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Help! My Child Doesn’t Want to Wear Glasses!

Do your kids need glasses in order to see clearly? Maybe they have a strong case of nearsightedness, perhaps they have astigmatism, or another type of refractive error. Whatever the cause, getting your kids to wear eyeglasses can be a parenting challenge.

Dr. Shu treats patients from all over Brea, California with their vision correction needs. The knowledgeable, caring staff at ClarifEye Family Optometry can help you and your kids if they’re struggling with their glasses or don’t want to wear them.

Why Won’t My Child Wear His or Her Glasses?

To help your children get the best vision possible, you first need to understand why they’re fighting with you over their glasses. It usually stems from something physical, emotional, or social, such as:

  • Wrong fit
  • Wrong prescription
  • Personal style
  • Reactions from friends

How do you know which it is? Pay close attention to the signs, from what your kids say, to how they behave, to how they interact with others.

Physical

Improper fit is a big reason why glasses could feel uncomfortable. If they slip down, itch behind the ears, or put pressure on the bridge of the nose, it can explain why a child wouldn’t like to wear them.

If there’s been a big change to their prescription, they may need time to get used to it. If they were given the wrong prescription, they may be straining their eyes, getting headaches, or having eye fatigue. An incorrect prescription can make wearing glasses painful or awkward. It doesn’t correct their vision, either, so they’ll still see blurry images. When this happens, your eye doctor can check the prescription and make an adjustment.

Emotional

Your kids at home aren’t the same as your kids in school, on the sports field, or with their friends. They may be afraid of being made fun of in school, or they may not want the sudden attention on their appearance. These feelings can be even stronger among the tween and teen set.

Social

Even young kids can feel different when they put on a pair of glasses, especially if it’s for the first time. Feeling different or weird, in their eyes, translates to a negative experience. When wearing glasses makes them feel like the odd man out, they may not want to wear them. The last thing your child wants is to feel like a social outcast. After all, everyone wants to belong.

How We Can Help

First, bring your child in to the eye doctor for an eye exam. Our optometrist, Dr. Shu, will check to make sure that your child has the right prescription and that any vision problems are being corrected. Next, we’ll take a look at the glasses and place them on your child’s face to determine if they’ve got the proper fit. Our optician will take care of any adjustments that need to be made.

The Vision They Need, The Style They Want

Fashion isn’t only for adults. Your budding fashionista or trendy young stud wants to look awesome, so don’t forget about style. When your kids look great, they’ll feel great! Give them the top-quality eyewear they need without compromising on style. Your kids are a lot more likely to wear glasses when they like the way they look.

What You Can Do to Help

Encourage, stay positive, and don’t give up. Avoid telling them what you want them to wear. Let them choose for themselves. In the end, they’re the ones wearing the glasses. Making decisions is an important life skill, something they’ll need as they grow up and become more independent.

For younger children, use positive words to encourage them. Talk about how glasses are like magic, letting them see beautiful things around them. Show them how a pretty flower or a bright red truck looks with the glasses on, and how different it looks with the glasses off. For older kids, throw in a little pop culture. Tell them how trendy they’ll look by showing them pictures of celebrities who also wear glasses. You’ll also rack up some cool parent points.

At ClarifEye Family Optometry, we have the experience and unique approach to children’s eyewear that will make your kids want to wear their glasses. Schedule an eye exam today – you can book an appointment online right here. If you have any questions or concerns, give us a call and we’ll be glad to help.

Parkinson’s Awareness Month and Your Vision

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April is Parkinson’s Awareness Month in the USA and Canada, a time when those living with the disorder, their family members, friends, and community come together to raise awareness and share helpful information. People with Parkinson’s Disease (PD) and their loved ones are encouraged to share their stories, struggles, and successes in order to educate and support others.

Local Contact lens supplier near you in Brea, California

The Parkinson’s Foundation has announced this year’s theme: #KeyToPD and Parkinson Canada advocates the same involvement. What is the key to living a high quality of life while living with Parkinson’s? Patients, doctors, caregivers, and families are encouraged to use this hashtag on social media to give of their knowledge and experience.

In order to successfully manage the disorder, it’s essential to understand the disease, symptoms, and treatments. After all, knowledge is power.

What is Parkinson’s Disease?

