Gundersen Vision Magazine :: Winter 2016

Winter 2015 Edition

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The Silent Thief of Sight Two Eyes 8 Three Dimensions pg

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LASIK FAQs

www.gundersenhealth.org/vision 1 In Focus

CONTENTS

Winter 2015

4 Provider Spotlight

6

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Dr. Jen Gipp

5

Employee Spotlight

Nancy Bean

6 Diabetes: Still The Leading Cause

Of Blindness

Diabetes is quite common in people today.

Did you know it could have such an impact on your vision?

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Two Eyes, Three Dimensions

While 3-D technology has come a long way from sitting in the theatre wearing cardboard red-blue glasses, the basic concepts are the same today.

10 What You Need To Know

About Glaucoma

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Important facts about this eye condition commonly referred to as the “silent thief of sight.” Learn about the different types of glaucoma, risk factors and common treatments.

12 The Best Frames For Your Face 13 LASIK FAQs

We hope you enjoy this issue of In Focus magazine, our publication to help keep you informed and up-to-date on the many great things happening at Gundersen Health System®.

Gundersen Health System® consistently delivers the latest in vision care for patients of all ages. We offer a large variety of vision services, including LASIK, cataract surgery, treatment for macular degeneration, glaucoma, and retinal problems, as well as pediatric eye care, full-service optical shops and more. We have 12 clinics located throughout our region and are committed to providing our patients with the best care possible.

www.gundersenhealth.org/vision

We have listed some of the most frequently asked questions. If you’ve ever wondered about LASIK, start here!

14 Eye Healthy Recipe 15 Puzzle Corner

Our Providers & Clinic Locations

Black River Falls Eye Clinic, Wisconsin Bruce Lahmayer, O.D. Suzanne Falkenberry, M.D. Decorah Eye Clinic, Iowa Jennifer Gipp, O.D. Kristie Shappell, M.D. Andrew Sassaman, O.D. Hillsboro Eye Clinic, Wisconsin Jeff Clark, O.D. Steven Whitford, M.D. Onalaska Eye Clinic, Wisconsin Sarah Clements, O.D. Filomena Larson, O.D. John Purdue, O.D. Matthew Runde, M.D. Kent Summerfield, O.D. Todd Verdon, O.D. Prairie du Chien Eye Clinic, Wisconsin Philip Holzer, O.D. Christopher Born, M.D. Brad Collins, O.D. Sparta Eye Clinic, Wisconsin Jon Williamson, O.D. Steven Whitford, M.D. Tomah Eye Clinic, Wisconsin David Larsen, O.D. Matthew Runde, M.D.

Viroqua Eye Clinic, Wisconsin Troy D. McKay, O.D. Andy Nahas, O.D. Paul Kuck, M.D. Waukon Eye Clinic, Iowa James Rixen, O.D. Gary Lenth, M.D. Andrew Sassaman, O.D. Whitehall Eye Clinic, Wisconsin Ashley Finch, O.D. Steve Whitford, M.D. Winona Eye Clinic, Minnesota Sean Thompson, O.D. Bradlee Wolner, O.D. Daniel Lange, M.D. LaCrosse Eye Institute, Wisconsin Elizabeth Ault Brinker, M.D. Christopher Born, M.D. Cindy Calderon, M.D. Randall S. Condit, M.D. Suzanne Falkenberry, M.D. Paul Kuck, M.D. Daniel Lange, M.D. Gary Lenth, M.D. Matthew Runde, M.D. Kristie Shappell, M.D., D.V.M., M.S. Steve Whitford, M.D. Thomas Edwards, O.D. John Larson, O.D. John Sterling, O.D. Todd Verdon, O.D.

Welcome Dr. Calderon, our new retinal surgeon.

Medical Doctor: State University of NY, Stony Brook, NY Internship: Winthrop-University Hospital, Mineola, NY Residency: SUNY-Downstate Medical Center, Brooklyn, NY Fellowship: Eye Specialty Group, Memphis, TN www.gundersenhealth.org/vision 3

Provider Spotlight Dr. Jennifer Gipp Where did you receive your education?

