Macular Degeneration

Individuals over the age of 50 are at a higher risk for developing age-related macular degeneration (AMD), which causes gradual vision loss. If you are over the age of 50 and have noticed changes in your vision, call our office to schedule an appointment with your doctor to discuss your risk for AMD.

What is Macular Degeneration?

Macular degeneration is a condition in which the macula in the eye breaks down resulting in gradual central vision loss. This vision loss is commonly referred to as age-related macular degeneration due to its increased development in individuals over the age of 50. Early signs of this condition include shadows in your central vision, fuzzy vision, or distorted vision. While AMD is not curable, early detection, prevention, and treatment can help slow or stop the progression.

Symptoms of AMD

  • Straight lines appear wavy
  • Fuzzy vision
  • Night vision problems
  • Gray, dark, or empty area in central vision
  • Dramatic vision loss

Types of macular degeneration

Dry macular degeneration is the most common type of AMD, diagnosed in nearly 90% of cases.* Dry macular degeneration causes yellowish deposits to form in the retina resulting in deterioration. Dry AMD will not result in full vision loss, but it is not curable or reversible. By maintaining good health and protecting your eyes from UV rays, you can decrease your risk and prevent early development of dry macular degeneration.

Wet macular degeneration is a severe form of AMD and accounts for about 10% of macular degeneration cases.* Wet AMD is an advanced form of macular degeneration and can result in full loss of central vision. Wet macular degeneration occurs when abnormal blood vessels grow under the retina and macula in the eye. As these blood vessels start to leak blood and fluid into the eye, the macula is forced to lift away from its base causing distorted central vision.  

Who is at risk?

Macular degeneration commonly affects individuals over the age of 50 people, primarily caucasians and females. While smoking is one of the highest risk factors for developing macular degeneration, other risk factors include obesity, high blood pressure, lighter eye color, and a family history of AMD.

If you are concerned about changes in your vision or suffer from one of these risk factors, call our office to schedule an appointment with your doctor and discuss your vision and risk of macular degeneration.

*American Macular Degeneration Foundation

Glaucoma: The Silent Thief of Sight

Did you know, nearly 2.2 million people in the United States are affected by glaucoma?* Due to the lack of symptoms in the early stages of glaucoma, almost half of Americans with glaucoma do not know they have it; causing glaucoma to be the second leading cause of blindness in the United States and worldwide.

What is glaucoma?

Glaucoma is an eye condition that damages the optic nerve in the eye and, if left untreated, can result in blindness. High pressure within the eye causes damage to the optic nerve and prevents the nerve from sending messages from the eye to the brain.

Typically, there are no symptoms or pain associated with glaucoma until severe vision loss has occurred; at which point vision loss is permanent and cannot be reversed. The degree of vision loss differs from each individual.

Symptoms

  • Most often has no symptoms
  • Damage starts in peripheral vision
  • Blurred vision
  • Distorted vision
  • Vision loss

Who is at risk?

According to the Glaucoma Research Foundation, African Americans are three times more likely to be affected by glaucoma, and six times more likely to suffer from blindness as a result of glaucoma. Hispanics and Latinos have the second highest risk for glaucoma. Those with a family history of glaucoma and diabetes are also at a higher risk. In order to help with early detection and to prevent irreversible vision loss, be sure to notify your doctor if glaucoma runs in your family or if you have diabetes.

Primary Types of Glaucoma

  • Primary open-angle glaucoma: Primary open-angle glaucoma causes peripheral vision to gradually reduce without any other symptoms. If not controlled or discovered, it can progress to tunnel vision and ultimately lead to blindness.
  • Acute angle-closure glaucoma: Acute angle-closure glaucoma, also called narrow angle glaucoma, produces a variety of sudden symptoms such as eye pain, headache, halos, dilated pupils, vision loss, nausea, and vomiting. Each onset of new symptoms causes additional vision loss.
  • Normal tension glaucoma: Normal tension glaucoma occurs in patients with normal pressure within their eye and typically has no symptoms associated until tunnel vision occurs.

*Glaucoma Research Foundation

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.

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.

What is Perfect Vision?

It’s generally assumed that “20/20” is perfect vision, but what does this mean?

Visual acuity is the term used to describe the sharpness of your vision. When doctors do a visual acuity test, they have you view something (usually the Snellen eye chart of letters) from a standard distance and tell them what you see.

