Computer Vision Syndrome

October 4, 2010

Take frequent breaks from computer-use to help avoid CVS.

Eye Problems Caused by the Gadgets We Can’t Live Without

The world of work and play revolves around electronic devices such as the desktop, Smartphone and tablet PC.  According to the American Medical News, 57.7% of United States adults owned two or more computers in 2009. The magazine further states that there has been a marked increase in cases of patients complaining about eye pain and dryness over the past 10 to 15 years.

Computer Vision Syndrome (CVS) is a condition caused by focus of the eyes on computers or other similar display-screens for lengthy, uninterrupted intervals of time.

Symptoms of CVS:

  • Headaches and neck pain which can result from poor posture and necessity to keep the body prone for extended periods
  • Dry and irritated eyes, a condition which is worse when accompanied by poor lighting or air conditioning blowing air directly across the eyes and decreasing humidity
  • Blurred vision
  • Eye strain
  • For people in their 30s to 40s, computer-viewing can lead to an early diagnosis of Presbyopia, which is a condition where the eyes have an increasingly difficult time focusing on near objects
  • Diplopia (a defect of vision where one object is seen as a multiple)

Looking at electronic screens is different from reading print materials because print materials are typically higher in contrast. Consider the newspaper, which is normally black ink on a light gray background. For electronic screen content, the eye deals with lower contrast, which requires more optical focus and, therefore, more effort.

Children need to take special precautions to prevent frequent eye strain caused by excessive use of computers as well as video games. Since their eyes are still growing, they frequent breaks in order to avoid strain.

Tips on Preventing CVS:

  • Blinking – Facebook posts and fourth-quarter sales forecasts can be so enthralling that people can actually forget to blink.
  • The 20-20-20 rule – Take a break every 20 minutes. Focus on an area about 20 feet away for at least 20 seconds to give your eyes a rest.
  • Screen Angle-for reduced neck strain, don’t position your monitor so you have to look up to see the screen. Your computer should be placed four to six inches below your line-of-sight for optimum alignment.
  • Eye Drops – Use artificial tears to replace lost moisture from lack of blinking and dry office air

While CVS is not an eye disease that requires surgery, it does adversely affect many. Care should be taken to make sure eyes are rested and properly cared for to decrease the risk of vision problems.

Located in Riverside, California, the office of Dr. Sandra Akamine Davidson is a full-service practice with seven staff members and two doctors of optometry. Along with Dr. Leanna M. Parisi, Dr. Davidson provides complete eye care, including: eye examinations, LASIK consultations, retinal photography and low vision evaluations. We also feature the latest in lenses and frames including the popular Transitions lenses and high-end frame designs such as Prada, D&G, and Ray-Ban. Schedule your appointment at the office where Eye Focus on You.


The newly FDA-approved telescope will give hope to patients with end-stage Macular Degeneration.

Telescope Implant to be used to treat the leading cause of blindness in older Americans

Dr. Akamine Davidson is pleased to announce that the U.S. Food and Drug Administration approved an Implantable Miniature Telescope to improve vision in patients with end-stage, age-related macular degeneration (AMD). The first-of-its-kind telescope, the implant was developed by Dr. Isaac Lipshitz of VisionCare and is sure to be an integral part of new patient care referral programs for the patients of Dr. Akamine Davidson at her Riverside, California optometry practice. End-stage Macular Degeneration is the most advanced form of AMD in the U.S. and is the leading cause of blindness in older Americans and a specialty of Dr. Akamine Davidson.

“This is truly a breakthrough technology for AMD patients as their treatment options have been limited until now,” said Kathryn A. Colby, M.D., Ph.D., ophthalmic surgeon at Massachusetts Eye and Ear Infirmary in Boston and an Assistant Professor of Ophthalmology at Harvard Medical School. “The clinical results from the pivotal FDA trial have proven we can place this tiny telescope prosthesis inside the eye to help patients see better and, for some, even to levels at which they can recognize people and facial expressions that they could not before.”

