Patient Resources

You might be surprised at how many tests eye doctors use to diagnose glaucoma. A proper diagnosis requires careful evaluation of many aspects of your eye’s health – from eye pressure to cornea thickness to the health of your optic nerve. This article describes how your eye doctor assesses your risk and all the tests needed to properly diagnose glaucoma.
 

Risk Factor Assessment

Your eye doctor will begin by assessing your risk level for developing glaucoma. This will help determine the frequency and extent of testing needed. Through a family history and medical questionnaire, the eye doctor is looking for the following risk factors:

• Over the age of 60

• Ethnic background such as African or black Caribbean descent, Hispanic, or Asian

• Family history of glaucoma, such as a sibling or parent with glaucoma

• History of eye conditions, injuries or surgeries

• Prolonged corticosteroid use (eye drops, pills, inhalers or creams)

• Chronic conditions that affect blood flow, such as migraines, diabetes, low blood
  pressure or hypertension

• Current or former smoker
   

If you’ve already had a comprehensive eye exam, your eye doctor will also consider these risk factors:

• Eye pressure higher than normal (above 21 mm Hg)

• Thin corneas (less than 0.5 millimeters)
   

Your type of eyesight is also important. People with farsightedness are at a higher risk for narrow-angle glaucoma, a more serious type that can advance quickly. While nearsightedness is associated with open-angle glaucoma, which progresses slowly without any symptoms.
 

Standard Glaucoma Tests

During a comprehensive eye exam, your eye doctor will always check for glaucoma, regardless of the risk level. This provides a baseline for comparison as you age. There are two tests: tonometry and ophthalmoscopy.
 

People will often experience some type of eye disorder during the course of their lives. While the majority of these are minor and don’t require treatment, even minor problems can have significant adverse impacts on your vision, and you should seek the guidance of a licensed medical professional.

We’ve compiled some of the most common eye disorders, their causes, and treatments below. This guide is meant to be educational and not all of the disorders listed below require medical attention, but if you are concerned, you should contact your medical provider immediately.
 

Eyestrain

Eyestrain is a prevalent eye disorder. Most people have experienced this at one time or another. This optical issue can be caused by placing excessive strain on the eyes. It often occurs when reading, viewing a screen or driving for too long. The eyes may begin to feel tired, or a mild burning sensation can occur. Simple rest is often enough to correct this issue. However, if you continue to feel discomfort for a few days, its time to visit your doctor.
 

Eye Redness

Eye redness can often be a minor issue that is caused by the inflammation or irritation of blood vessels near the eye’s surface. This can be caused by an irritant, lack of sleep, or allergies. If the redness in your eyes is linked to some type of traumatic injury, you should see a doctor. Typical treatments for this condition are eye drops to help lubricate the eye, resting your eyes, or taking medication to treat your allergies. Eye redness can also be a warning sign for conjunctivitis, pink eye, or sun damage. These conditions should receive medical treatment from a licensed professional.
 

Night Blindness

Some people find that they have difficulty navigating in darker areas like movie theaters, dark rooms, or driving at night. Several possibilities could lead to night blindness. Some may have been born with this condition, or it could be the result of a degenerative retina. These issues cannot be resolved by a medical professional. However, night blindness can also be caused by nearsightedness, vitamin A deficiency, cataracts, or keratoconus. All of these issues can be corrected by a doctor.
 

Strabismus (Crossed Eyes)

Crossed eyes are not a condition that you can fix by yourself. This issue is seen in the eyes not properly lining up with each other. However, an optometrist may be able to help correct this issue, so it’s worth scheduling an appointment.
 

Nystagmus (Shaky Eyes)

Nystagmus is the constant shaking of the eyes of which the patient has no ability to control it. Medical professionals have several options for treatment at their disposal. Sometimes vision therapy is enough to strengthen the muscles and correct the issue. If this doesn’t work, surgery can also correct the problem. Your doctor can discuss your best options with you.
 

Colorblindness

Red and green color blindness is the most common form of colorblindness, although other types may affect your ability to see different color combinations. Color blindness is caused because the eyes lack the appropriate “cones” that help to interpret and differentiate these colors. This makes certain colors appear identical to colorblind individuals. Very severe forms of colorblindness only allow individuals to see shades of gray, but this is very rare.