Parkinson’s Disease is a neurological disorder that affects the brain’s ability to control physical movement. It typically affects middle aged people and the elderly. Parkinson’s causes a decrease in the brain’s natural levels of dopamine, which normally aids nerve cells in passing messages within the brain. According to The Parkinson’s Foundation and Statistics Canada, the disorder affects an estimated 1 million people in the United States, 55 000 Canadians, and 10 million globally.

ClarifEye Family Optometry Eye Clinic and parkinsons and vision problems in Brea, California

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Brea eye doctor has prepared the following answers to your questions about eye disease.

How Does Parkinson’s Affect Vision?

Parkinson’s can have a significant impact on vision and ocular health. Patients with PD often find themselves unable to control blinking. Blinking is good for the eyes as it moisturizes the surface and clears it from foreign substances. Less blinking can cause Dry Eye Syndrome, resulting in itchy, red, or gritty-feeling eyes. Other people blink too much or can’;t keep their eyes open.

In more serious cases, Parkinson’s affects the nerves that help us see. Someone with PD may experience blurry vision, double vision, difficulty seeing color and contrast, problems with focus, and other visual symptoms.

In addition to the inherent impact of the disease, some of the medications used to treat Parkinson’s symptoms have known side effects including dry eyes, blurred eyesight and even hallucinations in advanced PD.

What Causes Parkinson’s Disease?

Although much research has been done on the subject, the exact cause of the disease isn’t really known. What doctors and scientists do know is that certain nerve cells located in the brain somehow break down. This damage interferes with both motor and non-motor functions.

Local parkinsons and vision problems in Brea, California

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Common Non-Visual Symptoms of Parkinson’s

PD affects other areas of the body that may or may not – depending on each patient – be related to their eye health and visual needs.

Some of the most common non-visual symptoms are:

  • Depression
  • Excessive saliva
  • Loss of smell
  • Moodiness
  • Muscle cramps
  • Sleep disturbance
  • Slow movement (bradykinesia)
  • Stiff limbs
  • Tremors

Coping With Vision Problems From Parkinson’s

There is currently no cure for the disease itself, but there are options to treat the symptoms of PD. A combination of medications, physical and/or occupational therapy, support groups, and of course, top-quality vision care can give a PD patient relief for some of their symptoms and tools to help cope with the condition.

Research and clinical trials are continuing as doctors and others in the medical community work towards the goal of finding a cure for PD.

No two patients are alike, and each can experience PD differently from the other, so finding what works for you or your loved one is key. During this Parkinson’s Awareness Month, share your #KeyToPD and give your loved ones hope for a healthy and high quality of life.

Treatment for Parkinson’s Disease

There is currently no cure for the disease itself, but there are options to treat the symptoms of PD. A combination of medications, physical and/or occupational therapy, support groups, and of course, top-quality vision care can give a PD patient relief for some of their symptoms and tools to help cope with the condition.

Research and clinical trials are continuing as doctors and others in the medical community work towards the goal of finding a cure for PD.

No two patients are alike, and each can experience PD differently from the other, so finding what works for you or your loved one is key. During this Parkinson’s Awareness Month, share your #KeyToPD and give your loved ones hope for a healthy and high quality of life.

A Caring Optometrist Near You

We’re here for you, and we want to help. Contact your eye doctor for any specific questions or concerns about your vision.

Call ClarifEye Family Optometry on 714-674-5035 to schedule an eye exam with our Brea optometrist. Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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Women and Diabetes – World Diabetes Day

Resolve to Prevent Glaucoma in 2016

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What You Need to Know About Glaucoma – The Sneak Thief of Sight

Top 5 Tips for Managing Eye Allergies This Spring

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Spring is a season of new beginnings, when the cold harsh winter months are behind us, flowers bloom, and people begin spending more time outdoors.

For people with allergies, spring means one more thing: suffering. Spring may be in the air, but for allergy sufferers, so is pollen, pet dander, mold, and dust. These airborne allergens can trigger uncomfortable reactions such as watery eyes, coughing, sneezing, congestion, and sinus pain.

There are some things you can do to minimize the discomfort throughout the spring season.

