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Category: Ocular Health

Posted on by Dr. Sherman Tung

Do I Need a Contact Lens Fitting?

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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

Recognize the Signs of Macular Degeneration

Photo by FORMAT arw on Unsplash

Macular degeneration is a condition that affects our macula – the spot on our retina responsible for crisp central vision and color vision. As we age, debris can build up in the macula and create deposits known as ‘drusen’. The drusen are the first signs that macular degeneration are present and can cause blurry vision and distortion to one’s vision.

Symptoms to look out for:

  • Visual distortion (straight lines seem bent)
  • Trouble adapting to low light (eg. when entering a dark room)
  • Reduced intensity/ brightness of colors
  • Need for brighter light when reading/working
  • Blurriness of printed words
  • Difficulty recognizing faces
Adapted from: Photo by Senjuti Kundu on Unsplash

Who gets macular degeneration?

This condition is most common in patients over 60 years old. Some other risk factors are those with high blood pressure, family history, smokers, Caucasian patients, cardiovascular disease, and obesity.

How can I prevent macular degeneration?

Maintaining a healthy lifestyle, including diet and exercise is the best way to ensure your eyes stay healthy for as long as possible. The AREDS 2 study has shown that certain vitamins are beneficial in preventing the progression of macular degeneration, however, these vitamins have the best effect in patients who have already began to show signs of macular degeneration.

It is important for everyone to get their eyes examined yearly in order to be able to see as clearly as possible, as well as check for any signs of eye disease or conditions that can affect one’s overall health in addition to the eyes.

Posted on by Dr. Melody Tong

Cataracts or Cadillac?

Photo by Vlad Sargu on Unsplash

What is a cataract?

If we are lucky to live long enough, we will develop cataracts. A cataract is a clouding of the lens in our eye. Think about the process of cooking an egg, instead of being clear, the egg becomes white and cloudy.

Similarly, our lens becomes white and cloudy due to damage from the sun and UV rays. This is why it is important to wear sunglasses, hats, and UV protection when we are outside. These preventative measures can slow or delay the process of developing cataracts.

Photo by Jonathan Cooper on Unsplash

How will I know when it’s time to remove a cataract?

When vision is substantially affected, usually 20/40 or worse, or when it becomes difficult to drive at night due to glare from headlights, along with the appearance of the cataract itself, is when your optometrist will recommend surgical removal of the cataract.

Can cataracts be prevented?

Unfortunately, there is no way to predict who will get cataracts at what age, and how fast they will progress, but the best way to delay the development of cataracts is to wear sunglasses, and use UV protection when outdoors. Fortunately, cataract surgery is an elective surgery that is not urgent. Overall, cataracts are very common diagnoses and are not a big cause for concern.

Posted on by Dr. Sherman Tung

Blink-A-Boo!

Photo by Taylor Sondgeroth on Unsplash

Blinking is an involuntary reflex which does not require much thought throughout our day. Even though blinking seems simple, it is very important. And believe it or not, there is a correct way to blink.

Why is blinking so important?

  • Protects our eyes from debris and foreign objects
  • Creates a smooth surface for light to enter our eye and land on our retina for clear vision
  • Keeps our eyes moist and spreads tear film evenly

The 20/20/20 Rule

Our blinking pattern can be disrupted throughout the day when we are staring at a screen for too long and doing continuous near work. Optometrists recommend the 20/20/20 rule for everyone, especially those with too much screen time. The 20/20/20 rule means taking a break every 20 minutes to look 20 feet away for 20 seconds.

There is a right way to blink

We want to ensure that when we blink, it is a complete blink. This means that our top eyelid should touch our bottom eyelid. It is very common for people to blink only halfway or not close their eyes completely while asleep. This can be a problem since it exposes the bottom half of our eye and does not allow our tears to be expressed as efficiently. As you may guess, this leads to dry eye symptoms.

Incorporating the 20/20/20 rule and being more conscious about the way we blink can go a long way in helping our eyes feel less dry throughout the day.

Posted on by Dr. Melody Tong

The Silent Thief of Vision – Glaucoma

Photo by Ryoji Iwata on Unsplash

Glaucoma is sometimes referred to as the “Silent Thief of Vision”, and if left untreated, is one of the leading causes of blindness in Canada. Glaucoma is associated with elevated intraocular pressure, which consequently puts strain and pressure on the optic nerve. This excessive pressure will lead to optic nerve tissue damage, which could cause gradual vision loss. The peripheral vision is typically affected first, however could eventually lead to central vision loss if no treatment is initiated.

The increase in intraocular pressure could be the result of two main problems:

  1. There is too much intraocular fluid being produced within the eye, called the aqueous humor
  2. The fluid being produced is not being effectively drained from the eye through the trabecular meshwork

Therefore, initial treatment of glaucoma involves topical medications which work on these two anatomical structures. Surgical intervention could also be warranted to control high pressure within the eye.

The best way to detect and diagnose glaucoma is through annual eye exams with your optometrist. This will allow them to monitor optic nerve health, as well as measure intraocular pressure to ensure stability. It is especially important to be screened for glaucoma if there is a family history of the disease.

Posted on by Dr. Sherman Tung

What’s That Floating In My Vision?

Photo by Al Soot on Unsplash

Many patients are concerned about a constant “black dot” floating in their line of sight. Most tend to notice that it worsens when looking at a blank wall, bright lights, or the sky. Although quite bothersome, it is a very common complaint.

The eye is filled with a gel-like substance called vitreous, which allows the eye to keep its shape. Over time, the proteins within this gel begin to clump up and solidify, leading to formation of “floaters”.

