Dry Eye vs. Allergies: How to Tell the Difference

Itchy, watery, red eyes can make anyone miserable. But are your symptoms from dry eye or allergies? While the two conditions often feel similar, they have very different causes and treatments. Knowing the difference can help you get the right relief.

What Is Dry Eye?

Dry eye happens when your eyes don’t produce enough tears, or when the tears evaporate too quickly. Healthy tears keep the surface of the eye smooth, nourished, and protected. When this system doesn’t work properly, you may notice:

  • Burning or stinging sensation
  • Grittiness (like sand in the eye)
  • Blurred vision that clears with blinking
  • Redness
  • Discomfort that worsens later in the day or after screen time
  • Dry eye is often related to aging, contact lens use, certain medications, medical conditions, or spending lots of time staring at digital screens. 

What Are Eye Allergies?

Eye allergies—also called allergic conjunctivitis—occur when your eyes react to allergens like pollen, dust, pet dander, or mold. Your immune system triggers a histamine response, leading to inflammation and classic allergy symptoms such as:

  • Itching eyes (the hallmark sign)
  • Red, watery eyes
  • Many times there is also nasal congestion and sneezing
  • Swelling around the eyelids
  • Stringy, clear discharge
  • Symptoms that flare up seasonally (like during spring or fall) or in specific environments
  • Unlike dry eye, allergies are immune-driven and often come with other allergy symptoms like sneezing or a runny nose.

Key Differences Between Dry Eye and Allergies

Symptom/Feature Dry Eye Allergies
Main Sensation Burning, stinging, gritty Itching
Tear Quality Too few or poor-quality tears Excess watery tears
Discharge Usually minimal, stringy mucus Clear, watery, or stringy discharge
Timing Worse at end of day, with screen use Flare-ups tied to allergen exposure
Other Symptoms Blurred vision, eye fatigue Sneezing, nasal congestion
Relief From Artificial tears, lifestyle changes Antihistamines, avoiding allergens

 

Can You Have Both?

Yes—some people experience both dry eye and allergies at the same time. For example, if your eyes are already dry, allergens may irritate them more. And some allergy medications (like oral antihistamines) can actually make dry eye worse by reducing tear production.

 

When to See an Eye Doctor

If you’re unsure whether your symptoms are from dry eye, allergies, or both, it’s best to consult an eye care professional. They can perform tests to measure tear production, check for inflammation, and help you find the right treatment plan.

 

Bottom Line

Both dry eye and allergies can make your eyes feel irritated, red, and watery—but the root causes are very different. Pay attention to whether you experience burning and dryness (more likely dry eye) or itching and watery discharge (more likely allergies). Correctly identifying the problem is the first step toward lasting relief.

Don’t Forget Your Eyes: UV Protection is Just as Important as Sunscreen

Summertime often means long hours spent outdoors—whether at the beach, hiking, barbecuing, or just soaking up the sunshine. Most of us know to apply sunscreen to protect our skin from harmful UV rays, but there’s one vital area we often overlook: Our Eyes.

Just like your skin, your eyes are vulnerable to the damaging effects of ultraviolet (UV) radiation. Prolonged exposure to UV rays can lead to serious eye health issues over time, including cataracts, macular degeneration, and even certain types of eye cancer.

UV radiation, whether from natural sunlight or indoor artificial rays, can damage the eye’s surface tissues as well as the cornea and lens.  Unfortunately, many people are unaware of the dangers UV light can pose. By wearing UV-blocking sunglasses, you can enjoy the summer safely while lowering your risk for potentially blinding eye diseases.

Here are a few of the eye conditions you can avoid by wearing sunglasses:

  • Cataracts and eye cancers can take years to develop. Each time you bask in the sun without eye protection, you increase your risk of serious disease. Babies and children need to wear hats and sunglasses for this very reason. People of all ages should take precautions whenever they are outdoors.
  • Growths on the eye, such as pterygium, can show up in our teens or 20s. Surfers, skiers, fishermen, farmers, and others who spend long hours under the midday sun or near rivers, oceans, and mountains are at risk.
  • Snow blindness can happen after exposure to UV reflections off of snow, ice, sand, or water.

