the eyes are the windows to the soul but they may be able to show you much more
they may be able to show you much more
they may be able to show you much more than that hi I’m Rebecca Braden and
than that hi I’m Rebecca Braden and
than that hi I’m Rebecca Braden and welcome to watchmojo.com and today we’ll
welcome to watchmojo.com and today we’ll
welcome to watchmojo.com and today we’ll be seeing how a simple I exam may be
be seeing how a simple I exam may be
be seeing how a simple I exam may be able to detect the early signs of
able to detect the early signs of
able to detect the early signs of diabetic retinopathy so we’ll start by
diabetic retinopathy so we’ll start by
diabetic retinopathy so we’ll start by having you introduce yourself my name is
having you introduce yourself my name is
having you introduce yourself my name is dr. Ben cert I’m the director of telecom
dr. Ben cert I’m the director of telecom
dr. Ben cert I’m the director of telecom interior of homology in the state of New
interior of homology in the state of New
interior of homology in the state of New Jersey I’m responsible for all the telus
Jersey I’m responsible for all the telus
Jersey I’m responsible for all the telus screenings so we do schools churches
screenings so we do schools churches
screenings so we do schools churches runaway centers and soup kitchens how
runaway centers and soup kitchens how
runaway centers and soup kitchens how does this exam work the test takes
does this exam work the test takes
does this exam work the test takes roughly about 30 seconds per I we take a
roughly about 30 seconds per I we take a
roughly about 30 seconds per I we take a color image and from the color image we
color image and from the color image we
color image and from the color image we can use a computer to divide that and to
can use a computer to divide that and to
can use a computer to divide that and to look for vision threatening disease
look for vision threatening disease
look for vision threatening disease diabetes of course we’re looking for
diabetes of course we’re looking for
diabetes of course we’re looking for glaucoma in age-related macular
glaucoma in age-related macular
glaucoma in age-related macular degeneration then we’re going to take a
degeneration then we’re going to take a
degeneration then we’re going to take a second image which is called
second image which is called
second image which is called autofluorescence which looks
autofluorescence which looks
autofluorescence which looks specifically at your RPE retinal pigment
specifically at your RPE retinal pigment
specifically at your RPE retinal pigment epithelium and gives us a good idea on
epithelium and gives us a good idea on
epithelium and gives us a good idea on how healthy your eye is how does
how healthy your eye is how does
how healthy your eye is how does diabetes affect the eyes as we get
diabetes affect the eyes as we get
diabetes affect the eyes as we get acquired diabetes roughly 10 years if
acquired diabetes roughly 10 years if
acquired diabetes roughly 10 years if uncontrolled it’s going to go into the
uncontrolled it’s going to go into the
uncontrolled it’s going to go into the i’ll create diabetic retinopathy when it
i’ll create diabetic retinopathy when it
i’ll create diabetic retinopathy when it creates diabetic retinopathy it it
creates diabetic retinopathy it it
creates diabetic retinopathy it it actually has the blood vessels break and
actually has the blood vessels break and
actually has the blood vessels break and start leaking and when they leak they
start leaking and when they leak they
start leaking and when they leak they actually bleed inside the eye and as
actually bleed inside the eye and as
actually bleed inside the eye and as they bleed and the bleeders become
they bleed and the bleeders become
they bleed and the bleeders become larger they actually Rob vision from the
larger they actually Rob vision from the
larger they actually Rob vision from the patient what kind of lifestyle changes
patient what kind of lifestyle changes
patient what kind of lifestyle changes can be put in place to avoid diabetic
can be put in place to avoid diabetic
can be put in place to avoid diabetic retinopathy what we can do we have to
retinopathy what we can do we have to
retinopathy what we can do we have to take charge of our own body and that
take charge of our own body and that
take charge of our own body and that means we have to do exercise 150 minutes
means we have to do exercise 150 minutes
means we have to do exercise 150 minutes a week we have to change our eating
a week we have to change our eating
a week we have to change our eating habits we have to introduce better
habits we have to introduce better
habits we have to introduce better lifestyle we have to stop smoking and so
lifestyle we have to stop smoking and so
lifestyle we have to stop smoking and so on support for example if you have
on support for example if you have
on support for example if you have diabetes and you smoke you’re going to
diabetes and you smoke you’re going to
diabetes and you smoke you’re going to have cataracts ten years before anybody
have cataracts ten years before anybody
have cataracts ten years before anybody else so we need to be just more in
else so we need to be just more in
else so we need to be just more in control of what we do can you tell us
control of what we do can you tell us
control of what we do can you tell us about the examiner about to see what
about the examiner about to see what
about the examiner about to see what we’re going to do is we’re going to have
we’re going to do is we’re going to have
we’re going to do is we’re going to have you place your your chin in a chin rest
you place your your chin in a chin rest
you place your your chin in a chin rest and we’re going to bring an infrared
and we’re going to bring an infrared
and we’re going to bring an infrared light towards your eye and your eye
light towards your eye and your eye
light towards your eye and your eye doesn’t detect infrared we’re going to
doesn’t detect infrared we’re going to
doesn’t detect infrared we’re going to be able to look inside your eye in your
be able to look inside your eye in your
be able to look inside your eye in your retina and be able to capture an image
retina and be able to capture an image
retina and be able to capture an image with a small flash a white flash and
with a small flash a white flash and
with a small flash a white flash and that will show us what
that will show us what
that will show us what happening and that will digitally store
