Skip to main content
Glasses-Notebook-Mug-1280x480-1024x384
Home »

Uncategorized

3 Ways Diabetes Can Affect Your Vision and Eyes

Did you know that people with diabetes are 20 times more likely to get eye diseases than those without it? There are three major eye conditions that diabetics are at risk for developing: cataracts, glaucoma, and diabetic retinopathy. To prevent these sight-threatening diseases, it’s important to control your blood sugar level and have your eyes checked at least once a year by an eye doctor.

But First, What Is Diabetes?

Diabetes is a disease that is associated with high blood glucose levels. Insulin, a hormone produced by the pancreas, helps our cells get energy from the sugars we eat. Diabetes develops when the body doesn’t produce or respond to insulin effectively, leaving too much sugar in the blood stream instead. Over time, diabetes can lead to potentially irreversible ocular damage and poor eyesight. However, by taking care of your blood sugar levels and your eyes, you can prevent vision loss.

Annual eye exams are recommended for everyone, but routine screenings are even more important for diabetics. Eye doctors may send diabetic eye health reports to a patient’s primary care physician or internist to adjust medication as needed to prevent complications.

What’s the Link Between Vision and Diabetes?

Blurred vision or fluctuating eyesight clarity is often one of the first noticeable signs that diabetes has begun to affect your eyes. Sometimes, fluid leaking into the eye causes the lens to swell and change shape. This, in turn, makes it difficult for the eyes to focus, resulting in fuzzy vision. Such symptoms can indicate that an eye disease is developing, or may simply be due to imbalanced blood sugar levels which can be rectified by getting your blood sugar back to healthy levels.

If you start to notice blurry vision, make an appointment with Dr. Ward as soon as possible.

The 3 Ways Diabetes Impacts Vision

Cataracts

While cataracts are extremely common and a part of the natural aging process, those with diabetes tend to develop cataracts earlier in life. Characterized by a clouding or fogging of the lens within the eye, cataracts impede light from entering the eye, causing blurred vision and glares. The best treatment is cataract surgery, which is very safe and effective.

Glaucoma

Glaucoma refers to a group of eye diseases characterized by optic nerve damage. Since it tends to impact peripheral vision first, glaucoma often goes unnoticed until significant damage has occurred. However, routine glaucoma screenings can detect warning signs; early treatment can prevent disease progression and vision loss.

Although there is no true cure for glaucoma, most glaucoma patients successfully manage it with special eye drops, medication, and on occasion, laser treatment or other surgery. The earlier glaucoma is diagnosed and managed, the better the outcome.

Diabetic Retinopathy

Diabetic retinopathy occurs when the small blood vessels on your retina (capillaries) become weakened and then balloon (microaneurysm) due to poorly controlled blood sugar levels. The resulting poor blood circulation in the back of the eye causes more abnormal blood vessels to grow, which also bleed or leak fluid, and can lead to scar tissue, retinal detachment and even blindness, over time.

Often there are no symptoms until the advanced stages of diabetic retinopathy, where patients may begin to see spots and missing patches in their vision. Retinopathy can be treated through surgery and eye injections, but the best way to prevent this disease from progressing is to regularly have your eyes screened.

The good news is that diabetic eye disease can often be prevented with early detection, proper management of your diabetes and regular diabetic eye exams. Contact Aloma Eye Associates in Winter Park to set up your eye doctor’s appointment today.

12 Tips for Optimal Eye Health

Expert Eye Care| Optometrist in Winter Park | Aloma Eye Associates

Good Eye Care Habits & Hygiene

By practicing good eye care habits and hygiene, you can prevent many vision problems from occurring. Eye problems and the risks associated with vision loss only grow as you age. By neglecting eye care, you place yourself at a higher risk of suffering from cataracts, macular degeneration, glaucoma, diabetic retinopathy, and low vision.

So make sure you maintain great eye health by following these 12 tips for optimal eye health.

