Hamilton Vision & Eyecare

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Hamilton Vision & Eyecare Hamilton Vision and Eyecare has been serving the vision needs of Hamilton and the surrounding areas

Case of the week : A 65 year old patient presents with a complaint of increasing redness, irritation, and watery eyes. H...
10/30/2026

Case of the week : A 65 year old patient presents with a complaint of increasing redness, irritation, and watery eyes. He reports his eyes feel dry but they are still watery. Examination revealed meibomian gland dysfunction.

Meibomian Gland Dysfunction (MGD) is a rather common condition where the oil glands that line the upper and lower lids become blocked and do not express properly. This oil is important because it covers the natural tears and protects them from evaporation.

Symptoms:

* Burning or stinging eyes
* A gritty sensation, as if sand is in the eyes
* Redness and irritation
* Blurry vision that comes and goes
* Watery eyes, even though the eyes feel dry
* Contact lens discomfort or reduced wearing time
* Eyelid inflammation, crusting, or recurrent styes

Treatment:

For mild cases, treatment consists of warm compresses and artificial tear use. For moderate to severe blockage, doxycycline can be utilized to help loosen the oil. Also, in office heating and manual expression of the oils can be done. We currently do these treatments with our Ilux2 device. Below is a short video of the patient’s treatment.

Case of the week: Presumed Botox-Induced DiplopiaA 45 year old female presented with sudden vertical double vision. Bino...
10/16/2026

Case of the week: Presumed Botox-Induced Diplopia

A 45 year old female presented with sudden vertical double vision. Binocular Vision testing revealed a slight misalignment with the right eye resting lower than the left eye in primary gaze. The deviation was even greater when looking up. Examination did not detect any cranial nerve palsies. Her history revealed that she had received botox injections recently. The superior re**us muscle is responsible for upward movement of the eye and it was determined that the botox had likely paralyzed the muscle temporarily. The patient was given prism glasses to wear to eliminate the double vision and scheduled for a 1 month follow up visit. At follow up, the double vision was still present without the glasses, but the amount of the deviation has gotten better (the images are closer together). The patient has a good prognosis and should fully recover. Botox typically lasts 3-4 months but can have lingering effects up to 6 months.

Takeaway: patients who experience sudden onset double vision should schedule an eye exam ASAP to rule out more severe etiologies.

Case of the week: 15 year old girl presented with blurry vision and black spots in the left eye for about 1 week.  Visio...
08/28/2026

Case of the week:
15 year old girl presented with blurry vision and black spots in the left eye for about 1 week. Vision was 20/20 in the right eye and 20/50 in the left eye. Examination showed a focal yellowish white retinal lesion with overlying vitreous inflammation. She also had anterior uveitis as well. She was diagnosed with ocular toxoplasmosis and started on Bactrim DS BID and ocular prednisolone drops for the inflammation.

Toxoplasmosis is a parasitic infection typically contracted from infected cats/kittens. It can also be contracted from eating raw or undercooked meat.

Fortunately, the lesion did not involve the macular area, so the patient should regain normal vision once the inflammation resolves.

Case of the week: Laser Pointer RetinopathyAn 11 year old male patient presented to the office for a routine eye exam.  ...
07/31/2026

Case of the week: Laser Pointer Retinopathy

An 11 year old male patient presented to the office for a routine eye exam. He was correctable to 20/20 in the right eye but only correctable to 20/30 in the left eye. His exam revealed a small yellowish lesion in the fovea of his left eye. OCT images below show the issue. There is an area of damage to the retinal pigment epithelium and photo-receptors right in the middle of the fovea. This is the classic appearance of photochemical/thermal damage. He was questioned about looking into a laser pointer and initially denied it. At his 4 month check up, the fovea showed no change. He did admit, though, to looking directly into a laser pointer in the past at this visit. Unfortunately, the damage is permanent, but should not get any worse.

Important facts:
~Staring at the sun without protective eyewear can also cause this, but it usually affects both eyes.
~Green and blue lasers are more dangerous and can cause damage to the eye much quicker than red lasers.

