Wednesday, November 15th, 2017
News about Short Hills Ophthalmology
Monday, November 13th, 2017
Tuesday, October 10th, 2017
Dry eye can result in discomfort or visual changes. Common symptoms can include stinging, burning, a gritty feeling, redness, or mucous in the eye. Some people experience excessive watering as the eye tries to compensate. Other people notice visual fatigue or blurring, or other changes to visual acuity. Advanced dry eye can lead to susceptibility to infection, as well as changes to the corneal surface that can impair vision. Dry eye symptoms can vary significantly from person to person. Recurring blurred vision sometimes may be the only symptom, while counter-intuitively, excessive tearing can actually be a symptom of dry eye in other patients. Symptoms alone are NOT a true indication of how severe dry eye is. Only dry eye testing done during an eye exam can truly show how progressed dry eye is in a sufferer.
Dr. Farbowitz strives to stay up-to-date on the latest technology breakthroughs. In an effort to create a comprehensive treatment program for dry-eye, our practice has added several new diagnostic and treatment options to better serve our patients. We have added testing for inflammation, tear film osmolarity, and blocked or insufficient meibomian glands. Common causes, such as screen time, medical conditions, medications, lid hygiene, environmental factors, nutrition are evaluated as well. These tests and evaluations help Dr. Farbowitz determine the type of dry eye that a patient is experiencing and form an appropriate plan of treatment. Preventative measures might include eye protection, using a humidifier, eye breaks, and use of artificial tears. Treatments can include artificial tears, lid hygiene products, vitamin supplements, prescription drops, punctal plugs, and LipiFlow treatment to improve oil flow in the tear film. LipiFlow technology helps unblock oil glands to protect the tear film and corneas. This 12-minute procedure is done in-office. It uses special heat and massage techniques to promote oil flow in the eyes. Patients liken the experience to a spa treatment, and the results can last for years with proper maintenance care observed afterward.
Proper moisture levels in the eye are vital to overall eye health. Our practice is proud to offer solutions and preventative measures to our patients to combat this growing problem.
If you experience any symptoms of dry eye, call to schedule an evaluation at 973-379-2544.
Thursday, August 17th, 2017
Eye Health Tips for High School and College Students
Students face special challenges to the eyes when they are under academic performance pressure. Lack of sleep, prolonged computer use and long hours studying make for tired eyes that are dry, scratchy and achy.
Prolonged computer use contributes to eye fatigue because you blink less frequently. Less blinking significantly reduces lubrication in the eye making it feel tired, scratchy and “dry” as a result. Also eyes are not designed for prolonged focus on a single object, such as the computer. Remedy: place a note on the computer screen as a reminder to blink and to look away from the screen and focus on objects in the distance. Looking out a window (20 – 20 – 20 rule: for every 20 minutes of computer work, look away for 20 seconds, and focus on a scene or object at least 20 feet away) is a good break for the eyes. The key is to give your eyes a rest.
“Dry eye” is a common feeling from not giving your eyes enough rest while some people just naturally do not produce enough tears to keep their eyes healthy and comfortable. Some common symptoms of dry eye are stinging and burning to the eyes, scratchiness, excessive eye irritation from smoke or wind and excessive tearing. Remedy: If you have occasional symptoms of dry eye, you should try eye drops called artificial tears. These are similar to your own tears and help lubricate the eyes and maintain moisture. For persistent “dry eye,” see your Eye MD.
Contact Lenses and Sleep Deprivation
When a contact-lens wearer stays awake studying for 18-20 hours or more with their contacts in, it’s almost the equivalent of sleeping with contacts in, something that Eye M.D.s warn against. Prolonged wearing of your contact lenses is a problem for people who wear regular hydrogen lenses, since traditional hydrogels are relatively less permeable to oxygen than newer alternatives like silicone hydrogels. The eye needs oxygen to keep it healthy. Without regular exposure to oxygen, the eye’s cornea can become inflamed and the vision blurry. Prolonged contact lens use can even lead to infections or corneal ulcers that in the worst case can permanently damage vision.
Sometimes students fall asleep without knowing it (with their contacts in), while studying. Remedy: Alternate wearing contact lenses with use of eyeglasses during long study periods. Also, students with irregular sleep patterns can wear contact lenses made of silicon hydrogen, a new material with improved oxygen permeability, which may reduce risk of infection and discomfort.
