FAQ: Cataracts

Think you may be at risk for developing cataracts? Here is an overview of the most frequently asked questions about cataracts, including potential cataract treatment and congenital cataracts. Give our office a call and schedule an appointment to have your questions answered!

What are cataracts?

Cataracts are a clouding of the eye’s natural lens and are the most common cause of vision loss in the world. According to Prevent Blindness America, more than 22 million Americans have cataracts.

Who gets cataracts?

Cataracts begin to form in those over the age of 40. However, it is typically after age 60 that cataracts cause problems with vision.

Are there any signs or symptoms?

Cataracts start small and have little effect on your vision at first. However, you may notice symptoms once the cataract is well developed.

Potential symptoms include:

  • Blurred vision
  • Cloudy or foggy vision
  • Light from the sun or a lamp feels too bright or glaring
  • Oncoming headlights while driving cause more glare
  • Colors appear dimmed or faded

What causes cataracts?

As we age the natural protein in our eyes can clump together and cover a small area of the lens. Over time this may grow larger and cloud more of the lens. This cloud is what we refer to as a cataract.

Can I prevent cataracts?

It is not believed that there is anything you can do to prevent cataracts. However, there are a number of things you can do to reduce your risk of developing cataracts. Nutrients such as vitamin E and vitamin C are believed to reduce your risk. Eating a healthy and well-balanced diet can help. Additionally, wearing sunglasses that block 100 percent of UV rays can reduce cataract risk.

What increases my risk for cataracts?

  • UV radiation
  • Diabetes
  • Hypertension
  • Obesity
  • Smoking
  • Family history
  • Significant alcohol consumption
  • Certain medications

Is there cataract treatment?

The treatment for cataracts will vary for each person. When symptoms begin to appear patients may use new stronger prescription glasses. Cataract surgery will become an option if the cataract progresses far enough to impair your vision. Cataract surgery is the most frequently performed surgery in the United States and is successful in restoring vision.

What are congenital cataracts?

Congenital cataracts occur in newborn babies because the eye’s natural lens is cloudy instead of clear. Often this results in vision problems for the child. However, this occurs in only 0.4% of all births and is relatively uncommon.

To discuss your risk for developing cataracts schedule an appointment today! The best way to prevent vision loss is by having regular eye exams.

 

Vision Development and Children

Childhood is a critical time for vision development. Nearly 80% of what a child learns in school is presented visually. Arguably making vision the most important of the five senses. Visual skills start developing during pregnancy and continue to evolve and develop as a child grows. Undetected vision problems can cause developmental and educational delays in children.

Infant Vision Development

Your infant’s vision starts developing during pregnancy. It is crucial that toxins are not consumed during pregnancy as they can cause serious vision problems. At birth, babies only see black, white, and shades of gray. Infants are unable to focus on objects for several months and can only see the outline of objects.

As infants grow, they can distinguish between high contrast colors. By six months your child can see color, has sharper vision, and has begun developing hand-eye coordination skills. Schedule your child’s first eye exam at six months to make sure their eyes are healthy and on the right developmental track. Detection of eye health issues and vision problems at this stage in development can help to ensure your child does not experience setbacks in learning and growth.

When your infant begins to crawl and potentially walk they are learning to coordinate their body movements and their vision. Over time, your child will become better at judging distances. However, this is also a time when your child may grow more injury prone because they are exploring their environment. Bumps, bruises, eye injuries, and other injuries can occur which is why it is so vital to ensure that your infant’s vision is on track to prevent these injuries as much as possible.

Early Childhood Vision Development

During these years your child will be growing, developing, and improving their visual skills. It is recommended to schedule your child eye exam at three years old. Even if you don’t think your child has vision problems, your child is growing and changing. A comprehensive eye exam before your child enters school provides enough time to catch and correct any vision problems.

They are discovering how to integrate their vision and body position to complete new tasks. They learn this through playing games, throwing a ball, and riding a bike. Children are also working on developing their fine motor skills. The primary way preschool age children are learning this is through writing their name and the alphabet.

Between the ages of 3 to 6 is when you, as a parent, may begin to notice signs of a vision problem. If your child complains about headaches or tired eyes, this could potentially be due to a vision problem. Signs of vision problems include squinting, tilting the head, frequently rubbing eyes, and closing one eye to see. Additionally, look for sitting too close to a tv, holding a book too close, or avoiding activities that require near or distance vision. Some of these activities include coloring, reading, playing ball, or tag if you notice these signs in your child schedule an eye exam as soon as possible. Correct their vision before any learning is delayed!

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!

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.

Computer Vision Syndrome: Eye Strain

According to The Vision Council, 65% of adults experience some form of computer vision syndrome. Often individuals associate eye strain as a “normal” part of computer work. However, the eye strain you are experiencing is a symptom of computer vision syndrome and can be reduced or avoided!

What is Computer Vision Syndrome?

Computer vision syndrome is caused by the eyes and brain reacting to the characters on a computer screen. On-screen characters have less contrast than characters in print and are more challenging for our eyes to focus on. The difficulty of having to focus on the characters on computer screens is what causes eye fatigue and strain.

Symptoms of CVS

Depending on the individual they may experience one, several, or all symptoms of computer vision syndrome. These symptoms can cause discomfort for the individual and make it difficult to complete work effectively.

