Having an annual eye exam is a great way to not only take care of your eyes but your overall health as well. Eye exams can detect early signs of conditions such as diabetes and high blood pressure. Here are some tips to help you make the most of your next visit!
What to think about:
Have I noticed any eye problems such as blurry vision, flashes of light, floaters, redness, or double vision?
Are my daily activities being affected by my vision?
How do I take care of my contact lenses or glasses
Have I had any surgeries or injuries in my eyes that I could let the doctor know about?
Any family history of eye conditions such as glaucoma?
What to bring:
Your current glasses or contact lenses even if you have multiple pairs for different tasks
A list of your medications/supplements you are taking
Have someone who can drive you home or a method of transportation ready for if you have your eyes dilated. This happens often in yearly eye exams and can make you sensitive to light and have blurry near vision (~4-6 hours)
Vision and health insurance information
Questions to ask:
Differences between contacts and glasses for you and how this compares to surgery options as well?
If anything has changed in my ocular health since the last visit?
What any symptoms you may have mean and what you can do to prevent them from getting worse or resolve?
Cosmetic contact lenses or colored contact lenses may seem harmless but can lead to severe eye problems or loss of vision if not fit by an eye specialist. You need to have a prescription for contact lenses as they are deemed medical devices by the U.S. Food and Drug Administration (FDA). Non- prescription contacts can create problems due to issues such as poor fitting or unclean packing/creation.
When contact lenses not specifically fitted and sized for your eyes are worn, the cornea may be scratched, potentially leading to the following:
Painful corneal abrasion
Decreased vision
Redness, soreness, itching
对光敏感
Allergic reactions
Corneal ulcers
Eye infections are also very common in non-prescribed contact lenses and may lead to the following:
Persistent eye pain
Decreased vision
对光敏感
Discharge from the eye (this could be green/yellowish mucus like or more watery)
Discussing your options and proper contact lenses hygiene with an eye care professional, having the proper measurements of your eyes taken, and getting a valid prescription is an easy way to avoid these potentially life changing complications.
Your visual field refers to the area in which you can see objects in all directions as you focus on a single central point. This test of your peripheral vision is simple, painless, and vital in diagnosing and tracking the progress of health conditions.
Are there different types of Visual Fields?
Confrontational Visual Field Test: The patient looks at an object in front of them with one eye covered. While looking at this object the patient will be asked how many fingers they see the doctor holding up in the patient’s periphery.
photo credit: morancore.utah.edu
Automated static perimetry test: The patient looks in the center of a bowl-shaped instrument called a perimeter. Lenses are placed in front of the patient’s tested eye while the other is covered with an eye patch. While looking at the center target, several flashes of light will appear in the patient’s periphery at which point they will use a clicker to indicate when they see them.
photo credit: healthjade.net
Kinetic visual field test: Similar to above but now moving light targets are used instead of blinking lights.
Who needs a Visual Field Test?
Visual fields can be helpful in diagnosing, treatment plans for, and monitoring various conditions such as:
青光眼
Multiple sclerosis
Thyroid eye disease
Strokes
Finding blind spots (scotomas)
糖尿病
高血压
Depending on your situation you may be recommended to take a visual field test again in a few weeks, a few months, or a year.
Dilation is a crucial component of your eye exam. Dilating drops enlarge your pupils to allow more light to enter the eye, giving the doctor a better view of the interior and back of your eye. Think of it as looking through a keyhole – the larger and wider the keyhole, the more you can see into the room behind the door.
Why is dilation important?
It enables your optometrist to more accurately determine your prescription by unmasking the effect of accommodation.
It helps to identify eye conditions in children, such as amblyopia (lazy eye).
It helps detect retinal conditions, glaucoma, and other neurological conditions
If it’s so important, why isn’t it done in every eye exam?
Although it is recommended for everyone, dilation is not absolutely necessary for all patients and situations. Dilation can cause blurry near vision and light sensitivity for several hours after the drops are applied. To determine if dilation is needed and appropriate, your optometrist considers several factors:
Age. The risk of eye diseases increases with age, so dilation is highly recommended for adults/seniors. In children, it helps to determine a more accurate prescription that is not masked by their accommodation system.
Ocular history/ Family history. Having a history of eye diseases can predict your risk for developing certain conditions. Genetics plays a role in many ocular diseases.
Overall health. Diabetes, high blood pressure, and other systemic conditions increase the likelihood of developing eye problems.
Presenting symptoms. Symptoms that draw patients into the exam room may warrant a dilated exam. Flashes, floaters, or curtain veil over vision warrant immediate dilation, as they can be a sign of a serious condition.
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
对光敏感
Floaters
There are different types of uveitis.
Anterior Uveitis: affects the iris (colored part of the eye) and is the most common type that affects the front of the eye
Intermediate Uveitis: affects the middle of the eye
Posterior Uveitis: affects the back of the eye
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.
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)
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.
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.
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.