Category: Eye Health and Diseases

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.

Common Eyelid Bumps

Eyes are one of the most sensitive areas of the body and we tend to notice any pain related to our eyes relatively quickly. Here are a few common eye conditions and symptoms causing eyelid bumps. Have more questions? Give our office a call!

I have a red bump near the edge of my eyelid, what is this?

An infection called a stye causes this red bump. Bacteria enter the base of an eyelash and become infected. It can be contagious so it is important to wash your hands if you touch your eyes and not share any washcloths or hand towels with others. While a stye can be annoying, you should never pop or poke it. Eventually, a stye will heal on its own within a few days. Use a warm washcloth can help to alleviate some of the pain and speed up the healing process.

What is the bump inside my eyelid?

An infection called chalazion causes the bump inside your eyelid. This is similar to stye but found inside the eyelid on an oil gland. Typically, this red swollen bump is benign and containings fatty secretions that normally help lubricate the eye. Chalazions are not infectious and typically resolve on their own within a few days to a week. Try using a warm compress to help relieve discomfort and move along the healing process. If you are experiencing pain or discomfort from a chalazion and it does not heal on its own, call our office to schedule an appointment!

Why does my baby have tiny bumps on and around the eye area?

Milia are the tiny white or yellowish bumps seen around a baby’s eyes. These look similar to a whitehead but are not acne. Milia occur in clusters and are caused by dead skin cells getting trapped under the surface of the skin. Most commonly, they occur in babies but can be found at any age. Parents can expect milia on newborns to resolve on its own within a few weeks. Do not try to pop or remove milia yourself.

Why is my eyelid swollen?

Inflammation or excess fluid surrounding the eye causes a swollen eyelid. Eye infections, injuries, trauma, and allergies are the most common causes of a swollen eyelid. Whether or not you experience pain and how long the healing process will take is determined by the cause of the swelling. Are you experiencing swelling surrounding your eye from an unknown cause or for an extended period of time? Call our office to schedule an appointment or consult with your eye doctor.  

Have more questions?

If your eyelid condition or concern does not fit into one of these categories or you have additional questions please call our office to schedule a consultation. The staff can answer all of your questions and give a personalized recommendation for your eye care.

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

Glaucoma: The Silent Thief of Sight

Did you know, nearly 2.2 million people in the United States are affected by glaucoma?* Due to the lack of symptoms in the early stages of glaucoma, almost half of Americans with glaucoma do not know they have it; causing glaucoma to be the second leading cause of blindness in the United States and worldwide.

What is glaucoma?

Glaucoma is an eye condition that damages the optic nerve in the eye and, if left untreated, can result in blindness. High pressure within the eye causes damage to the optic nerve and prevents the nerve from sending messages from the eye to the brain.

Typically, there are no symptoms or pain associated with glaucoma until severe vision loss has occurred; at which point vision loss is permanent and cannot be reversed. The degree of vision loss differs from each individual.

Symptoms

  • Most often has no symptoms
  • Damage starts in peripheral vision
  • Blurred vision
  • Distorted vision
  • Vision loss

Who is at risk?

According to the Glaucoma Research Foundation, African Americans are three times more likely to be affected by glaucoma, and six times more likely to suffer from blindness as a result of glaucoma. Hispanics and Latinos have the second highest risk for glaucoma. Those with a family history of glaucoma and diabetes are also at a higher risk. In order to help with early detection and to prevent irreversible vision loss, be sure to notify your eye doctor if glaucoma runs in your family or if you have diabetes.

Primary Types of Glaucoma

  • Primary open-angle glaucoma: Primary open-angle glaucoma causes peripheral vision to gradually reduce without any other symptoms. If not controlled or discovered, it can progress to tunnel vision and ultimately lead to blindness.
  • Acute angle-closure glaucoma: Acute angle-closure glaucoma, also called narrow-angle glaucoma, produces a variety of sudden symptoms such as eye pain, headache, halos, dilated pupils, vision loss, nausea, and vomiting. Each onset of new symptoms causes additional vision loss.
  • Normal tension glaucoma: Normal tension glaucoma occurs in patients with a normal pressure within their eye and typically has no symptoms associated until tunnel vision occurs.

