10 Ways to Save Your Vision

More than half of the people responding to a 2012 survey from the American Optometric Association said they valued their eyesight more than their memory or ability to walk. In honor of Save Your Vision Month, here are some everyday things you can control to help “save your vision.”

© Tammy Mcallister - save your vision
© Tammy Mcallister | Dreamstime Stock Photos

 1. Enjoy a cup of tea – Green tea contains antioxidants, like vitamins C and E, lutein, and zeaxanthin that help protect against AMD and cataracts.  It is it hydrating, helping you produce tears.

 2. Take time to blink – On an average you blink about 15 – 20 times a minute. However, that rate drops by half when viewing text on a screen. Try using the 20/20/20 rule when staring at a screen: Every 20 minutes, look 20 feet away for 20 seconds so you can blink naturally and give your eyes time to relax.

 3. Wear sunglasses and a hat – Exposure to ultraviolet (UV) rays can deteriorate vision over time, leading to cataracts and age-related macular degeneration (AMD). The American Optometric Association recommends sunglasses that block at least 99 percent of UVA and UVB radiation and that screen out 75 – 90% of visible light. And if you plan to spend a lot of time outdoors, it’s a good idea to get sunglasses with lenses that are polarized, which means that they’ve been treated to reduce glare.  Since the sun doesn’t just affect your eyes from the front, try wearing a large brimmed hat to further protect your eyes.

4. Increase the seafood in your diet – Omega-3 fatty acids have been shown to bolster heart and brain health, as well as decrease your risk of eye disease. According to a study published in the 2011 Archives of Ophthalmology, women who ate canned tuna and dark-fish meat (mackerel, salmon, sardines, bluefish, swordfish) just once a week reduced their risk for AMD by 42%, as opposed to people that ate the same fish less than once a month.

 5. Eat a rainbow – Eating a full rainbow of fruits and vegetables regularly helps give your body the nutrients it needs.  In addition to fiber, vitamins and minerals, naturally colored foods contain what are known as phytochemicals, which are disease-fighting substances that also give fruits and vegetable their array of colors.  Star nutrients are lutein and zeaxanthin—pigments found in such foods as dark, leafy greens, broccoli, zucchini, peas, and Brussels sprouts. Also important are antioxidants found in red foods such as strawberries, cherries, red peppers and raspberries,  Orange foods have beta-carotene and include carrots, pumpkins, sweet potatoes and yams.

6. Use digital screens at a safe distance – The brightness and glare from computers, tablets, smartphones and televisions can lead to eyestrain after prolonged use. Recent studies have also shown ill-effects from the UV rays from these devices.  Symptoms can include headaches, blurred vision, dry or red eyes and difficulty refocusing. Experts recommend keeping the computer screen at least an arm’s length away and that you hold a handheld device at least 16 inches from your eyes.

 7. Contact lens solutions serve a purpose – While approximately 85% of contact lens wearers claim that they’re caring for their lenses properly, only 2% are according to a study out of Texas. The most harmful but common problem is moistening contacts with saliva instead of saline solution.

 8. Make-up makeover – Replace tubes of mascara after three months, as it is a breeding ground for bacteria. Sharpen liner pencils regularly and while it is okay to line the base of your lashes, using the liner inside the lash line can block oil glands. Replace eye shadows yearly and don’t share your eye cosmetics.

 9. Use protective goggles –   According to a 2008 study from the American Academy of Ophthalmology and the American Society of Ocular Trauma, of the 2.5 million eye injuries in the US annually, nearly half happen at home.  Sports activities are another cause of eye injuries, from contact sports to sports that use balls that could catch you unaware.  When snowboarding or skiing remember to protect your eyes from the sun and wind with tinted goggles that have UV protection.

 10. Have a yearly eye exam – Even if you don’t wear corrective lenses, adults should get a comprehensive eye exam (which includes dilating your pupils with drops) by age 40. After that a yearly eye exam is recommended to keep your eyes healthy and catch any changes in your eyes that may be indicators of eye disease.  If you have a family history of glaucoma or age-related macular degeneration, or you have diabetes, you are at a higher risk for vision-related issues and your doctor may elect to see you more often.  If you have symptoms such as persistent pain inside or behind your eyes, redness, or gradual loss of vision, make an appointment with your doctor immediately.

