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!

Sunglasses are an important part of the accessories you use in summer or any time of the year. They help you to look fashionable and stylish and also make a pretty good style statement. But is that the only job of sunglasses? Or do they have something more to them? Here are a few reasons why sunglasses are more than just a style statement:


1. Decrease in eye problems: Generally, you use sunscreen to protect your skin from the Sun s glare. Similarly, sunglasses protect your eyes from the harmful UV rays of the sun. It is extremely important for you to protect the eyes so that the harmful UV rays cannot enter the sensitive eye tissue and harm them. If you do not use sunglasses, then you have a higher chance of damaging your eye tissue than a person who uses them regularly. Bear in mind that the strong UV rays can cause serious permanent damage to your eyes.


2. Protection from other environmental components: Not only is the sun harmful to your eyes, but also the wind can be extremely dangerous for them. Dirt, sand, dust particles can fly into your eyes even when just a breeze is blowing. On a windy day, damage can be much more. If you are wearing sunglasses when out on a windy day, they act like a shield to your eyes against the wind and the particles,which might enter your eye.


3.  Helps clear vision: It s often difficult to have a clear vision when out in the Sun. The bright sunlight doesn t give you the clarity in vision. Without protection, you will have reduced vision as the bright glare of the Sun might cause you discomfort in your eyes and limit your vision as you will have to squint in the bright light.


4. Helps prevent aging: Although it might sound a bit surprising, but wearing sunglasses actually helps in prevent aging. The bright glare of the sun causes you to squint and this causes the age lines to appear. So, if you wear sunglasses and your eyes are protected from the bright sunlight, then you will not be squinting anymore, and hence it will not cause the age lines to appear before time.


So now, before you think that sunglasses only make you look good, think again about how they actually do much more than that.

4 Reasons Why Sunglasses are More than Just a Style Statement

High blood pressure can lead to hypertension, which is known to cause a variety of debilitating side effects or symptoms in the life of the patient. It can also lead to a number of related ailments which can affect the various organs of the body. The eyes are one of the organs that are most susceptible to this kind of spike in the body s blood pressure. Let us learn more about the connection between the two.

Retina: When high blood pressure goes untreated for a prolonged period, it can easily start to affect the blood vessels that can be found in the retina. The retina is the third or the inner most layer of the eye which is sensitive towards light and usually helps in refraction. This is where the light reaches so that one can focus clearly on an image. When the blood pressure of the patient stays high for a prolonged basis, there is significant pressure on the blood vessels in this part of the eye which can lead to an eye disease known as hypertensive retinopathy.

Symptoms: Symptoms of this eye disease include lack of clarity and focus when the eye comes to rest on an object, as well as headaches and other vision problems that typically spring from eye strain that one will go through while trying to focus even harder. It may be seen that the symptoms do not appear in the very early stages of this disease.

Diagnosis: The diagnosis of the condition is usually done by an ophthalmologist who will use an ophthalmoscope in order to project light towards the specific part of the eye so that the back of the eyeballs can be examined. The signs that the doctor will look for during the examination include narrowing of the blood vessels in this part of the eye, inflammation of the macula which is the central portion of the retina, and bleeding in the back of the eye. Also, the doctor will check for spots in the retina with the help of cotton swabs and exudates.

Treatment: The best and only way of treating this condition is by keeping one s blood pressure in control with the help of medication prescribed by the doctor.

Prevention: There are many ways of preventing the onset of this disease, including losing weight so that there is less pressure on the body. Also, one must stick to a healthy diet and exercise regularly after taking recommendations on the appropriate exercises from the doctor. Additionally, it is also important to see a doctor on a regular basis so that there is constant monitoring and regulation of the medicines and the blood pressure.

Blood Pressure - How it Affects Your Eye Sight?

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!

78% of urban youth are in front of the computer screen/ mobile screen for about 12 hours a day. Such extensive strain to the eyes can have long term effects on vision.  Act now to protect your eyes by following these tips-

1) Ensure appropriate glasses or contact lens prescription which is also adequate for computer use. 
2) For prolonged exposure, use glasses to help with contrast, glare, and eye strain when using a computer.
3) Adjust your computer such that your eyes are level with the top of the monitor. This allows you to look slightly down at the screen.
4) Avoid any glare on your computer from windows or lights. Use an anti-glare screen if required.
5) Choose a comfortable, supportive chair. Position it so that your feet are flat on the floor.
6) If your eyes feel dry, blink more often.
7) Every 20 minutes, rest your eyes by looking 20 feet away for 20 seconds. At least every 2 hours, get up and take a 15-minute break.

Click on consult privately to ask me any follow-up questions on this.

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Protect Your Eyes While Working. 7 best ways.

Eye Strain is an umbrella term that denotes a number of symptoms that relate to the extended use of eyes as well as discomfort that may come from excessive smartphone and computer use. This condition may or may not lead to significant eye damage and is usually characterised by blurry vision, headaches and a feeling of dryness in the eye as you blink less which creates less tears. This may happen due to the extended use of the eye when you are following objects on a screen or staring at a screen for too long. So, is eye strain the cause of your headaches? 

Find out more in this article.

Causes: Eye Strain or Asthenopia is caused by concentrating on visually intense tasks like reading from texts that have a fine print, the use of computers and other screens for prolonged periods, and trying to focus on objects in the dark. This can lead to distress of the muscles in this area which can also cause eye strain leading to a variety of symptoms including double imagery and even headaches and mild migraine like conditions.

Eye Muscle Imbalance: When there is eye strain which leads to headaches, it can also give rise to eye muscle imbalance which makes it difficult to concentrate with both eyes at the same time. In such cases, one may need bifocal glasses so as to fix the issue and prevent such debilitating headaches to remain on a persistent basis.

Diagnosis: Digital eye fatigue and ocular eye strain leading to headaches can be diagnosed by a doctor with the help of regular eye examinations. In any case, one should have the eyes checked at least once a year. This is especially important if your job involves sitting in front of the computer screen for prolonged hours.

Symptoms: There are a variety of symptoms of these headaches that are caused by eye strain. Apart from blurry vision which does not allow the patient to see properly and clearly without glasses, it can also cause headaches with symptoms like nausea and sensitivity to light. Retinal or eye migraines do not necessarily have to come with headaches, but the pressure can be painful enough.

Treatment: To begin with, the best form of treatment for headaches born from eye strain includes prevention which can be done by getting plenty of rest and sleep even as we limit the hours spent in front of the screen. One can also lower the resolution of the screen and make it more ambient. Also, the screen should be placed at a considerable distance from the eyes. The doctor can also prescribe glasses and eye drops for better eye lubrication.

Headache - Can Eyestrain Be the Reason Behind it?

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