Columbia Point Vision Clinic
  David A. Cantley, OD

 
 
 

Quality Services

Our Services

At Columbia Point Vision we strive to provide you the very best in eye care and eyewear. Our routine eye examination consists of:
  • A thorough medical and eye health history
  • Blood pressure measurement
  • Peripheral vision evaluation
  • Testing for stereopsis (how the eyes work together)
  • Color vision testing
  • Neurological testing
  • Refraction (determines the appropriate prescription for you)
  • Internal and external evaluation of your eye health
  • Glaucoma screening
In addition to routine eye examinations we also provide the following:
  • Digital retinal photography
  • GDx laser evaluation of the optic nerve and nerve fiber layer
  • Fitting and evaluation of all types of contact lenses including bifocal contact lenses
  • Non surgical treatment for clear vision without contact lenses or glasses
  • Diagnosis and management of eye diseases and conditions such as:
    • Conjunctivitis (pink eye)
    • Iritis
    • Keratitis
    • Keratoconus
    • Glaucoma
    • Macular degeneration
    • Dry eyes
    • Diabetic eye disease
    • Hypertensive eye disease
  • Removal of corneal and conjunctival foreign bodies
  • Pre and postoperative care for ocular surgeries including LASIK and PRK
  • Referral to ocular surgeons when appropriate
  • Nutritional recommendations for various ocular conditions such as macular degeneration and dry eyes
  • 24 hour emergency eyecare
Our dispensary has hundreds of frames from several top designers in many different styles. Allow our experts to assist you in choosing the perfect frame and lens combinations to satisfy all your visual needs.

We are providers for many vision as well as medical insurance plans. Please call our insurance experts for any billing questions. We will be happy to bill your insurance if we are providers or provide you with all you need to submit it yourself if we are not.

Safety Eyewear provider for:

  • U.S.Safety
    • Fluor Daniel Hanford
    • Battelle
    • CH2MHill
    • Bechtel
  • A.O. Safety
 

Dry Eye

Artificial tears and lubricants offer temporary relief from the symptoms of dry eye which typically include scratchy, burning eyes. Punctal plugs which close off the tear drainage ducts sometimes offer more lasting relief. However, neither approach addresses the real problem which is that the eyes are not producing enough good quality tears. The following nutritional recommendations aid the body in producing more and better tears.

Nutritional Recommendations

  • Flax oil or evening primrose oil in capsule form--2 gms/day [avoid omega-3 oils if nursing, if using anticoagulants (eg warfarin, aspirin), if have type 2 diabetes, and children should not use]
  • Maxlife CoQ10 formula (by TwinLab)--2 capsules/day
  • Avoid use of margarines, fried foods, saturated fats and nutrasweet
  • Daily Supplements
    • 20,000 to 40,000 units vitamin A as beta carotene
    • 1000 mg vitamin C
    • 1000 mg bioflavinoids as quercetin
    • 25 mg B2
    • 50-75 mg B6
    • 15-25 mg zinc
    • 500-1000 mg omega 3 oils (flax oil is a good source)
  • Be careful of medications that cause dryness
    • antihistamines
    • atropine, scopolamine
    • vitamin A analogs (isotretinoin)
    • diuretics
    • codeine
    • decongestants(sudafed)
    • marijuana
    • beta blockers
    • tranquilizers (elavil, valium, diazepam)
    • niacin
    • morphine
    • cancer drugs
    • decongestant eye drops
 

Macular Degeneration

At present there is no effective cure for macular degeneration. The best treatment is prevention. The following steps are recommended to stop or slow the progression of macular degeneration:

