Top Contact Lens Experts Dispel Misinformation Regarding Coronavirus / COVID-19 Protections for Contact Lens Wearers

    • Contact Lens Wear is Safe
    • Proper Hand Washing is Essential to insert or remove your contact lenses
    • Disinfect Contact Lenses 
      • Disinfect your contact lenses every night if you are wearing monthly or biweekly lenses. Daily contact lenses do not need to be disinfected since they are not reused. 
    • Disinfect Spectacles and Glasses
      • Since COVID-19 can remain on hard surfaces for hours to days it is important to clean your glasses. Especially people who wear reading glasses or sunglasses that do not stay on your face all day. Putting your glasses on and off of your face throughout the day can transfer the virus.
    • Discontinue Lens Wear Only if Sick
  • Spectacles are Not Proven to Offer Protection against COVID-19
Source and original article:


Check out one mom’s blog post on how she “failed her daughter” by not getting her daughters eyes checked.

“As a mom, I always did the precautionary stuff: Put the plastic covers on every outlet, bought the latest and safest car seat, put locks on all the cabinet doors. But what I never did was get my kids’ eyes checked.

Not once.

It took her failing a school-wide vision test in first grade for us to know something was wrong. I was baffled, because she never showed any signs of vision problems. She was learning to read at grade level, played sports amazingly well and never once complained about things being fuzzy or out of focus.

Now, I realize, how could she tell me those things? She didn’t know any better.
What she saw was normal to her; she had no idea she was seeing the world out of focus and fuzzy.

She was practically blind in one eye, and had poor vision in the other.”

This is one great example of why it is so important to bring your kids in for a comprehensive eye exam and not just the school vision screenings at school. Looking at an eye chart is not an eye exam…it is a vision screening that can detect large vision problems. But why wait? You can schedule your child’s comprehensive eye exam with Dr. Ashley Roth today. Call our office to make an appointment!

Read the full post here:




American Diabetes Association Alert Day® is a one-day “wake-up call” asking the American public to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetesa condition characterized by high blood glucose levels caused by either a lack of insulin or the body’s inability to use insulin efficiently. Type 2 diabetes develops most often in middle-aged and older adults but can appear in young people.X. In 2015, Alert Day will take place on Tuesday, March 24.

The Diabetes Risk Test asks users to answer simple questions about weight, age, family history and other potential risk factors for prediabetesa condition in which blood glucose levels are higher than normal but are not high enough for a diagnosis of diabetes. People with prediabetes are at increased risk for developing type 2 diabetes and for heart disease and stroke. Other names for prediabetes are impaired glucose tolerance and impaired fasting glucose.X or type 2 diabetes. Preventive tips are provided for everyone who takes the test, including encouraging those at high risk to talk with their health care provider.

Although Alert Day is a one-day event, the Diabetes Risk Test is available year-round.




Did you know? The harmful effects of long-term exposure to UV are a real concern because it can cause damage to the eye, possibly resulting in cataracts or age-related macular degeneration.


Through InfantSEE®, Dr. Ashley Roth will provide a one-time, comprehensive eye assessment to infants between 6 and 12 months of age, offering early detection of potential eye and vision problems at no cost regardless of income.

We are pleased to announce that Dr. Ashley Roth is now a participating provider for InfantSee at Eye Desire and Roth Eye Care!

The InfantSEE® program:
Provides no-cost access to an eye-care doctor who has the instruments and resources not available to general-care doctors like pediatricians and family physicians
Detects potential problems that, if undetected, may lead to learning and developmental issues later
Gives new parents the peace of mind that their infant’s vision is developing properly.

Prevalence of Vision Problems and Eye Diseases That Will Develop in Children

  • 1 in 10 children is at risk from undiagnosed vision problems

  • 1 in 30 children will be affected by amblyopia – often referred to as lazy eye – a leading cause of vision loss in people younger than 45 years

  • 1 in 25 will develop strabismus – more commonly known as crossed-eyes – a risk factor for amblyopia

  • 1 in 33 will show significant refractive error such as near-sightedness, far-sightedness and astigmatism

  • 1 in 100 will exhibit evidence of eye disease – e.g. glaucoma

  • 1 in 20,000 children have retinoblastoma (intraocular cancer) the seventh most common pediatric cancer

The InfantSEE® Assessment Explained
The InfantSEE® assessment offers early detection of potential eye and vision problems as a complement to the eye screening conducted in a pediatric well-care visit. A comprehensive assessment between the ages of 6 months and 12 months is recommended to determine healthy development of vision. Risk factors for many eye conditions, including amblyopia (often referred to as lazy eye), muscle imbalances, and some ocular diseases, have no signs or symptoms and may not be detected in a well-baby check-up. Such pediatrician visits include care and services performed by all personnel and last an average of 22.1 minutes, which is ample time for screening and detecting potential large-scope health problems. However, significant risk factors for eye and vision disorders are not detectable by base-level infant eye screening, and even early retinoblastoma, the seventh most common pediatric cancer, is detected more than 80 percent of the time outside the doctor’s office by a family member or friend.
How an InfantSEE® Assessment Is Conducted

Although infants cannot speak, optometrists have the clinical education, training and experience, as well as the instruments and resources, to provide non-invasive eye and vision assessments for any non-verbal patients such as infants. Additionally, volunteer InfantSEE® optometrists have access to additional AOA training in working effectively with babies – and parents.
During the assessment, parents might hold the baby on their laps or on a lap pillow and might also assist by holding targets or toys to hold the baby’s attention. Optometrists will gauge the babies’ comfort levels with specific techniques and adjust them as necessary, but will typically evaluate visual acuity, refraction, motility, alignment, binocularity and overall eye health. As detailed below, these tests will determine signs of strabismus, amblyopia or diseases of the eye.

Visual Acuity/Refractive Status – Assessments for visual acuity and refraction are largely intended to measure for nearsightedness or farsightedness – common risk factors for amblyopia, which develops when an otherwise healthy eye has not received adequate use during early childhood. Nearsightedness or farsightedness in an infant’s developing eye can cause the brain to favor seeing through one eye, suppressing vision in the other eye, which can lead to permanent vision impairment.

Because the traditional eye chart with letters or symbols cannot be used with infants, assessment of visual acuity may include tests to ensure that the infant can fix his eyes on an object and follow it. Tools such as gray cards with various sized stripes or pictures may be used to determine at which objects the baby prefers to look, and at what distances. The doctor may also use lenses and light from a small hand-held instrument to assess how the eye responds to particular targets. Some doctors use photographic testing to analyze the pupil reflex in the photo. In many cases, the infant may have some degree of refractive condition not requiring intervention.

Ocular Motility/Alignment/Binocular Potential – Assessments for motility, alignment and binocularity can determine the presence of strabismus, which occurs when one eye does not aim at the same object as the other eye. Strabismus can lead to amblyopia, if undetected, or may indicate a number of ocular diseases.

These assessments also measure eye coordination, which is the ability of both eyes to work together as a team to create one three-dimensional image in the brain. Good eye coordination, a skill that is not innate and must be developed, keeps the eyes in alignment. Later in life, poor eye coordination can make reading for extended periods of time difficult and may result in avoidance of detail work, such as writing or art work, poor reading comprehension and clumsiness.

Using very simple instruments, such as penlights, finger puppets or toys, the optometrist tests the eye’s ability to move by getting the baby’s attention and observing how the baby follows the movements of the object. By shining a penlight toward the baby’s eyes, the doctor can gauge eye alignment, which is straight if the light is reflected in the center of both eyes. The optometrist can also assess a baby’s depth perception by using red/green glasses (commonly known as 3-D glasses), and displaying 3-D pictures. To a baby with good eye coordination, the pictures will appear in 3-D, and the infant will then reach to touch the picture.

Overall Eye Health – The optometrist will assess the eye’s external structure as well as eyelids, tear ducts and other parts of the eye. Often, the optometrist can detect existing allergies from an external assessment.

Pupil function is then checked, followed by an examination of the inner eye through dilated pupils, which can also detect ocular diseases such as retinoblastoma, the seventh most common pediatric cancer.
Following the assessment, in addition to sharing findings with the parents, the optometrist may send summary information to the infant’s pediatrician, family physician or other appropriate practitioners reporting and explaining any significant condition diagnosed in the course of the assessment.

For further information visit www.infantsee.org.
You can schedule your baby’s eye exam with Dr. Ashley Roth by calling our office today.


