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Senior eye care is crucial for maintaining optimal vision and overall eye health as we age. As individuals grow older, they become more susceptible to age-related eye conditions. Regular comprehensive eye exams play a key role in early detection and management of these conditions, helping to preserve vision and prevent potential vision loss. By staying proactive with eye care and seeking timely professional assistance, seniors can enjoy clear, comfortable vision and ongoing eye health for years to come.
 

Common Eye Conditions in Seniors

As we reach our golden years, there are several eye conditions that become more prevalent. These conditions can have a significant impact on our vision and overall quality of life.
 

• Presbyopia: This condition affects near vision, making it difficult to focus on close objects. It is a normal part of aging and is typically addressed with reading glasses or multifocal lenses.

• Floaters and Flashes: As the vitreous inside the eye changes with age, it can lead to the perception of floaters (small dark spots or lines) and flashes of light. While often harmless, sudden onset of floaters and flashes may indicate a retinal tear or detachment and should be promptly evaluated.

• Age-Related Macular Degeneration (AMD): AMD is a leading cause of vision loss in older adults. It affects the macula, the central part of the retina, leading to blurred or distorted central vision. There are two forms of AMD, dry AMD, and wet AMD, with the latter being more severe.

• Cataracts: Cataracts are a common age-related condition characterized by the clouding of the eye's natural lens. This can lead to blurry vision, glare, and difficulty seeing in low-light conditions.

• Glaucoma: Glaucoma is a group of eye conditions that damage the optic nerve, often due to elevated intraocular pressure. It can result in peripheral vision loss and, if left untreated, may lead to total blindness.

• Diabetic Retinopathy: For seniors with diabetes, diabetic retinopathy is a concern. It occurs when high blood sugar levels damage the blood vessels in the retina, leading to vision problems and potential blindness if not managed.

• Dry Eye Syndrome: Seniors may experience dry eye syndrome, characterized by insufficient lubrication and moisture on the surface of the eye. It can cause discomfort, redness, and fluctuating vision.
  
   

Cataracts are a common eye condition that can significantly affect your vision. They occur when the lens of your eye becomes cloudy, causing blurred or distorted vision. This clouding is typically a result of aging, but other factors such as genetics, diabetes, or prolonged exposure to sunlight can also contribute to the development of cataracts.
 

As cataracts progress, you may experience symptoms such as difficulty seeing at night, increased sensitivity to glare, or a decrease in color perception. These changes can make daily activities like reading, driving, or recognizing faces more challenging.
 

Why Cataract Surgery May be Necessary

Cataract surgery is often recommended when cataracts start to interfere with your vision and affect your ability to perform daily tasks. The primary goal of cataract surgery is to remove the cloudy lens and replace it with an artificial intraocular lens (IOL).
 

The decision to undergo cataract surgery is a personal one and should be made after consulting with your optometrist. Factors such as the severity of your cataracts, your overall eye health, and your lifestyle requirements will be taken into consideration when determining if surgery is necessary.
 

What is Cataract Surgery Co-Management?

Cataract surgery co-management refers to the collaborative approach between an ophthalmologist, who performs the surgery, and an optometrist, who provides pre-operative and post-operative care. This partnership ensures that you receive comprehensive eye care throughout the entire process, from the initial consultation to the final follow-up appointments.
 

Your optometrist plays a crucial role in cataract surgery co-management by conducting a thorough pre-operative evaluation to assess your overall eye health and determine the most suitable IOL for your specific needs. They will also provide guidance and education on the surgical procedure, address any concerns you may have, and help you make informed decisions about your eye care.

As technology continues to advance, so does the field of the optometric industry. The development of innovative tools and techniques has allowed for more accurate and comprehensive examinations. One such technology is Optos, a revolutionary system that utilizes ultra-widefield retinal imaging technology to provide optometrists with a detailed view of the entire retina.
 

How Does Optos Work?

Optos technology is based on the principle of ultra-widefield retinal imaging, which allows for a wider and more detailed view of the retina compared to traditional imaging techniques. The Optos system consists of a specialized camera that captures high-resolution images of the retina using scanning laser ophthalmoscopy (SLO) and optical coherence tomography (OCT) technologies. SLO provides a wide-field view of the retina, while OCT allows for cross-sectional imaging, providing valuable insights into the various layers of the retina.
 