 

*Glaucoma Research Foundation

Preventing Snow Blindness, Sunburn for Your Eyes

We take many precautions to avoid sunburn on our skin, face, and lips, but have you ever thought about your eyes? Many are surprised to learn our eyes can also acquire sunburn. This condition is known as photokeratitis or snow blindness.

What causes Snow Blindness?

Snow Blindness occurs when your eyes are exposed to ultraviolet light for an extended period of time, causing sunburn. It most commonly occurs in snowy areas because snow reflects 80% of UV rays.* Snow blindness can also occur in highly reflective environments with water or white sand.

In addition to natural UV rays, man-made sources of ultraviolet radiation can cause snow blindness. Typically, man-made UV rays only damage your eyes when the proper eyewear is not being worn. This can happen when working with a welder’s torch or using tanning booths or sunlamps.

Can I lose my vision completely?

No, Snow Blindness is temporary and doesn’t cause actual blindness, it typically impairs your vision for 24 to 48 hours.

Symptoms of Snow Blindness

  • Eye pain
  • Burning, red, or watery eyes
  • Gritty sensation
  • Sensitivity to light
  • Blurry vision
  • Swollen eyes or eyelids
  • A headache
  • Glare and halos around lights

Risk factors for snow blindness?

You and your family are at an increased risk for snow blindness when involved in sports with highly reflective surfaces. When skiing, snowboarding, and snow sledding, you should ensure everybody’s eyes are protected with snow goggles that provide 100% UV protection.

Altitude plays a big role in the risk for snow blindness. At higher altitudes, UV rays are stronger. Therefore, when high altitudes, such as mountains, are combined with snow, the risk of Snow Blindness doubles.

Don’t forget, water sports such as water skiing, knee boarding, and surfing require protective eyewear as well. A great option is wraparound sunglasses that block out 100% of UV rays and remain on your head throughout the duration of the activity.

How do I prevent snow blindness?

  1. Anytime you are outside, you should wear sunglasses that block 100% of UV rays.
  2. Remember, UV rays can penetrate clouds, so sunglasses are required even on cloudy days.
  3. Always wear snow goggles when skiing, snowboarding, and mountain climbing.
  4. Wear wraparound sunglasses when you plan to be on or near water for extended periods of time.
  5. Ensure you have eye shields to wear in tanning beds and booths. Never tan without eye shields.
  6. Use the recommended safety eyewear for your job if you are working with harmful light.

 

*The United States Environmental Protection Agency

Flashes, Floaters, and Spots: What’s in my Vision?

Have you noticed tiny shadows cast upon objects you are looking at? Do you see small spots in your vision when looking at a clear or overcast sky? You may be seeing floaters and spots in your field of vision.

What is the spot in my vision?

It is completely normal to see spots or floaters in your vision. As you age the gel-like consistency in your eyes begins to dissolve creating floaters in the watery center of your eye. While you cannot see the particle floating in your eye, a shadow of these particles can be seen reflected in the objects you are viewing.

Do I need treatment for my floaters?

No, most of the time treatment is not required for floaters in the eye. The floaters and spots are harmless, and most will fade over time. If your vision is inhibited by large floaters, give our office a call to discuss options available to reduce these symptoms.

Why is there a flash in my vision?

When light enters your eye it sends a message to the retina, the retina then produces an electrical impulse which is sent to the brain. The brain interprets this impulse as an image. If the retina is tugged, torn, or detached from the back of the eye it is common to see a flicker of light. The flashes or flickers of light can be temporary or continue indefinitely depending on the severity of the retinal issue.

Is this ever a medical emergency?

Seeing a few new floaters is not an emergency, however, if you suddenly see a shower of floaters or spots this may be cause for concern. The sudden appearance of flashes of light could mean that damage is occurring to your retina. If any of these symptoms suddenly appear, call our office immediately to discuss with your eye doctor.

Conditions associated with eye floaters and flashes:

  • Bleeding inside the eye
  • Inflammation of the interior of the eye
  • Nearsightedness
  • Cataract surgery
  • Laser eye surgery
  • Diabetes
  • Eye infections
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