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Kids and Computer Vision Syndrome

Most of us remember being told not to sit too close to the TV because it would ruin our vision. Well, that may have been an exaggeration of the actual dangers of sitting too near a tube television, but new risks are at play when it comes to electronic screens and the eyes of our children.

Old tube televisions and things like handheld games relied on much different electronics and lights to power their screens in the early years. It wasn’t until much more recently that we have moved to bright, LED and plasma screens that use a lot of blue light to show unimaginably crisp images. Whereas sitting pretty close to one of those screens twenty years ago probably wasn’t a good idea, it’s likely that prolonged and extreme use of screens nowadays is more problematic.

We know that using a computer can improve school readiness and academic achievement. Children learn digital tools quickly, and have relatively little trouble using them for educational games, math, reading, and more. These things aid cognitive development when used appropriately, and will not harm your child’s vision.

The risks associated with using a digital screen come from prolonged use, improper ergonomics, and developmental problems caused by getting too much screen time instead of getting social interaction and physical activity.

Children’s eyes are more sensitive to bright light because they lack certain tints that we develop as we get older. As we age, our eyes take on a slightly yellowish tint that helps filter bright blue light. The sun is the largest source of bright blue light, but digital devices also rely on this kind of light to produce clear videos and graphics. This means that children who use a bright screen up close are naturally less protected than older people, and their eyes are more susceptible to damage. Over time, our risk for macular degeneration increases along with years of exposure to “high-energy visible light.”

When children use a digital device for long periods of time, they do not “flex” their eyes by focusing on distant objects, as well as looking in the near and intermediate fields. This causes eyestrain. Additionally, sitting for too long and making repetitive movements with hands (like clicking a mouse or controller) or sitting in a position with bad posture or an unsupported upper body can lead to problems like carpal tunnel, muscle soreness, and poor physical development. Everyone knows that kids need time to burn off energy, build gross motor skills, and strengthen their muscles and bones through exercise and play. When they get too much time sitting down while indoors, other important activities like outdoor play, conversation, spacial reasoning, and other skills suffer.

To reduce your child’s risk of computer vision syndrome:

• Limit their time on computers and devices
• Prompt them to take breaks regularly (this is a good habit for many activities)
• Make sure they are sitting in a comfortable, supported position
• Opt for anti-glare protection on their eyewear to reduce eyestrain
• Teach them to view digital screens at arm’s length and not too close

Your Infant’s Eye Development

Parents are always curious about their developing children, and what they can expect for various stages of infancy. We’re happy to explain infant eye development, and to let parents know not only what to expect, but when they should bring their child in for an exam, and why this is important.

Birth to 4 Months
After being born, babies are suddenly able to see all kinds of new things! We know that babies don’t see very clearly for some time, so high-contrast books, toys, and images may get their attention better than others. After the first few months, eyes get better working together to focus on objects and aid hand-eye coordination. At about two months, most babies can focus on a parent’s face or nearby object. It’s common for children to appear to have wandering or crossing eyes. It doesn’t become a concern unless this happens frequently, or seems to get worse. By three months, your child can probably watch an object move through a room and keep their focus on it.

5–8 Months
As babies this age move more, interact with the world, and start to judge distance, their eyesight improves. It’s not until about five months that children are able to see and comprehend three dimensions, so they won’t begin to see depth until around now. Most babies crawl around eight months or so, but don’t worry if your baby isn’t crawling well right away. Children should be encouraged to take their time developing skills. Babies who crawl a lot usually learn to use their eyes together better than babies who were early walkers.

9–12 Months
Around this time, most babies are experimenting with pulling themselves up on furniture, or using someone’s fingers to keep themselves steady and talk a few aided steps. Don’t rush crawling, however. Babies who master crawling before learning to walk tend to have been hand-eye coordination. Additionally, babies at this stage are better able to judge distance and begin to throw and place items.

1–2 Years
Children between one and two years of age are usually highly interested in exploring their surroundings, interacting with objects, and occasionally making some pretty impressive messes! Motor skills will excel along with depth perception and their improving eyesight.