Susan DeRemerSusan DeRemer, CFRE

Corneal Transplant Surgery Options

In this day and age of advancing technology, corneal transplants have changed from a long arduous ordeal to a more simple and precise procedure that offers faster visual recovery.  Instead of replacing the entire cornea for any and all corneal diseases, we now perform disease targeted partial corneal transplants.  If the disease involves the back layer of the cornea, we perform endothelial keratoplasty and replace only the diseased inner layer of the cornea.  Conversely, if the problematic portions are the front layers of the cornea, we perform anterior lamellar keratoplasty.  The co-morbidity and risk of rejection from partial corneal transplants are significantly less than the traditional full thickness transplants.

With endothelial keratoplasty, a small incision, about 4-5 mm is made and a sheet of donor endothelial cells are placed into the anterior chamber of the eye.  A large air bubble is then used to float this sheet up so that it opposes the posterior or back portion of the cornea.  The patient is asked to position face up for 24 hours.  Over this period of time, the cells will “stick” on their own and thus no sutures are required to keep the graft in place.,/span>

Figure 1 - corneal transplant
Figure 1

Anterior lamellar keratoplasty is done for superficial scars and opacities of the cornea or for keratoconus, a genetic degeneration of the cornea that is seen in younger individuals.  In this case, the native endothelial cells of the patient are healthy and therefore are left intact while the remainder of the cornea is transplanted.  This significantly lowers the risk of rejection, which is traditionally a much higher risk in young patients.  Multiple sutures are required to maintain this graft in place however, with the advent of femtosecond laser technology, the wound configuration is made in such a way as to promote rapid healing and visual recovery. (Figure 1)  Sutures are removed at an earlier time than with traditional surgery and the eye is able to undergo visual rehabilitation with glasses or contact lenses in 3-6 months’ time.

Corneal transplantation does not require waiting on a list for a donor to become available like it once did.  There are now multiple excellent eye banks across America that harvest, screen, and distribute donor tissue to surgeons.  This way, tissue is readily available and patients only need to schedule a time based on their own and their surgeon’s time schedule.  Post operatively, patients are asked to return to regular activity with the exception of no heavy lifting or bending for a period of 2 months.  Antibiotic and anti-rejection drops are started immediately after surgery and continued for several months after.  No oral medications aside from the patient’s regular medications are required.

Farid 3.6.14Marjan Farid, MD
Director of Cornea, Cataract, and Refractive Surgery
Vice-Chair of Ophthalmic Faculty
Director of the Cornea Fellowship Program
Associate Professor of Ophthalmology
Gavin Herbert Eye Institute, University of California, Irvine

Welcome to the Discovery Eye Foundation Blog

discovery eye foundation_logoWelcome to your blog, where you will find the most important information about eye health and sight-threatening eye diseases.

The Discovery Eye Foundation team has more than four decades of knowledge, experience and relationships to help you better understand your eye disease and discuss it with your eye doctor — so you can make more informed decisions and lifestyle choices.

You will find information from leading ophthalmologists, optometrists, eye researchers, low-vision specialists, nutritionists and other professionals who are interested in helping you keep your eyes as healthy as possible, and/or deal with eye disease and vision loss.

We will be posting twice a week, with a guest post from an eye-care professional every Thursday addressing an issue important to our constituents.

We want to hear from you. What information do you find useful? What topics are important to you? And while we will respond to general questions about eye diseases, we will not be able to address patient-specific questions that can best be answered by your own eye doctor.

For more in-depth information, please visit one of our three websites to learn about specific eye diseases, view videos, listen to recorded presentations and interviews, and discover disease-specific research and resources.

•   DiscoveryEye.org offers information on age-related macular degeneration (AMD), cataracts, diabetic retinopathy, glaucoma, keratoconus (KC), ocular herpes and retinitis pigmentosa, along with other eye conditions. For help with positive lifestyle choices, check out Eye Cook for delicious eye-healthy recipes.
•   AMD.org was one of the first online sources for information focused solely on age-related macular degeneration (AMD). This site is continually updated with the latest news on potential treatments. It fully explains the role of vitamins in eye health and offers insight into AREDS II. It has helpful information for caregivers and a national directory of resources.
•   NKCF.org is your one-stop site for in-depth information on keratoconus (KC). In addition to providing you with the latest on KC treatments and clinical trials, it has two free online support groups for people diagnosed with KC and their families.

Susan DeRemerSusan DeRemer, CFRE
Vice President of Development
Discovery Eye Foundation