Cataract is clouding of clear natural lens present inside the eye, this is a major cause of decreased vision in elderly. Cataracts can occur in one or both eyes, usually developing very slowly. Things look blurry, hazy, less colourful and less sharp with cataract. 

Most cataracts are related to ageing, however many other factors can either increase the rate of formation or cause cataract formation. 

Causes of Cataract Formation-

Ageing: Most common cause. As the proteins present in the lens of the eye degenerates over the years ( just like any other organ) cataract is formed. If you are having Diabetes or hypertension, the rate of formation gets accelerated.

Radiation: Prolonged exposure to ultraviolet rays, especially UV-B rays, results in cataract in your eyes. Wearing sunglasses in the daytime helps in slowing down the process of cataract.

Genes: Many genetic disorders can result in congenital cataract ( cataracts present since birth) or early formation. Like in Lowe syndrome or Down's syndrome. 

Lifestyle Choices: Cigarette smoking, long hours of sun exposure regularly, antioxidant, poor diet etc. are responsible for the onset of cataract.

How To Detect Cataract?

Certain signs and symptoms suggest the existence of cataract in the eye. Depending on the type and level of cataract, problems in vision occurs. The main symptom is foggy cloudy vision as if seeing through a dirty glass window. 

Other Symptoms are- 

inability to see clearly in bright light (during the day) which becomes better in dim light ( evening and night) and vice versa. 
watery, tired eyes - mild pain in and around eyes. 
yellow tinge in vision 
Halos around light bulbs or bright light. 
If you are experiencing above symptoms and having problems in viewing things clearly, visit an ophthalmologist and get your eyes checked.

Foggy and Cloudy Vision - A Sign Of Cataract?

Glaucoma is a serious eye condition in which the optic nerve gets damaged and the situation gets worse over time. If untreated, individuals may go permanently blind. Most individuals, with glaucoma, have no previous symptoms or warning signs of this disorder and this is the reason why it is important to have regular eye check-ups.

Causes of glaucoma
Eyes have a liquid called aqueous humor. This fluid flows out of the eyes through mesh like channels for proper lubrication of the eye. However, there can be situations in which these channels may get blocked. In such a case, there would be a build-up of this liquid, thereby causing an increase in fluid pressure. This is usually a major cause of glaucoma. Although there has been no elaborate evidence of what exactly causes this blockage, doctors have noticed that this can be inherited.

Other less common causes include:

Any sort of blunt injury or chemical injury to the eye
Blocking of blood vessels inside the eye
Other inflammatory conditions
Improper eye surgery
Types of glaucoma
There are mainly two kinds of glaucoma than can occur:

Open-angle glaucoma: This is the most common kind of glaucoma and is also called wide-angled glaucoma. In this kind, the tubular meshwork through which the liquid flow occurs is normal. However, the fluid flow isn t the way it should be.
Angle-closure glaucoma: This is also known as acute glaucoma or chronic angle closure. In this case, the liquid is not able to drain properly because of the angle between the iris and the cornea being too narrow, thus causing the iris to be in the way. This can cause a sudden build-up of pressure, thereby leading to chronic glaucoma.
Facts about glaucoma

This disorder usually has no previous signs or symptoms and occurs all of a sudden.
This disorder mainly affects individuals above 40 years of age.
Glaucoma can be inherited.
People with diabetes have chances of suffering from glaucoma.
If not treated early, it may lead to permanent blindness.
Symptoms of glaucoma
Usually there aren t many symptoms to warn people about this disorder. However, one of the first signs is definitely losing peripheral or side vision. Other symptoms might include

Chronic vision loss
Visibility of halo around lights
Narrowed vision
Glaucoma is treated by any of the three methods:

Prescription eye drops in order to reduce eye fluid formation, thereby resulting in outflow increase
Laser surgery
Microsurgery

Glaucoma - A Complete Guide on It!

The most common vision problems are shortsightedness and farsightedness. Shortsightedness is when a person sees close objects clearly while distant objects appear blurry. It is more common than farsightedness and affects about 70% of the Asian population.