  • Increase lutein intake
    • eat 3 - 5 1/2 cup servings of spinach, kale or collard greens per week
    • eat 5 - 6 servings of fresh fruit and vegetables per day
    • take lutein supplements up to 6 mg/day (as little as 2 mg/day has been found to be therapeutic in some cases)
  • Increase glutathione levels
    • take 1000 mg of vitamin C/day
    • drink herbal milk
    • eat sulfur rich foods--e.g. asparagus, garlic, onions, eggs
  • Increase capillary strength
    • take > 100 mg/day of bilberry, grape seed, or cranberry extracts
  • Decrease exposure to UV and blue sunlight
    • wear glasses with a UV filter
    • wear a broad brimmed hat outdoors
  • Stop smoking and reduce alcohol intake
  • Avoid excessive use of blood thinners like aspirin and ibuprofen
  • Reduce caffeine intake (caffeine constricts blood vessels and reduces retinal blood flow)
  • Take daily nutritional supplements
    • 20,000 - 40,000 units of vitamin A
    • 500 - 1000 mg omega 3 oil
    • 100 mg N-acetyl cysteine
    • 100 micrograms selenium
    • 1000 - 3000 mg bioflavinoids from quercetin, bilberry, or ginko biloba
    • 400 - 800 units vitamin E
    • 100 mg garlic
    • 15 - 25 mg zinc
    • 100 mg amino acid taurine
 

Cataracts

Cataract formation is a natural consequence of the aging process. However with proper protection and good nutrition it is possible to slow their development and occasionally reverse their formation.

Risk Factors:

  • UV rays
  • Photosensitizing medications--e.g.. psoralens, thiazides, sulfa, tetracycline
  • Infrared heat rays
  • Toxic substances--e.g.. mercury, ethylene gas
  • High blood sugar
  • Drugs--e.g.. steroids
  • Smoking
  • Alcohol
  • Undernutrition
  • Trauma, electric shock, ionizing radiation, x-rays
  • Dehydration
  • Hyperbaric oxygen treatment


Preventive Therapy:

  • Protection from UV
    • wear glasses with UV filtering protection
    • wear a broad brimmed hat outdoors
  • Antioxidant therapy (daily dosages)
    • 400 - 800 units vit E -500 - 1000 mg vit C
    • 10,000 - 25,000 units vit A as beta carotene
    • 15-25 mg zinc -100 mg L-cysteine or N-acetyl-cystein
    • 250 mg rutin (a bioflavinoid)
    • 1000 - 3000 mg quercetin (a bioflavinoid) to prevent diabetic cataracts
    • 200 mcg chromium to control blood sugar fluctuations
    • 25 -50 mg vit B12


Stop smoking and drinking
Increase intake of fresh fruits and vegetables
Control blood sugar levels
 

Diabetic Eye Diseases

Diabetes of long standing duration, especially more than 5 years, may cause retinal swelling(edema), growth of abnormal retinal blood vessels (neovascularization) and/or retinal hemorrhage.

Good nutritition and exercise can be helpful in controlling diabetic eye diseases.

As always the best source of nutrients is a good diet, unfortunately very few of us eat properly and get all the nutrients we need, if you fall is this category then nutritional supplements can be a good idea.

  • Exercise
    • 30 minute brisk walk daily
    • lose weight. Diabetes is as common as a 42inch waist line.
  • Nutrition
    • decrease fat intake to 10% (most americans intake 40% fat)
    • minimize the use of refined sugars
    • eat foods rich in bioflavinoids (blueberries, cherries, rasberries, red onions)
    • supplements (daily doses)
      • vit C--1000 mg
      • vit B complex
      • vit A--20,000-40,000 units
      • vit E 250-400 units (d-alpha form (natural), not dl-alpha (synthetic))
      • bioflavinoids--1000-5000 mg (especially quercetin, bilberry*)
      • magnesium--250-400 mg at bedtime
  • Avoid
    • alcohol
    • tobacco
    • lard, margarine and fried foods
*bilberry is routinely prescribed in europe and especially Germany to prevent diabetic retinopathy

 
 

Glaucoma

Glaucoma is an eye disease characterized by the presence of optic nerve damage and the gradual loss of peripheral vision with potential for total blindness without pain or other symptoms. Underlying factors involved in glaucoma may be overall poor health, obesity, high blood pressure, lack of exercise, poor nutrition, diabetes, vascular (blood vessel) disease, and changes within the eyes caused by advancing age, as well allergies and digestive problems.

