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!

Eye allergy or allergic conjunctivitis is an adverse immune response of the body that occurs when it comes across an irritating substance or allergens like smoke, dust or pollen. The body assumes these to be harmful substances and releases chemicals called histamine to fight against them.

Symptoms of an eye allergy-

Allergy in the eyes causes the occurrence of certain symptoms-

  Itching in the eyes

  The sensation of burning in the eyes

  Redness

  Watery discharge

  Swollen eyelids

  Light sensitive

What triggers it?

An eye allergy is usually triggered by the following components-

  Pollen

  Dander

  Dust Mites

  Mould

  Pet Dander

  Exhaust from vehicles

What to do if you suffer from eye allergy-

  Consult an eye specialist or allergist - It is important to consult a physician since the symptoms may pertain to other allergies like asthma or eczema that have different treatment.

  Take proper medication - Take the prescribed eye drops, oral histamines or decongestants to alleviate the symptoms.

  Avoid the allergen - It is difficult to do so if the allergies are seasonal, that means if the eye allergies always occur during specific seasons of the year. If they are not seasonal, you can avoid the allergens if you

Keep the doors and windows closed at home and while riding the car
Take a shower or change your clothes after coming back home from outside
Wear an allergy-relief mask while outside to filter the smoke, dust, etc.
Wear glasses to protect eyes from the allergens
Wash hands after petting any animal
Use a dehumidifier to protect against mould
  Take allergy shots - These are good precautionary measures for seasonal allergies. These increase the tolerance for the irritants. Similarly some eyedrops can be given to decrease the frequency, severity and intensity of allergy episodes.

  Natural remedies - If nothing else works you can use a cold compress to relieve the itchy eyes. Eat walnuts, fish oil and flaxseed oil that contain Omega- 3 fatty acids to reduce inflammatory substances in the body.

What not to do if you are having an eye allergy-

  Avoid rubbing your eyes; that will further irritate your eyes and damaged the eye surface

  Do not keep your indoor surroundings dirty and dusty

  Do not dry-sweep the floors

  Do not pet any animal if you are allergic to animal dander

There is no permanent cure for eye allergies yet but the proper treatment and precautions can help to reduce many of the symptoms. Over-the-counter medications may work out for some people but others may require severe treatment. Remember in spite of prophylactic or therapeutic treatment if u are exposed to a high load of allergens, you will develop symptoms of allergies but they will be milder than if u had no prophylaxis.

Eye Allergies - What To Do & What Not To Do?

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.

With technology at your fingertips, it is hard to think of times when the existence of laptops and television sets was unimaginable. Technology is common enough to be taken for granted in present times. TV and laptops are especially in widespread use. The primary reason could be entertainment, an urge to connect to the larger world, or the need to kill time. Such dependability leads to severe health hazards. Read on to find out more:

Effects of TV and laptops on your health:

    Sleep deprivation: Long hours of exposure to artificial light can lead to sleep deprivation.
    It can also lead to serious vision problems: Watching TV or using laptops for long hours can make your eyes vulnerable to constant glare. You fail to realize, but changing lights of a computer screen or of a television set in a dark room can be extremely strenuous for your eyes to adjust. Constantly changing lights can lead to glaucoma. However, dry and itchy eyes, headaches and poor vision are the commonly noticed effects.
    It causes obesity in children and adults: Since all your work can be done on the internet, you tend to become lethargic. You are too lazy to go to the market or to the bank. Even if you are not watching you use the television for background music. Adults therefore do not make qualitative use of their free time. Children are addicted to playing games and browsing sites on the laptop. They hardly indulge in outdoor games. This leads to obesity in adults and children all the same.
    Propels your desire to eat fast food or packaged food: Binge eating is a very common practice while watching TV or using laptops. Chips, pizzas, burgers, ice- creams, cold drinks and absolutely anything junk devoid of nutritional value are more liked by us. Junk food not only leads to weight gain but is also detrimental to our digestive system.
    Can increase the risk of infertility in men: Laptops heat up when used for a long span of time. This heat can increase scrotum temperature which results in reduced sperm production, leading to infertility.   

As is said, nothing in excess is good for your health. It is therefore, best to make controlled use of TV and laptops to avoid its harmful effects.

Watching TV and Using Laptop: How it Affects Your Health?

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

Cataract is generally associated with old age. However, in some unfortunate cases, children could be affected by cataract as well. A cataract can be defined as a cloudy or opaque layer that forms on the eye's natural lens that lies behind the iris and the pupil, leading to eventual loss in vision. Cataract can affect children in one eye or both eyes.

Cataract can be a congenital birth defect or can develop as the child grows older. The latter case is known as pediatric cataracts. The exact cause of cataracts in children is not known, but it has been associated with a number of genetic disorders, low birth weight and infections during pregnancy. Traumatic events such as an injury to the eye can also cause cataracts.

The earlier a cataract is diagnosed and treated, the better it is. It is easier to identify a cataract that affects both eyes than a cataract that affects only one eye. If a congenital cataract is not treated in time, the part of the baby's brain used for sight may not develop properly. Hence it is crucial to recognize cataract symptoms.

Here are a few you should look out for:

    Not looking directly or responding to large, colourful objects.
    Not being able to find small objects while crawling.
    Excessive squinting or shielding their eyes to bright sunlight.
    Eyes that do not focus on the same point.
    White reflex instead of a red reflex in photographs.
    Uncontrolled movement of the eye.

Cataracts that are too small to affect sight can be treated with eye drops to dilate the pupil. However, this provides only temporary relief. Surgery is the most preferred form of cataract treatment. This surgery can be performed even in the first few weeks of a baby's life. The child is put under anesthesia and a microsurgical instrument is used to break the lens into small pieces and remove it.

This surgery is followed by the use of lenses or glasses to help the eye regain its power to focus again. In some cases, the lens may be implanted to replace the natural lens. In cases where cataract affects only one eye or one eye is more severely affected than the other, there may be a tendency to develop amblyopia or lazy eye syndrome. In such cases, it becomes necessary to patch the good eye shut and stimulate vision in the eye that has undergone surgery.

Cataract in Children

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