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Canaloplasty (34)

What Examination Does a Patient Need to Undergo in Order to Determine the Scarring of the Canal?

ANSWER: All ophthalmologists are trained to perform gonioscopy but few have the experience to state whether canaloplasty would be an option.   Warm regards, David Richardson, MD Date: Jun 17, 2013  

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Are You Familiar with Dr. George Reiss? He Has Been My Glaucoma Man for over 20yrs.

QUESTION: I have glaucoma and my right eye is gone. I have been taking every drop on the market. Tomorrow wed. 1/ 21  I  see my Dr. George Reiss to disuss canaloplasty. Are you familiar with him? He has been … Continue reading

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My Daughter Has Glaucoma. Can I Make an Appointment for Her to See You?

QUESTION: My daughter has glaucoma. Can I make an appointment for her to see you? ****** ANSWER: Having a daughter myself, my heart goes out to anyone with a child with glaucoma. It is especially heartbreaking for the parents as … Continue reading

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Canaloplasty Surgeon in Chicago?

QUESTION: Thanks for your reply. I’m in Chicago area. Is there anyone you know of that I can see in this area? Thank you S**** ANSWER: Hello S**** , The only canaloplasty surgeon I can personally and professionally recommend “near” you … Continue reading

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How Long Has Canaloplasty Been Around?

ANSWER: Canaloplasty is a form of Non-Penetrating Glaucoma Surgery (NPGS). “Non-penetrating” just means that the wall of the eye is not cut all the way through. In theory (and often in practice) this means that a bleb and its associated … Continue reading

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Glaucoma (42)

Does Flying in an Airplane Could Cause Problem to a Glaucoma Patient?

ANSWER: Open angle glaucoma should not result in symptoms during commercial flights. Narrow angle glaucoma could result in headaches, brow-aches, and other symptoms during flight for a number of reasons. One would be that fear of flying can actually dilate … Continue reading

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Are Sudden Vision Changes from Taking Melatonin Reversible in Glaucoma Patients?

QUESTION: Are sudden vision changes from taking melatonin reversible in Glaucoma patients? K. Hallmark‎ via Facebook ANSWER: I’m not aware of Melatonin causing sudden vision changes. Indeed, Melatonin is occasionally recommended for those with glaucoma in order to protect from … Continue reading

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My Daughter Has Glaucoma. Can I Make an Appointment for Her to See You?

QUESTION: My daughter has glaucoma. Can I make an appointment for her to see you? ****** ANSWER: Having a daughter myself, my heart goes out to anyone with a child with glaucoma. It is especially heartbreaking for the parents as … Continue reading

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Do You Take a Holistic Approach to Treating Glaucoma?

QUESTION: Hi. I wanted to ask as I found an article about goji wolf berries in helping with glaucoma… article on your website. Im trying to find a holistic approach that take everything into consideration, nutrition etc. So, Dr. Richardson, … Continue reading

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How Common Is Glaucoma?

ANSWER: Of all the causes of irreversible blindness, glaucoma tops the list. No other condition causes as much permanent loss of vision as does glaucoma. If we include all types of blinding conditions (even reversible ones) glaucoma is still ranked … Continue reading

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Cataract (3)

Best Pediatric Ophthalmologist

QUESTION: Could you please let me know, do you perform cataract surgery for children? Currently I am searching for the best surgeon for my daughter, 5 years old… ****** ANSWER: Dear ******, Although I do not perform surgery on children, … Continue reading

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Would a Patient Benefit from Cataract Surgery If a Patient Has Both a Macular and a Cataract?

ANSWER: If the cataract is significant then vision often improves after cataract surgery even with a mild macular pucker.  That being said, if the pucker is significant the vision will still be limited by the retinal distortion. Swelling of the macula … Continue reading

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Cataract Surgery and Canaloplasty

QUESTION: Dear Dr. Richardson, I need to maintain IOP of around 14 which I have with drops currently. Is Canaloplasty still an option for me? I am due for cataract surgery and I am very interested in Canaloplasty. Thanks, ****** … Continue reading

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What Is Canaloplasty? (10)

What Examination Does a Patient Need to Undergo in Order to Determine the Scarring of the Canal?

ANSWER: All ophthalmologists are trained to perform gonioscopy but few have the experience to state whether canaloplasty would be an option.   Warm regards, David Richardson, MD Date: Jun 17, 2013  

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Is the Canaloplasty Procedure a Mere “Marketing Concept”?