“Despite the past decade of advancements in macular degeneration therapies, retina specialists still did not have a treatment for the many wet and dry AMD patients who progressed to end-stage disease,” said Julia A. Haller, M.D., Ophthalmologist-in-Chief of the Wills Eye Institute, and Professor and Chair of the Department of Ophthalmology at Jefferson Medical College, Philadelphia, PA. “Starting today, we can provide these patients with new hope.”

Results from the two U.S. clinical trials, conducted at 28 leading ophthalmic centers, have been published in peer-reviewed scientific journals including Ophthalmology, American Journal of Ophthalmology, and Archives of Ophthalmology. The pivotal clinical trial showed that patients achieved clinically meaningful gains in visual acuity and quality of life with the telescope implant.

The telescope implant is designed to improve visual acuity. The magnification provided by the implant reduces the impact of the blind spot caused by end-stage AMD. Endstage-AMD causes severe to profound central vision loss in both eyes due to either wet AMD that has progressed to scarring of the macula despite drug treatments, or dry AMD that has progressed to geographic atrophy, the most advanced form of dry AMD.

“The telescope implant represents a new category of treatment for this severely visually impaired population,” said Allen W. Hill, CEO of VisionCare. “This approval is the culmination of years of scientific and clinical development. We are excited to now provide this new technology and related CentraSight treatment program to the ophthalmic community to help their patients with this devastating disease gain improved vision and quality of life. This day would not be possible without the steadfast commitment of our clinical investigators, employees, and venture capital investors.”

VisionCare will conduct a post-approval study to monitor patient outcomes under commercial conditions. The principal investigator of the study is Oliver D. Schein, M.D., M.P.H., Burton E. Grossman Professor of Ophthalmology at The Wilmer Eye Institute and Professor of Epidemiology at the Johns Hopkins University Bloomberg School of Public Health. A second smaller study will follow clinical trial patients for an additional two years.

CentraSight Treatment Program
The first-of-kind telescope implant is integral to a new patient care program, CentraSight, for treating patients with end-stage macular degeneration. The CentraSight treatment program involves a patient management process and access to reimbursement resources for patients and physicians. The telescope implantation is performed by a specially trained ophthalmic surgeon as an outpatient procedure.

Patients and physicians can find more information about the telescope implant and related treatment program at

VisionCare is submitting an application to the Centers of Medicare and Medicaid Services for a new code to establish Medicare beneficiary access to this implantation procedure.

About the Telescope Implant
The Implantable Miniature Telescope (by Dr. Isaac Lipshitz) is indicated for monocular implantation to improve vision in patients greater than or equal to 75 years of age with stable severe to profound vision impairment (best-corrected distance visual acuity 20/160 to 20/800) caused by bilateral central scotomas (blind areas) associated with end-stage AMD. This level of visual impairment constitutes statutory (legal) blindness.

Smaller than a pea, the telescope is implanted in one eye in an outpatient surgical procedure. In the implanted eye, the device renders enlarged central vision images over a wide area of the retina to improve central vision, while the non-operated eye provides peripheral vision for mobility and orientation.

The risks and benefits associated with the telescope implant are discussed in the Patient Information Booklet available at

About End-Stage Macular Degeneration
AMD is a disorder of the central retina, or macula, which is responsible for detailed vision that controls important functional visual activities like recognizing faces and watching television. The National Eye Institute estimates that over 1.7 million Americans over age 50 suffer vision loss from advanced AMD, which frequently culminates as Endstage-AMD (visual impairment due to untreatable advanced AMD in both eyes). These patients often experience a loss of independence and social isolation, and have difficulty with activities of daily living. Approximately half of the individuals living with advanced AMD are affected in both eyes.

If you suspect that you may have age-related Macular Degeneration, call Dr. Akamine Davidson today to schedule an appointment today 951-784-2420. Her Riverside optometry office is comfortable. She and her staff members are friendly and knowledgeable. And her designer eyewear collection is impressive.

Macular Degeneration

August 9, 2010

Macular Degeneration is the leading cause of blindness.

Today’s blog topic covers the eye condition known as age-related macular degeneration (AMD), a condition that causes vision loss due to damage to the retina. With an estimated 2.95 people being afflicted by advanced AMD by 2020, it is vital for patients to be screened and treated for this degenerative disease. Since it is the leading cause of blindness in the US, AMD cannot be ignored.