Case of the week: Herpes Simplex KeratitisHas anyone ever had a cold sore on your lip?  The same virus that causes cold ...
07/17/2026

Case of the week: Herpes Simplex Keratitis

Has anyone ever had a cold sore on your lip? The same virus that causes cold sores can also affect the eye. It is estimated that 50 - 80% of the US population is a carrier of Herpes Simplex Virus- type 1. The virus typically remains dormant, but can become active from stress, sunlight, eye injury/surgery, or just a weakened immune system. In the eye, it is most commonly seen as a dendritic epithelial lesion of the cornea. It can also affect deeper corneal tissues in more severe cases.

Symptoms: Foreign body sensation, light sensitivity, watering, redness, inflammation, blurred vision, etc.

Treatment: Typically, a course of oral antiviral medications. There are also topical antiviral eye drops, but in most cases the oral medication is just as effective while also being much more affordable.

Our patient presented with sudden loss of vision in their left eye, accompanied by pain, foreign body sensation, watering, and light sensitivity. We prescribed oral valacyclovir 500 mg TID x 10 days. After 1 week, the epithelial dendrite had resolved and vision improved to 20/20. Patient still had some mild light sensitivity/soreness. We prescribed a topical steroid taper to help with residual inflammation and reduce the potential for scar formation. After 2 weeks the condition had completely resolved.

Case of the week.........Often times, after cataract surgery, vision can become blurred again due to capsular fibrosis a...
07/01/2026

Case of the week.........
Often times, after cataract surgery, vision can become blurred again due to capsular fibrosis and patients will say that they had to have their implant "polished" or something similar. What actually happens is that a laser is used to open up a window in the hazed/fibrosed capsule that the implant is placed in which will clear the vision. A patient recently came in stating that she felt her implant was hazy and needed to be "polished". Examinantion did reveal mild capsular haze which could possibly account for her 20/40 vision in that eye, but did not really seem to be that significant. An o.c.t. exam was performed that revealed the culprit....a small full thickness macular hole.

Most macular holes are caused by aging changes inside the eye. High myopia, trauma and inflamation are some of the other causes. In this case, the hole is small compared to most, and with relatively good 20/40 vision, we are taking a conservative aproach and treat medically and hope for spontaneous resolution as a small percentage will resolve. If the hole persists, then we will have to have a retinal consult for surgical intervention.

Happy 250th, America!  We will be closed July 1st through the 5th.  Have a happy and safe 4th, and remember, wear proper...
06/30/2026

Happy 250th, America! We will be closed July 1st through the 5th. Have a happy and safe 4th, and remember, wear proper eye protection if handling or near fireworks. 😉

Case of the week: Papilledema Papilledema is defined as optic disc swelling produced from increased intracranial pressur...
06/19/2026

Case of the week: Papilledema

Papilledema is defined as optic disc swelling produced from increased intracranial pressure. This excess pressure on the nerve can cause damage over time.

Causes: Benign or malignant tumors, hydrocephalus, idiopathic intracranial hypertension, stroke, venous sinus thrombosis, certain medications, etc.

Symptoms: transient vision loss, headache, double vision, nausea, and decreased visual acuity

Treatment: Treatment almost always starts with neuroimaging here. If we can rule out a tumor through a normal MRI, we can treat the intracranial hypertension with acetazolamide tablets.

Our patient underwent an MRI and received a clean report. The patient had been undergoing testosterone replacment therapy (TRT) recently. This has been linked to papilledema, although uncommon. He has stopped the TRT and has started acetazolamide to help bring the intracranial pressure back down to normal levels and control the nerve swelling.

Below are images of a swollen optic nerve and a normal optic nerve for comparison.

We are excited about welcoming Jade and Sydney to our eye care team!😁😁
06/05/2026

We are excited about welcoming Jade and Sydney to our eye care team!😁😁

Thank you Elder's Tacos & Steaks for the great lunch!!!!☺️
06/04/2026

Thank you Elder's Tacos & Steaks for the great lunch!!!!☺️

Address

1520 Military Street S
Hamilton, AL
35570

Opening Hours

Monday 8am - 5:30pm
Tuesday 8am - 5:30pm
Wednesday 8am - 12pm
Thursday 8am - 5:30pm
Friday 8am - 4pm

Telephone

+12059215499

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