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10 years ago, if you complained of redness, dryness, irritation, and a feeling of "tired" eyes, I would have likely told you that you are not making enough tears.  It is only recently that we have realized that these symptoms are a result, NOT from tear quantity, NOT from tear production, but rather, a result of poor tear quality - leading to tear film instability and inflammation, a result from an inadequate and improper contribution from the oil/lipid-producing meibomian glands.  Fortunately there is a painless, safe, effective, FDA-approved, 12-minute treatment that is remarkably beneficial in treating this problem that is a significant component in at least 85% of patients with these symptoms.  I have a patient who wants this message to get out to others - many who are suffering as she did prior to her LipiFlow treatment.

https://www.youtube.com/watch?v=NEohI_GQT1g Save Save Save" ["post_title"]=> string(66) "Chronic Dry Eye Syndrome - A Patient's Perspective and Testimonial" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(63) "chronic-dry-eye-syndrome-a-patients-perspective-and-testimonial" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2017-02-22 11:13:02" ["post_modified_gmt"]=> string(19) "2017-02-22 16:13:02" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(36) "http://www.alancarlsonmd.com/?p=3269" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [1]=> object(WP_Post)#1614 (24) { ["ID"]=> int(3142) ["post_author"]=> string(1) "2" ["post_date"]=> string(19) "2017-02-19 08:42:23" ["post_date_gmt"]=> string(19) "2017-02-19 13:42:23" ["post_content"]=> string(4981) "[caption id="attachment_3143" align="alignleft" width="274"] The Pupil - "the apple of my eye"[/caption] The online etymology dictionary goes back to the 14th century.  However, if we dig a little deeper, we can go back much further.  In the ancient Hebrew over 3000 years ago, we find the word כְּאִישׁ֥וֹן This is a masculine noun that in modern pronunciation would be ishon (ee-shone') and is felt to mean "little man" presumably from the reflection seen during ancient examination limited by the technology of that era.  It was considered of great value as it was concluded that sight corresponded to this specific location of the eye. This highly valued association with sight was eventually tied to the term "apple" most likely related to an apple being considered valuable along with it's shape - shared roundness with the human pupil. This highly valued anatomy is also referenced in the Old Testament (Deuteronomy 32:10, Psalm 17:8, Proverbs 7:2; 7:9; 20:20) - and in it's most poetic reference: Deuteronomy 32:10 יִצְּרֶ֖נְהוּ כְּאִישׁ֥וֹן עֵינֽוֹ׃יִמְצָאֵ֙הוּ֙ בְּאֶ֣רֶץ מִדְבָּ֔ר וּבְתֹ֖הוּ יְלֵ֣ל יְשִׁמֹ֑ן ֽבְבֶ֙נְהוּ֙ יְב֣וֹנְנֵ֔הוּ “He found him in a desert land, and in the howling waste of the wilderness; he encircled him, he cared for him, he kept him as the apple of his eye." I appreciate the insight found in the writing of John Gill, a Baptist Preacher and Latin Scholar who wrote this nearly 250 years ago! "he kept him as the apple of his eye; in the most careful and tender manner: the apple of the eye is an aperture in it, which lets in rays of light into the "retina" or chamber where the images of things are formed; this is wonderfully guarded in nature, for, besides the orbit of the eye, which is strong and bony, and the eyelids, which in sleep are closed, to prevent anything falling into the eye to disturb it; and the eyebrows, which are fringed with hair to break off the rays of light, which sometimes would be too strong for it; besides all these, there are no less than six tunics or coats to keep and preserve it: and in like manner did the Lord keep and guard Israel, while passing through the wilderness, from fiery serpents, scorpions, and the nations, that none might hurt, as Jarchi; and especially thus he keeps his spiritual Israel, who are parts of himself, one with him, near and dear to him; and about whom he sets guard upon guard, employs all his perfections to secure them, and constantly watches over them night and day, and keeps them from all evil and every enemy, and preserves them safe to his kingdom and glory." It is no surprise that "the Eye" was a great challenge for Charles Darwin and his efforts and theories to disprove Theistic Creation. http://creation.com/charles-darwin-vs-the-eye Save Save Save Save Save" ["post_title"]=> string(39) "The Pupil - why is it called the pupil?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(36) "the-pupil-why-is-it-called-the-pupil" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2017-02-19 08:42:23" ["post_modified_gmt"]=> string(19) "2017-02-19 13:42:23" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(44) "http://alancarlsonmd.tpdevserver.com/?p=3142" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [2]=> object(WP_Post)#1342 (24) { ["ID"]=> int(3154) ["post_author"]=> string(1) "2" ["post_date"]=> string(19) "2017-02-18 08:40:55" ["post_date_gmt"]=> string(19) "2017-02-18 13:40:55" ["post_content"]=> string(3190) "

I want to credit the insight given to me from Dr. Doug Rett, OD, FAAO:

