1868950

Why Your Runny or Stuffy Nose Might Not Be “Just Allergies”

Mon, 30 Mar 2026 15:11:28 GMT

Nose always runny?

If you’re constantly dealing with a runny nose, congestion, or post-nasal drip, it’s easy to assume it’s just allergies or a lingering cold. But for many people, these symptoms can actually be a sign of chronic rhinitis — a condition that doesn’t always improve with typical medications.

Over time, this can become more than just an inconvenience. It can affect your sleep, focus, and day-to-day comfort — especially if symptoms keep coming back despite sprays or antihistamines.

The good news? There are now simple, in-office treatments designed to address the root cause — not just manage the symptoms. One of these is RhinAer, a non-surgical treatment that helps calm overactive nasal nerves and improve airflow, with little to no downtime.

If you’ve been living with ongoing nasal symptoms, it may be worth taking a closer look.

�� Take our quick 1-minute nasal health quiz to see if you could be a candidate for treatment and take the first step toward lasting relief.

January is Glaucoma Awareness Month: Protect Your Vision with Early Detection in New Jersey

Tue, 20 Jan 2026 16:13:30 GMT

January is Glaucoma Awareness Month, a time to raise awareness about one of the leading causes of irreversible vision loss in the United States. Often called the “silent thief of sight,” glaucoma can develop without noticeable symptoms in its early stages, making regular eye exams in New Jersey essential for protecting long-term vision health.

More than four million Americans are currently living with glaucoma, and many do not realize they have it. The condition damages the optic nerve, typically due to increased eye pressure, and often begins by affecting peripheral vision. Without early detection and treatment, this vision loss can become permanent.

Who Is at Risk for Glaucoma?

While anyone can develop glaucoma, certain factors can increase your risk, including:

Being over the age of 60
Having a family history of glaucoma
Belonging to certain ethnic backgrounds
Living with diabetes or high eye pressure

Understanding your personal risk and scheduling routine glaucoma screenings in New Jersey can make a meaningful difference in preserving your sight.

The Importance of Comprehensive Eye Exams

The most effective way to detect glaucoma early is through a comprehensive dilated eye exam. This exam allows your eye care provider to measure eye pressure, evaluate the optic nerve, and check for subtle changes in your field of vision—often before symptoms appear.

Book Your Glaucoma Screening in New Jersey

At NJ Eye and Ear, our ophthalmology and optometry team provides personalized care using advanced diagnostic technology to help patients detect and manage glaucoma as early as possible.

This January, take a proactive step toward protecting your vision.

Book your glaucoma screening in New Jersey today and safeguard your sight for the future.

Celebrating Our Award-Winning Doctors at NJ Eye and Ear!

Tue, 16 Dec 2025 15:03:44 GMT

At NJ Eye and Ear, providing exceptional care isn’t just our mission; it’s something our patients and peers continue to recognize as part of our identity. With this in mind, we are ecstatic to highlight and celebrate two recent honors that showcase the expertise, trust, and quality behind our practice.

Our Director of Otolaryngology – Head and Neck Surgery (ENT), Facial Plastic Surgery, and Hair Restoration, Dr. Kevin Ende, has been named a Castle Connolly Top Doctor for 2026. This prestigious honor is awarded to only the top 7% of board-certified physicians nationwide. This distinction is especially meaningful, as it is based on peer nominations and rigorous review, recognizing clinical excellence, leadership, and professionalism among fellow physicians.

We are also proud to announce that Dr. Jennifer Ariola has been named a BusinessRate Top 3 Optometrist in Clifton, NJ for 2025. This achievement is particularly noteworthy, as it is based on verified Google Reviews and reflects consistent patient satisfaction, outstanding service, and a strong local reputation. Earning this distinction signifies that Dr. Ariola’s commitment to thorough, compassionate eye care is being recognized directly by the community she serves.

Huge congratulations to Dr. Ende and Dr. Ariola. These recognitions speak to the depth of expertise and quality of care patients can expect at NJ Eye and Ear. From routine eye exams to advanced surgical and specialty services, our team is dedicated to delivering the highest quality care you can trust—backed by experience, innovation, and proven results.

At NJ Eye and Ear, award-winning care isn’t the exception; it’s the standard.

Luxe Black Friday event Coming to NJ Eye and Ear Englewood!

Mon, 03 Nov 2025 15:44:47 GMT

Champagne & Beauty: The Luxe Black Friday Wind Down

Friday, November 28, 2025 | 2 PM – 8 PM

�� NJ Eye and Ear, 23 W Palisade Ave, Englewood, NJ

�� Featuring live music by Matt Violinist

RSVP Here!

After the Black Friday rush, unwind in style at NJ Eye and Ear’s Luxe Black Friday Wind Down, an elegant celebration of self-care, confidence, and community.

Enjoy champagne, live music, and the chance to connect with our expert team in a relaxed setting. Learn about cosmetic, vision, and wellness treatments, explore new services, and take advantage of exclusive one-day offers across aesthetics, LASIK, IPL hair removal, eyeglass frames, and hair restoration.

✨ Event Highlights:

Meet our board-certified specialists and discover personalized care options.
Enjoy live DJ performances from Matt Violinist.
Access special promotions including facial balancing, chemical peels, and rejuvenation bundles.
Be the first to hear about even more limited-time offers announced during the event.

Step into the season with confidence — refreshed, relaxed, and ready for 2026.

�� Call Valeria at (973) 546-5700 Ext. 275 to RSVP or learn more.

To reserve your spot click here .

Say Hello to Eye-Safe Glam: Twenty/Twenty Beauty Now Available at NJ Eye and Ear

Mon, 12 May 2025 18:57:01 GMT

Say Hello to Eye-Safe Glam: Twenty/Twenty Beauty Now Available at NJ Eye and Ear

Let’s face it—traditional makeup wasn’t made with your eyes in mind. If your eyeliner stings, your mascara flakes, or your lash serum irritates, you’re not imagining it. Most beauty products were never tested with your ocular health as a priority.

But that ends now.

NJ Eye and Ear is thrilled to introduce a new collaboration with Twenty/Twenty Beauty , the revolutionary makeup brand founded by Dr. Diane Hilal-Campo , a board-certified ophthalmologist who decided to shake up the beauty industry for good. And the best part? It’s now available to purchase exclusively at our Englewood, NJ, location.

What Is Twenty/Twenty Beauty?

Developed by an eye doctor who saw how traditional cosmetics were wreaking havoc on her patients’ vision, Twenty/Twenty Beauty was created to fill a major gap in the market: makeup that’s safe, effective, and ophthalmologist-tested.

This innovative line features:

✅ Eye-Safe Ingredients – No prostaglandin analogues, parabens, or harsh preservatives
✅ Clean Formulas – Formulated without toxins

✅ Designed to nourish lashes, lids, and brows—not irritate them

✅ Free from harmful preservatives, parabens, and prostaglandin analogues

✅ Ophthalmologist-developed and tested—because your eyes deserve more than just “hypoallergenic”

How Glaucoma is Treated

Mon, 27 Jan 2025 19:34:13 GMT

Dr. Lawrence Geyman discusses treatment options for Glaucoma.

January is Glaucoma Awareness Month, and in this month we dive into aspects of glaucoma care to help our

patients. To learn more about general facts about glaucoma, please refer to the article from 2024. In this post, we

will touch on the different types of treatments available for glaucoma.

In glaucoma, eye pressure damages the optic nerve and leads to irreversible vision loss. The goal of glaucoma

treatment is to lower the eye pressure. This can be accomplished in several ways: eye drops, procedures, and

surgeries. Each has its advantages and disadvantages. The treatment of glaucoma is highly personalized and

different treatments apply to different patients.

The most straightforward and often first line treatment of glaucoma involves the use of eye drops .

There are multiple classes of eye drops, and each has its own set of side-effects that are taken into account when providing recommendations to patients. Eye drops are typically used anywhere from one to three times daily. As glaucoma advances, the eye pressure may respond less well to eye drops and require additional treatments, such as

procedures or surgeries.

Procedures for glaucoma involve lasers and injections. Laser treatment varies depending on the type of glaucoma.

The most common form of glaucoma, termed open-angle glaucoma, occurs when the natural drain in the eye does

not function well. One cause of this poor function occurs due to a clogging of the natural sieve that filters out the

fluid in the eye, called the trabecular meshwork. For this form of glaucoma, a laser may be used to clean this sieve,

a procedure called trabeculoplasty. Trabeculoplasty has been in use for decades, supported by a well established

scientific literature. In fact, it is now recommended as first line therapy in many instances. The second form of

glaucoma, angle-closure glaucoma, occurs when the natural drain is blocked. A different laser procedure, called an

iridotomy, attempts to relieve this blockage.

A relatively new procedure involves the injection of a medication into the eye , whereby it slowly dissolves over a

period of months. This injection effectively acts as a substitute for an eye drop and may be beneficial in patients who

do not tolerate eye drops well.

Sometimes, eye drops and procedures are not enough to control the eye pressure, and the eye remains at risk of

vision loss. In these cases, surgery may be required. Surgery can be divided into minimally invasive glaucoma

surgeries (MIGS) and traditional surgeries. MIGS, often performed at the time of cataract surgery, try to rehabilitate

the natural drain in the eye. These involve the use of stents and other instruments to open the natural drain.

Sometimes, even these surgeries are not enough, and the use of traditional surgeries is required. In these cases,

the natural drain cannot be rehabilitated, and a bypass procedure is performed, whereby a tiny window is created in

the eye to allow the fluid to exit the eye and lower the eye pressure. There are two variants of this procedure: in

one, the tiny window is created and left as is, and in the other, a small tube is inserted into the tiny window.

The treatment of glaucoma has evolved over many years and now encompasses a wide variety of therapies that

allow for a personalized approach. And fortunately, for the great majority of patients, appropriate treatment can slow

or stop the progression of glaucoma.

If you have any questions or concerns about glaucoma or its treatment, we

here at the Glaucoma Center at NJ Eye and Ear, consisting of myself, Dr. Khelly Savant, Dr. Nahndi Bush , and Dr.

Daniel Stegman , are always available to assist you in making decisions regarding your glaucoma care.

Pistachios! You Got to Love Them Even More Now!

Thu, 05 Dec 2024 19:40:11 GMT

Eat Pistachios for Better Eye Health

Research suggests that consuming pistachios daily may boost macular pigment optical density (MPOD), which is crucial for maintaining eye health. Pistachios are rich in lutein and zeaxanthin, two carotenoids concentrated in the macula of the eye that protect it from oxidative stress and harmful blue light. These compounds act as antioxidants, supporting visual performance and reducing the risk of age-related macular degeneration (AMD).

A diet incorporating pistachios, alongside other foods rich in lutein and zeaxanthin (such as leafy greens, eggs, and other nuts), can provide long-term benefits for eye health. Additionally, pistachios are a good source of healthy fats, protein, and vitamin E, which further contribute to overall well-being. Pistachios are a delicious and nutritious addition to your daily diet.

Why Pistachios Are Great for Eye Health:

Rich in Carotenoids : Pistachios contain lutein and zeaxanthin, carotenoids that are crucial for eye health. They help protect the eyes from harmful blue light and reduce the risk of macular degeneration.

High in Vitamin E : This antioxidant supports cell health, including those in your eyes, and may slow the progression of age-related eye conditions.

Healthy Fats : The mono- and polyunsaturated fats in pistachios enhance the absorption of fat-soluble nutrients like lutein and zeaxanthin.

How to Incorporate Pistachios Into Your Holiday Diet:

Festive Trail Mix : Combine pistachios with dried fruits (like cranberries or apricots) and dark chocolate chips for a holiday-themed snack.

