Cataracts | Glaucoma | Retinal Exam and Treatment | Corneal Disease | Botox


Did you know that cataracts will affect over half of all adults over age 60? A cataract is a gradual clouding of the natural lens of the eye. Cataracts progress slowly, so initially there may be no noticeable changes in your vision. Symptoms include:

  • Blurry or dim vision
  • Annoying glare in sunlight
  • Diminished color perception
  • Poor night vision
  • Repeated changes to your contact lenses or eyeglass prescription

Who is at risk for cataracts?
Risk factors for cataract development include:

  • Advanced age
  • High blood pressure
  • Obesity
  • Smoking
  • Diabetes
  • Previous eye injury or surgery
  • A history of cataracts in your family

Advanced Treatment
Our practice has extensive training in cataract removal, and we continuously strive to provide cataract patients with the safest, most pain-free recovery of vision possible. New advances and techniques have made cataract surgery one of the most successful and life-improving surgical procedures performed. We offer the latest procedures available to help remove cataracts and restore your vision, including the placement of intraocular lenses (IOLs). Cataract surgery is performed in our state-of-the-art eye surgery center and does not require an overnight hospital stay. More than 95 percent of surgeries improve vision.


What is Glaucoma?
Glaucoma is a leading cause of blindness in the United States, and chances of suffering from this condition increases with age. Glaucoma damages the optic nerve of the eye, which is necessary for vision. Loss of sight from glaucoma is preventable when treated early.

What Causes Glaucoma?
The optic nerve becomes damaged due to high fluid pressure inside the eye (called intraocular pressure). Our eyes continually produce a clear liquid or fluid, known as aqueous humor. Normally, a small amount of aqueous humor drains out of the eye. When the fluid does not drain out of the eye properly, intraocular pressure builds up, causing glaucoma.

Experts now know that, while high intraocular pressure is a risk factor for glaucoma, it is not the only cause. Some people are more likely to develop glaucoma and should see their ophthalmologist regularly for testing. People at higher risks include those who:

  • Are over the age of 40
  • Have a family history of glaucoma
  • Have high eye pressure
  • Are farsighted or nearsighted
  • Have had an injury to the eye
  • Have corneas that are thin in the center

Diagnosing Glaucoma
Regular eye exams are the best way to detect glaucoma. Your doctor will measure your intraocular pressure, evaluate any nerve damage, check the drainage angle of your eye and test your vision. Photographs of your optic nerves may be taken.

Treating Glaucoma
While there is no cure for glaucoma, many medications and procedures exist that can help to slow the disease or stop it altogether. Treatment options for glaucoma include:

  • Eye drops to lower eye pressure
  • Laser procedures
  • Surgery to improve the flow of fluid out of the eye
  • Shunts / Implants

The ideal treatment for your case depends on the type of glaucoma and the severity. Like so many eye-related disorders, early diagnosis is essential. Once vision is lost, it cannot be restored. Because the early stages of glaucoma have no noticeable symptoms, regular eye exams are recommended for everyone, even those who have no eye-related symptoms or problems.

Retinal Exam and Treatment

A healthy retina is essential for good sight. The eye contains light-sensitive cells connected to nerve fibers that enable light that enters the eye to be converted in to nerve pulses that reach the brain. The quantity of light that enters the eye is controlled by the iris and passes to the retina.

You may need a retinal exam if any retinal abnormalities were identified during a routine eye exam. An exam may also be recommended if you have a higher risk of developing diabetes, macular degeneration, retinal detachment, and other retinal conditions.

To examine the retina during a general eye exam, your ophthalmologist must dilate or widen the eye using drops. If retinal damage is detected, you may be referred to a retina specialist for further examination and treatment.

Millennium Eye Care, LLC has retina specialists with the training and experiences to treat a broad range of conditions, including retinal detachment, eye cancer and macular degeneration. Our retina specialists also treat severe eye injuries. Common retina procedures include:

  • Diabetic vitrectomy
  • Retinal detachment surgery
  • Macular hole vitrectomy
  • Macular pucker vitrectomy
  • Macular translocation
  • Repair of ruptured globe

The most important thing you can do to prevent further complications is to attend regular eye exams. Early detection and treatment, when indicated, is the best way to prevent vision loss.

Corneal Disease

The cornea is the dome-shaped clear protective barrier of the eye. It keeps germs, dust and other harmful particles from entering the eye, and also helps filter out some of the sun’s ultraviolet rays. The cornea has five layers and plays a major role in vision.

Unfortunately, it can become damaged due to infection, injury, or illness, and the scarring caused by these problems can interfere with vision by either distorting or blocking light as it enters the eye.

Luckily the cornea heals after most minor injuries or infections. However, you may experience a variety of symptoms, such as:

  • Blurry vision
  • Pain
  • Tearing
  • Extreme light sensitivity
  • Redness

Although these symptoms may occur with many other types of eye problems, they may indicate a more serious problem or require special treatment. Corneal disease that develops due to hereditary factors cannot be prevented, but early diagnosis and treatment can preserve vision.


Today many people are talking about using botulinum toxin or BOTOX to get rid of their wrinkles.  Years ago, this toxin was only associated with a rare but deadly disease called botulism.  Ingesting food contaminated with bacteria that produces this toxin, results in severe paralysis and death in many cases.  However, the paralysis eventually resolves and patients can recover completely.

This was the basis for research into the use of botulinum toxin for therapeutic purposes. Very dilute concentrations of botulinum toxin could be injected into muscles to reduce uncontrolled muscle contractions or spasms.  In the early 1980’s, this toxin was first used to control spasms of the fine muscles that move the eyes and the eyelids.  Alan B. Scott, M.D. pioneered this work at the Smith-Kettlewell Eye Research Institute in San Francisco.  It was particularly effective in the treatment of blepharospasm and hemifacial spasm.

Essential blepharospasm is a neurological condition of unknown origin that involves uncontrolled blinking or squeezing of the eyelids.  Can you imagine having both eyes close suddenly while driving or walking across the street?  Obviously, this condition can be severely incapacitating.  A series of injections of BOTOX into the eyelid muscles using a very tiny needle can control spasms for 2 to 6 months.  The effects for this 5-minute procedure can be enjoyed within 3 to 5 days of treatment.  Any side effects are reversible and include dry eyes, and occasionally drooping of the eyelids or bruising.

Hemifacial spasm is a condition involving spasms of one side of the face due to abnormal transmission from the facial nerve.  The spasms of the eyelids can be controlled for up to 1 year with BOTOX.  Movements of the cheek and mouth can be controlled to a lesser degree.  Speech and chewing can be affected by overtreatment of these muscles. 

Millennium Eye Care

  • FREEHOLD - 500 W. Main St, Freehold, NJ 07728 Phone: 732.462.8707 Fax: 732.462.1296
  • EAST WINDSOR - 440 Route 130 South, East Windsor, NJ 08520 Phone: 609.448.3990 Fax: 609.448.4197
  • MARLBORO - 455 Route 9 South, Englishtown, NJ 07726 Phone: 732.591.2200 Fax: 732.591.6347
  • MONROE - 4 Research Way, Monroe, NJ 08831 Phone: 609.495.1000 Fax: 609.495.1005
  • BRICK - 515 Brick Blvd., Brick, NJ 08723 Phone: 732.920.3800 Fax: 732.920.5351
  • JACKSON - 2080 W. County Line Rd, Jackson, NJ 08527 Phone: 732.364.5123 Fax: 732.364.3865

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