1. Avoid rubbing your eyes

Itchy eyes can be a hallmark symptom of allergies, and though rubbing may bring temporary relief, it ultimately increases swelling and worsens the itch. If you wear contact lenses, rubbing your eyes can also dislodge or even break a lens, causing the lens to get lost or scratch the cornea. Plus, eye rubbing can lead to eye infections, since our hands are typically covered with a host of germs.

2. Regularly wash your hands

Conjunctivitis (pink eye) is often caused by germs and bacteria carried to your eyes by unclean hands. Frequently washing your hands with soap and warm water helps keep bacteria away and prevents eye contamination. Prior to inserting or removing contact lenses, make sure to wash your hands with mild soap and dry them using a lint-free towel.

3. Beware of UV rays

By exposing yourself to sunlight and UV rays, you increase the risk of developing macular degeneration and corneal sunburn. Beyond just adding some style and zest to your look, sunglasses should protect your eyes from dangerous UV rays. Speak to your optometrist about the different options available for people who wear prescription eyeglasses or contact lenses too, to keep your eyes safe in the sun.

4. Stay hydrated

Staying hydrated is crucial for your body’s overall health and wellbeing — and that includes your eyes. Among other complications, if you don’t have enough fluid in your body, it impacts tear production and can cause dry eyes and irritation. Drink up!

5. Don’t smoke cigarettes

Need some extra motivation to quit smoking?

Smokers are more prone to developing age-related macular degeneration, cataracts, and other eye conditions. Cigarette smoking can also destroy optic nerves, which can adversely affect your vision over time. So think twice before you light up, and speak to your doctor about getting help to quit.

6. Eat a healthy diet

Eat plenty of fruits and vegetables to ensure that your diet is rich in antioxidants, such as Vitamins A and C. These can be found in leafy greens (your mom was right about spinach!), orange vegetables (think, carrots and sweet potato) and citrus fruit. Furthermore, fatty fish like salmon contain essential omega-3 fatty acids which also promote excellent eye health.

7. Keep a healthy distance from screens

Nip digital eye strain in the bud by positioning your computer monitor about an arm’s length away from the eyes and 20 degrees below eye level. Ideally, work in a room with enough diffused lighting to reduce stress on your eyes from the computer light.

8. Remember the 20-20-20 rule

Speaking of computers, have you heard of the 20-20-20 rule? When using digital devices, rest your eyes every 20 minutes by looking 20 feet away for 20 continuous seconds.

Once you’re at it, blink 20 times in succession to prevent dry eyes, and make it a habit to rise from your seat and take 20 steps to promote good posture and blood circulation, which helps your vision too.

9. Be careful with eye make-up

Make sure that your eye shadow, mascara, and eyeliner don’t cause your eyes an allergic reaction. Get in the habit of removing your make-up before going to sleep in order to avoid bacterial build-up from residual make-up left in the eye area. And, from time to time, clean your make-up brushes, especially those used to apply cosmetics around the eye area.

10. Sleep is golden

Just as with the rest of your body, your eyes need a break. So make sure that you get sufficient shut-eye (8 hours) each night to keep your eyes revitalized and healthy.

11. Wear protective eyewear

Whatever you do, make sure your eyes are well-protected. If you’re swimming, wear goggles to prevent chlorine from entering your eyes. If you’re gardening or engaged in a DIY project at home, wear safety glasses to keep dust particles and bacteria at bay and prevent eye injuries. Ask your local eye doctor about protective eyewear for sports and other activities.

12. Regularly visit your eye doctor

Don’t underestimate the importance of getting a routine eye exam, whether you need an updated prescription or not. Even if you can see well today, a comprehensive eye exam can pick up early signs of eye diseases and conditions before symptoms become noticeable, such as glaucoma, diabetes, retinal holes which could lead to retinal detachment, and cancers like melanoma. Early detection and management can prevent further complications and serious vision loss down the line.

Only an eye doctor has the required knowledge, experience, tools and techniques to determine whether you have these or other eye conditions.

