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?

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 is a disease that damages your eye's optic nerve. It usually happens when fluid builds up in the front part of your eye. That extra fluid increases the pressure in your eye, damaging the optic nerve.Glaucoma is the second largest cause of eye blindness in the world.

There are several types of Glaucoma:
1. Open-angle Glaucoma
2. Normal-tension Glaucoma
3. Angle-closure Glaucoma
4. Congenital Glaucoma
5. Secondary Glaucoma
6. Glaucoma suspect

How will you know that you are suffering from Glaucoma?
Only half the people with glaucoma are aware that they are suffering from this condition. When Glaucoma develops, there are usually no early symptoms. This is why glaucoma can 'steal' sight gradually.

Symptoms:
1. In its early stages, open-angle Glaucoma has no obvious symptoms. As the disease progresses more blind spots develop in the peripheral (side) view.
2. An attack of angle-closure Glaucoma includes the following:
a. Severe pain in the eye or forehead
b. Redness of the eye
c. Decreased vision or blurred vision
d. Vision rainbows or halos
e. Headache
f. Nausea
g. Vomiting
If you get any of the symptoms rush to your doctor and take an eye exam as soon as possible.

Causes:
1. Eye injury
2. Inflammation of the eye
3. Dilating eye drops
4. Blocked or restricted drainage in your eye
5. Use of steroid-containing medications (pills, eye drops, sprays)
6. Poor or reduced blood flow to your optic nerve
7. High or elevated blood pressure

Who is at Risk for Glaucoma?
People with more risk of developing Glaucoma include people who:
1. Are over age 40
2. Have family members with glaucoma
3. Have high eye pressure
4. Are farsighted or nearsighted
5. Have had an eye injury
6. Have diabetes, migraines, high blood pressure, poor blood circulation or other health problems affecting the whole body.

Types, Causes and Symptoms of Glaucoma

A common headache can have a number of reasons behind it, such as defective vision, hetrophoria or convergence deficiency, etc. Now, the question arises as to how they can cause headache. Read on to know more...

Q. Why should defective vision cause headache?

To attain a perfect vision, eyes with defective vision have to make sustained extra efforts, which results in headache. Even if the refractive error is very small, it can be the cause of headache. More prolonged the working and smaller the print, higher the incidence of headache.

Q. Can this occur at all ages?

Yes, it can occur at all ages. However, with age, the resistance decreases and hence elderly people are more prone to get headache. More the use of computer, mobiles, TV or prolonged studies precipitates headache

Q What is Hetrophoria?

Normally, both eyes always remain parallel, but in some cases, eyes have slight tendency to develop minor squint, may be convergent or divergent. This is called Hetrophoria or Latent squint. Such patients have to take extra strain to keep the eyes straight

Q. What is convergence deficiency?

For reading, both eyes have to converge and if there is weakness of convergence, extra strain has to be put on the eyes, which cause headache.

Q. What is the ideal method of refraction in young patients, I,e below 40 years?

Ideal method is to dilate the pupil with Tropicasyl plus drops. This has the advantage that the doctor can see the retina and Optic Disc. This is important to exclude any involvement of brain as the cause of headache. It also relaxes accommodation and hence provides correct refraction. In cases of Hypermetropia, it is extremely essential to dilate the pupil.

Q. What is the role of Autorefractmeter (a computer) in refraction?

It is a very important instrument to provide correct refraction, but it cannot be totally relied upon. Some opticians rely on it and give wrong numbers.

Q. What is acceptance Test?

You have refracted the eyes with Autorefractmeter or Streak Retinoscope but exact power is what a patient accepts. This is very important.

Q. What is astigmatism?

There is a difference in refraction in different meridians and it is important that a cylinder number is prescribed in correct axis. This is a difficult task and needs lot of experience.

Q. Is it important to correct astigmatism?

To relieve headache and strain on the eyes, it is very important that exact cylinder is prescribed.

Q. What is the role of exact centring of Optical Lenses?

You may give correct number, but if the centre of the Optical lenses and cornea do not coincide, satisfactory results are not obtained. To dispense correct lenses is a big art and the Optician must be qualified and well experienced.