Check out Our Top 5 Tips for Getting Through Eye Allergy Season:

    1. Pollen tends to have a higher count in the mornings and early evenings. During these times, stay inside and keep the windows closed. If you enjoy an early morning exercise run, consider an alternative indoor workout during peak allergy season.
    2. Take a shower before going to sleep. Doing this at night can rinse away any lingering allergens and leave you with a clearer eye and nasal area, as well as a more restful night’s sleep.
    3. Keep artificial tears close by. They can temporarily alleviate ocular allergy symptoms by lubricating your eyes when they feel dry and itchy, and they’re usually small enough to fit inside a purse or pocket. If you don’t have any good eye drops, use a cool compress as an alternative method of relief.
    4. If your allergies are caused by dust or pet dander, vacuum. A lot. Dust collects quickly and can be difficult to spot until there’s a high amount of it. Pets can shed fast and often, and just when you think you’ve removed all the fur from your sofa, carpet, or bed, you suddenly find more, so vacuum a few times each week.
    5. Wash your hands thoroughly with soap and water and change your linens more often during the spring season. Remnants of airborne allergens can stay on your hands, towels, and bed sheets. Washing them more frequently can minimize some of your allergic reactions.

Though it may be tempting, don’t rub your eyes. This can actually aggravate the allergy response. If you find yourself using artificial tears more than 4 times a day, or other short-term solutions aren’t enough, speak with your eye doctor. You may be able to receive antihistamine eye drops or other prescription medications to ease your discomfort.

ClarifEye Family Optometry at Lenscrafters Eye Clinic and Eye allergies treatment in Brea, California

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Brea eye doctor has prepared the following answers to your questions about eye disease.

Help! It’s More Than Allergies

Certain eye allergy symptoms can also be signs of eye conditions or diseases, so pay close attention to any reactions that don’t dissipate after allergy season ends.

These Eye Symptoms can include:

      • Dryness
      • Excessive tearing
      • Itchiness
      • Persistent eye pain
      • Redness
      • Swelling

    These Symptoms Can Indicate Eye conditions, Such As:

        • Blepharitis (inflamed eyelids)
        • Conjunctivitis (pink eye)
        • Corneal Abrasions
        • Dry Eye Disease
        • Styes (an oil gland infection that causes a bump or pimple-like shape in the eyelid)

    Local Eye allergies treatment in Brea, California

    Eye Allergies and Contact Lenses

    If you wear contact lenses, speak to your doctor about daily disposable contacts. These can be a great option for allergy sufferers. Since dailies are thrown away at the end of the day, there’s no heavy allergen buildup on the lenses to worry about.

    Consider switching to eyeglasses for a while. Even the most comfortable soft lenses can feel irritable during allergy season. Use the springtime to get yourself a new look. With a wide range of incredible styles to choose from, including exclusive eyewear collections from today’s hottest designers, there’s something for everyone. Not sure what the choose? Talk to your optician to help you find a style that’s right for you.

    Questions & Answers About Eye Care

    Why does allergy season affect my eyes?

    It’s that time of the year for allergies, and for those who suffer, it’s more than just sneezing. It can mean months of itchy, watery, and puffy eyes. Because many of the allergens are in the air, they easily get into the eyes and cause problems. For many people, a sudden case of red and watery eyes can feel like an infection when really it’s just allergies. Eye allergies, known as “allergic conjunctivitis”, can often be treated with over the counter medication, but for some, it is not enough. Let us help you manage your allergies this season.

    Optometrist Near Me

    We’re here for you, and we want to help. Contact your eye doctor for any specific questions or concerns about your eye allergies.

    Call ClarifEye Family Optometry at Lenscrafters in Brea Mall on 714-674-5035 at 2063 Brea Mal, Brea, CA to schedule an eye exam with our optometrist. Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

    Call ClarifEye Family Optometry in Lenscrafters at Macy’s on 714-256-4796 at 200 Brea Mall, Brea, CA to schedule an eye exam with our optometrist. Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

     

    Just in case you missed them, here are some of our previous blog posts :

    Cataract Awareness Month: What to Expect from Cataract Surgery

    Are Nerf Guns a Dangerous Holiday Present?

    Sports Vision Deconstructed

    How UV Damages Your Eyes

    Glaucoma: Detection and Prevention

    optometrist, old man with glaucoma in Brea, CA

    Eye Doctor in The Brea Mall

     

    Glaucoma is a common eye condition in which your optic nerve, the bundle of nerves at the back of the eye, which feeds visual information to the brain, is damaged because of high inner eye pressure, known as intraocular pressure. This condition can lead to total permanent blindness in a short amount of time if it is not treated properly. Furthermore, glaucoma usually has no noticeable symptoms, and patients diagnosed with glaucoma usually note that they did not feel or notice anything unusual about their vision at all. So, what can be done to detect glaucoma, and how can you prevent it?