The good news? Protecting your eyes is simple.

Here’s how you can safeguard your vision this summer and every season

Many sunglasses shoppers forget to check the UV rating before purchasing a pair. Be sure to select sunglasses that provide 100% UV or UV400 protection, or block both UV-A and UV-B rays.

Here are additional tips to protect your eyes from UV damage, no matter what the season: 

  • Wear a hat along with your sunglasses. Broad-brimmed hats are best.
  • Protect children and senior citizens with hats and sunglasses. Everyone is at risk for sun damage.
  • Know that clouds don’t block UV light. The sun’s rays can pass through haze and clouds.
  • Sunlight is strongest midday to early afternoon. It is also stronger at higher altitudes and when reflected off of water, ice, or snow.
  • Never look directly at the sun. Doing so at any time, including during an eclipse, can damage the eye’s retina and cause a serious injury known as solar retinopathy.
  • Avoid tanning beds. Tanning beds pose the same risks to your eyes and body as outdoor UV light.

Long-term eye health starts with small steps today. By embracing these simple guidelines, your eyes will thank you for years to come.


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Smoking and Vision Loss

Smoking has long been known to cause heart disease and lung cancer; however many people do not realize that smoking can lead to serious loss of vision. Cigarette smoke contains thousands of chemicals that can damage many organs in our bodies, including our eyes. Over time, smoking can cause serious eye diseases that can cause permanent vision issues.

The following eye diseases can be made worse by smoking:

  • Age-related Macular Degeneration(AMD) – an eye disease that affects central vision. You need central vision to see objects clearly and for common tasks such as reading, recognizing faces, and driving.
  • Cataracts – cause blurry vision that progresses over time. Without surgery, cataracts can lead to serious vision loss. The best way to protect your sight from damage linked to smoking is to quit or never start smoking.
  • Glaucoma – causes a gradual breakdown of the cells that make up the optic nerve which sends visual information to your brain.. As the nerve cells die, vision is slowly lost, usually beginning with side vision. Often the loss of vision is not noticeable until a significant amount of nerve damage has occurred. This is why as many as half of all people with glaucoma may be unaware that they have the disease.
  • Diabetic Retinopathy – a common complication of diabetes. It affects the tiny blood vessels of the retina in the eye. Retinal blood vessels can break down, leak or become blocked and this can affect vision over time. In some people with diabetic retinopathy, serious damage to the eye can occur when new blood vessels grow on the surface of the retina.
  • Dry Eye Syndrome – is a condition where eyes do not produce enough tears and lubrication may result in more prominent blood vessels on the eye This can lead to eye irritation, burning, scratchy and painful eyes.

Symptoms of Eye Diseases Related to Smoking:

Age-related Macular Degeneration (AMD):

    • Loss of central vision needed to see details straight ahead.
    • Blurry or wavy areas in the central vision.
    • Difficulty recognizing faces.
    • Need for more light to read or perform other tasks.

Cataracts:

    • Cloudy or blurry vision.
    • Colors appearing faded or dull.
    • Sensitivity to light.
    • Trouble seeing at night.
    • Double vision.

Diabetic Retinopathy:

    • Blurry or distorted vision.
    • Dark or empty areas in vision.
    • Difficulty seeing colors.

Dry Eye Syndrome:

    • Scratchy, burning, or painful sensations.
    • Red eyes
    • Excessive tearing.
    • Blurry vision.

How Can You Protect Your Vision Related to Smoking?

The best way to protect your eyes is to QUIT SMOKING.  According to the National Eye Institute (NEI), quitting smoking lowers the risk of developing eye diseases. Your eyes can begin to recover and your overall health will improve.

Here are some tips to protect your eyes:

  • Eat Healthy Foods: Add leafy greens like spinach and kale to your meals. Fish high in omega-3 fatty acids, like salmon and tuna, are also good for your eyes.
  • Wear Sunglasses: Protect your eyes from the sun by wearing sunglasses. Look for sunglasses that block 99 to 100 percent of UVA and UVB rays. Sunglasses help even on cloudy days.
  • Get Regular Eye Exams: Schedule regular check-ups with an eye doctor. Early detection of eye problems can lower your risk of serious diseases. If eye diseases run in your family, early care is especially important.