QUESTION: Hello David; Sorry it has taken a while to get back to you. I did receive my records but upon referral of my PCP, I wanted to see another ophthalmologist to get a second opinion regarding whether or not … Continue reading

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I Had LASIK and Iridotomy on Both Eyes. Is Canaloplasty Suitable for Me?

QUESTION: Dear Ana, thank you for your email. My name is ******. I’m from Indonesia. I’m 40 year old. I found Dr. Richardson website just one day before my trabeculectomy operation. I have canceled the operation and want to find … Continue reading

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Underwent Surgery Twice, Is Canaloplasty Still Possible?

QUESTION: Hi, Sir I’ve heard a lot about you as a glucoma specialist. I have glaucoma for five years already on my left eye. I’ve underwent surgery twice under the same doctor, Dr ******. So, please help me on the treatment. Also, … Continue reading

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What Is the Big Deal About Bleb Anyway?

ANSWER: One of the benefits of canaloplasty is that it’s essentially a bleb-free procedure. It’s rare for anyone to develop a bleb. Almost everyone after canaloplasty is able to wear soft contact lenses if they desire, is able to continue … Continue reading

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Canaloplasty Safety and Efficacy (26)

Is the Canaloplasty Procedure a Mere “Marketing Concept”?

QUESTION: Hello David; Sorry it has taken a while to get back to you. I did receive my records but upon referral of my PCP, I wanted to see another ophthalmologist to get a second opinion regarding whether or not … Continue reading

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Can a Young (27 Year Old) Software Engineer Diagnosed with Glaucoma Undergo for a Canaloplasty Surgery Even Drops Works for Both Eyes?

ANSWER: In general most doctors will try drops first and reserve surgery for more advanced (or recalcitrant) glaucoma. In someone who is young and in whom the drops are not working or tolerated, surgery is a reasonable option. Those who … Continue reading

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I Had LASIK and Iridotomy on Both Eyes. Is Canaloplasty Suitable for Me?

QUESTION: Dear Ana, thank you for your email. My name is ******. I’m from Indonesia. I’m 40 year old. I found Dr. Richardson website just one day before my trabeculectomy operation. I have canceled the operation and want to find … Continue reading

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What Is the Safety Profile of Canaloplasty over That of Traditional Filtering Surgery?

QUESTION: Dear Dr Richardson, As an advancing OAG patient, I have for some time now been interested in the canaloplasty procedure. In Australia, however, where I live, no glaucoma specialist is yet performing this surgery. Of course, the overriding reason … Continue reading

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Can Canaloplasty Surgery Prevent Losing Vision Completely?

QUESTION: Hello Dr, my dad is 73 and suffering from glaucoma and he already lost 80% of his vision, he is using 2 drops twice a day. Can he benefit of canaloplasty surgery to prevent losing his vision completely, and where … Continue reading

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Canaloplasty and Other Conditions (18)

Can Canaloplasty Be Done on a Patient Who Has Pigmentary Glaucoma

Questions sent by P**** via Email Yes, so long as the angles are open (something that can only be confirmed with an in-person examination. It should be noted, however, that chronic medication use does potentially decrease the success rate of … Continue reading

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Underwent Surgery Twice, Is Canaloplasty Still Possible?

QUESTION: Hi, Sir I’ve heard a lot about you as a glucoma specialist. I have glaucoma for five years already on my left eye. I’ve underwent surgery twice under the same doctor, Dr ******. So, please help me on the treatment. Also, … Continue reading

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Is Trabeculectomy More Likely to Reach a Given IOP Target?

QUESTION: Dr. Richardson: About 6 months ago I wrote letters to 6 glaucoma specialists in ******. I was hoping to find a doctor who wasn’t wedded to trabeculectomies, and was willing to consider other surgical procedures, such as canaloplasty. Eventually … Continue reading

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If I Have Angle Closure Glaucoma, Is Canaloplasty Not Suitable for Me?

QUESTION: Hi Doctor Richardson. Thank you so much for your email. Does it mean if I have angle closure glaucoma, canaloplasty is not suitable for me? I have asked to my previous opthamologist who did iridotomy, and she quite sure … Continue reading

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My Wife Is 69 Years Old and Suffers from Low Tension Glaucoma. Is She a Candidate for Canaloplasty?

