Flashes, Floaters, and Spots: What’s in my Vision?

Have you noticed tiny shadows cast upon objects you are looking at? Do you see small spots in your vision when looking at a clear or overcast sky? You may be seeing floaters and spots in your field of vision.

What is the spot in my vision?

It is completely normal to see spots or floaters in your vision. As you age the gel-like consistency in your eyes begins to dissolve creating floaters in the watery center of your eye. While you cannot see the particle floating in your eye, a shadow of these particles can be seen reflected on the objects you are viewing.

Do I need treatment for my floaters?

No, most of the time treatment is not required for floaters in the eye. The floaters and spots are harmless and most will fade over time. If your vision is inhibited by large floaters, give our office a call to discuss options available to reduce these symptoms.

Why is there a flash in my vision?

When light enters your eye it sends a message to the retina, the retina then produces an electrical impulse which is sent to the brain. The brain interprets this impulse as an image. If the retina is tugged, torn, or detached from the back of the eye it is common to see a flicker of light. The flashes or flickers of light can be temporary or continue indefinitely depending on the severity of the retinal issue.

Is this ever a medical emergency?

Seeing a few new floaters is not an emergency, however, if you suddenly see a shower of floaters or spots this may be cause for concern. The sudden appearance of flashes of light could mean that damage is occurring to your retina. If any of these symptoms suddenly appear, call our office immediately to discuss with your doctor.

Conditions associated with eye floaters and flashes:

  • Bleeding inside the eye
  • Inflammation of the interior of the eye
  • Nearsightedness
  • Cataract surgery
  • Laser eye surgery
  • Diabetes
  • Eye infections

Progressive and Bifocal Lenses: Vision at Every Distance

As your eyes age, conditions like age-related farsightedness or presbyopia may start to affect your vision. If you already suffer from an eye-related condition or disease, finding eyewear to remedy multiple vision deficiencies can be a hassle. Progressive and bifocal lenses are a perfect eyewear solution for individuals with multiple prescriptions. Progressive and bifocal lenses provide you, the wearer, a transition from near to far distance vision within one lens!

Bifocal vs Progressive Lenses

Seeing your best at every distance is important for maintaining natural and comfortable vision and lifestyle. Age-related onset of conditions like presbyopia cause the main need for progressive or bifocal lenses.

Although, both bifocal and progressive lenses are used to combat the effects of presbyopia and provide comfortable vision for individuals with multiple prescriptions, it is important to review your lifestyle to determine the best option for you.

Progressive lenses provide the most natural vision for the wearer by seamlessly transitioning between near and far prescriptions within the lens. Whereas, a bifocal lens is separated into distinct areas of near-and-far-vision prescriptions.

Consider your lifestyle, the demands of your job, and your personal preference when choosing which type of lens is the best fit.  

Bifocal Lenses

  • Two distinct powers in the lens, one for near vision and one for distance
  • Has a distinct line separating the powers
  • Put user at greater risk for computer vision syndrome .
  • Provide wider lens areas for reading and computer work

Progressive Lenses

  • Seamless progression between all distances of vision
  • No distinction between different powers within the lens
  • Most popular lens for anyone with presbyopia who wears eyeglasses
  • Expanded intermediate zone for better computer vision

Adaptable to your lifestyle

We understand the need for comfortable eyewear adequate for your lifestyle. Due to the popularity of progressive lenses in the past decade, technology advancements have allowed wearers to see their best without adjusting their lifestyle.

Progressive lenses provide wider zones of clear vision to make activities like computer use and reading easier for the wearer. Early progressive lens designs had a soft blur during movement, but today’s progressive lenses have reduced this blur to provide better vision for active wearers. With improved technology, labs are able to condense the size of lenses needed fit the range of RX, power changes, which allows for those who desire a smaller frame to benefit from the advantages of progressive lenses.

progressive and bifocal lenses image

Combatting Dry Eye Syndrome

Do you experience dry, itchy, or burning eyes? You may be suffering from dry eye syndrome. Tears are necessary for overall eye health and clear vision, when there is insufficient moisture on the surface of the eye it can cause discomfort. Let’s looks at some common concerns about dry eye, symptoms, and risk factors.

What causes dry eye?

