Take Advantage of Savings and Flexibility

Navigating healthcare benefits and wellness perks can be tricky. Often the details are quite specific and involve websites or pamphlets than need to be studied to know what’s available to you. Flex Spending is one area that is often asked about, but under-utilized. It’s a great of an opportunity to save on necessary healthcare services and items.

Flex Spending Accounts (FSA) are a popular feature with many healthcare plans. How an FSA works is that money from each paycheck gets deposited automatically into your flex account. This money is then saved for you and you are able to use it to pay for healthcare expenses not covered by your medical plan. You pick what amount of money you want diverted into the account, and the advantage is that the funds you add to this account come out of your paycheck tax-free.

Your FSA can help pay for necessary eye care. Use flex spending money for prescription glasses, prescription sunglasses, or contact lenses. FSAs can cover things like routine eye exams, co-payments, deductibles, and more.

Employers often encourage employees to take advantage of these accounts because of the tax savings, and because it promotes thoughtful spending on health and wellness products and services to improve your quality of life. The downside? These accounts are on a “use it or lose it” basis and don’t usually roll over after a year. Don’t wait until the last minute to take advantage of flex spending!

So how do you take advantage of your FSA? First, read any literature you may have from your employer regarding the terms of flex spending, guidelines and suggestions for how to use it. Make sure you know how much you are putting into your account and consider price-checking to see what you will spend during the year so that you know how much to divert into the FSA each month. Once you know how to use your flex spending, make an appointment to see your eye care professional and get a yearly exam and eyewear. You may also want to discuss pricing with the provider so that you know what to expect for payment. Once you’ve had your exam and received your eyewear, keep your receipts and any necessary paperwork either to submit for coverage or to have for your records.

Some other things to know: there are accounts similar to FSAs that are a little different. Health Savings Accounts for example are similar to an FSA in that you divert tax-free money from your paycheck into the account and use it on healthcare purchases, but these funds are not lost year-to-year. HSA funds accrue over time. They apply to the same sorts of purchases included prescription eyeglasses or sunglasses and contact lenses, so check to see what options are available to you.

Speak to an eye care professional today to learn more about how to use flex spending on necessary eye care.

What’s in a Prescription?

It seems like contact lenses and glasses would use the same prescription. After all, the idea is that your eyes don’t see quite right, so you use a lens to change the view, and then you see clearly, right? Well, the two prescriptions are quite different. Few patients check the numbers or notice any change during the exam process, but the prescriptions are not the same because of where the lens sits in relation to your eye.

The lens of your glasses rests about twelve millimeters from your eye. Contact lenses, on the other hand, are placed directly on the surface of your eye. Why would this make your prescription different? Well, think about holding a magnifying glass out in your hand. When you hold it far away and look through, the view you see is much different than if you try to hold the magnifying lens up close to your eye. The same principle is in play when you consider glasses in contrast to contact lenses.

If you’re still imagining the magnifying glass held out in your hand, think about how grass would look if you’re sitting on the ground and have the magnifying glass down near the grass. You’d be able to see the blades clearly, right? If you held the magnifying glass up close to your eye, the refraction would be so strong that you wouldn’t be able to see anything other than a blur. The power of the glass would need to be reduced for you to see clearly. This is the reason why your contact lens prescription is weaker than your glasses, but you get the same crisp, clear vision with each. Neat, right?

Not all contact lens prescription powers are drastically less than the glasses prescription for the same person, but usually the power used for contact lenses is reduced. In addition to the powers being different, your eye care professional will need some additional measurements to fit you for contact lenses because there are specifications needed to fit contact lenses appropriately that aren’t needed for glasses.

Some things that need to be measured to receive an accurate contact lens prescription are the size of the cornea, the curve and overall size of the lens, and the suggested brand of lenses that will work best for you. Eye care professionals usually have an idea of which contact lenses work best with different eye conditions, so they will suggest a particular toric lens for your astigmatism, or a type of disposal lens based on your needs, for example.