    Glaucoma Eye Exam At ClarifEye Family Optometry at Lenscrafters – Brea Mall

    As mentioned before, glaucoma usually shows no symptoms until significant damage has already been done to your eyes. This means that waiting until you already see or feel a difference in your eyes or vision will significantly increase the chances that irreversible damage may already have been done to your vision before glaucoma is detected and treatment is started. Therefore, the most important and effective way to prevent glaucoma is to have a comprehensive eye exam at least once a year, that includes screening and tests for glaucoma, so that signs and risk factors of glaucoma can be identified early.

    Recent technological advances in retinal scanning and glaucoma screenings have made earlier and earlier detection of glaucoma possible. This advanced technology allows your eye doctor to measure your inner eye pressure (known as tonometry), inspect the drainage angle of your eye (known as gonioscopy), evaluate your optic nerve (known as ophthalmoscopy) and test the visual field of each eye (known as perimetry). Each of these tests measures for certain indications that allow your eye doctor to detect glaucoma early and begin treatment, such as prescribing special eye drops meant to treat the inner eye pressure that characterizes glaucoma, which is often the first line of defense against glaucoma if these indications present themselves.

    Along with regular eye exams to ensure early detection, a number of other steps can be taken to proactively prevent the development of Glaucoma. A regular program of moderate exercise has been proven to benefit your overall health. For instance exercise such as walking or jogging three or more times, every week can help lower your intraocular pressure. Eye injuries, such as blunt force trauma, and severe eye infections have also been linked to traumatic glaucoma or secondary glaucoma, so protecting your eyes from injury and keeping them clean of bacteria are also important for preventing glaucoma.

    For more information about glaucoma and how to prevent it, contact ClarifEye Family Optometry at Lenscrafters in Brea Mall.

    Computer Vision: Ways To Protect Your Eyes

    In this day and age, computers, smartphones, and similar technologies are everywhere. Many hours are spent by Eye care, technology students using laptop, smartphone in Brea, CAmost of us, either during our leisure time or for work, looking at the lighted screen of a computer or smartphone. Recently, the incidence of Computer Eye Strain has gone up significantly. As much as 90 percent of all people who consistently work with computers suffer from eye strain and other symptoms. These symptoms often lead to physical fatigue, decreased productivity and increased work errors. Minor annoyances, such as eye twitching and red eyes, have also been reported.

    Fortunately, one can take several steps to reduce his/her risk of computer eye strain and other common symptoms of computer vision syndrome:

    • Move your workspace around a bit. With a bit of rearrangement, a new workspace configuration can help your eyes more easily deal with strain associated with working all day on the computer. First, attempt to minimize the impact of light coming in from outside by simply closing the shades. Also, if possible, place your computer screen with windows to the outside off to the side, rather than behind or in front of it. This reduces strain on your eyes from bright sunlight that streams in through the window and may cause your eyes discomfort.
    • Set your monitor settings to maximize comfort. Monitor settings, when set incorrectly, can also do a great deal to detract from your visual comfort while on the computer. Our doctors, of ClarifEye Family Optometry in Brea, CA, advises, “If you have an old tube-style monitor, get rid of it as soon as possible. This style of a monitor has a noticeable, uncomfortable 'flicker,' and likely gives off a glare that contributes to computer eye strain. LCD screens, by contrast, lack this flicker and very often include an anti-reflective surface. These are extremely important factors when trying to make computer use more comfortable on your eyes. As an added note, desktop computer displays must be at least 19" diagonal to facilitate strain-free use. Adjust your computer's display settings correctly as well. Brightness, text size, contrast and color temperature all add to or diminish your experience.”
    • Finally, regular eye exams are absolutely essential. This is true no matter what eye condition is being treated or prevented. Those who work most of their days on the computer should have an eye exam before they start working, Eye exam, Medical exam by doctor in Brea, CAand every year after that, so that their eye doctor can keep track of changes, and treat symptoms as they are diagnosed. “Also, speak to your eye doctor about custom 'computer glasses' to help deal with computer eye strain,” notes Our doctors, of ClarifEye Family Optometry in Brea, CA.

    What Are Eye Allergies & How Do You Treat Them

    Eye Doctor, Eye Allergies Treatment in Brea, CA.