Salad Topping : Sprinkle chopped pistachios over winter salads with leafy greens, oranges, and pomegranate seeds.

Pistachio-Crusted Proteins : Use crushed pistachios to coat turkey, chicken, or salmon for a delicious holiday entrée.

Holiday Desserts: Add pistachios to cookies, biscotti, or even sprinkle over holiday puddings.

Homemade Pistachio Butter : Blend roasted pistachios into a creamy spread to enjoy with crackers or as part of a holiday breakfast spread.

Tips for Enjoying Pistachios Wisely:

Stick to unsalted pistachios to control sodium intake. Keep portions in check, as they are calorie-dense (about 160 calories per ounce, or 49 nuts).

Eyes feeling scratchy, becoming red or blurry?

Tue, 30 Jul 2024 19:29:27 GMT

July is Dry Eye Awareness month and your symptoms could be due to dry eye.

Dry eye disease is a prevalent and sometimes debilitating condition due to inadequate lubrication or rapid evaporation from the surface of the eye. It can cause blurry vision, discomfort, redness, and a chronic gritty sensation. The prevalence of dry eye disease in the United States is estimated to affect over 16 million adults. This might be an underestimate, as many people may not seek medical attention for milder symptoms. The impact of dry eye disease is more than simple discomfort; it can impair many daily activities such as reading, driving, and working on a computer. It is considered a chronic pain condition and can deteriorate one’s quality of life.

Causes of dry eye can be numerous, including even a fan, heater, or air conditioner near your bed while sleeping. Wearing contact lenses or prolonged computer and cellphone use can also be culprits. Lastly, eye surgeries, such as LASIK and cataract surgery, are known to worsen dry eye symptoms. Patients undergoing these procedures are advised to optimize their dry eye before surgery to minimize issues afterwards. Addressing any dryness before surgery is also critical for the ophthalmologist to get the most accurate measurements for the best chance at good vision after surgery. The good news is, with proper management before and after surgery, the symptoms of dry eye can be minimal to none.

There are various treatments for dry eye and they must be customized for every patient depending on the severity. Initial therapies can include over-the-counter medications, such as artificial tears that can relieve symptoms by lubricating the surface of the eye. If these do not adequately control symptoms, prescription medications, such as cyclosporine (Restasis) and lifitegrast (Xiidra) among others, can be used to increase natural tear production and reduce inflammation on the surface of the eye. For some individuals, even these treatments are not sufficient however. This can be due to underlying medical conditions, such as Sjogren’s disease or thyroid imbalances. These patients and others who are dissatisfied with their symptoms can benefit from treatments such as amniotic membrane application. These can protect the cornea, reduce inflammation, and promote regeneration of the eye’s surface. For those patients struggling despite consistent use of eyedrops, these and other therapies can be game changing.

Thankfully, there are a multitude of treatments available to alleviate dry eye. With a comprehensive and tailored approach from an eyecare specialist, your dry eye symptoms can be better by next July.

OptiLight by LUMENIS Relief for Dry Eyes and Skincare

Thu, 18 Jan 2024 21:49:37 GMT

What is Dry Eye?

Dry eye disease is becoming increasingly common, affecting millions of people worldwide. This chronic condition can significantly impact your life, sometimes making even the smallest of tasks seem difficult. If you have eye pain, blurry vision, and dry or watery eyes, it could be a sign that you have dry eye disease. But don’t worry! With an in-depth eye exam, our team can assess your vision and eye health to get you the treatment you need. With treatments like OptiLight by Lumenis, we can help manage your dry eye symptoms and get you back to seeing clearly and comfortably. Keep reading to learn more about OptiLight by Lumenis and how it can improve your life.

What Is Dry Eye Disease?

Dry eye disease is a common eye condition that occurs when there is an issue with any one of the three components of your tears. Your tears are made up of 3 distinct layers, all of which work together to keep your eyes healthy:

● The oily layer prevents your tears from evaporating too quickly

● The watery layer delivers nutrients to your eyes

● The mucus layer keeps your tear film stuck to the surface of your eyes

What are the 2 Types of Dry Eye Disease? There are two types of dry eye disease.

Evaporative Dry Eye (EDE) EDE is the most common type of dry eye disease. This type of dry eye occurs when you lack the proper amount of oil in your tears. When this happens, your tears can evaporate too quickly, drying out your eyes. In some cases, EDE can be caused by meibomian gland dysfunction, a disorder where the meibomian glands in your eyes become blocked, limiting the amount of oil being produced for your tears.

Aqueous Tear Deficiency (ATD) If you suffer from ATD, your eyes lack the aqueous layer in your tears. This means that your eyes aren’t producing enough tears to keep the eye moist, which can lead to irritating and uncomfortable symptoms.

What are the Symptoms of Dry Eye Disease?

If you are suffering from dry eye disease, you may notice any of the following symptoms:

● A burning or scratchy sensation in your eyes

● Stringy mucus in or around your eyes

● Irritated or overly-watery eyes

● Sensitivity to light orphotophobia

● Eye redness, blurred vision, or eye fatigue

● A sensation of having something in your eyes

● Difficulty wearing contact lenses

If you are experiencing any of these symptoms, book an appointment with your eye doctor to receive a dry eye disease diagnosis and get the treatment you need. What Is OptiLight by Lumenis? OptiLight by Lumenisis a safe, gentle, and effective treatment done to manage dry eye disease. This non-invasive procedure is the first and only FDA-approved intense pulsed light(IPL) treatment for dry eye management. OptiLight uses pulses of light precisely administered in the area below the eyes to reduce dry eye symptoms.

This 10-15 minute procedure can relieve dry eye symptoms by:

● Increasing tear break-up time

● Reducing the amount of demodex mites and bacteria around your eyes

● Decreasing inflammation inflammation

● Improving meibomian gland functionality

What to Expect If your eye doctor has recommended the OptiLight treatment ,

they will go over everything you can expect before, during, and after your appointment. Preparing for Your Appointment

To prepare for your appointment you should avoid:

● Using skin brightening agents or serums for the week before your appointment

● Using tanning beds 1 month prior to your appointment

● Getting any neuromodulators (anti-wrinkle injectables) for at least 3 months before your appointment

● Taking oral medicines in the 3 months prior to your appointment The OptiLight Treatment This treatment is fast and simple, taking only 10–15 minutes.

During your treatment your doctor will apply a cool gel on the treatment area and cover your eyes with shields to protect them. As light is applied to the skin, you may experience a warm or a tapping sensation, but you shouldn’t feel any pain. Post-Procedure Care While side effects are uncommon, your eyes may feel slightly more dry or gritty for the day following your procedure. If you do experience dry eyes, you can use preservative-free artificial tears. Following your treatment, your skin will be sensitive, so we recommend avoiding sun exposure and wearing sunscreen.

Am I a Good Candidate for OptiLight by Lumenis?

How do you know if OptiLight is the right treatment for you?

During an eye exam, your doctor can determine whether or not it is the right option for you.

In general, OptiLight isn’t recommended for patients who:

● Are taking certain medications, like Accutane

● Have active acne

● Suffer from certain skin disorders

● Are susceptible to keloid scarring

● Have severe scarring

● Have severely sunburned recently Find Relief Today You don’t have to live with the uncomfortable symptoms of dry eye disease. With OptiLight by Lumenis, your symptoms can be managed effectively and efficiently, restoring your quality of life. Our team is always here to help you find relief from dry eyes.

Book an appointment today to see how OptiLight by Lumenis can help you!

January is Glaucoma Awareness Month

Thu, 18 Jan 2024 20:55:03 GMT

Wisdom from a Glaucoma Specialist, Lawrence Geyman, M.D.

January is Glaucoma Awareness Month , and as a glaucoma specialist, this month holds special importance to me as

a physician dedicated to preventing vision loss from glaucoma. I am also a member of the American Glaucoma

Society Patient Care Committee, dedicated to improving patient education, outreach, and advocacy. Glaucoma is an

eye disease that affects millions of Americans, in which the optic nerve, the nerve that connects the eye to the brain,

suffers damage. After a critical amount of optic nerve fibers are damaged, the vision becomes affected. The causes

of glaucoma are still being actively researched, though we know that eye pressure plays a significant role in the

condition. In fact, nearly all therapies for glaucoma work by lowering the eye pressure. Importantly, simply having

high eye pressure does not equate to having glaucoma, in a similar way to how simply having high blood pressure

does not equate to having heart disease. Another significant risk factor for glaucoma is age, though rarer forms can

affect younger individuals.

Unfortunately, the damage that occurs to the optic nerve, and the resulting vision loss, is irreversible. In addition,

glaucoma typically affects the peripheral vision first, and it progresses slowly. For this reason, a person may not

know that they have vision loss from glaucoma until much later in the disease course. It is no surprise that glaucoma

is thus known as the “silent thief of sight.” This is very different from a condition such as macular degeneration,

which typically first affects the central vision that we use to read. Patients with vision loss from glaucoma may begin

to bump into objects and may not be able to see their feet as they walk. Driving and other complex activities may

become difficult or unsafe.

Fortunately, with proper care and treatment, the progression of glaucoma can be slowed or halted. In the last

decade, there has been an explosion in minimally invasive surgery, which is able to decrease the rate of vision loss

with far fewer risks than with traditional glaucoma surgeries. New classes of medications have been made available,

and refinements to the traditional surgeries have been devised. There are numerous research groups investigating

neuroprotective therapies, which may offer a new way to treat glaucoma by protecting the optic nerve against

damage. And, lastly, though likely still a long while away, regenerative therapy to reverse optic nerve damage is

being studied, as well.

It is important to ask your primary care physician or your primary eye doctor if a glaucoma evaluation is indicated,

especially if you feel that your peripheral vision has worsened or if you notice gray, blurry, or black areas in your

vision. A glaucoma evaluation often requires only a few additional examinations and tests. The Glaucoma Division

at NJ Eye and Ear, consisting of myself, Dr. Khelly Savant, Dr. Nahndi Bush, and Dr. Daniel Stegman, is always here

to answer any questions, as we work together to prevent vision loss and preserve our patients’ quality of life.

What Is Myopia? Dr. Lee Explains

Thu, 18 Jan 2024 19:09:17 GMT

Why is my child's eyesight getting worse every year?

Why is my child’s eyesight getting worse every year? Most parents of near-sighted or myopic children will experience having to get new glasses every year due to the prescription getting worse as the child gets older. This is a very common and expected pattern of myopia for most children, and for many years, new glasses every 6 months or every year was the only solution. In the last few years, there has been many advances in the world of myopia, especially pediatric progressive myopia. But first, let’s go over the basics.

What is Myopia?

Myopia is nearsightedness, which means that you can see close objects, but objects farther away appear blurred. Myopia occurs if the eyeball is too long or the cornea (the clear front cover of the eye) is too curved. As a result, the light entering the eye isn’t focused correctly, and glasses or contact lenses will correct the blur.

What is Myopia Control?

“Myopia Control” is a term used to describe specific treatments to slow the progression of nearsightedness in children.

What is offered at New Jersey Eye and Ear for Myopia control?

1. Ortho-Keratology hard lenses

2. MiSight soft contact lenses

3. Atropine 0.02% eye drops

Information on the current Myopia Controls Ortho-Keratology (Paragon CRT lenses) Ortho-Keratology uses a series of custom-fitted hard contact lenses to temporarily reshape a child’s cornea. When the lenses are worn nightly, children with myopia can see clearly the next day without needing eyeglasses or contact lenses. When the child stops using the lenses, the cornea will go back to its original shape and myopia returns.

