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The Importance of Pediatric Eye Exams

When it comes to pediatric care, parents are usually concerned with finding the best pediatrician and following their medical advice exactly, but what about pediatric eye care? Eye care for kids is sometimes an area parents overlook because they aren’t always aware of the importance of eye health for children. Many don’t seek eye exams for their children until either the child reports having difficulty seeing at school, or the child’s grades begin to slip and parents take a closer look at why their child isn’t developing academically.

Experts recommend that children receive several eye exams before starting school. Infants should receive their first comprehensive eye exam around six months of age. Children should have an eye exam around age three, and again when they reach age five or six. Before reaching first grade, parents are strongly encouraged to have their children receive a full eye exam to make sure the child has no visual problems as they start elementary school.

Eye exams for young children are important because vision problems can negatively affect a child’s performance in school long before you are aware of the issue. The American Optometric Association reports that 5 to 10 percent of preschoolers and 25 percent of school-age children are diagnosed with vision problems once they receive proper eye care. Experts are always stressing the significance of appropriate early education and full participation from youngsters in programs and learning that will become a foundation for critical skills. Children risk not being able to fully participate if they are experiencing undiagnosed visual impairments. An early eye exam and regular eye care for children can alleviate this potential problem.

Identifying eye problems early is crucial to the child’s learning and development in school. A child with poor vision may have difficulty with seeing text and comprehending words causing difficulty in reading. No parent wants their child to be frustrated with reading, especially when most vision problems are easily fixed with glasses. Unable to explain problems in a group, children may choose not to volunteer for reading in class out of embarrassment, or opt out of picking a library book because it’s hard to see. This will negatively affect academic achievement and the enjoyment that comes with reading for many children.

Other symptoms of learning-related vision problems include headaches or eyestrain, short attention span for visual tasks, difficulty identifying or reproducing shapes, poor hand-eye coordination, and developmental delay. Talk to your family eye care professional about scheduling eye care visits for your children. They will be more than happy to answer any questions you may have about your child’s eye health, and let you know when is a good time to start doing regular check-ups.

Children and Computer Vision Syndrome

People are always touting the benefits and the risks of social media, videogames, television, and other screen activities. It’s common to hear about someone giving up social media for a period of time just to see if they are able to kick what they consider an ‘addiction.’ New Year’s resolutions are often to read more and spend less time at a computer or on a smartphone. These may seem like grown-up problems, but adults and teens aren’t the only demographics spending a large part of their daily routine behind a screen. Children barely old enough to move a mouse are using computers and devices for recreation and learning every day.

In 2009, kids in grades 7–12 reported spending an average of more than 90 minutes a day just sending or receiving texts on cell phones. In 2011, 50% of children under eight-years-old reported having access to a mobile device like a smartphone or tablet. Children under two watch 53 minutes a day of television.

Should all screen time and computer usage be cause for concern? Not quite. Consider this: studies have found that children who use a computer at school and at home perform better on tests of school readiness, visual motor skills, gross motor, and cognitive development. This positive effect seems to diminish if you look at children’s screen time beyond physician-recommended daily limits, however. Excessive screen time does not help children learn, and overuse has been shown to put children at risk for vision problems.

Children aged 8–18 reported in 2009 that they spent more than seven hours a day devoted to “entertainment media” including computers and videogames. That makes screen time a full-time job! Pediatric eye doctors are warning parents that this sort of heavy screen time is putting children at risk for early nearsightedness, among other possible issues.

According to the National Eye Institute, over the past 30 years the prevalence of nearsightedness has increased from 25 percent to over 41 percent. This is an increase of more than 66 percent. No one can be certain if this increase is caused by screen time, but many professionals are concerned that there may be a connection.

The longer children are exposed to a computer screen, the greater their risk is for developing computer vision syndrome. Computer vision syndrome is the term used to describe problems associated with focusing on an electronic display for excessive, uninterrupted amounts of time. The risk is increased because children’s eyes are not as well-developed as adults. It’s easier for children to experience these problems because they often lose track of time, are assigned lots of homework to do on the computer, or may not realize that they should be taking frequent breaks. Additionally, children are notorious for sitting very close to screens even if they have perfect vision—a position that strains the eyes and the rest of the body.

Parents should pay careful attention to how long a child spends with electronics. Set limits and help them develop good habits for how to use their devices. Talk to your eye care professional to discuss your child’s media habits and determine if you should change how they interact with electronics for optimal eye health.

Why is my eye twitching?

Probably everyone has had that feeling: ahh, my eye is twitching. You never know how to make it stop, how long it will keep going, or why it’s happening. The truth is that eyelid and eye twitching and spasms are pretty common, and no cause for alarm, but still somewhat of a mystery!