    Having allergies can mean more than the sniffling and sneezing that most people associate with it. It’s Red, swollen, itchy eyes may also be a significant sign of allergies that can come whether you are sneezing uncontrollably or not.

    Allergic conjunctivitis is the scientific name for this condition. It is caused, like an allergic reaction, by a mistaken triggering of your body’s immune system. Allergens cause your immune system “panic” causing it to react negatively to things which actually pose no harm to the body at all. Allergens such as pet dander, pollen and dust can trigger this reaction. This allergic reaction releases a chemical called histamine, which makes your eyes dry out and produce more tears. This reaction is meant to flush out foreign objects. The blood vessels in your eyes also become inflamed, which is what gives your eyes their bloodshot look.

    Symptoms of an allergic reaction can be quite varied. You may find that your eyes are red and irritated or itchy, that your eyes are sensitive to light or that your eyelids are swollen. In more severe cases, you may even notice a painful, sore or burning feeling in your eyes or suffer from excessive tearing or a runny nose. You may also experience sneezing and stuffy nose.

    Many things may cause an allergic reaction. Grass, weed and tree pollen, as well as dust and pet dander, are among the best-known allergens. Less well known is that it is also possible for a person to be allergic to everyday items such as makeup or perfume, and even contact lenses. Also not well know is that, while it is very common for allergic symptoms to come out immediately upon contact with the allergen, it is also possible for an allergic reaction to present itself as much as four days after original contact with an allergen.

    Although allergies usually stop once the allergen is removed, and the eyes return to normal, this is not always possible with allergens such as dust and pollen, since they are just about everywhere. For these and other allergies, eye doctors recommend eye drops either over the counter or prescription. These eye drops should help to minimize the effects of the allergens in your environment. Many of these eye drops are formulated as anti-histamines, meaning that they block histamine from the body. There are also a number of other ways that these eye drops will work to relieve or prevent allergic symptoms.

    Artificial tears are also an excellent option to relieve dry eye symptoms caused by allergens. These eye drops are specially formulated to imitate the tears that the allergic reaction has dried up. Artificial tears are mostly by prescription and have proven to perform better in some cases than over the counter eye drops.

    Several other ways to reduce or relieve symptoms exist as well. Wearing sunglasses when stepping outside helps block pollen, dust and other outdoor allergens from getting in your eyes. Contact lenses may also irritate your eyes, so try taking those out if nothing else works. Finally, never rub your eyes while experiencing an allergic reaction. No matter how much they itch, rubbing will irritate your eyes further and make things worse.

    For more information, and for help clearing up your eye allergies, contact your eye doctor today.

    Caring Optometrist in the Brea Mall - 2 Locations

    Gas Permeable (GP) Contact Lenses

    Gas Permeable (GP) or Rigid Gas Permeable (RGP) contact lenses are an alternative to soft contact lenses that are made from a hard, oxygen permeable material.  GP lenses are currently less popular than soft lenses but offer a number of advantages and are continuing to improve as research and technology advance.

    GP contacts are made of a firm plastic material which allows the passage of oxygen through the lens to your cornea and the front surface of your eye - essentially allowing your eye to “breathe”. This increases comfort, health and safety during contact lens wear.

    Benefits of GP or RGP Contact Lenses

    Because of the strong material and the ability to diffuse oxygen, GP lenses offer a number of advantages over soft contact lenses.

    Health and Hygiene Benefits:

    Unlike soft lenses, GPs don’t contain water which makes them less likely to attract and breed bacteria that can cause eye infections. Further protein deposits won’t build up on the lens, keeping them cleaner and healthier.

    Because they are made with a strong durable material, GP lenses won’t tear and are easy to clean and disinfect.  RGPs maintain their firm shape and will not dehydrate.  Further GPs last longer than soft lenses - when cared for properly, a pair can last a year or more.

    Comfort

    GP contact lenses are custom made for each patient based on the eye’s individual curvature, size, corneal shape. Their ability to transmit oxygen reduces eye problems such as dry eyes caused by reduced oxygen that are common in many brands of soft lenses or hard (non-GP) lenses.

    GP lenses have a smaller diameter than soft contacts, meaning that they cover less of the surface of your eye. While this may take some time getting used to initially, ultimately many find that they are just as if not more comfortable than soft contacts.