Do you use your eye drops properly? Properly administering eye drops ensures that your medication or artificial tear is effective.


The 21st Century Eye: Three Ways to Protect Your Vision
Tips for Save Your Vision Month from Dr. Ashley Roth
Miami FL March 1, 2015 – Everywhere we look, we’re reading, shopping, banking or being entertained online on digital devices small and large—at work, at school, at play and on our way in-between. In fact, according to the American Optometric Association’s (AOA) 2014 American Eye-Q® survey, 55 percent of adults use computers, smartphones, tablets or other handheld devices for five or more hours a day. And a separate AOA survey showed that 83 percent of children between the ages of 10 and 17 use an electronic device for more than three hours a day. Digital use will continue to increase, making it more important than ever for consumers to make smart eye care choices and to see an eye doctor for yearly comprehensive eye exams.

Below are three tips from Dr. Ashley Roth and Dr. David Roth in observance of AOA’s Save Your Vision Month in March.

Give Your Eyes a Break
Dr. Ashley Rothrecommends following the 20-20-20 rule to ward off digital eye strain–take a 20-second break every 20 minutes and view something 20 feet away.

“Although ongoing technology use doesn’t permanently damage vision, regular, lengthy use of technology may lead to a temporary condition called digital eye strain,” said Dr. Ashley Roth. “Symptoms can include burning or tired eyes, headaches, fatigue, loss of focus, blurred vision, double vision or head and neck pain.”

Early research has also shown that overexposure to high-energy, short-wavelength blue and violet light emitted from electronic devices may contribute to digital eye strain. Blue light could also increase the likelihood of developing serious eye conditions such as age-related macular degeneration. Optometrists offer lens options including non-glare, filtering lenses, to help protect vision from harmful blue light.

Be a Savvy Shopper
Shopping online can be great for some products that aren’t individually custom-made like prescription eyeglasses are; health and safety trump convenience when it comes to eyewear. Internet orders often result in incorrect prescriptions or other problems with products that get sent through the mail, costing consumers more time and money in the long run. According to a 2011 study conducted by the AOA, the Optical Laboratories Association and The Vision Council, nearly half of all glasses ordered online had either prescription errors or failed to meet minimum safety standards.

“Eyeglasses are an investment in your health and must be custom-fitted not only to be comfortable, but also to be sure precise prescription needs are met so that you’re actually seeing your best,” said Dr. David Roth.

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When it comes to really seeing what’s going on with your eyes, there is no substitute for a comprehensive, yearly eye exam by an eye doctor. Despite catchy claims, there is truly no ‘app’ for that. While a variety of new mobile applications claim to evaluate vision or the fit of eyeglasses, often these apps give inaccurate or misleading information, and misinformed consumers end up delaying essential, sight-saving exams. Early diagnosis and treatment are critical and can often prevent a total loss of vision and improve quality of life.

“Comprehensive, yearly eye exams are one of the most important, preventive ways to preserve vision, and the only way to accurately assess eye health, diagnose an eye disorder or disease, and determine if you need corrective lenses,” said Dr. Ashley Roth.

To make an appointment for a comprehensive eye exam with Dr. Ashley Roth or Dr. David Roth or for additional information on eye health in the 21st century, please visit our website at www.eyedesire.com or email us directly at eyedesire2020@aol.comXX/

Roth Eye Care Eye Desire
136 NE 2nd Ave 1211 17th Street
Miami FL 33132 Miami Beach FL 33139
Phone: 305-371-2020 Phone: 305-673-1211

Fax: 305-374-2123 Dr. David Roth & Dr. Ashley Roth Fax: 305-532-7684

About the American Eye-Q® survey:

The ninth annual American Eye-Q® survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 20-25, 2014, PSB conducted 1,000 online

interviews among Americans 18 years and older who embodied a nationally representative sample of the U.S. general population. (Margin of error is plus or minus 3.10 percentage points at a 95% confidence level)

About the Children’s Omnibus survey:
The children’s Omnibus survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 24-31, 2014, PSB conducted 200 online interviews from March 24-31, 2014 with children ages 10 to 17. (Margin of error is plus or minus 6.93 percentage points at a 95% confidence level)

About the American Optometric Association (AOA):
The American Optometric Association, a federation of state, student and armed forces optometric associations, was founded in 1898. Today, the AOA is proud to represent the profession of optometry, America’s family eye doctors, who take a leading role in an individual’s overall eye and vision care, health and well-being. Doctors of optometry (ODs) are the independent primary health care professionals for the eye and have extensive, ongoing training to examine, diagnose, treat and manage disorders, diseases and injuries that affect the eye and visual system, providing two-thirds of primary eye care in the U.S. For information on a variety of eye health and vision topics, and to find an optometrist near you, visit aoa.org.



Parents: What You Need to Know About “Pink Eye”

Dr. Ashley Roth offers tips to help
protect your family from eye infections
Miami Beach FL, March 17, 2015 – As cold and flu season continues to show its ugly face in our communities, Dr. Ashley Roth encourages families to practice good hygiene habits to prevent the spread of infectious disease, including conjunctivitis, also known as “pink eye,” which can be easily spread, especially this time of year.

What is conjunctivitis?

Conjunctivitis is an inflammation or infection of the conjunctiva, the thin transparent layer of tissue that lines the inner surface of the eyelid and covers the white part of the eye. Conjunctivitis is a common eye disease, especially in children, and because it is contagious, it usually starts in one eye and spreads to the other, affecting both eyes.
If your child has conjunctivitis, he or she may experience the following symptoms:

  • A gritty feeling in one or both eyes
  • Itching or burning sensation in one or both eyes
  • Excessive tearing
  • Discharge coming from one or both eyes, usually causing the eyes to be “sticky” upon awakening.
  • Swollen eyelids

  • Pink discoloration to the whites of one or both eyes
  • Increased sensitivity to light

What causes conjunctivitis?

“Conjunctivitis is commonly caused by contagious viruses associated with the common cold,” said Dr. Ashley Roth “This type of pink eye can be spread easily, especially among children in school, due to their close proximity to others. However, it’s usually a minor infection and can be treated easily. Conjunctivitis can also occur from a bacterial infection, which can happen if someone touches their eye with unclean hands or if they were using contaminated cosmetics or other facial products.”
In addition, conjunctivitis can be caused from irritants and chemicals (pollen, smoke, and chlorine in swimming pools) or allergens (pet dander or dust mites).

How is conjunctivitis treated?

“The appropriate treatment for conjunctivitis depends on its cause,” said Dr. Ashley Roth. “Conjunctivitis caused by a viral infection can’t be treated with antibiotics; it simply has to run its course, like with the common cold. Cool compresses, extreme care with hygiene, and artificial tear solutions are effective home remedies.”

Bacterial conjunctivitis is usually treated with antibiotic eye drops or ointments prescribed by your eye doctor. Patients could see improvement after three of four days of treatment, but the entire course of antibiotics must be taken to prevent the bacteria from mutating and the conjunctivitis from returning.

Preventing conjunctivitis
Practicing good hygiene habits, including the steps below, is the best way to control the spread of conjunctivitis:

  • Cover your mouth when coughing or sneezing and do not touch or rub your eyes with your hands (coughing into the middle arm/sleeve helps to prevent spread through hands).
  • Regularly disinfect surfaces such as countertops, bathroom vanities, and door handles with an appropriate antibacterial cleaner.
  • Wash your hands thoroughly and frequently and try to avoid touching the eyes or mouth.
  • Change your towel and washcloth daily, and don’t share them with others. If one eye is infected, don’t use the same cloth on the other eye.
  • Replace liquid forms of eye makeup and wash makeup brushes with antibiotic soap products.
  • Don’t use anyone else’s personal eye care items (mascara, etc.)

If you suspect your child has conjunctivitis, Dr. Ashley Roth can determine if he or she has the infection and advise you on treatment options. To make an appointment with Dr. Ashley Roth call 305-673-1211 (Miami Beach) or 305-371-2020 (Downtown Miami)

Eye Desire Roth Eye Care
1211 17th Street 136 NE 2nd Ave
Miami Beach FL 33139 Dr. Ashley Roth Dr. David Roth Miami FL 33132
Phone 305-673-1211 Phone 305-371-2020
Fax 305-532-7684 Fax 305-374-2123


If you are holding your reading material far away or too close its probably time for you to come in and see us for your eye exam!


