Headaches

8 09 2014

Headaches.

I have had my share of them over the years.  More than average I dare to say.  I have had medical tests, CT and MRI scans, dental visits and special mouth guards to prevent teeth grinding while sleeping and have taken more over the counter and prescription drugs than the local drug addicts during my years.  I still remember my first severe headache on a trip with one of my friends to Six Flags of Texas in Dallas.  What a miserable time.  Ultimately I had sinus surgery ten years ago, which relieved almost all of them.

Believe me, I know how you feel.  When the pain is so bad you wish someone could drill a hole in your skull to relieve the pressure and all you can do is lie on the cold, tile floor with an ice pack on your head after taking tons of medicine and pray “God, please take away the pain.”  I’ve been there.

If I could break down my patient’s main reasons for wanting an eye exam into three categories, they would be in this order:

1. Blurred vision –either just a slight blur or a major blurring at distance or near, with or without lenses.

2. Wellness checkup – they see okay with or without vision correction but want to make sure everything is healthy and maybe update their contact lens prescription while having no apparent problems.  Perhaps previously diagnosed with a medical eye condition and ensuring there is no progression.

3. Headaches – There are so many things that can cause a person to experience a headache, it can give somebody….. well, quite frankly,  a headache trying to find the cause.
Since there are so many causes of a headache, a good patient history is absolutely important.  When did they start, do you have a history of headaches before, how often do they happen, how long do they last, what region of the head do they hurt at, what time of day do they generally happen, are they disabling or can you still function, do you have any vision abnormalities like spots or wavy lines before or during the headache, does medicine help the pain, do you get dizzy or nauseous with the headache, do they seem to happen related to certain activities such as reading or computer use, what other medical problems do you have that you know about, what medicines do you use or recently stopped using?  Doctors have to consider the patients age, sex, family history, history of seasonal allergies, medicines being used or even discontinued recently and any medical conditions you might have.    Your diet, water intake and sleep apnea even can play a large role.  Headaches are perhaps one of the most challenging diagnoses due to the many possible causes.  I will cover the most common in order of prevalence that I often encounter.

1. Uncorrected basic vision

When someone comes in with a complaint of frequent headaches, after the preliminary testing, one of the first tests we do is a refraction of the eyes.  That is the part where we determine how the eye can see and what glasses prescription might be needed to make the patient see more clearly and see more comfortably.  You know, “Which is better, one or two?”

The most common cause of headaches that I see in my office is uncorrected farsightedness, especially in school age children.  If the patient is farsighted, they can see far away easier than up close.  They may be able to see up close too but they have to work twice as hard as normal to do it if their eye is using it’s near focusing ability (accommodation) to help the patient’s far vision.  It does that subconsciously like an auto-focus camera.  The eye should only “focus” or tense up when looking at objects within arm’s reach for the most part.  Uncorrected farsightedness (hyperopia) makes the eye, without even thinking about it; try harder to keep the vision clear while looking far away.  That constant, unneeded focusing causes strain and ultimately headaches in the frontal region of the head or around the eyes usually by the early or late afternoon after focusing the eyes more than average.  Basic single vision glasses worn all the time will typically resolve the headaches even though the vision of the patient has been clear anyway up until this point.  The eyes are just working too hard and the extra muscle tension causes the headache.  So farsighted glasses correction is more for comfort than to help the vision in many cases.

2. Uncorrected near vision after 40 years old

After the dreaded big 4-0, (typically 43 years old) the focusing system of the eye that helps to see up close begins to weaken.  The lens in the eye becomes stiffer and less flexible, which causes the automatic focusing of the eye to strain even more to make your near work activities harder and harder to see.  It’s not a weakening muscle, it’s simply the lens not able to flex anymore very well, like a piece of old rubber that doesn’t flex very well.    At this point, we need extra help to see up close clearly and comfortably.  Whether we need a prescription or not for the far away vision and more power for up close, then at that point a multi-focal lens with multiple focusing powers is recommended so people can see at all distances.  When patients that are 40 years old or over seem to get headaches after reading or other near vision work, quite often this is a sign they need a multifocal lens such as a progressive lens or a bifocal.  This is like using a tool to take the load off the eyes and make them focus better and not to have to strain to see.  If you get headaches after reading or looking up close and your arms seem too short anymore, more than likely you need help with the focusing in the form of a multi-focal lens.  Glasses or contacts can help.