Q. Does the quality of lens affect the visual comfort?

Yes, it is important that quality of lenses should be good, preferable fibre lenses which are Ant reflect coated. Crizal coating with capability to block the UV rays are very popular.

Conclusion: Refractive errors are important cause of headache and needs proper examination of the eyes, preferably after dilating the pupil. Astigmatic error even if too small may be the cause of headache. Spectacle dispensing is an art and a patient must select proper optician. Spectacles if advised for constant use must be used constantly to get full relief.

Defective Vision - Can it be a Cause of Your Headache?

People may have weak eyes due to a variety of reasons. Astigmatism happens to be one of those reasons. When one is affected by astigmatism, it results in blurry vision. The eye has a part called the cornea, which is the outermost layer of the eye and is responsible for allowing light to enter. When the cornea is not shaped as it should be, it leads to astigmatism.

However, this is not the only condition under which it can occur. In fact, there are two different types of astigmatism. One is corneal astigmatism which is the result of an odd-shaped cornea. The other is lenticular astigmatism, which occurs when the lens has an incorrect shape. More often than not, people are born with astigmatism. However, there are chances of developing this eye disorder after an eye injury or after an eye disease.

How to diagnose?
There are a few ways in which astigmatism can be diagnosed. 

One of the most popular methods is the visual acuity test. This measures the distance at which a letter is read clearly, as compared to what it should be. 
Another way is by refraction. By placing lenses in front of the eyes, the way they focus light is measured. 
The third way by which astigmatism can be detected is by keratometry, also known as topography. Light is focused on the cornea and the reflection is measured to find the curvature of that area.
Treatment options
The easiest way to go about treating astigmatism is by using corrective lenses. This is usually the method of treatment for people whose astigmatism is not that bad. The lenses could either be a part of spectacles or used as contact lenses. The good part about contact lenses is that the field of view is wider.

Orthokeratology (Ortho-k) works to improve astigmatism by using lenses as well. However, the lenses are of the hard variety. These lenses are useful for corneal astigmatism patients as they reshape the eye. Usually, they are worn while sleeping and most people can have normal vision the next day. However, if one stops using them, the eye goes back to its original state. So, they are not a permanent solution.

Surgery, however, can be a permanent solution to astigmatism. LASIK and PRK are two of the most popular types. RK is also popular, but to a lesser extent. It is good to remember that the risks of surgery should be discussed with a doctor prior to undergoing one.

Astigmatism - Ways They Can Be Diagnosed!

Vision is one of our most important senses. Reduced vision that triggers the need for corrective glasses is one of the most common disorders associated with the eyes. Crossed eyes are another such common disorder that affects the eyes. In medical terms it is also known as strabismus. This condition is a result of miscommunication between the brain and the eye muscles that result in misalignment of the eyes. It is largely a hereditary condition and should not be confused with a lazy eye syndrome.

Crossed eyes can cause double vision and disorientation. Your depth perception may also be affected. It also causes eye strains and headaches that affect the quality of your life. This condition is seen mostly in children. If not treated in time, it can continue into the adult years as well. The development of crossed eyes in adults who have not suffered from this condition as children is usually a sign of a serious condition such as a stroke.

Some symptoms characteristic of this condition are:
1. Independent movement of eye balls
2. Tilting the head to a side
3. Squinting
4. Varied points of reflection in each eye
5. Frequently bumping into things as a result of impaired depth perception.

Treatment for this condition can be surgical as well as non surgical. Non surgical treatment aims at strengthening the eye muscles and treating the visual system as a whole. The aim is to not allow the eye to become lazy or amblyopic. Wearing an eye patch over the strong eye and forcing the weak eye to be used is one of the most common form of this treatment. Corrective glasses can also be used to treat this condition in cases where it has been triggered by excessive farsightedness. In some cases, medication may also be injected into the eye to relax the eye muscles.

Surgery to correct this disorder involves correcting vision by strengthening or weakening the eye muscles. To do this, a surgeon must first make a small incision in the outer layer of the eyeball to reach the affected muscles. To strengthen the muscle a small section is removed from the muscle and the remaining part is then rejoined. This makes the muscle shorter and forces the eye to turn towards that side. Alternatively, the doctor may make a partial cut across the muscle to elongate it and let the eye turn further away from it.

Crossed Eyes - How Can It Be Treated

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