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Lewes, Delaware
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May 30, 2003     Cape Gazette
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May 30, 2003

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68 - CAPE GAZETTE, Friday, May 30 - June 5, 2003 Delaware Eye Institute offers new glaucoma treatment Technology changes specific pigment cells In keeping with its goal of pro- viding the latest technology for the community, the Delaware Eye Institute recently announced the arrival of the new SLT Laser for the treatment of glaucoma. Selec- tive Laser Trabeculoplasty (SLT) is an advanced type of laser treat- ment to manage patients with open angle glaucoma. Instead of generally burning tissue as in pre- vious types of laser treatment, SLT selectivdy changes only spe- cific pigmented cells to activate increased fluid drainage and re- duce intraocular pressure. "SLT offers tremendous advan- tages compared with previous treatments," Said Dr. David Robinson, director of the Delaware Eye Institute. "Al- though it does not work on every patient, there is about an 80 per- cent success rate. In many cases it may reduce the need for lifelong use of expensive eye drops which may have adverse systemic reac- tions." Glaucoma is a disease that if left untreated can cause damage to the optic nerve, resulting in grad- ual vision loss and eventual blind- ness. Damage to the optic nerve, due to glaucoma, is usually caused by an elevated intraocular pressure (lOP). A clear fluid called aqueous hu- mor, fills the front of the eye - the anterior chamber - and provides nourishment to the tissues. Like the air in a balloon, the aqueous also provides pressure to help maintain the shape of the eye. Open angle glaucoma (OAG), the most common type of glauco- ma, occurs when there is either a sustained increase in fluid produc- tion or a decrease in fluid drainage. With this imbalance in fluid flow, there is an increase in the intraocular pressure, which in turn reduces blood flow to the sensitive tissues of the optic nerve. Over time, as the optic nerve fibers are destroyed, periph- eral vision is lost. Glaucoma treatment concen- trates on lowering the pressure in- side the eye to prevent damage to the optic nerve. The most com- mon treatments for glaucoma have been the use of medications Bayhealth offers infant care series Bayhealth offers a free two-part infant care series for parents. The program provides information on basic infant care and gives parents the confidence in their ability to take care of their infant safely when they leave the hospital. 1 The sessions focus on basic information such as how to properly burp, diaper, feed and care for a newbom's skin. Parents will also re- ceive information on newborn characteristics, when to contact the physician, developmental milestones, car seat safety, SIDS, shaken ba- by syndrome, crying and colic, sleep schedules and bathing a baby. A pediatrician will be the guest speaker at one session, and John Ur- ban from the Delaware Cooperative Extension Service at the University of Delaware will talk about car seat safety at the other session. This $10 class is from 6:30 to 9 p.m., Thursday evenings, at Milford Memorial. To register and learn about the class location call, toll-free, 877-453-7107. These Dagsboro family dentists are just as skilled and caring. Call today. See for yourself just how professional, concerned and friendly your "new" dentists can be! in the form of eye drops or pills and laser treatments. Laser treat- ments and some medications al- low for faster drainage, while oth- er medications reduce the produc- tion of aqueous humor. If these methods fail to decrease the fluid pressure, surgery may be required to create a new drainage channel. The new SLT Laser provides significant advantages compared to the traditional glaucoma treat- ments. Since medications and eye drops can cause undesirable side effects or simply fail to control glaucoma, and because patients frequently fail to take their med- ications, laser therapy may be a better alternative. With traditional Argon Laser treatment, tiny even- ly spaced burns are made in the drainage area of the eye, called the trabecular meshwork. Al- though these laser burns frequent- ly facilitate the drainage of aque- ous humor, scarring of the trabec- ular meshwork occurs as a result, and may limit its success and the ability to retreat the eye in the fu- ture, should the procedure need to be repeated. SLT is a gender procedure and is not associated with damage to the other tissues, and adverse scarring effects as seen in previ- ous laser treatments. For this rea- son, SLT may be potentially re- peated on patients in the future if needed for a continued ef- fect. SLT has also been found to be ef- fective when previous laser treatments and other forms of medical treat- ROBINSON ment have failed. SLT is usually performed in the office and takes only five to 10 minutes. Prior to the procedure, numbing eye drops are given to prevent any discomfort during the procedure. The laser applications are made through a special micro- "scope, similar to the one used for eye examinations. "Visual loss from glaucoma is permanent but can usually be pre- vented with early detection and treatment," Robinson said. "Since there are rarely symptoms with glaucoma, and no way for person to determine if they have high intraocular pressure, routine comprehensive ey e exams are rec- ommended." For more information, patients can visit For an appointment, patients should call the Delaware Eye In- stitute at 645-2300. Maxime G. Moise, M.D. Your Health Matters Susan A. Kelly, M.D. DfLMED HEALTH Now located at: 34381 Carpenter's Way, Lewes (across from Wawa; enter on Kings Hwy.) Please call office for directions (302) 644-9080 Accepting New Patients HAS YOUR TUMMY SEEN BETTER DAYS ? Dr. Mandris has developed his own technique forAbdomenoplasty that is performed at Beebe Medical Center. Dr. Mandris can do more for your tummy than a million sit-ups ever could! Call today for your complimentary consultation. Dr. Mandris offers free skin cancer screenings and "no nonsense" skin cancer treatment. Louis R. Mandris, M.D. Certified American Board of Plastic Surgery Delaware Shores Plastic Surgery Bayview Medical Center 1539 Savannah Road, Suite 103, Lewes, Delaware Call 302-645-81 O0 to schedule an appointment, Drs. Kevin and Wendy Brafman Brafman Family Dentistry, P.A.