Floaters can occur in one eye or both eyes. Typically, floaters are a benign finding. However, it becomes worrisome when the vitreous is strongly adhered to and pulls on the retinal layers. It could potentially lead to retinal holes, tears, or potentially a retinal detachment. These occurrences could be detrimental to vision, so it is important to see your optometrist immediately if these symptoms arise.

Symptoms to look out for:

  • A sudden increase in the number of floaters
  • Flashes of light
  • Curtain over vision

How are floaters treated?

Unfortunately, there is no way to remove floaters unless you surgically remove the entire vitreous. This procedure has more risks than benefits and it typically not done to treat this condition. The good news is that, with time, the brain gets accustomed to the floaters and is able to ignore them, allowing them to become less bothersome and noticeable.

Posted on by Dr. Elisa Xiao

Is Diabetes Affecting My Eyes?

Photo by Matt C on Unsplash

Did you know that diabetes is one of the most common causes of blindness?

You may be surprised to learn that optometrists can detect diabetes before primary care doctors and before the patient even knows they have it. This is because the eye is the only organ in our body where we can directly see blood vessels without invasive techniques. Since many systemic diseases affect our arteries and veins, the eye is a great way to look into what is happening inside our body.

Photo source: Cleveland Clinic

Diabetes is becoming an epidemic in North America, and it is important to be aware of its effect on ocular health. Once diagnosed with diabetes, it becomes much more important to receive yearly eye exams, to monitor for diabetic retinopathy. This is a condition in which buildup of sugar in the blood causes blockages or damage to blood vessels, resulting in decreased oxygen supply to the eye. To compensate, new blood vessels develop. However, instead of helping, these new blood vessels are weak and leaky, leading to retinal bleeding. Although a diabetic eye exam is very similar to a regular comprehensive exam, there is more emphasis on inspecting the health of the retina and blood vessels.

How will I know if I have diabetic retinopathy?

Symptoms like floaters, blurred or fluctuating vision, dark spots in your vision, and vision loss could be signs of diabetic retinopathy.

Fortunately, there are ways to prevent diabetic retinopathy. Some of these preventions include:

  • Yearly eye exams with your optometrist (even if you think your vision is fine!)
  • Controlling blood sugar, blood pressure, and cholesterol
  • Proper dosage and compliance of medication provided by your Family Physician
  • Engaging in regular daily activity and exercise
  • Eating a balanced and nutritious diet to maintain healthy body weight

Posted on by Dr. Elisa Xiao

Retinitis Pigmentosa

Photo credit: Casey Horner on Unsplash

Retinitis pigmentosa (RP) is an inherited eye disorder that affects the retina – the back of our eyes responsible for capturing light and sending visual signals to the brain. The condition, which is inherited through genetic mutations, can lead to gradual loss of vision as the photoreceptor cells within the retina deteriorate over time. While some individuals may experience slow vision loss over decades, others might face more rapid deterioration.  

Symptoms

One of the most distinctive symptoms of RP is night blindness, where individuals struggle to see in low-light conditions or darkness. As RP progresses, it often causes tunnel vision, a narrowing of the visual field, and can even impact color perception.  

Treatment

No cure currently exists for RP, but researchers are actively exploring possibilities. Gene therapy aims to introduce normal genes into the retina to replace the mutated ones. Another avenue of research is retinal implants, which seeks to restore vision by using electronic devices to stimulate the remaining normal cells.  

Individuals with RP should work closely with eye care professionals to manage their condition. Regular eye exams help track disease progression and determine the best strategies for preserving vision. Additionally, patients can explore low-vision aids and technologies that improve daily life.

Posted on by Dr. Elisa Xiao

Let’s Learn about Dry Eye!

Dry eye is a disease pertaining to the ocular surface and instability of the tear film, potentially resulting in inflammation, dryness, or damage. Symptoms of this include burning, itching, dryness, photophobia, tiredness, and blurry vision.

Diagram of Conjunctiva, Lacrimal Gland, and mucus, water and oil layers of Tear Film in the eye
Source: American Academy of Optometry

Dry eye disease (DED) include two distinct types: aqueous deficient dry eye (ADDE) and evaporative dry eye (EDE). In ADDE, high levels of tear evaporation results when lacrimal secretion is reduced although there is normal evaporative conditions from the eye. Comparatively, in EDE, the lacrimal glands function normally, and the increased evaporation of tears is caused by the exposed tear film. Some patients might even have a mixed form of DED as well.

Risk factors for DED include connective tissue disease, Sjögren syndrome, androgen deficiency, Lasik eye surgery, certain environmental conditions (ie. pollution and low humidity), medication use (ie. antihistamines and antidepressants), computer use, and contact lens wear (which has an affect on tear film hemostasis and reduces its thickness). Research has shown that the outbreak of Covid-19 has also contributed to an increase in the likelihood of DED. Covid-19 has resulted in prolonged electronic usage and less outdoor activities, with a reported 44% increase in smartphone usage. Excessive focus on a screen decreases blink rate, decreasing the moisture production in the eye. This causes strain on the ocular surface, and this stress is greater in contact lens users.

Some recommendations for management and treatment of dry eye disease include ocular lubricants (eye drops of various types), warm compresses, expression of the meibomian glands (a process which we offer at Eyelab), lid hygiene, and prescribed drugs.

Source: Towfiqu Barbhuiy on Unsplash

At Eyelab, we have the skill and the technology to accurately provide you a solution corresponding to your unique situation. Book an appointment today to learn more about how we can help!