It is recommended that everyone gets a comprehensive eye exam once a year (or at least every two years). Children, whose eyes are rapidly developing, and people at higher risk for developing eye problems such as diabetics and older people, need to undergo eye exams even more frequently: at the minimum, yearly.

During the evaluation, the eye doctor will check for things like:

  • Farsightedness, nearsightedness, astigmatism and/or presbyopia
  • Eye coordination
  • Optic nerve and eye pressure tests to spot glaucoma

It’s also important to be on the look-out for any changes in your vision. If you experience hazy or double vision, worsening eyesight, red eyes, eye pain, swelling or floaters, contact Dr. Ward.

Incorporate these tips and habits into your lifestyle to maintain healthy eyes and a high quality of life. Aloma Eye Associates offers comprehensive eye exams in Winter Park, Florida, and will be happy to answer any questions you may have about ways to maintain healthy vision.

Women and Diabetes – World Diabetes Day

November 14th is World Diabetes Day. This year, the theme of World Diabetes Day is women and diabetes – our right to a healthy future. The goal of this campaign is to promote awareness of the importance of equal and affordable access for all women, whether they are at risk or already living with diabetes, to the treatments, medications, technology, education and information they need to prevent diabetes and to obtain the best possible outcome of the disease.

Here are some facts about women and diabetes around the World:

  • 199 million – the number of women living with diabetes to date.
  • 313 million – the projected statistic for the year 2040.
  • 2.1 million – the number of female deaths due to diabetes per year.
  • 9 – diabetes is the ninth leading cause of death in women on a global scale.
  • 60 million – which is 2 out of 5 diabetic women, are of reproductive age, which increases the risk of early miscarriage, vision loss and having malformed babies.
  • 10 – women with type 2 diabetes are ten times more likely to develop coronary heart disease.

Much of these incidences of diabetes occur in women lacking access to proper medical care, education, physical activity and information they need to prevent and manage the disease. If more efforts and monies were put toward improving this situation, these numbers could drop significantly.

Pregnant women with hyperglycemia and gestational diabetes are also a major cause of concern. Limited access to screening tests, pre-pregnancy planning services, education and medical care could also improve the outcome of both the mother and the baby in these cases. The majority of instances of gestational diabetes occur in women from low and middle-income countries or households with limited access to maternal care.

Here are some additional facts about diabetes and pregnancy:

  • 1 out of 7 – the number of births worldwide affected by gestational diabetes.
  • 1 out of 2 – the number of women with gestational diabetes that develop type 2 diabetes within 5-10 years after giving birth.
  • 1 out of 2 – the number of cases of gestational diabetes that are found in women under 30 years of age.

Diabetes and Your Eyes

Diabetes damages many systems in your body including your eyes and vision. Most individuals with diabetes will eventually develop some extent of retinopathy or eye disease due to the consistently high levels of glucose in the blood which damage the blood vessels in the eye. Diabetic retinopathy can be a devastating disease that can leave you with permanent vision loss or blindness. It is a leading cause of blindness worldwide. Diabetes also speeds up the formation of cataracts and other ocular diseases which can lead to further vision loss and complications.

Women who have been diagnosed with diabetes prior to becoming pregnant have to be especially careful during pregnancy. It is much more difficult to regulate blood sugars during pregnancy, and more rapid progression of diabetic retinopathy can occur if one is not careful. Keeping track of diet and exercise, and taking medications as directed, can prevent or delay the impact of diabetes on the eyes.

In addition to poorly managed blood sugar levels, additional factors that contribute to developing diabetic retinopathy are high blood pressure, high cholesterol, Hispanic or Native American descent, smoking, pregnancy, and the length of time you have the disease. The condition can be managed with regular eye exams in combination with steps to control blood sugar levels.

It’s important to note that diabetes sometimes causes symptoms of vision fluctuation (good days and bad days with vision or focusing) but many times the damage is asymptomatic in its early stages. This is why it is essential to have regular checkups even when you have no pain or vision symptoms.