While there is no current treatment for the correction of color blindness, special contact lenses or eyeglasses can be prescribed to help.
 

Uveitis

This condition is the inflammation of the uvea. There are several potential causes of uveitis that can be very serious, but uveitis is an umbrella phrase that covers all causes that create inflammation of the middle layer of the eye.

Some of these causes can be compromises of the immune system, like AIDS, rheumatoid arthritis, or ulcerative colitis. If you have light sensitivity, blurred vision, eye pain, and eye redness that lasts more than a few days you should see your eye care professional.
 

Knowing When to Get Help

Your eyes are a sensitive and critical organ for your health and small injuries or damage to your eyes can have lasting effects. For this reason, if you sense that something is wrong with your eyes, it’s always a good idea to visit your eye care professional. Additionally, make sure to get your regular annual eye exams which can help detect any issues that your eyes may be having and assure that you get the appropriate care more quickly.

If you have dry eye syndrome, you understand the frustration of repeatedly applying eye drops and other therapies in vain. The iLux®, a new product on the market, may help address your problem. 

It treats dry eye syndrome by combining heat and pressure to clear obstructions from the meibomian glands. Learning how it works and its advantages in treating dry eyes may help you.

What Is iLux?

Millions of individuals worldwide suffer from the prevalent ailment known as dry eye syndrome. This happens when your eyes do not produce tears in sufficient amounts or when tears evaporate too soon. Discomfort, irritability, and even eyesight issues may result from this. Although several treatments for dry eyes exist, many are transient and call for repeated application.

iLux is a medical device designed to treat dry eye syndrome. It combines heat and pressure to remove blockages from the meibomian glands. These glands in the eyelids produce the oil that prevents your tears from evaporating too quickly. 

The handheld device is easy to use, making it a convenient and effective solution for those who suffer from dry eyes. It is a practical choice for people with busy schedules because no downtime or recovery period is necessary.

How Does It Work?

The device works by applying gentle heat and pressure to the eyelids. This helps loosen and remove blockages from the meibomian glands. The treatment allows the glands to function properly, producing the necessary oils to keep the eyes moisturized and healthy. The device also provides targeted treatment to specific areas of the eyelids. This allows for a more customized and effective treatment experience.

Benefits 

Using this medical device to treat dry eyes offers numerous benefits, including:
 

• Improved Comfort

Dry eyes can cause discomfort, irritation, and even pain. By treating dry eyes with iLux, you can experience improved comfort and reduced symptoms.
 

• Enhanced Vision

Dry eye syndrome can affect vision, causing blurriness or difficulty focusing. Treating the condition with iLux can help improve vision and clarity.
 

• Noninvasive

Unlike other treatments for dry eyes, such as surgery, iLux is a noninvasive solution that requires no downtime or recovery period.

How to Use the Device

Using iLux to treat dry eyes is straightforward. Since it is handheld and portable, this device is easy to use at home and when traveling.

To use it, follow these steps:
 

• To determine if it is a good fit for you and to get usage instructions, consult your eye doctor.

• Position the device against your closed eyelid over the affected area.

• It will apply gentle heat and pressure to the eyelid, helping remove blockages from the meibomian glands.

• Repeat this process on each eyelid as instructed by your doctor.

After using it, you may experience some mild discomfort or redness in the treated area. These are usually not severe; they should go away within a day or two.

Conclusion

If you are experiencing dry eyes, the iLux might be the solution for you. This noninvasive medical device uses heat and pressure to remove blockages from the meibomian glands. The treatment allows for improved eye health and comfort. To learn more about the device and whether it is right, consult your eye doctor today.

Dry Eye can have a major impact on your quality of life. You may find your eyes get tired faster or you have difficulty reading. Not to mention the discomfort of a burning sensation or blurry vision. Let’s take a look at dry eye treatments – from simple self-care to innovative prescriptions and therapies – to help you see clearly and comfortably.
 

What is Dry Eye?

Understanding dry eye will help you determine the best treatment option. Dry eye occurs when a person doesn't have enough quality tears to lubricate and nourish the eye. Tears reduce eye infections, wash away foreign matter, and keep the eye’s surface smooth and clear. People with dry eyes either do not produce enough tears or their tears are poor quality. It’s a common and often chronic problem, especially in older adults.
 