For more information about contact lenses and proper contact care guidelines please visit http://www.geteyesmart.org/eyesmart/glasses-contacts-lasik/contact-lens.cfm.
This article reprinted with permission from the American Academy of Ophthalmology's EyeSmart® program (www.geteyesmart.org).
Friday, May 12th, 2017
Short Hills Ophthalmology has been growing our practice over the past few months. We have proudly welcomed Dr. Antonelli and Dr. Ryan-Brophy to our staff. Dr. Antonelli is available on Monday afternoons and evenings in the Short Hills office. Dr. Ryan-Brophy is available in Short Hills on Tuesdays and alternate Thursdays, and in Clifton on alternate Thursdays and every Friday. Dr. Mund will be in Clifton Mondays and Tuesdays.
In addition, we are pleased to offer an alternative to traditional dilation. Ask our staff if our digital imaging option is right for you! In addition to saving time, this technology can allow our patients to return to normal activity immediately after the appointment. We are pleased to offer this option for the convenience and care of our patients. Digital imaging allows your eye doctor to evaluate the health of the back of your eye, the retina. Our office stores these images in your record, allowing your doctor to detect and measure any changes to your retina each time you get your eyes examined, as many eye conditions, such as Glaucoma are diagnosed by detecting changes over time.
As always, our team is always researching and evaluating the best options for contact lenses and glasses. Talk to our contact lens specialist or our optical shop about new options for your vision care!
Friday, May 13th, 2016
I just returned from the annual meeting of the American Society of Cataract and Refractive Surgery (ASCRS) in New Orleans. It was a whirlwind 3 days of lectures, presentations and demonstrations of the latest and greatest techniques and technologies in ophthalmology. It reminds me of why I became an ophthalmic surgeon more than 20 years ago.
In what I expect to become a regular blog, I hope to be able to open a window to the wonders of the human eye and the amazing things that we can do in this incredible specialty.
So first, a little about me. I'm a comprehensive ophthalmologist, which means I take care of a wide variety of eye conditions in patients of all ages. I have a special interest in laser vision correction and new technology cataract surgery and lens implants. I have been in practice in Short Hills, NJ for the last 15 years.
I was one of those kids who knew he wanted to be a doctor, specifically an ophthalmologist from a young age. Embarrassingly, my ambition in my high school yearbook was "opthalmologist" misspelled. (Many people miss one of the "h"s. It's ophthalmologist. It makes it worse that I was the editor of the yearbook! But fortunately my grades were better than my spelling and proofreading. I went to Johns Hopkins in Baltimore, as premed. Even back then, I enjoyed writing, and chose a writing seminars minor. I was science editor of the school paper, and wrote for the alumni magazine. Medical school at NYU followed, and then training at Long Island Jewish medical center and UCLA. So that's my path to my current practice.
In the day to day practice of medicine, it is easy to lose sight (no pun intended) of the advances that have taken place even since I began practice in the mid '90s. Like only a few other surgical specialties, ophthalmology has been the beneficiary of the explosive growth in technology.
Every year when I return from one of these conferences, my head spins with the myriad of ways that I can improve the quality of my patient care. Whether it is an automated camera that takes panoramic pictures of the patient's retina through a tiny pupil eliminating the need for dilation, or a sophisticated microscope attachment that measures the eye during cataract surgery and predicts lens implant power, the possibilities seem endless.
So while I'm at the midpoint of my career as a surgeon, I feel like a kid in a candy store. And things will only continue to get better. We are blessed in our field that we have some of the brightest and most creative minds in medicine and biotechnology at work making major advances in eye care and surgery.
Keep your eyes peeled (I have to quit with these puns!) on this space for regular posts on the wonders of the human eye and some exciting developments that I think will really help my patients.
A word about New Orleans- this was my second trip back since hurricane Katrina 11 years ago. The city pulses with vibrancy and color, and southern hospitality is alive and well in the big easy. But As I passed the superdome and spent time in the convention center, I couldn't help but think about the loss of life and property that happened here a short decade ago. New Orleans is back, but the scars remain.
Tuesday, November 3rd, 2015
It’s been an exciting couple of months at Short Hills Opthalmology.
We have considered, researched, and prepared our new Credit Card on File (CCOF) Policy for over a year, and finally, we brought it to our patients on September 1st. We are pleased to report that our staff and patients have exceeded our expectations for a very smooth transition!
