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Glaucoma: The Silent Thief of Sight—and What You Can Do About It
Glaucoma can quietly damage vision long before symptoms appear. Learn how early detection, advanced imaging, and personalized care can help preserve sight and transform glaucoma from a silent threat into a manageable condition.

Keshav Narain, M.D.
Dec 30, 20256 min read


TED Flare‑Ups Cold & Flu Season Eye Symptoms: Why They Happen — Immune System Connection
If you have Thyroid Eye Disease (TED), you may notice more irritation, swelling, or dryness during cold or flu season. TED is an autoimmune condition where your immune system attacks tissues around the eyes, causing inflammation, bulging, and surface symptoms like dryness or grittiness.
Even after the active phase of TED seems over, flares can happen. Viral infections trigger immune responses that can inflame the ocular surface, destabilize your tear film, and worsen dryness

Keshav Narain, M.D.
Dec 12, 20255 min read


The Power of Retina Specialist Care: Preventing Vision Loss Before It Starts
Early vision changes are easy to ignore, but they may be warning signs of underlying retinal disease. Your retina—the delicate, light-sensitive tissue responsible for forming the images you see—can develop silent problems long before symptoms appear. In this educational guide, Dr. Keshav Narain, board-certified ophthalmologist and founder of South Bay Retina, explains why early detection is essential and how conditions like diabetic retinopathy, age-related macular degenerati

Keshav Narain, M.D.
Dec 5, 20253 min read


Cataracts Can Grow Back After Surgery
Many people worry their cataract has “come back” after surgery, but cataracts don’t actually return. Instead, a common condition called posterior capsule opacification (PCO) can cause cloudy or blurry vision months or years later. This “secondary cataract” occurs when cells on the lens capsule become hazy—but the good news is it’s easily treatable with a quick, painless YAG laser procedure. Learn why vision can blur again after cataract surgery and how PCO is safely corrected

Keshav Narain, M.D.
Dec 2, 20252 min read


Why Normal Eye Pressure Doesn’t Mean You’re Safe from Glaucoma
Normal eye pressure doesn’t always mean healthy eyes. Learn how Normal-Tension Glaucoma damages vision even with normal readings—and how to protect your sight.

Keshav Narain, M.D.
Oct 21, 20253 min read


Supplements for Glaucoma – Should We Recommend Nicotinamide?
San Jose | Nicotinamide, a form of vitamin B3, is emerging as a promising supplement for glaucoma. While it doesn’t lower eye pressure, research suggests it may protect the optic nerve by boosting cellular energy and supporting retinal ganglion cells. Early studies show safety and potential benefits, but larger clinical trials are still underway. Could this be the future of glaucoma care?

Keshav Narain, M.D.
Sep 4, 20252 min read


Ozempic, Wegovy, and Your Eyes: Early Signs of Glaucoma You Shouldn’t Ignore
Wondering if Ozempic or Wegovy could harm your eyes? The truth may surprise you. While early concerns linked GLP-1 medications to rare vision problems, new research shows they may actually lower the risk of glaucoma and protect long-term eye health. Learn the early signs of glaucoma, what symptoms to watch for, and how regular eye exams can safeguard your vision.

Keshav Narain, M.D.
Sep 1, 20253 min read


Early Glaucoma Detection
Traditional glaucoma diagnosis often comes too late. Many cases occur with normal eye pressure, making them easy to miss. Now, advanced tests like VEP and ERG can detect early optic nerve dysfunction—before permanent damage sets in. This shift marks a new era in eye care: from reacting to damage to preventing it altogether.

Keshav Narain, M.D.
Jul 14, 20253 min read


Rethinking Glaucoma Care: Understanding Optic Nerve Damage and What We Thought We Knew
In Optic Nerve and Glaucoma: Time for a Paradigm Shift, Dr. Keshav Narain challenges the long-held belief that intraocular pressure (IOP) is the sole culprit in glaucoma. Drawing from decades of clinical insight and emerging technologies like electrophysiology and microperimetry, this piece highlights a critical evolution in how we diagnose and manage the disease. With tools like Visually Evoked Potentials (VEP) and Selective Laser Trabeculoplasty (SLT), clinicians are now fo

Keshav Narain, M.D.
Jun 20, 20252 min read


Neuroprotective Strategies for Glaucoma and AMD: Preserving Vision Beyond IOP Control
Illustration of the human eye showing the retina, optic nerve, and macula, with highlighted areas of retinal ganglion cell loss in glaucoma and photoreceptor degeneration in macular degeneration. Arrows indicate neuroprotective strategies like neurotrophic factors, medications, and electrical stimulation targeting these retinal layers.

Keshav Narain, M.D.
Jun 12, 20253 min read


Selective Laser Trabeculoplasty: A Safer, Smarter Glaucoma Treatment
Selective Laser Trabeculoplasty (SLT) was first developed in the late 1990s by Dr. Mark Latina and Dr. Park as a novel approach to lowering eye pressure in glaucoma patients. Originally introduced as a second-line treatment to eye drops, SLT has evolved into a preferred first-line therapy for many types of open-angle glaucoma.

Keshav Narain, M.D.
May 29, 20253 min read
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