Top10MD Blog


 7 months ago    Leave a comments (0)

Many of us buy sunglasses to make a fashion statement, but sunglasses were designed originally to protect our eyes from UV rays. With winter still in full swing, we often don’t think of solar UV rays affecting us in cold weather. Typically, when we hear about UV safety we only think to protect our skin on sunny summer days, but we do not think about protecting our eyes. Getting protection for your eyes year-round will not only protect you from harmful light rays but will also preserve your vision.

They say the eyes are the windows to the soul. If you have eye problems, it will be very difficult to see into someone’s soul, let alone see at all. UV rays damage the eyes like it does the skin. UV rays can cause a sunburn in the eyes. The condition is very painful. Macular degeneration and cataracts are two other common issues that occur from too much sun exposure in the eyes. Cancer may also result. In most cases, cancer occurs in the eyelids.

You have probably never considered sunlight to be damaging to your eyes. When you have UV damage, you will start experiencing symptoms. Most symptoms start out as symptoms of sunburn. Your eyes will be red. You will also feel as if something is in your eyes. There is sensitivity to light and the eyes tear up very easily. These symptoms usually go away after a while. When you allow UV light to damage your eyes continuously, you will only cause permanent damage. Some forms of damage cannot be treated.

You can do your best not to look at the sun, but that is not enough. To truly protect yourself, you need sunglasses. Sometimes cheap sunglasses is not the best. Your sunglasses should block out almost 100% of the UV rays. The color of the lenses is also important. The lenses should not have any imperfections. The lenses should also be a gray color. A light colored lens will not block out the sunlight properly. If you are just going outside on a casual day, it is enough to have a good pair of sunglasses. If you work outside, it is important to get a good sturdy pair of sunglasses. Construction workers and electricians are in definite need of a good pair of sunglasses.

The light is good for you, but too much UV light can be damaging. Sunglasses are a great way to protect you from the harmful rays of UV light. It is easy to buy a cheap pair of sunglasses, but those may not protect you as much as they should. Save up for a good pair of sunglasses. They do not only make a fashion statement, but they will protect your eyes much better than those 2 for $20 pair of sunglasses you find at a Kiosk. It is always fun being able to go shopping for something new. It is even better being able to buy something that not only makes you look good but also protects you.


 1 year ago    Leave a comments (0)

Studies indicate 70-90% of people who use computers three to more hours per day, whether for work or play suffer from Computer Vision Syndrome. 

Computer Vision Syndrome or commonly called CVS is a medical condition, mostly temporary, resulting from your eyes focusing on your PC monitor or another display device for extended uninterrupted periods of time.

Symptoms of Computer Vision Syndrome

  • Blurred Vision
  • Difficulty in Refocusing the Eyes
  • Double Vision
  • Dry Eyes
  • Eye Strain
  • Fatigue
  • Headaches
  • Irritated Eyes
  • Neck Pain
  • Polyopia
  • Redness in the Eyes
  • Vertigo/Dizziness

Symptoms can be aggravated even more by improper lighting conditions, bright overhead lighting, or air moving past the eyes, like a fan.

Keep Those Baby Blues in Tip-Top Shape! Protecting Your Baby Blue Eyes

Ophthalmologists suggest the “20-20-20” rule: Every 20 minutes, take a 20-second break and look at something 20 feet away.

Blink as often as possible to keep eye surfaces lubricated. To further counter dryness, redness, and painful irritation, use lubricating eye drops several times a day. Preservative-free eye drops are available in local pharmacies in single-use dispensers.  

Dry Eye Syndrome is reduced by utilizing a humidifier adding moisture to the air and using moist compresses at the end of the day. One other little nugget to remember is to keep fans from blowing on your face as you look at your screen if these suggestions don’t fix your eye problems consider visiting a Top10MD Board Certified Ophthalmologist today.