If you or someone you know has diabetes, regular eye exams are essential to monitor and prevent vision loss. Stay informed and spread awareness about this challenging condition. You can help be part of the change to improve the lives of women and people all over the world that suffer from diabetes and the serious complications that come with it.

How to Safely View the Great American Eclipse of 2017

On August 21st, for the first time since 1979, a solar eclipse will be visible across North America. What’s even more historic is that it will also be the first time an eclipse will be visible across the continent, from coast to coast, since 1918. If you want to bear witness to this historic event, it is important to do so safely which means being knowledgeable about the event and prepared to protect your eyes from potential serious damage and vision loss.

First of all, here are the facts about the upcoming eclipse. A total solar eclipse is when the moon completely blocks the face of the sun (called the photosphere) leaving only the sun’s outer ring, called the corona, in view. This event happens briefly, and will only be visible for certain parts of the United States for up to two minutes and forty seconds during the upcoming celestial event. All of North America, including mainland US and Canada, however, will be able to view a partial eclipse for the duration of about two to three hours. You can search online to see which part of the eclipse will be visible from your location and what time you will be able to see it.

With 500 million people in the viewing range of the eclipse, thousands are excitedly preparing for what could be for many a once-in-a-lifetime experience, however, it’s crucial to make sure that this is done safely to protect your eyes and vision from serious damage that can occur from viewing an eclipse without proper eye protection.

Looking at a Solar Eclipse

Viewing a solar eclipse without proper eye protection is extremely dangerous and can cause permanent vision loss. Looking directly at the sun can cause a condition called Solar Retinopathy or retinal burns which can cause damage to and destroy cells in the retina, which communicates visual cues with the brain. It can also burn the macula which is responsible for central vision. While we usually have a hard time looking directly at the sun which helps to protect us from this condition, during an eclipse because the sun is partially covered by the moon, looking directly at the sun becomes less difficult. Nevertheless, the exposure to the damaging rays of the sun is just as strong and therefore the risk just as great.

It’s important to note that solar burns to the retina do not cause symptoms during that time that you are looking at the eclipse. There is no pain or discomfort. However, the longer you look at it, the deeper the hole that burns through the retina and you would not notice the vision loss until hours later. There is no treatment for solar retinopathy. Many will notice recovery in vision, but depending on the severity of damage there may be only partial recovery which may take up to 6 months after viewing the eclipse.

Eclipse Glasses: Solar Eclipse Eye Protection

Do not view the eclipse without proper eye protection. Protecting your eyes during an eclipse with specially designed eyewear or solar viewers is a must. The American Optometric Association and NASA have released the following statement regarding eye protection: “There is only one safe way to look directly at the sun, whether during an eclipse or not: through special-purpose solar filters. These solar filters are used in “eclipse glasses” or in hand-held solar viewers. They must meet a very specific worldwide standard known as ISO 12312-2.”

It’s important to note that regular sunglasses are not sufficient in protecting your eyes. Here are some additional safety tips issued by NASA for viewing the eclipse:

  • Stand still and cover the eyes with eclipse glasses or solar viewer before looking up at the bright sun. After glancing at the sun, turn away and remove the filter—do not remove it while looking at the sun.
  • Do not look at the un-eclipsed or partially eclipsed sun through an unfiltered camera, telescope, binoculars or other optical device. Similarly, do not look at the sun through a camera, a telescope, binoculars, or any other optical device while using your eclipse glasses or hand-held solar viewer—the concentrated solar rays will damage the filter and enter your eye(s), causing serious injury.
  • If you are within the path of totality, remove your solar filter only when the moon completely covers the sun’s bright face and it gets quite dark.

If you plan to view the eclipse, make sure that you plan ahead and obtain eclipse glasses or solar viewers for every person that plans to enjoy the experience. Keep this once in a lifetime experience a safe and enjoyable one.

To obtain eclipse glasses, contact your local optometrist, or visit the American Optometry Association website for more information.

Are Your Eyes Sensitive to Light?

