What Is Dry Eye?

Dry eye syndrome is caused by a chronic lack of moisture and lubrication of the eyes. Your eye’s tears keep the surface of the eye moist and lubricated, as well as washing away dust, debris, and other microorganisms.

What causes dry eye?

Typically dry eye occurs when there is a problem with your tears. Tears are made up of an oily, watery, and mucin component. Any issue with those components could cause dry eye. It could be tear instability, tear film evaporation, or insufficient tear production. The only way to detect the cause of your dry eye is an eye exam.

Symptoms

  • Burning sensation
  • Itchy eyes
  • Aching sensations
  • Heavy eyes
  • Fatigued eyes
  • Sore eyes
  • Dryness sensation
  • Red eyes
  • Photophobia (light sensitivity)
  • Blurred vision

Who gets dry eye?

Dry eye can happen to anyone at any age. Each case of dry eye varies in severity and individual tolerance. However, there are certain factors which can increase your risk for dry eyes. These factors include:

  • Computer use: Humans blink less frequently when working at computers, allowing for increased tear evaporation.
  • Smoking: Causes eyes to dry over time and is the root 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 higher risk for dry eye than men of the same age.
  • Health conditions: Certain diseases have a higher risk of contributing to dry eyes- such as diabetes or thyroid diseases.
  • Medications: Prescription and nonprescription medicines can have dry eye as a side effect.

Visiting The Doctor

Getting an eye exam by an eye doctor is the only way to know for sure you have chronic dry eye syndrome. Symptoms of dry eye can vary significantly from person to person and may even be symptoms of other eye problems. Personal perception of dry eye severity does not indicate whether or not an individual has chronic dry eye syndrome. Some individuals with mild dry eye may feel their eyes are very bothersome, while some individuals with severe dry eye may not consider their symptoms significant.

If you are showing symptoms of dry eye, schedule an appointment with our office as soon as possible. The only way to know the medical severity of your dry eye is through an eye exam.

 

Eye Allergies in Every Season

Eye allergies are caused by the same substances that give you a runny nose and sneezing. Individuals with seasonal allergies typically experience various reactions to their allergens such as sneezing, itchy eyes, or a headache. Symptoms of eye allergies include itching, redness, burning, and clear watery discharge. Additionally, you may notice dark circles under the eyes and puffy eyelids. It is essential to manage your allergies to prevent these allergy symptoms and other eye infections related to seasonal allergies.

Winter Allergies

Indoor allergens are the most common cause of eye allergies during the winter months. Spending more time inside with the house closed up tends to worsen these allergens. We recommend using mite-proof bedding to limit exposure to dust mites. Frequently wash bedding, blankets, and furniture to decrease allergy symptoms from both dust mites and pet dander. Additionally, using a dehumidifier is the best way to control mold in your home mainly focused on basements and bathrooms.

  • Dust Mites
  • Mold
  • Pet Dander

Spring Allergies

Spring can be a dreaded season for seasonal allergy sufferers. Pollen is the primary cause of reaction during the spring months. With the trees, flowers, and plants coming into bloom their pollen can severely irritate your eyes. Wearing glasses or sunglasses outdoors can help to prevent pollen from entering your eyes.

  • Tree Pollen
  • Flower Pollen

Summer Allergies

During the summer months, grass pollen and mold spores are the most common allergens. On high pollen count days, we recommend staying indoors as much as possible. To limit your exposure to allergens we recommend keeping your windows closed and using air conditioning in your car and home. Avoid using fans, as they can draw pollen and mold into the house.

  • Grass Pollen
  • Molds Spores

Fall Allergies

As fall comes around, seasonal allergies come back on the horizon. Check the pollen count and avoid spending time outside during peak pollen times. Mold spores begin to grow on damp leaves in the fall. While it can be challenging to prevent seasonal allergens completely, we recommend limiting your exposure as much as possible. Additionally, replacing the carpet in your home with hardwood, tile, or linoleum helps to keep pet dander and pollen from settling in your home.

  • Ragweed
  • Mold Spores
  • Pet Dander

Don’t let eye allergies stop you from living your life. We can help you manage your eye allergies and control your symptoms. Give our office a call or request an appointment to discuss your allergies with your eye doctor!

Who Gets Macular Degeneration?

Macular degeneration is the deterioration of the macula, the small central area of the eye that controls visual acuity. Typically developing macular degeneration is a slow, painless vision loss.

Age-related macular degeneration (AMD)

Macular degeneration is often referred to as age-related macular degeneration because it most frequently occurs in older generations. Macular degeneration is the leading cause of vision loss among older Americans and will grow significantly in the years to come due to the aging of the US population.