3. Binocular vision disorders

The eyes are separate organs that work as a team (think of a pair of horses yoked together) to give clear, comfortable, binocular single vision.  When the coordination of the two eyes is not optimal, they have to work harder than normal , if they can, to keep the eyes aligned exactly in the same direction in order to not see double.  Imagine someone that slouches or is pigeon toed is told to “straighten up” and they have to exert more muscle effort to get the back or feet lined up straight.  The eyes can do the same thing and it causes a lot of muscle strain and possibly a headache.  Sometimes an eye that turns inward, outward or is higher or lower than the other is not easy to discern.  The uncoordination of the eyes is possibly caused by uncorrected vision but also could be caused by a genetic muscle or nerve problem or even by a medical condition such as diabetes, hypertension or even a stroke.  If basic glasses with or without a bifocal doesn’t’ help, then prism power can sometimes help.   A prism bends light so the muscles don’t have to work so hard to see one picture.

4. Medical eye problems

The most common medical eye problem  that can cause a headache from a more uncommon type of glaucoma called acute angle closure glaucoma.  When the drainage system of the eye is narrow, it can be difficult or even impossible for the inner eye fluid (aqueous humor) to drain properly.  This makes the fluid pressure inside the eye to increase rapidly and often times there is signs of a red eye, blurred vision and a severe headache over the eyebrow to the point of nausea.  There are treatments to relieve the condition.

Inflammation inside the eyeball itself, usually related to an auto-immune condition such as rheumatoid arthritis, can cause pain in and around the eye that can be construed as a headache.  Rarely a corneal abrasion or a bacterial ulcer on the eye’s surface can cause inflammation and pain enough to cause a frontal headache.

5. Eyewear and lens problems

Eyeglasses are precision made devices that must have very exact measurements in order for the brain to see clearly and comfortably at all distances.  If the frame is crooked on the face, it can cause eye strain and eventually a headache.  The same goes for a lens that is not centered in front of the pupillary axes.  Even what the material the lens is made out of can sometimes cause subtle distortion that could cause a headache.

6.  Sinus headaches

Having personal experience in this area, I can attest that these can be extremely painful.  When the air spaces in the bones of the skull that surround the eye called sinuses get inflamed  from infection or irritation from allergens,  the tissues expand and gets congested.  That causes a pressure feeling around and between the eyes but even on the side of the temples and down to the jaw.   It can cause the eye to feel like it’s going to pop out it hurts so badly.  Often times a patient will wake up with sinus pain due to sleeping on one side causing fluid to build up and congest the sinus passages more.  Increased water intake, decongestants (Sudafed), mucous thinning medicines (Mucinex) and sometimes antibiotics and nasal steroid inhalers when needed, can generally help but long term treatments may be needed such as nasal saline rinses, antihistamines, and immunotherapy (allergy shots).  Cysts (fluid filled bubbles) can develop and block off the drainage of sinuses at times building up pressure and pain and are not easily seen on CT or MRI scans.  Frequent severe headaches that are not getting better should be evaluated by an ENT (ear, nose and throat specialist) or neurologist (specialist of the brain and nervous system) if sinus and brain imaging with CT or MRI scans did not reveal any problems.

7. Tension headaches

Tension headaches generally happen later in the day but can happen at any time due to the stress load, work ergonomics (how your body is positioned at work) or anxiety the patient is suffering from, whether they realize it or not.  They tend to make the head hurt like a tight band around the head or start in both temples and work backwards.  They usually happen while at work or school in the afternoons but can wake up a person due to neck or back vertebrae misalignment.  Sleeping wrong on a pillow can cause muscle tightness and a resulting headache.   Resting and using pain reliever medicine usually makes tension headaches better.  Children can often get headaches from internalizing anxiety from bullying, domestic abuse or the stress caused by fighting or divorcing parents.  A child’s home life can impact them severely.