One of the lines on the typical eye chart has letters that are a size which has been deemed “20/20 visual acuity,” meaning that at 20 feet, most people can accurately read those characters. This is the standard, so at 20 feet, you read them as well as someone at 20 feet should be able to. It is possible for some people to read smaller letters that fall on lines below. This would be 20/15 or 20/10 visual acuity, meaning at 20 feet, you read letters that most people can only read at 10 or 15 feet. Great!

For people who have less visual acuity, they may be 20/40 or 20/60. The largest letter on the chart (an E on most Snellen charts) corresponds to 20/200 vision. If someone cannot distinguish that letter without assistance, they are considered legally blind.

Did you know the 20-foot measurement isn’t used everywhere? In some countries they use 6 meters as the standard viewing distance.

Visual acuity of 20/20 is considered “perfect vision” because no aids are required to see better, but people can have better than 20/20 vision. Many young people are able to see letters smaller than the general “20/20” size. Even people who know that they see 20/20 or better, but feel that other aspects of their vision are lacking have options for improvement.

Some people who can pass a visual acuity test sufficiently may still have what we refer to as “high-order aberrations.” Low-order aberrations are familiar to most people as nearsightedness, farsightedness, and astigmatism, but high-order aberrations are less well-known. The eye doctor may find that you have coma, spherical aberration, or trefoil. These can produce symptoms including bad night vision, double vision, starbursts or halos, glare, or blurring.

Options exist for people with high-order aberrations who would like sharper vision. Gas permeable (GP) contact lenses are rigid lenses that may improve your vision better than glasses or soft contacts can. There are also laser vision correction surgeries that can address some eye irregularities leading to various types of eyesight problems.

Of course, if you want to know your visual acuity, a comprehensive eye exam is the best way to assess your vision. You can speak to the doctor about how well you’re seeing now, and what options are available to help you get 20/20 vision!

What is Colorblindness?

Colorblindness is an interesting thing to most people because we wonder what it must be like to not distinguish some colors—a function of vision that we take for granted. Most people can live with colorblindness because it is present as soon as they are born and many go years without realizing that they do not see a full array of colors.

Certain tasks may be difficult or impossible, but even without seeing as many distinct colors as possible, these people function fine in everyday life. Colorblind tests exist to diagnose people who have color vision deficiency, and new advancements have even created eyewear to help people see more of the colors they are missing depending on their deficiency.

The cause of color blindness usually involves faulty cones. Cones are cells in your eyes that distinguish the three wavelengths of light that we see. Light can be split into red, green, and blue for the spectrum visible to humans. Color blindness can happen because the cone cells are faulty in some way and do not show distinct colors. A person may see shades of yellow and blue, for example, but have problems distinguishing red and green. Many people believe that color blindness means seeing only in black and white, but that is far more rare than typical color blindness.

Also, color deficiency is much more common in men than women. Only up to 1% of the female population has trouble seeing various colors, where somewhere between 8-12% of the male population is color blind.

Color blindness is usually an inherited genetic deficiency with the cones, but symptoms of color blindness may also occur due to stroke, old age, or a problem with pathways from the cones to the brain where the brain can determine colors.

More and more people are able to afford relatively new technology that helps us see more distinct colors. People who are not color blind can use special glasses to see a more saturated and distinct view of colors, but those with color deficiencies are seeing some colors that they have never seen before. These special color vision glasses are a favorite subject of YouTube videos where people give their friends the gift of color and film the shocking experience.

Curious about your own color perception? Learn more about it here, and test your color vision!

April Showers Bring May (and More) Allergies

Spring has arrived! The birds are chirping, the days are getting longer, and suddenly you’re experiencing itchy and watery eyes. Seasonal allergies affect an estimated 50 million people in the United States, making the spring season a little (or a lot) less pleasant for many Americans. Up to 30 percent of adults and up to 40 percent of children report having problems with seasonal allergies. That’s no small amount of people with itchy eyes and runny noses!

Spring is what comes to mind when most people think of seasonal allergies, but allergies are not limited to April, May, and June alone. Seasonal allergies can be a disruption almost any time of year, depending on what causes your allergies and where you live. Learning how to cope with seasonal allergies and treat the symptoms can improve your daily life and make nice weather more enjoyable.

How do you combat seasonal allergies? There are some tips you can use to fight seasonal allergies. First, know what triggers them. You’re not going to frolick in a field of goldenrod if you know that it causes an allergic reaction. Ask your physician if he or she can help you narrow down what is causing your discomfort.