How Do I Help My Child’s Vision Development?
First, be sure to get your child an eye exam at about six months of age. Qualified pediatric optometrists are trained in using lights and lenses to understand what is going on inside your child’s eyes. Even without having the ability to relay information about how well they’re seeing, your baby’s eyes give clues about their development. If they show signs of an eye turn, focusing problem, or other issue that could impede development, it’s very important to seek treatment as soon as possible. An optometrist can diagnose these conditions and make sure your child is aided in visual development so that they can keep moving and learning freely!

Beyond getting an infant eye exam, children need another exam before starting school. In the meantime, look for any signs of vision trouble like bumping into things, not recognizing you from a distance, or eyes that seem not to focus in unison. If you have any questions, speak to an eye care professional. Otherwise, play with your baby and enjoy this time as they learn and grow.

What is Colorblindness?

Colorblindness is an interesting thing to most people because we wonder what it must be like to not distinguish some colors—a function of vision that we take for granted. Most people can live with colorblindness because it is present as soon as they are born and many go years without realizing that they do not see a full array of colors.

Certain tasks may be difficult or impossible, but even without seeing as many distinct colors as possible, these people function fine in everyday life. Colorblind tests exist to diagnose people who have color vision deficiency, and new advancements have even created eyewear to help people see more of the colors they are missing depending on their deficiency.

The cause of color blindness usually involves faulty cones. Cones are cells in your eyes that distinguish the three wavelengths of light that we see. Light can be split into red, green, and blue for the spectrum visible to humans. Color blindness can happen because the cone cells are faulty in some way and do not show distinct colors. A person may see shades of yellow and blue, for example, but have problems distinguishing red and green. Many people believe that color blindness means seeing only in black and white, but that is far more rare than typical color blindness.

Also, color deficiency is much more common in men than women. Only up to 1% of the female population has trouble seeing various colors, where somewhere between 8-12% of the male population is color blind.

Color blindness is usually an inherited genetic deficiency with the cones, but symptoms of color blindness may also occur due to stroke, old age, or a problem with pathways from the cones to the brain where the brain can determine colors.

More and more people are able to afford relatively new technology that helps us see more distinct colors. People who are not color blind can use special glasses to see a more saturated and distinct view of colors, but those with color deficiencies are seeing some colors that they have never seen before. These special color vision glasses are a favorite subject of YouTube videos where people give their friends the gift of color and film the shocking experience.

Curious about your own color perception? Learn more about it here, and test your color vision!

Reduce Exposure to Blue Light, Inside and Out

Risks of blue light exposure have become a topic of discussion in recent years. More eyecare professionals and scientists are studying the effects of blue light to assess the effects of relying on blue light for so much of our lighting.

It’s hard to say for sure how much added blue light exposure may lead to additional cases of degenerative eye health problems like macular degeneration. Plus, there is some evidence that overexposure to high-energy blue light can cause side effects such as sleep disturbances, eye strain, and headaches. With this in mind, how can you reduce your exposure, inside and out?

Inside
• Lower the brightness of your electronic screens, especially at night, but make sure you are not straining to see the words if you’re reading.
• Take frequent breaks while working at a computer. Regardless of blue light exposure, Computer Vision Syndrome is another problem you may face, and taking breaks to relax your eyes will help.
• Stop using your devices at least a couple hours before bed. Unplug and read a book instead, which will give your eyes something easy to focus on and help you wind down for good sleep.
• Adjust your distance. Viewing a bright screen up close is fatiguing. Make sure to set your computer monitor and television at a comfortable distance, and don’t hold handheld devices too close to your eyes. You can adjust text size if reading a device at arm’s length is difficult.
• Opt for non-glare lenses. Non-glare or anti-reflective treatments on your lenses will help reduce bright lights affecting your eyes.

Outside
• Wear sunglasses. Sunglasses that are an appropriate darkness and block 99-100% of UVA-UVB rays are the best protection for your eyes.
• Consider polarized lenses, too. Polarization cuts harsh glares that bounce off of water and other surfaces.
• Don’t forget a hat! In especially bright outdoor settings a hat will help block bright light from above, even if your eyes are protected from the front.

Ask us about what blue light-blocking options are available for your eyewear. We can help with your everyday lenses, reading glasses, and especially with sunglasses!

What is Perfect Vision?

It’s generally assumed that “20/20” is perfect vision, but what does this mean?