Usually it’s the bottom lid of your eye that twitches when you get that weird feeling. Most people report that a random eye twitch will come and go, but some cases have been reported as lasting weeks or even months! The medical term for it is myokymia.

What triggers eye twitches?

• Stress
• Being tired
• Strained eyes
• Caffeine
• Alcohol
• Dry eyes
• Nutritional deficiencies
• Allergies

Generally the condition is not serious, and is not an indication of any greater issues. The problem is that it’s not easy to treat when you don’t know the cause. The afflicted person usually needs to investigate their habits and get to the root cause so that they can avoid that trigger.

If you find that your trigger is strained eyes, make sure to see an eye care professional as soon as possible so that you can update your prescription. If your prescription is up to date or you don’t need one, it could be strain from looking at a computer screen for extended periods. In this case, you can still benefit from seeing an eye care professional and discussing special computer glasses to help you relieve the stress on your eyes.

Of course, if you’re stressed or tired in general, an eye care professional probably can’t do much for you. Make sure that you’re getting enough restful sleep, take an afternoon nap if you find that you hit the afternoon slump hard, and go to bed early to get more sleep. Talk to your physician if you’re getting enough sleep on a good bed and still feeling fatigued.

Drinking too much caffeine every day? It might be another facet of your stressed-out life that can exacerbate your eye-twitching problem. It’s tempting to partake in another caffeinated beverage mid-afternoon when you’re busy and can’t nap to perk back up. Building up more and more caffeine, however, can be a real problem and can lead to eye spasms that will hurt your productivity and be a big annoyance.

How can allergies make your eyes twitchy? Well, some experts think that the histamine that is released into your eye tissues when you rub your eyes can actually cause the lid to twitch. Since allergies make your eyes itchy and you rub them, that might be causing your eyelids to twitch as well.

Cramping and muscle spasms in all parts of your body can be caused by electrolyte imbalances. It’s one of the reasons that athletes opt for sports drinks over water. Sweat carries electrolytes out of your body, so they need to be replaced to make sure your brain and muscles function properly. If you have been sweating heavily or have a nutritional or other health issue, you may be low on electrolytes. See your physician if you think you may have a condition causing you to have low electrolytes.

The takeaway from this is that there’s no cause for concern, but that doesn’t mean it’s not annoying! The occasional eye twitch is nothing to investigate, but persistent twitches will certainly be irritating enough to warrant a look at your habits and possibly making some healthy changes.

April Showers Bring May (and More) Allergies

Spring has arrived! The birds are chirping, the days are getting longer, and suddenly you’re experiencing itchy and watery eyes. Seasonal allergies affect an estimated 50 million people in the United States, making the spring season a little (or a lot) less pleasant for many Americans. Up to 30 percent of adults and up to 40 percent of children report having problems with seasonal allergies. That’s no small amount of people with itchy eyes and runny noses!

Spring is what comes to mind when most people think of seasonal allergies, but allergies are not limited to April, May, and June alone. Seasonal allergies can be a disruption almost any time of year, depending on what causes your allergies and where you live. Learning how to cope with seasonal allergies and treat the symptoms can improve your daily life and make nice weather more enjoyable.

How do you combat seasonal allergies? There are some tips you can use to fight seasonal allergies. First, know what triggers them. You’re not going to frolick in a field of goldenrod if you know that it causes an allergic reaction. Ask your physician if he or she can help you narrow down what is causing your discomfort.

The most common seasonal allergens are grass, pollen, and mold. For an allergy sufferer, avoiding these allergens is the first approach to minimize symptoms. It can be difficult to avoid them, however, because they are very common in most parts of the country. Unless you’re able to move somewhere without allergens (or maybe you can live in a bubble), you’ll have to consider some additional options.

Make sure to protect your eyes. Sunglasses can help keep pollen and allergens from entering the eye to an extent, but they also minimize strain on your eyes that can be worsened during allergy season. Protection can also come in the form of wearing a protective mask while doing things like gardening or yard work.

If you must go outside to work or exercise, try to do it early in the morning or later in the evening. These are times when pollen counts are typically lower than during the middle hours of the day. Also, check pollen counts. Many weather apps and sites offer pollen counts as a way to inform allergy sufferers of the worst days for allergies, and other days when it might not be so bad.

Talk to your doctor about an over-the-counter remedy. Not a lot of people report mowing the lawn as their favorite thing to do, but gardening can be very satisfying, and a fun way to get dirty, make your yard more beautiful, or even save money by growing your own food. Seasonal allergies make rustling around in the weeds nearly impossible, however. No one wants to spend their time in nature rubbing their eyes! Your physician can give you advice on medical treatments for allergies and medication that may be available to help you keep your routine and pursue your hobbies without too much disruption.