    Better Vision

    Due to the rigid material, GPs have a smooth surface and maintain their shape, moving along with the eye to hold their place.  This provides sharp and stable vision. Further they do not dehydrate, which is often a cause for reduced vision with other lenses.

    Cost

    Because they last so long, GPs are much more cost effective than soft lenses, especially disposable lenses that require a constant supply. Because they are made to order, there is an initial cost investment and they will take up to a week to manufacture if you do need a replacement pair.

    GPs for Astigmatism

    GP lenses are ideal for individuals with astigmatism that may have been told that they cannot wear soft contacts. Because of the rigid nature of the lens, they hold their shape on the eye allowing for more clear and stable vision correction.

    Adapting to GP lenses

    One of the downsides of GP contact lenses is that they require an adaptation period, particularly if you are used to soft lenses with a larger diameter.  One of the major differences is an experience of “lens awareness” in which you feel the edge of the lens when you blink. It could take up to a few weeks to get used to the lenses but many people report that after this initial period they find that GP lenses are just as if not more comfortable than soft lens varieties.

    GP Lenses for Myopia Control and Ortho-K

    Research shows that gas permeable lenses might be effective in slowing the progression or worsening of myopia or nearsightedness, particularly in children. They are also used in Orthokeratology (ortho-k), a vision correcting procedure in which you wear the lenses at night to reshape your cornea for improved vision during the day.

    Eye Condition Treatment

    Happy Parents with Child, do they need eye condition treatment?

    Eye problems can range from mild to severe; some are chronic, while others may resolve on their own, never to appear again. The articles below will give you a basic understanding of some of these problems and their implications. The cardinal rule is if your eyes don't look good, feel good or see well, you should visit your doctor.

    The following is a short list of common eye conditions we treat, such as astigmatism, dry eye syndrome and presbyopia. For information about cataracts, glaucoma, macular degeneration and diabetic retinopathy please see Eye Disease Management. A more comprehensive list of eye conditions can be found in our Eye Health Library.

    Please book an appointment with our eye doctor if you have any concerns.

    Dry Eyes

    Woman Blond Closeup. Dry Eye Treatment Is Possible!

    Dry eye syndrome (DES) is a chronic condition that develops when your eyes do not produce and maintain enough tears to keep the eye’s surface lubricated resulting in multiple symptoms that range from person to person. This can be due to a reduction in tear production or increased tear evaporation from a lack of lipid in the tears that stem from oil glands in the eyelids. The effects can range from minor dryness and discomfort to pain, blurred vision and frequent infections.

    Symptoms of Dry Eye Disease

    Symptoms of dry eye syndrome can vary depending on the severity of the condition but can include:

    • Dry, itchy eyes
    • Burning or stinging
    • Irritation
    • Watery eyes
    • Blurred vision
    • Pain
    • Foreign body sensation

    The main function of tears is to maintain the health of the cornea of your eye by washing away foreign matter and ensuring that the surface of your eye remains moist, smooth and clear. Tears also rinse away dust particles from your eyes and contain enzymes that protect your eyes from bacteria that can cause infections. Dry eyes is a condition that develops when the amount of tears produced is not sufficient to maintain the moisture balance in your eye. This can result in that scratchy sensation, a continuous feeling of dryness, stinging and a sensation of a foreign body in your eye. Ironically in an effort to fight off the condition, dry eyes can cause you to produce excessive tears, which is why some people experience watery eyes.

    Causes of Dry Eye Disease

    Dry eyes can occur naturally as a result of aging or hormonal changes, typically in women who are pregnant, taking oral contraceptives or going through menopause. In fact, women over 50 have a 50% greater risk of dry eye disease than men do of the same age. It can also result from taking certain medications that reduce tear production such as antihistamines, blood pressure medications and antidepressants. Environmental factors can also play a role in drying out the eyes and DED is common in areas where the climate is dry, dusty and windy. Home air conditioners or heating systems and excessive time spent staring at a computer or television screen can also dry out eyes and exacerbate symptoms due to the lack of blinking while staring at our screens.

    Individuals that suffer from certain medical conditions such as diabetes, blepharitis, lupus, arthritis and thyroid problems are more vulnerable to developing DED. Other causes can be due to eye surgery including LASIK, certain conditions in which the eyelids don’t close properly or extended contact lens use.