Undergraduate: Biology major with French minor at Luther College in Decorah, Iowa.

Optometry School: Indiana University School of Optometry Residency: St. Louis VA Medical Center

How long have you been with Gundersen?

Six years

What’s your favorite thing about working at Gundersen?

The people. I’m grateful for everyone’s dedication and commitment to providing exceptional patient care and couldn’t ask to be part of a better team. I also love working with our optometry interns and resident.

I have had wonderful experiences with the Global Partners program, which provided vision care in Nicaragua.

Do you specialize in any area of optometry?

I see infants through the InfantSEE program and practice primary care optometry in Decorah, Iowa.

We have a significant geriatric population, so I see a significant amount of ocular disease.

Spouse, kids?

Husband: Barrett Gipp Two Kitties: Peanut and Gizmo One soon-to-be-born baby boy

What is your favorite pastime or hobby?

I love to travel. My husband and I have visited six continents since we were married five years ago and love to experience other cultures and ways of life.

Favorite quote?

“If you have built castles in the air, your work need not be lost; that is where they should be. Now put the foundations under them.” ~Henry David Thoreau

What is an interesting fact about yourself?

I spent a semester living in Gisborne, New Zealand as a part of a study abroad program when I was a senior in high school.

4 In Focus

Staff Spotlight Nancy Bean Where did you receive your training?

On the job and then studied to become a certified ophthalmic assistant (kidding people I got my certification at Bean University (studying in my basement). I have had several ask me where Bean University was located.

How long have you been with Gundersen?

December 26, 2015 will mark 37 years with Gundersen.

What is your favorite thing about Gundersen?

Seeing patients on their one-day check-up after cataract surgery. The expression on their face when they can see without glasses is very rewarding.

Tell us a little about your family.

My husband Douglas and I have been married 27 years. I have two children: Nathan, 26 and Natasha, 24 who are both married. I also have one grandson, Braxton who is six and another grandchild due to arrive in January. I would be remiss if I didn’t mention the most spoiled member of our family, Zoey, our Yorkie poo.

What is your favorite pastime or hobby?

I enjoy camping with family and friends, and scrapbooking.

What is an interesting fact about yourself?

Starting at Gundsersen as a patient liason in 78 for 13 years, and as an assistant for 10 years, then transferred to Viroqua and started working as a technician for Dr. Nahas—all in the eye clinic. I have seen lots of changes and have worked and continue to work with caring, compassionate staff. I also love to travel to other offices helping out and getting to meet others throughout the organization.

VALUES MISSION

We distinguish ourselves through excellence in patient care, education, research, and through improved health in the communities we serve.

VISION

We will be a Health System of excellence, nationally recognized for improving the health and well-being of our patients and their communities.

Integrity Perform with honesty, responsibility, and transparency.

Excellence Achieve excellence in all aspects of delivering healthcare.

Respect Treat patients, families, and coworkers with dignity.

Innovation Embrace change and new ideas.

Compassion Provide compassionate care to patients and families.

www.gundersenhealth.org/vision 5

Your Vision & Diabetes

Diabetes is a disease that is characterized by high blood sugars due to your body’s inability to properly use or produce insulin. It is estimated that there are currently 26 million Americans diagnosed with diabetes (which means two out of every 25 Americans). In 2010 alone, 1.9 million new cases of diabetes were diagnosed in individuals over 20 years old.

How can diabetes affect your eyes and your vision?

LENS: High or fluctuating blood sugars can cause both temporary and permanent changes to the lens of your eye.

Temporary Changes: Fluctuating or high blood sugars can cause your refractive error (glasses prescription) to change, therefore causing variable vision.

Permanent Changes: Fluctuating blood sugars and high blood sugars can increase your chance of developing early cataracts. Cataracts are permanent changes to the lens which cause reduced vision and glare. Cataracts caused by diabetes have a tendency to develop more rapidly and can even occur in adolescence.

RETINA: Over time, high blood sugars associated with 6 In Focus

diabetes cause damage to the blood vessels in your body, including the blood vessels in your eye. Damage to the blood vessels in the back of your eye causes them to leak. These leaky blood vessels cause the retinal tissues to swell, inhibit proper oxygen and nutrient delivery, and ultimately lead to death of the retinal tissues affected.