8. Migraines (vascular) headaches

Not all headaches are migraines as some people mistakenly believe.  A migraine headache is generally a severe headache on one side of the head that is preceded by some sort of visual distortion such as spots or wavy lines.   The pain is so severe a patient may experience nausea or dizziness and is usually sensitive to light and sounds.  Over the counter medications generally don’t help very much except for some that have caffeine and so migraine sufferers usually have to lie down and rest in quiet, dark locations until it gets better.  They can happen at any time and can be brought on by menstrual cycles or even certain foods.  Sometimes the cause is never found.  They tend to happen in women more than men.  There are prescription medicines that can help prevent or thwart migraine attacks.   Migraines are considered a diagnosis of exclusion however.  Your doctor needs to be fully confident that all other causes of headaches including tumors and aneurysms have been completely ruled out and excluded before they can be called a true migraine headache.  The International Headache Society has listed specific signs and symptoms that must be present or not present to officially classify your headache as a migraine.   I recommend keeping a journal of your headaches:   date and time when they happen, what you ate and drank that day, associations that made it worse such as reading or computer use, medicines used, menstrual cycles, etc… that might help isolate any specific triggers.

9.  Severe Medical Problems

Very rarely, a very serious medical problem can cause headaches.  The main serious medical problems causing headaches would include:

·         Hypoglycemia (low blood sugar)   Usually happen with poor diet, get a feeling of weakness, shakiness, moodiness and breaking out in a sweat and nausea.

·         Hypertension (high blood pressure)   Usually start at the base of the back of the skull where the head and neck meet, have ringing in the ears, sometimes dizziness.

·         Aneurysm (small area of ballooning outward of blood vessel)  Usually a quick forming, stabbing pain that is incredibly painful.  Often described as the worst headache ever.

·         Benign increased intracranial pressure (higher than normal fluid pressure in the brain and spinal cord caused by poor drainage or reabsorption of fluid)   Often related to females that are considered overweight and over 30-40 years.  Rarely, some people have smaller than average drain openings (foramens) in the skull that keeps fluid from circulating well.

·         Inflammation of cranial arteries – usually hurts on one side of temple, vision decrease in one eye, over 60 years old. It is not normal for someone over 60 years old to have frequent headaches unless they have a long history of them.

·         Poor blood circulation from a blood clot or stroke – usually sudden, associated with numbness or paralysis of facial muscles or limbs, eyelid drooping, sudden loss of vision.

·         Brain tumor – usually very gradual onset of headaches and other symptoms such as vision or hearing loss, behavior changes, depression, and can feel like general sinus pressure in some cases.

If you are experiencing frequent headaches, please see your medical physician for a medical evaluation and a reputable eye doctor for an comprehensive eye and vision examination to find the source and make sure it’s not serious.





SnackPak 4 Kids and Transitions Lenses Special

17 07 2014

SnackPak 4 Kids is feeding hungry school age kids this summer and we want to help.   We support this program and we would like to team up for July and August 2014 to help them out.  If a patient brings in a 16 oz (small) jar of peanut butter or a box of Pop Tarts for SnackPak (or better yet Both!) and buys a Transitions lens add-on to their spectacle lenses, we will give them 50% off that price of the Transitions‘ add on cost(about a $45 dollar savings).   A collection container is by our front door.

Even if you do not buy any eyewear, you are welcome to drop off your donation of peanut butter or PopTarts at our office.  

It’s not the kid’s fault that they go hungry.   Studies are showing when the kids are not going hungry, they do better in school.  If they can get through school with a good education and not drop out, perhaps the generational poverty cycle can be broken.

If you have any questions about our offer, you can contact our office at 935-2020 or information about the SnackPak program in Dumas at SnackPak 4 Kids Dumas.  Thanks for your support of SnackPak 4 Kids and Dumas Vision Source.

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The following information is from SnackPak 4 Kids website (http://snackpak4kids.org/history)

“It began with 10 hungry students at Will Rogers Elementary School in Amarillo.  Bushland couple Dyron and Kelly Howell had discovered that Amarillo was the largest city west of Dallas without a weekend backpack program. And yet more than 3,200 children in the Amarillo Independent School District relied only on the meals served to them at school for their weekly food. That meant hundreds of children spent their nights and weekends hungry.