  • Blurred vision or a gradual loss of central vision
  • The appearance of drusen in your eyes, which is a yellowish or white accumulation of extracellular material
  • Trouble distinguishing between dark and light colors
  • Slow to have normal vision after being in bright light
  • Side or “peripheral” vision unaffected (though in rare cases, peripheral vision is affected by AMD.)

The disease is diagnosed as two different types, “dry” and “wet:”

  • The “dry” form of the disease is much more common and occurs where tissue deterioration in the macula is not accompanied by blood.  The deterioration of the retina is associated with the formation of small yellow deposits, known as drusen, under the macula. This phenomena leads to a thinning and drying out of the macula, causing the macula to lose its function (4). The amount of central vision loss is directly related to the location and amount of retinal thinning caused by the drusen.

  • Wet AMD is a complication of the dry form and results from fragile blood vessels beneath the macula and the retina. Blood and fluid leak out of these vessels, the reason for the “wet” designation. Wet AMD can progress rapidly, making prompt treatment and regular eye care appointments vital.

Treatments for AMD:

  • The focus for patients should be on preventing the onset of AMD as opposed to reversing the disease, since AMD is not 100% curable. Frequent exams with optometrists or retina specialists are the best option for identifying warning signs and establishing treatment options.
  • For dry macular, medical or surgical treatment options are not currently available. However, some studies have suggested that some vitamin supplements or diets that have high dosages of certain antibiotics can potentially slow the spread of dry AMD.
  • Injection treatments for wet AMD include Lucentis and Asvastin, two drugs that are injected directly into the eye. Don’t be alarmed; a very thin needle is used and the experience is not traumatic.
  • Other options include surgery and laser treatments. Your eye care doctors can advise you on available options available and associated risks.

Patients who visit the office of Dr. Akamine Davidson will experience a slower-paced exam, which is tailored for the needs of individuals who have limited vision issues such as AMD.

  • Usage of the Feinblooom Chart which features larger-sized numbers/letters and is intended to be set 10 feet from patients instead of at the more standard 20-feet distance.
  • Extra time is allowed for exams so patients are never rushed. This is especially important for those dealing with the frustrations associated with limited vision.
  • Trial frames are tried using various lenses, which allows for more natural viewing

As with many medical conditions, early diagnosis can make all the difference. While it is not curable, the progression of AMD can be slowed or stopped providing symptoms are caught early and proper treatment options are followed.

The office of Sandra Akamine Davidson is a full-service seven staff member facility located in Riverside California. Along with her associate Dr. Leanna Parisi, Dr. Akamine Davidson oversees a comprehensive eye care center, including eye examinations, LASIK consultations, retina photography and low vision evaluations. The office also features the latest in lenses and frames which include Transitions lenses and high-end frame designs including Prada, Dolce & Gabbana, and Ray-Ban. More information can be found at the office site at

Come check out our designer sunglasses.

Dr. Akamine Davidson is pleased to invite you to attend the Super Sunglasses’ Show on Friday, August 6, 2010, from noon to 6 p.m. at her office on 4514 N. Central, Suite 101, in Riverside. Stop by the Open House, which will feature designer eyewear as well as food, drink, door prizes and a raffle. What’s more you will receive a 25 percent discount on every pair of sunglasses you purchase the day of the event.

Also, if you bring a friend, your name will be entered into a drawing for a $50 gift certificate for both you and your friend (for products and services at the office of Dr. Akamine Davidson). Designer sunglass eyewear will include collections from Salvatore Ferragamo, Oakley, D & G, Vera Wang, Vogue, Coach, Versace, Prada, Maui Jim and Ray Ban.

Along with her associate Dr. Leanna Parisi, Dr. Akamine Davidson and her staff are committed to delivering exceptional customer service and superior eye care. Our goal is to exceed your expectations by providing you with the most thorough and friendliest eye exam experience, possible. We take time to get to know you, your work, interests, hobbies and activities, so that we can customize all of our recommendations to meet your unique visual needs. At the office of Sandra Akamine Davidson, OD: Eye Focus on You.

Using technology like iTerminal, Eye Focus on You.

