September is Healthy Aging Month

Healthy Aging Month is an annual health observance designed to focus national attention on the positive aspects of growing older.  Aging is a process that brings many changes. Vision loss and blindness, however, do not have to be one of them. There are several simple steps you can take to help keep your eyes healthy for the rest of your life.

Eye diseases often have no early symptoms, but can be detected during a comprehensive dilated eye exam.  A comprehensive dilated eye exam is different from the basic eye exam or screening you have for glasses or contacts. By dilating the pupils and examining the back of the eyes, your eye care professional can detect eye diseases in their early stages, before vision loss occurs. By performing a comprehensive eye exam, your eye care professional can check for early signs of –

Here are some other tips to maintain healthy vision now and as you age:

  • Eat a healthy, balanced diet. Fruits and vegetables can help keep your eyes healthy. Visit our website for healthy eye recipes, click here Eye Cook.

 

 

  • Maintain a healthy weight. Being overweight increases your risk for diabetes. By exercising regularly, you can help keep your body healthy and prevent vision loss. 

 

 

  • Don’t smoke. Smoking increases your risk for age-related macular degeneration, cataract, and other eye diseases and conditions that can damage the optic nerve.

 

 

 

  • Wear protective eyewear when outdoors. Protecting your eyes from the sun’s ultraviolet rays when you are outdoors is vital for your eye health.  Wearing sunglasses that block 99 to 100 percent of both UV-A and UV-B radiation.

 

  • Know your family history.  Talk to your family members about their eye health history. It’s important to know if anyone has been diagnosed with a disease or condition since many are hereditary, such as glaucoma, macular degeneration, and diabetes . This will help determine if you are at higher risk for developing an eye disease or condition.

 

  • Consider a multivitamin. Vitamins C, E and the mineral zinc have been shown to promote eye health.  Vitamins with Lutein and Zeaxanthin have been known to help patients with moderate to severe age-related macular degeneration.

 

  • Give your eyes a rest.  If you spend a lot of time at the computer or focusing at any one distance, you sometimes forget to blink, resulting in dryness and eye fatigue.  Every 20 minutes, look away about 20 feet in front of you for 20 seconds. This can help reduce eyestrain. Consider using a lubricant eye drop during long periods of intense eye use and rest your eyes for 5 minutes.

You can’t stop time, but you can take care of your eyes so that they remain healthy as you age. Having a healthy vision can be possible at any age! Even if you are not experiencing vision problems, visiting an eye care professional regularly for a comprehensive dilated eye exam is the most important thing you can do to reduce your risk of vision loss as you age.

Download “Everyone’s vision can change with age”
A handout with explanation on how vision can change with age.

May-Healthy Vision Month

When it comes to our health, we may visit our doctors and nurses regularly to make sure our bodies are healthy. But what about our eyes? They’re not always top of mind, but they’re just as important! May is Healthy Vision Month, an observance coordinated by the National Eye Institute to motivate Americans to make their eye health a priority and educate them about steps they can take to protect their vision.

Here are a few ways you can help protect your vision

  • Get an annual comprehensive dilated eye exam.
  • Know your family’s eye health history. It’s important to know if anyone has been diagnosed with an eye disease or condition, since some are hereditary.
  • Eat right to protect your sight: In particular, eat plenty of dark leafy greens such as spinach, kale, or collard greens, and fish that is high in omega-3 fatty acids such as salmon, albacore tuna, trout, and halibut. Visit Eye Cook for eye healthy recipes.
  • Maintain a healthy weight.
  • Wear protective eyewear when playing sports or doing activities around the home, such as painting, yard work, and home repairs.
  • Quit smoking or never start.
  • Wear sunglasses that block 99 -100 percent of ultraviolet A (UVA) and ultraviolet B (UVB) radiation.
  • Wash your hands before taking out your contacts and cleanse your contact lenses properly to avoid infection.
  • Practice workplace eye safety.

Taking care of your eyes also may benefit your overall health. People with vision problems are more likely than those with good vision to have diabetes, poor hearing, heart problems, high blood pressure, lower back pain and strokes, as well as have increased risk for falls, injury and depression.

In addition to your comprehensive dilated eye exams, visit an eye care professional if you have

  • Decreased vision.
  • Eye pain
  • Drainage or redness of the eye
  • Double vision
  • Diabetes
  • Floaters (tiny specks that appear to float before your eyes)
  • Circles (halos) around light sources or if you see flashes of light

For this Healthy Vision Month, take care of your eyes to make them last a lifetime.

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.

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.

January is Glaucoma Awareness Month

National Glaucoma Awareness Month reminds all of us to get regular eye exams and show support for those suffering from this condition.  Glaucoma is one of the leading causes of vision loss and blindness.  Glaucoma is often called “the sneak thief of sight” because glaucoma has few symptoms or warning signs in its early stages. It can be diagnosed only by a full eye exam by an eye care practitioner.

Glaucoma is a disease where pressure builds up and damages the eye’s optic nerve. Types of this disease include the common Primary Open Angle Glaucoma, which causes peripheral eyesight to slowly diminish and is age-related. Angle Closure Glaucoma, where the fluid drainage system is narrow and closed so that the aqueous fluid remains in the front chamber of the eye and intraocular pressure rises; and Low Tension Glaucoma, where the optic nerve becomes damaged in spite of the intraocular pressures being within the normal range. There’s currently no way to restore vision lost from glaucoma because once the nerve cells become damaged, they do not regenerate.

