Summer Fun Please, But Without the Pink Eye!

Summer is here with all the summer activies and fun!

Hot lazy days spent snoozing by the pool, playing in the sprinkler or swimming in the lake followed by hamburgers on the grill and corn on the cob. So many good times to be had- you don't want to be sidelined by the dreaded pink eye!

This time of year, it's important be be careful out there and know the risks and how to avoid them.

Conjunctivitis - commonly known as pink eye - is an irritation or infection to the conjunctiva which is the white part of your eye.  It can be bacterial, viral, chemical or even a reaction to allergens. Though the causes can vary, the symptoms are pretty much the same.  Red, swollen, and irritated eyes, usually with a yellow discharge.  It can be mildly uncomfortable or downright painful. You spend a wonderful day at the pool or tubing on the river and wake up the following morning with your eyes "glued" shut by the goopy discharge- not fun.

So, how can we avoid this?

Conjunctivitis is highly contagious and can spread like wildfire- especially among children or in families.  It is often spread in swimming pools because the viruses and bacteria which cause conjunctivitis can easily survive in chlorinated water.  These bacteria and viruses occur naturally in freshwater lakes and rivers, and can also be present in sprinkler and hose water.  Additionally, chemical pink eye can occur from swimming in water that is too heavily chlorinated.

Here are some tips to help you avoid the dreaded pink and enjoy your summer:

To avoid passing along the infection, try not to rub your eyes. If you do need to rub them, wash hands thoroughly and often.  Change pillowcases, and wash all washcloths and towels used during an infection.  Throw away and replace any eye makeup used before or during an infection and never share eye makeup in general.  This is never a good practice.

Wear goggles when swimming -especially in freshwater. And, after you swim, irrigate or rinse your eyes with a sterile eyewash solution or some artificial tear eyedrops such as Blink or Systane. Avoid using drops like Visine as these can increase irritation.

If you do find yourself suffering from symptoms such as:

*Red or bloodshot eyes

*Vision changes

*Yellow discharge


*Light sensitivity

*Excessive tearing

give us a call at either our Brentwood (314-863-0000) or Ellisville (636-256-7800) office to schedule an appointment.

Conjunctivitis can be easily treated with prescription eye drops so you can get back to having fun in the sun!pool


Don't Forget Your Sunscreen!

Summer is upon us and we can look forward to long days having fun in the sun at the pool, the park or maybe the beach! As eyecare providers, we always take care to remind our patients to wear their sunglasses for optimal protection from damaging UV Rays, but we would be remiss if we failed to mention the importance of sunscreen- particularly around the eyes.

The periocular region (the eyelids and skin around the eyes) makes up only 1% of the body's surface area yet it accounts for between 5% and 10% of all skin cancers. It is believed that this is because most people do not apply sunscreen to their eyelids or wear adequate ocular sun protection (sunglasses). The skin around the eyes is uniquely thin- less than 0.2 mm thick- which puts it at high risk for photodamage. Sunscreen helps to protect the skin from damaging effects caused by UV light and other environmental hazzards. Therefore, it is vital to apply sunscreen around the eyes and eyelids to shield against skin cancers, skin discoloration, and premature aging of the delicate skin.

While many sunscreens on the market are safe to use on the eyelids and around the eyes, some preservatives or chemical ingredients can cause an intense stinging sensation. Avobenzone is one chemical that irritates when it comes into contact with your eyes. Although it won't lead to permanent damage, you may experience a chemical burn on the surface of your eye that can be quite painful for a few days.

Koetting Eye Center is proud to offer a new line of skincare products at our Ellisville location which are all- natural and safe for that delicate area around the eyes as well as the whole face. They are ideal for our patients with dry or sensitive eyes, and especially for those prone to irritation and rosacea flare-ups.

Epionce is a skin care line developed and produced by Dermatologist Carl Thornfeldt. It is evidence based skincare which is safe, simple, effective, and proven. It consists of natural products designed to help you look and feel your best in your own skin. All products are paraben, fragrance, sulfate, gluetn and cruelty-free.

Epionce is botanically based with no harsh ingredients that irritate the skin or cause unnecessary dryness. 

We are pleased to announce that at our Ellisville office, we are now carrying a complete skincare line by Epionce with many amazing products.

Specifically (at Ellisville only)  we have the Epionce Daily Shield Tinted SPF 50 available and in stock now.