Light sensitivity, also known as photophobia, is a condition in which bright light – either natural sunlight or artificial light –  can cause significant discomfort, pain and intolerance. People that experience light sensitivity will find themselves needing to close their eyes or squint when exposed to light and often experience headaches and nausea as well.  In mild cases, the discomfort accompanies exposure to bright lights or harsh sunlight, but in severe cases even a small amount of light can cause pain and discomfort.  

Photophobia is more common in individuals with light eyes. This is because the greater amounts of pigment in darker eyes help to protect the eye from the harsh rays of light. The darker pigment of the iris and choroid absorbs the light, rather than reflecting the light and causing internal reflection or glare experienced by those with lighter eyes. People with albinism, which is a total lack of eye pigment, also experience significant light sensitivity for this reason. 

Acute photophobia is usually a symptom that accompanies a condition such as an eye infection or irritation (such as conjunctivitis or dry eyes), a virus, or a migraine (light sensitivity is one of the most common symptoms of migraines). It could also be caused by something more serious such as an eye condition like a corneal abrasion, a detached retina, uveitis or iritis or a systemic disease like meningitis or encephalitis. Light sensitivity is also a side effect of refractive surgery (such as LASIK) and some medications (such as tetracycline and doxycycline).  

How to Deal with Photophobia

The most effective way to reduce the discomfort caused by photophobia is to stay out of sunlight and dim indoor lights as much as possible while you are experiencing symptoms. Wearing dark sunglasses and keeping your eyes closed may also provide some relief. 

In the summer it is more common for UV to trigger corneal inflammation (keratitis) and cause photosensitivity as well. Wind and eye dryness can also set off photosensitivity, which are more good reasons to wear sunglasses. 

If the sensitivity is new and the cause is unknown, you should seek medical attention immediately, especially if you experience any of the following symptoms:  

  • Blurry vision
  • Burning or pain in the eye
  • Fever and chills
  • Confusion and irritability
  • Severe headache
  • Drowsiness
  • Stiff neck
  • Nausea and vomiting
  • Numbness
  • Foreign body sensation

In cases where the photophobia is a symptom of an underlying issue, treating the issue will likely cause relief in your sensitivity. This will vary depending on the ailment but could include pain medications, eye drops or antibiotics, or anti-inflammatory medications. If the sensitivity is mild due to your genetic predisposition or a result of surgery, make sure you take your sunglasses every time you leave the house. People who wear prescription eyeglasses may consider photochromic lenses which automatically darken when exposed to light. 

If you are uncomfortable, speak to your eye doctor about the best options for your condition.  

Welcome to our New Website

We invite you to take a look around our new site to get to know our practice and learn about eye and vision health. You will find a wealth of information about our optometrists, our staff and our services, as well as facts and advice about how to take care of your eyes and protect your vision.

Learn about our Practice specialties including comprehensive eye exams, contact lens fittings and the treatment of eye diseases. Our website also offers you a convenient way to find our hours, address and map, schedule an appointment online, order contact lenses or contact us to ask us any questions you have about eye care and our Practice.

Have a look around our online office and schedule a visit to meet us in person. We are here to partner with you and your family for a lifetime of healthy eyes and vision. We look forward to seeing you!

Got a Shiner!

What Exactly Is a Black Eye?

A black eye, also known as a periorbital hematoma, is usually not an injury of the actual eye (which is why it is called “periorbital”- around the eye). It typically occurs when there is an injury to the face or the eye socket which causes bleeding beneath the skin and bruising. The term, “black eye” comes from the dark coloring of the bruising that occurs underneath the skin around the eye.

When a blunt force hits the eye socket, this can cause capillaries in the area to burst, causing hemorrhaging, also known as a hematoma. This blood can accumulate in the eye socket and as it begins to be reabsorbed into the surrounding tissues, the colors of the bruising begin to change. That’s why you will often notice the coloring of the black eye to go from a dark purplish-red color to brownish and then yellow. 

Sometimes along with the external bruising, you might also notice a small amount of bleeding on the white surface of the eye, which is called a subconjunctival hemorrhage. This is when the tiny blood vessels on the white sclera are broken and leak blood. It’s generally harmless but sometimes looks scarier to the patient than the black eye does. This condition will also reabsorb on its own and is nothing to be concerned about. 

