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Recurrent Erosion Syndrome

20160715_090914We at Eye Specialists thought it would be a good time to discuss Recurrent Erosion Syndrome (RES) since it seems to be coming up more often and being missed on routine eye exams as dry eyes or allergies.  RES has a high prevalence in the USA and has multiple causes.  A typical story is someone complains of pain, discomfort, or foreign body sensation especially in the morning when waking up.  Sometimes it will be in the middle of night feeling like opening the eyes causes a “ripping apart” discomfort.  The feelings are actually right on in that the surface of the eye is essentially being abraded off by the inside of the eyelid pulling it apart.  Most commonly this is due to a prior trauma like a child’s fingernail injury that may have occurred many years ago. There is also a genetic condition that may make someone more prone to this issue.  Diagnosis can be made by history and an exam with a cornea specialist.

Since this can be such a debilitating condition Dr. Josephson has worked hard to offer the most advanced options for this condition.  Usually we start with drops and ointments but if not working we have options to resurface the eye with stem-cell therapies and lasers.  We do not quit until we find the treatment that will work for you.

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20160706_162917 With the school year starting we know allergy season is approaching. I thought it would be important to share a quick word on red eyes.  We all have experience with our eyes having discomfort and looking in the mirror and seeing our eyes are red.  There are many reasons this can occur from a blood vessel bursting (ie subconjunctival hemorrhage), eye infection, eye inflammation, and allergies to name a few.  It is important to evaluate the symptoms in context of how you are generally feeling and consider seeing an eye specialist to make sure that nothing vision threatening is occurring.  This is especially true if you are a contact lens wearer since some of the infections can be more severe.  An example to consider is a condition called dendritic keratitis or herpetic keratitis shown in the picture.  It is from the virus that causes the common cold sore and is found in a majority of the population (over 80% in some studies).  It can be brought on by stress or if a person is under the weather.  Many times a person will complain that their eye feels gritty and look red.  When we look in the microscope we see this condition.  Timely treatment is key so that vision can be recovered fully.

Wishing you the best in the new Season!

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Wondering if Vision Correction is right for you?

I would like to thank my very kind patient for sharing her experience and kind words in a recent email we received.  She was also kind enough to share a picture of the experience as well.  If you have any questions about vision correction feel free to call us at 571-349-2191.

“I wanted to thank you, officially, very much for your patience and your understanding as you worked with me through my initial hesitation in getting the surgery. A little over four months on, now, and I still marvel at how downright miraculous it is to be able to wake up seeing perfectly. It’s such a simple thing, but so incredibly freeing! I’m really grateful to you for being so reassuring through the whole experience.” Dr. Josephson n Ray Charles
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Designated Dry Eye Center of Excellence!


It is an honor as a relatively new practice to already be awarded for our tireless efforts for our patients. This month Eye Specialists & Surgeons of Northern Virginia , the office of Dr. John Josephson, was designated a Dry Eye Center of Excellence for the advanced techniques used for the cornea in dry eye patients.  This is a very unique distinction for the region of Fairfax, Loudoun, and Prince-William counties.

If you feel your sandy, uncomfortable, dry eyes are continuing to be a bother please call us at 571-349-2191 for a consultation or visit us at

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