Wednesday, September 28, 2011


June of this summer heralded the advent of an unprecedented solution to corneal astigmatism correction beyond glasses and contact lenses.  Although laser vision correction such as LASIK is an excellent choice for younger patients seeking to free themselves from glasses, the older patient who has a growing cataract now has a choice of astigmatism correcting intraocular lens implant that will serve him well for the rest of his life.  High order corneal astigmatism has been beyond reach of correction until the TORIC intraocular lens was approved by FDA earlier this summer.  Now patient with high degrees of astigmatism of 2 diopters and above can select to have a TORIC implant placement as a part of clear lens extraction or a routine cataract surgery .  Generally these patients can be fitted with soft contact lenses or possible some rigid gas permeable contacts for visual clarity.  Glasses with correction of high degrees of astigmatism make one dizzy as if one looks through a fish bowl.  If you or someone you know is tired of wearing contact lenses, then make an appointment at our office regarding a consultation for TORIC intraocular lens placement.  After a careful examination and testing  if a decision is made to proceed with cataract surgery a Toric implant may take up to two weeks to be ordered.    If you have any further questions about this revolutionary technology, please call our office (949) 650-1863 ask to speak to Dr. Kurteeva. 

Wednesday, June 22, 2011

There has never been a better time to get your LASIK done!

With summer on our doorstep, you are probably hitting the beach with hopes to catch some waves, playing golf and tennis or chasing your kids around sprinklers.  Contacts and prescription glasses can be in the way of your hobbies. I am here to tell you that the newly redesigned and redefined laser vision correction and femtosecond technology has arrived in Orange County!  Our office is excited to offer laser vision correction to patients who have been looking to ditch glasses and contact lenses.  We now offer the most advanced excimer laser Allegretto Wavelight 200 Hz that has been used by the leading refractive centers since 2008.  The wider set of features that comes with this technology helped thousands of patients who have not been able to get laser vision correction before.  Patients with farsightedness, high order astigmatism and high myopia have been achieving most satisfaction after Allegretto treatment.
Ziemer Z Lasik is the newest in femtosecond laser technology applications in ophthalmic and refractive surgery.  The new FEMTO LDV Crystal Line for Z-Lasik and corneal surgery offers the patient the precision, speed and safety that only femtosecond laser can do.  Creation of the corneal flap used to take minutes to complete, now it is done in seconds using less energy thus, leaving more untouched virgin cornea behind and speeding post refractive surgery healing.  The femtosecond laser has a much safer profile as well compare to a manual keratome blade that has been used in the last fifteen years.  Ziemer Z Lasik will get you back on your feet faster and enable you to gain your glasses free vision within a few days of surgery.
The schedule a free LASIK consultation please call (949) 650-1863 today or visit

Wednesday, June 8, 2011

Summer time calls for sunglasses!

The range of energy that makes up visible light is just a small portion of the electromagnetic spectrum so integral to modern life. Ultraviolet radiation comprises invisible rays that can damage the eyes, burn the
skin and cause skin cancer. UV radiation that reaches the Earth’s surface is made up of two types of rays -- ultraviolet A (UVA) and ultraviolet B (UVB). UVA is weaker than UVB but passe further into the body’s tissue than UVB. It is now generally accepted that both UVA and UVB cause skin cancer and can damage the eyes.  For this reason, eye protection and sunscreens are recommended that block both kinds of radiation.

Sunglasses should be worn year-round for protection and performance. Whether they're wraparounds, rimless or studded with rhinestones, sunglasses are vital for shielding eyes from harmful ultraviolet (UV) rays and diminishing glare that can cause distractions while driving, working and playing.
As a baseline, all sunglass lenses should filter UVA and UVB rays. Other lens options are also available based on personal preference, like polarized lenses, to prevent glare or tints that offer more comfortable vision.

Alternatives to traditional sunglasses are also available, including larger frames that fit over prescription glasses, clip-on sunglasses, flip-up lenses and photochromic lenses which change from dark outdoors to clear indoors.


Tuesday, March 1, 2011


When it comes to choosing the right artificial tear product one is facing a plethora of products in the eye care aisle at any local pharmacy.  The patient has to make an important decision about their daily eye care mostly based on the product information on the box, heavy TV advertising or hopefully his or her eye doctor’s recommendation.
Here are a few pearls of wisdom that should help when you select the artificial tear product that is right for you.  These are listed in the order of my preference with the first few being preferred and the last ones are a definite no.
1.       GO PRESERVATIVE FREE!  My favorites in this category are Preservative Free Refresh Plus and Preservative Free Optive for Sensitive Eyes, Preservative free Genteal and Preservative Free Systane.

2.       Benzalkonium chloride (aka BAK) is an extremely irritating additive that is found on most bottled eye drops except for the few that have an alternative to BAK.   Purite is a safer alternative to BAK and is converted to water once it reaches the eye surface.    Other BAK free  tears are Hypotears, Natural tears, Systane, Systane Ultra and Systane Balance (preserved with polyquad), Genteal, Blink tears.

