Treatments and Services – Dr. Michael Rothbaum – Board-certified Ophthalmologist

TREATMENTS / SURGERIES

Treatments Dr. Rothbaum can provide include:

GLAUCOMA

DROPS - Eye Drops are frequently used to treat Glaucoma by lowering the Intraocular Pressure (IOP) –the pressure within the eyeball. It is important to take your medications regularly and exactly as prescribed if you are to control your eye pressure.

LASER - Laser treatments are used to treat both Open Angle and Closed Angle Glaucoma. These procedures are done in the office and normal activities can be performed immediately following the Laser.

SURGERY - When medications and laser therapies do not adequately lower eye pressure, Dr. Rothbaum may recommend surgery. These surgeries can be performed as a single procedure or in conjunction with Cataract Surgery.

MACULAR DEGENERATION (AMD)

VITAMINS (AREDS2 Formula) - Right now, there is no way to treat the dry form of AMD. However,some people might benefit from taking a certain combination of nutritional supplements. A large study found those people may slow the progression of dry AMD by taking these vitamins and minerals daily:
- Vitamin C (500 mg)
- Vitamin E (400 IU)
- Lutein (10 mg)
- Zeaxanthin (2 mg)
- Zinc (80 mg)
- Copper (2 mg)
- Your ophthalmologist can tell you if vitamins and minerals are recommended for you.
INJECTIONS– Injections of medications called anti-VEGF drugs help reduce the number of abnormal blood vessels in your retina and slow any leaking from these abnormal blood vessels.
- Medications
  - AVASTIN (bevacizumab)
  - EYLEA (aflibercept)
- Performed in the Office with Topical Anesthesia (Numbing Eyedrops)
- Often Need to be Repeated for Maximum Effectiveness

DIABETIC EYE DISEASE

LASER - Laser treatments are used to treat Certain types of Diabetic Eye Disease:
- Proliferative Diabetic Retinopathy – Abnormal growth of new blood vessels on the surface of the retina
- Diabetic Macular Edema – Swelling (Edema) of Macula (the central portion of the retina)
INJECTIONS – Injections of medications called anti-VEGF drugs help reduce the number of abnormal blood vessels in your retina and slow any leaking from these abnormal blood vessels.
- Medications
  - AVASTIN (bevacizumab)
  - EYLEA (aflibercept)
- Performed in the Office with Topical Anesthesia (Numbing Eyedrops)
- Often Need to be Repeated for Maximum Effectiveness

DRY EYE DISEASE

REPLACE YOUR TEARS
- Over the Counter Lubricating/Artificial Tear drops.Substitute for the under-production of tear by your eyes. Common brands include:
  - Systane
  - Refresh
  - Genteal
INCREASE TEAR PRODUCTION
- Prescription Eye to help you eye produce more tears.
  - RESTASIS(Cyclosporine)
  - XIIDRA (Lifitegrast)
  - Steroids – Typically used for short-term relief of Irritation and Inflammation
SAVE TEARS(Keep tears on your eyes)
- Punctal Plugs
  - Temporary or Permanent Plugs to block tear ducts. By blocking tear ducts, drainage of tears from eyes is slowed, keeping the eye moister.
  - Quick and painless procedure that can be performed in the office.

BLEPHARITIS

WARM COMPRESSES
- Wet a clean washcloth with warm water and wring it out until somewhat dry.
- Place the washcloth over your closed eyes for at least 1 minute.
- Wet the washcloth as often as needed so it stays warm.
- This will help loosen the flakes sticking around your eyelashes. It also helps keep nearby oil glands from clogging.
EYELID SCRUBS/LID HYGEINE
- It is very important to keep your eyelids clean
- Carefully wash/scrub your eyelashes every day with one of the following
  - A washcloth, cotton swab(Q-Tip) or lint free pad soaked in warm water mixed with a few drops of Baby Shampoo
  - Eyelid Cleansing Pads
  - Eyelid Foaming Solutions
  - Eyelid Sprays
ANTIBIOTICS
- Drops or Ointments to eliminate bacteria around the eye that may be causing inflammation
- Pills(Doxycycline) can be used to minimize inflammation within the glands that line the eyelid
STEROID EYE DROPS OR OINTMENTS

EYELID LESIONS / MALPOSITION

REMOVAL OF LESIONS
- Incision and Drainage
  - Cysts
  - Stye/Chalazion
- Surgery
  - Benign (non-Cancerous) or Malignant (Cancerous) lesions can be performed in the Office or Operating Room depending on the number, size and location of the lesions.
BLEPHAROPLASTY – Remove excess upper or lower eyelid skin and periocular tissue
ENTROPION/ECTROPION REPAIR – Correct abnormal positioning of lower eyelid that may be causing irritation or excessive tearing
REMOVAL OR CORRECTION OF MISDIRECTEDEYELASHES (Trichiasis) – Removal of eyelashes in the office or surgery for persistently misdirected or large number of eyelashes