Some aspects of the lens prescriptions are included for both kinds of eyewear. The lens power is included in both prescriptions. Lens power is the measurement used to correct your “refractive error,” or the nearsightedness, farsightedness, or astigmatism that you have. It wouldn’t be identical because of the magnifying glass analogy, but it is included in both prescriptions. They’re also laid out per eye—right vs. left—because very few people have the same prescription in both eyes, so they are measured individually regardless of what type of eyewear you’re getting. More technical aspects of your prescription (the power and axis determined to correct astigmatism, for instance) may also be included in both the contact lens and glasses versions of your prescription.

Hopefully that makes the difference between your contact lens and glasses prescriptions clearer. Talk to your eye care professional if you have any questions about your prescription or are curious about getting contact lenses or glasses.

Healthy Vision is More than 20/20

Taking care of your eyes includes more than going to a yearly exam and wearing an up-to-date prescription. Although both are certainly important, there are many more things you can (and should) do to make sure you’re preventing eye problems and protecting your vision.

Diet and nutrition play an important role in the long-term health of your eyes. Certain vitamins and minerals have proven necessary for good vision while also protecting against eye diseases. A diet high in dark leafy greens such as spinach, kale, and collard greens provides us with lutein, bioflavonoids, and beta-carotene. Omega-3 fatty acids are great for those who suffer from dry eyes. Omega-3s can be found in fish, fish oil supplements, flaxseed, and walnuts. Vitamin A, C, D, E and zinc can be consumed through foods such as eggs, sweet peppers, milk, almonds, and beef. Consumption of these foods high in vitamins may reduce the risk of macular degeneration, cataracts, blindness, and dry eyes, among others.

Full-body physical exams are also important. Physicals check for diabetes and high blood pressure. These conditions can lead to diabetic retinopathy, macular degeneration, glaucoma, and ocular hypertension if left untreated.

Shielding your eyes from the sun is important, but many people believe it is just the tint of sunglasses that offers protection. In actuality it’s the UV-blocking abilities of sunglasses that guard your eyes from damage. Make sure that your eyewear is dark enough to keep you from squinting into the sun when you’re outdoors, but also check that your glasses have a UV coating. Some sunglasses have an inexpensive UV coating that rubs off over time, so your best bet is to purchase a reputable brand that offers a durable coating or is manufactured into the lens itself and will block 99–100% of UVA and UVB rays.

The number of people in the United States who smoke has been declining for several years, and now just 18% of people in the US smoke. Unfortunately, smoking still accounts for 480,000 deaths each year, and smoking increases several risk factors for poor eye health. Smoking doubles your chance of developing cataracts, a clouding of the eye that is the leading cause of blindness. Also, age-related macular degeneration (AMD) causes blind spots and impairs vision, and smokers have a three-fold increase in their risk of developing AMD. So quitting smoking is crucial for your overall health, but also to protect your eyesight.

Most people know that they should be getting twenty minutes of exercise three times a week, but eye health is yet another reason that you should get moving. Regular exercise is linked to retina health. Plus, sufficient exercise along with a balanced diet can help prevent other medical conditions that put your eyes at risk.

Aside from these things, being aware of your family’s health history is another big factor in eye health. Your physician and eye care professionals can help you check for symptoms that may be signs of known health problems common to your family, and can suggest prevention tips as well as early intervention if you discover there is a problem.

If you notice any changes in your vision—things like haziness, cloudiness, double vision, difficulty seeing at night—see your doctor right away. A healthy lifestyle, regular checkups, knowing your risk factors, and basic protective measures will help you keep your eyesight clear for as long as possible.