The Optos camera is designed to capture images through a process called optomap, which captures up to 200 degrees of the retina in a single image. This wide-field view provides optometrists with a comprehensive picture of the retina, enabling them to detect abnormalities that may not be visible with traditional imaging techniques. The optomap image can be instantly viewed and analyzed by your eye doctor, allowing for a more efficient and accurate diagnosis.
 

Common Eye Conditions Detected by Optos

Optos technology has the capability to detect a wide range of eye conditions, including but not limited to, diabetic retinopathy, macular degeneration, glaucoma, and retinal tears or detachments. Diabetic retinopathy is a condition that affects individuals with diabetes, causing damage to the blood vessels in the retina. Optos can capture detailed images of the retina, enabling optometrists to detect any signs of diabetic retinopathy and initiate appropriate treatment.
 

Macular degeneration is another common eye condition that can be detected using Optos. This condition affects the macula, the central part of the retina responsible for sharp, central vision. Optos allows for a comprehensive view of the macula, identifying any changes or abnormalities that may indicate the presence of macular degeneration.
 

Glaucoma, a condition characterized by damage to the optic nerve, can also be detected using Optos. The wide-field view provided by Optos allows for a thorough examination of the optic nerve and the surrounding structures, facilitating early detection and intervention.
 

Finally, Optos technology is particularly effective in detecting retinal tears or detachments. These conditions can lead to sudden vision loss and require immediate medical attention. Optos allows for a comprehensive view of the retina, identifying any signs of retinal tears or detachments and initiate prompt treatment.

Dry eye is a common ocular condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to discomfort, redness, blurred vision, and even damage to the surface of the eyes. Understanding the causes and symptoms of dry eye is crucial provide early detection and effective treatment.
 

The Importance of Dry Eye Advanced Diagnostic Testing

Early detection of dry eye is crucial for preventing further progression of the condition and improving patient outcomes. Without proper diagnosis and treatment, dry eye can cause significant discomfort and affect daily activities. Additionally, chronic dry eye can lead to corneal ulcers, infections, and even vision loss. By accurately identifying and addressing dry eye in its early stages, optometrists can provide timely interventions and prevent complications.
 

TearLab

One of the advanced diagnostic tools available for dry eye is TearLab. TearLab is a non-invasive test that measures the osmolarity of tears, which is an indicator of tear film stability. This test provides valuable information about the quality and quantity of tears, allowing healthcare professionals to accurately diagnose and monitor dry eye. By analyzing the osmolarity of tears, TearLab helps identify the severity of dry eye and guides treatment decisions. It is a quick and painless procedure that can be performed in a clinical setting.
 

InflammaDry

Inflammation plays a significant role in dry eye, and identifying the presence of inflammation is crucial for effective treatment. InflammaDry is a diagnostic tool that detects elevated levels of matrix metalloproteinase 9 (MMP-9), an inflammatory marker, in tears. By measuring MMP-9, InflammaDry helps optometrists differentiate between inflammatory and non-inflammatory dry eye. This information is essential for tailoring treatment plans and determining the most appropriate therapies for each patient.

We all want to look our best and in the last decade, we have seen a significant increase in the number of people seeking cosmetic services in order to enhance their appearance. With our eyes being our most distinguishing feature, we want to make the most of them. Thankfully there is now a range of cosmetic services that can help to rejuvenate our eyes and the area around them to keep them fresh, young and wrinkle-free. 

Let’s take a look at some of the services on offer.
 

Pigment removal

The brown pigment spots that appear on the face are often referred to as age spots and are a result of sun exposure. With age, the repeated exposure to UV rays causes melanin, a compound that is responsible for pigmentation and protecting the skin begins to clump together to form an area of hyperpigmentation. Whilst they aren’t any cause for concern, many people feel that they look unsightly. Luckily, there are a number of different treatments that you can get to remove them including topical creams, laser therapy, and chemical peels.