Tears keep the eyes surfaces moist and wash away dust, debris, and other microorganisms. Without constant, adequate moisture, dry eye will occur. Not enough oil in the tears, causes tears to evaporate too quickly, and without sufficient water production, eyes cannot maintain proper moisture.

Symptoms of Dry Eye Syndrome:

  • Scratchy or gritty feeling
  • Red eyes
  • Blurriness
  • Irritation from windy conditions
  • Sensitivity to light
  • Fatigued eyes
  • Problems with contacts
  • Excessive tearing
  • Heavy eyes
  • Sore eyes

Contact lenses and dry eyes

One of the most common complaints from contact lens wearers is their contacts make their eyes feel dry. If you experience dry eye symptoms while wearing your contacts or immediately after removing your contacts, talk with your doctor, as it is irregular to feel discomfort.

If discomfort occurs, it is possible you are using the incorrect solution with your contact lenses; not all solutions are made equally. Your doctor may also recommend you use eye drops to help temporarily relieve dry eye symptoms.

Another means to relieve symptoms is to change your contact lens type to a more breathable or moisture-focused lens, which is specially made to help retain moisture. You may also want to discuss with your doctor the option to switch from reusable contact lenses to single-use lenses. Single use lenses will help prevent your lens from drying out and work to maintain moisture in your eyes.

Factors that Increase Risk of Dry Eye

Dry eye symptoms stem from multiple risk factors, including health conditions, environments, and eyewear choice. If you are suffering from dry eye try some of the tips below to helps reduce your symptoms.  

  • Computer use. Humans blink less frequently when working at computers, allowing for more evaporated tears. When working on a computer for an extended period of time, follow the 20-20-20 rule. Every 20 minutes, look 20 feet away for 20 seconds to give your eyes a rest.
  • Contact lens. Dry eye discomfort is a primary reason for wearers to stop using contacts. Use rewetting drops daily or talk with your doctor about contact lens types that work best for your eyes.
  • Indoor environment. Air conditioning, fans, and air heating systems can decrease the humidity indoors and cause symptoms of dry eye. Try using a humidifier in your house if you notice the air getting dryer.
  • Outdoor environment. If you are outdoors in dry or windy conditions, wear a pair of sunglasses or hat to reduce your exposure to the elements which can cause dry eyes.
  • Smoking causes eyes to dry overtime and is the route of various other eye problems.
  • Aging. Dry eye syndrome is more common after the age of 50.
  • Menopause. Women who have completed menopause are at a greater risk for dry eye than men the same age.
  • Health conditions. Certain diseases have a higher risk of contributing to dry eye- such as diabetes or thyroid diseases.
  • Medications. Prescription and nonprescription medications can have dry eye as a side effect.

How to Choose Your Eyeglass Lenses

Eyeglass lens options have grown incredibly in the last several decades. Whereas early eyeglass lenses were made from glass, advancements in lens materials have made them safer, thinner, lighter, and featuring benefits that early inventors never could have imagined!

Glass lenses revolutionized so many aspects of life for people of that time. Glass can provide crisp, clear views, but it is heavy and breakable. It was not uncommon for lenses to break on impact, which could cause someone to lose sight or lose the eye entirely. For that reason, glass is rarely used for eyeglasses today.

In the 1940s, plastic lenses were introduced. Armorlite Lens Company created a lightweight plastic lens made of plastic polymer. It was light, weighing about half as much as a glass lens, and was inexpensive. These plastic lenses were a hit, and are still a common option for eyeglasses today.

Polycarbonate lenses were introduced in the 1970s. Polycarbonate is a highly durable polymer that is impact-resistant, but can scratch. For this reason, the lenses are recommended for children and used in most eyeglasses, but have the addition of a hard coating to deliver greater scratch resistance.

High-index lenses are another lens option that many people aren’t aware of when they begin shopping for eyeglasses. High-index plastic materials make lenses thinner and lighter for people who have a strong prescription. Instead of thick lenses that used to give people fewer options for lenses and make their eyes look distorted from the front, high-index lenses can pack a stronger prescription into a thinner space. This opens more frame options and takes the weight off of your glasses if you have a high prescription!