 1 year ago    Leave a comments (0)



 1 year ago    Leave a comments (0)

Astigmatism is a common vision condition that causes blurred vision. It occurs when the cornea (the clear, round dome cover of the eye) is irregularly shaped or sometimes because of the curvature of the lens inside the eye. Usually, the cornea and lens are smooth and curved equally, this helps to focus light rays onto the retina in the back of the eye. However, if your cornea or lens is not smooth and curved evenly, light rays are not refracted properly. This is when your vision for both near and far objects appears blurry or distorted.   “It’s almost like looking into a fun-house mirror in which you appear too tall, too wide or too thin,” says Dallas- Fort Worth’s reigning Ophthalmologist Dr. Phillips Kirk Labor.

The specific cause of astigmatism is unknown. It can be hereditary and is usually present from birth. It can decrease or increase over time. Most people have some degree of astigmatism. People may have it along with other vision conditions like myopia (nearsightedness) and hyperopia (farsightedness).

Together these vision conditions are referred to as refractive errors because they affect how the eyes bend or “refract” light. It can be easy for adults with a higher degree of astigmatism to realize their vision isn’t as good as it should be, and can seek assistance. Their blurred vision can lead to eye discomfort and headaches.

Children who have astigmatism symptoms may not be aware they have this condition and are unlikely to complain about blurred or distorted vision. But uncorrected astigmatism can seriously impact a child’s ability to achieve in sports and school. This is why it is imperative that children have regular eye exams to detect astigmatism or other vision problems as early as possible

A comprehensive optometric exam will include testing for astigmatism. There are several options available for correction of astigmatism besides eyeglasses or contact lenses. Your board certified ophthalmologist will know the best options for you.


Dr. Phillips Kirk Labor is a Dallas, Fort Worth and Grapevine Texas Ophthalmologist and Board Certified by the American Board of Ophthalmology. Dr. Labor is Medical Director of Eye Consultants of Texas of Grapevine, Texas. Dr. Labor has been named Top10MD for two years in a row an honor only 1-in-3 doctors succeed with this recognition in the United States. To schedule your appointment contact Dr. Labor today and start seeing again what you don’t see now.



 2 years ago    Leave a comments (0)

A new bionic eye lens currently in development would give humans 3x 20/20 vision, at any age. Dr. Garth Webb, an optometrist in British Columbia who was looking for a way to optimize eyesight regardless of a person’s health or age, developed the lens named Ocumetics Bionic Lens.

With this remarkable lens, patients would have perfect vision, ending the need for driving glasses, progressive lenses, and contacts, all of which are set to become a dim memory as the eye-care industry is transformed, CBC reports.

Even better is the fact that people who get the lens surgically inserted will never get cataracts, because the lens replaces that of their natural eye, which inevitably decays over time.

Webb says that anyone over the age of 25 is the best candidate, because that is when the eye is fully developed.

Super Human VisionDr. Phillips Kirk Labor, a Top10MD Ophthalmologist in Grapevine Texas states “The best vision is, at least in part, a function of the density of cone photoreceptors in the macula of the retina…the intraocular lens looks similar to other implants and may have a telescopic component to get better than 20/20 vision although without knowing the intricacies of the mechanics of how the lens works, I can’t say for sure.

I’ve just finished participating in clinical trials for a lens that routinely provides better than 20/20 vision, it’s hoped that it will receive FDA approval within the next couple of years once the FDA has had a chance to review all of the data. Also, all lens replacement surgery means you can’t get a cataract afterward. In addition, most good cataract or lens replacement surgeons can perform the surgery in 10 minutes or less. What most people don’t realize is all the preparation that goes into making the surgery successful – which can take several days and require many different aspects of a practice to accomplish.

Give us until 2017 and we’ll have the opportunity to put the best implant available in the U.S. in your eyes. You’ll have great distant, intermediate (computer) distance and near vision. Although, if you want something sooner I can do for you what I did for my wife and thousands of others – Crystalens in both eyes for her 50th birthday, she can now do most things without any reading glasses.”

Dr. Phillips Kirk Labor is a Dallas, Fort Worth and Grapevine Texas Ophthalmologist and Board Certified by the American Board of Ophthalmology. Dr. Labor is Medical Director of Eye Consultants of Texas of Grapevine, TexasDr. Labor has been named Top10MD for two years in a row an honor only 1-in-3 doctors succeed with this recognition in the United States. To schedule your appointment contact Dr. Labor today and start seeing again what you don’t see now. 