This series of events is called diabetic retinopathy, and it can cause temporary or permanent vision loss. Diabetic retinopathy is typically treated with laser procedures or ocular injections. These treatments may halt progression of the disease but may not always restore vision.

IRIS: Chronic, uncontrolled diabetic retinopathy can cause new abnormal blood vessels to grow on your iris.

These blood vessels can block the normal flow of eye fluid and cause a significant increase in your eye pressure. This is called neovascular glaucoma and can cause eye pain, vision loss and even loss of the eye.

Who gets diabetic retinopathy?

Although anyone with diabetes can develop diabetic retinopathy, there are factors that can increase your risk.

These risk factors include: DURATION: The longer you have had diabetes, the higher your risk.

CONTROL: Poorly controlled blood sugar increases damage to your blood vessels and therefore increases your risk.

TYPE: Individuals with type I diabetes are at greater risk due to severity and longer duration of diabetes.

OTHER RISK FACTORS: Pregnancy, high blood pressure, nephropathy (kidney disease), obesity, high cholesterol, and anemia.

What are the things you can do to prevent diabetic retinopathy?

The two most significant risk factors for developing diabetic retinopathy are duration and control of your diabetes. Once diagnosed with diabetes you are unable to reduce the duration, however, you still have the means to control your blood sugar. Staying educated about the health of your body and maintaining control of your blood sugars can make a significant difference for the health of your eyes.

Checking your blood sugar on a regular basis is the first step, and is the only way to track your blood sugar levels. Blood sugar trends should be monitored by your

endocrinologist or primary care physician.

Your doctor can help you modify your diet, exercise and medications to help stabilize and maintain healthy blood sugar levels.

It is also important to control other health issues that can increase the chances that someone with diabetes can develop diabetic retinopathy. Aside from controlling blood sugar levels, the two most important things diabetics can do is ensure their blood pressure is in a suitable range, and quit smoking.

Another important step toward maintaining good vision is to have annual diabetic eye exams. Early diabetic changes to your eyes cannot be seen or felt by you, but it can be seen by your doctor. Dilating your eyes, a key element of diabetic eye exams, is the only way to check for these changes and enables your eye doctor to assess all the tissues potentially affected by diabetes. Early detection through regular diabetic eye exams is crucial. With early detection, mild changes can often be reversed or stabilized by improved control of your blood sugars and overall health. Even moderate to severe changes caught early enough can be treated to help prevent progression For individuals 20 to 74 years of age, diabetes is the leading cause of all new cases of blindness. However, severe vision loss rarely occurs if diabetic retinopathy is caught early and treated. It is important to remember that you are in control. Stay active and educated about the health of your body and eyes!

Does your child suffer from vision problems?

Good eyesight is essential for learning. Children with vision problems may avoid reading, struggle to read the board in classrooms and have poor depth perception. If vision problems are not caught early, they may lead to permanent vision loss.

It’s important to watch for the following signs of vision problems in children: » Squinting » Double vision » One eye turning out or in » Running into things, balance trouble » One eye having a bright red-reflex in pictures » Poor hand-eye coordination while the other reflex appears dim or white » Sitting too close to the TV or computer » Tilting of the head » Holding reading material very close to the eyes If your child shows any of these signs, he or she should be seen by an eye doctor. Children should have their first eye exam between 6-12 months of age unless they are born premature or have a family history of eye problems. If no problems are found, children should have an eye exam again at 3 years, before entering the first grade and every two years after that or as recommended by their eye doctor. Call your local Gundersen Eye Clinic today to schedule an exam.

www.gundersenhealth.org/vision 7

our hands and feet, how to eat without spitting up, and how to sit up, we are also trying to make sense of the information that comes to our brains through our eyes.

Essentially, we need to learn how to see. Early on, our brains realize that the information sent to it from one eye is different than the information sent to it from the other, and our brains need to figure out what to do with that conflicting information.