 

A few important facts you should know about Glaucoma in adults:

  • More patients than ever are affected – Over 3 million people in the U.S. have glaucoma, and the number is rising.
  • Glaucoma can affect people of all ages – The most common form of glaucoma, Primary Open Angle Glaucoma, becomes more prevalent with increasing age. However, glaucoma can strike anyone, even infants and children but it is rare.
  • Demographics do play a role – Glaucoma is a leading cause of blindness among African Americans; it’s also highly prevalent in Hispanics over the age 65.
  • Is glaucoma hereditary? The risk of developing Primary Open–Angle Glaucoma is up to nine times more likely if parents or siblings have the disease.
  • Hope for future glaucoma patients – Although there is no cure for any form of glaucoma, early diagnosis and treatment help control the disease and slow the process of vision loss or blindness.

Newer Glaucoma Treatments 

Glaucoma treatment usually begins with the use of topical (eye drop) medications which lower the intraocular pressure. Within the past two years, two new topical medications have been approved for the treatment of glaucoma: VYZULTA® and Rhopressa®. VYZULTA® is a modification of a class of medications currently used to treat glaucoma – the prostaglandin analogs. This drug helps lower intraocular pressure by increasing the drainage of fluid (aqueous humor) from the eye.

Rhopressa® is part of a new class of drugs used to treat glaucoma called Rho kinase inhibitors. Rhopressa®, like VYZULTA®, also lowers intraocular pressure by increasing aqueous outflow. Both Rhopressa® and VYZULTA® are dosed once daily and pose few, if any, systemic safety concerns.
 

Laser

Using a laser to make a small opening in the iris to help with fluid drainage usually cures Angle-Closure Glaucoma.  This procedure is called a laser peripheral iridotomy.

For Primary Open Angel Glaucoma, when eye drops are not enough to reduce the pressure then a procedure called Selective Laser Trabeculoplasty (SLT) can be used. The SLT reduces intraocular pressure by stimulating increased outflow of fluid from the eye. SLT offers an improved safety profile compared to older glaucoma laser therapies and may lower eye pressure by as much as 20 to 30 percent. It is typically used as the next step in patients whose glaucoma is uncontrolled on medical therapy. Because of its excellent benefit-to-risk profile, however, SLT can sometimes be used in place of medications, especially in patients who have difficulty with their eye drops.
 

Surgery

When other treatments fail, there are many surgical therapies to lower the eye pressure. These surgical approaches, which are riskier than medical therapy or lasers, are usually employed when non-surgical means do not work well enough to stop vision loss.
 

MIGS

The goal of Minimally Invasive Glaucoma Surgery (MIGS) is to reduce intraocular pressure by enhancing the eye’s own internal aqueous humor drainage system. Some MIGS can be performed as stand-alone procedures, while others are typically done along with cataract surgery in patients with visually significant cataracts and mild to moderate glaucoma.

There are now a variety of recently FDA approved MIGS available for use in this country. MIGS typically are performed through a small incision in the eye with minimal tissue trauma and offer a favorable safety profile as well as more rapid visual recovery than traditional glaucoma surgery. There are many well qualified glaucoma specialists that perform the MIGS procedure.

 

Glaucoma Treatment Overview


 

National Glaucoma Awareness Month reminds all of us to get regular eye exams. Don’t let glaucoma steal your sight!  The best way to protect your sight is to get an annual comprehensive eye examination.

Thanks to funding from private philanthropists, DEF’s research continues to make great strides toward cures and treatment for glaucoma.  If you would like to support DEF’s sight saving research please donate today!

 DonateNow

National Glaucoma Awareness Month

January is National Glaucoma Awareness Month –                                    An important time to raise awareness for this sight-robbing disease.

Glaucoma is an age-related disease and is the second leading cause of irreversible blindness in people over 40. Glaucoma is 6 to 8 times more common in African Americans than Caucasians. If you have a close blood relative with glaucoma, it raises your risk of getting it.

Glaucoma is the sneak thief of sight, since there are no symptoms and once vision is lost, it’s permanent. As much as 40% of vision can be lost without a person noticing. 

More than 3 million people in the United States and over 60 million people worldwide, have glaucoma. Experts estimate that half of them don’t know they have it. Combined with our aging population, we can see an epidemic of blindness looming if we don’t raise awareness about the importance of regular eye examinations to preserve vision.

How to Help Raise Awareness

In the United States, approximately 120,000 are blind from glaucoma. Here are three ways you can help raise awareness:

talk to your family about glaucoma awareness
Talk to your friends and family
  • Talk to friends and family about glaucoma. Do not keep it a secret. Let your family members know.
  • Get involved in your community, educational seminars, support groups, and more.

 

What is Glaucoma?

Glaucoma is a disease that causes damage to the major nerve of the eye called the opdevelopment of glaucomatic 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.

There is no cure for glaucoma—yet. However, medication or surgery can slow or prevent further vision loss. The appropriate treatment depends upon the type of glaucoma among other factors. Early detection is vital to stopping the progress of the disease.

 

Risk Factors

How do you know if you are at risk for glaucoma? Those at higher risk include people of African, Asian, and Hispanic descent. Other high-risk groups include: people over 60, family members of those already diagnosed, diabetics, and people who are severely nearsighted.

Regular eye exams are especially important for those at higher risk for glaucoma, and may help to prevent unnecessary vision loss. In the most common form, there are virtually no symptoms. Vision loss begins with peripheral or side vision, so if you have glaucoma, you may not notice anything until significant vision is lost.

 

Getting your eyes checked by an ophthalmologist regularly will be the best way to detect glaucoma or any other eye disease early.