On days when the pollen count is high, sufferers may choose to stay inside. Itchy eyes can be painful, making it difficult to accomplish everyday tasks like working on a computer screen, watching TV, or even just focusing on small details for a prolonged period of time. With many people working behind a computer for their job, just imagine the productivity that could be gained if eye-related allergies were eliminated! Thankfully, you can help keep indoor air quality clear so you can live comfortably and get your work done indoors. Simply try an air purifier. They help to reduce allergens from the air, and keep those pesky particles out of your nose and eyes. Also, make sure the air filters on your heating and cooling units are changed or cleaned regularly. Special filters exist for allergy sufferers, and they can help improve indoor air quality when changed regularly.

In addition to cleaning the air, wash the dog, your hair, and your clothes. Pollen and other allergens can easily stick to clothes, pets, and even you. A regular wash will prevent allergens from sticking around this allergy season.

The best way to combat the change in seasons is to avoid the allergen as much as possible, refrain from itching your eyes, and use artificial tears to wash away airborne allergens when necessary. Talk to your physician and eye care professional if seasonal allergies are getting in your way.

Blue Light in Focus: Are Your Eyes at Risk?

More and more patients are asking about how blue light may be affecting their health. With stories about blue light exposure and possible risks frequently in the news, it’s important to understand what high energy blue light is and why you should protect your eyes.

What is High Energy Blue Light?
Blue light is simply part of the spectrum of light that we can see. The “high-energy” part of blue light refers to the intensity and is based on where it falls on the spectrum. Daylight is high in this type of light, and it’s what wakes us up when we rise in the morning as we experience sunlight. Blue light is crucial for our processing of color, and in the right balance it can be good for our health to set our circadian clock and sleep/wake cycles.

Most patients have heard about blue light because media articles frequently highlight certain kinds of blue light as causing sleep disturbances. Americans are notoriously bad sleepers, with many vices and personal habits that can interfere with getting a full night’s rest. Increased exposure to blue light and especially screen time with electronic devices at night are purportedly the biggest offenders.

When are We Exposed?
The reality is that blue light comes from many sources. The largest source of high-energy blue light is the sun, and electronic screens and indoor CFL/LED lighting emit a fraction of what the sun emits. Still, with more light sources relying on blue light for intensity and clarity, it leaves people wondering if they should opt for eyewear that reflects some of the higher energy rays.

Most people are aware that we have to protect our eyes from bright sunlight because it can cause eye problems as we age. The issue with blue light exposure is that high-energy blue light alone doesn’t make us uncomfortable like glaring sunlight does, so few people opt for special glasses to be protected.

How do I Reduce My Risk?
The good news is that there are options for people who would like to block or filter some of the high-energy blue light waves that are linked to eye health problems. Blue light blocking lenses or blue-reflecting lens treatments may help you with other problems, like eye fatigue and sleep disturbances, but the main concern is updating your eyewear and your habits to help lower your risk for cataracts and macular degeneration.

Talk to us if you have questions about what products we carry, and how your everyday eyewear can ensure your eyes are comfortable and protected!

What is Heterochromia?

Heterochromia is a unique condition where someone has different colored eyes, or their eyes show a mixing of colors. Some are more subtle, but many people have noticed someone with the color variation because some are very distinct. It’s possible for someone to have one brown eye and one blue eye, at least one eye that shows a little of both, or even various mixed shades of gray or green.

Complete heterochromia is when each eye is a distinct color. Partial heterochromia is when parts or halves of the iris are a different color.

What Causes Heterochromia?
Melanin is the pigment in your iris, the structure surrounding your pupil. This is the area that determines eye color, and melanin is the substance that changes the color. Blue eyes have the least melanin and brown eyes have the most. An in-between level of melanin appears green. Most people have roughly the same amount of melanin in each eye, so both eyes appear the same color, but when this is not the case, then the person has heterochromia.

Have You Noticed Heterochromia?
Lots of prominent people have heterochromia: Jane Seymour, Kiefer Sutherland, Mila Kunis, and Robert Downey, Jr. have two different colored eyes. Many people wrongly believed the David Bowie had heterochromia, but in fact he had an eye injury that caused his left eye to stay permanently dilated. This created the illusion that one eye was darker than the other, but is actually a condition called anisocoria.

Heterochromia in Nature
Have you ever seen dogs with eyes that are different colors? It is more common in some breeds than others. Siberian huskies, Australian shepherds, types of collies, Great Danes and Chihuahuas are more likely than other dogs to have heterochromia. It is also common to see some cats with heterochromia, especially those with lighter colors of fur.