Populations Affected

The prevalence of macular degeneration increases significantly in individuals over the age of 80. In particular, the white American population is affected the most, with 14% of white Americans age 80 and older affected by AMD.*  Women also have a higher occurrence of AMD as compared to men due to their longer life expectancy. In 2010, 65% of AMD cases occurred in women as compared to only 35% in men.*

Risk factors

  • Obesity: Overweight patients with macular degeneration double their risk of developing advanced forms of macular degeneration.
  • Inactivity: Those who perform vigorous activity three times weekly reduce their risk for developing AMD compared to inactive patients.
  • Heredity: Family history and specific genes can link to a high risk of developing AMD.
  • High blood pressure: Some studies show a link between high blood pressure and macular degeneration.
  • Smoking: Living with a smoker doubles your risk for developing AMD. Smoking is a factor in about 25% of AMD cases with severe vision loss.

Currently, the best way to protect your eyes from developing macular degeneration is to eat healthy, exercise, and wear sunglasses. Annual eye exams can detect the early onset of macular degeneration and help to preserve your vision. Schedule an appointment with our office today!

*National Eye Institute, 2010

Prevent Glaucoma: Regular Eye Exams

Did you know, half of Americans with glaucoma don’t know they have it? Glaucoma is often called a silent thief of sight because the early stages often have no symptoms. In the US glaucoma is the second-leading cause of blindness.

What is Glaucoma?

Glaucoma is an eye disease damaging the optic nerve in the eye; the optic nerve connects the retina to the brain to produce sight. The most common type of glaucoma is called primary open-angle glaucoma. According to the Glaucoma Research Foundation, over 3 million Americans have glaucoma.

Eye pressure is a significant risk factor for optic nerve damage. We recommend annual eye exams to measure eye pressure and detect glaucoma before you lose vision.

Populations at a Higher Risk Include:

  • African Americans over age 40
  • Everyone over age 60, especially Mexican Americans
  • People with a family history of glaucoma

Symptoms of Glaucoma

Typically glaucoma has no signs or symptoms, by the time you notice your loss of vision the disease has progressed to irreversible vision loss. Regular eye exams are the best way to detect and prevent glaucoma because several tests are performed to look for signs of glaucoma.

Potential Signs/Symptoms Include:

  • High Intraocular Pressure
  • High Blood Pressure
  • Vision Loss
  • Blurry Vision
  • Distorted Vision
  • Eye Pain

Can you reduce your risk for glaucoma?

Maintaining a healthy lifestyle is essential to reduce your risk of developing glaucoma. A few ways to reduce your risk include not smoking and eating a varied healthy diet. Healthy weight and blood pressure are also essential to lowering your chance of getting glaucoma.

Recent studies have also found that physical exercise may also lower your intraocular pressure. Glaucoma development may be due to high intraocular pressure. Therefore, physical exercise and an active lifestyle are great ways to prevent glaucoma along with other serious health problems.

Types of Diabetic Eye Disease

More than 28% of diabetics age 40 or older have a diabetic eye disease. These numbers are only expected to grow in the upcoming years due to the decrease in physical activity and healthy eating.

Types of Diabetes

Type 1

A chronic condition in which the pancreas produces little or no insulin. About 1.25 million Americans have type 1 diabetes. Type 1 diabetes was previously known as juvenile diabetes. However, anyone at any age can get type 1 diabetes.

Type 2

90% of Americans with diabetes have type 2 diabetes. This occurs when your body is not using insulin correctly, called insulin resistance. Risk factors for type 2 diabetes include obesity, an unhealthy diet, and physical inactivity.

Complications of Diabetes

Not managing or treating your diabetes can cause serious health complications including hypoglycemia, skin infections, neuropathy, kidney disease, foot complications, and eye complications. Additionally, people with diabetes are at a higher risk for blindness and eye problems. The good news is with the correct treatment and lifestyle changes many people can prevent the onset of these complications. Therefore, we recommend regular eye exams to avoid eye problems and vision loss.

Diabetic Eye Disease

  • Diabetic Retinopathy: Damages the blood vessels in the retina in the back of the eye. Uncontrolled high blood pressure is more likely to result in diabetic retinopathy. Consequently between 12,000 and 24,000 new cases of blindness due to diabetic retinopathy occur each year in the U.S. according to the CDC.
  • Clinically significant macular edema: Swelling of the macula in the back of the eye. Macular edema is most common in those with type 2 diabetes.
  • Cataract: Clouding in the lens of your eyes. Cataracts are two-five times more likely in people with diabetes.
  • Glaucoma: Optic nerve damage to the fibers that connect the eye to the brain. Diabetes doubles the risk of glaucoma.

Those with diabetes should get a comprehensive eye exam at least once a year to ensure their eyes are healthy. Call our office today to schedule your comprehensive eye exam!

Nutrition and Your Eyes

The foods you eat and the dietary supplements you take affect your overall health and the health of your eyes. Nutrition and your eyes are linked together and can help prevent certain eye diseases along with other health problems.

Healthy Foods

Choosing healthy foods improves your overall health as well as your eye health. Dark green or brightly colored fruits and vegetables are essential parts of a healthy diet. These fruits and vegetables may also help to reduce the risks of developing eye diseases. Sugars and white flours may increase your risk of age-related eye disease, instead, opt for whole grains which do not have the same risks. Healthy fats containing omega-3 essential fatty acids are critical to your diet. These healthy fats can help prevent dry eyes and cataracts.