Visual acuity is the term used to describe the sharpness of your vision. When doctors do a visual acuity test, they have you view something (usually the Snellen eye chart of letters) from a standard distance and tell them what you see.

One of the lines on the typical eye chart has letters that are a size which has been deemed “20/20 visual acuity,” meaning that at 20 feet, most people can accurately read those characters. This is the standard, so at 20 feet, you read them as well as someone at 20 feet should be able to. It is possible for some people to read smaller letters that fall on lines below. This would be 20/15 or 20/10 visual acuity, meaning at 20 feet, you read letters that most people can only read at 10 or 15 feet. Great!

For people who have less visual acuity, they may be 20/40 or 20/60. The largest letter on the chart (an E on most Snellen charts) corresponds to 20/200 vision. If someone cannot distinguish that letter without assistance, they are considered legally blind.

Did you know the 20-foot measurement isn’t used everywhere? In some countries they use 6 meters as the standard viewing distance.

Visual acuity of 20/20 is considered “perfect vision” because no aids are required to see better, but people can have better than 20/20 vision. Many young people are able to see letters smaller than the general “20/20” size. Even people who know that they see 20/20 or better, but feel that other aspects of their vision are lacking have options for improvement.

Some people who can pass a visual acuity test sufficiently may still have what we refer to as “high-order aberrations.” Low-order aberrations are familiar to most people as nearsightedness, farsightedness, and astigmatism, but high-order aberrations are less well-known. The eye doctor may find that you have coma, spherical aberration, or trefoil. These can produce symptoms including bad night vision, double vision, starbursts or halos, glare, or blurring.

Options exist for people with high-order aberrations who would like sharper vision. Gas permeable (GP) contact lenses are rigid lenses that may improve your vision better than glasses or soft contacts can. There are also laser vision correction surgeries that can address some eye irregularities leading to various types of eyesight problems.

Of course, if you want to know your visual acuity, a comprehensive eye exam is the best way to assess your vision. You can speak to the doctor about how well you’re seeing now, and what options are available to help you get 20/20 vision!

Diabetic Retinopathy

Diabetic retinopathy is a condition where diabetes causes damage to the retina. It is the leading cause of blindness among American adults. Sadly, many instances of vision loss from diabetic retinopathy could have been prevented with appropriate treatment and regular eye exams. Once damage has occurred, it is not possible to regain lost vision.

Light-sensitive tissue comprises the retina that lines the back of the eye. With diabetic retinopathy, changes to blood vessels in the rear of the eye cause bleeding or leaking fluid, which starts to distort vision. The changes in blood flow happen because diabetes (especially uncontrolled diabetes) can create chronically high blood sugar. This damages very small blood vessels in the retina and eventually leads to retinopathy.

There are four stages to this type of retinopathy:

1. Mild nonproliferative retinopathy is when small areas of the blood vessels sweet and balloon. These are called microaneurysms and may begin to leak fluid into the retina.
2. Moderate nonproliferative retinopathy happens as the disease progresses. Blood vessels that supply the retina with blood and essential nutrients may swell and distort. When this happens, they may also lose their ability to transport blood. This may contribute to diabetic macular edema (DME).
3. Severe nonproliferative retinopathy is when several blood vessels are blocked, depriving blood supply to parts of the retina. These problem areas secrete materials that tell the body to grow new blood vessels in the retina.
4. Proliferative diabetic retinopathy (PDR) is the advanced stage of diabetic retinopathy. Growth factors secreted by the retina cause too many new blood vessels to form. They grow inside the retina and into surrounding areas, but are fragile and likely to leak and bleed. Scar tissue can shift and cause retinal detachment. If the retina pulls away from underlying tissue, permanent vision loss may occur.

If you have diabetes, it is very important to control blood sugar to guard against developing symptoms. Make sure that you are working closely with a qualified doctor to manage your care and have regular follow-ups.

The same is true for eye care with diabetes. Diabetic eye disease is a group of several eye conditions that are commonly caused by diabetes. These conditions include diabetic retinopathy, diabetic macular edema, cataracts, and glaucoma. If caught in time, treated, and managed as part of a diabetes care plan, many people can maintain their vision or slow the progression of trouble seeing.