Epionce Daily Shield Tinted SPF 50 is a broad spectrum sunscreen which has a sheer tint suitable for nearly all skin types and tones. It blends smoothly to enhance your skin's natural glow, and provides flawless coverage and protection for both men and women. It can be used alone or under makeup and is water resistant for up to 80 minutes. We recommend that it be applied daily as part of your morning routine, and reapply throughout the day after swimming or in case of excessive sweating. It should also be worn on cloudy days for optimal protection.

The list of ingredients is refreshingly short and natural:

Zinc Oxide 9.3%

Titanium Dioxide 4.8%

Sunflower extract, Rice Bran extract, Argan Oil

2024 5 Epionce Products Website DailyShieldTintedSPF50 withSCFseal

Stop by our Ellisville office to try some on- request a sample- or purchase today!




Introducing We Love Eyes Products * Now at our Ellisville Location!!


Our Ellisville office is delighted to announce that we are carrying some very exciting new products!

Introducing- We Love Eyes – a unique and effective eyecare line founded by Optometrist, Dr. Tanya Gill in 2014 consisting of cleansing products formulated for patients suffering from dry, irritated, red eyelids and eyelid margins.

At Koetting Eye Center, we believe it’s important to offer comprehensive eyecare to our patients and these are exceptionally healthy and safe products for red eyes, irritated eyes, dry eyes, inflamed eyelids, styes and lash loss.  They are the perfect answer both for patients who wear eye makeup and for those who don’t but suffer with inflamed eyelids and styes.

 Due to the delicate nature of eyes, ingredients are critical. We are proud to be carrying We Love Eyes products because they provide healthier more thoughtful options than one might find at the drugstore, and they are organic, vegan, cruelty free, and contain no gluten, sodium lauryl sulfate or parabens.  Additionally, all products are free of artificial fragrances and colors and they are never tested on animals.

These products are now available only at our Ellisville office to try and for immediate purchase:

Super HA Micellar Water

Remove eye makeup with lush, supportive micelles in a sodium hyaluronic base (aka Super HA) to provide a gentle yet effective clean for all makeup types. Micelles are tiny particles that soak up dirt, oil and makeup like a sponge with no rinsing, harsh rubbing or residue. Hyaluronic Acid helps retain moisture making it one of the most effective ingredients for hydrating skin without irritating skin. It creates a protective barrier which helps to improve skin texture through moisture retention. It’s gentle and effective and can be used for all skin types. Packaged in a convenient aerosol pump bottle, it can be used with a cotton pad or pair it with our mascara removing brush loaded with 140,000 bristles to get the job done with the goal of limiting lash loss.


Tea Tree Eye Makeup Remover Oil

Sleeping in eye makeup contributes to dry eyes and contact lens discomfort. Remove even waterproof mascara with zero preservatives and discover the benefits of Australian Tea Tree Oil. Tea Tree Oil is distilled from the leaves of the Melaleuca alternifolia plant. The oil possesses antibacterial, anti-inflammatory, antiviral and antifungal properties. Can be used with a cotton pad or with our cleansing brush.


Lashfull Thinking Lash and Brow Cleansing Brush

Enjoy the comfort of this uniquely dome shaped brush and the surface area of 140,000 bristles with the goal of limiting eyelash and eyebrow loss while cleansing. Removes even the most stubborn waterproof mascara with ease- use in combination with the Tea Tree Oil or Micellar water for the ultimate cleanse.


Stop by our Ellisville office today for more information and to try these amazing products for yourself.  They are available for immediate purchase.

Follow this link to learn more about Dr. Tanya Gill and the We Love Eyes product line:




Are your eyes looking a little tired? When you look in the mirror do your upper eyelids droop and cover your eyes?  You may have a condition called acquired ptosis and we can help.

Take a look in the mirror. What do you see?

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Acquired ptosis or “low lying lids” usually occurs when the muscles in the eyelid stretch and weaken, causing the lid to droop.  It affects adults of all ages, but occurs more often with increased age.  It may also be caused by other issues such as cataract surgery, contact lens wear, or an underlying medical condition.

In addition to affecting your appearance, low-lying eyelids can also impact your eyesight by reducing your field of vision.  Low-lying eyelids may lead to issues with reading, driving, and computer use.  They can make you look tired, cause the appearance of asymmetrical eyes, or other cosmetic concerns.

Imagine an EYE-OPENING Lift with just a daily eyedrop!