We were very pleased to be a part of the Longevity Project Miami Event “No Pain Your Gain”. Dr. Ashley Roth is an affiliate to The Longevity Project Miami. Dr. Ashley Roth & her father Dr. David Roth provided vision screenings as well as eye pressure checks for the attendees and had a great time!

Dr. Ashley Roth performing eye pressure check.

Dr. David Roth performing a vision screening using various lenses.


Early Detection and Treatment is Key
in Protecting Vision from the Effects of Glaucoma

Roth Eye Care stresses the importance of yearly, comprehensive eye exams to maintain quality eye health

Miami, FL April 2015 – Glaucoma affects 2.7 million people in the United States and is the second leading cause of blindness, yet understanding and awareness of the disease is low. In fact, 72 percent of Americans don’t know that glaucoma typically has no early warning signs or symptoms, according to the American Optometric Association’s (AOA) 2014 American Eye-Q® consumer survey.

Often referred to as the “sneak thief of sight,” glaucoma is a group of eye disorders that can damage the optic nerve and impair peripheral vision. If left untreated, glaucoma can lead to complete loss of sight. While the disease does not have a cure and is not preventable, it is treatable and can be detected in a comprehensive eye exam provided by your optometrist.

“A common misconception is that glaucoma only affects older adults when, in reality, it can happen at any age. In fact, it’s most commonly detected in people in their 40s,” said Dr. Ashley Roth. “The key is to identify and diagnose the disease early in order to promptly treat and slow the progression of vision loss.”

Americans are also largely unaware of the factors that put them at greater risk for developing glaucoma – only 13 percent of Americans know that a person’s race increases their chances for developing the disease. According to the Glaucoma Research Foundation, glaucoma is six to eight times more common in African Americans than Caucasians. Additional factors that put someone at greater risk for glaucoma include those who have a family history of glaucoma, diabetes, hypothyroidism, are over age 60 or individuals who have had severe eye trauma.

Treatment for glaucoma includes prescription eye drops and medication to lower pressure in the eyes. In some cases, laser treatment or surgery may be effective in reducing pressure.

In addition to yearly, comprehensive eye exams, Roth Eye Care suggests the following tips to help maintain overall eye health and clear, comfortable vision:

  • Eat green, leafy vegetables and foods rich in nutrients like beta carotene, vitamin C and zinc to protect eyes from disease.
  • Cut down on those bad habits such as smoking and consuming alcohol or excessive caffeine, which can all be harmful to the eyes.


  • If you work in front of a computer, practice the 20/20/20 rule: every 20 minutes, take a 20 second break and look at something 20 feet away to help avoid digital eye strain.
  • Wear sunglasses with UV-A and UV-B protection year-round.

Contact Roth Eye Care today at 305-371-2020 to make an appointment for a comprehensive eye exam and to learn more about ways to help prevent vision loss from glaucoma.

Roth Eye Care Eye Desire
136 NE 2nd Ave 1211 17th Street
Miami FL 33132 Miami Beach FL 33139
Phone: 305-371-2020 Phone: 305-673-1211
Fax: 305-374-2123 Dr. David Roth & Dr. Ashley Roth Fax: 305-532-7684

About the survey:

The ninth annual American Eye-Q® survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 20-25, 2014, PSB conducted 1,000 online interviews among Americans 18 years and older who embodied a nationally representative sample of the U.S. general population. (Margin of error is plus or minus 3.10 percentage points at a 95% confidence level)


BlehpEx Treatment
Eye Desire and Roth Eye Care are excited to announce that we are now performing the BlephEx™ treatment. BlephEx™is a revolutionary new device for doctors to use in the treatment of blepharitis. BlephEx™stands for microblepharoexfoliation, a painless procedure that safely and effectively removes the debris/scurf/dandruff, excess bacteria and biofim that is responsible for the majority of low-grade inflammatory blepharitis, the primary cause of chronic dry eye disease.

Please give us a call at 305-673-1211 to set up your appointment to alleviate your blepharitis and dry eye symptoms!


Learn more about blephex and blepharitis here!



The Longevity Project’s goal is to educate the South Florida community about the importance and correlation between one’s health and wealth. There are many challenges throughout a lifetime with respect to these mutually exclusive fields. The Longevity Project navigates individuals through the confusion with the help of likeminded professionals in the local community.

The knowledge we provide empowers individuals to be able to make healthy lifestyle choices whether big or small. These choices are cumulative and directly effect financial and physical well being. Inspiration from our leaders will help you grasp the concepts of health and wealth and how to make sure you are equipped to live long, healthy, beautiful, and meaningful life while having the financial security to last a lifetime.


Check out her affiliate page here: http://www.thelongevityprojectmiami.com/#!dr-ashley-roth/cqbi


Proper Eyewear and Healthy Vision Crucial for Athletes’ Performance
Florida Optometric Association stresses visiting an optometrist for comprehensive eye care

Miami FL May 4th, 2015 As athletes gear up for a game, a vital component must be on their checklists—eye protection. Although extremely important, eyewear isn’t always a priority for some. According to the American Optometric Association’s (AOA) 2014 American Eye-Q® consumer survey, only 21 percent of those surveyed wear protective eyewear when playing contact sports. Athletes also need to be sure their eye health and vision are at their best—after all, a player’s vision could be the difference between their team’s win or loss.

Eye Desire can recommend appropriate eye protection for athletes and ensure their vision is sharp for the game.

What sports are considered high-risk for eye injury?

Sports considered by the National Eye Institute to be high-risk for eye injuries include baseball, softball, basketball, hockey, and racquetball. Basketball, in particular, has been ranked as a leading cause of eye injuries among 15- to 24-year-olds.

Tips to prevent serious eye injury
To prevent injury, athletes are advised to wear eye protection that may include safety glasses and goggles, safety shields, and eye guards designed for a particular sport and that meet American Society for Testing and Materials (ASTM) standards. These types of protection are designed to be impact resistant without clouding an athlete’s vision. Dr. David Roth can advise a patient athlete, coach, or parent on the best protection for that athlete and his or her needs.

UV protection is also important to consider, as exposure to UV radiation without proper protection can lead to serious problems.

“Short-term exposure to UV rays could lead to photokeratitis, also known as ‘sunburn of the eye,’” said Dr. David Roth. “Symptoms of photokeratitis include red eyes, a foreign-body sensation or gritty feeling in the eyes, extreme sensitivity to light and excessive tearing. Long-term exposure to UV can cause damage to the eye, possibly resulting in cataracts, age-related macular degeneration, or other visual impairments.”

For optimal eye sun-safety, the AOA recommends wearing sunglasses that block out 99 to 100 percent of both UV-A and UV-B rays. Click here to learn more about UV protection.

Be prepared for an injury
Those on the sidelines need to keep an ocular emergency first aid kit on the bench so eye trauma can be dealt with swiftly and properly.

“A kit should include saline solution to ‘flush out’ an athlete’s eyes and a penlight with a blue filter and fluorescein dye to detect foreign bodies,” said Dr. David Roth “Coaches should also have an ocular emergency triage card on hand so they know when it’s time to visit the optometrist for an eye injury.”

Click here to download an ocular emergency triage card from the AOA Sports Vision Section, which works year-round to advance the quality and delivery of optometric sports vision care.

By visiting Eye Desire or Roth Eye Care regularly for comprehensive eye care, athletes can perform their best on the court or field with clear and healthy vision, as well as be sure their eyes are protected and, hopefully, bring home a win.

To make an appointment with Dr. David Roth for a comprehensive eye exam, visit www.eyedesire.com or call our office at 305-673-1211

Roth Eye Care Eye Desire
136 NE 2nd Ave 1211 17th Street
Miami FL 33132 Miami Beach FL 33139
Phone: 305-371-2020 Phone: 305-673-1211
Fax: 305-374-2123 Fax: 305-532-7684
Dr. David Roth & Dr. Ashley Roth
About the American Eye-Q® survey:

The ninth annual American Eye-Q® survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 20-25, 2014, PSB conducted 1,000 online

interviews among Americans 18 years and older who embodied a nationally representative sample of the U.S. general population. (Margin of error is plus or minus 3.10 percentage points at a 95% confidence level)

About the American Optometric Association (AOA):

The American Optometric Association, a federation of state, student and armed forces optometric associations, was founded in 1898. Today, the AOA is proud to represent the profession of optometry, America’s family eye doctors, who take a leading role in an individual’s overall eye and vision care, health and well-being. Doctors of optometry (ODs) are the independent primary health care professionals for the eye and have extensive, ongoing training to examine, diagnose, treat and manage disorders, diseases and injuries that affect the eye and visual system, providing two-thirds of primary eye care in the U.S. For information on a variety of eye health and vision topics, and to find an optometrist near you, visit www.aoa.org.


