Prevention and Early Detection Can Protect Against Vision Loss

By Doctors Paul Dowd and Emmanuel Zanoudakis

We all only have one pair of eyes, and assessing their overall nutritional health and the early detection of eye disease are critical factors in maintaining good, clear vision.

The Macula of the eye is responsible for the clear central vision that we rely on to read, drive and recognize faces. Age-Related Macular Degeneration (AMD) is a condition in which this sensitive part of the retina begins to break down and loses its ability to create clear visual images. About 1.75 million U. S. residents over the age of 50 have advanced AMD and that number is expected to grow to almost 3 million by 2020.

Factors that lead to a greater risk of developing Age Related Macular Degeneration are:
• Fair-Haired, Fair-Skinned Females
• Heredity
• Smoking
• Obesity and High Levels of Dietary Fat
• High Blood Pressure
• Over Exposure to Sunlight

Recent advancements in eye care technology have made it possible to diagnose macular degeneration in its infancy, to access our patients’ risk for developing macular degeneration and to take action to prevent its onset.

In its earliest stage, AMD may be symptom less. Since 2000, we have included Optomap
Scanning Technology as a screening tool in our patients’ comprehensive, annual eye exams. Conducted without the use of dilating drops, Optomap is instrumental in detecting macular degeneration in its earliest stage before blurred vision, shadows, or missing areas of vision occur. We believe this is critical since once these symptoms are present, treatment options may only delay the progression of the disease or limit central vision loss.

A recent study conducted by the National Eye Institute, “The Age-Related Eye Disease Study” (AREDS), has concluded that taking high dose nutritional supplements containing vitamin E, Zinc, zeaxanthin, and lutein, when necessary, can reduce the risk of developing early stage AMD or restrict its progression by 25%.

We are pleased to, once again, be the first eye care practitioners in Cuyahoga County to
obtain cutting edge technology to determine the speci”fic nutritional health of the human
eye. Through the use of ZeaVision’s Eye-Q Macular Pigment Optical Density (MPOD) Scanner, a quick and non-invasive test can assess the nutritional make-up of your eyes’ macular pigments: the very first step in developing a strategy for preventing AMD and central vision loss.

At Doctors of Optometry, Inc., we believe it is best to prevent the development of macular degeneration or to diagnose it in its earliest stage rather than to simply attempt to limit vision loss after symptoms appears.  is can be accomplished by having a comprehensive, annual eye exam with MPOD and Optomap Screening, maintaining a healthy lifestyle, protecting our eyes with sunglasses, and using an all-natural nutritional supplement when indicated.

After all, we all only have one pair of eyes.

Ask Your Doctor about Yoga

By Dawn Miller

“This single comprehensive system can reduce stress, increase flexibility, improve balance, promote strength, heighten cardiovascular conditioning, lower blood pressure, reduce overweight, strengthen bones, prevent injuries, lift mood, improve immune function, increase the oxygen supply to the tissues…and that’s only a partial list.”

Have you ever thought about talking to your doctor about yoga? As the benefits of practicing yoga become more widely known and understood through medical research, more and more physicians are recommending yoga to their patients as a complementary way to support health and wellness.

The Doctor is In
Dr. Timothy McCall, board certified internal medicine physician and author of Yoga as Medicine: The Yogic Prescription for Health and Healing writes, “If science is the modern world’s greatest contribution to knowledge, then yoga is the gem of the ancient world…Combining the insights of these two great systems can result in an increase in the likelihood of better health, a reduction in bothersome symptoms, and the relief of suffering.”

He goes on to say, “As someone who has been an MD for over 20 years, I can tell you that yoga is quite simply the most powerful system of overall health and well-being I have ever seen. Even if you are currently among what might be called the temporarily healthy, as preventive medicine, yoga is as close to one-stop shopping as you can find. This single comprehensive system can reduce stress, increase flexibility, improve balance, promote strength, heighten cardiovascular conditioning,  lower blood pressure, reduce overweight, strengthen bones, prevent injuries, lift mood, improve immune function, increase the oxygen supply to the tissues…and that’s only a partial list.”