Preventive Self-Care

Before we delve into more serious dry eye treatment options, here are a few simple self-care options that can manage minor cases of dry eye.

• Blink regularly when reading or staring at a computer screen for a long time.

• Make sure there’s adequate humidity in the air at work and at home.

• Wear sunglasses outside to reduce sun and wind exposure. Wraparound glasses are best.

• Take supplements with essential fatty acids as these may decrease dry eye symptoms.

• Drink 8 to 10 glasses of water each day to avoid dehydration.

• Find out if any of your prescriptions have dry eye as a side effect and if so, see if you can take an alternative.
   

Artificial Tears

For mild cases of dry eyes, the best option is over-the-counter eye drops. Here are a few tips for selecting the right one:

• Low viscosity – These artificial tears are watery. They often provide quick relief with little or no blurring of your vision, but their effect can be brief, and sometimes you must use these drops frequently to get adequate relief.

• High viscosity – These are more gel-like and provide longer-lasting lubrication. However, these drops can cause significant blurring of your vision for several minutes. For this reason, high-viscosity artificial tears are recommended at bedtime.
   

Prescription Dry Eye Treatments

There are several prescriptions that treat dry eye differently. Your eye doctor can advise the best option for your situation.

• Contact Lenses – There are specialty contact lenses that deliver moisture to the surface of the eye. They’re called scleral lenses or bandage lenses.

• Antibiotics– If your eyelids are inflamed, this can prevent oil glands from secreting oil into your tears. Your doctor may recommend antibiotics to reduce inflammation.

Seasonal allergies is a medical condition similar to other forms of allergies that occur when the body's immune system reacts to an external material in the environment during seasonal periods when plants and trees are pollinating. Seasonal allergies have a tremendous effect on millions of individuals annually causing a negative effect on eyesight. Seasonal eye allergies cause the eyes to become itchy, watery and red which in medical terms is referred to as allergic conjunctivitis. There are many allergens that can make our eyes go itchy and very red including dust, pollen, and smoke. These allergens, however, vary from one person to another. For example, while dust can cause itchy eyes for me, it might not be the same for you as it all depends on our immune system and the way it reacts against such substances.

When something is regarded as a dangerous substance by the eye, a chemical response is elicited to fight against the allergen which is what leads to the itchiness, redness, and soreness in the eyes. These reactions are usually a result of a change in seasons, mostly occurring in the spring when plants and trees are pollinating and during the fall when the ragweed plants are pollinating.
 

Seasonal Allergies Effect on the Eyes

As we mentioned earlier, allergens affect people differently, but there are general ways in which everyone reacts. You would know an individual is suffering from allergies through the following symptoms.

• Teary eyes
  Since the eyes perceive substances like dust, smoke, pollens as harmful to the normal conditioning of the eyes, there is an automatic release of water in order to clean the eyes which is more of a defense mechanism against these foreign items.

• Swollen eyes
  After the entry of these foreign items, it is very natural to feel itchy and want to scratch the affected eyes. During the scratching, the skin covering the eyes would become swollen due to continuous friction.

• Dry eyes
  Dry eyes occur most times during winter seasons, not because of allergens like dust or pollen, but whenever there is extreme cold or snow. This causes the eyes to become dry which leads to soreness and redness.

• Itchy Eyes
  Allergens are carried by air and could end up in your eyes at any time. A reaction to these allergens would cause your eyes to feel irritated from the inside and would create the urge to then scratch your eyes in an attempt to provide some relief.

• Red Eyes
  Redness of the eyes is usually accompanied by other symptoms such as itchy eyes which cause the eyes to become swollen and very red. There are also capillaries inside the eyes that can become red whenever one is faced with an allergy.
   

Prevention

It is nearly impossible to prevent allergens due to the fact that they are carried around by air. There are, however, some things that can be done by you to help reduce your chances of being exposed to allergens. One of the first precautions is to remain indoors on windy days since more allergens are carried around at a faster pace. If it is necessary to go out, be sure to wear a pair of sunglasses that provide adequate coverage for the eyes. Furthermore, wearing pollen masks and/or sunglasses when working in the yard could help to prevent anything from blowing into your eyes.
 