QUESTION: Dear Dr. Richardson My wife is 69 years old and suffers from low tension glaucoma, which has been treated with eyedrops over the past ten years, and she also had one laser surgery. She has recently seen three different … Continue reading

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Canaloplasty and Other Surgeries (33)

Canaloplasty or InnFocus Microshunt, Which Surgical Option Is Most Appropriate?

QUESTION: I have an IOP of 30 in my left eye (no vision in my right eye); there is a fairly new surgical procedure (Implantation of a trans-scleral micro-lumen aqueous drainage tube (InnFocus MicroShunt, InnFocus)— Which procedure would you recommend, … Continue reading

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Will Trabeculoplasty Decrease the Likelihood of Success with Canaloplasty?

QUESTION: Dear Dr Richardson, I’m a 38 year old from Malta (Europe) and I discovered I had glaucoma in [month hidden] 2013. I’ve had two visual field tests and most recent one shows no further deterioration. It seems my right eye … Continue reading

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I Had LASIK and Iridotomy on Both Eyes. Is Canaloplasty Suitable for Me?

QUESTION: Dear Ana, thank you for your email. My name is ******. I’m from Indonesia. I’m 40 year old. I found Dr. Richardson website just one day before my trabeculectomy operation. I have canceled the operation and want to find … Continue reading

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If I Have Angle Closure Glaucoma, Is Canaloplasty Not Suitable for Me?

QUESTION: Hi Doctor Richardson. Thank you so much for your email. Does it mean if I have angle closure glaucoma, canaloplasty is not suitable for me? I have asked to my previous opthamologist who did iridotomy, and she quite sure … Continue reading

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Is Trabeculectomy More Likely to Reach a Given IOP Target?

QUESTION: Dr. Richardson: About 6 months ago I wrote letters to 6 glaucoma specialists in ******. I was hoping to find a doctor who wasn’t wedded to trabeculectomies, and was willing to consider other surgical procedures, such as canaloplasty. Eventually … Continue reading

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Canaloplasty and Medications (14)

Can a Young (27 Year Old) Software Engineer Diagnosed with Glaucoma Undergo for a Canaloplasty Surgery Even Drops Works for Both Eyes?

ANSWER: In general most doctors will try drops first and reserve surgery for more advanced (or recalcitrant) glaucoma. In someone who is young and in whom the drops are not working or tolerated, surgery is a reasonable option. Those who … Continue reading

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Is the Canaloplasty Procedure a Mere “Marketing Concept”?

QUESTION: Hello David; Sorry it has taken a while to get back to you. I did receive my records but upon referral of my PCP, I wanted to see another ophthalmologist to get a second opinion regarding whether or not … Continue reading

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Will Trabeculoplasty Decrease the Likelihood of Success with Canaloplasty?

QUESTION: Dear Dr Richardson, I’m a 38 year old from Malta (Europe) and I discovered I had glaucoma in [month hidden] 2013. I’ve had two visual field tests and most recent one shows no further deterioration. It seems my right eye … Continue reading

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Is Trabeculectomy More Likely to Reach a Given IOP Target?

QUESTION: Dr. Richardson: About 6 months ago I wrote letters to 6 glaucoma specialists in ******. I was hoping to find a doctor who wasn’t wedded to trabeculectomies, and was willing to consider other surgical procedures, such as canaloplasty. Eventually … Continue reading

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I Had LASIK and Iridotomy on Both Eyes. Is Canaloplasty Suitable for Me?

QUESTION: Dear Ana, thank you for your email. My name is ******. I’m from Indonesia. I’m 40 year old. I found Dr. Richardson website just one day before my trabeculectomy operation. I have canceled the operation and want to find … Continue reading

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Canaloplasty and Recovery (14)

Is the Canaloplasty Procedure a Mere “Marketing Concept”?

QUESTION: Hello David; Sorry it has taken a while to get back to you. I did receive my records but upon referral of my PCP, I wanted to see another ophthalmologist to get a second opinion regarding whether or not … Continue reading

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What Is an Average Surgery Time for a Canaloplasty?

ANSWER: Most surgeons can complete Canaloplasty in 45 minutes. I’m slow (and a bit obsessive-compulsive) so I may take over an hour if needed. It’s my belief (shared by the “father” of Canaloplasty, Robert Stegmann) that the incision needs to … Continue reading

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Canaloplasty Evaluation and Operation at the Same Day?