In addition to lens materials, there are a number of other features that you can add to your lenses for various functionality. For instance, anti-reflective or non-glare treatments are one of the most common upgrades. Often they give added scratch-resistance as well as cutting glares and giving a clearer view of your eyes from the front. Tints are another option you can add to your lenses. For sunglasses, wearers might choose around an 85% tint, but lighter options exist, too. Many lenses can be tinted gray, brown, or yellow. Fashion tints come in rose, blue, green, or even more possibilities. Polarization is a great addition for sunglass lenses, too, because it filters the bright glares that can be uncomfortable, even with sunglass tints.

If you have any questions about the best lenses for your eyes, speak with an optician. They are trained in eyecare products and can assist you with these choices, as well as helping you pick frames that look great on you!

The Pros of Progressive Lenses

Multifocal lenses have made everyday life much easier for people over forty. Bifocals were invented sometime in the 1700s, but trifocals and eventually progressive lenses were later created to give wearers even more functionality. The options are great, but making the choice can be difficult!

If you need multifocal lenses to provide you more than one power, progressive lenses may be a perfect fit. They have many benefits and can work in almost any setting.

Here are some things to consider for your progressive lenses.

How Progressive Lenses Work
Progressive lenses are called “progressive” because they gradually change from one magnification to a stronger one at the bottom of the lens. They progress from a distance vision prescription to an intermediate and then a near-field one. This means that the wearer can look up to the horizon in the upper portion of the lens and see distances clearly, use the middle of the lens to look around their intermediate space, and view reading materials and close up objects through the bottom of the lens. This use of progressive lenses becomes second nature after some adjustment.

Are Progressive Lenses Better than Bifocals?
Many people prefer progressive lenses over bifocals for two reasons. First, bifocals only have two prescription powers. They usually address a farther distance and a close-up reading view. Either an intermediate distance or a certain distance will not be completely clear. Second, some people are distracted by the “image jump” that they see when looking through bifocals. This is caused by the abrupt line where the inset meets the rest of the lens. Some people love bifocals and see no added benefits from progressive lenses, but most people like the versatility of progressive lenses.

Additional Benefits of Modern Progressive Lenses
Multifocal lenses that are not progressive sometimes don’t fit well within a certain frame size. Because lenses have to be cut to fit the frame, the reading portion can end up too big or too small compared to the lens size. Short corridor progressive lenses address this by scaling the reading zones into a more compact area. This means wearers still have their pick of frames and eyeglass shapes.

In addition, specialty progressive eyewear exists to meet certain needs. Computer eyewear can be a great option for people who work at a desktop setting. These lenses do not need the addition of a distance vision section. This means that they allow more room for a close distance focus, and then the rest of the lens is created for the intermediate field. With a computer screen sitting at arm’s length, reading materials up close, and walls at an intermediate distance, these lenses help maximize the eyewear for indoor occupational settings.

Nobody will notice! Some people believe there is a stigma with bifocals because they perceive them as glasses only for senior citizens. Many people even put off getting multifocal lenses because they don’t want to admit that they need them. Progressive lenses help this issue for some people because there is not a visible line like with bifocals. It is unusual for someone to notice that the wearer has progressive lenses unlike the ability to see bifocal lines.

If you have any questions about how progressive lenses can help your eyes see as clearly and comfortably as possible, speak with an optician. There are many options and we can help you narrow down the possibilities so you can make an informed decision.

Eye Floaters, Flashers, and Spots

Eye doctors often get asked about small specs that appear to float through someone’s field of vision. Even very young people may notice on occasion a spot that appears when they look at a light, plain surface. The good news is that there is no reason to be alarmed!

Eye floaters are simply how we see differences in the gel or liquid in the back of our eyes. Typically these spots appear as specks, circles, or stringy webs that drift through our field of vision. The reason that we see them is that the human brain works with the eyes to interpret light that enters through the front of the eye. In between the light entering the front of the eye and the structures inside the eye that create visual images there is a gel-like substance called vitreous or vitreous humor.

Vitreous is generally a thicker gel in young people and begins to change as we age. Through our youth, the gel generally remains consistent. With age, vitreous dissolves and starts to turn into a thinner liquid. Because some of the gel does not thin and remains in a gel state, you may be able to see small discrepancies in the consistency of the material. These are floaters.