Treatment

Whenever you are suffering from allergies, be sure to stay hydrated, use any doctor recommended eye drops you may have to help reduce irritation, and if you use contact lenses, switch to a pair of glasses to add some extra protection as well as prevent further eye discomfort. Lastly, try to avoid scratching your eyes as much as possible to prevent any additional complications.

Over the years, contact lenses have evolved. A new product called MiSight is giving children a new and improved option. MiSight lenses effectively treat myopia, otherwise known as nearsightedness.

Myopia

Myopia is the medical term used for nearsightedness. Of all correctable visual impairments, myopia ranks number one. With this condition, the eye grows too long from the front to the back. As a result, images don’t focus on the retina. Instead, they focus at the front of it. With this refractive error, individuals can see things up close without any problem but everything at a distance appears blurry. Over time, myopia in children typically worsens. This refractive error puts them at risk of developing other problems. For example, they’re more prone to having premature cataracts and detached retinas as an adult.

To treat this condition, most opt for prescription eyeglasses or contacts. Although MiSight Lenses work similarly to conventional lenses, they’re unique.

Benefits of MiSight Lenses

These contacts slow the progression of myopia in children between the ages of eight and 12. Even more exciting, they slow the progression by as much as 59%. For instance, if an ophthalmologist or optometrist diagnoses a child with nearsightedness and predicts a diopter of -8.00, MiSight contact lenses can reduce that to about -3.50.

As the only contact lens on the market capable of doing this, the Food and Drug Administration (FDA) fully approved them in 2019.

Another benefit of wearing MiSight contacts over traditional lenses is their soft lens. Especially for younger wearers, they provide optimal comfort.

Also, an individual only wears them once before discarding them. It’s important to note that these contacts aren’t made for overnight wear. For that reason, users need to remove them from the eyes and discard them at the end of each day.

Uniquely Designed

MiSight contact lenses work because of their unique design. After placing them in the eyes, one portion of the lens corrects the refractive error of nearsightedness. This allows the individual to see things at a distance. Another part of the lens focuses some light in front of the retina. This element of the design causes the progression of myopia to slow down. 

MiSight contact lenses are ideal for both slight and severe cases of myopia. Even some of the other more advanced contacts can only correct around 1.00D. For short-sight prescriptions, an optometrist can prescribe MySight contacts as low as -0.250 and as high as -6.00D.

Correcting Vision Safely and Effectively

MiSight contacts are not ordinary lenses. Rather, they treat the myopia refractive error so that children can see better and prevent their vision from becoming worse. They also reduce the risk of additional eye and vision-related problems. Everything combined makes these contact lenses a perfect choice for treating myopia in children.

Myopia is a very common issue throughout the world. Approximately 1/3 of the population in the United States have the condition and over 90% of several East Asian countries suffer from myopia. While myopia may seem like such a common condition that it shouldn’t be cause for concern, it is actually associated with several very serious conditions that can threaten one’s ability to see.
 

What is Myopia

Myopia, more commonly known as nearsightedness, is a condition where individuals are able to see objects that are close to them but may have difficulty distinguishing things at a distance, such as road signs or leaves on a tree. These individuals often squint at objects that are further away to try and help bring them into focus.

Currently, there is no known cure for myopia and recent studies suggest that the more advanced your myopia gets, the more serious the effects can be on your vision. This has led eye professionals to look for ways to slow the progression of myopia in children and young adults as the eyes typically change more rapidly during this time and slowing down myopia progression during these years has a huge payoff. 
 

Types of Myopia Control

There are a few different treatments for myopia that have proven to be effective in a number of studies. Of course, to ensure you find the most effective choice for you, be sure to visit with your eye doctor so they can review your case and recommend the best options for you.

Ortho-K | Ortho-K or Orthokeratology is one practice being used to slow down the progression of myopia. Ortho-K utilizes a special rigid gas-permeable contact lens that is placed into the eyes just before you go to bed. This hard lens helps to gently hold your eye in the proper shape throughout the night. Then when you wake up in the morning and remove the lenses, your eye continues to maintain that shape. This means that people who are nearsighted can see clearly throughout the day, even without wearing contact lenses or glasses. This approach is often preferred for athletes or other active individuals.