Eating Well for Eye Health

Everyone wants to know how eating can affect the ways our bodies function. Maybe it’s because we want even more reasons to eat healthy, or because more of us want natural ways to lower our risk for diseases and deficiencies, but the good news is that you can easily eat right for your vision!

Antioxidants
Many foods contain antioxidants. Antioxidants literally remove oxidizing agents in living organisms. These oxidizing agents may be potentially damaging to our various systems, so many people believe that foods rich in antioxidants could help lower our risk for certain illnesses.

There are many delicious foods that can help promote overall health and may be part of a plan to lower your risk for eye disease.

Vitamin C (ascorbic acid) helps with building and maintaining connective tissues in the human body. It also helps maintain collagen found in the cornea. By promoting healthy skin, bones, and circulation, you retina may be aided by vitamin C. People who have healthy levels of vitamin C in their diet are also at a lower risk of forming a cataract and vision loss from macular degeneration.

Red peppers are especially high in vitamin C, as are green peppers, strawberries, broccoli, and some citrus fruits.

Flavonoids
Many of the foods that contain vitamin C also contain flavonoids. Unlike vitamins, these substances are not necessarily required for life and crucial functions of the body, but they are generally linked with health benefits as part of an overall healthy diet.

Anthocyanins are a type of pigment and antioxidant that are considered good for your eyes because they may reduce risk of cataracts or macular degeneration. These substances are found in many berries like blueberries, cranberries, raspberries, and blackberries. You can also get anthocyanins from grapes, red cabbage, and red apples.

Fatty Acids
Many people falsely believe all fat is bad, but there are lots of healthy fats that we need in our diets. Our brains demand various kinds of fats to function properly, and healthy fats help our circulation, digestion, and even things like our outward appearance. Diets with proper omega-3 fatty acids are also very good for your eyes, and are especially important for eye development in children.

You can get these essential nutrients from foods like flaxseed, walnuts, fish, soy, and veggies like brussel sprouts and cauliflower.

Though we can’t be totally sure how much these foods help lower our risk for illnesses, there’s no doubt that a balanced diet and healthful lifestyle are important for a strong body and healthy eyes!

Eye Floaters, Flashers, and Spots

Eye doctors often get asked about small specs that appear to float through someone’s field of vision. Even very young people may notice on occasion a spot that appears when they look at a light, plain surface. The good news is that there is no reason to be alarmed!

Eye floaters are simply how we see differences in the gel or liquid in the back of our eyes. Typically these spots appear as specks, circles, or stringy webs that drift through our field of vision. The reason that we see them is that the human brain works with the eyes to interpret light that enters through the front of the eye. In between the light entering the front of the eye and the structures inside the eye that create visual images there is a gel-like substance called vitreous or vitreous humor.

Vitreous is generally a thicker gel in young people and begins to change as we age. Through our youth, the gel generally remains consistent. With age, vitreous dissolves and starts to turn into a thinner liquid. Because some of the gel does not thin and remains in a gel state, you may be able to see small discrepancies in the consistency of the material. These are floaters.

Floaters like this are not anything to worry about, but other types of visual anomalies have different causes and may be something more serious. If you see an occasional floater, there’s no need to see the doctor. If you suddenly see lots of floaters, or if you are seeing flashes of light, contact your eye doctor right away. Sudden appearance of many floaters could mean that the vitreous is beginning to separate from your retina. This is a type of detachment and can lead to damage to the delicate retina which may cause permanent loss of vision.

Always keep in mind that any sudden changes to your vision could be serious and should be addressed with a medical professional right away.

Preventing Computer Vision Syndrome

It’s the end of the week and you’ve only got a few hours left before the weekend. As you try to finish the last of your tasks, you find yourself unable to focus—not just mentally, but physically. You have trouble seeing the screen in front of you. Maybe your vision is blurry or your eyes start to burn. These are symptoms of computer vision syndrome.

Computer vision syndrome is simply the name given to a group of symptoms and problems associated with overuse of computers and strained eyes from excessive computer use. It’s becoming a more common problem as more people work in offices behind computers, and rely on tablets or smartphones instead of paper. These devices have helped make us more productive with faster communication and easier recordkeeping, but the reliance on electronic screens in front of our faces can also be a problem for our eyes.