Hydration

Staying hydrated is essential to the health of your eyes. Drink plenty of water every day! We also recommend choosing healthy beverages and avoiding high sugar beverages. Proper hydration is linked to the reduction of dry eye symptoms.

Nutrients

Nutrients are an essential part of a healthy diet. These nutrients can be found in foods but can also be taken in supplements to ensure you are receiving the proper amount in your diet. Consult with your primary care provider before taking any dietary supplements. Here are a few nutrients that may have a link to eye health:

  • Vitamin A: may protect against night blindness and dry eyes
  • Omega 3 fatty acids: may prevent macular degeneration and dry eyes
  • Vitamin C: may reduce risks of cataracts and macular degeneration
  • Vitamin D: may reduce risks of macular degeneration
  • Zinc: may reduce risks of night blindness
  • Vitamin E: may reduce the risk of advanced macular degeneration

Aging Eyes

As you age, it is essential to consider all factors that could affect the overall health of your eyes. Not only should you adopt a healthy diet, but you can also do several other things to protect your eyes. One way to protect your eyes is to avoid overexposure to ultraviolet rays, which includes wearing sunglasses outdoors and staying away from tanning beds. Now is the time to quit smoking, not only is smoking harmful to your overall health it also increased your risks for many eye diseases. Finally, ensure that you are getting annual eye exams to detect any eye diseases before they cause permanent vision loss.

Nutrition and your eyes are highly connected, continue to find ways to feed your body the food and nutrients it needs to live a healthy life with healthy eyes.

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 eye 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 primarily affects female Caucasians over the age of 50 people. 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 eye doctor and discuss your vision and risk of macular degeneration.

*American Macular Degeneration Foundation

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 in 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 eye 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

Eye Exams 101

Regular comprehensive eye exams are key to early detection of eye-related diseases to keep you seeing your best every day. Adults should have a comprehensive eye exam every 1-2 years. Children should have an eye exam as early as 6 months, before they start school, and then every 1-2 years. If you or your family need a comprehensive eye exam, contact our office to schedule an appointment.

We often get questions about what an eye exam is like, so we’ve created an overview of a typical eye exam in our office.

Eye Exam Basics

What does an eye exam test for? Eye exams test your visual acuity and the overall health of your eye.

Why is an eye exam important? Eye exams check for early signs of serious eye and health problems; some of which may not present with any symptoms.

Who gives an eye exam? Your eye exam is performed by a licensed eye doctor.

Terms to know:

  • Ophthalmologist: An ophthalmologist is a medical doctor (MD) who specializes in eye care. Ophthalmologists can prescribe eyeglasses and contacts but commonly specialize in treating medical conditions of the eye and performing eye surgery
  • Optometrist: Optometrists are eye doctors who prescribe glasses, contacts, vision therapy, and medication to treat eye diseases. Optometrists are not trained or licensed to perform eye related surgery.
  • Optician: An optician is not an eye doctor, but is an eye care professional who fits, adjusts, and repairs your eyeglasses. They can also help patients learn to apply, remove, and care for contact lenses.

What to prepare for your appointment?

Before your comprehensive eye exam, there are several materials you can prepare. First, create a list of all your prescription and non-prescription medications you take along with the dosage. This will help your eye doctor determine any vision risks you may have. Bring your most recent pair of eyeglasses or contact lenses, if you have them. Don’t forget to have a copy of your vision insurance card and other medical insurance cards with you. To learn more about the insurance providers our office accepts and other payment options, please call our office directly. Finally, bring a list of questions or concerns you may have about your eyesight to discuss with your eye doctor.

What to expect during your appointment?

Prepare for your eye exam to take an hour or more depending on the number of tests your eye doctor needs to evaluate your vision and eye health. A typical comprehensive exam is a series of visual tests to inform your eye doctor about your vision.

These tests help determine:

  • Sharpness of near and distance vision
  • Color blindness
  • Lazy eye
  • Ability to follow moving object and/or move between two separate fixed objects
  • Depth perception
  • Determine your eyeglass prescription
  • Structures of the eye
  • Glaucoma test
  • Eye drop test to look inside your eyes
  • Blind spots

What to do after the exam?

Following your exam, you will have the opportunity to explore the various frames and lenses found in our optical space. An optician will be available to assist you in selecting a pair of eyewear that best fits your lifestyle needs. If you choose to wear contact lenses, you will need to schedule a contact lens fitting appointment.

Once your new eyewear is ready to be picked-up, an optician will adjust your frame to fit you best and make it comfortable for everyday wear.

Finally, schedule your follow-up appointment for the next year. Regular comprehensive eye exams are essential in maintaining healthy vision. If you ever experience any sudden vision changes or eye injuries be sure to contact our office.

Combating Dry Eye Syndrome

Do you experience itchy, burning, or dry 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 causes of dry eye syndrome, symptoms, and risk factors.

What are the causes of dry eye syndrome?

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 them 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 eye 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 eye 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 eye 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 Eyes

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 help 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 eye 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. Can cause eyes to dry over time and is the root 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.
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