Atropine Eye Drops | One of the thoughts about the progression of myopia, is that it is associated with eye strain. The additional stresses that are placed on the eye when straining push the eye further out of its proper shape. Atropine eye drops are specifically designed to help stop the eye from straining and help the muscles relax. Atropine is similar to the eye drops that are used when you get your eyes dilated but lasts throughout the entire day rather than just a few hours. Atropine dilates the pupil of the eye and prevents them from closing too tightly and limiting your vision. This treatment has been shown to be especially effective in slowing the progression of myopia in children.
 
Multifocal Eyeglasses and Contact Lenses | These specialty contact lenses are designed to help reduce strain on the eyes. They have shown great success at slowing the progression of myopia over a three-year period when compared with individuals who wore a standard prescription lens.
 

The eye is a very delicate and fragile part of the body. According to one study on distance vision, about 188.5 million individuals are said to suffer from mild vision impairment, 217 million individuals suffer from moderate and severe impairment while 36 million individuals are blind. For near vision impairment, there are about 826 million individuals suffering. In all, there are about 1.3 billion people living with one of these impairments.

While a lot of people are aware that the eyes are an integral part of the body system, most of them do not pay very close attention to taking care of their eyes and are, in essence, taking it for granted. As the saying goes, “You don't know what you have until it's gone," and therefore, we have decided to take the necessary steps to provide you with information on how to best to take care of your eyesight.
Below are ways to keep your eyes safe:

1. Eat Healthy
Eating a healthy diet is a very integral part of keeping the eyes healthy. Nutrients like lutein, vitamins E and C, omega-3 fatty acids, and zinc may help in preventing eye-related problems like cataracts and macular degeneration. These nutrients can be found in vegetables like collards, kale, spinach, fish like tuna, salmon, and halibut, as well as in beans, nuts, eggs, oranges, pork, and oysters.

Besides eating meals rich in nutrients, it is equally important to eat a well-balanced diet. Obesity can cause diabetes and other medical conditions, leading to blindness or glaucoma. Obesity is also regarded as the chief cause of blindness across the globe which should raise a red flag to watch your weight. You can always visit your doctor to get help with drafting a healthy eating plan.

2. Know your family's medical history
Eye issues are usually hereditary which is why it is important to collect a family history on any diseases that may affect eye health and then report them to your eye doctor. This will help to determine your chances of any future eye conditions as well as come up with an action plan for future eye exams.

3. Avoid Smoking
Smoking, in general, is harmful to your overall health. In regards to your eyes, it can cause macular degeneration, destroy the optic nerve, and cause cataracts. It can even lead to vision loss. Quitting smoking if you already smoke, or better yet, not even starting, will be extremely beneficial to your overall health and wellness.

4. Wear Sunglasses
Sunglasses are more than just fashion accessories, they are vital in protecting the eyes from ultraviolet rays emitted from the sun. UV rays can cause macular degeneration and even cataracts which is why it is important to wear sunglasses that protect against 99% -100% of UV rays.

5. Obey workplace safety precautions
It is important we wear protective eye gears when engaging in sporting activities or jobs that could be harmful to the eyes. Such eyewear includes safety goggles, glasses, and helmets. Most of these protectors are from polycarbonates, which is a much stronger material than plastic.

6. Rest your eyes
Just like our bodies, the eyes also need rest to perform optimally. Depriving yourself of adequate sleep and rest can have an adverse effect on the eyes. During the use of the computer, remember to rest the eyes for at least 20 seconds after every 20 minutes by looking away from the screen. Doing this will reduce eye strain.

7. Visit your eye doctor regularly
Getting regular eye exams is one of the most important things you can do for your eye health. Conditions like glaucoma are much easier to treat if they are discovered early so don’t stay far from your doctor. 
 

First Aid

Eye injuries can happen at any time and it is good to know how to handle such emergencies until you can reach a medical professional.

• If you get hit on the eyes, you should put a shield like a Styrofoam cup on the bone of the eyes. Avoid putting pressure on the eye

• If something enters your eyes, avoid removing it as it may lead to the tearing of important tissue in the eyes. A Styrofoam cup would also do the job here until you can get to a medical professional.