Yoga for Your Health
For a yoga practice to optimally support your health, however, it should be tailored to fit your individual physical ability, health conditions, body type, and emotional, energetic, and spiritual needs. The more that the practices are customized for you, the more effectively you’ll be able to use yoga as a tool to improve your health and overall feeling of well-being.

To get started, consider taking private sessions with an instructor trained in therapeutic yoga (also referred to as yoga therapy).  Private yoga therapy sessions eliminate the pressure of being in a group, plus you’ll learn more at a faster rate since the practice will be customized completely for your needs. In addition, recommendations from your doctor about your health conditions will be taken into consideration when creating a yoga practice plan for you.

Yoga is a Process
Remember, practicing yoga is a process. Some days you’ll be able to do more, some days less. As you practice, you’ll become more aware of your body, your breathing habits, and your muscular patterns, helping you to recognize what’s needed day to day to support your health and healing. As Dr. McCall writes, “Yoga is not a panacea, but it is powerful medicine indeed for body, mind, and spirit. Above all, yoga is a path. The longer you stay with it and the more heart you put into the journey, the farther it can take you.”

Questions to Ask
As you begin your yoga journey, here are some questions to ask that will help you connect with the right practice and instructor for you.

• In general, what training or experience does the instructor have with your particular health condition(s)? Does he or she have specific training in therapeutic yoga?

• How well does the style of yoga (e.g., amount of physical activity and intensity level) match your needs? Remember, yoga is not a ‘one size fits all’ activity.

• For group classes, what adaptations can be made to support you personally in the practice? How large is the class, and how much individual attention will you receive?

• For private sessions, what is the format and what types of materials and support will you receive for your home practice?

Visit to learn more about how yoga practices, particularly yoga therapy, might be beneficial for you. Or to schedule a session call 216.269.6824.

About Dawn
Dawn teaches corporate yoga classes, individual yoga therapy sessions, and private and small group classes at multiple locations in Northeast Ohio including the Connor Integrative Medicine Network at University Hospitals. She is a member of the International Association of Yoga Therapists (IAYT) and is registered with the Yoga Alliance at the E-RYT 200 and RYT 500 hour levels. She earned her Master’s Degree in Medical Anthropology from Case Western Reserve University and has a long-standing interest in cross-cultural health and healing practices. Contact Dawn at

Eyes…Checked, Teeth…Checked, but What About Your Ears?

By Marvin Lewis, Au.D., FAAA, Doctor of Audiology

Once upon a time, we thought that a decline in our hearing was simply a part of growing older. Now we know better. It turns out, hearing loss isn’t fussy about age. More than half of us with hearing loss are still working, not retired! As one of the most common chronic health conditions in the United States today, hearing loss affects all age groups. And, when left unaddressed, hearing loss can affect just about every aspect of a person’s life.

Here’s what we know:
The medical profession has learned that hearing loss is a much bigger deal than we ever imagined. Studies show that hearing loss is connected to other health conditions. The most common links are to diabetes and cardiovascular disease. People with diabetes are about twice as likely to have hearing loss as those without it. Sometimes the pattern on the hearing test is one of the results that can help diagnose diabetes when other tests show you to be just borderline.

Cardiovascular research shows links with hearing loss, too. Reduced blood flow or trauma to the blood vessels of the inner ear can contribute to hearing loss. Some experts even believe that because the inner ear is so sensitive to blood flow, it is possible that abnormalities could be found here earlier than in other less sensitive parts of the body—making the ear a kind of an early warning system for the heart.

Other studies show a link between hearing loss and short-term memory, accelerated cognitive decline in older adults, and problems with thinking and remembering compared to older adults whose hearing is normal or assisted by hearing aids. Remember, hearing loss means your brain isn’t getting the stimulation it needs, so these findings make sense.