Floaters like this are not anything to worry about, but other types of visual anomalies have different causes and may be something more serious. If you see an occasional floater, there’s no need to see the doctor. If you suddenly see lots of floaters, or if you are seeing flashes of light, contact your eye doctor right away. Sudden appearance of many floaters could mean that the vitreous is beginning to separate from your retina. This is a type of detachment and can lead to damage to the delicate retina which may cause permanent loss of vision.

Always keep in mind that any sudden changes to your vision could be serious and should be addressed with a medical professional right away.

Eating Well for Eye Health

Everyone wants to know how eating can affect the ways our bodies function. Maybe it’s because we want even more reasons to eat healthy, or because more of us want natural ways to lower our risk for diseases and deficiencies, but the good news is that you can easily eat right for your vision!

Antioxidants
Many foods contain antioxidants. Antioxidants literally remove oxidizing agents in living organisms. These oxidizing agents may be potentially damaging to our various systems, so many people believe that foods rich in antioxidants could help lower our risk for certain illnesses.

There are many delicious foods that can help promote overall health and may be part of a plan to lower your risk for eye disease.

Vitamin C (ascorbic acid) helps with building and maintaining connective tissues in the human body. It also helps maintain collagen found in the cornea. By promoting healthy skin, bones, and circulation, you retina may be aided by vitamin C. People who have healthy levels of vitamin C in their diet are also at a lower risk of forming a cataract and vision loss from macular degeneration.

Red peppers are especially high in vitamin C, as are green peppers, strawberries, broccoli, and some citrus fruits.

Flavonoids
Many of the foods that contain vitamin C also contain flavonoids. Unlike vitamins, these substances are not necessarily required for life and crucial functions of the body, but they are generally linked with health benefits as part of an overall healthy diet.

Anthocyanins are a type of pigment and antioxidant that are considered good for your eyes because they may reduce risk of cataracts or macular degeneration. These substances are found in many berries like blueberries, cranberries, raspberries, and blackberries. You can also get anthocyanins from grapes, red cabbage, and red apples.

Fatty Acids
Many people falsely believe all fat is bad, but there are lots of healthy fats that we need in our diets. Our brains demand various kinds of fats to function properly, and healthy fats help our circulation, digestion, and even things like our outward appearance. Diets with proper omega-3 fatty acids are also very good for your eyes, and are especially important for eye development in children.

You can get these essential nutrients from foods like flaxseed, walnuts, fish, soy, and veggies like brussel sprouts and cauliflower.

Though we can’t be totally sure how much these foods help lower our risk for illnesses, there’s no doubt that a balanced diet and healthful lifestyle are important for a strong body and healthy eyes!

Diabetic Retinopathy

Diabetic retinopathy is a condition where diabetes causes damage to the retina. It is the leading cause of blindness among American adults. Sadly, many instances of vision loss from diabetic retinopathy could have been prevented with appropriate treatment and regular eye exams. Once damage has occurred, it is not possible to regain lost vision.

Light-sensitive tissue comprises the retina that lines the back of the eye. With diabetic retinopathy, changes to blood vessels in the rear of the eye cause bleeding or leaking fluid, which starts to distort vision. The changes in blood flow happen because diabetes (especially uncontrolled diabetes) can create chronically high blood sugar. This damages very small blood vessels in the retina and eventually leads to retinopathy.

There are four stages to this type of retinopathy:

1. Mild nonproliferative retinopathy is when small areas of the blood vessels sweet and balloon. These are called microaneurysms and may begin to leak fluid into the retina.
2. Moderate nonproliferative retinopathy happens as the disease progresses. Blood vessels that supply the retina with blood and essential nutrients may swell and distort. When this happens, they may also lose their ability to transport blood. This may contribute to diabetic macular edema (DME).
3. Severe nonproliferative retinopathy is when several blood vessels are blocked, depriving blood supply to parts of the retina. These problem areas secrete materials that tell the body to grow new blood vessels in the retina.
4. Proliferative diabetic retinopathy (PDR) is the advanced stage of diabetic retinopathy. Growth factors secreted by the retina cause too many new blood vessels to form. They grow inside the retina and into surrounding areas, but are fragile and likely to leak and bleed. Scar tissue can shift and cause retinal detachment. If the retina pulls away from underlying tissue, permanent vision loss may occur.