If you smoke cigarettes and are concerned about your vision, consult with your health care provider about ways to quit smoking to help protect your eyes.  You can also find resources to help you on your journey to living a smoke-free life at Smokefree.gov.

April is Women’s Eye Health Month

April is Women’s Eye Health Month to educate women about the steps they can take today to help preserve vision in the future. 

Did you know that more women suffer from visual impairments than men? Two thirds of blindness occurs in women. One reason why women are affected by more eye health issues than men is because they tend to live longer and according to the National Eye Institute, women are also affected by hormonal factors.  Some eye conditions can cause vision loss and even blindness. These include:

The easiest way to test for common eye problems is a dilated eye exam – in which your eye doctor uses drops to widen your pupils and check for common issues.  This exam is the best way to detect eye disease’s early stages.

Good Eye Habits to Lessen or Prevent Future Vision Problems

  • Receive an annual eye exam. Regular dilated eye exams help monitor your vision status.
  • Eat a healthy diet. Good nutrition is the key to good health, including your vision. Dark green vegetables have been shown to reduce the risk of age-related macular degeneration (AMD) potentially. Also, remember to keep your diet low in sodium and caffeine. Visit our website for eye healthy recipes  discoveryeye.org/eye-cook-delicious-food-health/
  • Quit smoking today. Crushing the habit of smoking can reduce the risk of a host of diseases such as cancer and respiratory issues. Smoking is the most important risk factor for AMD and progression.

Having healthy eyes not only keeps us alert but keeps us safe. It is of the utmost importance to keep our eyes safe and have regular eye exams to check for any problems.

AMD/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,  a low vision specialist can help you adapt and if needed, create a vision rehabilitation program designed to meet your specific needs.

If you are experiencing trouble seeing even with prescription eye glasses, ask your optometrist or ophthalmologist for a low vision evaluation. If your practitioner does not perform this evaluation, request a referral to a low vision specialist in a private practice, at a Braille Institute or a University Eye Care Institute. 

Low vision is often caused by one of these conditions despite adequate treatment:

  • 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

  • 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 

  • 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. Read more

Reducing your risk for Low Vision

Practicing healthy daily lifestyle habits can reduce your risk for low vision. A healthy diet, not smoking and maintaining healthy blood pressure are important first steps. Other healthy habits that can lower the risk include:

  • Eat a diet with plenty of green, leafy vegetables such as kale, spinach, and collard greens, and fresh fruit.
  • Fish that is high in omega-3 fatty acids is good for eye health. Try to include it in your diet at least once or twice a week. Types of fish that are high in omega-3 fatty acids include salmon, sardines, mackerel, herring, and albacore tuna.
  • It’s important to keep your body healthy. Maintain a healthy weight, exercise regularly, maintain healthy blood pressure and cholesterol levels. The healthier your body, the more it can foster good eye health. Visit our website for eye healthy recipes Eye Cook.
  • Protect your eyes. Wear sunglasses and a hat with a visor in bright sunlight to protect your eyes from potentially harmful ultra-violet (UV) light and blue light.

Low Vision Reading Apps on Your Smartphone

Reading often is one of the most difficult challenges for visually impaired people. Many people with low vision give up reading altogether, because what used to be an enjoyable, effortless activity now requires thought, preparation and a lot of adjustment. In short, reading is just no fun anymore. 

The American Academy of Ophthalmology (AAO) has listed some of the top apps, devices and resources for people with low vision, below are a few listed for reading app, for more apps visit American Academy of Ophthalmology.

Regular eye exams are essential for all adults; it is recommended that adults over the age of 60 have eye exams each year. If your vision can not be improved to the point that you are able to see the things you need to see or read, your eye care professional can refer you to a low vision specialist. This specialist differs from a conventional optometrist and is trained to evaluate your low vision problem and offer solutions to help you retain or regain independence and the ability to do things you enjoy again.

For more information on AMD and other visual impairments – EYE CONDITIONS

 

More Low Vision resources

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 is one of 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

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.

