What is it? I can’t take it away. What is going on? That’s exploding there. And it kind of moves as your eye moves. Yeah. And you’re like, where is this guy? We’ve become friends but Is it, I have no idea. Yeah. So, basically, what what Lores is describing is a floater. So, floaters are very common lordes. It here’s my eye again. So, in the eye, right? So, we went from the cornea, the iris, the lens, and if we take the lens out, this big glove of clear gel is called the vitrious. So, the vitrious is made up mostly of water but it also has collagen and protein and as we age, sometimes we get becomes a little bit more liquefied. So, as it becomes liquefied, sometimes you get these little strands of the as they kind of are still attached. So, as you move your eye, it kind of moves with you but that’s what a floater is. That being said, if you get new floaters or sudden onset or an increase in the floaters that you have or flashing lights up as well, you want to make sure that it’s not a retinal tear or retinal detachment. So, floaters are normal but you want to be sure to come in to rule out a retinal tear or retinal detachment. Perfect. Thank you so much for that. You’re welcome. So, we’ll continue to be friends with Spider and I. Yeah, you can him, you know, say, hey, how’s it going? Here we are. We’re just going to Charlotte. Yeah. Yeah. I like that. She’s famous. Yeah Perfect. Awesome. Let’s see. Do we have any questions? Yeah. I don’t know. This is our first time doing a live. So, sorry for the technical difficulties but I hopefully we remedied it. your tendon frown. Okay. Anyone have any questions? Angelus is awesome. There is. Hey, Stevie B. Yeah. Sherry, is that the Steve says, you’re awesome. Steve Broner, we go way back. Hey, Steve. Hi, there. Welcome to Nicole and Delia. How do you feel? Amelia. It’s in the drop down. Okay, here we go. Yeah. Yeah. You need some glasses? I I I know. You’re like a doctor. That’s cool. Does anyone have any questions? Let’s see. and you guys will always come in and come visit us. Make an appointment and come see me. So, just just to summarize a little bit while we wait for some questions. Mm hmm. If I see new of my little spider friends and flashes of light or something covering my vision, definitely come in right away. Don’t wait. Yeah. Yeah, that’s actually a medical emergency. You want to make sure there’s anything new or different? Should they go into like the ER or an urban care? What is, that’s a great question, Lorna. It’s like, thank you. No, actually, I hate to say this but yes, the ER Urgent Care, they’re really not in a position to see and diagnose a retinal tear, detachment, posterior vitri attachment, all these things. You need the proper instrumentation that you can find in our office or any other type of optometric or ophthalmology office for sure. Yeah. Great question. Nicole wants to know if your supplements, if you recommend any supplements for support. Oh, that’s a great question. Yes, excellent question. Yes, so the two really big components you want to try to incorporate into your diet are lutein and zeaxanthin. Yup. Those two carotenoids are excellent and can find those in green leafy vegetables, in berries. You can find them in specific eye vitamins as well. I actually have a little. Oh, do we have anything here too? We are at the illegal location, the new Quiglia Specialist on Alico. This is a right off corporate commerce. Corporate Commerce 164 31. Suite 104. Come see us right on the corner of Aliko and Treeline. Mm hmm. Yes. Exactly. We’re just north of FGCU. is LASIK? Someone wants to know? Chris Trueblood would like to know what is Lasik? Excellent question. So, Lasik is a laser surgery procedure that can help people that are nearsighted. So, by doing an actual procedure to the cornea, the front of the eye, we can change the curvature of the corneas so that when light hits the eye, it actually is hitting on the retina as opposed to in front of the retina. So, people are nearsighted. The reason that they’re Seeing clearly without glasses is because when light hits the eye, it’s going, let me see. Yeah, I want to go this way. When light’s hitting the eye like this, you want light to hit on the retina right back here. If light is not hitting here, if it’s hitting in front of the retina, that’s when you’re near sighted and so the actual changing of the corneal curvature with Lasik can change how light gets refracted once it hits the eye so that the light gets focused right in on the retina. Great question. Lord Go ahead. Yeah, Lord. it’s finally show. We have this. the camera. Alright. You can see that we’re new with this. So, just bear with us. That makes it fun, right? Right. That can laugh with us. We’re just not at us. and we sell these gummies here at all of our locations. Um exclusively and it has everything that you need for the eyes. Not only the front of the eye but also the back. So, it’s good for dry eyes, health, and macular health as well. Yeah, I also I love the eye vitamins. Not only for all of us as we age but also for elite athletes. Anything that you can do to enhance your vision. So, contrast sensitivity becomes better. comes, it’s a very important thing. Anything you could do to help yourself, why not? Yes, of course. So, is there any more questions? Oh, Oh, you’re welcome, Nicole. Yes. Can cataract surgery be performed twice? Lens implants too. Good question. So no, cataract surgery. Okay. So, in a cataract surgery, going back to my little model here, you’re actually taking out the cataract which is what the lens has become opacified. That’s what the term is. So, once you remove the cataracts, then, what they put in is an intraocular lens which goes right into that little area here and once that, it’s like a contact lens. So, once that lens is inside the eye, it’s there. What can though. Sometimes after cataract surgery is you can develop what’s called the secondary membrane which can kind of obscure the vision as well. So, with that, then, we go in with the laser. It’s a very easy, simple, in-office procedure where the laser actually will kind of disrupt all of those cells and and the opacifications but once that’s done, it’s done. So, it’s a one and done kind of. Yup. Great question. Thank you Delia. Yes. Alright, excellent. Think we’re good. What do you call? Yeah, yeah. Alright, I think how do we do for our first time? So, I’m sure we’ll be back soon. It was nice. Yeah, come visit us at Lulico. Alright. So, we have another question. Oh, we have one more. Thank you. Is there a procedure that corrects everything when you need glasses to see near, far, within astigmatism? Well, thank you. Okay. So, but it depends. If you do cataracts surgery, we give you different options as to the different type of intraocular implants that can be put in. So, basically, they, yes, they can correct distance, reading, astigmatism, the whole nine yards, and you can be glasses free. Yes. depending on the overall health of the eye as well. Of course. Yeah. Every case is unique of course but generally speaking the the ability to do it is definitely there. Mm hmm. And you can call two three nine four six six twenty20 to schedule your appointment with Quigley Eye Specialist with Doctor Liz Schwartz. Yes. Thank you guys. Okay. Let’s see. Bye. Thank

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