Thursday, 19 March 2015
Dry Eyes Need Customized Treatments

If I asked you what is the most common eye disorder that optometrists and ophthalmologists treat, you  would probably say cataracts, glaucoma, macular degeneration, right? Well the reality is besides nearsightedness, farsightedness, and presbyopia (loss of focusing with age), it is dry eyes. For many patients, dry eyes are so severe that it limits their ability to function in regular life. We see this with systemic arthropathies (RA, Pemphigoid, Sjogren's syndrome, Scleroderma) or as a result of hypertension, bladder control, or antidepressant medications.

Our doctors evaluate whether your dry eyes are mild, moderate, or severe. We use a well-documented, evidence-based medicine approach called the Ocular Surface Disease Index which provides a rating scale for your symptoms. This rating scale helps us in matching the right type of treatment for our patients. Treating with lubricant drops while sitting at the computer may be fine for an accountant who only reports dryness or blurred vision once a week but that would not be sufficient for a someone with bad allergies, is menopausal, or reports chronic irritation.

We're here to keep your eyes seeing and feeling good. If you are struggling with dry eyes, email one of our doctors at or make an appointment online at



Posted on 03/19/2015 7:17 PM by Dr. Jeff Kegarise
Tuesday, 3 March 2015
Do I Have to Wear Bifocals? Part II

As I discussed in the last blog, the true answer to "Do I have to wear bifocals?" is no. However, most people prefer to move to a progressive (bifocal) lens in glasses because it really improves their function. Some patients just want to wear contact lenses and not glasses. We have more options than ever for people over age 40 to wear contacts. These are the three main options:

The first is using the contacts you already wear and correcting both eyes for distance. Then, when needed, wear reading glasses atop for near tasks. For many people, this ultimately provides the clearest vision. The second option is to correct both eyes for distance with contacts and then take your non-dominate eye (we all have one preferred eye) and back off the prescription to achieve better near vision. Called monovision, one eye sees for distance and one eye sees better near. The brain in its amazingly flexible manner can often adjust to this scenario very well. The success rate for monovision is about 75%. Our third option is fitting you in a multi-focal contact lens. These lenses are not just for distance and near, but all distances, including the computer, your office, television, reading, etc.  Multi-focal contact lenses work differently  than progressive glasses. The contact lenses have features that actually bends light to give you near vision which takes some adaptation and the success rate is similar to monovision. Multi-focal contacts exist for all types of prescriptions, including astigmatism. To know the options that exist for your prescription, don't hesitate to contact us by e-mail or phone. We're here to help!


Posted on 03/03/2015 4:57 PM by Dr. Jeff Kegarise
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Monday 8:00 am - 5:00 pm
Tuesday 9:15 am - 6:00 pm
Wednesday 8:00 am - 5:00 pm
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Cool Springs EyeCare
3252 Aspen Grove #1
Franklin, TN 37067-7216
United States of America

Phone: (615) 771-7555
Fax: (615) 771-7773

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Our doctors are available 24 hours a day and for medical urgencies and emergencies. Please call the office at 771-7555.

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