While it is common knowledge that marijuana can help lower eye pressure it does not mean optometrists will prescribe it! Despite the fact that medical marijuana has not be legalized in Florida it will never be endorsed by eye care professionals in the management of glaucoma because there are other and far superior ways to manage it.

The truth is that marijuana will lower the eye pressure for about 3-4 hours after it is smoked. Patients who have glaucoma need their eye pressure to be maintained a certain level for 24 hours/day. It is also unclear how much it lowers the pressure.

Bottom line: Marijuana is not a effective treatment for glaucoma. Sorry!


Eye Desire and Roth Eye Care participated in the Bayshore Block Wellness Fair this past week.

We provided free vision screenings and intra-ocular pressure checks! Check out some photos of Dr. Ashley Roth conducting a vision screening below.


Look what we just found! One of our talented patients turned Dr. David Roth into a caricature!


Its back to school! Lets keep our kids safe and healthy this school year!


Presbyopia is the gradual decline of your eyes’ ability to focus on nearby objects, causing the objects to appear blurry and out of focus. If you’ve noticed you have to hold a book farther away to read than you used to, you may be experiencing presbyopia.

Nearly everyone experiences presbyopia by their mid-40s. Much like adjusting the focus on a camera, a healthy eye lens flexes and changes shape to properly focus on objects at different distances. But as your eyes age, they lose their ability to flex. The result is diminished up-close vision. Thankfully, there are many different ways to treat presbyopia.

source: myeyes.com by Alcon


It’s common to hear “20/20 vision” when describing good eyesight, but you may not know what the term means. 20/20 vision is a measure of one’s visual acuity and indicates how clearly we see objects on an eye chart at 20 feet. The eye chart contains images, usually letters or pictures, of a very specific size gradually getting smaller near the bottom of the page.

If your visual acuity test determines you have 20/20 vision, it means you can clearly see what a person with normal vision should be able to see from 20 feet away. If you have 20/40 vision, you can see at 20 feet what a person with normal vision can see at 40 feet. If you’re one of the few people with 20/15 vision, you can see at 20 feet what a person with normal vision sees at 15 feet, and so on. In the U.S., you may be considered “legally blind” if your best-corrected vision (distance vision while wearing glasses or contacts) is 20/200 or worse. To get a driver’s license in the U.S., your best-corrected vision usually must be at 20/40 or better. If that requires glasses or contacts, it may say so on your driver’s license, and legally you may be required to wear them at all times when driving.


We are please to announce we now have an Optos retinal imaging system at our Eye Desire Miami Beach location.

The optomap exam is fast, painless and comfortable. Nothing touches your eye at any time. It is suitable for the whole family. To have the exam, you simply look into the device one eye at a time (like looking through a keyhole) and you will see a comfortable flash of light to let you know the image of your retina has been taken.

Under normal circumstances, dilation drops might not be necessary, but your eye care practioner will decide if your pupils need to be dilated depending on your conditions. The capture takes less than a second. Images are available immediately for review. You can see your own retina. You see exactly what your eye care practioner sees – even in a 3D animation.

Benefits of an optomap:

The benefits of having an optomap ultra-widefield retinal image taken are:

Early protection from vision impairment or blindness
Early detection of life-threatening diseases like cancer, stroke and cardiovascular disease

The unique optomap ultra-widefield view helps your eye care practitioner detect early signs of retinal disease more effectively and efficiently than with traditional eye exams

Early detection means successful treatments can be administered and reduces the risk to your sight and health.


Benefits of the optomap® ultra-widefield retinal image compared to conventional retinal images. Video created by Eyemaginations.


We are pleased to offer our patients our new Optos retinal photography. Schedule your annual eye exam and make sure to ask for your Optos photos!

Benefits of an optomap:

The benefits of having an optomap ultra-widefield retinal image taken are:

Early protection from vision impairment or blindness
Early detection of life-threatening diseases like cancer, stroke and cardiovascular disease
The unique optomap ultra-widefield view helps your eye care practitioner detect early signs of retinal disease more effectively and efficiently than with traditional eye exams

Early detection means successful treatments can be administered and reduces the risk to your sight and health.

Watch this story how an optos picture saved not only one woman’s sight but also her life!


Mother of 7 says that having an optomap helped to save her life.


We love technology but be weary of websites online offering glasses and contact lens prescriptions. These sites offer “eye exams” but yet there is no actual examination. They perform a refraction. Having a refraction online is no substitute for an eye exam.


Ever wonder what the inside of your eye looks like? This is what optometrists see when we dilate and look inside your eyes.


You’ve heard of eye vitamins but which ones do you buy? Here is a list of ingredients that are important for your eye’s health.


Do you have medicare? Here’s what medicare covers when it comes to your eye exams…


Slept in your contacts? 😴 Something stuck in your eye? Woke up this morning looking like a vampire? 😵 No worries we always accept emergency walk in visits for patients with a red eye! 🏥Just call or walk in! 👩🏻‍⚕️👨🏻‍⚕️Dr. David Roth or Dr. Ashley Roth are here to help! #eyedesire #eyedocmiami #redeyes #eyeexam


The “airpuff” machine is actually a Non Contact Tonometer and is used to check the pressure of the eye. It is one of many screening tests for glaucoma.


It is essential that all diabetics (type 1 and type 2) have their eyes dilated annually by their optometrist or ophthalmologist. Diabetic retinopathy is painless and can only be detected during your annual dilated exam. It is important to know that even if your diabetes is controlled you can still have manifestations of diabetic retinopathy.


Hyperopia, or farsightedness, is a common visual condition caused by your eyes’ inability to focus clearly on nearby objects. People who are farsighted see images at a distance more easily than they do up close. If you have headaches after reading, find yourself squinting to see clearly, and your eyes feel strained or burning, you may be experiencing hyperopia.

Hyperopia is more commonly known as “far sightedness” and can also be referred to as hypermetropia.



Family members of people with age-related macular degeneration (AMD) are at higher risk of developing the condition. To learn more about AMD risk factors, visit http://www.preservision.com/en/what-is-amd/risk-factors/.



By using a tool called the Amsler grid, you can monitor subtle changes in your vision at home between your regularly scheduled doctor visits. [CTA] This easy-to-use tool for monitoring your vision is available at http://www.preservision.com/en/what-is-amd/keeping-eyes-healthy/.


Children need eye exams too! Often times the screening at the pediatricians office misses vision problems. Dr. Ashley Roth examines children age 5 and up. Schedule your child their first or annual eye exam today!





Think About Your Eyes id a national public awareness initiative in partnership with the American Optometric Association with a goal of bolstering patient education around eye health and the importance of annual comprehensive eye exams from a doctor of optometry.

Start your post here…


Blepharitis is a common and ongoing condition where the eyelids become inflamed (swollen), with oily particles and bacteria coating the eyelid margin near the base of the eyelashes. This annoying condition causes irritation, itchiness, redness, and stinging or burning of the eyes.


We are excited to provide Crizal Prevencia no glare lenses to our patients at Eye Desire and Roth Eye Care!

You’ve probably heard or wondered about the “bad” blue UV light that is emitted from digital devices like your computer screen. Well we now have a way to minimize how much of that “bad” blue light enters your eye with Crizal Pevencia Lenses.

Ask us about them at your next visit!


Dr. Ashley Roth is on the editorial board for Eyehealthweb.com

Check out her article on Eyelid Cysts:


While there are many forms of eyelid cysts, most consist of a localized swelling of the eyelid. Some eyelid cysts are caused by an infection, and these can be painful and can even alter a person’s appearance. If the infection is left untreated long enough, it can affect your vision. Most types of eyelid cysts go away on their own, but others need to be treated with antibiotics or surgery. Only your eye doctor can properly diagnose your cyst and determine the appropriate treatmen


  • Lumps on eyelids or around eyes
  • Redness
  • Eyelid swelling
  • Tenderness
  • Discoloration
  • Discharge
  • Eye crusting
  • Pain
  • Discomfort when blinking
  • Itchiness

Many people can feel an eyelid cyst forming, but others have no idea when one is developing. If you have any of the symptoms listed above, try your best not to touch or rub your eyes, and make an appointment with your eye doctor.