Determined to find some way to address this need, the Howells assembled ten bags of food that could be prepared without adult supervision—juice boxes, peanut butter, sandwich snack crackers, breakfast cereal, Pop-Tarts, fruit cups and more. On Friday, September 3, 2010, the first ten Snack Pak 4 Kids recipients were given those bags, which contained enough food to get them through the weekend. The Howells prepared the bags again the next week, and got others involved. Soon the number of children grew, and then the program expanded to other schools. Teachers began seeing academic improvement, better concentration, and higher attendance among SP4K recipients.
As of early 2014, the program has grown to serve 5,200 students in 30 school districts, Amarillo, Booker, Borger, Bushland, Canadian, Clarendon, Clayton NM, Dalhart, Dimmitt, Dumas, Friona, Fritch, Happy, Hereford, Highland Park, Lockney, Panhandle, Pampa, Perryton, River Road, Spearman, San Antonio, Stratford, Sunray, Tahoka, Texhoma, Texline, Tulia, White Deer, and Wildorado.

Every week, hundreds of volunteers pack 14 regular, nutritious items into plastic bags and deliver these bags to participating schools.  At the schools, officials discreetly place these bags in students’ backpacks on Fridays. Students receiving the bags have each been identified by school staff members (counselors, nurses, teachers or principals) as living in a “food-insecure” household—which means these families don’t always know the source of their next meal. The SP4K program feeds each elementary student and any siblings at home not old enough to attend school.

Our new Snack Shak program currently provides food to middle school and high school students, and is expanding quickly.”

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Courtesy of Dumas Vision Source, PLLC and Dr Tory W. Moore, Optometric Glaucoma Specialist and Diplomate of the American Board of Optometry.    Serving the Dumas, Texas,  Moore County and upper Texas Panhandle area for 23 years.   Call (806) 935-2020 for appointment or visit our optical gallery without an appointment.  Visit our website www.visionsource-dumas.com for more information.  Like our Facebook business page:  Dumas Vision Source  and you can also connect on Twitter @eyedocdumas

Tory Moore, OD  – “A Hometown Eye Doctor You Know and Can Trust!”





Acuvue Contacts Change

1 07 2014

While Acuvue is not my lens brand of first choice for most people, there are some patients that are more comfortable with that lens’ thinner design.  One of the benefits of using an independent optometrist like myself and not a chain store, mall doc is I can use whatever lens brand I feel is best for the patient no matter what company it is.  So Acuvue has a place in our arsenal of lens brands.

Vistakon, owned by Johnson & Johnson and the manufacturer of Acuvue lenses,  has recently decided to go from selling 6 packs of their lenses to 12 and 24 packs.  So instead of a 3 month supply, they will come in 6 month or 1 year supplies.  All Acuvue lenses are technically 2 week replacement lenses (except the 1-Day Dailies) and I recommend normally to take them all out every night.  I don’t believe they deliver enough oxygen for the cornea to be healthy and have more risk of long-term damage or infection, in my opinion, though the FDA has recommended up to 6 nights wear with Acuvue Oasys.   Of course the FDA has approved lots of drugs that you later see ambulance chasing lawyers advertising to sue for you from damage those same drugs have done.

We realize this will cost more up front to patients but because of basically buying them in bulk, you would actually save more money over the year than buying 8 boxes of 6 packs to get through a year like before.  Just like buying a 24 roll package of paper towels is cheaper from Costco or Sam’s than if you buy 1 roll at Walmart or grocery store since you buy so many in bulk.

WE HAVE NO CONTROL OVER THIS!

I believe with so many patients over wearing their lenses, the thinking behind this move is to get patients to change them every two weeks like they are supposed to.  You are just defeating the purpose of disposables by not changing them out like you are supposed to.  You change your underwear everyday or your bath water every time don’t you?  Same principle.  Changing your lenses regularly keeps your vision your best, more comfortable and less dry and they can deliver oxygen to your eye more by not being coated with proteins, lipids and calcium from the tears.  Studies done by the industry show patients change their contacts more often like they are supposed to if they have a lot on hand.  So take care of your eyes and replace your contacts on schedule.  Put an alarm in your phone calendar or your Google calendar to remind you if you have to.  You only have two eyes and they have to last you a lifetime.

I want to let our patients know before they need more lenses to be prepared for the difference in Acuvues’ policy.

 

Courtesy of Dumas Vision Source, PLLC and Dr Tory W. Moore, Optometric Glaucoma Specialist and Diplomate of the American Board of Optometry.    Serving the Dumas, Texas,  Moore County and upper Texas Panhandle area for 23 years.   Call (806) 935-2020 for appointment or visit our optical gallery without an appointment.  Visit our website www.visionsource-dumas.com for more information.  Like our Facebook business page:  Dumas Vision Source  and you can also connect on Twitter @eyedocdumas

Tory Moore, OD  – “A Hometown Eye Doctor You Know and Can Trust!”