Source: Writer Jeff Roberts


 3 years ago    Leave a comments (0)

In a previous blog I discussed a new intraocular lens implant (IOL), which allows the surgeon to adjust the power of the lens to account for refractive errors after implantation. Although still in clinical trials for use in the U.S. this lens has been successfully used worldwide. This is among the many encouraging advancements that are improving surgery outcomes in ways we could only dream about a few short years ago.

Blade-Free Cataract Surgery

The Excimer laser was first approved for LASIK eye surgery. While a blade was still required to cut the corneal flap, the laser made tissue removal easier and far more efficient. With the advent and FDA approval of the femtosecond laser some three years later, surgeons no longer needed a blade to cut the flap.

The Femtosecond laser was a thing of brilliance in that it took precision to a level exceeding any expectations. It further increased speed, efficiency, safety, and comfort—benefitting the surgeon, and, most importantly, the patient. Further, femtosecond laser surgery has been found to lower the risk of corneal abrasions, irregular flaps, and other complications. In many of the same ways this revolutionary laser transformed LASIK surgery, it is essentially doing the same for cataract surgery.

The LenSx Laser was the first femtosecond laser cleared for use in cataract surgery; initially for anterior capsulotomy, lens fragmentation and corneal incisions, and in 2013 for arcuate incisions. Since my practice adopted this technology that same year we continue to see a marked increase in precision and accuracy. In short, the LenSx allows the surgeon to customize the cataract procedure to each eye’s unique features for more precise, predictable results.

Further Technology Advancements

Proudly, our practice was the first in Dallas/Fort Worth to commercially acquire the Verion Image-Guided System. This revolutionary technology captures each eye’s unique features in order for the LenSx to be utilized most effectively. It first creates a high-resolution image of the patient’s eye, mapping important details and measurements. This forms the road map the surgeon will follow throughout the entire procedure for a more precise incision and both the positioning and alignment of the intraocular lens.

Another enhancement, the Centurion Vision System, improves on a fundamental necessity to every cataract procedure—removal of the cataract or “phacoemulsification,” where the cataract is softened and aspirated from the eye. Certainly cataract removal had already advanced tremendously before this technology was approved. The Centurion’s biggest benefit is that it automatically adapts to changing conditions within the eye and offers improved stability; this more precisely pinpoints the tiniest fragments for more efficient removal of the cataract.


 3 years ago    Leave a comments (0)

Are you looking for vision correction?

Are you tired of wearing glasses? Is your vision not what it used to be? Be it cataract removal, placing the newest intraocular “smart” lens or lasik surgery— it’s time for a change with vision correction surgery!

Cataract is the leading cause of blindness in the world and cataract surgery is the most commonly performed operation worldwide. 22 Million Americans are affected by age-related cataracts. By 2020 that number is expected to reach 30 million! The new Intraocular lens allows for post-op adjustability! Benefits to you near perfect vision once again!

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 3 years ago    Leave a comments (0)

Cataract surgery, the replacement of the eye’s natural crystalline lens with an intraocular lens implant, has become one of the most common and safest outpatient surgeries performed in the United States today. 2009 statistics from the U.S. Department of Health and Human Services National Health Statistics Reports revealed the leading diagnosis at ambulatory surgery visits was for cataract surgery – 3.0 million. Cataract surgery is performed for people who have demonstrated some form of visual impairment when it comes to limitations of his or her activities of daily living (ADL) and while the majority of these patients are elderly, cataracts may also occur in younger patients. Furthermore, more and more patients are requesting lens replacement surgery to reduce their dependence on glasses both for distance and near vision. This has led to the development of specialized intraocular lens implants (IOLs) to help satisfy this demand.