The transfer of dirt, debris, and bacteria into or around your eyes can lead to the formation of these unsightly lumps or cysts. The most common causes of eyelid cysts are:

  • Staph bacteria
  • Eye duct/gland blockage
  • Poor hygiene
  • Dirty contact lenses
  • Chronic blepharitis
  • Cosmetics
  • Leaving make-up on overnight
  • Touching or rubbing eyes, especially with unwashed hands


Certain risk factors can increase your chances of developing an eyelid cyst. These include:

  • History of cysts
  • Chronic blepharitis
  • Poor personal hygiene
  • Chronic skin problems
  • Problems with oil gland secretion in eyelids (Meibomian Gland Dysfunction)


There are many different types of eyelid cysts, including:

  • Stye (also known as a hordeolum): A stye is an abscess in the oil glands, and is one of the most common forms of eyelid cysts. A stye is an acute infection that causes the cyst to become red, swollen, and tender to touch. If a stye lasts longer than two days you should schedule an appointment with your optometrist or ophthalmologist.
  • Chalazia (also known as meibomian cysts): A chalazion is a lump on the eyelid that is commonly the result of an untreated stye. If a stye (infection) is not treated, the bacteria and debris can become a hard ball under the lid called a chalazion. Chalazia are non-infectious, chronic, and can last eight to sixteen weeks. Typically chalazia are not painful or tender, but they may need surgical removal if they do not resolve on their own. This surgery is performed by an ophthalmologist, and it entails cutting the cyst open and removing it.
  • Sweat Gland Cysts: These cysts tend to be round, shiny, transparent lumps that appear near the tear ducts. This kind of cyst should be examined by your eye doctor to ensure that it is not something more dangerous, such as a squamous or basal cell carcinoma.
  • Keratosis: These cysts are a combination of keratin and tissue and are found in various forms. There are three types of keratosis cysts: actinic, seborrheic, and keratosis pilaris.
  • Inclusion Cysts: These cysts are white, filled with fluid, and cause a painless swelling of the eyelid. Although they are generally considered to be harmless, they should be examined by an eye care professional.


If symptoms of an eyelid cyst develop, you should visit an eye doctor who can diagnose the type of cyst you have and determine the cause. Most eyelid cysts can be diagnosed with a complete eye exam. The eyelids and eyelashes will be examined closely, and your eye doctor will check your eyelid structure, skin, and eyelash appearance. Once a proper diagnosis is made an appropriate treatment plan can be created.


If you have a cyst on your eyelid, the best treatment starts with better personal hygiene. Keep your hands and fingers and the area around your eyes clean at all times. Try your best not to touch or rub your eyes. This can help prevent bacteria from spreading. If you use cosmetics, throw them away and buy new ones after the cyst is gone. This will prevent the spread of bacteria that could be infecting your eye make-up. Avoid sharing your eye make-up, even with those closest to you.

If your eyelid cyst is painful, becoming larger in size, or has lasted a long time, seek medical attention from an optometrist or ophthalmologist. Your eye doctor will determine the appropriate treatment plan. Common methods of treatment include antibiotics and surgical removal. Your doctor can also show you what steps to take to prevent the cyst from recurring.

A common way to relieve discomfort from a cyst on the eyelid is to apply warm compresses. Hold the compress to the eyelid for five to ten minutes several times a day. Wash your eyelids with baby shampoo diluted with water, or use a commercial product designed to wash eyelids.

Cysts are usually only removed for cosmetic reasons. Rarely do they pose a significant threat to anyone’s overall eye health or vision. Most eyelid cysts do not obstruct vision or pose an immediate problem for the eye. Talk with your eye care provider about possible treatment options for a cyst on the eyelid.


In many cases, the eyelid cyst will go away on its own within a few weeks. On rare occasions, the cyst will enlarge and symptoms will worsen. Cysts can usually be treated effectively, but they may recur in people who are at higher risk.


Most types of eyelid cysts can be prevented by maintaining basic hygiene habits and by avoiding sharing certain items with others (e.g., towels, make-up, and eye drops). Keeping your hands clean can prevent bacteria from being transferred when you touch your eyes. If you are prone to a certain type of eyelid cyst, such as chalazia, ask your eye doctor about additional prevention steps.


  • What can I do to prevent eyelid cysts from recurring?
  • Are there any over-the-counter products available to help reduce symptoms?
  • What is causing cysts to develop on my eyelids?
  • Which type of cyst do I have? Can you tell me a little more about this particular type of cyst?
  • Based on the type of cyst I have, what are my treatment options?
  • Will I need to see a specialist to have my eyelid cyst removed?

Original article : http://www.eyehealthweb.com/eyelid-cyst/



Here is her article on Macular Degeneration:


Macular degeneration is also referred to as age-related macular degeneration (ARMD or AMD), due its tendency to affect older adults. There are different types of macular degeneration, and depending on the type and severity, vision loss can be minimal or it can causeblindness.

This disease affects the macula, the central part of the retina that allows you to see straight ahead and in fine detail. The macula is the most sensitive part of the retina. By the age of 65, the macula begins to degenerate or deteriorate in one out of every four people, and in one out of every three people over the age of 80. In most cases the disease affects both eyes, although it can be more advanced in one eye than the other.


There are two types of macular degeneration: wet and dry. Wet macular degeneration accounts for only 10 percent of all cases, and occurs when tiny abnormal blood vessels begin growing behind the retina, toward the macula. These abnormal blood vessels leak blood and fluid, damaging the macula and causing severe and rapid vision loss. Wet macular degeneration is much more severe than the dry form.

Dry macular degeneration occurs when small, yellowish deposits called drusen begin accumulating beneath the macula. The drusen gradually break down the light-sensing cells within the macula, which leads to distorted vision in the eye. Dry macular degeneration leads to gradual vision loss and can turn into the wet form in some cases.



Symptoms of dry macular degeneration include blurry vision and a small blind spot in the central field of vision. As time passes, the small blind spot grows larger and affects vision more, making it harder to read fine print or see details. Symptoms of wet macular degeneration include distorted shapes, blurry vision, and an enlarged blind spot in the central field of vision. The distortion is caused by leaky blood vessels under the macula.

Common symptoms of both types of macular degeneration include:

  • Painless loss of visual acuity

  • Difficulty seeing in bright environments (photophobia)

  • Difficulty adjusting from darkness to light

  • Distorted images


To diagnose macular degeneration, a complete eye examination with dilation is necessary. Occasionally, fluorescein angiography may be performed, especially if wet degeneration is suspected. During this procedure, flourescein dye is injected into a vein in the patient’s hand or arm, and photographs of your retina are taken as the dye circulates. A visual acuity test and an amsler grid test will help determine whether any central vision has been lost or any distortion of vision is present. During the Amsler grid test, patients cover one eye and focus on a black dot that is surrounded by a pattern of straight lines. If these lines appear wavy or are missing, it indicates a problem within the macula, and possible macular degeneration.


The exact cause of macular degeneration remains unknown, although many experts believe certain risk factors contribute to its development. See below.


The following risk factors are known to correlate with the development of macular degeneration:

  • Age

  • Genetics or family history of the disease

  • Race: macular degeneration is more common among Caucasians, though it can occur in all races

  • Skin pigmentation: fairer or lighter skinned people are at a higher risk

  • Eye color: those with lighter eyes are at a higher risk than those with dark colored eyes

  • Gender: women seem to be at greater risk than men

  • Smokers

  • Prolonged exposure to sunlight or other types of ultraviolet light

  • Obesity

  • Sleep apnea

  • Some systemic medications

  • Severe myopia

  • Cardiovascular disease


It is important to note that there is no specific treatment for dry macular degeneration, If a patient is diagnosed with the dry form, preventive steps such as eye vitamins and changes to diet are usually taken to prevent the disease from advancing

Taking a high-dose formulation of certain antioxidants and zinc slows the progression of macular degeneration. According to the research done by the NEI, “The specific daily amounts of antioxidants and zinc used by the study researchers were 500 milligrams of vitamin C, 400 International Units of vitamin E, 15 milligrams of beta-carotene (often labeled as equivalent to 25,000 International Units of vitamin A), 80 milligrams of zinc as zinc oxide, and two milligrams of copper as cupric oxide. Copper was added to the AREDS formulation containing zinc to prevent copper deficiency anemia, a condition associated with high levels of zinc intake.” This high level of antioxidants is virtually impossible to achieve with diet or daily doses of multi-vitamins. Vitamins with the appropriate levels of nutrients will be labeled with the letters AREDS to indicate that they follow the NEI research recommendations.

