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Author: innexus

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

Take Advantage of Savings and Flexibility

Flex spendingNavigating 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.

How to Pick Your Glasses – From Functional to Fashion-Forward

Picking eyeglasses from a frame wallPicking eyeglasses can be a difficult process of trial and error, especially if you haven’t done it many times before. The problem is that, unlike shopping for clothing where you may have a good idea of what fits you and what your favorite colors and patterns are, people can sometimes be vague on what they want for glasses (or have no idea at all). Few people know the most important factors for getting the right glasses for you: the shape of your face and which glasses will accent that shape, color and design options available to fit your preference, and features that will work best with your lifestyle.

Instead of standing in front of racks of frames and trying them on for what could be hours, consider these things first. Ask an observant friend or your eye care professional, we should already be helping!

Which glasses will look best on you is most reliant on the shape of your face. Take a head-on look in the mirror and notice the shape of your face. Is your face taller and more arrow, or shorter and rounded? Is your face more like a diamond, or maybe a triangle shape? Is the bone structure angular, or do you have soft curves? Once you narrow that down, it’s easier to start shopping. Sometimes it helps to do an internet search and see examples of different face shapes and see which one most closely resembles you.

If your face is small, large frames will make your face look even smaller, and your features will get lost behind your glasses. If you have a larger face, small glasses will look out of proportion and make your eyes appear small. Rounded glasses soften an angular face, but a soft face can look balanced and cool with an edgy pair of angular glasses. It may take a few tries to hit on what style of glasses look good on you, but usually there are several models that will look sharp. You can narrow down your selection further once you decide on the general style that you prefer.

You can also look at trends for frame styles based on age. There’s no reason that a young person can’t wear rimless glasses, or a senior can’t wear something bright, but we tend to see trends that vary by age group. Younger people are choosing old-fashioned styles that have become popular again. Vintage styles like horn-rimmed, Wayfarer, and Clubmaster glasses have become cool unisex styles for younger people who want a classic look. Older women are making fun, youthful looks with black frames and unique, funky shapes that are creative, but still convey their professional status. Older men in particular might like frameless and very thin frames that have a mature and barely-there look.

Next, think about your personality and fashion sense. Are you the kind of person who would enjoy something bold, or do you tend to shy away from being the center of attention? Don’t be afraid to be creative with your selection if it suits you. Many frames come in patterns like plaid or animal print, or offer clear or other modern materials that will make your glasses pop.

What color will look best with your skin tone, hair, eyes, and apparel? Do you have a varied color palette for clothing, or are most of your clothes in similar colors? If you don’t plan on buying a new wardrobe, it’s a good idea to factor in your apparel as well as the overall tone of your skin and hair. Do you wear blue jeans and lots of cool greens, grays, and purples, or are you a more summery, bright yellow and orange palette? For skin tone, warmer colors would be a pink or yellow skin, whereas olive skin falls on the cooler side. Someone with rich brown hair, a more yellow skin tone, and coppery brown eyes might look strange in cool blue frames, for instance.

How dark or fair your skin is will also have an effect on your choice. Darker skin looks good with light colored glasses for a nice contrast, but fair skin looks better with a neutral tone that won’t make them look washed out. People with a medium skin tone can get a slick look with solid, bright colors.

Finally, make sure that you pick glasses that work for your lifestyle. If you’re big on adventure or you have young children who might be after your eyewear, ask about frames that are more durable and able to bend without breaking. Do you usually have to look professional, or can you be casual on a daily basis? If you’re getting one pair of glasses and not multiple pairs, you’ll need to be sure that your final pick can fit your needs and normal daily setting.

If you’re getting ready for your visit and will be picking glasses, wear an outfit that you usually wear, and do your hair and makeup in a way that’s typical for you. Ask your eye care professional for help if you want a second opinion, or get their assistance to narrow down some options. Let a professional help you create a new face!

Preventing Computer Vision Syndrome

Woman suffering from computer vision syndromeIt’s the end of the week and you’ve only got a few hours left before the weekend. As you try to finish the last of your tasks, you find yourself unable to focus—not just mentally, but physically. You have trouble seeing the screen in front of you. Maybe your vision is blurry or your eyes start to burn. These are symptoms of computer vision syndrome.

Computer vision syndrome is simply the name given to a group of symptoms and problems associated with overuse of computers and strained eyes from excessive computer use. It’s becoming a more common problem as more people work in offices behind computers, and rely on tablets or smartphones instead of paper. These devices have helped make us more productive with faster communication and easier recordkeeping, but the reliance on electronic screens in front of our faces can also be a problem for our eyes.

There are many things you can do to prevent or relieve the symptoms of computer vision syndrome. If you wear glasses, make sure your prescription is up to date. If you do not wear glasses (or if you wear contact lenses that you’re sure are an appropriate prescription for you) yet still experience discomfort while on a computer, computer glasses may be what you’re looking for.