Multiple studies suggest Ortho-Keratology lenses slow the eye’s growth by nearly 53%, effectively slowing down the progression of myopia. Wearing any lenses overnight can increase the risk of infection, therefore, they require thorough cleaning and extra hygiene steps compared with disposable lenses.

MiSight Lenses (Coopervision)

MiSight lenses are the first FDA-approved contact lenses for controlling myopia progression in children. These are soft, disposable lenses that are worn during the day, and discarded at night. Patient cannot sleep in these lenses. MiSight lenses have concentric rings to redirect how light hits the retina, which tricks the eye into not growing too long. The studies show that MiSight lenses are effective in slowing myopia progression in children by 59%. To get the full recommended benefit, children must wear the MiSight lenses at least six days a week, for 10 hours a day, until they are teenagers. Like all standard lenses, Misight lenses pose a risk for corneal infection. Good contact lens hygiene can lower this risk. Atropine 0.02% Eye Drops Atropine 0.02% eye drops is clinically used to prevent the progression of myopia by strengthening the sclera (white portion of the eye) to make the eye more stable and prevent elongation. The child still has to wear eyeglasses during the treatment to see clearly. Atropine 0.02% eyes drops dosage would be 1 drop in both eyes daily. There are some side effects of stinging, blurred vision or pupil dilation. There is at least a 2-year commitment before any attempts to discontinue the eye drops after stabilizing the refractive error. The drop will not be available at any pharmacy since it has to be compounded for its specific dosage. The prescription will be sent to a compounding pharmacy, and the pharmacy would dispense the drops and assist patient with details on insurance coverages if available.

Optometrists that provide these treatments:

Dr. Jessica Lee (Englewood Location)
Dr. Ester Kohen (Clifton and Englewood Locations)

These therapies work differently for every child, so please ask your doctor which would be the most recommended and effective therapy option for your child. Many parents believe their child is “too young” for contact lenses. However, research has shown that both children (ages 8-12) and teenagers (13-17) can safely wear contact lenses. NJ

Eye and Ear Contact Lens Department will train with all first time contact lens wearers. Over a three-year period, evidence has shown a statistically significant improvement in self-perception regarding physical appearance, athletic competence, and social acceptance in children wearing contact lenses.

Dr. Lawrence Geyman featured on Diagnosis Glaucoma Podcast

Tue, 28 Mar 2023 22:37:32 GMT

LISTEN NOW

In this episode, Dr. Kaleem speaks with Dr. Larry (Lawrence) Geyman about different types of visual changes that patients with glaucoma can experience, such as changes in contrast sensitivity, motion sensitivity, and visual crowding.

To listen now CLICK HERE

Spread Cheer This Holiday Season, Not Infections!

Fri, 17 Dec 2021 20:25:18 GMT

Spread Cheer, Not Infection.....

As family and friends gather to celebrate the holidays this season, here are 10 important tips to keep our loved ones safe.

1. Wash your hands often: Washing your hands with soap and water for at least 30 seconds can help prevent the spread of infection.

2. Get vaccinated: Vaccinations prevent the spread of disease and save lives. The best way to protect yourself and your loved ones is to get the flu vaccine and the COVID vaccine. Additionally, with the emergence of the COVID omicron strain obtaining a booster dose of the COVID vaccine can further curtail the spread of COVID. If guests are unvaccinated, they should be encouraged to wear masks indoors.

3. Travel during the holidays: Please wear a mask at all times while traveling. Masks are required on planes, trains and other forms of mass transportation even if you are vaccinated.

4. Keep gatherings small: Plan smaller gatherings with friends and family who have been following safe practices. Virtual holidays via Zoom are a great way to share in the holiday cheer with friends and family who are unable to travel this year.

5. Holiday shopping: Avoid crowds this season and opt for curbside pickup or online shopping to reduce unnecessary exposure. If you plan to shop in person, you should wear a face mask and shop during the off-hours.

6 . COVID testing: Get a COVID-19 test before and after you attend a gathering or travel. This is particularly important if you will be with others who are at increased risk of developing severe COVID-19.

7. Celebrate outdoors: If weather is permissible, try to plan for gatherings outdoors and instruct your guests to bring warm clothes.

8. Avoid sharing your food: Do not share plates, utensils or glasses.

9. Stay home if you are sick: If you develop symptoms such as cough, fever or runny nose, please stay home and avoid any non-essential travel.

10. Follow the rules: Check local, state and national COVID-19 guidelines regularly to make sure you are compliant.

Happy Holidays!

NJ Eye And Ear Doctors Awarded as Best Doctors in New Jersey

Thu, 09 Dec 2021 16:35:02 GMT

NJ Eye and Ear is proud to celebrate 25 years in business serving the northern New Jersey area under the leadership of Daniel Stegman, MD. NJ Eye and Ear is a progressive, learning-oriented medical practice specializing in treating all manners of ENT, vision and hearing problems. The practice’s goal is to provide the most advanced and cost-effective care to its patients. To that end, NJ Eye and Ear has built a team of the top award-winning physicians and surgeons, encompassing all sub-specialties of ophthalmology, otolaryngology and audiology. NJ Eye and Ear provides eye examinations, allergy testing, ENT problems, and hearing exams. It also offers laser-vision correction, treatment of retinal diseases, clogged tear ducts, cataract, and facial cosmetic surgery to name a few. “We are pioneering at the forefront in health care with state-of-the art equipment and the most fashionable eye boutique in New Jersey,” said Rey Bolic, spokesman for NJ Eye and Ear . With over 25 years of experience in the field,

Dr. Daniel Stegman provides comprehensive ophthalmologic care and the treatment of glaucoma. He is widely known and respected for the high quality of care that he provides. At Mount Sinai he completed a clinical and research fellowship in glaucoma, and remains on staff as a clinical instructor of ophthalmology.

Dr. Stegman’s research work in glaucoma has been presented at the prestigious Association for Research and Vision in Ophthalmology. He is fluent in Spanish and English, and is also an NYPD Honorary Police Surgeon.

Dr. Kevin Ende is double board-certified and has performed over 14,000 ear nose and throat, facial plastic and reconstructive, and hair restoration surgeries over the last 17 years in New York City and Philadelphia. In 2019, Dr. Ende was recruited to head the ENT division of NJ Eye and Ear in Englewood. Dr. Ende has served as a faculty member for the Department of Otolaryngology at the University of California, San Francisco (UCSF), where he taught advanced techniques to surgeons in training. For the past 9 years, Dr. Ende has trained the ENT residents from the highly respected Albert Einstein/Montefiore training program in Bronx, N.Y. Dr. Ende is established as a leading hair restoration specialist in the New York and New Jersey area.

Dr. Daniel Chechik is a board-certified ophthalmologist, specializing in retina care and treatment. Dr. Chechik gave back to his community through teaching at SUNY Downstate Health Science Center and Lebanon Hospital where he was an assistant professor. Dr. Chechik completed his residency in 2001 and continued on to complete a fellowship in surgical and medical disorders of the retina and vitreous. He is fluent in Russian, Spanish and

Dr. Nahndi Bush has devoted more than 18 years to the practice of comprehensive ophthalmology and glaucoma in northern New Jersey. Following internship at Hackensack University Medical Center, Dr. Bush completed her ophthalmology residency at Mount Sinai Medical Center in New York then stayed on as chief resident, completing a glaucoma fellowship. She serves as a voluntary attending at University Hospital in Newark, where she was recently honored with the 15-year Service Award.

Dr. Nirupa C. Cuttler is a comprehensive board certified ophthalmologist who provides a wide array of ophthalmic care. She was raised in central New Jersey and stayed in the state for her undergraduate and medical training. She then went to Royal Oak, Mich. to complete her internship year and ophthalmology residency at William Beaumont Hospital, where she served as chief resident during her last year. She is proficient in Spanish and fluent in Tamil (South Indian language).

Dr. Tal Kazam is a board-certified comprehensive ophthalmologist providing a wide spectrum of eye care. She completed her ophthalmology residency at the renowned New York University and Manhattan Eye, Ear and Throat Hospital. Before joining NJ Eye and Ear, Dr. Kazam was in private practice in New York City. She is licensed to practice medicine in New York and New Jersey.

Dr. Gautam Kamthan is a board-certified medical and surgical comprehensive ophthalmologist who has been in practice for nearly 10 years. In addition to laser and refractive cataract surgery, he has a particular interest and expertise in high-risk cataracts, the repair of complications from cataract surgery and reconstruction of the front of the eye. He is an assistant professor at the Mount Sinai Medical Center and the New York Eye and Ear Infirmary. He treats veterans at the James J. Peters Veterans Affairs Medical Center in New York City, and has an affiliation with Holy Name Medical Center in New Jersey.

New Paragraph

Why is it important to get your flu vaccine?

Wed, 03 Nov 2021 20:47:03 GMT

Doctor: Why is it important to get your flu vaccine?

Doctor: Why is it important to get my flu vaccine?

What is the flu?

Influenza (flu) is a respiratory illness caused the virus influenza. The presentation of flu can vary from mild to severe illness with any or some of the following symptoms – fever/chills, cough, sore throat, runny nose, muscle aches, headaches, fatigue, vomiting/diarrhea. Symptoms may persist for days or weeks and can be highly contagious.

Adults >65 years of age, pregnant people, children <2 years of age and people with chronic medical conditions are at increased risk of developing serious complications from the flu. Serious complications from the flu include bacterial pneumonia, sinus infections, and sometimes death.

Why should I get vaccinated?

Each year, the influenza virus results in hundreds of thousands of hospitalizations and tens of thousands of deaths in the United States alone.

1. Getting the flu vaccine can decrease your chances of getting sick with flu. Studies have shown that flu vaccination can reduce your risk of contracting influenza virus. If you do happen to get sick and you are vaccinated, studies have shown that the severity of your illness is reduced. Furthermore, the risk of being hospitalized and dying from flu are also decreased.

2. Getting the flu vaccine can protect the people around you. By getting vaccinated you can help protect those around you who are more vulnerable to getting serious flu illness such as young children, older adults, pregnant people and people with chronic medical conditions.

3. This year is especially important to get your flu vaccine. Last year there were a record low number of flu cases which means that fewer people are likely to have immunity to the influenza strains circulating this year. This means that this year, there is predicted to be an increase in the number and severity of flu cases this year. Additionally, with the surging cases of COVID-19 as well as other circulating respiratory viruses such as RSV, respiratory syncytial virus, there is an increased risk of contracting two respiratory viruses at the same time. Contracting two respiratory illnesses is more likely to result in a serious illness.

Who should get vaccinated?

Anyone >6 months of age should get vaccinated unless otherwise advised by your doctor. If you are not sure, please ask your doctor.

When should I get vaccinated?

The flu season lasts from October to May. The CDC recommends that you try to obtain your flu vaccine by the end of October.

Is it safe to get my COVID-19 booster shot and the flu shot at the same time?

Yes! You can get your extra dose of COVID-19 vaccine and your flu vaccine on the same day.

How can I remove my ear wax?

Tue, 28 Sep 2021 15:00:49 GMT

What is cerumen and why is it a problem?

Ear wax, or medically known as cerumen, is naturally produced by the body to protect the ears. Cerumen is comprised of dead skin cells, hair, and secretions from the ceruminous and sebaceous glands of the ear. It is made by the outer third of the ear canal. Cerumen provides lubrication to the ears and contains anti-microbial properties to prevent infection of the ear. Accumulation of cerumen in the ear most commonly arises when people use qtips (cotton swabs) or other instruments to clean their ears. Variations in the quantity of cerumen produced, texture of the cerumen, and patient anatomy may also contribute to cerumen build up. When cerumen becomes excessive this can cause discomfort in the ears, difficulty hearing, and impaired assessment of the ear.