You Can Now Be Green With Envy…Or Gray…Or Blue….Or…

5 06 2014

This week Alcon finally released what we have been waiting for a very long time.  A breathable soft contact that changes your eye color.  Air Optix Colors are now available to order!  And we have sample contact lenses to try on in our office with an appointment.

You see in the past, the leading brand of opaque eye changing colors were the Freshlook Colorblends brand.  While these were generally acceptable lenses for daily wear use, they were often dry in our High Plains environment, got dirty quickly, were flimsy and hard to handle for some people.  Some people tend to abuse contacts and since these don’t breathe well, their corneas would get swollen or cause new blood vessels to grow in to the corneal tissue to help feed it oxygen.  This led to scarring and the patient might not be able to wear contacts any longer.

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With the release of Air Optix Colors, these new color contact lenses from Alcon are made of a highly breathable silicone hydrogel contact lens material to help eyes remain white and healthy-looking, and they feature an ultra-smooth plasma surface technology for consistent, all-day wearing comfort.

While these lenses are still for daily wear use ( no overnight wear), they breathe a lot more and will keep the cornea much healthier.  They will resist deposits more and will stay wetter on the surface.  They are designed to be replaced monthly and come in six packs.

The Air Optix Colors have essentially the same color availability as the Freshlook Colorblends, with some slight improvements, so they look more natural than ever.

Currently, lenses are available for people with no prescription, with nearsightedness, farsightedness, if you need reading glasses or a bifocal but not currently for astigmatism.  If there is only a small amount of astigmatism power, the lenses may still work for you. During your exam, we can determine if you are a candidate and even try on some demonstration lenses to see if the vision is adequate.

So, if you are wondering what it would look like with a different eye color, either a dramatic or subtle one, make an appointment for a contact lens evaluation today and we can try some on you with no obligation to purchase boxes if you don’t like them.   Call us at 935-2020 to schedule an appointment today or log in to our website at www.visionsource-dumas.com

Courtesy of Dumas Vision Source, PLLC and Dr Tory W. Moore, Optometric Glaucoma Specialist and Diplomate of the American Board of Optometry.    Serving the Dumas, Texas,  Moore County and upper Texas Panhandle area for 23 years.   Call (806) 935-2020 for appointment or visit our optical gallery without an appointment.  Visit our website www.visionsource-dumas.com for more information.  Like our Facebook business page:  Dumas Vision Source  and you can also connect on Twitter @eyedocdumas

Tory Moore, OD  – “A Hometown Eye Doctor You Know and Can Trust!”





Tiny bubbles…

2 06 2014

No, I’m not going to sing for you.  Your ears and the neighborhood dogs will thank you.   But you can go to YouTube if you want to catch up on Don Ho singing his trademark song.  http://www.youtube.com/watch?v=mlCiDEXuxxA

The tiny bubbles that make me happy are actually from hydrogen peroxide contact lens disinfection systems.   There are for the most part two basic types of contact lens disinfection systems on the market:   1. Multi-purpose disinfection systems (e.g. Optifree PureMoist, B&L Renu or Biotrue, etc..)  or 2. Hydrogen Peroxide (H2O2) disinfection systems (e.g. Alcon Clearcare, B&L Peroxiclear).   In the old days we had heat systems that boiled the contacts but not anymore.  The only other type is a plug-in unit that uses UV light and ultrasound technology (Purilens).

H2O2 is the most effective type of disinfecting system for contacts.  It simply kills almost any germs that could contaminate your contacts.  Typically you put your contacts in some sort of basket in a vertical case that you fill up with the peroxide solution and it begins to bubble.  Much like when you put H2O2 on a wound before bandaging.

This bubbling action also tends to clean the lens very well without even rubbing the lens. This can save on torn contacts if you are rough handling the contacts or use a more fragile material.   You still have to be careful removing the contacts from the cage when done.  A cleaner lens is also a more water-loving lens and thus not as dry at the end of the day.  When the lenses get dirty, it irritates the linings of the eyelids, which produces more mucous and byproducts, which coats the lenses and makes them more hydrophobic, just like a waxed car.  When patients have any kind of dry eye problem, we recommend using a H2O2 solution to minimize preservative sensitivity reactions, known to cause inflammatory dry eye.