When there is a refractive issue, the prescription usually has a plus/minus with it and also a number. A  minus  symbol is used to represent shortsightedness; the greater the number of the glasses, the higher the shortsightedness. High myopia is a more severe form of shortsightedness where the power is -6.0 or higher.

Symptoms: 

As mentioned, the person will be able to see nearby objects but will have difficulty seeing far off objects.

Difficulty reading signs and boards
Squinting
Straining to reduce the strain on the eye
Tired and fatigue due to this eye strain, especially when in constant move like playing sports or travelling
How it happens?

Vision can be explained by a physical process where light passes through a lens and falls on the retina in the posterior portion of the eye where it forms an image. This is then sent to the brain where it is read and interpreted as a particular object. When the lens becomes elongated, the image that is formed is distorted in that it is formed in front of the retina and not on the retina. Though it gradually settles down with adulthood, in most cases, it progresses and requires corrective lenses. The corrective lenses ensure the image falls on the retina and visual perception is improved.

Treatment:

Corrective glasses are the most commonly used measure for nearsightedness. The lenses could be used either as spectacles or as contact lenses.
Laser surgery can also be used to correct the problem. A thin layer of the cornea is removed and the image formation is corrected.
Artificial intraocular lenses are also being used to treat this condition. They work like contact lenses and may need periodic replacement.
The most common technique, especially for high myopia is the use of surgery to correct the problem. This is a one-time correction and is a more durable solution than the earlier mentioned options.
Appropriate calculations are done to identify the lens to be used so that proper vision is restored.
Complications: 

Though not common, retinal detachment and variable postoperative refractive error can occur during the surgery.
It is very important to set realistic expectations with the patient in terms of what to expect before, during, and after surgery. If only one eye is going for repair, the chances of mismatch in vision could be present in the early stages. Being clear about what to expect will help in successful correction.

Myopia or Nearsightedness - How It Can Be Treated?

Amblyopia is decreased vision in one or both eyes due to abnormal development of vision in infancy or childhood.It is commonly known as lazy eye, in which a child's vision does not develop properly, usually in one eye. If it is left untreated, a child's vision will never develop correctly in the affected eye.

What are the types of Amblyopia are there?
There are several different types and causes of Amblyopia, such as Strabismic Amblyopia, Deprivation Amblyopia and Refractive Amblyopia.
The end result of all forms of Amblyopia is reduced vision in the affected eye(eyes).

How does Lazy Eye occurs?
Lazy eye occurs when your brain favors one eye, often due to poor vision in your other eye. Eventually, your brain might ignore signals from your weak or lazy eye. The condition can result in vision impairment and loss of depth perception.

What are the Symptoms of Lazy Eye?
Lazy eye may be hard to detect until it becomes severe. Early warning signs include:
1. Tendency to bump into objects on one side
2. An eye that wanders inward or outward
3. Eyes that appear not to work together
4. Poor depth perception
5. Double vision
6. Squinting

What Causes Lazy Eye?
A number of conditions and factors can lead you to rely on one eye more than the other. These include:
1. Constant strabismus or turning of one eye
2. Genetics or a family history of lazy eye
3. Different levels of vision in each of your eyes
4. Damage to one of your eyes from trauma
5. Drooping eyelids
6. Vitamin A deficiency
7. Corneal ulcer or scar
8. Eye surgery
9. Vision impairment, such as nearsightedness, farsightedness, or astigmatism
10. Glaucoma, which is high pressure in your eye that can lead to vision problems and blindness

How is Amblyopia diagnosed?
When it first occurs, parents and children often don't notice the condition. It's important to get routine eye exams as an infant and child, even if you show no outward symptoms of eye problems.
Family history of amblyopia is a risk factor for the condition.

How Is Lazy Eye Treated?
Glasses/Contact Lenses
Eye Patch
Eye Drops
Surgery
Other treatments include:
Atropine penalization therapy (also used for maintenance)
Optical blurring through contact lenses or elevated bifocal segments

What Is Amblyopia? Are You or Your Child Suffering From It?