How can I safely remove ear wax (cerumen) at home?

There are many methods to safely remove ear cerumen.

- 1) mineral oil - we recommend placing 4-5 drops of mineral oil in the ears using a dropper. Let the drops sit in the ear for a few minutes before showering. This will naturally soften the ear wax, so the body can naturally get rid of the ear wax on its own. Other safe alternatives include baby oil, sesame oil or olive oil. This is the safest method and my prefered method when advising patients.

- 2) hydrogen peroxide - we recommend diluting hydrogen peroxide with water (50% water and 50% hydrogen peroxide). Place 3-4 drops in the ears using a dropper. Let the drops sit in the ear for a few minutes before showering. This works similarly to mineral oil and will help liquefy the wax so that the body naturally gets rid of the cerumen. Other alternatives include debrox over the counter ear drops. If you experience any burning or discomfort, please discontinue these drops and notify your doctor. If you have a hole in your ear drum, I would also avoid these drops. For this reason, we recommend discussing the use of hydrogen peroxide with your provider prior to starting this regimen at home.

What additional methods are used to remove ear wax (cerumen)?

There are additional methods that your physician may employ to remove cerumen.

- 1) irrigation - your physician may employ water or saline irrigation to remove cerumen. This may improve patient comfort and is generally safe for most patients. However, your physician should evaluate your ear to determine if this is appropriate for you.

- 2) dry instruments - your physician may employ specialized instruments to remove the cerumen from your ear. This may include the use of suctions or curettes to safely remove the ear wax from your ear. The use of instruments should not be attempted at home.

What methods should be avoided when attempting cerumen removal at home?

There are many complications that can occur secondary to cerumen removal at home including damage to the ear drum or ear canal skin, or retained foreign body.

1) qtips - as a general rule - you should never insert any objects into your ear. Qtips often push the wax further into the ear canal making the wax more difficult to remove and additionally may cause damage to the ear canal or ear drum. Other common items such as bobby pins, feathers, fingernails, cameras and curettes should also be avoided.

2) ear candling - this is a dangerous practice and can result in permanent damage to the ear drum.

If you are concerned about possible ear wax, please visit your doctor to discuss what regimen is most appropriate for you!

Children's eyes are so precious and vision is vital to a child doing well in school.

Thu, 23 Sep 2021 19:15:59 GMT

Last year all the children were learning on-line and sure enough, they are coming into the office with worsening prescriptions. The computer and the tablet tend to make the eyes more myopic.

Thus, you may think that your child's vision is fine, but he or she may indeed need a new prescription for the new school year. It is very important to stay on top of your child's vision.

It is also important to put a blue coating on your child's glasses to block the blue rays from the computer. These blue rays tend to make myopia progress as children are on the computer and the tablet. There are all grades of blue coatings. If you spend fifteen dollars on a pair of blue blocker glasses, you are not getting any significant blue blockage. You do get what you pay for. A good blue blocker coating alone costs much more than this. The optical at New Jersey Eye and Ear puts a blue coating on glasses that blocks one hundred percent of blue rays.

Besides bringing in your child for an eye exam at the start of the school year to make sure that the vision is good, you want to make sure that there are no eye diseases. Children do, in fact, get eye diseases, and some of them do not have symptoms.

Glaucoma is a prime example. Glaucoma is a condition where the pressure of the eye is elevated and this can result in blindness. More and more children are getting glaucoma (we do not know why) and most times there are no symptoms. At New Jersey Eye and Ear, we check for glaucoma routinely in children.

Retinal conditions are also important to check for and every child gets a dilated exam to check the retina. There are many conditions of the retina that can result in decreased vision.

Children often don't or can't communicate when there is a problem with their eyes. That is why it is so important to have their eyes checked regularly, and especially at the start of the school year.

What are Nasal Turbinates, and Nasal Obstruction

Thu, 23 Sep 2021 19:13:21 GMT

What are nasal turbinates?

Nasal obstruction may occur secondary to enlarged nasal turbinates. The nasal turbinates are paired bony structures covered with mucosa (lining) arising from the lateral nasal wall. Your nasal turbinates normally act to humidify the air we breathe. The mucosa (lining) of the inferior turbinate will often shrink and swell as part of the normal nasal cycle. However, in some patients when the turbinate bone and/or mucosal lining enlarges significantly this can cause the sensation of nasal obstruction (difficulty breathing through your nose). The mucosa (lining) of the nose can become swollen in response to allergies, inflammation, and infection. The turbinate bone may also become enlarged which further contributes to nasal obstruction.

What are the symptoms of nasal obstruction?

Symptoms of nasal obstruction include rhinorrhea (runny nose), nasal congestion or stuffiness, nasal blockage, difficulty breathing through your nose, postnasal drip, trouble sleeping, and facial pain/pressure.

What treatments are available to treat enlarged turbinates?

There are medical and surgical treatments available. Typically a significant portion of patients experience improvement with medications such as intranasal steroid sprays, intranasal antihistamine sprays, nasal saline rinses, and oral allergy medications. For patients with inadequate relief with medical therapy, there are several surgical options available (e.g. turbinate outfracture and turbinate reduction). Nasal turbinate surgery can be combined with other nasal airway procedures (e.g. septoplasty, internal nasal valve surgery and/or sinus surgery) to further improve your nasal breathing. The surgical procedure indicated depends on your nasal anatomy and thorough discussion with your surgeon.

Eyeglasses: Types of Lens Coatings and Optical Lenses

Tue, 14 Sep 2021 18:50:51 GMT

In recent years, technology and fashion have made massive advancements to create eyewear

that is functional and stylish. If you're tired of wearing contacts every day, keep reading to learn

about the various types of lens coatings and optical lenses for your next eyeglasses!

Lens Coatings

The types of lens coatings you choose can elevate your glasses and make them more

comfortable, long-lasting, and multi-functional. Here are the eight different layers you can add to

your eyewear:

Scratch-Resistant

This type of coating will make your glasses resistant to scratches and marks, increasing their

lifespan. It is not entirely scratch-proof but becomes more durable and solid overall.

Anti-Fog

Whenever you come into contact with the cold, your lenses typically fog up from the

temperature change. Adding an anti-fog lens coating can reduce the amount of fog and sweat

that accumulates on your glasses.

UV Blocking

It's best to protect your eyes from harmful UV rays at all times since it can result in eye diseases

and vision difficulties as you age. No additional coating is needed with ZEISS lenses because

they all have the UVProtect Technology.

Anti-Reflective (AR)

Anti-reflective coatings, also known as anti-glare, are applied to both the front and back of the

lens to eliminate glare. It is helpful for anyone sensitive to harsh reflections, both young and old.

Blue Light Blocking

Blue light is the harsh light that comes from electronics and causes eye strain,

fatigue, and headaches. ZEISS ofers the DuraVision BlueProtect coating to protect Ⓡ

you from the digital displays you use every day.

Polarization

Polarization is a type of chemical filter which blocks horizontal light and eliminates glare. Unlike

UV Blocking, which protects your eyes from the sun, polarized lenses reduce the amount of light

reflected on shiny surfaces.

Mirror Coating

Mirror coatings provide the wearer with some privacy, look attractive, and improve

your comfort in extreme light conditions. The ZEISS DuraVision Mirror Coating is Ⓡ

available for purchase in eight diferent colors.

Tinted

Tinted lenses have always been popular amongst outdoor enthusiasts since it improves depth

perception by increasing the contrast. It also adds a bit of fun and fashion to your overall look!

Types of Optical Lenses

While the lens coating is a personal choice you add to your glasses, the optical lens is

determined based on your prescription. Visit an optometrist to find out exactly which kind you

need!

Single Vision Lenses

Single vision lenses are ideally suited for those with myopia, near-sightedness, or hyperopia,

far-sightedness. These types of lenses will have the same prescription power across the entire

thing.

Bifocal Lenses

Bifocals are for those who suffer from both far- and near-sightedness. These optical lenses are

made up of two prescriptions with a visible line on the glass, dividing the sections up.

Trifocal Lenses

As the name suggests, trifocals have three different lenses to help improve eyesight. This lens

corrects myopia, hyperopia, and presbyopia, the inability to focus in the middle distance. This

intermediate distance is about arms-length, and the condition is due to the loss of flexibility in

our eye lens.

Progressive Lenses

Progressive lenses are for those who don't want a visible divide on their bifocals or trifocals.

These optical lenses have the prescription power to correct near, intermediate, and far

distances without a noticeable transition.

Toric Lenses

This type of lens corrects astigmatism, which causes blurred distance and near vision due to an

imperfect curve of the eye. Toric lenses are single vision with additional cylinder correction to

increase the prescription power.

Prism Lenses

Prism lenses are for those with heterophoria, a condition where the eyes don't face the same

direction when resting. Prisms bend the light to trick the eye into believing an item is in a

different location, which improves eye alignment.

The types of lenses you choose will play a significant role in your level of comfort and safety in

your everyday life. Take the time to research which coatings and optics best suit you and your

daily needs! Come check out our state of the art optical boutiques in Clifton, NJ , and Englewood, NJ and speak with one of our experienced optical sales associates to help you choose the right lens.

What Are You Doing With Your 24 hours?

Wed, 08 Sep 2021 15:50:36 GMT

What Are You Doing With Your 24 hours?

Many of us have plans to take better care of ourselves. We may even have specific goals: more exercising, less fast food, quit smoking. We talk about getting that eye exam, or mammography, or seeing the dentist for cleaning and routine x-rays, not just for a bad tooth. How many of us get regular eye exams before we notice we can’t read well, drive at night or can’t stop rubbing our tired, itchy eyes? Or even after we have these problems? “If I could just find the time…”

Guess what? We all get the same 24 hours. No one has special powers to reach into the cosmos and find an extra 2 hours that the rest of us can’t access, but some of us do manage to find time for self-care, time with family, or to start a new healthy habit because they make it a priority. What is a priority in your day? It may be difficult or expensive to go to a gym and work out for an hour 3 times a week, but can you walk in your neighborhood or a mall for 30 minutes instead? Mmmm, okay, can you work up a sweat dancing to some old school music in your living room for 15 minutes a day? “I have bad arthritis”, or “I’m in a wheelchair and have no legs” you say. Then can you sit in a chair while you watch television and lift water bottles or canned beans up and down over your head during every commercial break?

We all have to prioritize our day. Given that none of us has a spare body, we must make the care of that flawed and temporary vessel a priority. What we put in it matters. What we do to it matters. You get one set of eyes, for example. By nature they will change, and often begin to fail you over time, but there is much you can do to preserve your vision or even restore it when you get regular examinations. Do not let fear of bad news keep you from checking out a problem - early diagnosis is empowering. Better yet, get exams before you have a problem.

Whether it is scheduling your annual eye exam, reading with your child or grandchild for a few minutes each evening, or taking 10 minutes a day to purposefully move your body, plan your day with intention. Choose your priorities well. It will make the difference between just, well, living... and living well.

Elevate your look by choosing the best glasses for the shape of your face.

Mon, 16 Aug 2021 18:04:10 GMT

The Best Glasses for Your Shape

Although you can buy whatever glasses you like, you can elevate your look by choosing ones

that best fit your face! Here are the best frames to wear based on your shape:

Oval Faces

Oval faces have slightly higher cheekbones and narrow toward the forehead. If you have this

shape, you’re in luck! Nearly every style looks good on you, regardless of frame shape, color, or

texture. You can wear oval, square, round, horn, rectangle, and large frames.