happening and that will digitally store
happening and that will digitally store the image and then we’re going to be
the image and then we’re going to be
the image and then we’re going to be able to separate the images in various
able to separate the images in various
able to separate the images in various colors to look at the different layers
colors to look at the different layers
colors to look at the different layers inside the eye and see what disease we
inside the eye and see what disease we
inside the eye and see what disease we may find then we’re going to take a
may find then we’re going to take a
may find then we’re going to take a second photograph which is a little bit
second photograph which is a little bit
second photograph which is a little bit brighter which will allow us to study
brighter which will allow us to study
brighter which will allow us to study the RPE retinal pigment epithelium very
the RPE retinal pigment epithelium very
the RPE retinal pigment epithelium very good that was much brighter okay very
good that was much brighter okay very
good that was much brighter okay very good okay so what are we looking at here
good okay so what are we looking at here
good okay so what are we looking at here well everything is done we’re looking at
well everything is done we’re looking at
well everything is done we’re looking at your fondest this is the back of the art
your fondest this is the back of the art
your fondest this is the back of the art the pattern that you see is more precise
the pattern that you see is more precise
the pattern that you see is more precise than a fingerprint we’re looking at
than a fingerprint we’re looking at
than a fingerprint we’re looking at arteries and we’re looking at veins and
arteries and we’re looking at veins and
arteries and we’re looking at veins and we’re looking at these white lines those
we’re looking at these white lines those
we’re looking at these white lines those would be nerve fiber layer so we’re
would be nerve fiber layer so we’re
would be nerve fiber layer so we’re talking about glaucoma so your cup to
talking about glaucoma so your cup to
talking about glaucoma so your cup to disc ratio is perfect your artery vein
disc ratio is perfect your artery vein
disc ratio is perfect your artery vein ratio is also very good and we’re then
ratio is also very good and we’re then
ratio is also very good and we’re then going to look at your macula your macula
going to look at your macula your macula
going to look at your macula your macula is your Center vision and this allows
is your Center vision and this allows
is your Center vision and this allows you to actually see color and then it
you to actually see color and then it
you to actually see color and then it allows you to see black and white so
allows you to see black and white so
allows you to see black and white so when we separate the images
when we separate the images
when we separate the images electronically we’re going to talk about
electronically we’re going to talk about
electronically we’re going to talk about glaucoma and in your case York up to
glaucoma and in your case York up to
glaucoma and in your case York up to this ratio is perfect your nerve fiber
this ratio is perfect your nerve fiber
this ratio is perfect your nerve fiber layers are perfect so we are ruling out
layers are perfect so we are ruling out
layers are perfect so we are ruling out in this instance the glaucoma aspect
in this instance the glaucoma aspect
in this instance the glaucoma aspect then we’re looking at diabetic
then we’re looking at diabetic
then we’re looking at diabetic retinopathy and we would see bleeders
retinopathy and we would see bleeders
retinopathy and we would see bleeders small hemorrhages and we of course seen
small hemorrhages and we of course seen
small hemorrhages and we of course seen on and then we’re going to look at deep
on and then we’re going to look at deep
on and then we’re going to look at deep inside your choroid and these would be
inside your choroid and these would be
inside your choroid and these would be for age-related macular degeneration
for age-related macular degeneration
for age-related macular degeneration which you’re too young to have but these
which you’re too young to have but these
which you’re too young to have but these are the tests so we’re looking for
are the tests so we’re looking for
are the tests so we’re looking for glaucoma diabetes and age-related
glaucoma diabetes and age-related
glaucoma diabetes and age-related macular degeneration and this gives you
macular degeneration and this gives you
macular degeneration and this gives you a clean bill of health okay so there was
a clean bill of health okay so there was
a clean bill of health okay so there was that second really bright flash so
that second really bright flash so
that second really bright flash so what’s that photo yes the bright
what’s that photo yes the bright
what’s that photo yes the bright photograph is a monochromatic view so
photograph is a monochromatic view so
photograph is a monochromatic view so it’s a black and white picture we’re
it’s a black and white picture we’re
it’s a black and white picture we’re looking into the layers of the RPE
looking into the layers of the RPE
looking into the layers of the RPE called the retinal pigment epithelium so
called the retinal pigment epithelium so
called the retinal pigment epithelium so in your case you’re extremely healthy
in your case you’re extremely healthy
in your case you’re extremely healthy everything is fine and what we would do
everything is fine and what we would do
everything is fine and what we would do in case you weren’t well from a
in case you weren’t well from a
in case you weren’t well from a optometry point of view combined with a
optometry point of view combined with a
optometry point of view combined with a nutrition we would change how you eat
nutrition we would change how you eat
nutrition we would change how you eat what you eat your supplementation and
what you eat your supplementation and
what you eat your supplementation and vitamins and so and so forth and then we
vitamins and so and so forth and then we
vitamins and so and so forth and then we could change
could change
could change the event of having an adverse vision
the event of having an adverse vision
the event of having an adverse vision problem great thank you very much thank
problem great thank you very much thank
problem great thank you very much thank you for your time
”
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