For 10 percent of us, our brains decide that this is too confusing, and instead concentrate on the image from one eye and ignore the image from the other. In these children, if the brain continually ignores the same eye, that eye is at risk for developing into a lazy eye, and one of our pediatric specialists can prescribe glasses or patching to ensure that this eye develops the best vision possible.

H

aving made a large impact on our walls, television manufacturers have turned from the challenge of making TV sets bigger to that of making them deeper. Well, not so much the set itself, but the illusion of the image being deeper, having a threedimensional appearance.

While 3-D technology has come a long way from the memories of audience’s sitting in the theatre wearing cardboard red-blue glasses, the basic concepts are the same today. The trick is that what the left eye “sees” has to be a little different than what the right eye “sees,” and then the brain compensates for this difference by making a 3-D image. The 3-D moviemakers take advantage of a natural process that almost all of us develop while we are babies, a process that doesn’t

8 In Focus

develop properly in many children with wandering or lazy eyes.

How Our Brains Develop to See in 3-D

Here’s a simple exercise: hold your two thumbs up in front of your eyes so that one is behind the other. The closer one should be a foot in front of your eyes, and the farther one a foot-and-a-half in front of your eyes. Now, close your left eye and observe where the two thumbs are in relation to each other. Next, open that eye and close the other, and see how the two thumbs seem to move in relation to one another.

Because your eyes are a few inches apart from one another, what one eye sees is actually a little different than what the other sees.

When we are still babies in the crib, trying to figure out how to move

For the other 90 percent of us, our brains process this information into a complex 3-D mapping system called “stereopsis.” Although stereopsis is the strongest cue toward 3-D vision, it is not the only one, and this is proven by the fact that one-eyed individuals can drive safely and reach for salt shakers without knocking them over every day. However, stereopsis is the strongest cue to 3-D vision, and therefore it is the one that 3-D moviemakers take advantage of when they want to “wow” their audiences.

3-D Technology in Movies

The trick to making movies look 3-D is to have the left eye see something different than what the right eye sees. The easiest method is with the use of glasses that control what each eye sees. Passive glasses are the classic type of 3-D glasses. With the traditional redblue glasses, the image is designed with a red image and a blue image slightly offset from one another.

“The trick is that what the left eye ‘sees’ has to be a little different than what the right eye ‘sees,’ and then the brain compensates for this difference by making a 3-D image.”

If you look at a 3-D image designed for this type of projection, you can see the two separate images.

When you watch the movie with the glasses on, the blue side filters out the blue colored image passing the red hued image to your eye.

Conversely, the red lens blocks the red image sending the blue image into the eye. As the images go from the eyes to the brain, the images are fused into one image with the illusion of depth.

Moving forward from the 1950s, polarized light was the next popular method of separating images in passive glasses. Polarized lenses are like two picket fences with their stakes turned in different directions.

The projection system projects two images again, and the picket fencelike filters only allow the image aligned in the correct direction to get through, allowing the two eyes to see similar, but slightly separated, images. Again, the brain deals with this contradictory information by creating a single image with the illusion of depth.

The latest development in 3-D glasses technology is in the form of active glasses. This technology

actually synchronizes the glasses with the TV. Instead of displaying two images simultaneously, this method displays one image at a time but alternates them extremely quickly. The glasses match this alternating display by making one lens black and the other clear and then reversing it. The rate is quick enough so that the brain doesn’t register that it is seeing two different images and instead sees one image with the arrow emerging from the screen toward you!

is that the barrier only works if you stay in one spot directly in front of the TV screen. If you get up to get popcorn, the 3-D nature image goes away!

3-D Vision without 3-D Glasses

Lenticular displays use very tiny lenses built into the display that separate the two images into a right side and left side so each eye gets separate images which get fused in the brain. This is the type of technology used on 3-D movie covers and children’s stickers in which the image changes depending on the angle you look at the picture.

Another technique is called parallax technology. Here a layer of material over the TV screen passes the image through a series of slits, which allow each eye a view of a slightly different set of pixels on the screen. The big problem here

But can the desire to see the golf ball coming out of the screen cause problems? The court is still in session. Many feel that if the viewer has just enough of a problem focusing and merging the images, this can bring the problem to the viewer’s attention but not cause the problem - akin to the question “How do you know if you are allergic to bee stings? Get stung by a bee.” All generally agree, however, if you experience headaches and nausea while watching 3-D programming, don’t watch 3-D programming.