We need to take our hearing seriously and not ignore it. Since most physicians don’t include hearing tests as part of annual exams, have your hearing tested by an audiologist, the professional that specializes in your sense of hearing. You have your eyes and teeth checked annually; check your ears often as well. Age 40 is a good time to start. If you’re older than that and have never had your hearing tested do it now!! See an audiologist and find out the status of your hearing. If it’s normal, then you have a good baseline for comparison later. If a hearing loss is discovered, do something about it. You will get a medical referral or a recommendation for hearing aids. The earlier you get hearing aids, you keep your ears and brain stimulated and improve your health and quality of life overall.

To learn more, check out, which assisted in this article, or my website To schedule an appointment at any of our three locations, please call 216.642.8228.

Dr. Scott L. Rose Offers Two Ideas for Change in 2014

(W)Holistic Dental Care – A Progressive Approach
People wonder whether there is such a thing as Holistic Dental Care or is it just a marketing ploy. My answer is yes – depending upon who is using the term. Holistic Dental care is not about the materials used or not used; it is a philosophy of patient care. Not using mercury is a material choice, not an indication of practice philosophy.

To me, (W)Holistic Dental Care involves the study and integration of many disciplines of allopathic (Western) medicine, alternative medical therapies, conventional, and neuromuscular dental principles. I have had the good fortune to study energy medicine with a Shaman, to work and learn with homeopaths, learn about meditation, have personally experienced acupuncture, neuromassage, Reiki, breath work, and yoga. Having a better understanding of the many modalities of healing has given me a better and more complete understanding of my patients. While some people just need a filling or a crown, many people’s oral issues are part of a larger health imbalance. While specific dental issues must be addressed, they should be done so in the context of the whole body condition. Healing is not always about swallowing a pill or mechanically repairing something broken. Healing is the combination of mind, body, and spirit.

So many things in our lives impact the oral cavity: stress, habits, nutrition/diet, addictions, physical illness, and psychological illness. Understanding the interplay of these factors, the human condition, and specific treatment limitations is vital. But most of all, understanding that while we can maybe fix a specific problem, we can only help facilitate healing. That is a process that involves a (W)Holistic approach in diagnosis and combination of treatment modalities.

This is not a paradigm shift—it’s a paradigm expansion, allowing for a more complete and integrated approach to patient care.

Cosmetic Dentistry Offers Life-Changing Solutions
Greater confidence and self-esteem are two powerful reasons why the popularity of cosmetic dentistry has skyrocketed in recent years. People who no longer feel held back by embarrassing dental problems attribute their newfound confidence to a beautiful smile and their cosmetic dentist.

According to an American Academy of Cosmetic Dentistry survey, over 90% of Americans say that an attractive smile is an important asset and that close to 75% of Americans say that an unattractive smile can hurt a person’s chances for career success. It also said that only half the people were satisfied with their smile. But a nice smile is only part of the puzzle to helping people. Many people suffer from headaches, and head and neck pains. Many times this can be attributed to a bad bite or a collapsed bite.

The goal of cosmetic dentistry should not only be to give a person a great smile, but to do it in a way that may help eliminate other aches, pains, and tooth related issues.

Some of the most common problems include stained, chipped, cracked, crooked, or missing teeth, gaps between teeth, and old dark mercury/amalgam/silver fillings. The most important thing is a good diagnosis. Without this, treatments will fail on many fronts. Using the latest state of the art equipment, materials, and methods is only part of the puzzle. Taking into account the patient’s desires, coupled with the patient’s actual needs is key to formulating and offering realistic, long-term treatment options. The patient should be educated as to exactly what is going on, the treatment possibilities and options, and what each option will achieve for them.

Cosmetic dentistry is just not about white fillings and pretty smiles. It’s really about taking an approach to patient care that will improve the quality of a person’s life.

Contact Dr. Rose at 440.542.1200 or