While most black eyes can look pretty serious due to the dramatic color, an uncomplicated black eye will typically heal within a week to ten days. If it doesn’t, there could be a more serious issue such as a bone fracture or an orbital blowout fracture.This could present with restricted eye movement, especially if looking up or down, and numbness of the cheek and/or upper lip on the same side as the black eye. The eye may even appear sunken in. Further, if there is bleeding within the actual eye (called a hyphema) or floaters or flashes in the vision, then it is definitely advisable to see your eye doctor as soon as possible. These could be signs of more serious damage such a corneal or retinal damage and can lead to vision loss. 

Treatment for a Black Eye

Usually, the best treatment for a black eye is to apply a cold compress (or even better, a bag of frozen vegetables, which is more flexible and can conform to the contours of the face) directly on the area. The cold will reduce swelling and constrict capillaries to reduce internal bleeding as well. Apply the cold for about 15-20 minutes every hour.  If there is pain, over the counter pain medications can help. 

If however, you experience any of the following symptoms, you should seek medical attention:

  • Blood on the surface of the eye or a visible incision on the eye
  • Vision changes such as double vision, blurred vision, loss of vision or the appearance of floaters
  • Loss of consciousness, dizziness or fainting
  • Loss of eye movement
  • Persistent headaches
  • Blood or fluids coming from the ears or nose
  • Vomiting
  • Signs of infection such as excessive swelling, pus, redness or a fever
  • Severe pain

In addition to blunt trauma, black eyes can be caused by sinus infections, nasal or eye surgery or other infections in the area such as the teeth infections or cellulitis (a serious infection that can occur around the eyes). A skull fracture can also cause both eyes to turn black, sometimes known as raccoon eyes. 

Unless you notice any severe symptoms you can rest assured that your black eye is a bruise just like anywhere else on the body and with a little care, rest and patience, it will clear up in no time. 

Cataract Awareness and Prevention

It’s National Cataract Awareness Month

According to the World Health Organization, cataracts are responsible for 51% of cases of blindness worldwide – although this blindness is preventable with treatment. In fact, research shows that in industrialized countries about 50% of individuals over the age of 70 have had a cataract in at least one eye. This is partially because cataracts are a natural part of the aging process of the eye, so as people in general live longer, the incidence of cataracts continue to increase.

What are Cataracts?

Cataracts occur when the natural lens in the eye begins to cloud, causing blurred vision that progressively gets worse. In addition to age, cataracts can be caused or accelerated by a number of factors including physical trauma or injury to the eye, poor nutrition, smoking, diabetes, certain medications (such as corticosteroids), long-term exposure to radiation and certain eye conditions such as uveitis. Cataracts can also be congenital (present at birth).

The eye’s lens is responsible for the passage of light into the eye and focusing that light onto the retina. It is responsible for the eye’s ability to focus and see clearly. That’s why when the lens is not working effectively, the eye loses it’s clear focus and objects appear blurred. In addition to increasingly blurred vision, symptoms of cataracts include:

“Washed Out” Vision or Double Vision:

People and objects appear hazy, blurred or “washed out” with less definition, depth and color. Many describe this as being similar to looking out of a dirty window. This makes many activities of daily living a challenge including reading, watching television, driving or doing basic chores.

Increased Glare Sensitivity:

This can happen both from outdoor sunlight or light reflected off of shiny objects indoors. Glare sensitivity causes problems with driving, particularly at night and generally seeing our surroundings clearly and comfortably.

Dulled Colors:

Often colors won’t appear as vibrant as they once did, often having a brown undertone. Color distinction may become difficult as well.

Compromised Contrast and Depth Perception:

These eye skills are greatly affected by the damage to the lens.

Darkened Vision:

Often individuals with cataracts find that they require more light than they used to, to be able to see clearly and perform basic activities.