In the past, wet macular degeneration was treated with laser surgery to destroy the abnomal blood vessels. This process can cause more vision loss, as it damages nearby tissue. Treatment for wet macular degeneration has significantly advanced in recent years. New medicines have been developed to slow or reverse the growth of the abnormal blood vessels. These new medicines, called anti-angiogenic or anti-vascular endothelial growth factor drugs, are administered as injections and have been known to improve vision loss. The two most common are Avastin and Lucentis. The medicine is injected into the eyeball and takes effect immediately. Injections are typically repeated every month or two until the treatment is complete.

In January of 2010, new clinical studies were conducted on a number of patients with age-related dry macular degeneration. Acucela (the company founded by Ryo Kubota, MD, PhD, the discoverer of a gene that causes glaucoma) believes they have found a new oral drug that is effective in treating the dry form of AMD. This breakthough study shows the oral therapy drug targets cells within the retina to protect visual acuity. In March of 2010, Acucela received the Fast Track designation from the FDA for ACU-4429 (the current name for the drug) for the treatment of dry AMD. This new drug is said to be a great alternative to the injections that are currently being used to treat more advanced stages of macular degeneration.

Another study published on April 28, 2011 shows promise in the use of gene therapy against AMD. Conducted by researchers at Tufts University School of Medicine, the study showed for the first time that CD59 (a protein used in gene therapy) delivered by a gene therapy approach significantly reduced the uncontrolled blood vessel growth and cell death that accompany macular degeneration. Siobhan Cashman, PhD, is the assistant professor in the department of ophthalmology at Tufts University School of Medicine. He states, “treatment was effective when administered at a very specific location beneath the retina, but importantly, also when it was administered to the center of the eye. This finding is especially encouraging because it would allow for a safer and more convenient route of administration of treatment.” The study’s conclusion suggests that CD59 may be useful in treating dry and wet forms of macular degeneration.


Prevention of macular degeneration includes reducing UV exposure and eating a healthy diet containing plenty of antioxidants and zinc. Eating foods rich in Vitamins A, C, and E may also help reduce your chances of developing this disease. A study conducted by the National Eye Institute suggests that lutein and zeaxanthin (nutrients found in eggs and green vegetables) may also be protective against the disease. Exercising and staying healthy are always a good way to prevent all diseases. For more information on nutrition and eye care visit our eye care nutrition pages.

If macular degeneration has already caused significant vision loss, it may be best to contact a low vision specialist. Low vision specialists can be found in communities worldwide, and can help you make the most of what vision you have left.

Additional ways to prevent macular degeneration include:

  • Wear sunglasses and/or hats to prevent UV exposure

  • Avoid smoking

  • Avoid excessive saturated fats and foods containing fats and oils that have been subjected to air or heat (lunch meats, hamburgers, fried foods, etc.)

  • Increase your consumption of green, leafy vegetables

  • Watch your weight and blood pressure


Macular degeneration can cause varying degrees of vision loss, and it is the leading cause of legal blindness in the aging population in America. Some people diagnosed with this disease are able to maintain a normal lifestyle and require no significant treatment. Untreated or advanced macular degeneration can lead to severe vision loss or even blindness. Complications can arise from the various forms of treatment for macular degeneration. For example, injections into the eyeball can be painful and carry a small risk of infection, bleeding, and retinal detachment. Always consult with your doctor about the benefits and risks involved with treatment.


Here are some questions to ask your eye care professional about macular degeneration:

  • Which type of macular degeneration do I have?

  • Which treatment options are available for me?

  • Based on my individual needs, what should my diet consist of?

  • What other preventive measures can I take to avoid this disease?

  • If my grandma has macular degeneration, how likely is it that I will develop it

  • Am I at a higher risk than others? Why?

  • Can you refer me to a low vision specialist?

  • How often should I schedule appointments to see you?Click here to access Eyehealthweb.com link to all of Dr. Ashley Roth’s published articles.

Click here to access Eyehealthweb.com link to all of Dr. Ashley Roth’s published articles.

Original link: http://www.eyehealthweb.com/macular-degeneration/


Dr. Ashley Roth is on the editorial board for EyeHealthWeb.com. Read her article on Ptosis below:


Ptosis (TOE-sis), also known as droopy eyelid or blepharoptosis, is the abnormally low position of your upper eyelid. Droopy eyelids vary in severity, and can range from hardly noticeable to completely covering the pupil, iris, and other parts of the eye. If severe or left untreated, the droopy eyelid can lead to other conditions such asamblyopia (lazy eye) or astigmatism.

There are two types of ptosis: acquired and congenital. Congenital ptosis is present at birth and is usually due to the lack of development of eyelid muscles called levators. Acquired ptosis is the most common type, and is usually due to the muscles that elevate the eyelid becoming weak, thin, or stretched with age.

Droopy eyelids interfere with vision and can lead to fatigue from straining to elevate the eyelids. When congenital ptosis affects visual development in children, surgery may be required to prevent the development of amblyopia. Ptosis must also be differentiated fromdermatochalasis, which is simply extra eyelid skin that can also cause the appearance of a droopy eyelid. The causes and treatment for dermatochalasis are very different than for ptosis.


The most obvious symptom of ptosis or blepharoptosis is the drooping eyelid itself. Other symptoms include difficulty opening the eye or the need to tilt your head back in order to see better. Eye fatigue, misaligned eyes, or double vision can also accompany ptosis. You or your doctor may compare a photo of yourself from ten years ago to a recent one to see if there is a difference in your eyelids.


The causes of droopy eyelid are diverse. One can be born with hereditary droopy eyelids, a condition known as congenital ptosis. Most cases of acquired ptosis develop as we age and the tendon that helps keep the eyelid open stretches and loosens. Droopy eyelids can also be caused by trauma, surgery, or by damage to the muscles that raise the eyelids or to the nerves that control these muscles. Tumors, neurological disorders, systemic diseases, and certain drugs have also been known to cause ptosis.

Depending on the cause, ptosis may be classified as:

  • Neurogenic ptosis: Refers to the condition in which the nerves attached to the muscle are affected

  • Myogenic ptosis: Refers to sagging of the lid due to a problem with the muscle that raises the eyelid

  • Aponeurotic ptosis: Refers to the stretching and weakening of the tendon responsible for raising the eyelid

  • Mechanical ptosis: Refers to a condition in which the weight of the eyelid is too great for the muscles to lift


A variety of factors may increase your risk for developing ptosis. They include:

  • Aging

  • Family history of ptosis

  • Birth injury

  • Eye surgery such as cataract removal

  • Paralysis of nerve fibers in eyelids

  • Diabetes

  • Stroke

  • Horner’s syndrome

  • Head or eyelid trauma

  • Brain tumor

  • Muscular dystrophy

  • Myasthenia gravis


Your eye doctor will be able to diagnose ptosis with an examination of your affected eyelid. He or she will ask you questions about your symptoms, family medical history, and personal medical history. In some cases medical tests are conducted to determine the cause of acquired ptosis. Because there are a number of reasons why an eyelid might droop, it is highly recommended that you get a diagnosis from an eye doctor, even if symptoms are mild.


If symptoms of ptosis are mild, treatment may not be necessary. Specific treatment is usually directed toward the underlying cause. Special glasses may be used in some cases; these glasses have a crutch attached to hold up the eyelid. In moderate to severe cases, surgery may be the only option to correct the eyelid.

The most common surgery used to treat ptosis is a levator aponeurosis advancement. During this procedure, the surgeon will tighten up the levator tendon, lifting the eyelids. Occasionally, such as in cases of congenital ptosis, the levator is too weak to allow for eyelid opening; in this case, a “sling” is used to allow the forehead muscles to assume the task of lifting the eyelid. Although they may not look symmetrical, the eyelids will be higher than they were before the surgery.

Bruising and swelling will typically last two to three weeks. Most people heal without complications within six weeks of surgery. Typically, this is done as outpatient surgery, meaning there is no hospital stay.

It is important to know that ptosis does not correct itself over time. The only way to fix a severe case of ptosis is with surgery. Most of these procedures are performed by oculoplastic surgeons, ophthalmologists who pursue extra training in eyelid surgery.


