Matossian Eye Associates Newsletter

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Cynthia Matossian, M.D., F.A.C.S
Comprehensive Ophthalmology, Cataracts & Advanced Technology Implants

Ilya Rozenbaum, M.D.
Glaucoma, Medical & Surgical,
Comprehensive Ophthalmology & Cataracts
Priya Desai, M.D.
Glaucoma, Medical & Surgical,
Comprehensive Ophthalmology & Cataracts

Michael Starrels, M.D.
Comprehensive Ophthalmology & Glaucoma
Chirag V. Patel, M.D.
Retina, Medical & Surgical
Jennine Lutz, O.D.
Complete Eye Care & Contact Lenses
Rebecca Mueller, O.D.
Complete Eye Care & Contact Lenses
Hetal Diwan, O.D.
Complete Eye Care & Contact Lenses
Jennifer Viscusi, O.D.
Complete Eye Care & Contact Lenses
Fall/Winter2013 Newsletter 1-800-708-8800

recycle symbol
Welcome to the first Matossian Eye Associates E-Newsletter! After careful consideration, MEA has chosen to switch to an electronic format in order to help conserve our natural resources and reduce our footprint on the environment. We are committed to limiting our use of paper.

In addition to a paperless newsletter, we have switched from paper charts to Electronic Medical Records (EMR). A challenging change! Thank you for your patience during our EMR implementation.

Chirag V. Patel, M.D.
Chirag V. Patel, MD
Age-Related Macular Degeneration & Aspirin Use

The beneficial effects of aspirin for heart attack and stroke make aspirin one of the most commonly used medications. The results of three recent studies (European Eye Study 2012, The Beaver Dam Study 2012, and Blue Mountains Eye Study 2013) showed an increased risk of Age-related Macular Degeneration (AMD) with regular aspirin use. However the studies differed in a couple key points leading to more questions. First, the type and severity of AMD observed in "regular aspirin users" differed between the studies. Specifically, regular aspirin use was associated with higher risk of the "wet" form of AMD in two studies but with both the "dry" and "wet" forms in the third study. Second, "regular aspirin users" were defined differently for all three studies in how often and what dose of aspirin was taken. These differences make definitive conclusions difficult.

These studies show aspirin use is associated with increased risk of advanced AMD; however, it is unclear if aspirin is the cause of the increased risk of advanced AMD. The overall increased incidence of advanced AMD, particular the "wet" form, is low. Patients need to weigh the risks and benefits of aspirin use as it applies to their specific medical conditions. This decision is best made with the input of internists, cardiologists, and eye care providers. In summary, before any decision to stop aspirin use is made, patients should consult their doctors. Conversely, for any patients taking daily aspirin without being advised to do so, immediate discussion with their doctors is recommended.

Training for Ghana, Africa
Unite for Sight
Kwaku Ohemeng, a local Princeton University student, spent two days shadowing the doctors and technicians at MEA to gain familiarity before embarking on a trip to Ghana with the Unite for Site Program. Ohemeng was born in Ghana and moved to America with his parents when he was young. He worked with Priya Desai, MD as well as several technicians to learn how to perform vision tests, check intra-ocular pressure, instill eye drops and ointments and how to patch an eye. In Ghana, he assisted in performing eye screenings for the local residents, most of whom had not had eye care in the past. Unite for Sight is a nonprofit global health delivery organization that empowers communities worldwide to improve eye health and eliminate preventable blindness. Unite for Sight's main goal is to sponsor 74,000 sight-restoring surgeries by year-end 2013. Kwaku is the third student MEA has assisted prior to their time abroad with Unite for Sight.

How Many Americans have Open-Angle Glaucoma?

A) 0.7 million B) 1.2 million C) 1.7 million D) 2.2 million

Priya Desai, MD
Priya Desai, MD

Glaucoma refers to a group of eye conditions that affect the optic nerve which can lead to blindness. Open-Angle Glaucoma leads to a

gradual loss of peripheral vision and accounts for 90% of the Glaucoma cases in the United States. Unfortunately many are unaware they have this sight threatening disease. Risk factors include Family History, African American and Hispanic descent, High Myopia (nearsightedness), High Blood Pressure and Sleep Apnea.

Ilya Rozenbaum, MD
Ilya Rozenbaum, MD
Matossian Eye Associates has two Board Certified, Fellowship trained, Glaucoma specialists - Priya Desai, MD and Ilya Rozenbaum, MD. If you suspect that you, or a family member, are at risk for glaucoma please call our office at 1-800-708-8800 to schedule an evaluation.

Answer: D
-- Reference: Peer Quiz, Alcon Laboratories, January 2013

Driver LicenseDepartment of Motor Vehicles (DMV) Information
After cataract surgery, you may no longer need to wear eyeglasses to drive. However, your driver's license may indicate that corrective lenses are required. In order to have your license corrected, you will need to complete the necessary form and bring it to your DMV facility.

It is important to note that every State has a different form. If you are licensed in New Jersey or Pennsylvania, you may print the required form from our website here.

Please bring the form to your final post cataract surgery appointment so your eye surgeon can sign the required form. If your driver's license was issued outside of New Jersey or Pennsylvania, please contact your DMV office. Enjoy your great vision!

Does Cataract Surgery Increase Lifespan?

