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Tag: ocular disease

Posted on by Dr. Elisa Xiao

Is it Blepharitis?

Blepharitis is when you have inflammation of your eyelids. Sometimes the cause is from skin conditions
such as dandruff or rosacea while other times the cause could be from overpopulation of bacteria or
even parasitic mites called demodex.

Image from: https://www.allaboutvision.com

Some signs or symptoms you may be experiencing include:

  • Red, swollen eyes
  • A gritty or burning sensation in your eyes
  • Excessive tearing or itching
  • Dry eyes or crusted eyelashes
  • Increased sensitivity to light
  • Dandruff-like scales on the eyelashes
  • Blocked eyelid glands
  • Eyelashes may fall out of be misdirected inwards causing damage to the cornea
  • Increased risk of infection

So what can you do?

With so many varying signs and possible causes it is important to have a comprehensive eye exam in
order to determine the type of blepharitis you may have. Once determined a specified treatment plan
can be made to manage the condition. Luckily, in many cases taking care of your eyelid hygiene,
whether in office or at home, is a simple enough method in keeping the symptoms of blepharitis at bay
and from affecting your daily life. It is important to remember that this will likely be a long term plan.
Treatments in office or at home may help jump start your recovery, but proper hygiene must be
maintained overtime, or the symptoms of blepharitis may return.

At-home ocular hygiene tips:

  • Frequently wash your the scalp and face
  • Warm compresses to help soften crust and help unclog oil glands present in eyelids
  • Use artificial tears (often helpful when placed in the fridge to bring down inflammation)
  • Limit or stop using eye makeup during treatment, as it makes lid hygiene more difficult.
  • Nutrition changes/supplements such as omega-3s

More severe cases may warrant in-office treatments:

Photo credit: Eye Health Shop, 2023

  • Intense Pulsed Light therapy, involving the application of bright red light pulses to your eyelids
  • BlephEx®, which involves cleaning your eyelid margins with microblepharoexfoliation.
  • Lipiflow or other dry eye focused treatments may be used concurrently
  • Depending on your case antibiotics or steroids or tea tree oil products may be prescribed
  • Products may be available in office to complement treatment, such as BIHOCL or eyelid scrubs
Posted on by Dr. Elisa Xiao

Why Do I Need To Get My Eyes Dilated?

It’s not the most comfortable experience, but…

Photo by Mārtiņš Zemlickis on Unsplash

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?

  1. It enables your optometrist to more accurately determine your prescription by unmasking the effect of accommodation.
  2. It helps to identify eye conditions in children, such as amblyopia (lazy eye).
  3. It helps detect retinal conditions, glaucoma, and other neurological conditions
Photo by v2osk on Unsplash

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:

  1. 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.
  2. 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.
  3. Overall health. Diabetes, high blood pressure, and other systemic conditions increase the likelihood of developing eye problems.
  4. 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.
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. Sherman Tung

Keratoconus

Photo by Sigmund/ Unsplash

The cornea plays a crucial role in focusing light onto the retina. In individuals with keratoconus, the cornea progressively thins and bulges, taking on a cone-like shape. As a result, vision becomes distorted and blurry, often accompanied by nearsightedness and astigmatism.  

Symptoms

Keratoconus doesn’t appear overnight; rather, it develops gradually, usually during adolescence or early adulthood. As the condition progresses, several symptoms become noticeable:

  1. Blurry and Distorted Vision
  2. Light Sensitivity
  3. Prescription Changes
  4. Halos and Glare
  5. Eye Strain and Headaches

Treatment

Treatment options vary depending on the severity of the condition, but may include

  • Eye glasses
  • Soft contact lenses
  • Rigid Gas Permeable (RGP) lenses
  • Surgical interventions like collagen cross-linking or corneal transplant

If you suspect you have keratoconus or experience any unusual changes in your vision, it’s crucial to consult an eye doctor. Early diagnosis and appropriate management can make a significant difference in preserving your vision and overall well-being.