If a child’s droopy eyelid is left untreated and is severe enough, he or she may develop amblyopia, or lazy eye. Complications that may occur after eyelid surgery include excessive bleeding, infection at the surgical site, scarring, asymmetrical facial appearance, and facial nerve damage.


  • What is causing my droopy eyelid?

  • What tests will need to be performed to determine the cause?

  • Taking into account the severity of my case, what are my treatment options?

  • Will you be the one performing my surgery? If not, will you refer me to a specialist, or will I need to find my own?

Did you know … Actor Forest Whitaker refuses to have surgery to correct ptosis in his left eye?

Click here to access Eyehealthweb.com link to all of Dr. Ashley Roth’s published articles.

Original link: http://www.eyehealthweb.com/ptosis/


Dr. Ashley Roth is on the editorial board for EyeHealthWeb.com. Read her article on Exotropia below:

Original Link: http://www.eyehealthweb.com/exotropia/

Exotropia in Children and Adults

Authored by
Michael Garin O.D.

Reviewed by
Dr. Ashley Roth

Exotropia is a common type of strabismus that occurs when misaligned eyes deviate outward.

Exotropia (also known as wall-eye or divergent strabismus) differs from its opposite form, esotropia (eye turns in toward nose), in that exotropic eyes point outward or away from the nose. Exotropia can occur in one or both eyes. Although exotropia can appear at any age, it commonly appears between the ages of one and four.

Exotropia can be classified according to how frequently the eye deviates:

Intermittent: Only occurs from time to time; may or may not become more frequent throughout a person’s life; this is the most common form of exotropia.
Constant: Occurs at all times and at all distances.
Exotropia can also be classified by cause—it can be either congenital (present at birth; also known as infantile exotropia) or acquired. Acquired exotropia is found in females more than males; 63–70 percent of all adult cases are women. It is more common in the Middle East, Africa, and Asia, and at latitudes where there are higher levels of sunlight. It is less common in the United States and Europe.

Forms of acquired exotropia include:

Sensory: Found in conjunction with an eye with poor vision. Typically, the eye with poor vision cannot work effectively with the other eye, allowing a tendency for the eye to drift outward. This form of strabismus is preventable and can be treated easily with corrective prescription eyeglasses.
Mechanical: Mechanical exotropia is caused by a restriction or tightness of the muscles controlling the eye (fibrosis of muscle tissue, thyroid myopathy) or a physical obstruction of the extraocular muscles (orbital fracture).
Acute: Sudden onset exotropia usually in older adults with an underlying disease process such as cranial nerve problems or thyroid disorders. It can also be caused by trauma to the eye muscles or orbit.
Consecutive: Occurs after strabismus corrective surgery (to correct esotropia). It can develop shortly after surgery or may develop years later.
Other types of exotropia include divergence excess and convergence insufficiency.

Exotropia Signs and Symptoms

In most cases, the first signs of exotropia appear during childhood. Typically, it begins intermittently; occurring while the child is staring into space or daydreaming. The deviation may become more noticeable while the child is staring at something from a distance.

Most strabismic children do not know they have vision problems. Sadly, they think problems such as double vision or nearsightedness are normal and do not express their inability to see clearly because they do not know any better. Because of this, it is important to watch children for symptoms of all eye conditions, including exotropia.

Symptoms include:

Excessive rubbing of eyes due to eye strain
Covering or closing one eye to improve vision
Increasing sensitivity to light (photophobia)
Double vision
Intermittent exotropia is detectable after six months of age, and is considered a progressive disorder that can lead to constant exotropia if left untreated.

What Causes Exotropia?

This condition is believed to be connected to some defect involving the six extraocular muscles that control each eye’s movement. Normally, these muscles work together, sending signals to the brain and directing eye movements so that both eyes can focus on the same object.

But when there is a disruption and the muscles do not work together, some form of strabismus, including exotropia, may occur. Other causes may involve the nerves that transmit information from the brain to the muscles, or the part of the brain that directs eye movements. Eye injuries, head trauma, and other general health conditions can also cause exotropia.

Diagnosing Exotropia

Parents and other family members are typically the first people to notice exotropia in a child. Those who develop this condition later in life may notice the change in their eyes’ appearance while looking at old photos of themselves, after experiencing symptoms, and most commonly by having others tell them their eye is turning out

When exotropia is suspected in an infant, the eye doctor will shine a light into the eyes to see if the light reflects back from the same location on each cornea. In older children and adults, the eyes are examined more thoroughly. Several eye exams and visual tests can help your eye doctor determine which form of exotropia is present. These tests may include:

Ocular Motility Exam: This exam checks your eye’s ability to move in all directions. Your eye doctor will sit in front of you and perform a “follow my finger” test, in which the subject is asked to follow the doctor’s finger as it draws an imaginary double H figure that touches upon the eight fields of gaze.
Visual Acuity Exam: This exam measures the extent to which your vision may be affected. Typically, you are asked to read letters on distant and close-up reading charts. Normal distance-vision acuity is 20/20.
Alignment: This exam is to determine how well your eyes work together as a team. There are multiple methods for checking the eye’s alignment, and the most commonly used technique is called the Cover Test. The doctor will cover and uncover each eye while you are focusing on objects at different distances. The degree or magnitude (size) of exotropia can be determined by using a prism.
Refraction: This exam determines the appropriate prescription lens power you need to compensate for any refractive errors you may have (such as nearsightedness, farsightedness, or astigmatism).
Exotropia Treatment

There are many factors your eye doctor takes into consideration when determining the appropriate method of treatment for your exotropia:

The magnitude (size) of the exotropic deviation (how much the eye turns outward)
The frequency of the deviation
The age of the patient
The refractive error of the patient
The severity of symptoms the patient is experiencing.
For mild cases of exotropia, eyelasses and/or vision therapy (eye exercises) are the most common treatment methods. Eyeglasses are used to make each eye see as well as possible so that the eyes will work together as a team. Eye exercises benefit those with convergence insufficiency more than those with other types of exotropia.

Most people with intermittent exotropia (the most common form) can learn to recognize the problem and eventually control it with certain techniques taught in vision therapy. Special glasses with prisms can be used to decrease double vision in patients with constant exotropia

In moderate to severe cases in children, an eye patch may be recommended. Typically, eye patches are used for strabismic children who also have amblyopia (decreased vision in one eye). The idea is to get the weaker of the two eyes—the “lazy” eye—seeing as well as the better eye so that both eyes will work together as a team.

If these methods fail, eye muscle surgery may be performed. In general, however, eye muscle surgery is not recommended unless the patient:

Experiences exotropia more than 50 percent of each day
Experiences significant symptoms (squinting, eye strain, etc.)
Experiences an increase in the frequency and duration of episodes
Experiences significant exotropia when looking at objects that are near
Appears to be experiencing a decrease in binocular vision (depth perception)
Exotropia Surgery

During the procedure, the eye muscle is exposed by making a small incision in the tissue covering the eye. The appropriate muscles are then repositioned in order to allow the eye to move properly. This procedure is usually performed under general anesthesia.

Most people are able to go home the same day as their surgery, and recovery usually takes about two weeks. After surgery, your eye doctor may prescribe pain relievers, antibiotics to fight and prevent infection, and steroidal eye drops or ointment to reduce inflammation. Over-the-counter pain medications are usually allowed, except for aspirin or similar products that may thin the blood.

Your doctor may also recommend that you:

Avoid getting your eyes wet until told that you may do so
Avoid swimming for ten days
Wait one week to resume normal activities
Wear protective eye wear, especially right after surgery, to compensate for light sensitivity
Store your eye drops in a refrigerator; do not freeze them
Complications of Exotropia

Untreated exotropia can lead to permanent vision loss in the form of amblyopia or damage to the eye muscles. Intermittent exotropia may progress to constant exotropia.

If surgery is performed, possible complications can include bleeding, surgical wound infections, swelling of the eyelid, and repeat surgeries for recurring exotropia. Exotropia can sometimes recur after surgery. Talk with your doctor about the risks and benefits of eye muscle surgery.

When to Contact Your Doctor

Contact your eye care professional if:

You develop signs of infection (headache, dizziness, muscle aches, general ill feeling, and fever)
Pain, swelling, redness, drainage, or bleeding increases in the surgical area
New, unexplained symptoms appear
Drugs taken after surgery produce unwanted side effects


Ever wonder why Optometrists recommend replacing your contact lenses frequently? Or why you need an annual eye exam? It’s for your eye’s health!