Although this policy may be new for many of our patients, CCOF is not new for many medical offices across the country. It is getting more and more difficult to support our practices in light of declining insurance payments and increased patient deductibles, copays, and coinsurances. Some offices have even gone as far as to stop accepting medical insurance and only accepting cash payments at time of service. Doctors can no longer afford to extend credit to their patients after they receive the determination of the insurance company.
“Doctors can no longer afford to extend credit to patients;
what does that even mean?”
When you see Dr. Farbowitz, a medical claim is generated for your visit and sent to your insurance company. The claim tells the insurance company who you are, what was wrong, and what was done by the physician. Each patient’s insurance policy and benefits can be different from other patients, even from the same insurance company. When the insurance company receives it, they compare it to your insurance policy and benefits and pay or deny the claim. We have no way of knowing what their determination will be when you come in for your visit. Extending credit means that, after the 6-8 weeks it takes the insurance company to respond to your medical claim, we must bill you and again await payment in the amount you were determined to owe. Patients who do not pay their bills and are sent to collections are very costly, but ALL patient billing is costly, even when you do pay your bills on-time. Banks and financing companies extend credit, and charge many fees and oftentimes high interest rates to cover their costs and turn a profit. Doctor’s offices, however, are losing money on this practice every single month of the year.
When a patient sees a doctor, it is the patient’s responsibility to pay for that service, either directly or indirectly. There may be other agreements in play, such as the patient’s insurance company’s agreement to pay for certain medical expenses (benefits), and the doctor’s agreement with the insurance company to accept a certain amount for the medical services as payment-in-full (contracted rates). Those agreements can make it confusing for patients to understand that they are financially responsible for the visit. If doctors are to stay in practice, it’s imperative that we bridge the gap between the day the medical claim is paid by the insurance company and the day the final patient payment is received and the claim is closed. Our CCOF policy ensures that, while remaining sensitive to our patients, we can close claims in a timely and fair fashion after the insurance company determines how much the patient owes.
At Short Hills Ophthalmology, we understand that this may be the first time our patients are asked to leave a credit card on file at a doctor’s office. Our sincere hope is that our patients understand that, in order to continue providing the services and care that you deserve, we have to work smarter. Patients are not being asked to pay more than they have in the past, they are only being asked to ensure that we will receive their portion of the payment without us incurring billing costs (or collection fees) in a timely manner after their insurance makes the determination.
It is also important for patients to remember that this policy is not personal in any way. We cannot favor some patients over others by allowing them not to participate in our CCOF policy. Regardless of your insurance coverage or history of payment, it is discrimination to require some patients and not others to file a credit card. Policies and coverage change on a regular basis, and we do not judge or discriminate between patients on their need to leave a credit card on file. This policy is applied to every patient, and will actually save our patients the time and effort of paying our bill!
Please feel free to contact our practice manager, Joy Saah, with any questions or comments:
- by phone at 973.379.2544 on Tuesdays or Fridays, or
- write to her anytime at JoySHeye@gmail.com.
Please feel free to browse our Credit Card on File Policy documents HERE:
Sunday, November 1st, 2015
Dr. Farbowitz is pleased to announce a huge discount on LASIK this winter!
Between November 15 and January 15, LASIK will be available at the low price of $3,600, including FREE designer sunglasses!
As always, Dr. Farbowitz will personally handle all consults, preoperative, and postoperative visits in addition to surgery, so every patient can be assured of a great patient-doctor relationship. Please call our office today at 973.379.2544 to set up a FREE consultation.
What better holiday present can there be than clear, healthy vision?
Tuesday, September 1st, 2015
Short Hills Ophthalmology is proud to offer financing plans through Care Credit!
Eye care financing
Your eyes have what it takes to live your best life in full technicolor detail, whether it's reading a book, sightseeing in foreign lands or making sure you are in optimum health. Your CareCredit healthcare credit card can help you protect your eye health with a way to pay for the costs of vision care for you and your family, including:
- Routine eye check-ups
- New glasses
- Contact lenses
- Dry eye treatments
- Cataract procedures
- Standard (single-focus) IOLs
- Multifocal and toric IOLs
LASIK eye surgery financing
Set your sights on living a life without glasses!
You deserve to look and feel your best, that's why CareCredit makes it easier for you to pay for life changing refractive eye surgery, like LASIK. Use your CareCredit healthcare credit card for LASIK financing and pay for your eye surgery in convenient monthly payments. When you use your CareCredit healthcare credit card for your LASIK financing, the answer to 20/20 vision is literally right before your eyes.