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!

The eye is a complex organ. It is made up of a number of different parts which together build a sense of image. Retina is a very significant part of the eye. It is this part of the eye that helps it project the image. The object image is ultimately created on this part of the eye. But it is also a very sensitive and delicate organ. There are many abnormalities that may affect the retina. Central Serous Retinopathy is one such abnormality.

This medical condition of the eye is precipitated when there is a buildup of fluid behind the retina. This leads to the detachment of the retina. The patient may experience gradual or even sudden loss of vision as the central retina gets detached.

The Retina and its Structure

The retina is a very important part of the eyes. It is a membranous structure where vision takes shape and is composed of several layers. It contains special photoreceptor cells that help in identifying color, vision, etc. There are different cells that help in central as well as peripheral vision. The central region of the retina is also known as macula. Retinal Detachment is a disorder of retina that can turn people blind or low in vision. Medical intervention is necessary to regain lost vision.

Symptoms of Central Serous Retinopathy

Patients need to be aware of the symptoms lest they should be caught completely unaware of it.

Objects may appear farther away than usual.

White portions of images may appear dull and lines may appear crooked.

Patients may experience blurry vision in the initial stages.

However, it does not always a precipitate symptom. If fluid buildup is not affecting the central vision area, the patient may not experience any deterioration in central vision. This is a perception that the central part is responsible for the central vision. He or she may experience a clear central vision, although there is a fluid buildup. Nevertheless, it may eventually push the central part and detach the retina resulting in Central Serous Retinopathy. Patients may experience a darkening or blurring of their central vision. This is usually limited to one eye. However, one may experience such problems in both eyes at different stages of life.

Risk factors

Though the contributory factors are not well known, it is thought that stressful lifestyles and some medicines can contribute to such ailments.

Treatment

Treatment may not always be required in all cases. Doctors may just ensure that built-up fluid is draining out. However, if fluid is not draining out, medical intervention is necessary doctors may go for treatments like photodynamic therapy, thermal laser treatment, or medications. Doctors may also recommend stopping steroids and bringing in lifestyle changes.

Conclusion:

People who notice any changes in their vision or experience pain or blurry vision should consult an Ophthalmologist as soon as possible. If a person is already suffering from any eye disease and experiences such symptoms, he/she should immediately seek medical attention without waiting for his/her next appointment.

In some cases, the fluid dissolves itself with no further medical treatment. However, if it does not, a variety of medicines and medical treatments are available.

Central Serous Retinopathy - What Should You Know?

Eye allergies or allergic conjunctivitis involves the inflammation of the conjunctiva in the eyes. Eye allergies are different from contagious or bacterial conjunctivitis. Eye allergies are common during summer. Homeopathy is an ideal way to cure eye allergies without any side effects. Here are some homeopathic medicines, which treat eye allergies, along with the symptoms when they are prescribed.

 Apis mel: this homeopathic medicine is ideal for eye allergies characterized by burning and stinging in the eyes. Oedema accumulates around the eyes; the eyelids swell and become puffy. Watery discharge comes out of the eyes.
 Euphrasia: this is an ideal medicine for treating eye allergies where there is an acrid discharge from the eyes. The discharge is acidic and burns the skin it comes in contact with, and there is burning pain in the eyes. The eyes stay watery.
 Argentum nitricum: it is an ideal homeopathic remedy in case of eye allergies with prulent discharge. The patient develops photophobia and splinter like pain is felt in the eyes. The conjunctiva swells and the discharge is abundant. 
 Ruta: this is a great homeopathic medicine to cure eye allergies where there is a sensation of a foreign body in the eyes. Indicated by severe eye irritation, the patient feels as if a dust particle is stuck in his eyes. The eyes become red and quite painful.
 Pulsatilla: pulsatilla is an ideal homeopathic medicine when there is relief due to the application of cold water. Symptoms include discharge of a thick, yellow fluid from the eyes along with itching and burning. The eyelids feel like they have been agglutinated.

In case of eye allergies accompanied by itching or burning sensation, you can apply natural home-based remedies as well. They are:

 Applying a cold compress: application of cold compress around the allergy affected area will give you relief. Soak a cloth in cold water and apply it gently. Use chamomile tea bags as a cold compress.
 Use cucumber: put slices of cucumber over the affected area in the eyes to get relief from eye allergies. Cucumbers possess anti-irritation properties and reduce puffiness, swelling and irritation. 
 Rosewater: rosewater is an effective remedy for eye allergies. It soothes and cools the eyes, and the eyes become clear. You can use rose water as an eye drop or wash your eyes with it.
 Green tea: green tea is completely natural and provides relief to eye allergies. It accounts for soothing the eyes and is anti-inflammatory in nature.

Eye allergies are common and affect people most during the summer. They reoccur every year and give you a bad time. Homeopathic and natural treatment methods for eye allergies are among the best remedies.

Homeopathic and Natural Treatment for Eye Allergies

As you reach the age of 40, you will likely notice changes in your vision. Perhaps you have difficulty reading a book without glasses, or distinguishing between colours. These changes occur as an effect of ageing. However, nowadays people in their teens are also exposed to a host of eye disorders and vision problems, mostly resulting from eye injuries and visual stress.

The most common disorders of the eye, which affect the age group 19-40, are Refractive errors. The following signs and symptoms characterize such disorders-

  Haziness
  Double vision
  Halos or glares when you are surrounded by bright lights
  Headaches
  Squinting
  Eye strain

What are the Refractive errors?

