Ritch, Robert H, MD

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(212) 477-7540Call Visit WebsiteVisit Website Map & DirectionsDirections310 E 14th StNew York, NY 10003 Write a ReviewWrite Review

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Mon - Fri:	9:00 am - 5:00 pm

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Jackson Heights (9 miles)
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Brooklyn (10 miles)
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Specialties

Additional Specialties: Ophthalmology

More Info

Extra Phones: Fax: (212) 420-8743
Payment method: master card, visa
Location: New York Eye & Ear Infirmary
AKA: DR Robert Ritch MD
Other Link: http://glaucoma.net
Categories: Physicians & Surgeons, Mental Health Services, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Pain Management, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Sleep Disorders, Physicians & Surgeons, Weight Loss Management, Sleep Disorders-Information & Treatment

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Phone: (212) 477-7540

Address: 310 E 14th St, New York, NY 10003

Website: http://glaucoma.net

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Ritch, Robert H, MD

General Practitioners

Headaches
Medical Weight Loss
Depression, fatigue, and lethargy are common and are often not realized to be drug-induced. These side effects may not appear immediately but develop gradually. Since many patients with glaucoma are elderly, these side effects are attributed to getting older. Patients and their families should be on the alert for these side effects and, when suspected, the drug can be stopped for a short time for verification. Other common side effects are gastrointestinal upset, metallic taste to carbonated beverages, impotence, and weight loss. Sequels cause less side effects than tablets.
Pediatric Care

Ophthalmologists

Glaucoma
This progression risk analysis includes a progression report based on published work on 445 glaucoma patients (De Moraes et al., JAMA Ophthalmol. doi:10.1001/jamaophthalmol.2018.1746)
Ophthalmology
Second, please remember that the National Registry of Drug-Induced Ocular Side Effects is a work in progress that requires the contributions of all of ophthalmology. If you suspect that a systemic or topical ophthalmic medication is responsible for an ocular side effect, please report it to Joan Randall, Associate Director, National Registry of Drug-Induced Ocular Side Effects, Casey Eye Institute, Oregon Health Sciences University, 3375 S.W. Terwilliger Blvd., Portland, OR 97201-4197. Voice: (503) 494-5686. Fax: (503) 494-6864.
Cataracts
The lens behind the iris is also transparent, and adjusts its shape and thickness to fine focus the image onto the retina. When we read, the eye accommodates to refocus a near image. The lens enlarges throughout life as it produces new cells. The ability to accommodate decreases steadily throughout life. Presbyopia occurs when there is not enough accommodative power remaining to read without glasses, usually in the early 40s. A cataract is an opacification of the lens, so that vision decreases and cannot be corrected by changing the power of one's eyeglasses. When the cataract is sufficiently dense to interfere with one's activities, surgery becomes necessary.
Cataract Surgery
Lens: Deposits of white material on the anterior lens surface are the most consistent and important diagnostic feature of XFS. The classic pattern consists of three zones: a central disc corresponding roughly to the diameter of the pupil; a granular, often layered, peripheral zone, and a clear area separating the two (Figure 1). The central zone is a homogeneous, white sheet and is often absent, while the peripheral zone is always present (Figure 2). The clear zone is created by rubbing of the iris over the surface of the lens during pupillary movement. Phacodonesis, or looseness of the lens because of damage to the zonules which hold the lens in place, is common and is one of the leading factors predisposing to an increase in complications at the time of cataract surgery. Spontaneous partial or complete dislocation of the lens can occur (Figure 3).
Eye Exam
Pigment dispersion syndrome (PDS) is a hereditary condition (autosomal dominant - so that 50% of children and siblings and one parent have the disease) affecting primarily Caucasians (95%). We have seen it in patients from as far east as India and as far south as Ethiopia. The prevalence of PDS has been greatly underestimated and it is often not diagnosed on eye examination because of a low index of suspicion. The gene may be present in over 2% of the Caucasian population. Not everyone with the gene appears to develop the syndrome. It is most common in myopes (nearsighted persons) and quite rare in hyperopes (farsighted persons).

Kidney Stones
Orally administered CARBONIC ANHYDRASE INHIBITORS commonly cause side effects. The most common are urinary frequency and tingling in the fingers and toes. Kidney stones may occur. A rare but serious side effect is aplastic anemia. Rashes are not uncommon. Potassium loss may occur when these drugs are taken simultaneously with digitalis, steroids, or chlorothiazide diuretics.

Depression
Insomnia
Anxiety

Endocrinologist

Diabetes Care
Hypothyroidism
The relationship between thyroid disease and glaucoma is very complex. Patients with hypothyroidism have a high incidence of elevated pressure. Patients with Hashimoto's thyroiditis and hyperthyroidism can get thyroid problems but these are related to thickening of the muscles which control the eye movements and deposition of increased connective tissue in the eye socket. Synthroid itself, used to correct hypothyroidism, probably has a beneficial effect on intraocular pressure. R.R.
Thyroid
Factors which predispose to glaucoma include myopia, black race, and a family history of glaucoma. Thyroid disease, diabetes, and high blood pressure may be associated to some degree.

Ultrasound
Ophthalmic imaging (optical coherence tomography, confocal scanning laser polarimetry, confocal scanning laser ophthalmoscopy, and ultrasound biomicroscopy)

Acne Treatment
Lesions
A middle-age breast cancer patient displays unusual tiny yellow lesions in the macula. An elderly heart patient who recently switched anti-hyperensive agents suddenly finds it difficult to keep his eyes open. A teenager being treated for acne complains of blurry vision. How do you decide whether the signs and symptoms represent a disease process or a side effect of a systemic medication?
Rashes

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