The most common seasonal allergens are grass, pollen, and mold. For an allergy sufferer, avoiding these allergens is the first approach to minimize symptoms. It can be difficult to avoid them, however, because they are very common in most parts of the country. Unless you’re able to move somewhere without allergens (or maybe you can live in a bubble), you’ll have to consider some additional options.

Make sure to protect your eyes. Sunglasses can help keep pollen and allergens from entering the eye to an extent, but they also minimize strain on your eyes that can be worsened during allergy season. Protection can also come in the form of wearing a protective mask while doing things like gardening or yard work.

If you must go outside to work or exercise, try to do it early in the morning or later in the evening. These are times when pollen counts are typically lower than during the middle hours of the day. Also, check pollen counts. Many weather apps and sites offer pollen counts as a way to inform allergy sufferers of the worst days for allergies, and other days when it might not be so bad.

Talk to your doctor about an over-the-counter remedy. Not a lot of people report mowing the lawn as their favorite thing to do, but gardening can be very satisfying, and a fun way to get dirty, make your yard more beautiful, or even save money by growing your own food. Seasonal allergies make rustling around in the weeds nearly impossible, however. No one wants to spend their time in nature rubbing their eyes! Your physician can give you advice on medical treatments for allergies and medication that may be available to help you keep your routine and pursue your hobbies without too much disruption.

On days when the pollen count is high, sufferers may choose to stay inside. Itchy eyes can be painful, making it difficult to accomplish everyday tasks like working on a computer screen, watching TV, or even just focusing on small details for a prolonged period of time. With many people working behind a computer for their job, just imagine the productivity that could be gained if eye-related allergies were eliminated! Thankfully, you can help keep indoor air quality clear so you can live comfortably and get your work done indoors. Simply try an air purifier. They help to reduce allergens from the air, and keep those pesky particles out of your nose and eyes. Also, make sure the air filters on your heating and cooling units are changed or cleaned regularly. Special filters exist for allergy sufferers, and they can help improve indoor air quality when changed regularly.

In addition to cleaning the air, wash the dog, your hair, and your clothes. Pollen and other allergens can easily stick to clothes, pets, and even you. A regular wash will prevent allergens from sticking around this allergy season.

The best way to combat the change in seasons is to avoid the allergen as much as possible, refrain from itching your eyes, and use artificial tears to wash away airborne allergens when necessary. Talk to your physician and eye care professional if seasonal allergies are getting in your way.

The Importance of Pediatric Eye Exams

When it comes to pediatric care, parents are usually concerned with finding the best pediatrician and following their medical advice exactly, but what about pediatric eye care? Eye care for kids is sometimes an area parents overlook because they aren’t always aware of the importance of eye health for children. Many don’t seek eye exams for their children until either the child reports having difficulty seeing at school, or the child’s grades begin to slip and parents take a closer look at why their child isn’t developing academically.

Experts recommend that children receive several eye exams before starting school. Infants should receive their first comprehensive eye exam around six months of age. Children should have an eye exam around age three, and again when they reach age five or six. Before reaching first grade, parents are strongly encouraged to have their children receive a full eye exam to make sure the child has no visual problems as they start elementary school.

Eye exams for young children are important because vision problems can negatively affect a child’s performance in school long before you are aware of the issue. The American Optometric Association reports that 5 to 10 percent of preschoolers and 25 percent of school-age children are diagnosed with vision problems once they receive proper eye care. Experts are always stressing the significance of appropriate early education and full participation from youngsters in programs and learning that will become a foundation for critical skills. Children risk not being able to fully participate if they are experiencing undiagnosed visual impairments. An early eye exam and regular eye care for children can alleviate this potential problem.

Identifying eye problems early is crucial to the child’s learning and development in school. A child with poor vision may have difficulty with seeing text and comprehending words causing difficulty in reading. No parent wants their child to be frustrated with reading, especially when most vision problems are easily fixed with glasses. Unable to explain problems in a group, children may choose not to volunteer for reading in class out of embarrassment, or opt out of picking a library book because it’s hard to see. This will negatively affect academic achievement and the enjoyment that comes with reading for many children.

Other symptoms of learning-related vision problems include headaches or eyestrain, short attention span for visual tasks, difficulty identifying or reproducing shapes, poor hand-eye coordination, and developmental delay. Talk to your family eye care professional about scheduling eye care visits for your children. They will be more than happy to answer any questions you may have about your child’s eye health, and let you know when is a good time to start doing regular check-ups.