Square Faces

Square faces have a strong jawline with similar forehead width. You’ll want to add length and

soften your features, so get glasses that sit high on your nose bridge. Rounded glasses work

best to contrast any angular facial features and help ease your overall look.

Round Faces

If you have a round face, then you have an equal proportion of width and length. Avoid round

glass frames, and instead, choose angular frames to create more definition on your face. You

can add length to your features when you select wider glasses with full or semi-rims.

Diamond Faces

Diamond faces have wider cheekbones than the forehead and jawline. Although many glasses

suit this face shape, oval and rectangle ones are the best. They will help highlight your best

features without overwhelming your face.

Heart-Shapes Faces

These face shapes are wider at the forehead with high cheekbones and taper down to a narrow

chin. Rectangle, round, and oval glasses look best for this face type. Heavy and oversized

frames will add too much weight to the bottom of your face--you want to balance the width of

your face.

Schedule an appointment or walk in any of our optical boutiques in Clifton, NJ and Englewood, NJ.

We have been serving the Northern NJ area for over 25 years. NJ Eye And Ear has an international network in the optical supply chain including frame and lens manufacturers and distributors. We want to ensure that all our clients are accommodated with the proper eyewear for individual needs and budget while providing top of the line quality and craftmanship.

ALLERGIES

Thu, 24 Jun 2021 15:42:42 GMT

Top Rated ENT Doctor Kevin Ende, M.D. talks about Allergies...

Allergic disease is a very common problem affecting up to one-third of the population. Immunotherapy is a treatment that can modify the immunological response of the allergy sufferer so that the patient will stop reacting to the involved allergens. Immunotherapy is indicated for the treatment of allergic rhinitis and asthma, when allergy avoidance and medications including sprays and pills fail. Immunotherapy can be administered by different routes including injections and sublingual therapy. SCIT is commonly known as “allergy shots.” Sublingual immunotherapy (SLIT) is where the allergens are administered either as drops or a pill to the sublingual area. Both SCIT and SLIT work well and there needs to be more studies to determine if one is better than the other. SLIT is so safe and easy to administer that patients treat themselves at home while allergy shots need to be performed in the office once per week. Unfortunately, not every health insurance company will cover treatment for SLIT despite the benefits, so very often patients will choose SCIT due to insurance coverage even though it is less convenient. If you have tried many different allergy medications and are still suffering, our typical process is to test your allergies and treat with either SLIT and SCIT. We will check your health insurance benefits and help you make the best choice.

Durysta, an exciting new glaucoma treatment

Mon, 29 Mar 2021 21:18:48 GMT

Durysta, an exciting new glaucoma treatment

Anyone who needs to take eye drops on a daily basis for conditions like glaucoma knows that at times it can be challenging. We forget to take them, lose the bottle, or sometimes run out before insurance will allow them to be refilled. Sometimes putting the drops in the eye is difficult, and we worry whether we or a family member are getting enough medication into the eye.

Recent developments in the pharmaceutical world have led to alternative ways of taking medications. Glaucoma, an optic nerve disorder that requires the lowering of fluid pressure within the eye to prevent damage to vision, is one condition benefiting from this revolution. A glaucoma medication previously available only in drop form (Bimatoprost) is now available in a tiny, dissolvable implant that can be placed into the front chamber of the eye during an office visit. This microscopic pellet, the Durysta implant (Bimataprost 10mcg , by Allergan) then gradually and consistently releases the medication within the eye, reducing the need to place daily drops. The procedure is painless, takes less than a minute, and can provide benefits for months or more.

It is likely that more implantable medications for glaucoma are on the horizon. Some are already in use to treat inflammatory and diabetic eye conditions. These treatments may become the new face of vision therapy in the future, and change life for many patients. Ask your eye doctor if you may be a candidate for Durysta or similar treatments to manage your eye conditions.

What is Myopia?

Fri, 19 Mar 2021 20:43:22 GMT

What Does NJ Eye and Ear Offer for Myopia?

What is Myopia?

Why is my child’s prescription going up every year?

Myopia prescription tends to get worse as kids get older, because as the child grows, their eyes continue to grow as well. The peak of progression is usually around 8-13, and usually slows down or stabilizes around age 16-18.

What is Myopia control?

“Myopia control” is a term used to describe specific treatments to slow the progression of nearsightedness in children.

What is offered at NJ Eye and Ear for myopia control?

Currently we offer two options of specialty myopia control contacts lenses: MiSight soft lenses, and Ortho-K hard lenses. These are two very different types of contacts, and the doctor would recommend you the better option after a consultation.

MiSight Lenses (Coopervision)

MiSight lenses are the first FDA-approved soft contact lenses for controlling myopia progression in children. These are soft, disposable lenses that are worn during the day, and discarded at night. Patient cannot sleep in these lenses.

MiSight lenses have concentric rings to redirect how light hits the retina, which tricks the eye into not growing too long. Studies have shown reduction in myopia progression by 59% compared to standard single vision daily lenses.

To get the full recommended benefit, children must wear the MiSight lenses at least six days a week, for 10 hours a day. Like all standard lenses, MiSight lenses pose a risk for corneal infection. Good contact lens hygiene can lower this risk.

Ortho-Keratology (Paragon CRT lenses)

Ortho-K uses a series of custom-fitted hard contact lenses to temporarily reshape the cornea. You can imagine them like retainers, but for the eyes. These hard lenses are worn before bedtime, then removed in the morning. When the lenses are worn nightly, children with myopia can see clearly the next day without needing glasses or contacts throughout the day. But when the child stops using the lenses, the cornea will go back to its original shape and myopia returns.

Multiple studies suggest ortho-K lenses slow the eye’s growth by nearly 53%, effectively slowing down the progression of myopia.

Wearing any lenses overnight can increase the risk of infection, therefore, they require thorough cleaning and extra hygiene steps compared with disposable lenses.

Contact lenses for children sound intimidating, however most children between age 8-13 can complete our insertion and removal training (either MiSight or Ortho-K) within 1 to 2 days.

What else can I do to slow down the progression of myopia?

- Some studies show that outdoor activity reduces the prevalence of myopia in children. I recommend children to spend at least 1-2 hours outdoors during the day.

- 20/20/20 rule is especially important due to the increased computer/screen-time during these times. Every 20 minutes of screen-time, look 20 feet away for 20 seconds.

Jessica J. Lee O.D

JANUARY IS GLAUCOMA AWARENESS MONTH

Wed, 06 Jan 2021 21:21:04 GMT

Glaucoma is a disease of the optic nerve, a bundle of nerve fibers behind your eye that carries visual information between the eye and the brain. In glaucoma, optic nerve fibers gradually die, and blind spots in the vision develop. If not detected and treated, those blind spots silently grow and start to affect vision. There are different types of glaucoma, but most cause no symptoms as they develop. The damage caused is not reversible, and eventually blindness can result. Checking for signs of glaucoma is painless, and involves examining the optic nerve and checking eye pressure.

What does it mean to be “aware” of glaucoma? Educating yourself and others about the condition is a start. What you read today and share with a loved one may make the difference in them having good vision, or not losing the sight they have. Awareness involves being pro-active in your own health care, getting medical and eye exams for prevention rather than waiting for problems, and asking questions of your doctor when you do.

What can you do in January for Glaucoma Awareness Month? Get a glaucoma check with an eye doctor recommended by a friend, family or your primary physician, or go to a free glaucoma screening. Bring a friend or two… and spread the word! You can be a part of making blindness from glaucoma a thing of the past. Dr. Nhandi Bush will be hosting a free glaucoma screening on January 18th, 2021.

What is the right surgery for my sleep apnea?

Mon, 14 Dec 2020 16:42:32 GMT

What is the right surgery for my sleep apnea?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. Most patients with sleep apnea use a CPAP to treat this condition, but what if the CPAP mask hurts or you can’t tolerate it or live with it? There are many different surgeries for sleep apnea and sometimes the right options are obvious based on your physical exam. While weight loss is certainly beneficial to most patients with sleep apnea, surgeries such as tonsillectomy, adenoidectomy, septoplasty, turbinate reduction, rhinoplasty, tongue reduction or advancement, soft palate trimming known as UPPP, and tracheotomy are some of the options although more exist. To determine the level of your obstruction, DISE or drug induced sleep endoscopy can be performed at Englewood Hospital. There, we will give you a medication that will put you to sleep but allow you to breath on your own and has been proven to best simulate your normal sleep anatomy. This will allow Dr. Ende to see which parts of your airway from your nose to your trachea are actually causing the obstruction.

I have tried every medicine and mouth wash for dry mouth. Is there a procedure for dry mouth?

Wed, 18 Nov 2020 17:13:43 GMT

I have tried every medicine and mouth wash for dry mouth. Is there a procedure for dry mouth?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. Sialadenoscopy and dilation of your salivary ducts can be performed in the office under local anesthesia which may allow for increased flow of saliva. The increased flow of saliva can certainly help with dry mouth. At NJ Eye and Ear, we will evaluate your salivary ducts to see if an in office dilation is right for you. Other treatments can also be performed during these dilations in the office which may help depending on the condition that is causing your dry mouth and decreased flow of saliva. The long-term results presented at the meeting in San Diego were quite reaffirming of what we already knew worked in the short term. If you are experiencing issues with dry mouth contact our office to schedule an appointment.

Virtual Learning and Eye Health

Mon, 14 Sep 2020 16:57:54 GMT

Virtual Learning and Eye Health

Since COVID-19 has closed schools and driven students to a virtual setting, screen time and eye health have become an increasing concern. Eye physicians have noticed a significant increase in dry eye syndrome and eye strain from too much screen time. It is safe to say that most computer users experience digital eyestrain. Children are no different than adults. They can experience dry eye, headaches, and blurry vision, too. Usually these symptoms are temporary but, we can expect them to become more frequent if certain precautions aren’t taken. These symptoms don’t necessarily mean there is always a need for computer glasses. It means that more frequent breaks need to be taken looking away from the screen. These symptoms arise simply because we are not blinking as often while we’re using the computer and other digital devices, leaving the eyes dry and irritated. Eye care professionals recommend the 20/20/20 rule. We recommend that patients take a break every 20 minutes by looking somewhere more than 20 feet away for 20 seconds. Here are some tips to help reduce your children’s eye strain from screen use:

• Set a kitchen timer or a smart device timer to remind them.

• Pre-mark books with a paperclip every two chapters to remind your child to look up. On an e-book, use the “bookmark” function for the same effect.

• Use good posture when using a computer.

• Make sure they view laptops at arm’s length, about 18 to 24 inches from where they are sitting. They should have a monitor positioned at eye level, directly in front of the body. Tablets should also be held at arm’s length

• To reduce glare, position the light source behind the back, not behind the computer screen.

• Remember that although anti-glare and blue filter glasses can increase comfort levels in front of the computer screen, frequent breaks are still recommended.

Lastly, eye care professionals urge parents to ensure that children spend more time outdoors. Several studies suggest that spending time outdoors, during early childhood, can slow the progression of nearsightedness. We now live in an electronic day and age. Exposure to digital screens is inevitable so, it’s important to teach our children good habits early.

