Category: Eye Health

It’s generally assumed that “20/20” is perfect vision, but what does this mean?

Visual acuity is the term used to describe the sharpness of your vision. When doctors do a visual acuity test, they have you view something (usually the Snellen eye chart of letters) from a standard distance and tell them what you see.

One of the lines on the typical eye chart has letters that are a size which has been deemed “20/20 visual acuity,” meaning that at 20 feet, most people can accurately read those characters. This is the standard, so at 20 feet, you read them as well as someone at 20 feet should be able to. It is possible for some people to read smaller letters that fall on lines below. This would be 20/15 or 20/10 visual acuity, meaning at 20 feet, you read letters that most people can only read at 10 or 15 feet. Great!

For people who have less visual acuity, they may be 20/40 or 20/60. The largest letter on the chart (an E on most Snellen charts) corresponds to 20/200 vision. If someone cannot distinguish that letter without assistance, they are considered legally blind.

Did you know the 20-foot measurement isn’t used everywhere? In some countries, they use 6 meters as the standard viewing distance.

Visual acuity of 20/20 is considered “perfect vision” because no aids are required to see better, but people can have better than 20/20 vision. Many young people are able to see letters smaller than the general “20/20” size. Even people who know that they see 20/20 or better, but feel that other aspects of their vision are lacking have options for improvement.

Some people who can pass a visual acuity test sufficiently may still have what we refer to as “high-order aberrations.” Low-order aberrations are familiar to most people as nearsightedness, farsightedness, and astigmatism, but high-order aberrations are less well-known. The eye doctor may find that you have coma, spherical aberration, or trefoil. These can produce symptoms including bad night vision, double vision, starbursts or halos, glare, or blurring.

Options exist for people with high-order aberrations who would like sharper vision. Gas permeable (GP) contact lenses are rigid lenses that may improve your vision better than glasses or soft contacts can. There are also laser vision correction surgeries that can address some eye irregularities leading to various types of eyesight problems.

Of course, if you want to know your visual acuity, a comprehensive eye exam is the best way to assess your vision. You can speak to the doctor about how well you’re seeing now, and what options are available to help you get 20/20 vision!

Eye doctors often get asked about small specs that appear to float through someone’s field of vision. Even very young people may notice on occasion a spot that appears when they look at a light, plain surface. The good news is that there is no reason to be alarmed!

Eye floaters are simply how we see differences in the gel or liquid in the back of our eyes. Typically, these spots appear as specks, circles, or stringy webs that drift through our field of vision. The reason that we see them is that the human brain works with the eyes to interpret light that enters through the front of the eye. In between the light entering the front of the eye and the structures inside the eye that create visual images there is a gel-like substance called vitreous or vitreous humor.

Vitreous is generally a thicker gel in young people and begins to change as we age. Through our youth, the gel generally remains consistent. With age, vitreous dissolves and starts to turn into a thinner liquid. Because some of the gel does not thin and remains in a gel state, you may be able to see small discrepancies in the consistency of the material. These are floaters.

Floaters like this are not anything to worry about, but other types of visual anomalies have different causes and may be something more serious. If you see an occasional floater, there’s no need to see the doctor. If you suddenly see lots of floaters, or if you are seeing flashes of light, contact your eye doctor right away. Sudden appearance of many floaters could mean that the vitreous is beginning to separate from your retina. This is a type of detachment and can lead to damage to the delicate retina which may cause permanent loss of vision.

Always keep in mind that any sudden changes to your vision could be serious and should be addressed with a medical professional right away.

Everyone wants to know how eating can affect the ways our bodies function. Maybe it’s because we want even more reasons to eat healthy, or because more of us want natural ways to lower our risk for diseases and deficiencies, but the good news is that you can easily eat right for your vision!

Antioxidants
Many foods contain antioxidants. Antioxidants literally remove oxidizing agents in living organisms. These oxidizing agents may be potentially damaging to our various systems, so many people believe that foods rich in antioxidants could help lower our risk for certain illnesses.

There are many delicious foods that can help promote overall health and may be part of a plan to lower your risk for eye disease.

Vitamin C (ascorbic acid) helps with building and maintaining connective tissues in the human body. It also helps maintain collagen found in the cornea. By promoting healthy skin, bones, and circulation, your retina may be aided by vitamin C. People who have healthy levels of vitamin C in their diet are also at a lower risk of forming a cataract and vision loss from macular degeneration.