• In the case of a black eye, putting an ice pack on the eye will help to reduce bruising and swelling

• If it’s a chemical burn, rinse the eyes with clean water for about 30 minutes, holding your head beneath the tap. While rinsing, keep your eyes wide open, rolling your eyeballs in all directions so as to ensure the water gets to every part.
   

So give some of these tips a try and remember to schedule regular eye exams. Prevention is always a better alternative to trying to find a cure.

As our bodies age, it is normal to notice that there are decreases in our ability to complete certain functions that may have been natural for us in our youth. Just like our physical strength, the strength of your eyes can also weaken over time.

Several different factors influence how each of us will experience aging. Your genetics can play a pivotal role. Understanding your family history and making sure to communicate this with your health professional can be a great way to monitor changes and spot early signs and symptoms. Exposure to certain chemicals or environments or specific trauma to our eyes can also have an impact on how our eyes age. While the eyes can often recover from traumatic injury or exposure, they may still have a detrimental effect on your vision as you age.

Knowing what age you start to have an increased risk of certain diseases or eye conditions can help you to be prepared when you meet with your optometrist. Here are some of the most common ailments that people experience when they age.
 

Presbyopia

Once you are over 40 years old you may experience a loss in vision at close range. Presbyopia is a normal condition that occurs due to the hardening of the lens in your eye. In the early stages, you can often compensate for small changes to your vision, but as the condition progresses, you will likely need a corrective lens, or choose a surgical procedure. such as Lasik, corneal inlays, refractive lens exchange, and conductive keratoplasty.
 

Cataracts

Cataracts are technically a disease of the eye. However, they are so frequently seen in patients as they age, that they are classified as a normal part of aging. While almost half of the population over 65 have cataracts, that number increases even more by age 70. While it can be frightening to begin losing your vision, cataract surgery is extremely successful and can restore up to 100% of the lost vision. If you notice even small changes to your vision, it is smart to talk to your doctor. Cataract surgery is best performed when the cataracts are small and can be more easily removed.
 

Macular Degeneration

This disease is the leading cause of blindness in senior citizens in the United States.
 

Glaucoma

The risk of developing glaucoma generally begins when you are in your 40’s with a near one percent chance and increases throughout the decades with a twelve percent by the time you are in your 80’s.
 

Diabetic Retinopathy

Individuals who have diabetes may be affected by diabetic retinopathy. This disease occurs when blood sugar levels are elevated for an extended period that causes damage to the eye. This damage may lead to permanent vision loss. Americans with diabetes over the age of 40 are at an increased risk, with about 40 percent of people with diabetes over this age displaying some degree of diabetic retinopathy.
 

Many patients come to us every day struggling to get through their daily lives with their current choice of vision correction. Some have eyeglasses that do not sit properly on their face or feel that their peripheral vision is hindered by the frames. While contact users may find the lenses uncomfortable or have them fall out at inconvenient times. For these patients, we are pleased to offer orthokeratology, or Ortho-K, a revolutionary way to help you see clearly throughout the day without having to wear glasses or contacts and without having to get laser eye surgery.
 

What is Ortho-K?

Generations ago, eye doctors knew that the tissue in the eye was soft and somewhat malleable. This knowledge caused them to wonder if they could push the eye back into the proper shape, would an individual be able to see clearly even if they were not wearing their prescription lenses. With the development of gas permeable contact lenses, a few eye doctors began to notice that their patient’s prescriptions did not change as rapidly as previously noted and that they appeared to be able to see correctly even when they were not wearing their contacts.

From these early discoveries, the world of Ortho-K was born. Ortho-K is a special treatment to help patients see clearly even when they are not wearing a prescription lens. Instead, a special gas permeable contact lens is placed into the eye each night before bed and the lens gently pushes the eye into the proper shape while you sleep. In the morning, you can remove the lenses and still see clearly throughout the day. Some patients can even see clearly for up to three days after wearing them for just one night!

 

Who Should Consider Ortho-K?

• There are a number of issues that our patients can have with prescription lenses. If you have one of the following conditions or concerns, call our office today to schedule an appointment.

• Allergies to the materials in contact lenses

• Dry eye that is made worse by wearing prescription lenses

• Dirt or other debris that gets under contact lenses

• You play sports and do not want to worry about glasses or contacts

• The ability to wake up at night and see clearly

• A general dislike of glasses or contacts