If it is so great, why don’t we recommend it for everyone as our first choice?   Well, a couple of reasons:  Number one, it’s a little more complicated to use.  The solution only goes into the case… never anywhere else.  Not on the contact and especially not to rinse the eye like saline.  Trust me, it burns like FIRE!  You do it one time and you hopefully learn your lesson.  I know I did.  While it doesn’t cause permanent damage, it can really hurt for several hours afterward, like if soap got in your eyes.  It remains H2O2 until the catalyst disc in the bottom of the case turns the H2O2 into salt and water.  Plain ol’ saline, like what your crying tears are made of.   That’s one of the beauties of  it.  There are no harsh preservatives to irritate your cornea and make them feel drier.  Just gentle saline the contacts are soaking in when they are done.   So, it is more complicated in using it which makes more room for error.

Secondly, it takes time for the chemical conversion of H2O2 to take place.  With Clearcare you must wait at least a minimum of 6 hours before removing your lenses from the case to be able to wear safely.  You can leave them longer but any sooner and the solution will not be completely neutralized resulting in the burning pain I alluded to earlier.  However, Bausch & Lomb has just released a new product called Peroxiclear, which only takes four hours to fully disinfect and convert to saline.  This may help those people whose jobs are very demanding and require short notice to be called back out to work yet providing superior disinfection and cleaner lenses.

Third, is the cost.  While it is only $2 or $3 dollars more in some cases, for some that is a big difference.  While I want my patients to use the best products first, sometimes they can’t.  So often times we will have patients try a multi-purpose solution first and see how that works for them.  The majority of time, that works great for them.  No discomfort, no eye irritation, no infections and for less cost.  But if they begin to have any difficulties in those areas, we definitely switch their disinfection system to a H2O2 system.

So, if in doubt which solution would be best to use, you can always check with our office first.  Trust me though, tiny bubbles makes my contacts feel fine.

Courtesy of Dumas Vision Source, PLLC and Dr Tory W. Moore, Optometric Glaucoma Specialist and Diplomate of the American Board of Optometry.    Serving the Dumas, Texas,  Moore County and upper Texas Panhandle area for 23 years.   Call (806) 935-2020 for appointment or visit our optical gallery without an appointment.  Visit our website www.visionsource-dumas.com for more information.  Like our Facebook business page:  Dumas Vision Source  and you can also connect on Twitter @eyedocdumas

Tory Moore, OD  – “A Hometown Eye Doctor You Know and Can Trust!”





“So What is the Right Answer, One….or Two?”

16 05 2014

Apparently, for some people going to the eye doctor to have their vision checked is a stressful experience.  It’s not that dreaded air puff test even.  Or even having the eyes dilated with eye drops.  It’s the refraction process where we determine the prescription for glasses.  You know, where the doctor puts up that big pair of glasses that the doctor flips different lenses and says, “Which is better, one….or two?

I think it’s probably harder for some when they are  afraid of getting something wrong.  Perhaps a little high-strung,  Type A personality or someone with some OCD tendencies that needs perfection so it’s hard to commit to an exact answer.   And engineers.  Not there is anything wrong with being a perfectionist, I appreciate things being in order and perfect as possible.  But it’s not anything to stress yourself over because there are multiple double checks to make sure everything is perfect as possible.

You see, when we say “which is better?” we are adding one step more power in the number one lens and one step power less in the number two lens.  Much like if your radio was on 92.5 FM and you went to 92.4 or 92.6 to see which sounded more clear.  We bracket back and forth until the power is just right.  So we start from a certain prescription, either your old prescription or from a computerized reading of what the prescription power is and refine it with your help by adding more or less power  until there is no change ideally.  Sometimes the answer keeps going back and forth and so by that we also have reached our endpoint.  Then looking at the vision from the old glasses and it’s prescription, the preliminary prescription reading and the final refraction reading, we can make sure it makes sense to prescribe exactly what you need to see 20/20 or hopefully even better than that.  So don’t get worked up about getting something wrong or saying the wrong answer.

So the correct answer is ideally……SAME.