Red peppers are especially high in vitamin C, as are green peppers, strawberries, broccoli, and some citrus fruits.

Flavonoids
Many of the foods that contain vitamin C also contain flavonoids. Unlike vitamins, these substances are not necessarily required for life and crucial functions of the body, but they are generally linked with health benefits as part of an overall healthy diet.

Anthocyanins are a type of pigment and antioxidant that are considered good for your eyes because they may reduce risk of cataracts or macular degeneration. These substances are found in many berries like blueberries, cranberries, raspberries, and blackberries. You can also get anthocyanins from grapes, red cabbage, and red apples.

Fatty Acids
Many people falsely believe all fat is bad, but there are lots of healthy fats that we need in our diets. Our brains demand various kinds of fats to function properly, and healthy fats help our circulation, digestion, and even things like our outward appearance. Diets with proper omega-3 fatty acids are also very good for your eyes, and are especially important for eye development in children.

You can get these essential nutrients from foods like flaxseed, walnuts, fish, soy, and veggies like brussel sprouts and cauliflower.

Though we can’t be totally sure how much these foods help lower our risk for illnesses, there’s no doubt that a balanced diet and healthful lifestyle are important for a strong body and healthy eyes!

Many medical professionals are aware of the benefits of adding healthy oils to our diets. Most of the fats that are essential for a healthy heart, skin, brain, and other systems come from things like fish, nuts, seeds, and vegetables. Doctors will sometimes prescribe fish oil or flaxseed oil to help improve someone’s health, but we are learning more and more about how these beneficial oils can help more than previously thought. In the case of your eyes, certain oils may aid in treatment of dry eyes.

Vision Benefits of Flaxseed and Fish Oil

Fish oil and flaxseed oil are beneficial because of the omega-3 fatty acids they include. These materials are needed to support optimal health. Flaxseed oil contains high levels of alpha-linolenic acid (ALA), an omega-3 fatty acid. ALA is converted into two different omega-3 fatty acids during digestion. These acids are called EPA and DHA and they protect cell membranes all over the body.

By adding flaxseed oil or fish oil to your diet, you may be protecting against dry eyes. These items appear to reduce dry eye symptoms, and can be used with or without eye drops to alleviate some aspects of dry eyes. Many eye doctors are recommending fish oil or flaxseed oil as part of an overall plan to treat dry eyes, or to prevent the onset or progression of symptoms.

Symptoms of dry eyes include:

• Chronic dryness
• Burning
• Stinging
• Redness
• Eye fatigue
• Sore eyes
• Light sensitivity
• Blurred vision

How to Start Taking Flaxseed and Fish Oil
If you’re looking for how to get these substances into your diet, keep in mind that many kinds of fish are high in these oils. Look for things like salmon, sardines, tilapia, and shrimp. For people who don’t like fish, or want other options, fish oil supplements are usually pretty inexpensive and easy to come by. You may ask a pharmacist for suggestions on which over the counter versions are best.

The downside of fish oil is that sometimes people will get a fishy aftertaste from the supplements. A great alternative is flaxseed oil. These supplements are readily available as well, and will provide similar benefits. Just be sure to find a brand that is cold pressed and remember to keep it refrigerated for freshness and optimal nutrient content (benefits of flaxseed oil are reduced by exposure to oxygen, light, and higher temperatures).

Flaxseed oil can get a little pricy, but you can buy flaxseeds and grind them in a coffee grinder before adding them to your diet. Use them immediately to get the full benefits!

Other Benefits
These fatty acids may help reduce your risk for several other health problems. The benefits include:
• Reduced risk of macular degeneration
• Reduced risk of cataracts
• Increased cardiovascular function
• Lower risk of heart disease
• Help maintain healthy weight

Most of us remember being told not to sit too close to the TV because it would ruin our vision. Well, that may have been an exaggeration of the actual dangers of sitting too near a tube television, but new risks are at play when it comes to electronic screens and the eyes of our children.

Old tube televisions and things like handheld games relied on much different electronics and lights to power their screens in the early years. It wasn’t until much more recently that we have moved to bright, LED and plasma screens that use a lot of blue light to show unimaginably crisp images. Whereas sitting pretty close to one of those screens twenty years ago probably wasn’t a good idea, it’s likely that prolonged and extreme use of screens nowadays is more problematic.

