By Princeton Eye and Ear
June 18, 2018
Category: Ophthalmologist
Tags: Cataracts  

Is night driving becoming difficult? Do you see halos around oncoming headlights? These symptoms indicate cataracts, a change in the cataractsprotein structure in the lenses of the eyes. At Princeton Eye and Ear in Lawrenceville, Plainsboro, and Freehold, NJ, your ophthalmologists detect and treat this common eye condition. Dr. Chirag Shah and Dr. Angana Shah are highly trained cataract surgeons, specializing in minimally invasive techniques. You can see clearly once again.

The details on cataracts

Cataracts affect the lenses of the eyes. Located below the outer cornea and focused by the muscles of the colored iris, the lens allows your retina to receive the images you see and to transfer them, via the optic nerve, to the brain. Over time, proteins build-up on the surface of the lens, clouding it and discoloring the images coming into the eye.

Changes in vision due to cataracts begin in one's fifties, says the American Academy of Ophthalmology, but they may not become noticeable until a person has difficulty:

  • Driving at night due to glare
  • Seeing bright colors (images look yellowish)
  • Using a computer due to glare
  • Reading in dimmer light

In the past, people lost a substantial amount of visual acuity due to cataracts. Surgeries were complex, and there was no way to replace the clouded lenses. If people had cataracts removed, they wore thick prescription glasses afterwards.

You may wonder why you are developing cataracts. Aging is the biggest cause. However, the American Academy of Ophthalmology maintains other factors may worsen cataracts, including:

  • Smoking
  • Diabetes
  • Trauma to the eye
  • Medications containing steroids
  • Excessive sun exposure

Treating cataracts

Your Lawrenceville, Plainsboro, and Freehold ophthalmologist uses minimally-invasive, in-office surgery to remove cataracts. This fast, small-incision procedure takes out the clouded portion of the lens, leaving the lens capsule, or outer coating, in place. Then, the doctor inserts a tiny, folded lens implant (intra-ocular lens, or IOL) into the capsule. It unfolds and allows for passage of light into the eye.

Your ophthalmologist will inform you about your particular kind of surgery, preparation for it and what kind of lens you will receive. Depending on their type, lenses correct a variety of issues, including astigmatism, near-sightedness, far-sightedness and more. So, while you expect clearer vision after cataract removal and implantation of an artificial lens, you may be surprised by reduced dependency or complete elimination of glasses or contact lenses.


Cataract surgeries take about 15 minutes. Afterwards, you'll need a ride home from a responsible adult, and you should rest for the remainder of the day. Our doctors may ask you to instill special eye drops, and all surgery patients should:

  • Avoid lifting and other strenuous activity for about a week
  • Wear sunglasses with UV protection
  • Stay out of dusty or high-pollen environments to avoid infection

Is it time?

If you perceive vision changes and think you have a cataract, or that an existing cataract is worsening, contact Princeton Eye and Ear for a consultation in Lawrenceville, Plainsboro, and Freehold, NJ. 

By Princeton Eye and Ear
May 08, 2018
Category: Ophthalmology
Tags: Ear Infection  

Are your ears in pain?ear infection

If you think you are suffering from an ear infection, then you need to contact your ENT specialists in Lawrenceville, Plainsboro and Freehold, NJ.

More About the Ear:

Children are the most susceptible to ear infections. They may suffer from painful earaches in any of the three parts of your ear: the outer ear, middle ear and inner ear.

In order to help your child, you need to understand the different types of ear infections:

Outer Ear Infection (Otitis Externa or Swimmer's Ear): This ear infection is a result of a bacterial infection that causes inflammation in the outer ear. When there's moisture surrounding the ear, like when swimming or when it's humid, your child is more prone to contracting an outer ear infection from water, sand or dirt. There may also be issues with fluid drainage in the ear. Ear infections are usually resolved in about 10 days, but here are some symptoms to look out for:

  • Severe pain
  • Itching
  • Redness
  • Swelling in the outer ear
  • Pain while chewing or when pulling on the ear

If you notice any of the symptoms, contact a doctor at any of the following locations: Lawrenceville, Plainsboro, or Freehold. If otitis externa is left untreated, your child may suffer from

  • Hearing loss
  • Recurring ear infections
  • Bone and cartilage damage.

Treatment options include:

  • Eardrops to block bacterial growth
  • Antibiotic and pain medication

Middle Ear Infection (Otitis Media): This ear infection is a result of bacteria or viruses that are airborne, foodborne, or due to infections in other parts of the body, or a blocked Eustachian tube.

Treatments vary according to the cause of the infection, so your doctor may prescribe anything from eardrops to surgical insertion of a tube to help drain fluid in the middle ear.

Inner Ear Infection (Otitis Interna or labyrinthitis): Inner ear infections are usually a result of other infections and symptoms include:

  • Dizziness
  • Fever
  • Nausea
  • Vomiting
  • Hearing loss

If you suspect you or your child may have an ear infection, please contact your doctor at any of the following office locations: Lawrenceville, Plainsboro and Freehold, NJ.

By Princeton Eye and Ear
February 21, 2018
Category: Skin Treatment
Tags: Botox  

Fine lines and wrinkles are a normal part of the aging process. But thanks to modern dermatology and anti-aging technology, there are botoxsteps you can take to preserve a smooth, youthful appearance. Our ENT and ophthalmology specialists in Lawrenceville, Plainsboro, and Freehold, NJ, recommends Botox treatments to help minimize the appearance of fine lines and wrinkles around the eyes and mouth, which are among the first areas of the face to show the signs of aging.