Risk factors that increase the chances of developing glaucoma include the following:
  • General:
    • anxiety/stress
    • obesity
    • lack of exercise
    • inverted body positions
    • tight collars around necks (neckties too tight)
    • exposure to heavy metals
    • cigarette smoking
  • Systemic factors:
    • high blood pressure
    • atherosclerosis
    • cerebrovascular disease
    • diabetes
    • allergy
    • thyroid disease
    • peripheral vascular disease
    • coronary artery disease
    • low blood pressure
  • Nutrition and water balance:
    • excessive fluid intake (more than 8 ounces per hour)
  • Ocular factors:
    • high myopia
    • narrow drainage openings
    • hemorrhage of optic nerve
    • exfoliation syndrome
    • chronic eye and lid allergy
    • pigment loss from the iris
    • occlusion of central retinal vein
    • abnormal optic nerve shape
  • Preventive measures:
    • maintain good cardiovascular health
    • limit caffeine intake
    • avoid tobacco
    • exercise regularly
  • Nutrition (daily recommendation):
    • limit fat intake to 10% of diet
    • Beta carotene = 25,000 units vit A
    • Omega 3 oils, cod liver or flax (500-2500 mg at bedtime)
    • Vit B complex to include thiamin, riboflavin, niacin and vit B6(25-50mg) and vitamin B12(500-1500 micrograms)
    • Zinc(15-25 mg)
    • Garlic(500-1000mg)
    • Quercetin or rutin (1000-3000 mg)
    • Vit E (400 units)
    • Vit C (1000 mg)
**The objective of nutritional supplements is to clean out congested blood vessels in the eyes
 
 

Night Blindness

Very few people are truly night blind. Most people who say the are night blind will benefit from an updated prescription to optimize focusing. For people with cataracts, surgery is likely the best option. In some cases nutritional deficiencies reduce night vision. For these people the following may be helpful.

Nutritional Recommendations

  • Night blindness is often the first sign of vitamin A deficiency.
  • People who have undergone intestinal bypass surgery or who have cirrhosis of the liver are prone to night blindness due to interference with vitamin A metabolism. Zinc is required to release vitamin A from the liver.
  • Bilberry was found to improve night vision by British pilots during WWII, since then a number of medical reports confirm that bilberry improves night vision.
  • Wearing sunglasses in bright sunlight can help the eyes adapt quicker when dusk occurs
  • Daily Supplements
    • 20,000 to 40,000 units vitamin A as beta carotene
    • 1000 mg vitamin C
    • 25 mg zinc
    • 1000-3000 mg bilberry
Avoid smoking and high intake of alcohol
 

Vitamin & Mineral Sources

Vitamin A
  • orange and yellow vegetables such as yams, carrots and sweet potatoes
Vitamin B's
  • brewers yeast, wheat germ, beans, whole grains, halibut, salmon, tuna, almonds, peanuts, sun flower seeds, avacados, bananas, bran, carrots, rice, soybeans, lentils, peas, green leafy vegetables
Vitamin C
  • papayas, oranges, lemons, watermelon
Vitamin D
  • sunshine, cod liver oil, salmon
Vitamin E
  • wheat germ, nuts
Selenium
  • garlic, onions, seafood, celery, bran, broccoli, cabbage, yeast
Magnesium
  • almonds, fish, soybeans, wheat germ, leafy green vegetables
Zinc
  • small amounts in meats
Bioflavinoids(quercetin, rutin, bilberry, ginko biloba, pycnogenol, citrus, hesperidin)
  • cherries, blueberries, citrus fruits, buckwheat, red onions
Coenzyme Q10
  • beef
Omega-6 Fats
  • evening primrose oil, flaxseed oil, borage, black currant seed, human mother's milk
Omega-3 Fats
  • cold water fish--salmon, tuna, halibut, mackerel, cod; flax seed oil
 

Honored Insurance Plans

  • Asuris
  • Premera
  • Northstar
  • Lifewise
  • First Choice
  • Benesight
  • Zenith
  • Cigna
  • Health Comp
  • United Health Care
  • Uniform
  • L&I
  • Pacific Vision
  • VSP
  • NW Sheetmetal
  • Medicare
  • WAUSAU
  • Aetna
  • William Earhart
  • CHPW
  • and many others
 

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