Importance of Real Ear Measures in Hearing Aid Fittings

Thu, 10 Sep 2020 15:31:10 GMT

This is a subtitle for your new post

Real ear measurement (REM) is the process of evaluating if a hearing aid is delivering the

correct amount of amplification, by frequency, relative to a prescriptive target. Today, it is

considered the gold standard for verification and provides an objective measurement of the

performance of a hearing device. Digital hearing aids can be programmed specifically based on

a patient’s audiogram using a manufacturer’s algorithm. Although this method of fitting will

most likely provide some subjective benefit to the user, it does not consider the details of the

patient’s ear canal and may lead to fittings which may be under or over target. Every ear canal is

different in length and diameter and may have a different natural resonance. By inserting a thin

probe microphone into the ear canal, REM can take these variables into account and measure

the actual sound energy at the level of the tympanic membrane or ear drum. The other day I

saw a patient from another clinic who has not worn her hearing aids in quite some time due to

poor sound quality. After performing REM it was obvious why. Despite a relatively mild fit in the

manufacturer’s software, all the input levels were measured above target prescription during

Real Ear Measures. After the appropriate modifications, the patient noticed a more natural

sound quality immediately. She did not need new hearing aids; she just needed a more accurate

fitting. This example illustrates how important best practices are in hearing aid fittings. A patient

can have the top of the line hearing device but if it is not fit and measured properly, you may

not be getting the best results. If you are considering getting help with your hearing, make sure

your provider conducts real ear measurements.

Are there any new treatments for nasal polyps?

Tue, 08 Sep 2020 17:56:42 GMT

Nasal Polyps

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. Dupilimab is a new injectable medication that has been proven to reduce the size of nasal polyps. Wow! This is really exciting, because nasal steroids rarely work for this. But what’s the catch? 38,000 dollars a year and if you stop, the polyps grow back. Other medications in this class have been proven to cause cancer as well. While this may be exciting news for scientists, it’s not ready yet for patients at NJ Eye and Ear. We are of course up to date on this new breakthrough as you would expect Dr. Ende to be, but we do not feel that it has a proven track record at this point. Your insurance company is unlikely to pay for this treatment, but you can contact them and find out if they will. This medication does not make the polyps go away, it only shrinks them somewhat. We hope that new medications with greater efficacy are released in the future. There are only a very select group of patients that Dr. Ende would consider this for, but most patients with nasal polyps would not be prescribed this in our center.

Does smoking affect cancer even if the cancer is from HPV?

Wed, 02 Sep 2020 16:55:15 GMT

Does smoking affect cancer even if the cancer is from HPV?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. By now we all know that most head and neck cancer is caused by smoking and alcohol, and most people are starting to learn that this type of cancer is also caused by HPV. If a cancer is caused by HPV, there are diagnostic tests that can prove this, even if the patient is also a smoker. But does smoking affect cancer even if the tumor was not caused by smoking? This was answered by a very well designed study presented in San Diego where the investigator found that smoking absolutely does cause worse outcomes with cancer caused by HPV. So in the end, smoking is bad for you any way you look at it, and a smoking cessation program should be started today whether you have cancer or not even if smoking did not cause your cancer.

WHAT ARE CATARACTS?

Mon, 17 Aug 2020 17:34:33 GMT

WHAT ARE CATARACTS ?
Dr. Nahndi Bush (Glaucoma Specialists)

Cataracts are a naturally occurring process in the human eye. In normal

development, we are born with a clear lens that focuses images onto the back of

the eye (the retina) like a lens focuses images for your camera. Over time,

ultraviolet light from the sun, by- products of the foods that we eat, and our

environment gradually cause the lens to become cloudier and cloudier. This can

begin to impact vision, usually after the age of 40, and become what we know as

a cataract.

Just having a cataract does not mean that any treatment is required.

Generally, treatment is indicated when the symptoms begin to interfere with your

daily activities and enjoyment of life. Common symptoms of cataracts include

increasing difficulty seeing to drive at night, disabling glare from oncoming car

headlights, and hazy vision in bright sunlight (glare). You may find that reading

and TV viewing are more and more of a struggle, even with updated eyeglasses.

The only treatment for cataracts is surgery. This involves using an

instrument through a microincision at the side of the eye to remove the cloudy

lens material, and replacing it with a tiny prosthetic lens implant, like replacing

the faulty lens of a camera. This usually takes less than 10 to 15 minutes,

requiring only local anesthesia, and can be done in an ambulatory care setting.

This means that you can be home and doing most of your normal activities within

a couple of hours of having your surgery performed. One eye is done one day, and

the other can usually be done anywhere from 2 to 4 weeks later, depending on a

patient’s preference and satisfactory recovery. Most patients are less dependent

on eyeglasses after cataract surgery, and many options are available to further

enhance the result. For example, surgery can be performed with the assistance of

laser (Femtosecond laser with Catalys or LensX technology), which can make

faster recovery possible and reduce astigmatism (irregularities in the shape of the

cornea, the clear front surface of the eye), for sharper vision. Advanced

technology lens implants (ATIOLS) like the Symfony and PanOptix lenses can give

patients the freedom to do more activities without the use of eyeglasses after

surgery. These special options are not covered by health insurance, so it is good

to begin to consider how you feel about eyeglass use before it is time to decide

upon cataract surgery, so that you may know about your possible choices and

invest wisely.

A comprehensive eye exam is the way to know if you have cataracts, so

make sure to schedule one at least annually. If your eye doctor says that you have

cataracts, don’t panic! Pay attention to your daily functioning, and consider

whether your the vision is interfering with the things you want and need to do the

most. If it is, there are outstanding treatment options available to help you

recover your sight, and continue to live your very best life

Noise Induced Hearing loss – How loud is too loud?

Wed, 12 Aug 2020 19:56:08 GMT

Noise Induced Hearing loss – How loud is too loud?

People often wonder at what point does loud noise exposure become dangerous to our auditory system. First, we need to understand why loud noise would potentially cause a hearing loss. On a simplistic level, sound enters our ear and hair cells inside the inner ear pick up the sound and send signals to the brain. When very loud sounds reach the inner ear they can either temporarily or permanently damage those hair cells, inhibiting them from functioning properly. OSHA (occupational safety and health administration) recommends that individuals who are working in loud environments should limit their exposure to 85dB –90dB over a period of 8 hours. Every increase of 5dB requires the person to limit their exposure by half of that amount of time. (I.e. 95 db of exposure for 4 hours only.) This means that if someone listens to music through their headphones at a soft or moderate level, they can listen for a long time without fearing any damage to their inner ear. (Many experts recommend to keep the volume on your I-Phone to about 60% of the way up on the slider to ensure healthy hearing levels ) On the other hand, if someone is exposed 100dB sound or louder, they can potentially impair their hearing even in a short amount of exposure. ASHA American Speech and Hearing Association) created the following easy- to- read chart for understanding which environmental noises can be dangerous. If you are someone who is exposed to loud noise - speak to an audiologist about hearing protection solutions.

Painful impulse noise—Not safe for any period of time

150 dBP = fireworks at 3 feet, firecracker, shotgun

140 dBP = firearms

Painful steady noise—Not safe for any period of time

130 dBA = jackhammer

120 dBA = jet plane takeoff, siren, pneumatic drill

Extremely loud—Dangerous to hearing; wear earplugs or earmuffs

112 dBA = maximum output of some MP3 players, rock concert, chainsaw

106 dBA = gas leaf blower, snow blower

100 dBA = tractor, listening with earphones

94 dBA = hair dryer, kitchen blender, food processor

Very loud—Dangerous to hearing; wear earplugs or earmuffs

91 dBA = subway, passing motorcycle, gas mower

Moderate—Safe listening for any time period

70 dBA = group conversation, vacuum cleaner, alarm clock

60 dBA = typical conversation, dishwasher, clothes dryer

50 dBA = moderate rainfall

40 dBA = quiet room

WHAT IS GLAUCOMA?

Wed, 05 Aug 2020 15:40:11 GMT

What Is Glaucoma

Many of us have heard of glaucoma, but don’t quite know what it is. We know

that it is something that can cause blindness, and may even know someone who has

it. Glaucoma is a disease of the optic nerve, a bundle of nerve fibers behind your

eye that carries visual information between the eye and the brain. In glaucoma,

optic nerve fibers gradually die, and blind spots in the vision develop. If not

detected and treated, those blind spots silently grow and start to affect vision.

Damage is not reversible, and eventually blindness can result. Glaucoma is most

often detected in adulthood, but forms can develop at birth, during childhood or

adolescence.

HOW CAN MY DOCTOR TELL IF I HAVE GLAUCOMA?

A complete eye exam involves checking the eye pressure, which refers to the

pressure of the fluid within the front part of your eye. This pressure depends on the

balance of fluid being made and draining within the eye. It is even more important

to examine the optic nerve itself, by looking directly at it with special lenses,

performing digital photography of the optic nerves, or doing scanning

measurements of the nerve tissue. The optic nerve is sensitive to fluctuations in eye

pressure – some peoples’ eyes can tolerate higher pressures with no problem, while

others may begin to develop optic nerve damage at normal eye pressures.

Lowering the eye pressure with medications, laser treatments or surgery can

stabilize glaucoma and prevent vision loss.

My vision is fine and I have no family history of glaucoma. Do I really

need to be checked?

Yes. At least once a year if you are 40 or older. Glaucoma is a silent, devastating

condition that has no symptoms until it reaches the advanced stages. If it is

diagnosed at that time, the damage cannot be reversed. If signs of glaucoma are

detected early, while vision is still good, people can maintain good vision for the

rest of their lives. Regular examinations and testing, and treatment with

medications, laser or surgery can protect the vision that allows us to maintain our

freedom and independence as we age. Knowing is power. Invest in that power by

scheduling an eye exam for yourself and your loved ones, and it will pay dividends

to you for many years to come.

My acid reflux issue went away. I changed my diet and I take medicine. Why am I having trouble swallowing?

Mon, 06 Jul 2020 15:29:22 GMT

My acid reflux issue went away. I changed my diet and I take medicine. Why am I having trouble swallowing?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. For patients with continued dysphagia or trouble swallowing, additional workup is necessary. When we repeat your endoscopy in 3 months and see improvement in your reflux issue, we may need to order another test known as an esophagram or swallow study. This will let us look for other issues such as an extra pouch from your esophagus known as a zenker’s diverticulum. Most Zenker’s present differently than just an inability to swallow, but no always and a swallow study is necessary to check for this. Rarely, other issues are also uncovered by a swallow study. Its important to follow-up with Dr. Ende even if you have been told that your swallowing issue is only from reflux and there is nothing else you can do besides diet, lifestyle changes and medicine. This statement is simply false, and you certainly don’t want to miss a bigger issue that has a solution.

CORONAVIRUS AND YOUR ALLERGIES

Tue, 26 May 2020 16:29:54 GMT

CORONAVIRUS AND YOUR ALLERGIES

During less trying times, Fall Allergies is that time of the year when many people begin to gear

up for their battle with seasonal allergies. While ragweed plagues many in the Northeast in the

fall, March and April are prime season for many trees to release their pollen. This is when

people are plagued by the itching in their eyes, nose and throat that is often referred to as

“ hay fever”. Other symptoms include runny nose, nasal and sinus congestion and “stopped up”

ears.

Why is this problem particularly important right now? The COVID-19 virus is largely

spread by contact of infected droplets from a surface to our hands, then to the eyes, nose and

mouth. It can be very difficult to restrain oneself from rubbing itchy eyes and noses, especially

for children. Moreover, if one does carry the virus and is prone to frequent sneezing, they

increase the risk of transmitting infection to others around them. At the very least, that

sneezing and sniffling will likely raise great alarm among nearby people.

Now more than ever, it is important to keep allergy symptoms under control. Important

measures include:

Using appropriate allergy medication and antihistamine eye drops.
Keeping plenty of clean tissues handy to cover sneezes, and sanitizer to keep hands clean.
Considering air purifiers in the home.
Know your triggers, and how to avoid them when possible – allergy testing can be an important tool here.
Wear a mask and sunglasses outdoors to limit pollen contact with the eyes and face, especially when doing yard work.
Consider doing outdoor activities early or late in the day, when pollen counts may be lower, and checking daily pollen counts before going outdoors.