QUESTION: Is it possible to have canaloplasty evaluation and operation at the same day? ANSWER: Yes. So long as Ana has all of the information required by the hospital it could be done. However, the in-office examination requires dilation. Unless … Continue reading

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I Had LASIK and Iridotomy on Both Eyes. Is Canaloplasty Suitable for Me?

QUESTION: Dear Ana, thank you for your email. My name is ******. I’m from Indonesia. I’m 40 year old. I found Dr. Richardson website just one day before my trabeculectomy operation. I have canceled the operation and want to find … Continue reading

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What Is Vision Going to Be Like Right After Canaloplasty Surgery?

QUESTION: Dr. Richardson, I think I am going to have to have a canaloplasty on my right eye soon. I have already lost all vision in my left eye due to several cornea transplants that were rejected. I am very … Continue reading

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Canaloplasty Cost (6)

Can You Advise the Availability of Costs for Performing Canaloplasty Surgery?

QUESTION: David, I am from Australia and have advanced glaucoma – I have been advised by Dr Richard Lewis of Sacramento that I am a suitable candidate for getting Canoplasty surgery. I haven’t been able to secure an appointment date. … Continue reading

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Will My Insurance Cover Canaloplasty?

ANSWER: The good news with regard to insurance coverage is that canaloplasty is covered by most major insurances including Medicare. Although there are some smaller insurance companies and HMOs that do not currently cover canaloplasty as of early 2012, more … Continue reading

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What Would the Approximate Total Cost for Canaloplasty Be?

QUESTION: What would the approximate total cost for canaloplasty be ? ANSWER: Dear Mr. ******, You can find the self-pay fee schedule here: Schedule of Fees. If you have PPO insurance it might reimburse you for a portion of the … Continue reading

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Are You “In-Network” with My Insurance Plan?

QUESTION: Dr. Richardson: Thank-you for this information. I am a resident of Northern California (Mendocino County). I will soon have a new Covered California Silver 87 plan that will provide much better coverage. The plan is through Anthem Blue Cross. … Continue reading

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What Is the Cost of the Canaloplasty Surgery?

ANSWER: My surgeon’s fee for canaloplasty surgery is $3,700 per eye.  In addition to that are the surgery center fee and anesthesiologist’s fee.  I will have my nurse, Ana, provide you with the updated fees as the surgery center changes … Continue reading

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Canaloplasty Surgeons (21)

Are You Familiar with Dr. George Reiss? He Has Been My Glaucoma Man for over 20yrs.

QUESTION: I have glaucoma and my right eye is gone. I have been taking every drop on the market. Tomorrow wed. 1/ 21  I  see my Dr. George Reiss to disuss canaloplasty. Are you familiar with him? He has been … Continue reading

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Can Canaloplasty Surgery Prevent Losing Vision Completely?

QUESTION: Hello Dr, my dad is 73 and suffering from glaucoma and he already lost 80% of his vision, he is using 2 drops twice a day. Can he benefit of canaloplasty surgery to prevent losing his vision completely, and where … Continue reading

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I Can’t Afford to Pay out of Pocket. Are There Any Glaucoma Specialists in the San Gabriel Valley That Dr. Richardson Recommends

ANSWER: I certainly understand that not everyone can afford to pay out of pocket for their health care. That is why I have worked hard to keep my overhead low and my fees reasonable. Indeed, if you have a high … Continue reading

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My Daughter Has Glaucoma. Can I Make an Appointment for Her to See You?

QUESTION: My daughter has glaucoma. Can I make an appointment for her to see you? ****** ANSWER: Having a daughter myself, my heart goes out to anyone with a child with glaucoma. It is especially heartbreaking for the parents as … Continue reading

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How Long Has Canaloplasty Been Around?

ANSWER: Canaloplasty is a form of Non-Penetrating Glaucoma Surgery (NPGS). “Non-penetrating” just means that the wall of the eye is not cut all the way through. In theory (and often in practice) this means that a bleb and its associated … Continue reading

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Cataract Surgeon (1)

Best Pediatric Ophthalmologist

QUESTION: Could you please let me know, do you perform cataract surgery for children? Currently I am searching for the best surgeon for my daughter, 5 years old… ****** ANSWER: Dear ******, Although I do not perform surgery on children, … Continue reading

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Loss Of Vision [Others] (11)

I Can’t Afford to Pay out of Pocket. Are There Any Glaucoma Specialists in the San Gabriel Valley That Dr. Richardson Recommends

ANSWER: I certainly understand that not everyone can afford to pay out of pocket for their health care. That is why I have worked hard to keep my overhead low and my fees reasonable. Indeed, if you have a high … Continue reading

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Does Everyone with Glaucoma Go Blind?