In performing cataract surgery, the eye’s natural lens is removed because it has become the cataract. As we go through life the lens of the eye accumulates protein, which is deposited within the substance of the lens in any manner of configurations. It is this conglomeration of protein that leads to the symptoms associated with cataracts such as loss of sharpness of vision, need for brighter light when reading and glare and star bursting around lights at night among others. When these proteins are visible to an eye care specialist on exam, a patient is given the diagnosis of cataract; when the symptoms one experiences begin to affect his or her ADL’s then cataract surgery may be warranted. Significantly, the lens of the eye provides about one third of the natural focusing ability of the eye with the remaining two thirds coming from the cornea, which is the clear dome over the iris and pupil. If the lens and cornea do not provide enough, or provide too much focusing power for the eye, the vision must be augmented with glasses, contact lenses or for some, refractive surgery such as LASIK or lens replacement surgery. Furthermore, in an effort to more fully understand cataracts and cataract surgery, it should be noted that loss of near vision due to age is known as Presbyopia and is due the same proteins that accumulated to create the cataract.  Because of the significant contribution of the lens to the overall focusing power of the eye and because this focusing power has been removed through the removal of the lens at the time of cataract surgery, it must be replaced. It is for this reason that an IOL must be placed in the eye at the time of cataract surgery, to restore the focusing power of the eye. Importantly, it should be noted that each implant will have a power ground into it that will be specific for a patients’ right and left eye, respectively. This may be thought of as being similar to a pair of glasses or contact lenses that have a lens with power specific to the right and left eye.

Currently, the predominant type of IOL implanted at the time of cataract surgery is known as a monofocal intraocular lens and generally requires a patient to wear glasses or, less frequently, contact lenses to eliminate residual blurred vision and obtain his/her sharpest vision post-operatively; this is true for both distance and near vision. Furthermore, this isn’t always limited to monofocal IOLs and may be the case for some of the more advanced IOLs described below. This residual blurriness, as well as all blurriness correctable with glasses or contact lenses, is known as the refractive error of the eye. There are a myriad of reasons for residual blurred vision due to uncorrected refractive error after cataract surgery but two of the predominant ones have to do with how the eye heals around the implant and, significantly, whether the eye has any corneal astigmatism. Astigmatism has two primary sources in the eye: the cornea and the lens. Since lenticular astigmatism is addressed by removal of the cataractous natural lens, the remaining corneal astigmatism is what may, in part, contribute to blurred vision after cataract surgery. While astigmatism can be a difficult concept, it may be simply described through the following analogy: if an eye has no corneal astigmatism it is shaped like a hemisphere, like a basketball cut in half; on the other hand, if the eye does have some corneal astigmatism, it is shaped like an ellipse, like an American football cut length-wise. This astigmatism will bring images to a focal line instead of a focal point, which will in turn lead to blurred vision. Additionally, the unpredictable healing around the IOL may not only leave the patient with uncorrected astigmatism but uncorrected near-sightedness (myopia) or far-sightedness (hyperopia…more than a very small amount of which will create blurred vision). Thankfully, as mentioned previously, corrective lenses will eliminate this blurriness. In a tribute to research and technology, over the course of the past decade, IOL’s have been developed and refined to reduce which is more common or, in some cases eliminate, the post-operative need for glasses or contact lenses. These lenses include such lenses as the Bausch & Lomb Crystalens and Trulign, Alcon ReStor and Toric, AMO Tecnis MF and Toric as well as the Staar Nanoflex and Toric. The Crystalens, ReStor and Tecnis MF were created to help correct the need for glasses at both distance and near and the Trulign, to correct distance, near and astigmatism at the same time. A Toric IOL is one that has been manufactured to correct astigmatism and while all of these IOLs have proved to be extremely effective in providing some relief from the use of glasses post-operatively, they all have a common drawback: the power of the IOL is determined preoperatively and is therefore fixed and cannot be changed. This may invariably lead to residual uncorrected refractive error and its associated blurred vision. Changing the power of the IOL was impossible, until now.