“In 1958 Muro Pharmacal Labs was founded and it manufactured ophthalmic drugs. It was named Muro for the Italian word for “wall,” which I think is fitting given the barrier that the cornea plays in penetration of ocular drugs. With tight junctions, pH sensitivity and the hydrophobic nature of the epithelium and hydrophilic nature of the stroma, it’s difficult for modern-day drug companies to pass medication through the cornea, let alone in the 1950s. In 1968 Muro was sold to George Behrakis, a pharmacist from Lowell, Mass., who had worked with Johnson & Johnson during the creation of Tylenol (acetaminophen, McNeill). During the Behrakis years, Muro added asthma and respiratory medications to its product line, and in 1978 the name was changed to Muro Pharmaceuticals, and the company moved to Andover, Mass. During these years, Muro continued to grow its ophthalmic medication product line, and one of its best sellers was its sodium chloride solution and ointment. Muro named this particular medication “Muro 128” after Route 128, which is one of the main highways that encircles Boston and heads north towards (but not directly to) Andover. Muro sold its line of ophthalmic medications to Bausch + Lomb in 1986 and then sold its respiratory medication line to the German company Degussa in 1996. Bausch + Lomb kept the Muro 128 name when it bought the line and continues to sell sodium chloride solution and ointment under that name to this day. Muro is now a privately held company that still manufactures and distributes respiratory and allergy pharmaceutical products. They’ve moved several times, but always in the Northeast area of Massachusetts, and they’re still open today. Just head to Boston and take Route 128 north.”
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10 years ago, if you complained of redness, dryness, irritation, and a feeling of "tired" eyes, I would have likely told you that you are not making enough tears.  It is only recently that we have realized that these symptoms are a result, NOT from tear quantity, NOT from tear production, but rather, a result of poor tear quality - leading to tear film instability and inflammation, a result from an inadequate and improper contribution from the oil/lipid-producing meibomian glands.  Fortunately there is a painless, safe, effective, FDA-approved, 12-minute treatment that is remarkably beneficial in treating this problem that is a significant component in at least 85% of patients with these symptoms.  I have a patient who wants this message to get out to others - many who are suffering as she did prior to her LipiFlow treatment.

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Preserving and Restoring Healthy Eyesight.
My Passion and Commitment to You.

alan-carlson-52

Dr. Alan Carlson, MD

Dr. Carlson is one of the most renowned ophthalmologist in the United States and serves as a Professor of Ophthalmology and past Chief of Corneal and Refractive Surgery at Duke University Medical School.  Internationally recognized  as a leading eye surgeon specializing in cataracts, corneal transplantation, eye reconstructive surgery, vision correction and LASIK surgery, as well as Dry Eye treatment, Dr. Carlson’s attention to detail and expertise is why patients from around the world seek out his services. It is also why he is referred by so many optometrist, physicians and eye surgeons in the United States.

Dr. Carlson brings an unparalleled commitment to high quality patient care. If you have complications from eye disease, visual problems or need corrective surgery, contact Dr. Carlson’s office today for a consultation or request an appointment today.

Dr. Carlson’s office is located at the Duke Eye Center at 2351 Erwin Rd. in Durham, North Carolina.

See Dr. Carlson’s bio, including background, training, and accomplishments.

Meet Dr. Carlson

  • Over 52,500 successful surgeries
  • Over 135 medical publications
  • Over 350 international lectures
  • 2 time APPI Crystal award winner
  • Professor of Ophthalmology at Duke
  • 21 years voted best Doctors in America
  • Former Chief of Corneal and Refractive Surgery, Duke University Medical Center

Physician Referrals

Referrals from physicians and eye care professionals alike are welcomed and we are happy to assist with the care of your patients.

Call the office at (919) 684-5769 or fill out our appointment request form.

Thank you.

Latest Insights from the Carlson Blog

222017

Chronic Dry Eye Syndrome – A Patient’s Perspective and Testimonial

February 22nd, 2017|

10 years ago, if you complained of redness, dryness, irritation, and a feeling of “tired” eyes, I would have likely told you that you are not making enough tears.  It is only recently that we have realized that these symptoms are a result, NOT from tear quantity, NOT from tear production, but rather, a result of poor tear quality – leading to tear film […]

192017

The Pupil – why is it called the pupil?

February 19th, 2017|

The online etymology dictionary goes back to the 14th century.  However, if we dig a little deeper, we can go back much further.  In the ancient Hebrew over 3000 years ago, we find the word כְּאִישׁ֥וֹן

This is a masculine noun that in modern pronunciation would be ishon (ee-shone’) and is felt to mean “little man” presumably from the reflection seen during ancient examination limited […]

182017

Muro 128: What is it and how did it get that name?

February 18th, 2017|

I want to credit the insight given to me from Dr. Doug Rett, OD, FAAO:

“In 1958 Muro Pharmacal Labs was founded and it manufactured ophthalmic drugs. It was named Muro for the Italian word for “wall,” which I think is fitting given the barrier that the cornea plays in penetration of ocular drugs. With tight junctions, pH sensitivity and the hydrophobic nature of the […]