Hypertension is a killer disease whose symptoms develop late when the damage is in advanced stages. Hypertensive Retinopathy is one such disease.

It damages the retina of eyes. Since retina is responsible for vision formation, Hypertensive Retinopathy can result in loss of vision. It is of grave concern that in most cases, Hypertensive Retinopathy is diagnosed later.

This is due to the fact that there are often no symptoms in the early stages of the disease. In some cases, where symptoms do manifest, patients may experience pain in the eyes, reduced vision, or headache.

What Happens in Hypertensive Retinopathy

People suffering from long term hypertension are susceptible to Hypertensive Retinopathy. Long-term hypertension affects the small and narrow blood vessels that join arteries to capillary blood vessels taking blood to different parts of the eye. These blood vessels become narrow with time if hypertension in the eyes continues unabated. This narrowing is more common in young adults compared to older people. Such unabated systemic hypertension also leads to leakage of fluid. This is why in some cases of Hypertensive Retinopathy, patients may experience exudation. Ultimately, Hypertensive Retinopathy may lead to damage to retinal blood vessels.

Risk Factors

Long standing hypertension is the number one risk factor for Hypertensive Retinopathy. People who are suffering from longer hypertension become most susceptible for this ailment.

However, studies have shown that hypertension for more than 5 years can even make people susceptible to this ailment.

Diagnosis

Diagnosis is done by Funduscopic Examination. The doctor would look at the eyes of the patient through an Ophthalmoscope which has different lenses. The Ophthalmoscope illuminates the retina and the doctor looks at the retina with different lenses. He can get a view of the retina, including blood vessels and optic nerve disks.

Findings of Diagnosis

For a person suffering from Hypertensive Retinopathy, this examination is likely to show:

Constriction of the arterioles.

Changes in the walls of retinal blood vessels.

Flame-shaped hemorrhages in the retina.

Yellow and hard exudates.

Spots in the shape of cotton wool.

Swelling of the optic disc.

Treatment

The primary treatment for Hypertensive Retinopathy is controlling blood pressure of the eyes. Some lifestyle changes like reducing the intake of salt, avoiding tobacco, etc., may bring down or control systemic hypertension in the eyes. In many cases, doctors may just recommend lifestyle modifications. Nevertheless, it completely depends on the extent of the damage and whether or not there is any fluid accumulation.

If the doctor feels that lifestyle modification is not enough, he may go for medicines that help the patients to control blood pressure effectively.

If the problem is in advanced stages and there is fluid accumulation behind the retina, the doctor may go for Intravitreal injection or Laser Therapy to control the edema.

Conclusion

Eyes are one of the most significant part of the body, this is why it is important for people to take care of it. In case of disease like Hypertensive Retinopathy, one must consult a doctor before opting any treatment or medicines.

Hypertensive Retinopathy - Everything About It!

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma-

A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination.

Tonometry may also be performed:Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision. 

Symptoms that will help a doctor identify this condition in people:-

A loss of peripheral vision is experienced in the early stages of glaucoma.
A person may see halos when in the presence of bright lights.
Your eyes could turn red.
Hazy or blurry vision is a problem faced by young children affected with glaucoma.
Glaucoma could be accompanied by headaches and eye pain.
An affected person might repeatedly feel nauseous.
Ways to Treat Glaucoma:-

Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy.

Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes.

Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Diagnosis and Treatment for Glaucoma

An eye allergy or allergic conjunctivitis is a condition that strikes when certain substances irritate the eyes, which can cause a reaction. This reaction has varied symptoms starting from inflammation to watering and even redness and an itching sensation. So how can you tell if you have an eye allergy? this article will tell you all you need to know!

Causes: to begin with, this is an immune response that happens when the eye comes in contact with substances like dirt, grime, pollutants, pollen, nettle, pet hair, smoke, mold and more, which may cause irritation. These are typically known as allergens. The immune system takes these allergens to be invaders and begins attacking the same by releasing chemicals that cause these allergic reactions. Also, an eye allergy may be a symptom or outcome of other conditions like asthma, hay fever, or even eczema.

Symptoms: the eye usually bears a pink or red appearance when the patient is suffering from an eye allergy. Also, watery eyes are a common sight during this condition while scaling around the eyes may also take place. Further, itching and burning sensation may be felt by the patient and swelling or puffiness can be seen. The symptoms may afflict one or both eyes. The patient may also have a runny nose or stuffy nose as well as nasal congestion.

Difference between eye allergy and pink eye: conjunctivitis or pink eye is usually caused due to bacteria or a virus that spreads infection in the eye. But eye allergy is caused due to a response of the immune system that leads to an allergic reaction. While the pink eye may be a contagious condition, an eye allergy is not.

Diagnosis: the diagnosis of an eye allergy will be done with the help of various tests conducted by an ophthalmologist. The skin prick test will help in introducing allergens to find out if the spot gets raised or suffers from inflammation. Also, the doctor will check for other ailments like asthma and eczema.

Treatment: there are varied methods of treating this condition. To begin with, the doctor may prescribe medication like decongestants and antihistamines as well as steroids for more severe and persistent cases. Also, injections may be prescribed in order to do away with the allergic reaction and eye drops containing olopatadine hydrochloride may also be used.

Home remedies: staying away from allergens and using a warm and clean washcloth over the eyes, for a few minutes every day, may help in relieving the painful symptoms of the condition.

Do not forget to consult your doctor before you try any natural or home based remedies.

Are You Suffering From Eye Allergy?

Eyeglasses and contact lenses are both used for vision correction. Both of the options have their advantages and disadvantages but a number of factors like lifestyle, comfort and age etc. are important while deciding which one to choose. Here is a list of the fundamental differences between using spectacles and using contact lenses:

1. Distance from the cornea
Lenses are worn directly on the eye and are in constant physical contact with the cornea while glasses are worn over the eyes. Contact lenses may cause infections in the eye because the user has to touch the eye in order to wear them and to take them off.