Nearly a million Americans visit the doctor each year for eye infections, which are often related to wearing contact lenses, according to a new report.

In 2010, people made 930,000 doctor’s visits plus 58,000 emergency department visits in the United States for microbial keratitis, according to the report, from the Centers for Disease Control and Prevention. Microbial keratitis is an infection of the eye’s transparent outer covering caused by bacteria, fungi, amebae or viruses.

The biggest risk factor for microbial keratitis is improperly wearing contact lens — for example, wearing the lenses overnight, not keeping contact lens cases clean and not replacing cases frequently, the CDC said.

In more than three-fourths (76.5 percent) of the visits, the person was given a prescription for antibiotics, the report found. The researchers estimated that visits for these eye infections result in $175 million in direct health care costs yearly. [7 Absolutely Horrible Head Infections]

Keratitis can cause eye pain, redness, blurred vision and even blindness in severe cases.

In July, a woman in Taiwan reportedly went blind because she left her contact lenses in for six months, and developed an infection from an amoeba.

“Contact lenses can provide many benefits, but they are not risk-free — especially if contact lens wearers take shortcuts and don’t take care of their contact lenses and supplies,” Dr. Jennifer Cope, a CDC medical epidemiologist, said in a statement.

It’s estimated that 38 million Americans wear contact lenses. To prevent eye infections, the CDC recommends the following:

Wash hands before touching contact lenses.

Remove contact lenses before bed, showering or swimming.

Rub and rinse contact lenses with disinfecting solution every time they are removed.

Replace old contact-solution with fresh solution every time you store your contact lenses in a case.

Clean contact lens cases after each use.

Replace contact lens cases at least once every three months.

Keratitis can also be caused by factors not related to infection, such as injury to the cornea or chemical exposure, the researchers said, so some of the 1 million doctor’s visits may have been for eye problems not caused by infection. published this week in the CDC’s Morbidity and Mortality Weekly Report.

Follow Rachael Rettner @RachaelRettner. Follow Live Science @livescience,Facebook & Google+. Original article on Live Science

Copyright 2014 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Livescience.com. All rights reserved.
Original Post: http://www.cbsnews.com/news/contact-lenses-tied-to-thousands-of-eye-infections/


While most patients know how important it is to take care of your contact lenses, some don’t know all the proper ways to do it.

Always make sure hands are clean before touching your lenses.

Use new contact lens solution each day or night.

Clean your case at least once a week.

So, what is the proper way to clean your contact lens case?

“The most effective way to reduce the number of microbes on a contact lens case is to fill it 80% with multipurpose solution, rub it for five seconds with the finger, wipe it dry with a tissue, then air dry the case upside down on a clean tissue.”

Never use water to clean your case or your contact lenses. If you do use water, make sure to rinse it thoroughly with contact lens solution.


At Eye Desire and Roth Eye Care we like to provide our patients with the newest products on the market. Dr. Roth now carries Miru Soft contact lenses.

Miru 1day Menicon Flat Pack is the world’s thinnest package for daily disposable and frequent replacement contact lenses. One strip of Miru 1day contains three lenses and measures 3.44″ by 1.63″ and is less than 0.04″ thick. You can easily store it in your bag, or wallet, and its portability makes it suitable for travel, sports and other occasions. The lens specifications are printed in large easy-to-read type.

Hygienic package design:

Miru 1day Flat Pack was specifically developed to reduce the chance of lens inner surface contamination. When opened, the outer surface of the lens is always facing up, ready to be picked up. This eliminates confusion about lens orientation and reduces the chance of touching the inner surface of the lens. This makes it less likely that skin oil or harmful microorganisms will get trapped between the lens and your eye.

Are you interested in wearing or trying Miru Contacts? Schedule your contact lens exam at with Dr. Roth today. Call 305-374-5127 (Downtown) or 305-673-1211 (Miami Beach).



If you’re considering abandoning your contact lenses because you can no longer wear them without feeling dryness, irritation or tearing, you’re not alone. Close to 16 percent of all contact lens wearers are forced to stop wearing lenses because of Contact Lens Intolerance.


Johnson and Johnson recently announced the release of the new Acuvue 1 day Define contact lenses that will accentuate the eye’s natural beauty. Acuvue 1 Day Define is not a color contact lens but instead enhances the natural look of your eye by brightening your eyes, highlighting, sharpening and enlarging your eyes for a more youthful appearance. Available in three different designs for all eye colors!

Avalible in prescriptions between plano (non corrective) and vision correction ranges from +1.00 D to -9.00 D with a base curve of 8.5 mm and diameter 14.2 mm and is being introduced in three styles to complement all eye colors:

1-Day Acuvue Define in Natural Sparkle

1-Day Acuvue Define in Natural Shimmer

1-Day Acuvue Define in Natural Shine

These contact lenses also offer UV protection!

If you are interested in trying on the Acuvue 1 Day Define visit our Miami Beach location, Eye Desire, for your contact lens exam! Call 305-673-1211 to schedule an appointment.

Learn more about the Acuvue 1 Day Define here: https://www.acuvue.com/define/?utm_source=google&utm_medium=cpc&utm_campaign=Branded+-+Define&utm_term=acuvue%20define&utm_content=Acuvue+-+DefinemkwidsdaAyE656_dcpwkacuvue%20definepcrid58091558006pmte

reference: http://optometrytimes.modernmedicine.com/optometrytimes/RC/jj-launch-1-day-acuvue-define


Our office and doctors like to give back to our community. We are pleased to be a provider for the Florida Heiken Program.

We provide free eye examinations and glasses to eligible children at our downtown location (Roth Eye Care)

Eligible children receive vouchers for their community optometrist. You can learn more information here: http://www.miamilighthouse.org/Florida_Heiken_Program.asp

“According to research by the American Optometric Association, vision problems in children and teenagers may contribute to poor school performance, behavior issues and delinquency. AOA research shows that 1-in-4 children has vision problems; literacy can be improved with early intervention. With corrective lenses, children are able to read their assignments, see the board, and learn to their fullest potential. Their prospects for succeeding in school improve immeasurably.

Of the 1,400 families contacted in our recent Heiken Children’s Vision Program market research survey, underwritten by the Health Foundation of South Florida, 74% of the respondents reported that their child had improved academically because of the services provided by our Program.”


We use and recommend Crizal lenses for all of our patients. Why? Because we offer the best. Check out why Crizal lenses are superior to regular lenses.


Whether glare, scratches, smudges, dust, water, or UV light — Crizal No-Glare lenses deliver a difference you can see. Take a stroll through our animated test factory to see how they compare with ordinary lenses. Crizal lenses can help you see better, look better, and feel better.


February is AMD Awareness month!


Michael Cooney, MD, is a retinal specialist and expert in the study of retinal diseases, such as age-related macular degeneration, or AMD. In the first seven video chapters, Dr. Cooney responds to questions commonly asked by his AMD patients. Here, Dr. Cooney describes AMD, its dry and wet forms, and how the condition can affect vision.


February is AMD Awareness month.


Several risk factors are associated with the development of age-related macular degeneration (AMD), including age, smoking, and family history. For additional information on the potential risk factors of AMD, visit http://www.preservision.com/en/what-is-amd/risk-factors/.



Steps, such as quitting smoking and controlling cholesterol levels, can help people with age-related macular degeneration (AMD) reduce their risk of progression. To find out more about steps you can take to help reduce your risk, go to http://www.preservision.com/en/what-is-amd/keeping-eyes-healthy/.


Check out Dr. Roth featured in the Miami Herald!

Dr. Roth’s specialty is vision correction without surgery. The procedure is called Gentle Molding Therapy (GMT) or Orthokeratology. They are specially designed vision retainers that are worn only at nighttime and correct your vision while you sleep!


Our office is please to carry Eyezen lenses to alleviate eye strain from digital devices.


Eye-Zen? Eye Zen? Eyezen? Staring at screens throughout the day is pretty much unavoidable. But all that screen time can be hard on your eyes and may cause digital eye strain. Since the way we look at every digital device is different, Eyezen lenses are enhanced to help you see comfortably regardless of device sizes and the distances you hold them.

Call our office today if you are struggling with eye strain from working long hours at your computer.


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You can text our Miami Beach office at 305-673-1211 or our downtown office at 305-374-5127

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