Low Vision Awareness Month

Low vision affects millions of Americans — including many older adults. People with low vision aren’t blind, but because of their vision loss, they may not be able to do everyday tasks like driving or reading even with glasses.

What is Low Vision?

When your eyesight is impaired to the degree that you struggle with daily tasks like reading or cooking – or that you have difficulty recognizing faces, you may have a medical condition referred to as low vision. Someone with low vision can’t simply put on a pair of glasses or contacts and see well; this condition is beyond the typical loss of vision that occurs with aging.

Individuals experiencing low vision can struggle with maintaining independence; hobbies, reading and even socializing may become challenging as vision loss progresses. Because of the impact low vision can have on your life, it is important to have your eyes checked by a low vision specialist if you have any concerns.

Since it is unusual to be able to restore vision once it is lost, screenings can help preserve the vision you have and help you access adaptive lenses and devices if you need them. While there is not a cure for low vision, your specialist can help you adapt and if needed, create a vision rehabilitation program designed to meet your specific needs.

Low vision is often caused by one of these conditions:

  • Age-related macular degeneration (AMD) –AMD is a progressive eye condition affecting as many as 15 million Americans. The disease attacks the macula of the eye, where our sharpest central vision occurs, affecting reading, driving, identifying faces, watching television, safely navigating stairs and performing other daily tasks. Although it rarely results in complete blindness, it robs the individual of all but the outermost, peripheral vision, leaving only dim images or black holes at the center of vision. Read More (link to DEF website)
  • Diabetes– Diabetic retinopathy is the most common diabetic eye disease and a leading cause of blindness in American adults caused by changes in the blood vessels of the retina.

In some people with diabetic retinopathy, blood vessels may swell and leak fluid or blood inside the eye. In other people, abnormal new blood vessels grow on the surface of the retina. The retina is the light-sensitive tissue at the back of the eye. A healthy retina is necessary for good vision. Read More (link to DEF website)

  • Glaucoma– glaucoma is a disease that causes damage to the major nerve of the eye called the optic nerve, a part of the central nervous system that carries visual information from the eye to the brain.

The eye experiences a gradual increase of intraocular pressure (IOP) due to an imbalance of the fluid produced in the eye and the amount of fluid drained. Over time, elevated IOP can cause vision loss. The most common form of glaucoma is primary open angle glaucoma which affects about 3 million Americans. However, there are other types including narrow angle, congenital, normal tension, and secondary glaucoma. (link to DEF website)

  • Injury to the eye can also be a cause

Regular eye exams are essential for all adults; it is recommended that adults over the age of 60 have eye exams each year. For older adults, diabetics and anyone with the risk factors above, a visit with a low vision specialist may be warranted as well. This specialist differs from a conventional optometrist and is trained to detect low vision and offer solutions to help you retain or regain independence and the ability to do things you enjoy again.

While Low Vision Awareness Month is the ideal time to learn about this condition and about the risk factors you could be facing, you should get in touch with a low vision specialist any time you have concern about your eyesight. Any time you notice a change in vision, if you receive a new diagnosis or have one or more of the risk factors detailed above you should schedule an appointment right away.

Low Vision Resources from the National Eye Institute

It can be hard to describe low vision. Visit our website Vision Simulation to see what life is like with common causes of low vision, like age-related macular degeneration, diabetic retinopathy, and glaucoma.

Thanksgiving Dinner for your EYES!

Thanksgiving is almost here; a meal that nourishes the family bonds and traditions.  It’s the one time of the year where you can guarantee your eyes will be bigger than your stomach. This meal also has another added bonus — almost every item on the Thanksgiving table is healthy for your eyesight!

Here are several of the most popular Thanksgiving dishes and their corresponding benefits to your eye health:

Turkey –

No Thanksgiving is complete without a turkey, roasted golden brown and stuffed with fresh vegetables and herbs. Turkey is loaded with zinc and B-vitamin niacin, which helps prevent the formation of cataracts. Cataracts are the leading cause of vision loss in the United States, so gobble up!  You are “preventing” cataracts with every bite.