If you have diabetes, it is very important to control blood sugar to guard against developing symptoms. Make sure that you are working closely with a qualified doctor to manage your care and have regular follow-ups.

The same is true for eye care with diabetes. Diabetic eye disease is a group of several eye conditions that are commonly caused by diabetes. These conditions include diabetic retinopathy, diabetic macular edema, cataracts, and glaucoma. If caught in time, treated, and managed as part of a diabetes care plan, many people can maintain their vision or slow the progression of trouble seeing.

Don’t Forget UV Protection this Winter

Most people think of sunglasses as summer gear, but in some ways it’s even more important to wear sunglasses in winter conditions than in the warm summer months.

Thanks to public awareness campaigns about the risks of skin cancer, more people are aware that UV rays and intense sunlight are bad for our skin. Sunblock, clothing, and shade are regularly used to protect us. Do you know that UV rays are damaging to our eyes, too?

Prolonged UV exposure raises risks for:
• Cataracts
• Macular Degeneration
• Pingueculae
• Pterygia
• Photokeratitis

In the warmer months, we think about protection from the sun because we expose so much skin and can experience sunburns when we’re not covered. In the winter, however, people are colder, and bundled up, so they don’t think of the sun as a risk. This is a problem because snow can reflect 80% of UV rays! That means you’re experiencing normal sunlight from being outside, and harsh glares from white surfaces.

The fatiguing effects of winter glares become apparent usually when doing outdoor activities like skiing, snowboarding, or sledding, but driving in bright wintry conditions can also be damaging and dangerous. It’s important to be protected year-round!

When looking for appropriate winter sunwear, remember:

• Good sunglasses offer UV protection, so always be sure to check that they block 100% UVA/UVB rays.
• Larger glasses are in style, which is great because the bigger lens protects more of your eyes and the skin around your eyes from UV damage. Look for a large lens and wraparound style.
• Don’t worry about the color or darkness of the lens. Those things can vary while still providing adequate UV protection. Check the label for that information, or speak to an optician.
• Remember, polarization is for more than fishermen! Especially in the winter months when ice and snow can cause harsh glares, polarization can be a big help.
• Specialty eyewear exists for all of your favorite winter sports. Be sure your eyes are protected from the sun and safe during sports.

Talk to us if you have any questions about your UV exposure or any specialty eyewear you need to live your active winter lifestyle!

How to Clean Your Eyeglasses

If eye care professionals cringe when they see you clean your glasses, and your lenses don’t last long before they are scratched, then it’s probably time to update your eyeglass cleaning habits!

To make sure your lenses stay clear and crisp as long as possible, follow these lens cleaning instructions.

1. First, wash your hands and dry them thoroughly. Don’t use a soap that contains lotion. Regular hand soap or dish soap are preferred. Dry your hands with a lint-free towel.
2. Rinse your glasses under the water. Use lukewarm tap water with a gentle stream. Avoid using water that is too hot.
3. Put one drop of dish soap on each lens, or drop some on your fingers and apply it to the lens this way. It doesn’t take much, but remember not to use a soap with lotion.
4. Gently rub the front and back of the lens, as well as rubbing lightly along the frame. Be sure to wash along the frame components like nosepads and hinges. Dust and oil can accumulate around the lens, so clean these areas thoroughly.
5. Rinse the glasses with lukewarm water inside and out.
6. Carefully shake or tap the glasses to remove excess water.
7. Use a clean, lint-free towel to dry your lenses and frames. A cotton towel is preferred, but most dish towels are fine as long as they have been washed without substances that can smear your lenses, like fabric softener or dryer sheets. Make sure it is a fresh, clean towel!
8. Check to see that your eyewear is free from smears and smudges. Keep a microfiber cloth on hand to clean any minor residue you may encounter.

Even when using eyeglass cleaning products, it’s important to inspect your lenses and follow instructions. If you like to clean your glasses without a faucet, there are several cleaning sprays available in drugstores or at our practice. Before using a cleaning wipe, make sure to blow any debris off of your lenses to prevent scratching.

The best way to avoid not only scratching your glasses, but also having to clean them frequently is by getting an anti-reflective (AR) treatment done on your lenses. The best AR treatments prevent scratching, reduce glares, and even resist dust, dirt, and oil.

Talk to us if you have any questions about proper care for your glasses!