ANSWER: “Will I go blind?” is one of the most commonly asked questions by patients newly diagnosed with glaucoma. There was a time not so long ago when the answer to this question was an unqualified “yes”. Being diagnosed with … Continue reading

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Are Sudden Vision Changes from Taking Melatonin Reversible in Glaucoma Patients?

QUESTION: Are sudden vision changes from taking melatonin reversible in Glaucoma patients? K. Hallmark‎ via Facebook ANSWER: I’m not aware of Melatonin causing sudden vision changes. Indeed, Melatonin is occasionally recommended for those with glaucoma in order to protect from … Continue reading

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Loss of Vision Due to Low IOP (Hypotony)

QUESTION: In the last year I have had 4 retinal detachments. The retina now seems to be in good shape and well attached. Unfortunately I now have low IOP with loss of vision. The eye pressure is 5. I live … Continue reading

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Do You See Kids? If So, How Young Do You Start?

QUESTION: Do you see kids? If so, how young do you start? I have a 6 year old who’s been complaining of eye pain, etc and I would really like to get them checked. Thanks ANSWER: Dear ******, I’m afraid … Continue reading

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Trabeculectomy (2)

Is It True That Both Trab W/ EX-Press and Trab Alone Have More Potential to Achieve a Lower Pressure than a Canaloplasty?

ANSWER: Dear ******, In general that is true if Mitomycin-C (MMC) is used. However, that extra IOP lowering comes at a cost and I’m not talking about dollars. The price is paid in risk: risk of loss of vision, hypotony … Continue reading

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Can Canaloplasty NOT Be Done after a Trab W/ EX-Press or Trab Alone?

ANSWER: Dear ******, This is not a question that can be answered with a simple “yes” or “no”. It depends upon whether the canal was cut through during creation of the trabeculectomy site. In general it is much easier to … Continue reading

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Trabeculoplasty (1)

My Daughter Has Glaucoma. Can I Make an Appointment for Her to See You?

QUESTION: My daughter has glaucoma. Can I make an appointment for her to see you? ****** ANSWER: Having a daughter myself, my heart goes out to anyone with a child with glaucoma. It is especially heartbreaking for the parents as … Continue reading

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Dry Eyes (1)

Are Sleepless Nights Bad for Eyes?

ANSWER: Only in the sense that lack of sleep tends to result in dry eyes.   Warm regards, David Richardson, MD Date: May 6, 2015  

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Other Eye Conditions (1)

Is There Anyway to Cure Stye? Can It Be Cured wity Medication or Eyedrops?

QUESTION: Hi Dr. Richardson, i was wondering if is there anyway to cure stye, because I have one under my right eye. Do I really need surgery to take care of it or is there some kind of eye drop … Continue reading

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Medicare (1)

Do You Take Medicare?

QUESTION: Do you take Medicare? P**** via Submit Form ANSWER: Dear P****, I have opted out of Medicare so am unable to submit claims for payment. However, as you have qualified for a no-cost consultation your initial visit with me would … Continue reading

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Other Concerns (3)

Do Your Prescribe DuoTrav?

QUESTION: Bonjour Dr Richardson. Je suis venue du Benin pour visite familiale de trois mois et je reside a lynwood.je suis glaucomateuse depuis 10 ans et j,utilise DUOTRAV depuis deux mois. Pourrez vous me prescrire le collyre correspondant pour poursuivre … Continue reading

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Down Syndrome with Glaucoma

QUESTION: My sister is down syndrome with glaucoma. She has insurance. I have money to do what ever i must do for her to see again M**** via Submit Form ANSWER: Dear M****, I am sorry to hear of your sister’s condition. … Continue reading

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Dr. Richardson, Do You Have Patients from out of State?

QUESTION: Hello, Do you have patients from out of state? I am moving to Mesquite, NV. I have had Glaucoma for over 4 years. So far, I am just being watched – none of the eye drops have worked for me. The … Continue reading

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