If you are suffering from darker pigmentation then we strongly recommend that you make an appointment with a qualified dermatologist who will recommend the best course of treatment for you, based on your specific needs.
 

LASIK co-management is an integral part of vision correction surgery that often goes unnoticed. It involves a partnership between your primary eye care professional and your LASIK surgeon. This cooperative approach ensures that you're provided with the best possible care before, during, and after your procedure.

LASIK co-management is the collaborative effort of your eye care team to ensure your vision correction procedure is safe and successful. It's a team approach where everyone plays a significant role in your eye health journey.

The Evaluation Process

The evaluation process in LASIK co-management is thorough and meticulous. It begins with a comprehensive eye examination by your primary care optometrist. This examination is meant to ascertain your eye health status and determine if you're an appropriate candidate for the LASIK procedure.

The evaluation process underscores the collaborative nature of LASIK co-management. Every step is carefully coordinated to ensure your eye health is prioritized and that you're receiving the best possible care.

The Importance of Consultation in LASIK Co-management

Consultation is a crucial aspect of LASIK co-management. It allows for patient education, addressing concerns and questions, and establishing a clear understanding of the expected outcomes.

During the consultation phase, your optometrist will explain the results of your eye examination and how it relates to your suitability for LASIK surgery. They will also discuss the risks and benefits of the procedure, giving you a balanced perspective to make an informed decision.

The consultation with your LASIK surgeon will delve into the specifics of the operation, including the technology used, the surgical process, and the anticipated recovery timeline. Having the opportunity to consult with both your optometrist and your surgeon ensures that all your concerns are addressed, allowing you to proceed with confidence.

The Role of Communication

Effective communication is the backbone of successful LASIK co-management. It facilitates a seamless transition from your optometrist to your surgeon, creating a cohesive care plan that's centered around your specific needs.

This communication is not just between healthcare providers but also involves the patient. Regular updates on your progress, detailed explanations about each stage of the process, and addressing any concerns or questions you may have are all essential parts of the communication process.

If you are one of the thousands of people considering LASIK laser eye surgery, then you will probably be gathering as much information as possible about the treatment. By this point, you are probably aware of the benefits that LASIK offers, such as a reduced or eliminated need for glasses or contact lenses and greater convenience in your day to day life. However, for many patients, despite the advantages of LASIK, the thought of surgery on their eyes is still a cause of anxiety and fear. One of the best ways to alleviate this concern is to find out more about what the procedure entails.
 

Your consultation

Before you can be approved for any form of laser vision correction, including LASIK, you will need to attend a consultation appointment with your surgeon. During the consultation, he will perform an examination of your eyes and use your medical and ocular history to determine if you are a good candidate for the procedure. He will also speak to you about the expected outcome from your surgery, making you aware that while LASIK will dramatically improve your eyesight, there is no guarantee that you will not need to wear glasses in some situations, such as while driving in the dark. 
 

How LASIK Works

LASIK uses a cool, ultraviolet beam of light to reshape the patient’s cornea. Doing so will more accurately focus the light that enters the eye on to the retina, thus improving the patient’s vision. The way in which the cornea needs to be reshaped will depend on the visual needs of the patient. For example, a patient who is far-sighted will need their cornea reshaping to be steeper to experience better eyesight. Alternatively, a patient who is near-sighted will require their cornea to be flattened in order to improve their vision. LASIK can also smooth an irregular cornea into a more standard shape, meaning that the procedure can also be used to correct astigmatism.
 

The LASIK procedure

The LASIK procedure is very fast and straightforward. Although you will probably be in the surgical suite for around half an hour, the actual process only takes a couple of minutes per eye. The rest of the time will be spent preparing and ensuring that you are comfortable. Anesthetic eye drops are given to patients before their procedure so that the entire process is pain-free. If you are particularly anxious, it may also be possible for you to be slightly sedated – this should be discussed with your doctor at your consultation appointment.

Once you are in position, we will use a femtosecond laser to cut a thin, circular flap into the outer cornea. This can then be pulled back to reveal the underlying corneal tissue, known as the stroma so that it can be reshaped using the laser. The exact path that the laser needs to take, known as the topography, will have been pre-programmed ahead of the procedure and can be followed with complete precision and accuracy.