We know that using a computer can improve school readiness and academic achievement. Children learn digital tools quickly, and have relatively little trouble using them for educational games, math, reading, and more. These things aid cognitive development when used appropriately, and will not harm your child’s vision.

The risks associated with using a digital screen come from prolonged use, improper ergonomics, and developmental problems caused by getting too much screen time instead of getting social interaction and physical activity.

Children’s eyes are more sensitive to bright light because they lack certain tints that we develop as we get older. As we age, our eyes take on a slightly yellowish tint that helps filter bright blue light. The sun is the largest source of bright blue light, but digital devices also rely on this kind of light to produce clear videos and graphics. This means that children who use a bright screen up close are naturally less protected than older people, and their eyes are more susceptible to damage. Over time, our risk for macular degeneration increases along with years of exposure to “high-energy visible light.”

When children use a digital device for long periods of time, they do not “flex” their eyes by focusing on distant objects, as well as looking in the near and intermediate fields. This causes eye strain. Additionally, sitting for too long and making repetitive movements with hands (like clicking a mouse or controller) or sitting in a position with bad posture or an unsupported upper body can lead to problems like carpal tunnel, muscle soreness, and poor physical development. Everyone knows that kids need time to burn off energy, build gross motor skills, and strengthen their muscles and bones through exercise and play. When they get too much time sitting down while indoors, other important activities like outdoor play, conversation, spatial reasoning, and other skills suffer.

To reduce your child’s risk of computer vision syndrome:

• Limit their time on computers and devices
• Prompt them to take breaks regularly (this is a good habit for many activities)
• Make sure they are sitting in a comfortable, supported position
• Opt for anti-glare protection on their eyewear to reduce eyestrain
• Teach them to view digital screens at arm’s length and not too close

Diabetic retinopathy is a condition where diabetes causes damage to the retina. It is the leading cause of blindness among American adults. Sadly, many instances of vision loss from diabetic retinopathy could have been prevented with appropriate treatment and regular eye exams. Once damage has occurred, it is not possible to regain lost vision.

Light-sensitive tissue comprises the retina that lines the back of the eye. With diabetic retinopathy, changes to blood vessels in the rear of the eye cause bleeding or leaking fluid, which starts to distort vision. The changes in blood flow happen because diabetes (especially uncontrolled diabetes) can create chronically high blood sugar. This damages very small blood vessels in the retina and eventually leads to retinopathy.

There are four stages to this type of retinopathy:

1. Mild nonproliferative retinopathy is when small areas of the blood vessels sweet and balloon. These are called microaneurysms and may begin to leak fluid into the retina.
2. Moderate nonproliferative retinopathy happens as the disease progresses. Blood vessels that supply the retina with blood and essential nutrients may swell and distort. When this happens, they may also lose their ability to transport blood. This may contribute to diabetic macular edema (DME).
3. Severe nonproliferative retinopathy is when several blood vessels are blocked, depriving blood supply to parts of the retina. These problem areas secrete materials that tell the body to grow new blood vessels in the retina.
4. Proliferative diabetic retinopathy (PDR) is the advanced stage of diabetic retinopathy. Growth factors secreted by the retina cause too many new blood vessels to form. They grow inside the retina and into surrounding areas, but are fragile and likely to leak and bleed. Scar tissue can shift and cause retinal detachment. If the retina pulls away from underlying tissue, permanent vision loss may occur.

If you have diabetes, it is very important to control blood sugar to guard against developing symptoms. Make sure that you are working closely with a qualified doctor to manage your care and have regular follow-ups.

The same is true for eye care with diabetes. Diabetic eye disease is a group of several eye conditions that are commonly caused by diabetes. These conditions include diabetic retinopathy, diabetic macular edema, cataracts, and glaucoma. If caught in time, treated, and managed as part of a diabetes care plan, many people can maintain their vision or slow the progression of trouble seeing.

Risks of blue light exposure have become a topic of discussion in recent years. More eyecare professionals and scientists are studying the effects of blue light to assess the effects of relying on blue light for so much of our lighting.