 

Spinach, Green Bean Casserole, Asparagus and Brussel Sprouts –

These foods and other leafy greens are loaded with lutein and zeaxanthin, two nutrients that protect the retina, which may also help reduce the risk of cataracts and macular degeneration.  Healthy Green Bean Casserole Recipe

 

Sweet Potatoes –

Sweet potatoes are full of Beta-carotene, which is a carotenoid and antioxidant that promotes night vision and overall good eyesight. Sweet potatoes are also loaded with vitamins C and E. Diets that are rich in these vitamins can help prevent or delay the development of cataracts and macular degeneration. Mashed Sweet Potatoes Recipe

 

Cranberry Sauce –

Cranberries contain bioflavonoids, a large class of antioxidants. Bioflavonoids are found in the pulp, skin and rinds of foods that contain vitamin C. Both flavonoids and vitamin C help protect the eyes from free radical damage caused by pollution and the body’s normal metabolic processes.

 

Pumpkin Pie –

Pumpkin is one of the best sources of vitamin A, so pumpkin pie is an eye-healthy dessert. In fact, one cup of cooked, mashed pumpkin contains more than 200 percent of the recommended daily intake of Vitamin A. Vitamin A provides nourishment and protection to the eye’s lens, cornea and macula (part of the retina), so it improves night vision. 

 

A diet that’s full of the right nutrients is a great start to keeping your eyes healthy, but don’t forget that regular eye exams are equally important! We hope you enjoy a happy and delicious Thanksgiving with family and friends.

*For more eye healthy recipes click here EYE COOK

What To Expect On Your Next Visit To Your Eye Care Practitioner During COVID-19 Pandemic

Taking care of your health is critical and you may have concerns related to eye health as a result of the COVID-19 pandemic. The offices of Ophthalmologists and Optometrists are resuming the delivery of comprehensive eye and vision care and implementing new protocols to provide care in a safe and healthy environment.

While changes vary from state-to-state as well as individual practice locations, patients should expect that their eye doctors, like all medical professionals, are adhering to federal, state and local health directives regarding infection prevention measures and implementing appropriate safety procedures to reduce the risk of COVID-19 transmission within the office. These not only include strict protocols for cleaning and sterilization, but measures to effectively manage patient flow and encourage physical distancing. Patients should expect screenings for symptoms of COVID-19 and taking patients’ temperature upon their arrival at the facility, limiting the number of guests allowed in waiting rooms and requiring everyone to wear a facemask and/or gloves before entering the office.

Prior to the appointment, you should be asked a series of questions such as whether you have been diagnosed with COVID-19, whether you have been exposed to anyone who has an active COVID infection, and whether you have any of the typical symptoms of a COVID-19 infection including fever, cough, shortness of breath, or some impairment of your sense of taste or smell. You may also be asked about recent travel history. If there is a concern that you may have COVID-19 infection, then the appointment may be rescheduled to a later date.

Once you get to the office, you will be interviewed again to see if you have any symptoms suggestive of COVID-19 infection. You may be asked to have your temperature taken with a non-contact thermometer and to wash your hands or scrub your hands with hand sanitizer before entering the office. You may be asked not to bring any family members or assistants with you.

Every patient (and anyone accompanying the patient) is required to wear a mask, and the mask must be worn properly, covering both the nose and mouth. The mask must be worn through the entire visit, and conversations with the doctor or staff will be limited. The tests that are used to monitor glaucoma may be performed with modified protocols to minimize the time you spend at the office.