2. Difference in vision
Since the lenses of spectacles are a little distance away from the eye, vision can be slightly distorted but contact lenses can provide natural and accurate vision. Also, side vision is not improved by glasses as you have to turn your head to see what is beside you. The contacts move around with your eyeballs and the peripheral vision is in focus.

3. Ease of use
Some people find eyeglasses difficult to use because of the constant weight on the face and the obstruction caused by the frames of the glasses. There may also be a constant need to adjust the frames. Often eyeglasses slip down the nose when you sweat or engage in rigorous physical activity. Contact lenses are free from all these hassles - they are not distracting or obstructive and so they are extensively used by dancers and athletes. Spectacles is very uncomfortable to wear during the rains or in humid weather because they fog up.

4. Infections and complications
Contact lenses can get displaced inside the eye and they can be difficult to reposition. They also cause the eyes to itch and water if you wear them for a very long time at a stretch or if tiny dust particles enter your eyes. The use of eyeglasses is far more flexible in this respect - they can be removed in case your eye itches or burns, but regular use of glasses causes dark circles and bags under the eyes.

5. Aesthetic differences
People often prefer contact lenses as they do not change the physical appearance - they help you look natural and you can also use colored lenses to change the color of your eyes. Glasses may look slightly unnatural but some people also prefer them for the fashion quotient.

Lens Vs Specs

7 Easy ways to get relief from computer eye strain

Do you spend long hours in front of the computer? If you do, you may be experiencing eye strain on a regular basis. Eye strain is a common problem and is characterised by fatigue, decreased productivity, red eyes and eye twitching. You can get rid of eye strain by making use of any one of these simple tips. 

1. Ensure that your workplace has correct lighting
Often eye strain occurs as a result of improper lighting. This can be caused by exposure to bright sunlight coming in from the windows and doors or excessively dazzling indoor lights. You can avoid extra lights by keeping blinds or shades closed and by avoiding high-intensity bulbs or fluorescent lights. Alternatively, opting for incandescent or halogen lighting can be beneficial.

2. Minimise glare
You can install an anti-glare screen on the monitor of your computer to minimise glare. Keep the windows covered to reduce glare caused by outdoor sources.

3. Modify the display settings of your computer
You can modify the display settings of your computer in the following manner to reduce eye strain:
• Brightness-Set the brightness of the display to a level, which equals the brightness of your workplace.
• Text size and contrast-Modify the text size and contrast according to the comfort level of your eyes. For most people, black text colour on a white background ensures minimum eye strain and maximum convenience.
• Colour temperature- The spectrum of visible light, which a colour display usually emits is its colour temperature. Blue light is considered to cause more eye strain. So, you should decrease the colour temperature to minimize the amount of blue light emitted by your computer’s display.

4. Try some eye exercises
You can practise some easy eye exercises to prevent your eyes from getting tired. Try staring at a distant object for 10-15 seconds and then looking at any nearby object for another 10-15 seconds. Return your gaze to the first object. Repeat 10 times.

5. Opt for some computer eyewear while working
Try wearing a pair of computer glasses while working. They ensure that your eyes remain correctly focussed on the computer screen, while reducing strain to a minimum. Computer glasses also prove to be very effective in diminishing glare. 

6. Take short breaks at regular intervals
Apply the 20-20 rule to your work regime. After each 20 minutes of work on the computer, give your eyes a 20 second break by looking away from the screen towards any object located 20 feet away from you.

7. Go for a comprehensive eye exam
Make sure that you go for a comprehensive eye exam every year to reduce vision problems caused by computers. This will also help in detecting the root cause behind your problem, so that you can effectively employ curative or preventive measures to control eye strain.

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

7 Easy Ways to Get Relief from EveryDay Computer Eye Strain

Astigmatism is an eye condition where there is an imperfection in the curvature of the cornea. The cornea and lens are smooth and equally curved in all directions, which helps to focus the light rays to the retina. But if there is an imperfection in the curvature, then you will suffer from a refractive error. Astigmatism is not an eye disease. It is simply a condition where the eye is not able to focus the light. 

Causes: 
Irregular shape of the cornea is the main cause for astigmatism. It might also be caused because of the imperfect shape of the lens. Suffering from astigmatism is very common. You are either born with the condition or you might have developed it after an eye surgery. It is an incorrect concept that watching too much of television or reading without enough light causes astigmatism.

Types: 
There are three different types of astigmatism:
1. Myopic astigmatism: When the principal meridians of the cornea are nearsighted.
2. Hyperopic astigmatism: When the principal meridians of the cornea are farsighted.
3. Mixed astigmatism: When one of the principal meridians is nearsighted and the other is farsighted.

It can also be classified in two other types:
1. Regular astigmatism: When the principal meridians are perpendicular to each other.
2. Irregular astigmatism: When the principal meridians are not perpendicular to each other.

Symptoms: 
Blurry or distorted vision, strain in the eye, eye discomfort, squinting and headaches are a few symptoms of astigmatism

Diagnosis:
If you notice the symptoms stated above, make sure you pay a visit to your ophthalmologist. If you are suffering from astigmatism, your doctor will do an eye test to check how much your eye is able to focus on light. After conducting his tests, he will determine how much power you have and you will have to wear glasses of that power. Apart from the option of wearing glasses or artificial lenses, you can also go for a surgery to correct the condition. LASIK is an option among the many other options of surgeries available.

Diet: 
Eat foods rich in sulphur. Foods like fish, green vegetables, pineapple, garlic, onion, olive oil, etc are rich in sulphur. Hence, eating these will help you battle astigmatism.

All About Astigmatism

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