  • Headaches
  • Loss of focus
  • Burning eyes
  • Tired eyes
  • Red eyes
  • Double vision
  • Eye twitching
  • Blurred vision
  • Neck and shoulder pain

Ways to Combat CVS

Many computer users find their eyes feel strained working under fluorescent lights. Users feel more eye comfort when using floor lamps instead of harsh overhead lights. Minimize the reflection of glare off your computer screen by installing an anti-glare screen on your monitor. Consider closing the blinds to prevent the sun from reflecting off your computer screen as well.

The type of screen and settings of your screen can also impact your eye strain. We recommend making sure you have an LCD screen because it has an anti-reflective surface and is more comfortable for the eyes.

Additionally, you can adjust the settings of your screen for optimal viewing. A few settings to adjust are the brightness, text, and color temperature. The brightness should be the same as your surrounding workstation, the text size and contrast can be changed to your comfort level, and reducing the color temperature lowers the amount of blue light emitted by your screen.

Computer Eyewear

One of the best ways to reduce your risk of computer vision syndrome is to visit our office. Your eye doctor can perform a few tests to detect vision problems which could be contributing to your computer vision syndrome and help decide if computer eyewear is the solution for you. Many individuals discover computer eyewear helps reduce their symptoms and improves their productivity.

Schedule an appointment with our office to discuss the impact computer work is having on your eyes and the best ways to reduce your eye strain and fatigue.

 

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.

 

Puffy Eyes and Dark Circles

Ordinary swelling around the eyes is due to an excessive accumulation of fluids in the surrounding skin tissue. Puffy eyes and dark circles can occur for many reasons, and a visit to your eye doctor can usually detect the underlying cause behind your puffy eyes.

Causes

The skin around your eyes is the thinnest skin on your body; therefore it shows swelling and discoloration more prominently. There are various factors which can cause puffy eyes, a few of the most common causes include:

  • Overconsumption of salt
  • Allergies
  • Sinus problems
  • Dehydration
  • Fatigue and lack of sleep
  • Stress
  • Crying
  • Aging
  • Inherited facial features

Why are my eyes puffy in the morning?

Some individuals may notice their eyes are puffy when they wake up in the morning. Since we don’t blink when we sleep, this allows fluids to settle or get trapped in the skin around the eyes. As soon as you wake up and start blinking this swelling will begin to diminish. Likewise, some individuals develop swelling in their lower extremities while sleeping, which reduces upon walking.

Medical condition

In some situations, puffy eyes can be due to an underlying medical condition. Those with thyroid disease can develop swelling around their eyes. Eye allergies can cause swollen eyelids due to the release of histamine. Additionally, eye infections such as pink eye can cause swelling and puffiness. However, the best way to detect the cause of your puffy eyes is through a comprehensive eye exam by your doctor.

What can be done?

To find the best solution or remedy to your puffy eyes, your eye doctor must first determine the underlying cause. Temporary solutions include eye drops, hydration, iced compresses, cucumber slices, creams, reducing salt in your diet, and getting plenty of rest. In other circumstances, cosmetic solutions may be the only long term way to reduce swollen eyes.

To learn more about your puffy eyes, schedule an appointment with our office. We are here to answer all of your questions and advise you on the best steps to alleviate your puffy 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

Know the Facts About Cataracts

Did you know, cataracts are the leading cause of blindness in the world? Cataracts affect nearly 20.5 million Americans age 40 and older.* If you are over the age of 50, you should have a yearly comprehensive eye exam to detect cataracts as they develop.

A cataract is the clouding of the lens in your eye. Many people describe the feeling as if you are looking through a foggy or frosted window.

What causes cataracts?

Clouding of the natural lens in your eye is caused by proteins clumping together within the lens. It is unknown why the eye changes as the body ages, but these changes may cause cataracts to grow larger over time, resulting in an increased difficulty to see clearly.

Some factors that have been linked to cataract development are diabetes, obesity, smoking, ultraviolet radiation, and family history.

Symptoms

Symptoms associated with cataracts can vary from person to person. However, there are a few key symptoms associated with most cases of cataract development. If you are experiencing one or more of these symptoms, schedule a visit with your eye doctor to discuss your risk or development of cataracts.

  • Slight blur in vision
  • Vision is cloudy
  • Sunlight or lamps feel too bright
  • Headlights have more glare and/or a halo around them
  • Colors no longer appear as bright as they once did

Types of cataracts

Subcapsular

Subcapsular cataracts typically occur in the back of the lens and are most common in individuals with diabetes or those taking a high dose of steroid medication.

Nuclear

Nuclear cataracts are associated with aging and occur in the central zone of the lens.

Cortical

Cortical cataracts occur in the lens cortex and are associated with streaks which interfere with light passage through the eye.

Congenital

Congenital cataracts are present at birth and may be due to genetics or intrauterine infection.

Are cataracts preventable?

No studies have shown a way to prevent cataracts, however, there are recommended practices to help maintain eye health and lower your risk of developing cataracts.

  • Yearly comprehensive eye exams help maintain eye health and detect the development of cataracts at an early stage.
  • Smoking has been linked to the development of cataracts. Quitting smoking provides a variety of health benefits lowering your risk for further cataract development.
  • Keeping up with treatment if you have diabetes or other medical conditions will help minimize your risk.
  • Maintaining a healthy diet, including fruits and vegetables, provides increased overall eye health.
  • Wearing sunglasses to prevent ultraviolet radiation will decrease your risk of UV damage which has been linked to the development of cataracts.

 

*National Eye Institute (https://nei.nih.gov)

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.