3.       AVOID BAK (Benzalkonium chloride) preserved tears and over the counter drops such as
Clear Eyes, CVS and other pharmacy store brand multi action drops promising to take away the red.  SAY NO TO VISINE – a bottle full of BAK that will further more irritate the eye surface.
SAY NOT TO Bausch and Lomb Advanced Eye Relived Rejuvenation which has plenty of BAK.

4.        AVOID ROTHO artificial tears.  They feel like mint in your eye.  I am not sure if it is the fact that there is menthol in it’s inactive ingredients that leaves the eye feeling burning or other inactive ingredients but I had to wash out Rotho tears with my favorite Preservative Free Refresh Plus to get rid of the burning. 
Once you have selected a drop that works for your eye, get a small sample from your doctor’s office or your local pharmacy to try it out.  Occasionally certain individuals may be sensitive to other inactive ingredients of the product and still feel irritated despite tear use.  If the product you chose works great for you, I would commit to using it twice a day before you brush your teeth in the morning and night.  You can even set a bottle next to your computer if you are a frequent computer user.  Carry another bottle/pack in your handbag or keep in your car out of sun’s reach to use when you are travelling and are exposed to sunshine and wind, the common culprits of dry eye condition.  Once you incorporate use of artificial tears into your daily routine, it will become a good habit and your eyes will thank you! 

Wednesday, February 9, 2011

February - SAVE YOUR VISION Month

San Francisco—February is “Save Your Vision Month,” and the American Academy of Ophthalmology (AAO) is encouraging Americans over the age of 40 to make an appointment for an eye examination.
According to AAO, by 2020 43 million Americans will be at risk for significant vision loss or blindness from such age-related eye diseases as cataract, diabetic retinopathy, glaucoma, and age-related macular degeneration—an increase of more than 50% over the current number of Americans with these diseases.
“Eye diseases become more common as we age, but eye problems can occur at any age. Getting a comprehensive eye exam, and following through with the recommendations of [an ophthalmologist] can be the difference in saving your vision or preventing further vision loss later in life,” said Aaron Weingeist, MD, an ophthalmologist in Seattle and a clinical correspondent for AAO. “Many patients will have no recognizable symptoms of vision loss, but it is important to identify, monitor, and treat early.”

Along with a baseline eye exam at the age of 40, the Academy recommends the following regular eye exam schedule for adults with no risk factors:
• 65 years of age or older, every 1 to 2 years
• 55 to 64 years of age, every 1 to 3 years
• 40 to 54 years of age, every 2 to 4 years
• Under 40 years of age, every 5 to 10 years.
AAO noted that education and awareness are also part of the eye health equation. In order to provide the public with the most accurate eye health information available, AAO, has launched a comprehensive new web site,, to help bring reliable eye health information to the public.

Tuesday, January 25, 2011

Dry eyes make your vision blurry, give your eyes a break!

How many of us wake up in the morning with a sensation of grit in your eyes or eyelids stuck together by mucous discharge?  How many feel like their eyes start watering the minute they sit down in front of their computer or read a book?  How many feel like their eyes burn and are fatigued at the end of the day causing blurry vision?  If you are not experiencing any of the symptoms above, you probably know someone who does!  The common thread here is DRY EYES.

Now, you may ask me "Doctor, why would I have dry eyes if my eyes water all the time?"  Well, the tears are not just a turn on the faucet type mechanism.  In order for our eyes to feel moist they need a balanced lake of elements that covers the exposed surface.  Imagine a nice shear butter lotion covering your hands on a cold windy winter day.  A healthy tear film would provide such a barrier against the elements like air conditionining, heat vents, air blowing in your car, and sunny and windy weather.

A healthy tear film is like a tiered red velvet cake.  The foundation layer is a layer of sugar coating the eye surface cells to make tears stick to the surface.  The middle layer is the liquid aqueous layer that is actually made by your tear gland in the outer corner of the eye and the surface layer is that shear butter layer that provides a moisture trap and prevents evaporative loss of tears.  Many tiny glands inside the lower and upper eyelids called meibomian glands make this top oily layer.  Their production is highly regulated by sex hormones such as estrogen and progesterone, surrounding inflammation due to chronic allergies or other eye diseases and diet. 

This sounds like a simple enough cocktail but as we get older the cells that make the "ingredients" become compromised due to chronic allergies, exposure to the outdoor elements and simple cell aging.  As our eyes sense the lack of protective cover, a signal is sent to the brain to stimulate only one type of tear layer - the aqueous.  The other two layers are not made "on demand" therefore the evaporative loss will lead to lack of tears despite a well functioning tear gland and watering eyes!

So we face the challenge of finding the perfect tear "magic potion”.  So many choices of artificial tears are available to us over the counter!  In the next post, I will review my winners and losers of the over the counter products that are within arm's reach at your local pharmacy's eye care aisle.  Meanwhile you can see your eye doctor to eliminate presence of chronic allergies and meibomian gland dysfunction. Stay tuned!