Children and Computer Vision Syndrome

People are always touting the benefits and the risks of social media, videogames, television, and other screen activities. It’s common to hear about someone giving up social media for a period of time just to see if they are able to kick what they consider an ‘addiction.’ New Year’s resolutions are often to read more and spend less time at a computer or on a smartphone. These may seem like grown-up problems, but adults and teens aren’t the only demographics spending a large part of their daily routine behind a screen. Children barely old enough to move a mouse are using computers and devices for recreation and learning every day.

In 2009, kids in grades 7–12 reported spending an average of more than 90 minutes a day just sending or receiving texts on cell phones. In 2011, 50% of children under eight-years-old reported having access to a mobile device like a smartphone or tablet. Children under two watch 53 minutes a day of television.

Should all screen time and computer usage be cause for concern? Not quite. Consider this: studies have found that children who use a computer at school and at home perform better on tests of school readiness, visual motor skills, gross motor, and cognitive development. This positive effect seems to diminish if you look at children’s screen time beyond physician-recommended daily limits, however. Excessive screen time does not help children learn, and overuse has been shown to put children at risk for vision problems.

Children aged 8–18 reported in 2009 that they spent more than seven hours a day devoted to “entertainment media” including computers and videogames. That makes screen time a full-time job! Pediatric eye doctors are warning parents that this sort of heavy screen time is putting children at risk for early nearsightedness, among other possible issues.

According to the National Eye Institute, over the past 30 years the prevalence of nearsightedness has increased from 25 percent to over 41 percent. This is an increase of more than 66 percent. No one can be certain if this increase is caused by screen time, but many professionals are concerned that there may be a connection.

The longer children are exposed to a computer screen, the greater their risk is for developing computer vision syndrome. Computer vision syndrome is the term used to describe problems associated with focusing on an electronic display for excessive, uninterrupted amounts of time. The risk is increased because children’s eyes are not as well-developed as adults. It’s easier for children to experience these problems because they often lose track of time, are assigned lots of homework to do on the computer, or may not realize that they should be taking frequent breaks. Additionally, children are notorious for sitting very close to screens even if they have perfect vision—a position that strains the eyes and the rest of the body.

Parents should pay careful attention to how long a child spends with electronics. Set limits and help them develop good habits for how to use their devices. Talk to your eye care professional to discuss your child’s media habits and determine if you should change how they interact with electronics for optimal eye health.

Non-Glare Lenses

Non-glare lenses are a common and cost-effective feature that many eyeglass wearers elect to have put on their lenses. It’s one of those things that you usually don’t notice or think about when you have it, but you notice when it’s not there!

Non-glare lenses are simply lenses that have this anti-reflective coating applied to the lens. Anti-reflective coating works by eliminating the reflections of light from the front and back the lens. Typical anti-reflective coating allows 99.5 percent of light to pass through, meaning that there is only a very faint hint of light on the lens even in the brightest conditions. The anti-glare protection allows more light to come through, and results in better vision for you as well as a better view for others. When people look at you, they won’t see a glare off of the lenses of your glasses. Glares off of your glasses can ruin pictures and be distracting to people speaking with you because the glare obscures the view of your eyes.

Beyond the cosmetic reasons, the largest benefits of anti-reflective coating are sharper vision when driving at night, and more comfort when using a computer for long periods of time. You won’t experience a glare from the computer screen, and the sharper vision will mean easier focusing for your eyes.

It’s also a good idea get the anti-reflective coating applied to the back surface of your sunglasses. This helps eliminate glare from sunlight when the sun is behind you. Most AR coatings now also include a layer that prevents water spots, thus making them much easier to clean. There are even coatings that help resist skin oils while also making smudges easier to wipe off.

Glasses that have anti-reflective coating should be given special care, as some lens cleaners contain chemicals that could damage the anti-reflective coating. With any eyewear, make sure you know how to care for your gear to give it a long and useful life. Ask your eye care professional if you have questions about care for your eye wear, or would like to know more about anti-glare options.