Computer glasses are different than traditional eyeglasses or reading glasses. Due to such a short distance between your eyes and the computer screen, distance eyeglasses and reading eyeglasses may not be as effective for your eyes. They’re not necessarily meant for focusing for longer periods on the intermediate zone of vision. Made specially for viewing a computer screen, computer glasses help you focus on this very zone where your monitor sits, making daily use much more comfortable.

Without a proper prescription or an aid like computer glasses, those experiencing blurred vision may end up leaning forward in order to see. This can negatively affect posture and cause even more strain on your body. In addition to eye health, it’s very important to have a healthy workspace and comfortable posture.

Because computer glasses have a modified lens, they give you the most comfortable view of your computer screen. For maximum viewing quality, the lenses should include anti-reflective coating. Computer lenses with a blue light protective coating are also recommended in order to block out blue light that is emitted from computer screens. Blue light is very high energy and is thought to potentially lead to macular degeneration and cataract development with long term exposure.

With a decrease in eyestrain, and no more blurred vision or headaches, it’s obvious how much computer glasses can help make you feel better and more productive. Ask your eye care professional if you’re interested in learning more about computer glasses and how they can help prevent computer vision syndrome.

The Importance of Pediatric Eye Exams

Pediatric Eye CareWhen 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 12 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. A condition known as amblyopia can occur when one eye fails to develop properly and can lead to permanent vision loss unless caught early. The critical treatment period is before age 7.

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.

Polarized Sunglasses

Polarized sunglassesSquinting 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 lenses. 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.

Contact Lenses – Just the Facts

Contact lensesAlthough it’s unlikely that demand for traditional glasses will ever disappear altogether (after all, they’re stylish, comfortable, and convenient), contact lenses have been popular for decades and continue to be a great choice for eyewear. From typical prescription options, to ones that change the color of the eye, to futuristic “smart” lenses—contacts have come a long way since 1888!

Contact lenses are a great alternative to wearing glasses for many people because they offer a lot of flexibility. You can wear your non-prescription sunglasses, goggles, helmets, headbands, or other kinds of eyewear over your contacts. People with contact lenses don’t have to worry about glasses slipping off or getting knocked off with physical activity. Plus, contacts don’t fog up and won’t produce a glare in photos. Unless you’re up close to someone, you can’t even tell they’re wearing them.

There is a wide variety of contact lenses available to fit most people. Advances in recent years have created many options with cool features perfectly suited to a range of prescription types and eyewear needs.

Toric lenses are used for people with astigmatism (irregular curvature of the eye). The way that toric contacts work is they have different powers at various places on the lens and they stay in place on the eye with a weighted section so that they don’t rotate. Unlike a regular prescription contact lens that can rotate and give consistently clear vision, the toric lenses have to stay in one position. Most wearers will never notice the weighted section.

Gas permeable lenses are not soft and flexible like the ones most people imagine when they think of contact lenses. These lenses still have breathability for air to reach your eye, but they are rigid. By keeping their perfectly rounded shape, the lenses can help give clear vision to people with high astigmatism. The downside is that some people find them hard to become accustomed to wearing because they feel the lens more than they feel soft lenses. Usually within a few days most patients adjust well to the lenses.

People who need reading glasses or progressive lenses can benefit from bifocal and multifocal lenses. These are designed for those who require more than one prescription in the same lens—a common need among people over forty due to common age-related vision problem known as presbyopia.

Hybrid lenses are made of a rigid middle zone and a soft outer rim. They are specially designed for high astigmatism, certain irregular corneas, and people with early stage keratoconus.

Conditions such as keratoconus, dry eyes, giant papillary conjunctivitis, post-refractive surgery (such as LASIK), and presbyopia can make contact lens fitting more difficult, but most people are able to find contact lenses to comfortably fit their eyes and needs. If you want to try contact lenses, talk to your eye care professional about which options are best for you!

What’s in a Prescription?

Eyeglass prescriptionIt 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 changed for you to see clearly. This is the reason why your contact lens prescription is different than your glasses, but you get the same crisp, clear vision with each. Neat, right?

Not all contact lens prescription powers are drastically different than the glasses prescription for the same person, but usually the power used for contact lenses is different. 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.

April Showers Bring May (and More) Allergies

Man dealing with seasonal allergiesSpring 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 frolic 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.

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 optometrist 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. Oral antihistamines like Zyrtec are good at stopping allergies in the body, but can make allergies worse in your eyes by drying them out, often an allergy eye drop is required to provide complete relief.

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 eye care professional if seasonal allergies are getting in your way.

Healthy Vision is More than 20/20

Protecting your vision by eating healthyTaking 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.