Cataract Treatment

Early stage cataracts may be able to be treated with glasses or lifestyle changes, such as using brighter lights, but if they are hindering the ability to function in daily life, it might mean it is time for cataract surgery.

Cataract surgery is one of the most common surgeries performed today and it involves removing the natural lens and replacing it with an artificial lens, called an implant or an intraocular lens. Typically the standard implants correct the patient’s distance vision but reading glasses are still needed. However as technology has gotten more sophisticated you can now get multifocal implants that can reduce or eliminate the need for glasses altogether. Usually the procedure is an outpatient procedure (you will go home the same day) and 95% of patients experience improved vision almost immediately.

Cataract Prevention

While doctors still don’t know exactly how much each risk factor leads to cataracts there are a few ways you can keep your eyes healthy and reduce your risks:

  • Refrain from smoking and high alcohol consumption
  • Exercise and eat well, including lots of fruits and vegetables that contain antioxidants
  • Protect your eyes from UV radiation like from sunlight
  • Control diabetes and hypertension

Most importantly, see your eye doctor regularly for a comprehensive eye exam. If you are over 40 or at risk, make sure to schedule a yearly eye exam.

Are You Ignoring Your Dry Eyes?

You Don’t Have to Live With Dry Eyes

Have you noticed that your eyes feel chronically dry, itchy, scratchy or even sometimes watery? Many people that have these symptoms just go on with their lives until the symptoms become unbearable. What they don’t realize is that these are signs that they might be suffering from dry eye syndrome, a condition in which the eyes are not able to produce enough tears to effectively lubricate the eyes. This is a problem that won’t just go away on its own.

What causes Dry Eye?

Dry Eye Syndrome, also known as Tear Film Dysfunction is characterized by a reduction in the amount or quality of tears that are produced. Tears are essential for optimal eye health, vision and comfort. Ideally, tear film covers the eyes at all times to prevent the eyes from drying out and to ensure clear vision. If the glands that produce tears start to produce fewer tears or tears that don’t have the proper balance of water, oils, proteins and electrolytes, the tear film with become unstable, allowing dry spots to form on the surface of the eye, and cause disruptions in outer barrier of the eye’s epithelial surface. This disruption in the outer barrier allows microbes to invade the eye, leading to irritation and infection. The condition can be caused by many factors, including tear gland dysfunction, eyelid problems, medications or environmental factors.

Symptoms of Dry Eye

As mentioned above, many of the symptoms of dry eye involve varying sensations of dryness including, burning, stinging, itching, grittiness, soreness or a feeling that there is something in the eye. The eyes may also be red and sensitive to light, wind or smoke. Vision may be blurred or doubled and the eyes may fatigue easily. Another common symptom is that vision seems blurry but clears when you blink (especially common when reading or using a computer). This is because the tear film does not form a smooth coat over the eye surface or it evaporates too quickly causing a blur.

You may also notice pain, some discharge from the eye (especially upon waking in the morning) and experience discomfort when wearing contact lenses. One of the most confusing symptoms of dry eye is actually excessive tearing, which occurs because the eyes are trying to compensate for the lack of moisture – however the tears produced are low quality and don’t properly hydrate the surface of the eye.

Reducing Symptoms

The first thing to look at when you have dry eyes is whether you are taking any medications, engaging in certain behaviors or being exposed to environmental factors that may be causing the condition. Medications that may cause dry eye as a side effect include:

  • Antihistamines and Decongestants
  • Diuretics
  • Sleeping pills
  • Birth Control pills
  • Antidepressants
  • Acne medications
  • Angiotensin-converting enzyme (ACE) inhibitors
  • Opiate-based painkillers such as morphine

Important! Never stop medication without the approval of your doctor! If you are taking a medication that may be causing dry eye, don’t stop taking the medication without speaking to your healthcare provider first. Treating dry eye symptoms may be a simpler solution than stopping or switching medications.