Photochromic Lenses

Lenses that darken automatically when exposed to various levels of light are called photochromic or light-adaptive lenses. This technology was discovered in the 1960s, but it didn’t really catch on until the 1990s. The convenience of photochromic lenses is huge: they’re basically like getting two complete pairs of glasses—regular glasses and sunglasses—in one!

How the technology works is pretty cool. In glass photochromic lenses, silver compounds are embedded into the lens material. When exposed to varying levels of sunlight, the compounds go through a chemical change that increases their size, allowing them to block out more light. Once the bright sunlight subsides, the molecules return to their normal size. Plastic light-adaptive lenses use similar photochromic molecules to create the darkening effect. The reaction that causes the material to darken as it absorbs varying levels of light is completely reversible which is why the lenses go back to clear or only slightly tinted when the wearer is out of bright sunlight.

The only issue you may encounter with light-adaptive lenses is that the photochromic reaction depends to some extent on temperature. In very hot weather, they may not darken all the way. When you first step into the sunlight, the darkening effect happens in about a minute. Over the next several minutes, they may darken just a little more, until achieving their final darkness after about 15 minutes (which depends on the brand and material of lenses). The first reaction will be drastic and give you more than enough light protection to continue into the sun with your vision protected.

If the final darkness of regular light-adaptive lenses isn’t dark enough for what you need, photochromic sunglasses can help. Their darkness when not in the sunlight is still darker than normal glasses. For that reason, most people don’t use these as their only pair of glasses because they won’t see as well indoors. They are a great option for people like drivers, for example, who spend a large part of their time shielding their eyes from sunlight and can wear their backup glasses in low-light settings. The other reason they’re good for drivers is that most windshields block out the UV light that causes the darkening reaction. With a UV-blocking windshield, bright light coming through your windshield will not cause your lenses to darken, leaving you squinting and straining.

There are some other interesting uses of photochromic technology. One medical application involves tinting for certain shades of red. These lenses can be used for various eye conditions including macular degeneration. Of course, there are further recreational uses of adapting tints, too. Red and green shades are used to make a fashion statement, but yellow and amber tints can be used in hunting and sporting glasses to help increase contrast, especially when it is cloudy. Tints can be applied and used in adaptive lenses in just about any color. Want to see the world through rose-colored glasses? It’s possible!

Talk to your eye care professional to test a pair of light-adaptive lenses and see how they’ll help make your everyday life a little easier.

Polarized Sunglasses

Squinting into the sun and focusing in bright light is very hard on your eyes. Eye care professionals stress the importance of sunglasses and shading your eyes to protect your vision, but many people aren’t aware of the benefits that come from polarized sunglasses. They’re not just for fishermen to see into the water!

When you’re not on the dock or deck of your boat, you will continue to see the benefits of polarization. Polarized lenses can help cut glares off of surfaces like the road in front of you or the hood of your vehicle. Even bright light outdoors or through windows can be mellowed with polarized lenses.

The reason that polarized lenses work is that they cut out certain waves of light. Normal light tends to go in all directions, but light that bounces off of a surface tends to “polarize” and align itself horizontally. So sunlight beating down on the water doesn’t appear as ambient light once it bounces off the water, because it hits that reflective surface and bounces up, glaring into your eyes. Polarized lenses are specially made with a vertical polarization so that they cut out that intense reflected light and let you see more of the natural light you’d see if there was no glare. Pretty cool, right? You can even experiment with glasses to see if they’re polarized by holding them out and rotating the lens to see if the glare lessens or not.

Some people may notice instances where polarized lenses are not helpful, however. Cell phone screens, LCD and GPS displays can be more difficult to read. In some cases, much brighter light is something you need to see, like in downhill skiing. A bright patch alerts the skier to ice, and polarization would make it harder to see. But most everyday skiers and snowboarders would like to ease the bright light reflecting off of the snow if they’re not in icy conditions. Other than a few rare occasions, polarized lenses can do a lot to improve your vision for many applications. Ask your eye care professional for help deciding if polarization is right for your eyewear.