Once the reshaping is complete, the flap is replaced back over the eye and the surgery is complete. There is no need for sutures or bandages as the cornea will start to heal immediately and without any medical intervention.
 

If you already rely on wearing glasses or contact lenses to be able to see clearly, you may be frustrated with the effect that they have on your life. Regular vision tests, finding glasses to suit your face shape, having to remember to take eyeglasses with you wherever you go, prescription sunglasses, fiddly contact lenses… the list of inconveniences associated with conventional ocular solutions is extensive. 

LASIK is a modern, minimally-invasive procedure that can substantially reduce or eliminate your need to use eyeglasses or contact lenses, allowing you to enjoy life without limitations or inconvenience. The popularity and success of LASIK laser eye surgery have helped to make it the number one elective surgery across the globe. 
 

Candidacy for LASIK

LASIK has an extremely high success rate. According to the American Society of Cataract and Refractive Surgery, 96% of patients achieve 20/20 vision or better. However, it’s high success rate doesn’t make LASIK automatically the right solution for everyone.

Candidacy for LASIK is assessed by our doctors on a case by case basis so that you be certain that whatever treatment is recommended for you, it will give you the very best opportunity to improve your vision. During your consultation, our doctors will perform a thorough examination of your eyes and vision, ask you about your general health and talk you through both the procedure and aftercare.

The general guidelines for LASIK candidacy state that patients must:

• be at least 18 years of age

• have had stable vision with no prescription changes for a minimum of 12 months

• have a current prescription for eyeglasses or contact lenses that falls between specified parameters (Our doctors will be aware of what these parameters are)

• have no significant medical or eye-related problems such as glaucoma, macular degeneration or diabetic retinopathy

• have no history of corneal disease

• not be pregnant or nursing at the time of the procedure

If you thought that just laser eye surgery was impressive, then be prepared to be astounded by the arrival of iDesign custom Lasik. iDesign is the most advanced wavefront-guided laser treatment available. The system creates a uniquely accurate measurement of the entire optical system that can be relied upon completely without any guesswork. This is then used to create a highly detailed topography or map of your eye, making it easier for your surgeon to pinpoint the areas that need addressing with pinpoint precision. 
 

How accurate is iDesign?

iDesign is extremely accurate due to its diagnostic equipment that is able to determine 1,257 different micro eye prescriptions. Each one of these will measure the eye prescription to 0.01 of a dioptre strength – 25 times more than what a regular prescription for glasses or contact lens prescription is measured to. 
 

Who is iDesign suitable for?

While iDesign Custom Lasik can benefit almost any patient with refractive problems, it is particularly beneficial for people who have unusual corneas or have had eye surgery in the past. 
 

Is it painful?

Laser eye surgery is generally considered a pain-free procedure by the majority of patients. Anesthetic eye-drops are used to numb the outer area of the eye during the course of the surgery. Once these have worn off, some patients do experience some mild discomfort during the days following the procedure, but over the counter pain relief is usually sufficient to relieve this.
 

Astigmatism is a relatively common eye disorder that causes the vision to be blurred or distorted. It occurs when the lens part of the eye, known as the cornea, isn’t perfectly curved and instead resembles a football rather than a soccer ball. This means that the light entering the eye comes through at a distorted angle, making the object appear blurry and out of focus. There are several ways in which it is possible to treat astigmatism, including laser eye surgery and corrective lenses. However, another possibility is a solution referred to as limbal relaxing incisions.
 

What are limbal relaxing incisions?

Limbal relaxing incisions are microscopic cuts to an area in the eye known as the limbus. This helps to relax the curve in the cornea and improve its ability to focus light correctly. It can significantly improve your astigmatism and the overall quality of your vision.
 

Am I a good candidate for limbal relaxing incisions?

If you have astigmatism, are over 18, in good general health and have no major eye conditions, then chances are you are a good candidate for limbal relaxing incisions. Make an appointment with your eye doctor to discuss your candidacy further.