It’s hard to say for sure how much added blue light exposure may lead to additional cases of degenerative eye health problems like macular degeneration. Plus, there is some evidence that overexposure to high-energy blue light can cause side effects such as sleep disturbances, eye strain, and headaches. With this in mind, how can you reduce your exposure, inside and out?

Inside
• Lower the brightness of your electronic screens, especially at night, but make sure you are not straining to see the words if you’re reading.
• Take frequent breaks while working at a computer. Regardless of blue light exposure, Computer Vision Syndrome is another problem you may face, and taking breaks to relax your eyes will help.
• Stop using your devices at least a couple hours before bed. Unplug and read a book instead, which will give your eyes something easy to focus on and help you wind down for good sleep.
• Adjust your distance. Viewing a bright screen up close is fatiguing. Make sure to set your computer monitor and television at a comfortable distance, and don’t hold handheld devices too close to your eyes. You can adjust text size if reading a device at arm’s length is difficult.
• Opt for non-glare lenses. Non-glare or anti-reflective treatments on your lenses will help reduce bright lights affecting your eyes.

Outside
• Wear sunglasses. Sunglasses that are an appropriate darkness and block 99-100% of UVA-UVB rays are the best protection for your eyes.
• Consider polarized lenses, too. Polarization cuts harsh glares that bounce off of water and other surfaces.
• Don’t forget a hat! In especially bright outdoor settings a hat will help block bright light from above, even if your eyes are protected from the front.

Ask us about what blue light-blocking options are available for your eyewear. We can help with your everyday lenses, reading glasses, and especially with sunglasses!

Spring has arrived! The birds are chirping, the days are getting longer, and suddenly you’re experiencing itchy and watery eyes. Seasonal allergies affect an estimated 50 million people in the United States, making the spring season a little (or a lot) less pleasant for many Americans. Up to 30 percent of adults and up to 40 percent of children report having problems with seasonal allergies. That’s no small amount of people with itchy eyes and runny noses!

Spring is what comes to mind when most people think of seasonal allergies, but allergies are not limited to April, May, and June alone. Seasonal allergies can be a disruption almost any time of year, depending on what causes your allergies and where you live. Learning how to cope with seasonal allergies and treat the symptoms can improve your daily life and make nice weather more enjoyable.

How do you combat seasonal allergies? There are some tips you can use to fight seasonal allergies. First, know what triggers them. You’re not going to frolic in a field of goldenrod if you know that it causes an allergic reaction. Ask your physician if he or she can help you narrow down what is causing your discomfort.

The most common seasonal allergens are grass, pollen, and mold. For an allergy sufferer, avoiding these allergens is the first approach to minimize symptoms. It can be difficult to avoid them, however, because they are very common in most parts of the country. Unless you’re able to move somewhere without allergens (or maybe you can live in a bubble), you’ll have to consider some additional options.

Make sure to protect your eyes. Sunglasses can help keep pollen and allergens from entering the eye to an extent, but they also minimize strain on your eyes that can be worsened during allergy season. Protection can also come in the form of wearing a protective mask while doing things like gardening or yard work.

If you must go outside to work or exercise, try to do it early in the morning or later in the evening. These are times when pollen counts are typically lower than during the middle hours of the day. Also, check pollen counts. Many weather apps and sites offer pollen counts as a way to inform allergy sufferers of the worst days for allergies, and other days when it might not be so bad.

Talk to your doctor about an over-the-counter remedy. Not a lot of people report mowing the lawn as their favorite thing to do, but gardening can be very satisfying, and a fun way to get dirty, make your yard more beautiful, or even save money by growing your own food. Seasonal allergies make rustling around in the weeds nearly impossible, however. No one wants to spend their time in nature rubbing their eyes! Your physician can give you advice on medical treatments for allergies and medication that may be available to help you keep your routine and pursue your hobbies without too much disruption.

On days when the pollen count is high, sufferers may choose to stay inside. Itchy eyes can be painful, making it difficult to accomplish everyday tasks like working on a computer screen, watching TV, or even just focusing on small details for a prolonged period of time. With many people working behind a computer for their job, just imagine the productivity that could be gained if eye-related allergies were eliminated! Thankfully, you can help keep indoor air quality clear so you can live comfortably and get your work done indoors. Simply try an air purifier. They help to reduce allergens from the air, and keep those pesky particles out of your nose and eyes. Also, make sure the air filters on your heating and cooling units are changed or cleaned regularly. Special filters exist for allergy sufferers, and they can help improve indoor air quality when changed regularly.