Living with allergies is never easy. Being attentive to managing them can definitely make

life more enjoyable, but more importantly, now it may actually help save your life and those

around you.

CORONAVIRUS AND YOUR EYES

Tue, 17 Mar 2020 18:29:13 GMT

CORONAVIRUS AND YOUR EYES

Our eyes are susceptible to a variety of infections caused by common viruses, such as the ones that cause the common cold. Conjunctivitis is an inflammation of the superficial membrane that covers the eyeball, and is often associated with cold and flu syndromes. Symptoms are redness, often sticky or runny discharge, and sometimes itching and lid swelling. There are cases of Coronaviruses causing conjunctivitis, so if you have any new onset of these eye symptoms you should consider taking the same precautions you would if you have cold symptoms or a fever.

Additionally, our eyes are often the pathway by which viruses and other germs enter the body. Take infected droplets of body fluids from coughs and sneezes for example. When they contact our eyes, nose and mouth during close proximity to others, or are passed from surfaces to our hands then to our faces, they gain access into our bodies. Children especially touch their eyes and noses frequently, then other surfaces, which is one reason that colds and “pink eye” are so common in these groups. Especially now, this must be avoided as much as possible, and accompanied by regular 20 second hand washes, or use of hand sanitizers when that is not feasible.

The Coronavirus epidemic will eventually resolve, but even when it does, this virus and many others will be present and part of our regular existence at varying levels. Now is the time to build good, life-long habits in hygiene and self-care, not just for ourselves, but for others in our community and the ones we love.

Hearing Loss and Risk of Falls

Wed, 11 Mar 2020 15:33:09 GMT

Hearing Loss and Risk of Falls

Did you know that according to the WHO, falls are the second leading cause of accidental or unintentional injury deaths worldwide? A study by Johns Hopkins school of medicine found an individual's risk of falling can triple due to untreated hearing loss. What is the possible link between hearing loss and risk of falls? There are a few possible explanations for this. One explanation is that individuals who have hearing loss are using a lot more of their mental capacity trying to strain and understand speech.

As such, they have less mental resources available to help them with balance. Alternatively, hearing loss causes people to be less aware of their external surroundings and therefore may not notice what is happening around them. Risk of falls is one of the many factors when hearing loss is left untreated. If you are noticing a hearing or balance issue, you should schedule an appointment for an evaluation today.

Falls and Vision

Wed, 11 Mar 2020 15:30:45 GMT

Falls and Vision

Falls are the leading cause of accidental injury and death among older adults. One of three adults over the age of 65 years falls annually. Older patients with vision impairment are 1.7 times more likely to fall, and 1.9 times more likely to have multiple falls and experience hip fractures. It is well documented that people today tend to have a reduced life expectancy after a serious fall injury. Visual information plays a critical role in balance control, and being able to tell where you are in relation to another object. Conditions like cataract (clouding of the lens in the eye), refractive error (the need for proper eyeglasses to correct vision), glaucoma (a degenerative disease of the nerve which provides sight, the optic nerve) and macular degeneration (a retinal condition causing loss of central vision) all contribute to a decline in vision after age 50. Often the decline is silent and people do not even realize that their vision is getting worse. Even in patients who are using eyeglasses, an incorrect prescription or improper use of a bifocal can increase the likelihood of misjudging a step and falling.

What can patients do to minimize the risk of themselves or an aging family member falling?

● Get annual eye exams. Don’t wait until vision is poor before getting checked.

● If eyeglasses are prescribed, use them!

● If you are confirmed to have cataracts and need surgery, consider options that reduce your need for eyeglasses afterward. There is a strong association between bifocal use and increased falls in the elderly.

● Stop smoking. It stimulates earlier and faster cataract growth, and increases the risk for macular degeneration

● Make sure hearing is optimized as well, with annual hearing (audiology) tests.

Many people avoid medical exams because they are afraid to know if something is wrong. Remember that disability from injuries can cause loss of independence and other life-changing consequences. This not only affects the injured person, but also the family members who must take care of them. Empowerment comes with doing everything possible to stay in your best health!

Untreated Hearing Loss and Cognitive Decline

Wed, 11 Mar 2020 15:20:26 GMT

Untreated Hearing Loss and Cognitive Decline. Is There a Connection?

Hearing loss affects approximately 48 million people in the United States and is considered the third most common health problem in America after heart disease and arthritis. Many patients do not understand the connection between healthy hearing and healthy brain activity. While it is true that our ears capture the sound in the environment, ultimately, our brain is the organ that processes the sound. When an individual has a hearing impairment, the connections between the ear and brain begin to slow down.

When the brain does not receive the appropriate levels of hearing, auditory and cognitive deprivation can set in. Studies have shown that people with hearing loss may up to 500% more likely to develop cognitive decline. They may also be at risk of memory loss and depression. However, the good news is that studies also show that by addressing and treating loss, help to reduce these risks. If you are experiencing symptoms of hearing loss, you should have a full comprehensive evaluation by an audiologist.

DRUG-INDUCED SLEEP ENDOSCOPY

Mon, 10 Feb 2020 17:18:38 GMT

Drug-Induced Sleep Endoscopy (DISE)

Drug-induced sleep endoscopy or DISE is not a new idea, but its popularity amongst surgeons has increased recently. Performing an endoscopy in the office of the upper airway along with a careful exam can give the surgeon us some idea of what structures are blocking your airway and causing sleep apnea. But to see those structures while you are actually sleeping helps guide us that much more. In the past, this was performed with standard drugs like propofol but we have come to realize that this does not mimic normal sleep. A recent article outlined a better choice that is more representative of your airway during sleep. This procedure takes a few minutes in the operating room but is technically not a real surgery and you aren't even intubated for the procedure (no breathing tube). Once this has been performed, we would have a discussion on whether additional surgery may be right for your specific sleep apnea condition rather than guessing at what would be best by looking at you while you are awake. If you suffer from sleep apnea and are not doing well with your CPAP device, come for a consultation so we can evaluate you and we may recommend DISE.

Why is my child’s nose still blocked?

Fri, 07 Feb 2020 16:46:18 GMT

Why is my child’s nose still blocked?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. Many parents come to Dr. Ende with a child who still has nasal obstruction after having adenoidectomy with another doctor and want to know why. Very often this is due to a problem in the nose known as deviated septum. Doctors in the past were very hesitant to help children with this condition in the past due to the possibility of interfering with the growth plates, but this issue has not been born out in children after 6 years of age. If your child still has nasal obstruction, mouth breathing, chronic nasal congestion, they should be evaluated by Dr. Ende for a nasal issue. We have state of the art pediatric diagnostic equipment in the office where you will actually be able to see on the screen the exact issue that is causing your child this difficulty.

Are Hearing Aids Safe?

Wed, 29 Jan 2020 15:35:13 GMT

Are Hearing Aids Safe?

At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice. When a patient goes to an audiologist and is diagnosed with asymmetric hearing loss (hearing that is different on one side vs the other) and the audiologist suggests a hearing aid without recommending that the patient sees an ENT doctor, this is malpractice in its greatest form. Unfortunately we see this all of the time due to greed on the part of the audiologist trying to sell you an expensive hearing aid. Did you know that up to 5 percent of newly diagnosed patients with significant asymmetric hearing loss of the nerve in one study actually had brain tumors? Can you imagine that? That’s one in 5 patients. If your hearing is different on one side vs. the other, you should make an appointment at NJ Eye and Ear with Dr. Ende.

Dr. Bush's Experience on a Medical Mission to Northern Ghana

Tue, 28 Jan 2020 21:18:06 GMT

Dr. Bush in Africa on a Medical Mission

'ON APPRECIATION'

Whenever possible, it is a valuable thing to leave the United States to gain perspective on the abundance we enjoy here. Imagine that you are a seamstress who makes her living sewing dresses, and you find that by the time you are in your 40s or 50s you cannot earn a living for want of a pair of reading glasses. Reading glasses that we could purchase at our nearest dollar store. Picture your 11 year old daughter responding only when someone shouts her name, because she has lost her vision from childhood glaucoma. A surgical procedure could have helped when she was younger, but can no longer bring her vision back. A 10 minute surgery for cataracts however, could help her grandfather regain his sight and his independence. My second day in clinic during a mission to Ghana has introduced me to patients like this and many more. Hundreds more will be waiting for us tomorrow and the next day, and many will not be seen by the time we leave in a few days. Even in New Jersey I have seen unnecessary blindness, suffering and disability from treatable vision problems. In Englewood I have had to say to patients or family members “I’m sorry, there is nothing I can do to get the sight back.” Often it was due to a lack of insurance, or difficulty paying for medications, co-pays and procedures. I ask the hard question however: how do some of us prioritize our health? Some patients complain of health costs, but regularly go to hair and nail salons, and manage to pay cable and cell phone bills. Care is available however, sometimes cost prohibitive, but at least accessible more often than not for those who pursue assistance. People here in Ghana and many other countries remind me of the wealth of resources available to us in America. Unfortunately, mission work is needed in the U.S. as well due to the unacceptable economic disparity and division of wealth. Although few can travel overseas on a mission, we can all find ways to help others through local churches, donating eyeglasses to the Lions Club, or assisting someone in our community who is visually impaired. At the very least we can make it a mission, pun intended, to get our eyes examined regularly to protect the “two gifts” that keep us seeing from day to day

Sleep Apnea

Fri, 13 Dec 2019 20:38:44 GMT

What causes sleep apnea in adults and kids?

There are many causes of sleep apnea in kids and adults. Treatment for this condition has undergone many changes over the last few decades. A recent study in JAMA Otolaryngology - Head and Neck surgery reaffirmed information that we already know concerning obesity and enlarged tonsils as the most common cause of sleep apnea in adolescents. The outcome of the article was that sleep studies are still important to see how severe the sleep apnea actually is, but that weight loss and tonsillectomy continue to be two of the best ways to treat sleep apnea besides CPAP which is not often tolerated by kids and adolescents. If you child or teen is snoring and having pauses in their breathing, we suggest evaluation at NJ Eye and Ear as soon as possible as obstructive sleep apnea is a very dangerous condition to ignore.

Does Balloon Sinusplasty Work On Kids?

Fri, 13 Dec 2019 20:32:09 GMT

Does balloon sinusplasty work on kids?

The short answer to this question is yes. There was a recent paper discussing the cost effectiveness of performing balloon sinusplasty at the same time as adenoidectomy in children with chronic sinusitis despite medical managment in the American Journal of Otolaryngology. The message from the article is that it is more cost effective to perform adenoidectomy first and then come back to perform balloon sinusplasty at a later date for kids who still need it, but that both procedures together led to superior outcomes for patients then just doing the adenoidectomy alone.

At NJ Eye and Ear we will help you decide which treatment is right for your child since we have the technology to provide all of these options. We have the latest and safest balloon sinusplasty equipment on the market and we are excited to offer this procedure to both adolescents and adults. If your child suffers from sinusitis and you would like to explore a safe procedure option that does NOT involve a trip to the operating room or any anesthesia, call us today for a consultation.

Are Ear Tubes Permanent?

Fri, 13 Dec 2019 19:54:19 GMT

Are ear tubes permanent? How long do ear tubes stay in?

Most ear tubes are meant to be temporary, and last for about one year before they are pushed out naturally by the ear drum. For rare situations where a child needs to have a more permanent tube placed, a different type of tube is used in those situations. Ear tubes continue to be one of the most commonly performed surgical procedures in this country since they are proven to work.