How to Keep Your Eyes Comfortable During Winter Months

Harsh weather conditions can reduce the natural moisture in your eyes and the irritation usually results in a burning or itching sensation that often leads to rubbing or scratching your eyes which can worsen the symptoms. Sometimes it feels like there is a foreign object in your eye and for some, dry eyes can even cause excessive tearing, as your eyes try to overcompensate for their lack of protective tears. Prolonged, untreated dry eyes can lead to blurred vision as well. Between the harsh winter winds outside and the dry heat radiating inside, our eyes are very quickly irritated and dried in the winter months.  The result is itchy, dry eyes that may cause pain, blurred vision, a burning sensation, or even watery vision as our eyes try to compensate for the dryness.

What Are The Symptoms?

  • Uncomfortable, stingy, burning or scratchy feeling.
  • Stringy mucus in or around your eyes
  • Increased eye irritation from smoke or wind
  • Eye fatigue
  • Sensitivity to light
  • Eye redness
  • A sensation of having something in your eyes
  • Difficulty wearing contact lenses
  • Periods of excessive tearing
  • Blurred vision, often worsening at the end of the day or after focusing for a prolonged period

10 TIPS TO KEEP YOUR EYES COMFORTABLE DURING THE WINTER MONTHS

Whatever the symptoms, dry eyes can cause significant discomfort during the long winters and relief can seriously improve your quality of life.

  1. To keep eyes moist, apply artificial tears/eye drops a few times a day. If you have chronic dry eyes, speak to your eye doctor about the best product for your condition.
  2. Drink a lot of fluids – keeping your body hydrated will also help maintain the moisture in your eyes.
  3. If you spend a lot of time indoors in heated environments, use a humidifier to add some moisture back into the air.
  4. Try to situate yourself away from sources of heat, especially if they are blowing. While a nice cozy fire can add to the perfect winter evening, make sure to keep your distance so dry eyes don’t ruin it. 
  5. Staring at a computer or digital device for extended amounts of time can further dry out your eyes. If you spend a lot of time staring at the screen, make sure you blink often and practice the 20/20/20 rule – every 20 minutes, look 20 feet away for 20 seconds. Use artificial tears often to lubricate eyes during long periods of using your eyes.
  6. Avoid air blowing in your eyes. Don’t direct hair dryers, car heaters, air conditioners or fans toward your eyes. In your car, direct heat to floor vents and away from your eyes once your windshield is defrosted.
  7. Stop smoking and avoid smoky environments.
  8. Don’t rub your eyes! This will only increase irritation and can also lead to infections if your hands are not clean.
  9. Give your eyes a break and break out your glasses. If your contact lenses are causing further irritation, take a break and wear your glasses for a few hours or days. Also talk to your optometrist about switching to contacts that are better for dry eyes.
  10. Protect your eyes. If you know you are going to be venturing into harsh weather conditions, such as extreme cold or wind, make sure you wear protection. Try large, 100% UV protective eyeglasses and a hat with a visor to keep the wind and particles from getting near your eyes. If you are a winter sports enthusiast, make sure you wear well-fitted ski goggles.

If you find that after following these tips you continue to suffer, contact your eye doctor.

5 Most Common Eye Problems

Most people have eye problems at one time or another. Some are minor and will go away on their own, or are easy to treat at home. Others need a specialist’s care. Some eye issues come with age while others may be a serious condition.

 

If you’ve never had a problem with your eyes it can be easy to forget how important it is to take care of them. The good news is that it’s never too late to start taking care of your eye health. Regular eye health appointments and eye exams can lead to early diagnosis. This is key to correcting or slowing most eye conditions.  Always see your eye care professional if your vision problem lasts for more than a few days or worsens.

The five most common eye conditions leading to loss of vision or blindness are:

  • Dry Eye
  • Cataracts
  • Diabetic retinopathy
  • Glaucoma
  • Age-related macular degeneration

Dry Eye

Dry eye is a common condition that occurs when your tears aren’t able to provide adequate lubrication for your eyes. Tears can be inadequate for many reasons. For example, dry eyes may occur if you don’t produce enough tears or if you produce poor-quality tears. Dry eyes can also feel very uncomfortable.