Refractive errors develop when light cannot focus on the retina (the light-sensitive tissue situated at the rear side of the eye) directly due to the shape of the eye. The change in the cornea s shape, the ageing of the lens, or the length of your eyeball can lead to refractive errors. Most people suffer from one or more of the above conditions.

Type of Refractive Errors:

Following are the most common types of refractive errors-

  Myopia or Nearsightedness - If you have this condition, you will see nearby objects clearly but distant objects will appear blurry. This happens because the light comes to focus right in front of the retina, instead of on the retina.

  Hyperopia or Farsightedness - This condition is just the opposite of myopia. Distant objects are clearly visible but those located close to you appear blurry. However, some people may not observe any problem with their vision at a young age. If you have significant hyperopia, objects at any distance, far or near, can appear blurry.

  Presbyopia - This age-related condition affects your ability to focus on things closely. This happens because as you age, the lens of the eye is unable to change shape to allow the eye to focus on nearby objects clearly.

  Astigmatism - In this condition, the eye cannot focus light onto the retina evenly. As a result, images appear stretched out and blurry.

  Amblyopia or Lazy eye - This vision development disorder begins during early childhood and infancy. In this condition, the eye does not achieve normal visual acuity despite using contact lenses or prescribed glasses. Usually, amblyopia affects only one eye.

Can early diagnosis help treat the problem?

Yes, it can. Your eye care specialist can diagnose refractive errors and detect what exactly is impeding your vision with a comprehensive dilated eye examination. Upon encountering the symptoms mentioned above, one should consult an ophthalmologist at the earliest and get oneself checked.

If the condition is detected early, vision problems due to refractive errors can be treated. The common treatment options include the use of contact lenses, prescription glasses, and surgery (in severe cases).
People with visual problems should also adopt some lifestyle changes to correct their vision - eat more veggies, get adequate sleep and rest, abstain from smoking etc. Additionally, you should get periodic eye check-ups to monitor the condition.

Difficulty In Vision - It Can Be Better If Treated On Time!

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

Allergic reactions
Fluctuation of hormones associated with puberty and adolescence
Acne and other skin conditions
Lice or mites on the eyelashes
Unsanitary contact lens solution
Contaminated eye makeup
Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
However, in some cases, a clear trigger factor may not be identifiable.
Some of the characteristic symptoms of this disease are:

Dry eyes
Constant watering from the eyes
Inflammation and reddening of the eyelids
Burning sensation in the eyes
Itchiness
Flaking of skin around the infected eye
Heightened sensitivity to light
Excessive blinking
Crusting of eyelashes
Blurred vision
Frequent formation of sties
Loss of eyelashes or abnormal growth of eyelashes
Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms.

Meibomianitis - 8 Things That Can Trigger It!

Amblyopia is commonly known as'lazy eye. It is a vision development disorder, which affects eyes and the brain during infancy and childhood. It signifies that the eye does not achieve a normal visual acuity even with refractive correction in form of glasses or contact lens. During normal visual development, the eye and brain learns to'see' and develop binocularity, that is the ability to perceive depth (stereoacuity). This occurs in the first 8 to 10 years of life. 

Each eye transmits a clear and identical image from retina to the brain, which fuses the two images into a single image with 3 dimensions (adding depth). When the image is formed on the retina of two eyes is too dissimilar, the brain cannot fuse the two images and suppresses the more blurred image. As a result, the worse eye does not learn to'see' and becomes'lazy. This condition is seen in 1-4% of population.

The common causes for dissimilar images or amblyopia are:
1. Misalignment of the eyes or squint: it is the primary reason for amblyopia is misalignment of the eyes. In case, both your eyes are not aimed in the same direction, the image captured by each eye is different, resulting in diplopia. The brain will see from the dominant eye and suppress image from the other eye. Over a prolonged period of time, the eye dissociates from the visual cortex of the brain.

2. Refractive amblyopia:
A. Unequal refractive error in both eye. When the eye power of both eyes differ by more than 1.5d of spherical equivalent, which results in dissimilar images between the two eyes. As a result, the visual development in restricted in the worse eye.
B. High refractive error or astigmatism in both eyes, since there is a blurred image in both eyes, the normal vision development does not occur in either eyes resulting in bilateral lazy eyes.

3. Cloudiness in visual system or visual deprivation amblyopia: any kind of obstruction or cloudiness in the normal visual axis of the eye tissues can lead to amblyopia. Disorder of any kind, which blocks a clear image from being focused blocks the formation of a clear image on your retina. Commonly due to congenital or developmental cataracts or corneal opacities or prolonged closure of one eye in early childhood (drooping of one eyelid, eyelid swelling, patching of one eye).

Treatment for amblyopia
For treatment of amblyopia, a child must be compelled to utilize his affected, weaker eye. This can be done by correction of causative factor such as, treating refractive error with glasses, surgical correction of misalignment of eyes followed by patching and vision therapy, cataract surgery.

Patching or occlusion of the good eye
This is done to force the brain to pay attention to visual input from the worse eye. This allows nerve connections between affected eye and brain to develop due to, which the eye'learns to see. Eye drops such as atropine are also used for blurring the vision of the good eye. Some form of vision therapy may also be required to train both eyes to see together and develop some degree of depth perception.

To be effective, treatment should be implement as early as possible, within the period of normal visual development best within first 8 years of life. Some visual gain has been seen in selected patients up to age of 14 to 18 years. This also highlights the importance of a comprehensive eye examination as a routine in young children.

About Amblyopia or Lazy Eye

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