The holy grail for 3-D technology is definitely the ability to give the viewer that extra dimension without giving (or selling) them a pair of glasses. The idea is again the same – give each eye something different to look at and let the brain fuse them into one image with the illusion of depth.

www.gundersenhealth.org/vision 9

THE SILENT THIEF OF SIGHT

What you need to know about glaucoma

pressure damages the sensitive optic nerve and results in vision loss.

Types of glaucoma include: OPEN-ANGLE GLAUCOMA

Read about important facts concerning this eye condition commonly referred to as the “silent thief of sight.” Learn about the different types of glaucoma, risk factors and common treatments.

Have you ever tried looking through wax paper or placed your hands as blinders, so that you can only see directly in front of you? For those who suffer from glaucoma, this sort of eyesight can be all too real.

Glaucoma is the leading cause of blindness in the United States. Glaucoma is a group of eye diseases that can damage the eye’s optic nerve. Often there aren’t any noticeable symptoms. The disease typically occurs when fluid pressure slowly rises within the eye.

According to the Glaucoma Research Foundation, experts estimate half of people with glaucoma don’t even know they have the disease. Glaucoma can be found in a comprehensive eye exam. Eye experts at Gundersen Health System can diagnose and provide the best glaucoma treatments for patients in the La Crosse area and surrounding communities.

THE EYE WITH GLAUCOMA As mentioned previously, in most types of glaucoma the eye’s drainage system becomes clogged so the intraocular fluid is not able to drain. As the fluid builds up, it causes pressure to build inside the eye. High 10 In Focus

This is the most common form of glaucoma. It occurs when there is a wide and open angle between the iris and cornea. It develops slowly and is a lifelong condition. This form of glaucoma affects about 3 million Americans. It happens when the eye’s drainage canals become clogged over time.

LOW-TENSION OR NORMAL TENSION GLAUCOMA This form of glaucoma takes place when damage occurs to the optic nerve without eye pressure exceeding the normal range. In general, a “normal” pressure range is between 12-22 mm Hg. The causes of this type of glaucoma are still unknown. For some reason, the optic nerve is susceptible to damage from even the normal amount of eye pressure. Researchers continue to examine why some optic nerves are damaged by these relatively low eye pressure levels.

ANGLE-CLOSURE GLAUCOMA This type of glaucoma is rare and very different from open-angle glaucoma in that the eye pressure usually rises very quickly. This happens when the drainage canals get blocked or covered. With angle-closure glaucoma, the iris is not as wide and open as it should be. The outer edge of the iris bunches up over the

drainage canals, when the pupil enlarges too much or too quickly. This can happen when entering a dark room. This form has symptoms and damage that are usually very noticeable and requires immediate medical attention. It is also called acute glaucoma or narrow-angle glaucoma.

Unlike open-angle glaucoma, angle-closure glaucoma is a result of the angle between the iris and cornea closing.

CONGENITAL GLAUCOMA Childhood glaucoma refers to the presence of glaucoma in a child, and occurs in one out of every 10,000 births in the United States. Congenital glaucoma is the common term used for a glaucoma diagnosed in infancy or early childhood. Congenital glaucoma may be due to a hereditary defect or abnormal development during pregnancy.

SECONDARY GLAUCOMA Secondary glaucoma refers to any case in which another disease causes or contributes to increased eye pressure, resulting in optic nerve damage and vision loss. This can occur as the result of an eye injury, inflammation, tumor, or in advanced cases of cataract or diabetes. It can also be caused by certain drugs such as steroids.

THOSE AT HIGHER RISK TO DEVELOP GLAUCOMA ARE: » Over 60 years old » People of African descent » Relatives of glaucoma patients » Hispanics in older age groups » Very nearsighted (myopic) » People of Asian descent » Extensive users of steroids » People with thin central cornea

MEET OUR GLAUCOMA SPECIALIST:

Even though anyone can get glaucoma, there are some people who are at a higher risk. They include: • African Americans older than 40 • Anyone older than 60, especially Mexican Americans • Patients with a family history of glaucoma Certain medications such as eye drops can reduce the risk of developing glaucoma for people with certain risk factors. It’s important to have regular, comprehensive, dilated eye exams to reveal any risk factors for getting the disease.