How to Prepare for Your Eye Doctor Visit

  • Don’t go if you’re feeling sick. If you wake up with a cough or a sore throat, it’s probably best to reschedule your appointment and call your primary physician. Your routine eye exam can wait. Don’t be surprised if someone takes your temperature upon arrival to ensure safety for everyone.
  •  Fill out forms in advance. If possible, fill out your intake forms online before your appointment. This will limit your face-to-face contact and your overall time within the office. Any additional information that’s requested by your doctor can also be done over the phone.
  • Follow social distancing guidelines. There may be new procedures in place to help with social distancing, from markers on the ground indicating where to stand, to a limited number of people allowed in certain areas. Depending upon the office location, you may need to call from your car to check in. Every office is different, so be sure to check with your doctor’s office about their requirements.
  • Go alone to your appointment. Most offices are only allowing the patient to enter the office, with the exception of those who require a caregiver or a guardian to attend the appointment with them. This limits the amount of people going in and out of the office, and helps maintain a more sterile, clean environment.
  • Wear a mask to your appointment. Depending on your state, a mask may either be mandated or highly recommended when you are in public places. The Centers for Disease Control and Prevention highly advises people to wear a mask covering their nose and their mouth in order to help stop the spread of COVID-19.

As your eye care doctors begin reopening and operations proceed under a “new normal,” your ophthalmologist and/or optometrist are working to ensure the continued safe delivery of essential eye care during the COVID-19 pandemic.

To know exactly what to expect during your appointment, call your doctor’s office to find out how to best prepare for your visit.

Blinking – Why is it so important?

Blinking is something we all do every minute, whether we think about it or not. The average person blinks 15-20 times per minute, or about 1,200 times per hour.

So why do we unconsciously move our eyelids over our eyeballs so many times? Because it’s extremely important for your eyes and vision.

Although you may not think of blinking as a major component of your health care routine, if you didn’t blink for extended periods you’d be at higher risk of eye infection.  You would also have uncomfortable, dry eyes and would have decreased clarity of vision. The most important benefit of blinking is that it cleans the surface of your eye of any debris and washes it away with fresh tears. The thin coating of tears helps sharpen your vision, clearing and brightening the image your retina receives. Blinking also nourishes your eye with oxygen and nutrients, keeping your eyes healthy and comfortable.

Blinking wipes and renews your tear film, the smooth, moist layer covering our eyeballs.

The tears have 3 important layers.  The inner most is the mucous layer that contains ‘mucins’ to keep the tears attached to the surface cells of the cornea.  This material is produced by ‘goblet cells’ in the conjunctiva.  The next layer is aqueous or ‘water-like’ that is produced by the lacrimal gland located in the upper-outer quadrant of the eye region. Finally, the outer layer is lipid or ‘oil-like’ that prevents the other layers from evaporating. These lipids are produced by tiny glands along the lid margins, next to the eyelashes.  If any of these layers are absent or abnormal, then the cornea becomes vulnerable to damage.

The tears contain many protein components such as lysozyme, which function like natural antibiotics. The tear film also contains many nutrients and amino acids to nourish the cells of the cornea, which is the clear, dome-like structure on the front of the eye.

Besides keeping your eyes lubricated, the tear film also:

  • Helps form an almost perfectly smooth front optical surface on the cornea helping light to focus properly.
  • Washes away debris.
  • Transfers oxygen from the atmosphere to the cornea, since the cornea lacks blood vessels to deliver it directly.
  • Provides a pathway for white blood cells when there is an injury to the eye’s surface.
  • Prevents infection due to presence of lysozyme and other antibacterial enzymes.

Your eyelids also play a significant role, aside from protecting your eye and keeping things dark while you sleep. There is also a slight horizontal movement of the eyelid that pushes debris toward the tear ducts, which are the small openings at the inner corners of the eyes through which tears drain into your nose. That is why your nose runs when you cry.

Blinking exercises are a great way to keep your eyes moist. Blinking stimulates tear production and gives our eyes a chance to wash away any debris that has accumulated on the surface of the eye. Individuals who spend a lot of time on the computer or reading a lot tend to blink less often than they should. Therefore, if your eyes feel dry and irritated when using the computer or reading, then look away and do the following blinking exercises.

Blinking Exercises for Dry and Irritated Eyes:

  1. Close your eyes quickly and tightly. Squeeze your facial muscles around your eyes for three to five seconds. Open your eyes slowly and relax your facial muscles. Keep your eyes open for another three to five seconds and repeat the squeezing process five to seven times.
  2. Use the 10-10 rule and every 10 minutes look at away from your computer and intentionally blink 10 times. Then resume your activities.