Botox Treatment in Lawrenceville, Plainsboro, and Freehold, NJ

Everyone ages at their own pace. For some people, fine lines and wrinkles around the eyes or between the brows begin to make an appearance in their 20s. Others may not notice signs of aging until much later. Botox treatment has become increasingly common over the past decade as a means to soften and delay the appearance of fine lines and wrinkles. According to the American Society of Plastic Surgeons, over six million people had received Botox treatments as of 2015, with approximately 20% of Botox treatments going to men and women in the 30-39 age group.

What Can Botox Be Used For?

Botox injections are most commonly used to smooth and minimize the appearance of fine lines and wrinkles around key areas of the face including:

  • Forehead/brow ("bunny lines")
  • Eyes (crow's feet)
  • Mouth (frown/smile lines)
  • Chin

Although they are most commonly used on the upper half of the face, Botox injections can also be used to add definition to the jawline, or to lift the tip of the nose without the need for a traditional rhinoplasty (nose job) procedure.

Find an ENT Doctor in Lawrenceville, Plainsboro, and Freehold, NJ

For more information about Botox treatments and whether they are a good option for you, contact us to schedule an appointment today.

By Princeton Eye and Ear
November 27, 2017
Category: Cosmetic Surgery
Tags: face surgery   neck surgery  

As the skin ages, it naturally begins to lose elasticity and firmness due to less collagen production. Although the aging process affects cosmetic surgeryeveryone differently, some of the most common cosmetic issues include fine lines and wrinkles, loss of volume in the cheeks and around the mouth, and thinning or "crepey" skin around the face and neck. If you have considered cosmetic surgery to help refresh and improve your appearance, you are not alone. According to the American Society of Plastic Surgeons, over 15 million Americans underwent some form of plastic surgery in 2015, and the numbers have been going up ever since. Our ENT and ophthalmology specialists in Lawrenceville, Plainsboro, and Freehold, NJ, offer a range of cosmetic and minimally invasive options for aging and damaged skin.

Cosmetic Surgery in Lawrenceville, Plainsboro, and Freehold, NJ

Advancements in medical technology and cosmetic techniques have led to the development of a number of minimally invasive and non-surgical techniques to achieve results similar to a traditional facelift for men and women who prefer to take a more modest approach. Some of the most common surgical and non-surgical cosmetic procedures for the face and neck include:

  • Botox
  • Rhinoplasty
  • Blepharoplasty
  • Brow/forehead lift
  • Skin Resurfacing
  • Facelift
  • Neck Lift
  • Dermal Fillers

The best place to start before investing in plastic surgery or cosmetic contouring procedures is to consult with a skilled board certified surgeon with a proven track record of successful outcomes, even for minimally invasive procedures like Botox and other dermal fillers, which are used to ease the appearance of fine lines and wrinkles, and to restore volume to sagging skin. For surgical procedures like rhinoplasty (nose job) and blepharoplasty (eyelid surgery), an otolaryngologist (ear, nose and throat doctor) and ophthalmologist (eye doctor) can advise on the best procedure for your situation, and deliver safe and effective results.

Find a Cosmetic Surgeon in Lawrenceville, Plainsboro, and Freehold, NJ

For more information about your cosmetic surgery options for the neck and face, contact us today to learn more and to schedule an appointment.

By Princeton Eye and Ear
October 04, 2017
Category: Ophthalmology
Tags: contact lenses  

Do you remember the last time you replaced your contact lens case? Using the case month after month can subject you to painful contactsinfections that can damage your vision. Our Lawrenceville, Plainsboro and Freehold, NJ, ophthalmologists, Drs. Chirag and Angana Shah, discuss the ideal contact lens case replacement schedule and explain why it's important to buy new cases periodically.

How often should I replace my cases?

Contact lens cases should be replaced at least every three months. Visit a Lawrenceville, Plainsboro or Freehold store and replace the cases sooner if they're exposed to chemicals, such as spray cleaners in the bathroom or are noticeably dirty.

Why is it important to replace contact lens cases when they look fine?

Contact lens cases that look clean may actually harbor bacteria. If you continue to use the cases, you may transfer the bacteria to your eyes, which can cause an infection. Bacteria can move from your hands to the case and may also accumulate if you fail to change the solution in your cases. Replacing your cases regularly is the key to reducing bacteria.

How should I care for contact lens case?

Good cleaning techniques will help prevent bacterial and fungal eye infections. Before you handle your contact lenses or your cases, be sure to wash your hands with soap and water. Empty both sides of the case every day and rub them with your fingers to remove biofilm build up. Rinse the wells with fresh solution, not tap water. Using tap water to clean your case can increase your risk of developing Acanthamoeba keratitis, an eye infection that affects the corneas.

Turn the case upside down on a paper towel and allow it to air dry completely before refilling it. When you buy new cases, look for cases that are produced by the manufacturer of your contact lens solution. Bacterial levels may be higher if you mix and match cases and solutions.

Frequent replacement of contact lens cases, in addition to daily cleaning, can help protect your vision. If you're concerned about a contact lens issues or it's time for your next eye exam, call Lawrenceville, Plainsboro and Freehold, NJ, ophthalmologists, Drs. Chirag and Angana Shah, at (609) 883-3000 to schedule an appointment.

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