Throughout the modern period of cataract surgery, surgeons have been looking for ways to provide patients with the best possible outcomes and this desire, to provide patients a better quality of life after cataract surgery, has included the desire to create independence from corrective lenses (glasses or contact lenses) post-operatively. While advances in surgical techniques and IOL technology have gotten us closer to this goal, in some rare cases actually achieving it, we still have not been able to uniformly achieve it in the United States. I believe this is about to change with the addition of a new (to the U.S.) IOL technologyThis “new” IOL technology, currently in clinical trials, will allow surgeons to customize an intraocular lens power for a particular eye. And while this technology is currently under investigation in the U.S., it has been successfully utilized worldwide for the past decade.

This new IOL allows a surgeon to adjust the power of the implant in a very specific and very safe way to account for any residual refractive error AFTER the initial implantation of the lens. Using proprietary technology, a U.S. company has created an IOL that will respond predictably to treatment with a specific wavelength of light AFTER it has been implanted to eliminate any residual refractive error therefore providing a patient sharper vision than ever before. In fact, most of the patients treated have uncorrected vision (no glasses or contacts) equal to or better than 20/20 for distance. This may be compared with routine cataract surgery or cataract surgery with astigmatism correction where less than 50% of patients are able to achieve uncorrected vision this sharp. This technology represents a true breakthrough in the advancement of cataract surgery and IOL technology in that, for the first time, surgeons may actually customize the IOL correction to each eye. This in turn, may lead to further developments for customized near vision applications as well. In fact, research is ongoing, outside the United States, which addresses this very issue.

In summary, cataract surgery remains one of the most common and safest surgical procedures in the United States today. It is one of the few surgical procedures available to patients with the ability to restore function to pre-dysfunctional levels and indeed, improve that functionality to something better than the patient had prior to the onset of his or her ocular morbidity whether through the development of a cataract or because of a significant refractive error such as myopia, hyperopia, astigmatism or presbyopia. The development of an intraocular lens implant that has the capability of having its power changed through post-operative manipulation, in-situ, affords cataract surgeons the ability to customize visual treatment for each eye in ways that may render some current IOL technology obsolete. The light at the end of tunnel may be a train, but the light is in focus and is clearly at the head of a powerful locomotive leading a train pulling cars full of immense promise when it comes not just to visual restoration, but of improvement in visual potential as exemplified by this new technology.

Learn more at Dr. Phillips Kirk Labor




 4 years ago    Leave a comments (0)

Over the years, eyelids can start to sag. Not only can they make a person look older, but they may feel very heavy and may affect your peripheral vision too. In 2012, in the U.S., over 200,000 eyelid surgeries were performed.  The average fee for the operation was near $3,000, according to the American Society of Plastic Surgeons. If you are experiencing droopy lids, you may wonder if an elective blepharoplasty, also known as eyelid surgery, is right for you.

Blepharoplasty should be done for you, not to please someone else.  Candidates for eyelid surgery should be healthy, non-smokers, with realistic goals for eyelid enhancement.  You should not have glaucoma, cardiovascular disease, or thyroid disorders or graves disease.  Although most elective, cosmetic surgery is not covered by insurance, if excess eyelid skin covers the eyelashes, you may be covered by insurance.  It is worth checking with your insurance carrier.

When considering blepharoplasty, it is important to go over the risks as well as the benefits, with your physician, to properly decide if this surgery is right for you.  Several of the potential risks include:

  • Unfavorable scarring
  • Temporarily blurred or impaired vision
  • Dry eyes
  • Difficulty closing your eyes
  • Lid lag, a pulling down of the lower eyelid may occur and is often temporary
  • Ectropion, rolling of the eyelid outwards
  • Infection
  • Fluid accumulation
  • Blood clots
  • Numbness and other changes in skin sensation
  • Anesthesia risks
  • Pain, which may persist
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revision surgery
  • Loss of eyesight

While Blepharoplasty is a legitimate problem, it is not a life threatening condition.  More than likely, it is a condition that affects older people in there 70’s and 80’s whose peripheral vision is affected.  There are not a lot of “functional” blepharoplasty procedures performed on people in their 40’s or 50’s; in that sense, it would most likely be cosmetically performed.

Eyelid surgery could potentially change your sense of self-esteem and your outlook on life, as well as your overall eyesight ability.  Due to the potential risks involved, it is important to do thorough research in choosing a blepharoplasty specialist.


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