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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. 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. Sherman Tung

MiSight Contact Lenses

Myopia, or nearsightedness, is a condition which causes distant objects to appear blurry. It is a particular concern with children, because myopia results in the lengthening of the eyeballs. As children’s eyes continue to grow, so does the progression of myopia. As a result, the retinal tissues gradually stretch, which can increase the risk of eye diseases later in life. Luckily, CooperVision’s MiSight 1 day lenses are an effective and child-friendly solution to managing myopia progression!

Source: CooperVision

How do they work?

The MiSight 1 day lenses are the first soft contact lenses proven to slow down the progression of myopia, through the use of ActivControl technology. When inserted on the eye, the center of the lens improves distance vision by correcting the refractive error and the concentric peripheral rings allow for myopic defocus. This defocusing is what is believed to reduce further lengthening of the eyeball, effectively impeding the progression of myopia. Not only have the MiSight 1 day lenses been clinically proven to slow down the progression of myopia by 59%, they are also comfortable to wear and easy to handle. In a three-year long study conducted on the MiSight 1 day lenses on children ages 8 -15 years, 90% of children reported that they preferred their MiSight 1 day lenses compared to their glasses and 90% of children were able to insert and remove the lenses on their own. Further, 100% of parents stated that their children were happy with their overall experience with the MiSight 1 day lenses, including the comfort, vision, ease of use, and freedom from glasses!

Curious to see if MiSight lenses are right for your children? Book an appointment with Eyelab to chat with one of our doctors. You can also get in touch by calling us at +1 (604) 260-1166 or via email at frontdesk@helloeyelab.com.

Dr. Sherman Tung

Dr. Sherman Tung
OD FAAO FIAOMC

Optometrist | Orthokeratology + Myopia Management
T 6042601166
E drsherman@helloeyelab.com

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.

Posted on by Dr. Melody Tong

Headache or Ocular Migraine?

Photo by New Africa/ Shutterstock

Migraines are often associated with pounding headaches, but they can also affect your vision. Ocular migraines, also known as retinal migraines or visual migraines, are a unique type of migraine that primarily manifests as visual disturbances. This means that the symptoms revolve around your eyes and the way you perceive the world around you. The visual disturbances associated with ocular migraines are short-lived, lasting less than an hour.  

Visual disturbances can include:

  • Flickering lights
  • Shimmering or zigzag lines
  • Temporary blind spots
  • Momentary loss of vision in one eye

Triggers can include:

  • Stress
  • Hormonal fluctuations
  • Specific foods
  • Exposure to bright lights, or even distinct patterns

Although ocular migraines are relatively benign, it’s essential to distinguish them from more serious conditions that can cause similar visual disruptions, such as retinal detachment.

Always seek prompt medical attention if you experience sudden visual changes.

Posted on by Dr. Sherman Tung

Progent – The Diligent Contact Lens Cleaner

Are your ortho-K contact lenses or RGP lenses are starting to get irritating and uncomfortable? Ever feel like there is a foggy blur over your vision? Looking for an easy and effective way to deep clean your lenses? Here at Eyelab, one of our staff’s favourite products is the Progent Lens Cleaner.

How does it work?

Progent cleans lenses by loosening and removing protein deposits that build up on our contact lens over time. It effectively removes surface proteins on all ortho-K contact lenses and RGP lenses without the need for manual rubbing, which may damage the lenses. This product not only improves the comfort of lens-wear, it also helps maintain eye health and prolongs the life of your lenses. Progent deep cleans lenses much more effectively than daily cleaning products.

It comes with two solutions: Progent A (sodium hypochlorite) and Progent B (potassium bromide), which work together in an oxidation-reduction reaction to deep clean surface coatings without the abrasives or mechanical rubbing used in typical cleaning. In just thirty minutes, it effectively disinfects against all organisms that are likely to contaminate lenses, including yeast, mold, bacteria, and viruses.

Source: Menicom.com

At this point, you may be wondering how many complicated steps come with this cleaner? The easy answer is, just mix the A and B solutions, shake, and wait! Simply soak your lenses for 30 minutes – no rubbing required. By using this cleaner every 3 months (or more frequently if needed), your contact lenses can stay polished and well-maintained to better serve your vision.

Posted on by Dr. Elisa Xiao

What to do when my eyes are red and itchy from allergies?

Photo credit: Luis Galves @louiscesar

Allergic conjunctivitis, or eye allergies, happen when the eyes react to something that irritates them. When the eyes try to defend your body from an allergen it triggers the release of histamine from mast cells. As a result, your eyes (usually the eyelids and conjunctiva) become red, swollen, watery, and itchy. You may also wake up in the morning with puffy eyes. People who have eye allergies commonly have nasal allergies as well which causes stuffy nose and sneezing. Both conditions are closely related to seasonal allergies.

What are symptoms of eye allergies?

The most common eye allergy symptoms include:

  • Itching and watery discharge (teary eyes)
  • Redness and puffy eyelids
  • Sensitivity to light

If it’s related to seasonal allergies then both eyes are usually involved. Unlike pink eyes, eye allergies do not spread from person to person.

What causes eye allergies?

Some of the common allergens include:

  • Household dust
  • pollen from trees and grass
  • pet dander
  • mold
  • Smoke
  • Chemical scents such as detergents or perfume

Allergic reactions to perfume, cosmetics or drugs can also cause the eyes to have an allergic response. Some people may have an acute allergic reaction to a new facial product or an eye drop.

Sometimes, the eyes can react to other allergens that don’t necessarily come in direct contact with the eye. These can include specific foods or insect bites or stings.

Most allergic conjunctivitis can be treated with oral or over the counter antihistamine medication, anti-allergy eye drops, or steroid eye drops.

However, not all red and itchy eyes are caused by allergic conjunctivitis. Some people may think they have an eye allergy but in fact they have dry eyes or other types of inflammations. It is important for you to visit your eye care provider to get the proper diagnosis and treatment for your problem.

Posted on by Dr. Sherman Tung

8 Years Post PRK Laser Eye Surgery

In a previous post, I talked about my experience with laser eye surgery in 2014. Now, eight years later, I am extremely happy about my decision to undergo the surgery. My vision is still stable at 20/20 however I still experience dry eye from time to time.

One of the biggest pros of the surgery is being able to wake up in the morning and immediately see clearly. This surgery allowed me to tend to my twin daughters better in the middle of the night without having to find my glasses first. I also no longer have to worry about getting my contacts or glasses coming out when playing ultimate frisbee or during other physical activities. A smaller change in my life that I started to appreciate after the surgery was that I longer need to carry around microfiber cloths to clean my glasses.

However, now that I am reaching the age in which the effects of presbyopia (the gradual loss of your eyes’ ability to focus on nearby objects) becomes more prominent, I may need to use reading glasses. Overall, I am very glad I decided to get PRK and I have no regrets about it!

Book an appointment at Eyelab to learn more about whether you’re a candidate for laser eye surgery, and to discuss any questions or concerns you may have!