Early diagnosis of glaucoma is very important to slow the progression. Treatments such as medicines, laser surgery, conventional surgery or a combination of these can help save remaining vision.

According to a recent European study, exercise might help reduce the risks of glaucoma in some people.

Researchers in the U.K. found that higher levels of physical exercise appear to provide a long-term benefit of reducing the incidence of low ocular perfusion pressure (OPP), an important risk factor for glaucoma. OPP is a mathematical value that is calculated using a person’s intraocular pressure and his or her blood pressure.

In addition to regular exercise and an active lifestyle, you also can reduce your risk for glaucoma by not smoking, maintaining a healthy weight, and eating a varied and healthy diet.

Dr. Suzanne Falkenberry Medical School

Internship

Residency

Fellowship

University of Wisconsin - Madison Madison, WI Presbyterian/St. Luke's Medical Center Denver, Colo.

University of Colorado Health Science Center Denver, CO Washington University - School of Medicine St. Louis, MO

To schedule a comprehensive eye exam, contact your Gundersen Eye Clinic at (800) 362-9567, ext. 52191. www.gundersenhealth.org/vision 11

The Best Frames For Your Face An eye exam is one of the best appointments a patient can have. In what other medical setting does a patient get to shop after a check-up with the doctor? Selecting eyewear is a fun process, but how do you know which frames are best for you?

There are several factors to consider when choosing eyewear: • Face shape • Lifestyle • Personality

LET’S START WITH FACE SHAPE. Heart-shaped face

Square face

Oval face

Round face

Frames that balance the width of the forehead with a narrow chin are ideal.

Eyeglasses with low-set temples and bottom heavy frame lines will add dimension to the narrower part of the face. Round or square eyeglasses with curved edges will help draw attention away from a high forehead.

Eyeglasses that soften the angularity and sit high on the bridge of the nose look best on square faces.

Oval or round eyeglasses will balance and add a thinner appearance to the angles of a square face.

Frames that best suit an oval face have a strong bridge, are wider than the broadest part of the face and are geometric in shape.

Eyeglass frames that are square or rectangular tend to be wider than a round face. This quality can enhance the face by making it appear slimmer and longer, adding balance to round features.

What's your lifestyle?

Two of the most important things to consider are occupation and hobbies. There are a variety of frames for every lifestyle. For those who are in front of a computer screen for the majority of the day, comfortable frames with a good fit are imperative. Have an optical technician make sure frames fit securely on the bridge of the nose.

Lightweight frames are always a good option. For those who are active or spend a lot of time outdoors, there are frames which can twist and bend without breaking. A variety of lens materials are also available depending on the prescription strength.

12 In Focus

Eyewear that exudes personality When shopping for new frames remember, that like any accessory, eyewear can become dated. Eyewear makes a statement, so patients should look for something to keep their look fresh and youthful.

A quality fit is the most important factor in determining what frame best suits the patient. The eyeglasses must be comfortable and functional. An optical technician can ensure the frames fit well be performing a few simple measurements and trying them on the patient. We are waiting to fit you into your next pair of eye glasses.

LASIK FAQs : You Have Questions, We Have Answers.

Isn’t all laser vision correction the same?

No. Surgeon experience, lasers, diagnostic technology and follow-up care all play a part in your LASIK experience.

An over-the-counter pain reliever or use of artificial tears will generally alleviate this discomfort. Epi-LASIK patients experience most discomfort three to five days post-op as the epithelium heals.

Laser vision correction will affect the way you see for the rest of your life. You should make your decision to have laser vision correction carefully, not quickly. Our website has an abundance of information about our surgeons, our laser technology, our advanced diagnostic technology, and what you should expect for the money you spend. We provide you with this information on LASIK eye surgery because we feel the more you know about us, the more confident you will feel about choosing us as your laser vision correction provider. We also offer free consultations to determine if you are a good candidate.

