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We have been recommending VisiVite for several years. AREDS2 formulation vitamins are the mainstay in the treatment of dry AMD which affects about 1.7 million Americans. We find that the VisiVite vitamins fit the needs of our patients. We can recommend different formulations based on the patients' history. The quality is unsurpassed, they are well tolerated which increases patient compliance. At "Island Retina" our mission statement is to provide outstanding retinal care in a warm and supportive environment. I have been practicing for more than 20 years. We love taking care of patients with retinal disease including diabetes, macular degeneration and retinal detachments. Our practice is unique in that we have a surgery center,we are involved in several national research projects as well as our own research, and we have a satelite office in Commack, NY. I do a great deal of lecturing throughout the country as part of my committment to education.
Pamela Weber, M.D.
Retinal Surgeon
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We see approximately 120 patients per week with about 15% having or being at risk for macular degeneration. Using the AREDS as our reference we became aware of the importance of nutritional supplements in the prevention of the progression of macular degeneration. This along with various other studies on the importance of vitamins for general eye health and AREDS2 prompted us to look for a supplement that fit the needs of our patients. Visivite showed itself to be the only company who took pains to offer the ratio of different vitamins supported by this research.
Dr. Kendal Piatt, O.D.
Optometrist
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When our practice decided to dispense eye vitamins to assist our patients in making the right choice for their eye health, my research lead me to Visivite. High quality products made the right way... no compromise.
Dr. Jeffrey Martin, M.D.
Castle Connolly Top Doctor New York Metro Area
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East Florida Eye Institute specializes in the treatment of Macular Degeneration, Glaucoma, Diabetic Eye Disease, and Dry Eye Disease. We recommend the use of VisiVite for all of our Macular Degeneration patients.
Ronald E. P. Frenkel, M.D.
Ophthalmologist
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We recommend that all of our patients take VisiVite AREDS2-based vitamins, due to the evidence based nature of the formula (doses are based on the NIH study of macular degeneration).
Marc Lay, OD
Optometrist
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I've been in practice for 36 years. We see many patients with Macular Degeneration and dry eyes. As a general Ophthalmologist, I see patients with varying Eye problems including cataracts and glaucoma. Based on the AREDS2 study, a vitamin like Visivite is the only treatment for Macular Degeneration available today.
Martin L Weinhoff, MD
Ophthalmologist
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This combination of nutrients, found in supplements like Ocuvite and VisiVite, is now widely recommended for people with moderate or severe macular degeneration. Current or former smokers may be better off with VisiVite's Smoker's Formula, which leaves out the beta-carotene (beta-carotene supplements my increase the risk of lung cancer in smokers).
Marvin Moe Bell, M.D., M.P.H.
Physician and Author
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I recommend VisiVite to all my macular degeneration patients. Based on the latest AREDS2 study, lutein and zeaxanthin absorption was increased when beta-carotene was eliminated. Therefore, I advise all my AMD patients to take VisiVite AREDS2 Plus+ Gold Formula for maximal protection, as it contains all the necessary ingredients as recommended by this latest research.

Dr. Cohen is a distinguished Fellow of The American Academy of Optometry.
Dr. Madeline Cohen, O.D.
Optometrist, F.A.A.O.
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Home > Wrinkled Retina Question

Wrinkled Retina Question

Dr. Krawitz,

During last summer I was doing yard work (mowing, raking, some lifting) and when I was about finished I suddenly noticed some very large black spots (floaters) in my left eye. I went to the eye doctor the next day, and he told me that some gel in my eye had liquefied and was pulling away from my retina. Not only was a seeing floaters, but also bright flashing lights whenever I looked to the side suddenly (especially at night). Over a period of several months, the floaters weren't as dark and didn't bother as badly as before. However, then, I soon noticed that my left eye seemed to have a 'filmy' spot or somewhat blurred spot near the center of my vision. When I went back to the eye doctor, he told me that I have a wrinkle in my retina. Right now, with glasses, I still have at least 20/30 vision, so the doctor told me that surgery would not be attempted at this point. Currently, there is no tear in my retina; however, the 'hanging-on' of gel to my retina has caused the wrinkle to occur.

It is my understanding that there is currently no cure for this condition? I am only 67, and I wish there were something I could do. I am especially bothered whenever I am reading, or if I watch the computer screen or drive a car over an extended period of time. I am assuming that if we were more advanced in stem cell research, that such techniques could repair my retina? However, even if we were to this point in medical advancement, is there anything which can be done to increase the stability of the gel within the eye? Are there any products on the market which could help with this? How about taking Collagen Type 1 & 3? Could this possibly help?

P.S. - I wrote you earlier (last year) about my dad who is 92 and has AMD [dry]. I was wishing that stem cell research were further along, so that he could still benefit during his lifetime. At the time, I did not realize that I would soon be in a related predicament with the 'wrinkled retina' problem! Do you have any updates on how the stem cell research is progressing?

Thanks,

Richard S.

~~~~~~~~~~~~~~~~~~~~~~~~~

Dear Richard,

The eye is filled with two chambers of fluid - in the front of the eye is aqueous humor, or more simply, "salt water." But in the back of the eye is the vitreous humor, a more complex fluid chamber that actually supports a lattice of collagen protein fibers. As we get older, the vitreous humor starts to lose some of its saltwater content and shrink, a process that is known as vitreous syneresis. If the vitreous gel shrinks enough, it can separate from retina, which is the inner lining of the eyeball. Besides age, there are other causes of vitreous separation from the retina, including trauma and surgery. If the protein strands in the vitreous pull hard enough on the retina during this process, it can cause the retina layer to tear, which if untreated, can lead to a retinal detachment.

Fortunately, most vitreous separations are not dangerous, and lead only to the person seeing the condensed clumps of protein causing shadows, a process that is known as vitreous floaters.

It is impossible for me to intrude upon the findings of your own doctor, but vision of 20/30 with a relatively normal exam can be due to many reasons, including early cataract formation, large vitreous floaters, and in fact, the "wrinkled retina" that you apparently have.

What is confusing to me is that "wrinkled retina," which is scientifically known as macular pucker or macular gliosis, which forms due to traction from the collagen in the vitreous, would actually get better following a vitreous separation UNLESS the vitreous is still attached at that single point in the macula. In fact, removal of the vitreous gel and collagen fibers surrounding the macular pucker is a well-accepted treatment to attempt to improve this condition. But very few surgeons would consider intervention at your current visual acuity, which is relatively good.

Once the vitreous completely detaches from the retina, although the floaters may be transiently worse, the risk of a retinal tear and detachment decline.

I must emphasize to anyone who thinks eye floaters are always benign (not dangerous) that new onset of floaters ALWAYS warrants a prompt dilated examination of the retina, especially when the symptoms include seeing sparks of light (photopsias) in the side vision.

You may wish to consider use of my Dry Eye Relief capsules to reduce the symptoms of the floaters. Importantly, the floaters themselves remain. But improving any dry eye that you have can alleviate symptoms somewhat.

--
Paul L. Krawitz, M.D., President



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