Astigmatism is a typical vision problem that occurs when the shape of the cornea is distorted due to injuries or other causes. With astigmatism, the lenses of the eye or the cornea curves. This irregular curve can change the way light refracts or passes through your retina. This causes hazy, fluffy, or twisted vision. Farsightedness and partial blindness are two different sorts of issues with the way light goes to your retina. Farsightedness is called hyperopia. Partial blindness is called astigmatism.

Types: There are two types of Astigmatisms. These are:

1. Corneal astigmatism
It happens when your cornea itself is distorted.

2. Lenticular astigmatism
Lenticular astigmatism happens when your lens is distorted.

Risks: Astigmatism can happen in youngsters and grown-ups. Your danger of creating astigmatism might be higher if you have any of the following:

1. A family history of astigmatism or other eye issues like dislocation of the cornea.
2. Scarring or diminishing of your cornea
3. Excessive partial blindness, which makes foggy vision at a separation
4. Excessive farsightedness, which makes hazy close-up vision
5. A past of eye surgeries, for example, cataract surgery (surgical expulsion of a blurred focal point)

Symptoms; The side effects of astigmatism include:

1. Hazy, Bended, Or Fluffy Vision At All Separations (Close-Up And Far Away)
2. Trouble seeing during evening
3. Lazy eye
4. Squinting
5. Irritation in the eye
6. Cerebral Pains

Diagnosis:

Visual Acuity Assessment Test

Patients are required to read letters from a graph at a particular distance to decide how well they can see the letters.

Refraction Test

A refraction test uses a machine called an optical refractor. The machine has various remedial glass lenses that are used to read an outline while looking through lenses on the optical refractor.

Treatment:

Keratometry

Keratometry is a route for your specialist to measure the bend of your cornea. They will do this by taking a look at your eye through a keratometer.


Corrective Lenses

Remedial eyeglasses and contact lenses prescribed by a specialist are the most well-known and least obtrusive solution for astigmatism.


Orthokeratology

Orthokeratology is a treatment that uses contact lenses to correct the deformation and flow of your cornea. You will wear inflexible contact lenses for certain time-periods. It is easier to wear them while you are sleeping and remove them during the day.


Surgery

Your specialist may suggest refractive surgery if your case is a serious one. This kind of surgery includes use of lasers or little blades to reshape your cornea. This will correct astigmatism permanently. The three basic surgeries for astigmatism are:

1. Laser in situ keratomileusis (LASIK)
2. Photorefractive keratectomy (PRK)
3. Spiral keratotomy (RK).

All these surgeries might carry some risks depending upon the symptoms of your problem. As innovation advances, it is very important for the patient to explore more options before choosing which refractive surgery is a good fit for him or her.

Types and Treatment for Astigmatism

7 Ways To Care For Your Eyes 

Eyes do more than we give them credit for and require more care than what we actually give them mostly. It isn't very difficult to ensure that your eyes are healthy and taken care of.

Here are 7 ways to care for your eyes everyday.

1) Splash water - Always clean your eyes with cold (filtered) water, from time to time. The clean water washes the eyes and keeps them healthy and free of diseases.
2) Don’t look into the sun - Never look into the sunlight directly. In fact, avoid looking at any sort of light that is harsh on the eyes. Direct rays of any kind of bright light can have damaging effect on the retina.
3) Get eyes examined - Have regular eye exams to check for diabetes and high blood pressure, if these health problems already exist in the family.
4) Do not smoke - People who smoke are more risk of having age-related eye problems.
5) Exercise your eyeballs - Roll the eyeballs up and down, and lift and right without moving your position. Repeat this exercise about 5 to 10 times. This helps relax the muscles in your eyes.
6) Distance eyes from screens - If you work on the computer, make sure there is enough distance between the screen and your eyes. Sit at least 22-28 inches away from the screen. The same applies while using smartphones and tablets. Do not view the screen from too close. Viewing the screen from too near as well as from too far; can increase the strain in your eyes.
7) Give them a break - People who work on the computer all day should ensure that they rest their eyes after regular intervals. Look in a long distance every few minutes. 


If you would like to consult with me privately, please click on 'Consult'.

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7 Ways To Care For Your Eyes Without Making Any Effort

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