What is the difference between Epi-LASIK and traditional LASIK? The difference is what layer of the cornea the laser is applied to. With Epi-LASIK, the laser is applied to the surface of the permanent layers of the cornea. With traditional LASIK, the laser is applied to the deeper permanent layers of the cornea. Both procedures have the same pre-op measuring technique.

Will it hurt?

Since anesthetic eye drops numb your eyes, there is no pain during any of the laser vision procedures, although some patients experience mild discomfort or pressure sensation during the procedure. After LASIK, you might experience mild discomfort for a few days.

To schedule an evaluation to see if you are candidate for a LASIK procedure, call us at 1-800-362-9567, ext. 52745

Are LASIK and laser vision correction safe?

There are possible risks with any surgical procedure, but serious complications with LASIK or Epi-LASIK are extremely rare. The chance of having a vision-reducing complication from LASIK has been documented in clinical studies to be less than one percent. Many of the risks and complications associated with this procedure can be reduced or eliminated through careful patient selection and thorough pre-operative testing using the latest diagnostic technology. At GHS, we take a very conservative approach and screen patients carefully.

www.gundersenhealth.org/vision 13

visionsource.com/blog/4-eye-healthy-smoothie-recipes www.driscolls.com/recipes/view/10141/Blueberry-Peach-Smoothie-with-Flaxseeds

EYE HEALTHY RECIPE Blueberries and peaches are delicious sources of Vitamins C and E—antioxidants that help prevent the damage to our eyes that leads to AMD (Age-related Macular Degeneration). This smoothie recipe also contains flaxseeds, which is one of the very best sources of Omega-3 fatty acids. These fatty acids help regulate the fluid retention and flow in our bodies, preventing dry eye and normalizing eye pressure to reduce the risk of glaucoma.

Blueberry, Peach and Flaxseed Smoothie 3/4 cup Driscoll's Blueberries

1/2 cup non-fat plain Greek yogurt

1 small peach, roughly chopped or ½ cup

1 tablespoon ground flaxseeds

frozen peaches 1/2 cup almond milk or favorite juice

2 tablespoons honey 3 ounces ice cubes (not needed if using frozen peaches)

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K H U X W V O I B F U N A A P M I N N E S O T A V Y D T K T H I Y N G O Y Z Z E P M T T D D O M J I A N I T E R T J D T W Y R K R N E Y G D F M A X V M O P T O M E T R Y R Q H E U E R D S U R G X H H U D O C T O R S C F V A R T G Z S O I F Y Y E Q Q R A M O C U A L G N L E O A A R K E C A Q O E K L S T C A R A T A C H I N N C R P U X A V T J A Y S Z L A S E R P H K O F S O T U L O S E R T R K M E C G L A S S E S O D S Z N N K L H N J Q C R I X K Z H S O P H T H L A M O L O G Y A J I Y K H J C S G W H P K I S A L R B Z Q U C L B R L T B G L I S F L B C O N T A C T S U S H V S L S L H E E E E K M A C U L A R D E G E N E R A T I O N E D R O S S U J F P B X O O Y D O N U L F N J W T L N A H U J E J S U M S I B A R T S V L A C I T P O N S J F T

cataracts intraocular lens pedatrics contacts laser

research cornea lasik retina doctor

macular degeneration retinopathy dry eye minnesota

strabismus exam ophthalmology surgery glasses

optical wisconsin glaucoma optometry

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www.gundersenhealth.org

Whether it's routine eye care or treatment for an eye disease or injury, Gundersen Eye Clinics provide quality eye care close to home for people of the tri-state region. The professional eye care team provides diagnosis and treatment of eye diseases including: » Cataracts » Corneal disease » Macular degeneration

» Eye muscle conditions » Glaucoma » Low vision

» Pediatric eye conditions » Retinal diseases

Specially trained eye surgeons also provide services such as: » Surgical treatments for eye diseases and injuries » LASIK and other laser vision correction procedures » Cosmetic eye lid surgery

Call (800) 362-9567, ext. 52191 today to schedule your appointment.