Eyes are central to so many things in most cultures. It’s no wonder heterochromia is so interesting!

Cataracts Awareness: What You Need to Know

Cataracts occur when the lens in one or both of your eyes becomes cloudy. Usually this happens with age, and the condition is very common in older people. More than half of all Americans will experience symptoms of cataracts by the time they reach 80.

Why Does it Happen?
The lenses in our eyes are made mostly of water and protein. The protein in our lenses is arranged in a way that makes the lens clear. Our lenses have to be transparent for the structures in our eyes to focus properly and display crisp images. When cataracts form, it is because clumps of protein build up and reduce the light that reaches inside our eyes. Also, as lenses age, they can become discolored and take on a yellow or brownish tint. Gradually vision is affected by this shading along with the cloudiness that can cause vision to blur.

What are the Risks?
Other than normal wear and tear of aging, there are several factors that increase your risk of cataracts. Those include:

• Diseases including diabetes
• Smoking and alcohol use
• Environmental factors including high exposure to sunlight and UV rays

What are the Symptoms?
Most people will notice the cloudy or slightly blurry vision as cataracts start to form. Additionally, people may realize that colors seem faded. Your prescription may change frequently. One major symptom that can pose a threat to your safety is poor night vision and difficulty seeing at night. The cloudiness can cause headlights and other bright lights at night to glare or appear with distracting halos.

What is the Treatment?
Thankfully, there are options for people living with cataracts to see clearly again. In early stages, new glasses, larger print or magnification, and changing environmental surroundings like lighting can help. If these are not sufficient, or if the cataracts get worse, surgery may be an option. Surgery can remove the affected lens and replace it with an artificial one that is crisp and clear.

If you are experiencing any of these symptoms, an eye doctor can detect cataracts with an eye exam. Generally, a visual acuity test, dilated eye exam, and tonometry can aid the doctor in making this diagnosis. Contact us if you have questions about this or any other eye condition!

What’s in a Prescription?

It seems like contact lenses and glasses would use the same prescription. After all, the idea is that your eyes don’t see quite right, so you use a lens to change the view, and then you see clearly, right? Well, the two prescriptions are quite different. Few patients check the numbers or notice any change during the exam process, but the prescriptions are not the same because of where the lens sits in relation to your eye.

The lens of your glasses rests about twelve millimeters from your eye. Contact lenses, on the other hand, are placed directly on the surface of your eye. Why would this make your prescription different? Well, think about holding a magnifying glass out in your hand. When you hold it far away and look through, the view you see is much different than if you try to hold the magnifying lens up close to your eye. The same principle is in play when you consider glasses in contrast to contact lenses.

If you’re still imagining the magnifying glass held out in your hand, think about how grass would look if you’re sitting on the ground and have the magnifying glass down near the grass. You’d be able to see the blades clearly, right? If you held the magnifying glass up close to your eye, the refraction would be so strong that you wouldn’t be able to see anything other than a blur. The power of the glass would need to be reduced for you to see clearly. This is the reason why your contact lens prescription is weaker than your glasses, but you get the same crisp, clear vision with each. Neat, right?

Not all contact lens prescription powers are drastically less than the glasses prescription for the same person, but usually the power used for contact lenses is reduced. In addition to the powers being different, your eye care professional will need some additional measurements to fit you for contact lenses because there are specifications needed to fit contact lenses appropriately that aren’t needed for glasses.

Some things that need to be measured to receive an accurate contact lens prescription are the size of the cornea, the curve and overall size of the lens, and the suggested brand of lenses that will work best for you. Eye care professionals usually have an idea of which contact lenses work best with different eye conditions, so they will suggest a particular toric lens for your astigmatism, or a type of disposal lens based on your needs, for example.

Some aspects of the lens prescriptions are included for both kinds of eyewear. The lens power is included in both prescriptions. Lens power is the measurement used to correct your “refractive error,” or the nearsightedness, farsightedness, or astigmatism that you have. It wouldn’t be identical because of the magnifying glass analogy, but it is included in both prescriptions. They’re also laid out per eye—right vs. left—because very few people have the same prescription in both eyes, so they are measured individually regardless of what type of eyewear you’re getting. More technical aspects of your prescription (the power and axis determined to correct astigmatism, for instance) may also be included in both the contact lens and glasses versions of your prescription.

Hopefully that makes the difference between your contact lens and glasses prescriptions clearer. Talk to your eye care professional if you have any questions about your prescription or are curious about getting contact lenses or glasses.