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Category: Featured

Posted on by Dr. Melody Tong

What is Uveitis?

Photo credit: allaboutvision.com

Uveitis is inflammation inside your eye that usually occurs when your immune system fights an infection. It can also happen when your immune system attacks healthy tissue in your eye. Uveitis affects the middle layer of the eye, called the Uvea, resulting in white blood cells and proteins leaking. It can affect one eye or both eyes. Uveitis can affect anyone, but it is most common in people aged 20 to 60.

What are the symptoms of uveitis?

  • Blurry vision
  • Decreased vision
  • Eye pain
  • Red eyes
  • Sensitivity to light
  • Floaters

There are different types of uveitis.

  1. Anterior Uveitis: affects the iris (colored part of the eye) and is the most common type that affects the front of the eye
  2. Intermediate Uveitis: affects the middle of the eye
  3. Posterior Uveitis: affects the back of the eye
  4. Panuveitis: affects all parts of the eye

What causes uveitis?

The cause of uveitis is not always known. Infections, systemic inflammatory diseases, or an eye injury can all cause uveitis. Smoking cigarettes can increase the risk of uveitis.

How is uveitis treated?

Your optometrist will most likely prescribe two eye drops: a steroid to reduce inflammation, and an eye drop to dilate the pupil to help with the pain and swelling. Uveitis can lead to permanent vision loss; therefore, early diagnosis and treatment are essential to prevent complications and preserve vision.

Posted on by Dr. Sherman Tung

Do I Need a Contact Lens Fitting?

Image by rawpixel.com on Freepik

Why do I need to be fitted for contact lenses? Did you know your glasses prescription is different from your contact lens prescription? When an optometrist fits you for contact lenses, they are ensuring several things:

  • Your eye is healthy enough to be wearing contact lenses. Conditions such as dry eyes and allergic conjunctivitis need to be treated before you can wear contact lenses. Eye conditions such as corneal scars, dystrophies, and/or irregular surfaces may require a fitting with specialty lenses.
  • The contact lens is the right type for your life style. Based on your occupation, extracurricular activities, and other needs, we can help you determine whether dailies, bi-weekly, or monthly contact lenses will meet your needs.
  • Finding a comfortable fit with good vision. We take measurements of your eyes to fit you in a comfortable lens. Many companies make contact lenses, and each have a set of parameters they work with. We can check if a lens is too tight or too loose on your eyes, how the contact lens moves when you blink, and whether it is centered on your eye. We also ensure each eye sees well both at a distance and near.

In addition, we first train new contact lens wearers on how to safety insert and remove contact lenses. We will go over the cleaning process, to ensure that lenses are handled safely because any buildup of proteins and debris on the lenses can cause damage to the cornea.

Posted on by Dr. Elisa Xiao

Eye Spy a Stye

Many people have experienced styes or have at least heard of it. But what really is a stye? How can we prevent or treat them?

Photo credit: Cleveland Clinic

A stye is a bacterial infection which involves one or a few of the glands at the base of your eyelashes. Often, it resembles a boil or a pimple, it may have a white head and be tender to the touch. Styes can be caused by buildup of Meibomian gland secretions or be idiopathic in nature (unknown cause). In rare worst-case scenarios, recurrent styes in the same spot can be a sign of sebaceous gland carcinomas.

It’s important to maintain good eyelid hygiene by using eyelid cleansers and warm compresses daily. This not only helps to prevent styes, but also alleviates symptoms related to dry eye and eyelash mites.

With styes, patients typically notice pain and discomfort that disappears within a few days. However, more serious cases can develop into pre-septal cellulitis with progressively worsening symptoms and require antibiotics.

Warm compresses help to speed up recovery and relieve discomfort, but if you don’t see improvements after 48 hours, you’ll want to contact your optometrist.

Posted on by Dr. Elisa Xiao

Vancouver’s First Optometry Clinic to Measure Eye Axial Length

This January, our clinic welcomed the New Year with a brand new “toy” — MYAH from Topcon, making us at Eyelab one of the first optometry clinic in Vancouver to measure and chart eye axial length. You may be wondering…what is so great about axial length measurements? Why do we care about how long the eyeball is?

As the eye increases in length, not only does our lens prescription increase, there’s a greater risk of ocular diseases (e.g. glaucoma, cataracts, macular degeneration). In fact, rapid progression of myopia in children is due to excessive elongation of the eye. Therefore, to monitor the effectiveness of myopia management treatments, axial length measurements are charted at each follow up visit, which serve as the standard of care for our myopia management program. For Ortho-k lens patients, axial length is one the primary measure used to evaluate myopia progression.

MYAH can help us advance our myopia management care in further ways as well as diagnosis and management of dry eye disease.

Dry Eye Assessment

Noninvasive tear break-up time (NIBUT) measurement

At Eyelab, we can evaluate the stability of your tear film by accurately measuring the tear break-up time non-invasively. Typically, tear break-up time is around 10 seconds — with shorter tear break-up time, especially below 5 seconds being indicative of dry eye disease.

Meibomian gland imaging

The meibomian glands are oil glands that are embedded in our eyelids which produce the lipid layer of the tear film and are expressed when we blink. Imaging glands allows doctors to analyze their shape and structure. Healthy glands will appear long and continuous in the image, assisting the production of oil in the eye for lubrication. Contrastingly, unhealthy glands will appear much shorter due to degradation and inspissated, thus producing oil of a “toothpaste” consistency, or be entirely clogged and unable to secrete oil.

Contact Lens Fitting

MYAH Topcon also allows our doctors to simulate fluorescent imaging to observe the Ortho-K and RGP contact lens fit. This noninvasive method is efficient and accurate at evaluating whether the lens will sit comfortably around the eye and provide effective treatment.

After learning about the cool features of the new machine at our clinic, are you curious to try out one of its services for yourself? Don’t hesitate – book an appointment with us today!