Courtesy of Dumas Vision Source, PLLC and Dr Tory W. Moore, Optometric Glaucoma Specialist and Diplomate of the American Board of Optometry.    Serving the Dumas, Texas,  Moore County and upper Texas Panhandle area for 23 years.   Call (806) 935-2020 for appointment or visit our optical gallery without an appointment.  Visit our website www.visionsource-dumas.com for more information.  Like our Facebook business page:  Dumas Vision Source  and you can also connect on Twitter @eyedocdumas

Tory Moore, OD  – “A Hometown Eye Doctor You Know and Can Trust!”





Why I Care

3 05 2014

So maybe it’s time to share why I care about eyes and saving vision.  I’m asked fairly often why I decided to be an eye doctor.

Why do I care about your eye care?

The biggest reason is that I can empathize.  I have walked in many of your shoes.  Many doctors genuinely care about their patients but they can never know what it is like to not be able to see.  I’ve read about how some physician’s attitudes toward their patients completely changed after they were seriously sick and scared about what was going to happen once it happened to them.  Then they understood and were more empathetic, not just sympathetic.

Well I’m as blind as a bat with a blindfold.  (Bats are really not blind, that’s a wives’ tale but you get my point.)  I’m one of my own worst patients as far as being nearsighted. Glasses like the metaphorical “bottom of glass coke bottles.”

Trust me.  I understand what it’s like!  Spending a few days being totally blurry on summer vacation at your grandma’s house with broken glasses is not fun.  Not when you could be playing in the creek or exploring the woods.  It’s not very fun being teased about being “four eyes” and all that.  Not very reassuring to your self-esteem as you enter puberty either.   Wearing contact lenses changed my life so I will try everything I know how to try to get people to wear contact lenses successfully if they want to.   Perhaps sometimes I don’t know when to say often enough, “Contacts are not going to work for you.”

Being rendered visually impaired is very motivating to make sure it never happens again.  It’s one of the reasons I’m always harping on patients about having spare pairs of glasses, especially contact lens wearers.  It’s like backing up a computer. It’s not if but when it crashes and you need to be prepared.  An eye infection or having broken glasses always happens at the worst times too:  weddings, funerals and vacations.

After doing a research paper in my 9th grade health class about a possible career, I picked optometry as a career.  I knew deep down in my knower that this is what I was born to do.  So much so I started studying eye terms and anatomy that summer.  I mapped out what college courses I would take each year to get me to optometry school. I was like a missile locked on it’s target and had only one goal:   getting into optometry school to help other people to be able to see.  I will always be grateful for one of my mentor’s and coaches, Joe Pat Mowery.   Teachers, you can make such a difference in the path of a student and help change the world.  Thank you.

The other reason is I care personally.   I care about you as a person.   It’s something that God put in me.  The need to help others especially those that can’t help themselves and to give grace and show compassion and love to others.  I’m not perfect at it but I’m a work in progress.

One of the verses from the Bible I claim for myself is Jeremiah 29:11-13.   For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.  Then you will call on me and come and pray to me, and I will listen to you. You will seek me and find me when you seek me with all your heart.”

God has plans for me and for you.  He gives us certain gifts and abilities to help that plan He has for us.  Looking back, He opened so many doors and kept me from taking lots of wrong paths. I haven’t always done what He wants and I’m sure I’ve disappointed Him at times by my actions but His grace is sufficient and covers my sins, past and future.  I know He wants me to be here in Dumas, where I ran from after high school, like the Jonah and the whale story, and as in Esther “for such a time as this.   Paul says  “for God’s gifts and his call are irrevocable.”  Romans 11:29

Yes, there are patients that aren’t always so loveable and hard to work with.  Any business has that.  But we still want to please them as a customer and try to do our best to help them when they aren’t always pleasant.   It reminds me of when Paul writes in Romans 5:8,  “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”   Despite how bad we are, how “unloveable” we all are, Jesus died for each one of us in order to make a way to have a real, living relationship with Him.  (click here for more about how to have that relationship)

If He can do that for me, surely I can try to look past how a person behaves and still love and serve them as a person. Once you experience God’s agape love (love without conditions) you have to pass it on.   Despite all the headaches of insurance paperwork and regulations, I know I was born to do this.  And while someday I may slow down a little, I plan to practice optometry until the day I die.  Who says I have to retire if you love what you do?

So, in the end I guess, eyecare because I care.  I care about you and I know what it’s like to not see.