A recent study looking at different types of tubes in the International Journal of Pediatric Otorhinolaryngology, reaffirmed how well ear tubes work for children with ear infections. If your child is suffering with ear infections and constantly taking antibiotics, they may also have their hearing affected. Hearing issues in childhood can lead to developmental issues such as speech difficulty. Call us at NJ Eye and Ear today to discuss ear tube placement for your child.

How Do I Know If My Ear Infection Is MRSA?

Fri, 13 Dec 2019 19:51:44 GMT

What do I do about an ear infection that won't go away?

This is a really important topic as we have been seeing a lot of ear infections that are resistant to standard antibiotics. Your pediatrician will treat a standard ear infection, but what if you use ear drops and oral antibiotics and it still doesn't go away? Many of these types of persistent infections end up being fungal or a resistant Staph infection known as MRSA which can spread to other parts of your body and is sometimes deadly. If your doctor does not read the latest articles on MRSA infections, he may be unable to eradicate this infection quickly for you or your child.

A recent article in the International Journal of Otorhinolaryngolgoy by Glenn Isaacson, MD at Temple University has described a game-changing treatment for this condition that has been working extraordinarily quickly for our patients at NJ Eye and Ear. Dr. Isaacson describes physician installation of Mupirocen 2 percent into the infected ear canal if other methods have failed and we have been using this with amazing success. If you or your child have an ear infection that has been treated but won't go away, you may have an MRSA infection and you should call us right away.

Does Injection Laryngoplasty Really Work?

Fri, 13 Dec 2019 19:48:47 GMT

At NJ Eye and Ear, we have had nothing but success with injection laryngoplasty. Injection larygoplasty is great for patients who may have a temporary or even permanent paralysis of one of their vocal cords. It can help with creating a stronger voice, with less hoarseness, and less risk of aspiration. A recent article in the International Journal of Pediatric Otorhinolaryngology nicely displayed all of the benefits of injection laryngoplasty and reaffirmed its use for a variety of laryngeal issues such as clefts. If you have been living with a pararlyzed vocal cord or suffer from a hoarse voice and you don't know why, then you should call us today to investigate the cause and improve your voice.

The Power of Hearing Aids

websitebuilder@thryv.com — Mon, 21 Oct 2019 20:31:03 GMT

The Power of Hearing Aids

A great story about hearing aids appeared on CBS news recently. They estimated that only 20 percent of adults with hearing loss actually use hearing aids. This number has certainly increased over the years and will continue to increase with the amazing new technology and miniturization of the current hearing aids. Unfortunately, insurance doesn't cover hearing aids just like it doesn't cover glasses for most patients. However, hearing aids can reopen the world of hearing to most patients with regular hearing loss from aging. Everyone remembers the wierd looking giant hearing aids that everyone could see from a mile away, but most of the newer hearing aids fit inside the ear and are custom fit with molds.

Current hearing aids are even compatible with you phone and work like Apple Airpods. Generic low cost hearing amplification systems are also available, but the technology in these devices is much older and cruder and they are not the modern customized tiny devices with noise cancellation and other advanced features to improve your hearing. NJ Eye and Ear should be your first stop to have your ears examined, your hearing tested, and to look at getting a custom fit hearing aid with the currently most advanced features to help you hear your best!

CNN article resource: https://www.cbsnews.com/news/hearing-aids-you-aint-heard-nothing-yet-2019/

Do I Need To Wear Sunglasses?

websitebuilder@thryv.com — Mon, 21 Oct 2019 20:25:32 GMT

Do I Need To Wear Sunglasses?

Sunglasses have become quite a fashion statement, and people spend hundreds of dollars for prescription and non-prescription lenses. For many, they are necessary to make driving easier, or tolerate bright sunny days. Others just like the way they look with sunglasses, and still others enjoy sporting designer labels that make them feel good. But, do sunglasses serve a medical purpose?

Every day we are exposed to sunlight, and with it the potentially damaging effects of Ultra-Violet (UV) light rays – UVB, which is associated with an increased risk of skin cancer, and UVA, more associated with the progressive aging of the skin. There is a direct relationship between your exposure to UV light and the development of certain eye conditions, most importantly cataracts and macular degeneration (AMD). Cataracts are the age-related, and expected clouding of the focusing lens inside your eye, gradually dimming your vision as the cloudiness increases. This usually begins in your 50s or 60s, but will occur earlier and progress more rapidly the more your eyes are exposed to the sun. Macular degeneration affects the retina, which is the light sensitive sheet of nerve tissue that lines the inner back of the eye, and involves the build-up of certain substances in the retina that are toxic. This gradually steals central vision, and unlike cataracts, cannot be readily reversed with surgery.

Any eyeglasses that block UVA and UVB, clear OR tinted, can protect your eyes and reduce the risk of cataracts and AMD, as well as certain types of skin cancers that can affect the eyelids. Polarized lenses reduce glare, but the UV block, not polarization or the darkness of the lenses, is what is critical for protecting your eyes. An Optician can determine whether your current eyeglasses have a UV protective coating if you are unsure. So, since you can’t completely avoid the sun, put on some protection when you go outdoors! And eat your fruits and vegetables – the pigments in these richly colored foods help to protect you from cataracts and AMD as well!

Migraine Headaches and Inner Ear Problems

websitebuilder@thryv.com — Mon, 21 Oct 2019 20:21:43 GMT

Migraine Headaches and Inner Ear Problems

Did you know that migraine headaches can actually be caused by inner ear problems in some cases? The medical name for this type of headache is Vestibular Migraine. Researchers at Johns Hopkins University recently published an excellent article characterizing this issue. Patients who have dizziness or vertigo along with their migraine headaches may actually have them due to an inner ear problem.

At NJ Eye and Ear we can evaluate you and test you for this condition so that you understand why you have migraine headaches. We can also prescribe treatments that will help that are different than standard migraine headache treatments. If you have migraine headaches with dizziness, vertigo, and or nausea that last from 5 minutes to 72 hours, NJ Eye and Ear may be able to help you. Call today for an appointment with Kevin Ende MD , our Director of Otolaryngology.

Two Gifts

websitebuilder@thryv.com — Mon, 21 Oct 2019 20:16:02 GMT

TWO GIFTS

I opened two gifts this morning – they were my eyes.

I can’t take credit for that expression of gratitude, but the sentiment comes to my mind often. As an eye doctor, a mother, and a child of a grandparent and parent with glaucoma, the value of sight is something I’m aware of almost daily. Many of us don’t appreciate our vision or how our eyes feel until something is wrong, but there is much to be said for having regular eye exams before there is a problem. At New Jersey Eye and Ear we are a family of doctors, all dedicated to preserving the sight and well being of the very youngest to the oldest patients. Prescribing a pair of glasses for a child who has had difficulty seeing the board in school, so that they may excel. Providing cataract surgery with new lens implants for patients whose vision has begun to interfere with driving, reading, and enjoying their tv programs. Helping patients with allergies and dry eyes to find relief, and working to break generational patterns of vision loss from conditions like glaucoma and diabetes. This is what drives those of us who focus on eye care.

We depend on our eyes for so much. What does your sight mean to you? Whatever that is, remember to take every opportunity to take care of those two hard working, precious gifts, for yourself and the people you love.

1868950

Why Your Runny or Stuffy Nose Might Not Be “Just Allergies”

Nose always runny?

January is Glaucoma Awareness Month: Protect Your Vision with Early Detection in New Jersey

Celebrating Our Award-Winning Doctors at NJ Eye and Ear!

Luxe Black Friday event Coming to NJ Eye and Ear Englewood!

Champagne & Beauty: The Luxe Black Friday Wind Down

Say Hello to Eye-Safe Glam: Twenty/Twenty Beauty Now Available at NJ Eye and Ear

Say Hello to Eye-Safe Glam: Twenty/Twenty Beauty Now Available at NJ Eye and Ear

What Is Twenty/Twenty Beauty?

How Glaucoma is Treated

Dr. Lawrence Geyman discusses treatment options for Glaucoma.

Pistachios! You Got to Love Them Even More Now!

Eat Pistachios for Better Eye Health

Eyes feeling scratchy, becoming red or blurry?

July is Dry Eye Awareness month and your symptoms could be due to dry eye.

OptiLight by LUMENIS Relief for Dry Eyes and Skincare

What is Dry Eye?

January is Glaucoma Awareness Month

Wisdom from a Glaucoma Specialist, Lawrence Geyman, M.D.

What Is Myopia? Dr. Lee Explains

Why is my child's eyesight getting worse every year?

Dr. Lawrence Geyman featured on Diagnosis Glaucoma Podcast

LISTEN NOW

Spread Cheer This Holiday Season, Not Infections!

Spread Cheer, Not Infection.....

NJ Eye And Ear Doctors Awarded as Best Doctors in New Jersey

Why is it important to get your flu vaccine?

Doctor: Why is it important to get your flu vaccine?

How can I remove my ear wax?

Children's eyes are so precious and vision is vital to a child doing well in school.

What are Nasal Turbinates, and Nasal Obstruction

Eyeglasses: Types of Lens Coatings and Optical Lenses

What Are You Doing With Your 24 hours?

Elevate your look by choosing the best glasses for the shape of your face.

The Best Glasses for Your Shape

ALLERGIES

Top Rated ENT Doctor Kevin Ende, M.D. talks about Allergies...

Durysta, an exciting new glaucoma treatment

Durysta, an exciting new glaucoma treatment

What is Myopia?

What Does NJ Eye and Ear Offer for Myopia?

JANUARY IS GLAUCOMA AWARENESS MONTH

What is the right surgery for my sleep apnea?

What is the right surgery for my sleep apnea?

I have tried every medicine and mouth wash for dry mouth. Is there a procedure for dry mouth?

I have tried every medicine and mouth wash for dry mouth. Is there a procedure for dry mouth?

Virtual Learning and Eye Health

Virtual Learning and Eye Health

Importance of Real Ear Measures in Hearing Aid Fittings

This is a subtitle for your new post

Are there any new treatments for nasal polyps?

Nasal Polyps

Does smoking affect cancer even if the cancer is from HPV?

Does smoking affect cancer even if the cancer is from HPV?

WHAT ARE CATARACTS?

WHAT ARE CATARACTS ? Dr. Nahndi Bush (Glaucoma Specialists)

Noise Induced Hearing loss – How loud is too loud?

Noise Induced Hearing loss – How loud is too loud?

WHAT IS GLAUCOMA?

What Is Glaucoma

My acid reflux issue went away. I changed my diet and I take medicine. Why am I having trouble swallowing?

My acid reflux issue went away. I changed my diet and I take medicine. Why am I having trouble swallowing?

CORONAVIRUS AND YOUR ALLERGIES

CORONAVIRUS AND YOUR ALLERGIES

CORONAVIRUS AND YOUR EYES

CORONAVIRUS AND YOUR EYES

Hearing Loss and Risk of Falls

Hearing Loss and Risk of Falls

Falls and Vision

Falls and Vision

Untreated Hearing Loss and Cognitive Decline

Untreated Hearing Loss and Cognitive Decline. Is There a Connection?

DRUG-INDUCED SLEEP ENDOSCOPY

Drug-Induced Sleep Endoscopy (DISE)

Why is my child’s nose still blocked?

Why is my child’s nose still blocked?

Are Hearing Aids Safe?

Are Hearing Aids Safe?

Dr. Bush's Experience on a Medical Mission to Northern Ghana

WHAT ARE CATARACTS ?
Dr. Nahndi Bush (Glaucoma Specialists)