    Diagnosis of Dry Eye Disease

    Typically, dry eye disease can be diagnosed through a comprehensive eye exam and a description of your symptoms. On some occasions the eye doctor might decide to do a test that measures how quickly your tears evaporate from the surface of your eye. By instilling a simple dye called fluorescein (much like food coloring) the doctor is able to watch and count how long it takes the tears to start to break up after they’ve asked you to hold your eyes open after a blink. This is called TBUT or a Tear Break Up Time test. A low TBUT generally indicates a lipid (aka oil) deficiency in the tears resulting from oil glands in the eyelids not functioning properly. In another type of test, called a Schirmer test, a strip of filter paper is placed under the lid of the eye and you will be asked to close your eye for five minutes. Following the test the amount of moisture on the strip will be measured. Schirmer tests are performed less frequently than a TBUT test.

    Treatment for Dry Eyes

    There are many treatment options for dry eyes which are highly dependant upon the cause and severity of the condition. Many mild forms of DED can be alleviated using artificial tears or lubricant eye drops to make up for the lack of natural tears usually produced by your eyes. If over-the-counter drops don’t alleviate your symptoms, your doctor might prescribe prescription drops that actually stimulate tear production or steroids for short-term relief.

    More severe cases of dry eyes might be treated with a punctal insert which is a tiny insert containing a slow-release lubricating substance that is placed inside the lower eyelid. Since DED is often related to eyelid inflammation known as blepharitis your doctor may prescribe a heated hot compress mask, specialty eyelid scrubs and sometimes an antibiotic ointment. Finally, punctal plugs might be recommended for severe cases which would be inserted into the tear ducts to reduce the tear drainage in your eyes to keep them from drying out.

    In cases where discontinuation or switching to different medications is possible this can eradicate symptoms. Your doctor may also recommend that you limit or refrain from contact lens use for a certain amount of time or switch to a different brand or type of contact lens which will reduce dehydration.

    Preventing Dry Eyes

    If the cause of your dry eyes is something external or environmental, eliminating that cause may solve the problem and resolve the symptoms. Avoid dry environments, hair dryers, heaters and fans, (particularly directed toward the eyes) and smoky environments and wear eye protection such as wrap around glasses or goggles when in dusty or windy areas. Use a humidifier to add moisture to dry indoor air. If working on computer or watching television, make sure to blink purposefully as our natural tendency is to reduce our blink rate when staring at a screen. Also avoid rubbing your eyes as this can further irritate them. Staying hydrated by drinking at least 8 to 10 glasses of water per day can also help.

    Dry eye disease won't have a permanent effect on your vision, but there is no reason to endure dry, itchy and uncomfortable eyes, especially since there are so many treatment options to increase moisture and comfort. It’s also important to realize that this is a chronic disease that needs consistent treatment. Your doctor will work with you to create a long term strategy to keep your eyes as comfortable as possible.

    Presbyopia Treatment

    Middle-aged man with Presbyopia, wearing prescription reading glasses looking down

    As we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. Unlike a true eye disease, this condition is so common, it eventually happens to almost everyone who reaches old age to some extent. It's called presbyopia.

    To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm's length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.

    Causes of Presbyopia

    During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty.  As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

    Presbyopia is a natural result of the aging process and not much can be done to prevent it.  Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism.  Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.

    Symptoms and Signs of Presbyopia

    Presbyopia is characterized by:

    • Difficulty focusing on small print
    • Blurred near vision
    • Experiencing eyestrain, fatigue or headaches when doing close work or reading
    • Needing to hold reading material or small objects at a distance to focus properly
    • Requiring brighter lighting when focusing on near objects

    Presbyopia can be diagnosed in a comprehensive eye exam.

    Treatment for Presbyopia

    There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

    Eyeglasses

    Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.

    Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. Progressive addition lenses or PALs similarly provide lens power for both near and distance vision but rather than being divided into two hemispheres, they are made with a gradual transition of lens powers for viewing at different distances.  Many individuals prefer PALs because unlike bifocals, they do not have a visible division line on the lens.

    Bifocal and Multifocal Contact Lenses

    For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

    Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction - up, down and to the sides - with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.

    Another option for those who prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant  eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision.  Your eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.

    Surgery

    There are surgical procedures also available for treatment of presbyopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.

    Since it affects so much of the older population, much research and development is going into creating more and better options for presbyopes. Speak to your eye doctor about the options that will work best for you.