Dr. Matossian in Surgery

A study released from the American Academy of Ophthalmology (AAO) has found that people who have had vision loss from cataracts and underwent cataract surgery have a 40% lower long term mortality risk than those who do not have the surgery. The Blue Mountains Eye Study evaluated 354 cataract patients 49 years old and older between 1997 and 2007. Of these patients only some underwent cataract surgery. The subjects were re-evaluated anywhere from 5 to 10 years after the baseline exam.

A previous study had indicated people with visual impairments were at a higher mortality risk than same age peers with normal vision. It suggests that cataract surgery could potentially reduce this risk. The Blue Mountain Eye study showed a relationship between living longer and having had cataract surgery, however the link is not clearly understood. Some factors according to the AAO include, "improvements in physical and emotional well-being, optimism, greater confidence associated with independent living after vision improvement, as well as greater ability to comply with prescription medications." The participants who did not have surgery may have had other health problems which prevented them from getting cataract surgery and may explain the poorer survival rate.

Cataracts develop over time, clouding the natural lens of your eye. Cataracts can cause difficulty with driving, reading, hobbies and other daily activities. If you suspect that you, or a family member, is having symptoms of cataracts, please call our office at 1-800-708-8800 to schedule an evaluation.

Source: American Academy of Ophthalmology News Release

Gov. ChristieNew Jersey Enacts Eye Safety Legislation
New Jersey Governor Chris Christie signed important patient safety legislation into law that would ensure continuity of therapy for patients with eye and sight problems. This legislation will allow for the uninterrupted administration of necessary eye medication for patients who are in need of early refills. The New Jersey Academy of Ophthalmology (NJAO) was at the forefront of this legislation, advocating on behalf of New Jersey patients.

GlucosamineGlucosamine May Cause Increased Eye Pressure

Glucosamine is a dietary supplement used for pain relief by many of the 27 million Americans who suffer from osteoarthritis. Patients are usually told that there are no risks in taking these supplements. Until recently this was believed to be true. However, a study by JAMA Ophthalmology showed compelling results that it may cause eye pressure to elevate. Fortunately, once patients stop taking glucosamine the effect was reversed. Increased eye pressure, over prolonged periods of time, may cause vision loss and possibly blindness.

If you are taking Glucosamine please tell your eye doctor so your eye pressure can be carefully monitored.

Source: ASCRS EyeWorld WeeklyUpdate, May 31, 2013
What's New with MEA

Cynthia Matossian, MD presented her latest cataract surgery technique videos at the Ocular Surgery News Annual meeting in New York City this September.

Cynthia Matossian, MD led several live webinars for Ophthalmologists, Optometrists and other eye care professionals across the country.

Ilya Rozenbaum, MD attended the American Glaucoma Society meeting in San Francisco.

Ilya Rozenbaum, MD participated in a Glaucoma Advisory Board Meeting for Allergan, Inc.

Cynthia Matossian, MD created a series of Training Videos for Marco, the developers of OPD III
Cynthia Matossian, MD
Cynthia Matossian, MD, FACS
technology. The "OPD III Case Studies & Tutorials" are used to train new Ophthalmologists on the interpretation of this technology.

Cynthia Matossian, MD presented multiple lectures to Ophthalmologists and Optometrists throughout the mid-Atlantic region.

Cynthia Matossian, MD was interviewed for EyeTube on the "Practical Applications for OPD III in Cataract Surgery". It can be viewed

Cynthia Matossian, MD video on "Flip and Slice Cataract Surgery Using Healon Endcoat and Healon 5" can be found on EyeTube and can viewed here.

Cynthia Matossian, MD video interview "Comparing Toric IOLs" can be viewed here.

Cynthia Matossian, MD had the following articles published:
  • Ocular Surgery News, U.S. Edition, April 25, 2013, "Blended Vision an Option for Improving Vision at all Distances in Pseudophakic Patients"
  • Ocular Surgery News, U.S. Edition, May 10, 2013, "Social Media as a Marketing Tool for Your Practice"
  • Advanced Ocular Care, May/June 2013, "Premium Services: A Conversion Rate Study with Consideration to Sex and Age"
  • Cataract & Refractive Surgery Today, June 2013, "Achieving the Best Outcomes in Cataract Surgery"
  • American Academy of Ophthalmology: ONE Network, August 2013, "Mini-monovision: Reducing Spectacle Dependence after Cataract Surgery"
  • Cataract & Refractive Surgery Today, October 2013, "Flip and Slice Technique is Safe and Efficient"

The Bride
Personal Message from Dr. Posner (Mueller)

I hope you enjoyed a happy and healthy summer! It has been a most exciting summer for myself and my new husband, Josh. We were married in my hometown of Westerly, Rhode Island in August, followed by an incredible honeymoon to the Greek Islands! I am now back to reality, with a new name -- Dr. Rebecca Posner! This fall and winter, we look forward to many enjoyable days - with walks among changing leaves and holidays spent with extended family.

Wishing you all a Wonderful Holiday Season!

Rebecca Posner, O.D.


Two Capital Way
Suite 326
Pennington, NJ 08534
(609) 882-8833
501 Hyde Park
Route 202
Doylestown, PA 18902
(215) 230-9200
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Hamilton, NJ 08619
(609) 890-0772