There are many things you can do to prevent or relieve the symptoms of computer vision syndrome. If you wear glasses, make sure your prescription is up to date. If you do not wear glasses (or if you wear contact lenses that you’re sure are an appropriate prescription for you) yet still experience discomfort while on a computer, computer glasses may be what you’re looking for.

Computer glasses are different than traditional eyeglasses or reading glasses. Due to such a short distance between your eyes and the computer screen, distance eyeglasses and reading eyeglasses may not be as effective for your eyes. They’re not necessarily meant for focusing for longer periods on the intermediate zone of vision. Made specially for viewing a computer screen, computer glasses help you focus on this very zone where your monitor sits, making daily use much more comfortable.

Without a proper prescription or an aid like computer glasses, those experiencing blurred vision may end up leaning forward in order to see. This can negatively affect posture and cause even more strain on your body. In addition to eye health, it’s very important to have a healthy workspace and comfortable posture.

Because computer glasses have a modified lens, they give you the most comfortable view of your computer screen. For maximum viewing quality, the lenses should include anti-reflective coating. Tinted computer lenses are also recommended in order to block out blue light that is emitted from computer screens.

With a decrease in eyestrain, and no more blurred vision or headaches, it’s obvious how much computer glasses can help make you feel better and more productive. Ask your eye care professional if you’re interested in learning more about computer glasses and how they can help prevent computer vision syndrome.

Healthy Vision is More than 20/20

Taking care of your eyes includes more than going to a yearly exam and wearing an up-to-date prescription. Although both are certainly important, there are many more things you can (and should) do to make sure you’re preventing eye problems and protecting your vision.

Diet and nutrition play an important role in the long-term health of your eyes. Certain vitamins and minerals have proven necessary for good vision while also protecting against eye diseases. A diet high in dark leafy greens such as spinach, kale, and collard greens provides us with lutein, bioflavonoids, and beta-carotene. Omega-3 fatty acids are great for those who suffer from dry eyes. Omega-3s can be found in fish, fish oil supplements, flaxseed, and walnuts. Vitamin A, C, D, E and zinc can be consumed through foods such as eggs, sweet peppers, milk, almonds, and beef. Consumption of these foods high in vitamins may reduce the risk of macular degeneration, cataracts, blindness, and dry eyes, among others.

Full-body physical exams are also important. Physicals check for diabetes and high blood pressure. These conditions can lead to diabetic retinopathy, macular degeneration, glaucoma, and ocular hypertension if left untreated.

Shielding your eyes from the sun is important, but many people believe it is just the tint of sunglasses that offers protection. In actuality it’s the UV-blocking abilities of sunglasses that guard your eyes from damage. Make sure that your eyewear is dark enough to keep you from squinting into the sun when you’re outdoors, but also check that your glasses have a UV coating. Some sunglasses have an inexpensive UV coating that rubs off over time, so your best bet is to purchase a reputable brand that offers a durable coating or is manufactured into the lens itself and will block 99–100% of UVA and UVB rays.

The number of people in the United States who smoke has been declining for several years, and now just 18% of people in the US smoke. Unfortunately, smoking still accounts for 480,000 deaths each year, and smoking increases several risk factors for poor eye health. Smoking doubles your chance of developing cataracts, a clouding of the eye that is the leading cause of blindness. Also, age-related macular degeneration (AMD) causes blind spots and impairs vision, and smokers have a three-fold increase in their risk of developing AMD. So quitting smoking is crucial for your overall health, but also to protect your eyesight.

Most people know that they should be getting twenty minutes of exercise three times a week, but eye health is yet another reason that you should get moving. Regular exercise is linked to retina health. Plus, sufficient exercise along with a balanced diet can help prevent other medical conditions that put your eyes at risk.

Aside from these things, being aware of your family’s health history is another big factor in eye health. Your physician and eye care professionals can help you check for symptoms that may be signs of known health problems common to your family, and can suggest prevention tips as well as early intervention if you discover there is a problem.

If you notice any changes in your vision—things like haziness, cloudiness, double vision, difficulty seeing at night—see your doctor right away. A healthy lifestyle, regular checkups, knowing your risk factors, and basic protective measures will help you keep your eyesight clear for as long as possible.