Upneeq is the only FDA-approved prescription eyedrop for acquired ptosis that lifts your upper eyelids to open your eyes.

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Upneeq lifts your eyelids quickly – Most patients in clinical trials had a lift in their eyelids in as little as two hours – some patients saw a lift in their eyelids as fast as 5 minutes after the first dose!

84% of patients had some level of improvement- and 74% of patients had more than a 50% improvement!

Upneeq significantly improves  the upper field of vision. In clinical trials, Upneeq helped patients with acquired ptosis see more- - on the first day of treatment!

Upneeq is also safe and well- tolerated - In clinical trials, Upneeq was proven to be safe and effective when used as directed.

So what is Upneeq?  Upneeq (oxymetazoline hydrochloride ophthalmic solution) is a prescribed eyedrop used to treat low-lying lids in adults. The doctors at Koetting Eye Center have a great deal of experience with this medication and have prescribed it to many of our patients with an amazing rate of success.

Our doctors can perform specific tests to accurately diagnose your type of low- lying lids and determine whether Upneeq may work for you.  They will also review your full medical history before prescribing Upneeq.

Call our office today to schedule an appointment and ask for a free sample dose of Upneeq to see what a difference it can make to your appearance and to your vision! Most patients will see a result within a few minutes!

Look younger, more  well- rested and see better today!

Call our Brentwood office at 314-863-0000 or our Ellisville office at 636-256-7800 to schedule now!

WHEN SMOKE GETS IN YOUR EYES: Smoking and Your Eyesight


Smoking is a habit which carries many dangers. Most people know that smoking can cause lung cancer and heart disease, but smoking actually causes damage to every organ in the body including the eyes.  Studies show that smoking increases the risk of developing many serious eye conditions such as cataracts, diabetic retinopathy, Age Related Macular Degeneration (AMD), and glaucoma- all of which pose a significant threat to your eyesight.

The Cataract Connection:

Smokers are twice as likely to develop cataracts, which are the world’s leading cause of blindness. Luckily, cataracts can be reversed by surgery so any loss of vision they cause is usually temporary, but such vision loss includes faded color perception, decreased night vision, blurred or double vision and light sensitivity.  Unfortunately, some sight-threatening conditions caused by smoking can be permanent.

Age Related Macular Degeneration (AMD):

Smokers are three times as likely to develop Age Related Macular Degeneration.  And, not only do they have an increased risk of developing AMD, they are more likely to get it earlier in life. Vision loss due to Macular Degeneration is progressive and permanent. The macula is the area in the retina which gives us our sharpest and most detailed vision. For patients with AMD, the macula deteriorates over time resulting in permanent blindness.

Can’t “Sugarcoat” these facts:

Smoking increases the risk of developing type 2 Diabetes by as much as 40%.  Additionally, it makes people more vulnerable to diabetes related eye conditions. Diabetic Retinopathy occurs when weakened blood vessels at the back of the eye start to leak blood into the field of vision and decrease the amount of oxygen to the retina. This problem will get progressively worse over time, especially when diabetes is not well controlled.

Non Smokers aren’t safe either:

Obviously smokers will be affected the most, but don’t forget that secondhand smoke is dangerous too. Non-smokers who are frequently exposed to secondhand smoke are at greater risk for lung cancer, heart disease, and stroke. Children who live with smokers will have more frequent pneumonia, ear infections, bronchitis, asthma attacks, and increased risk of Sudden Infant Death Syndrome (SIDS).

But vaping is better, right?

According to e-cigarette or vaping companies vaping is a “safer” alternative to smoking, but that’s just not true. Many of the chemicals in cigarettes which cause an increased risk of these sight-threatening conditions are present in e-cigarette fluids as well. The fact is there is no safe or healthy way to consume tobacco.

Break the Habit Now- or better yet, don’t ever start:

We know that there are other factors involved with many of the eye conditions discussed in this article. There are genetic, environmental or age- related factors which also increase the likelihood of disease, but the risks associated with smoking are preventable. Don’t smoke. Quit if you can- or don’t start in the first place. Don’t expose children to secondhand smoke. Take good care of yourself- eat healthy, stay active, and schedule regular eye exams. If you can’t quit then it is even more important to receive regular eyecare as early detection is crucial to disease management.


  2511 South Brentwood Blvd.
St. Louis, Missouri 63144

    (314) 863-0000




 113 Old State Road Suite 101
Ellisville, Missouri 63021

    (636) 256-7800