Thanks for visiting our blog! We plan to cover all aspects of eye care, keeping you informed about new developments in the industry and tips on making sure you receive proper care.

Today we are exploring the benefits of the new iTerminal device, an interactive dispensary system that helps patients select the perfect eyeglasses. The iTerminal is manufactured by Carl Zeiss Vision, a worldwide leader in developing and manufacturing ophthalmic lenses, lens coatings and dispensary technologies.

With eyeglasses, the right fit is of paramount performance. The key is for patients to forget they are wearing glasses and to simply enjoy being able to see properly. For many patients, selecting the right eyewear can be a frustrating experience that can end with patients paying money for ill-fitting glasses. At the office of Dr. Sandra Akamine Davidson, we are committed to making sure our patients leave our office with attractive glasses that provide the best vision possible. As the first optometrist office in the Inland Empire to feature the iTerminal, we are privileged to change the process of choosing and fitting eyeglasses with an interactive exercise. The machine is an added tool that helps our expert staff members provide patients with personal advice about the wisest choice of frames and lenses for their facial structure as well as their vision.

Benefits of the iTerminal:

Superior Measurements

  • Consistent measurements ensure proper fitting and lens performance.
  • Measurements can be taken to within 0.1mm, making the perfect fit possible.
  • Precise measuring means fewer lens remakes are required, which saves money.

Lens Customization

  • Automatically takes measurements such as lens tilt and frame wrap for the individual patient.
  • Dispenser machine can add tint and photochromics so patients can see how lens enhancements.
  • iTerminal can be used with any lens brands, not only with Zeiss models

Special Interactive Features

  • A special mirror allows patients to see themselves in various frame choices, especially important for those patients whose vision requires stronger/thicker lenses.
  • Device features a high quality digital camera, which allows patients to see both front and profile pictures and compare multiple frames, side-by-side.

With the iTerminal machine, Dr. Akamine Davidson’s office is pleased to provide a new interactive tool for patient satisfaction. Visit our blog often, for fresh information about exciting developments in the eye care industry.

The office of Sandra Akamine Davidson is a full-service, seven staff-member facility located in Riverside, California. Dr. Davidson’s offers complete eye care including eye examinations, LASIK consultations, retina photography and low vision evaluations. The latest in lenses and frames are offered, including the popular Transitions lenses and high-end frame designs such as Prada, Dolce & Gabbana, and Ray-Ban. For more information, check out our website.

I’m proud to announce the launch of my new website, which I hope will provides patients with valuable interactive information about Eye Car.

  • Website showcases the complete services offered by the Riverside, CA-based practice
  • Dr.  Davidson’s new site provides patients with information about all of the company’s services
  • Company carries luxury eyewear brands for glasses and sunglasses including Prada, Coach, Harley Davidson, Ray Ban and Dolce & Gabbana
  • The Site features videos that discuss the innovative Transitions©.
  • The new site explores the full diagnostic capabilities of the practice, with skilled personnel as well as comprehensive eye examination equipment
  • Information about Lasik is provided – the practice performs consultations to determine if patients are good candidates for the Lasik procedure
  • Patients will have the ability to download and complete insurance forms at home, saving valuable time
  • The online system will enable patients to determine insurance eligibility with a few quick clicks


  • Dr. Akamine Davidson’s new website was created to provide patients with complete information about their eye care needs. The site details all of the services offered including eye examinations, eyewear brand choices, and content about the wide variety of contact lenses available. Information about low-vision evaluations are explained in detail including information on common issues such as Macular Degeneration, Diabetes, and Glaucoma. Other eye conditions, such as Cataracts and Astigmatism, are explained in detail. Colorful images help explain associated conditions. Biographical information is provided about Dr. Akamine Davidson, her partner, Dr. Leanna M. Parisi, and office staff members.

Approved Quotes:

  • Quote attributable to Sandra Akamine Davidson, O.D.

“I’m so delighted to launch our new website. My hope is that it shows that, as an office, we are committed to exceptional customer service and superior eye care. Our goal is to exceed our patients’ expectations by providing the most thorough and friendliest eye exam experience, possible. We take time to get to our clients, so that we can customize our recommendations to meet their unique visual needs. Come by and see us.”

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