In addition to cleaning the air, wash the dog, your hair, and your clothes. Pollen and other allergens can easily stick to clothes, pets, and even you. A regular wash will prevent allergens from sticking around this allergy season.

The best way to combat the change in seasons is to avoid the allergen as much as possible, refrain from itching your eyes, and use artificial tears to wash away airborne allergens when necessary. Talk to your physician and eye care professional if seasonal allergies are getting in your way.

More and more patients are asking about how blue light may be affecting their health. With stories about exposure and possible risks frequently in the news, it’s important to understand what high energy blue light is and why you should protect your eyes.

What is High Energy Blue Light?
Blue light is simply part of the spectrum of light that we can see. The “high-energy” part of blue light refers to the intensity and is based on where it falls on the spectrum. Daylight is high in this type of light, and it’s what wakes us up when we rise in the morning as we experience sunlight. Blue light is crucial for our processing of color, and in the right balance it can be good for our health to set our circadian clock and sleep/wake cycles.

Most patients have heard about blue light because media articles frequently highlight certain kinds of blue light as causing sleep disturbances. Americans are notoriously bad sleepers, with many vices and personal habits that can interfere with getting a full night’s rest. Increased exposure to blue light and especially screen time with electronic devices at night are purportedly the biggest offenders.

When are We Exposed?
The reality is that blue light comes from many sources. The largest source is the sun, and electronic screens and indoor CFL/LED lighting emit a fraction of what the sun emits. Still, with more light sources relying on blue light for intensity and clarity, it leaves people wondering if they should opt for eyewear that reflects some of the higher energy rays.

Most people are aware that we have to protect our eyes from bright sunlight because it can cause eye problems as we age. The issue with blue light exposure is that high-energy blue light alone doesn’t make us uncomfortable like glaring sunlight does, so few people opt for special glasses to be protected.

How do I Reduce My Risk?
The good news is that there are options for people who would like to block or filter some of the high-energy blue light waves that are linked to eye health problems. Blue light blocking lenses or blue-reflecting lens treatments may help you with other problems, like eye fatigue and sleep disturbances, but the main concern is updating your eyewear and your habits to help lower your risk for cataracts and macular degeneration.

Talk to us if you have questions about what products we carry, and how your everyday eyewear can ensure your eyes are comfortable and protected!

Cataracts occur when the lens in one or both of your eyes becomes cloudy. Usually this happens with age, and the condition is very common in older people. More than half of all Americans will experience symptoms of cataracts by the time they reach 80.

Why Does it Happen?
The lenses in our eyes are made mostly of water and protein. The protein in our lenses is arranged in a way that makes the lens clear. Our lenses have to be transparent for the structures in our eyes to focus properly and display crisp images. When cataracts form, it is because clumps of protein build up and reduce the light that reaches inside our eyes. Also, as lenses age, they can become discolored and take on a yellow or brownish tint. Gradually vision is affected by this shading along with the cloudiness that can cause vision to blur.

What are the Risks?
Other than normal wear and tear of aging, there are several factors that increase your risk of cataracts. Those include:

• Diseases including diabetes
• Smoking and alcohol use
• Environmental factors including high exposure to sunlight and UV rays

What are the Symptoms?
Most people will notice the cloudy or slightly blurry vision as cataracts start to form. Additionally, people may realize that colors seem faded. Your prescription may change frequently. One major symptom that can pose a threat to your safety is poor night vision and difficulty seeing at night. The cloudiness can cause headlights and other bright lights at night to glare or appear with distracting halos.

What is the Treatment?
Thankfully, there are options for people living with cataracts to see clearly again. In early stages, new glasses, larger print or magnification, and changing environmental surroundings like lighting can help. If these are not sufficient, or if the cataracts get worse, surgery may be an option. Surgery can remove the affected lens and replace it with an artificial one that is crisp and clear.

If you are experiencing any of these symptoms, an eye doctor can detect cataracts with an eye exam. Generally, a visual acuity test, dilated eye exam, and tonometry can aid the doctor in making this diagnosis. Contact us if you have questions about this or any other eye condition!