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Read about our practice,our doctors, learn about new advancements in eye health, and get tips on how to keep your family's eyes healthy.

By Dr. Dori Kimchy, May 1 2017 01:59PM

Let's talk nutrition again!


Nutrition is vital to our physical, mental and emotional health. Let's face it, when we eat right, exercise regularly and hydrate our body, it does wonders for our mood. It's not only important for our psyche, but as we age, it becomes increasingly critical to our visual health.


I would like to shed light on a process known as oxidation. Mostly, we are familiar with oxidation as it is related to metal. When metal oxidizes (or is exposed to free radicals) it results in corrosion and rust. Our bodies also undergo a similar 'corrosive' process in which our tissues are exposed to harmful free radicals resulting in disease and aging changes. This is especially relevant in the macula, which is an area in the retina responsible for our central vision. In order to counteract this damaging process, it is important to enhance our antioxidative abilities through nutrition and other preventive measures.


Our macula is constantly exposed to free radicals stemming from direct exposure to blue/violet light. Sunlight, in addition to digital device use, contributes to overexposure. There is macular pigment present which acts as a protective shield for the macula and helps to counteract oxidation. However, factors including age, genetics, poor diet, smoking and excessive exposure to blue/violet light can deplete healthy levels of pigment. This deficiency can result in the development of macular degeneration.


The good news is, there is a light at the end of the tunnel! We can enhance our density of macular pigment with healthy lifestyle changes and, thus, decrease our risk of developing macular degeneration. Carotenoids, which are present in the macular pigment, include Meso-zeaxanthin, Lutein and Zeaxanthin. While these elements can be found in many foods, including kale, spinach, collard greens, peas, broccoli and eggs, you would need to consume an unrealistic amount in order to reap the benefits. For that reason, we often recommend supplementation.


During a comprehensive eye examination, your optometrist will ask questions, evaluate your retina, discuss your family history and assess your risk of developing macular degeneration. Come in today to assess your visual health and determine if you, too, can benefit from supplements that could improve your vision for many years to come!

By Dr. Dori Kimchy, Mar 22 2017 04:12PM

Here at All Eyes on Rockville, we are very conscious about our environment and doing our part to protect our planet, and thus, there are many strategies we have implemented in order to reduce waste!


From the moment you enter our office you may notice that our check in process is streamlined and paperless! We use laminated forms and dry erase markers which are then cleaned and reused for the next patient. Our medical records are entirely electronic and correspondence with our patients is via email and text. Even your medical prescriptions are communicated directly to your pharmacy via e-prescribing, further reducing excess paper waste!


We take great pleasure in offering espresso, tea and water to our patients. You may note that our plastic cups are 100% compostable and made from plants, whilst our paper cups are made from recycled materials. Our Nespresso pods are 100% recyclable and we send them back to the manufacturer monthly!


Contact lenses and blister packs are the latest materials that can be added to the "green" list! We are proud to participate in a program called One by One which will recycle your contact lenses and packaging. You may drop your said materials here in our office or directly from your home. Feel free to ask us how you too can participate!


By Dr. Dori Kimchy, Mar 16 2017 02:21PM

Interesting piece in Science Magazine that looks at how Vitamin B3 may be beneficial in Glaucoma prevention. From the article:


Glaucomas are neurodegenerative diseases that cause vision loss, especially in the elderly. The mechanisms initiating glaucoma and driving neuronal vulnerability during normal aging are unknown. Studying glaucoma-prone mice, we show that mitochondrial abnormalities are an early driver of neuronal dysfunction, occurring before detectable degeneration. Retinal levels of nicotinamide adenine dinucleotide (NAD+, a key molecule in energy and redox metabolism) decrease with age and render aging neurons vulnerable to disease-related insults. Oral administration of the NAD+ precursor nicotinamide (vitamin B3), and/or gene therapy (driving expression of Nmnat1, a key NAD+-producing enzyme), was protective both prophylactically and as an intervention. At the highest dose tested, 93% of eyes did not develop glaucoma. This supports therapeutic use of vitamin B3 in glaucoma and potentially other age-related neurodegenerations.


If you're interested in reading the article in full, you can purchase it at: http://science.sciencemag.org/content/355/6326/756.full

By Dr. Dori Kimchy, Mar 8 2017 02:47PM

We are due for a total eclipse August 21, 2017 in the Continental US, the likes of which haven't been seen since February 26, 1979. While the entire continent will experience a partial eclipse which will last between 2 and 3 hours, there is a 60 to 70 mile-wide path from Oregon to South Carolina that will experience a total eclipse. This total eclipse lasts for 2 minutes and 40 seconds and occurs when the moon completely blocks the sun. In order to experience the full length of totality, the best viewing spot is just south of Carbondale, Illinois. During the fleeting moments of totality, your surroundings will change and it has been been described as an awe-inspiring spectacle! Day briefly turns to night, stars and planets which would otherwise be hidden may be visible, a 10-15 degree F drop in temperature can occur, the birds will stop singing and shadows will look different.


If you are lucky enough to view the spectacular scene in the sky, it is important to take great care in protecting your eyes! Looking directly at the sun is unsafe except for the brief moments of totality. You need to take precautions while looking at a partially eclipsed sun. Viewing the sun should only take place through eyeglasses that have special-purpose solar filters such as "eclipse glasses" or handheld solar viewers. Currently there are three manufacturers that provide certified lenses that satisfy the ISO 12312-2 International standard for such products. These manufacturers are Rainbow Symphony, American Paper Optic and Thousand Oaks Optical.


Here are a few important tidbits to keep in mind if you plan on viewing the eclipse. The solar glasses should be worn for the entirety of the event unless you will be in the direct path of totality. In that case, you will wear protective glasses until the moon is completely blocking the bright sun and it becomes dark. For those moments, it is safe to remove your solar filter. Once the sun begins to emerge, immediately replace the solar glasses in order to view the remaining partial eclipse phases. Remember that you want to enjoy the view! It is unsafe to look at the eclipsed, uneclipsed or partially eclipsed sun through an unfiltered camera, telescope, binoculars or other optical device. So, if you plan to view the event, leave the photography to the experts. Just sit back and enjoy the experience!


If at all possible, take advantage of the opportunity to witness such a spectacular event! These opportunities don't come around too often. In fact, the next solar eclipse is not scheduled to come our way until April 8, 2024!


Dori Kimchy


By Dr. Dori Kimchy, Feb 2 2017 08:24PM

Perhaps you recall that Dr. Hannah Yecheskel was named the only Mom-Approved Eye Doctor by Washington Parent readers. She is now being recognized again in their publication with a guest blog she wrote called, "Are You Doing All You Need to do for Your Child's Vision." Check it out on the Washington Parent website as it's a great guide on what you should do when preparing for a visit to your child's eye doctor.