Signs and symptoms, which usually affect both eyes, may include:

  • A stinging, burning or scratchy sensation in your eyes
  • Stringy mucus in or around your eyes
  • Sensitivity to light
  • Eye redness
  • A sensation of having something in your eyes
  • Difficulty wearing contact lenses
  • Difficulty with nighttime driving
  • Watery eyes, which is the body’s response to the irritation of dry eyes
  • Blurred vision or eye fatigue

Cataracts

A cataract is a clouding of the lens in the eye that typically will affect your vision. Most cataracts are related to aging. People who have cataracts often have other vision problems in one or both eyes that accompany the cataract, such as nearsightedness (myopia), farsightedness (hyperopia), astigmatism (blurred vision), and/or presbyopia (reading problems).

The lens lies behind the iris and the pupil. It works much like a camera lens. It focuses light onto the retina at the back of the eye, where an image is recorded and sent to the brain. The lens also adjusts the eye’s focus, letting us see things clearly both up close and far away. The lens is made of mostly water and protein. The protein is arranged in a precise way that normally keeps the lens clear and lets light pass through it.

But as we age, some of the protein may clump together and start to cloud the lens. This is a cataract. Over time, the cataract may grow larger or more dense making it harder to see. There are no known medications or diets to prevent age-related cataract so currently the only treatment is cataract surgery. Consult an ophthalmologist for a cataract surgery evaluation.

Diabetic Retinopathy

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.

We know that:

  • Currently more than 4 million Americans aged 40 and older have some form of diabetic retinopathy
  • There is a higher prevalence in African Americans, Hispanics/Latinos, American Indians, and Alaska Natives aged 20 and older
  • Preventive measures help and it is highly treatable.

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.

Two important tips for diabetic retinopathy prevention: 1) Diabetic retinopathy is worse in patients with poor blood sugar control, so follow your diet and medication prescriptions carefully. 2) Get a dilated eye exam from your ophthalmologist every year for early diagnosis and treatment.

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.

At age 50 about 2% of the US population has glaucoma, increasing to 4% by age 70 and 10% for those over age 80. While anyone can develop glaucoma, there are some risk factors that increase the likelihood of having this disease, which include:

  • A family history of glaucoma
  • Mexican American heritage over the age of 60
  • African American heritage over age 40.

Often people with glaucoma are unaware they have the disease because there are no symptoms, so it is recommended that you have a dilated eye exam every two years. With early diagnosis there are treatments that can often protect against irreversible damage to the optic nerve that can lead to serious vision loss. Glaucoma can be treated with eye medications, lasers, and various surgical procedures. However, if glaucoma is not controlled can cause debilitating loss of vision.

Age-Related Macular Degeneration

Age-Related Macular degeneration (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.

As the disease progresses color vision and central vision sharpness deteriorates. the gradual destruction of light sensitive cells continues until large areas are totally gone. Peripheral vision remains, but the ability to clearly see straight ahead and to see color is lost.

For many people, the first sign of macular degeneration is something they notice themselves. Straight lines like doorways or telephone wires may appear wavy or disconnected. When you look at a person, their face may be blurred while the rest of them is in focus. Lines of print may be blurred in the center or the lines may be crooked. For some people, there is a sudden blurring or loss of sight in the center of vision. For any sudden change in vision, you should contact your ophthalmologist immediately.

AMD can be classified into Early AMD and Late AMD. In Early AMD, a patient may have drusen, which are small protein/lipid deposits underneath the retina, and they can still have good vision. In Late AMD, there are two common forms that occur—wet (neovascular AMD) and dry (atrophic AMD). The wet AMD has abnormal blood vessels beneath the retina that leak blood which can greatly distort the vision and cause a central blind spot.  Approximately 10-15% of patients have the wet form. Fortunately, there are treatments for wet AMD.   To date, the dry, atrophic form of AMD does not have any treatments available. In dry AMD, the retinal pigment epithelial (RPE) cells, which are the posterior-most layer of cells in the retina, undergo extensive degeneration that causes the overlying retina to lose function.  We do not know what causes the RPE cells to become unhealthy and start to die.  Many research laboratories worldwide are studying the causes of dry AMD and how to treat it.

Help keep your eyes healthy for years to come with regular eye exams, and treatment at the first sign of a problem.

 

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.