You may be able to alter your environment to reduce symptoms of dry eye as well. Environmental factors that can exacerbate dry eye include:

  • Wearing contact lenses
  • Extended use of computers or other electronic devices
  • Exposure to dry, windy climates or blowing air (such as an air conditioner or heater).
  • Exposure to smoke
  • High altitudes

Treatment for Dry Eye

If you are experiencing dry eye symptoms, make an appointment with your optometrist. The diagnosis and treatment will be based on a complete examination of your eyes, your medical history and your personal circumstances around the condition. The doctor may decide to perform a tear film test that can determine the quantity and quality of the tears and whether your tear glands and tear film are functioning properly.

The type of treatment will depend on the underlying cause of the problem. Treatment may include behavioral or environmental changes such as using a humidifier, wearing sunglasses in windy weather, reducing computer time or changing to a different type of contact lens, as well as medical treatments that may include:

  • Artificial tears, eye drops or ointments to lubricate eyes
  • Steroid or antibiotic drops or pills may be used for certain conditions such as blepharitis
  • Reducing the drainage of tears by blocking tear ducts with silicone plugs
  • Medications such as Restasis which reduce inflammation and trigger tear production
  • In some situations a surgical procedure might be recommended
  • Scleral lenses that hold moisture on the surface of the eyeball

The most important thing you should know about dry eyes is that you do not have to suffer. Treatments are available to increase moisture on your eye and reduce the uncomfortable and sometime debilitating symptoms. If you are suffering, schedule an appointment with your eye doctor and get the relief you deserve.

Does Smoking Affect Vision?

Eye Doctors Weigh In: How Smoking Can Harm Your Vision & Eye Health

We all know that smoking is bad for you, especially the risks that it poses to your heart and lungs. What many people do not know is that cigarette smoke negatively affects your eyes and vision too. Smoking has been directly linked to an increase in the risks of both cataracts and macular degeneration, two leading causes of vision loss, and it is believed to be a factor in a number of other eye and vision issues. 

Smoking and Cataracts

Studies show that smoking doubles the risk of cataracts and with heavy smoking, the risk triples. In fact, there seems to be a direct correlation between the amount of smoking and the likelihood of cataracts. Cataracts are characterised by the clouding of the lens of the eye and it is believed that smoking affects the cells of the lens, accelerating this process. 

Cataracts are a leading cause of vision loss worldwide, however they can be treated surgically by removing the clouded lens and replacing it with an artificial one. Symptoms include: 

    • Blurred, cloudy or dim vision 
    • Sensitivity to light and glare
    • Presence of halos around lights
    • Increasingly poor night vision
    • Fading color vision
    • Double vision
    • and frequent prescription changes with minimal improvement in vision 

Smoking and Age-Related Macular Degeneration

According to medical research, smoking increases the likelihood of developing age-related macular degeneration between two and four times the normal risk – the more you smoke, the greater the risk. Unfortunately, there is also an increased risk for those exposed to cigarette smoke for extended periods of time. 

Age-related macular degeneration or AMD is a condition in which the macula, which is the center of the retina, begins to to deteriorate, reducing central vision and the eye’s ability to see fine details. The disease is characterized by blurred and distorted eyesight and blind spots in the central vision. With time, the disease can progress to leave the person with low vision, which is significant vision loss that cannot be corrected by eyeglasses, contact lenses or refractive surgery. 

Other Eye and Vision Risks of Smoking

Smoking has also been linked to dry eyes, optic nerve damage and diabetic retinopathy (for those with diabetes). 

“Eye Vitamins” are often used without doctor’s recommendations. Smokers are cautioned not to take beta-carotene supplements, specifically, (or multi-vitamins containing this ingredient) as studies indicate there is increased risk of cancer even in people who quit smoking.

What to Do?

Even if you have been smoking for years, quitting will reduce the risks of developing these conditions, for yourself and those around you. If you do smoke, make sure to schedule a comprehensive eye exam every year to catch any developing disease early. Early diagnosis and treatment can be the key to saving your vision and preventing permanent vision loss. 

x

For more information and up-to-date COVID-19 Procedures and Protocols, please click HERE.