People are well aware of the harmful effects that UV rays have on the skin, but very few know that UV rays can damage their eyes as well. The tissue that human eye is made up of is one of the most sensitive tissues in the body and hence, the most vulnerable. The increasing level of UV radiation reaching the Earth s surface every minute has made it indispensable to take the required precautionary measures to protect the eyes.

What are UV rays?

Sunlight consists of 3 types of radiations - Infrared, Visible light and UltraViolet. Artificial sources like lasers, tanning beds and welding machines also emit UV radiation.

There are three types of UV radiations - UV-A, UV-B and UV-C. 

UV-C is absorbed by the ozone layer and does not possess any risk. It is UV-A and UV-B radiations that adversely affect the eyes and vision.

Impact of UV rays on  eyes

Too much exposure to UV rays can affect vision, harm the eyes, and deteriorate overall eye health. There are various eye problems that are aggravated by excessive exposure to UV radiation:

Macular Degeneration: It is caused by damage to the retina over time by UV rays. It leads to age-related blindness. Too much exposure to UV rays increases the risk of developing macular degeneration.
Cataract: It is the clouding of eye s natural lens - the part of the eye that focuses the light we see. Too much exposure to UV rays increases the risk of developing cataracts. 
Pterygium: Often known as  surfer s eye , pterygium is a pink, non-cancerous growth that is formed on the conjunctiva. UV rays are believed to be responsible for the development of this growth.
Skin Cancer of the Eyelids: Too much exposure to UV rays can cause skin cancer in and around the eyelids.
Photokeratitis: Popularly known as corneal sunburn or  snow blindness , photokeratitis is caused due to excessive short-term exposure to UV-B rays. Photokeratitis occurs when you spend long hours at the beach or skiing. It sometimes leads to temporary vision loss. 
How to protect the eyes from harmful UV rays?

Here are some tips to help ensure that eyes are protected against harmful UV rays:

Always use quality sunglasses that block out 99-100 percent of both UV-A and UV-B radiation when outdoors.
Stay away from tanning beds, and if you use them occasionally, always wear eye protection. 
Wrap around frames should be used if you spend a lot of time outdoors.
Be sure to see your doctor at least every two years.

UV Rays - Are They Damaging Your Eyes?

Ever noticed spots or strands that  float  into your line of vision. These are known as floaters. In most cases, they do not affect your vision, but can cause a lot of discomfort. Thus, in most cases they do not require treatment unless they affect your vision significantly. Floaters are more likely to stand out when looking at bright objects or something like a clear blue sky. Moving your eyes can shift the fluid in your eyes and move these floaters out of your line of sight.

Dust particles entering and irritating the eye should not be confused with floaters. Floaters can be described as flecks of a protein called collagen. These flecks can be seen when they are loosened from the back of the eye known as the vitreous. This can happen at any age but is more likely to affect people between the ages of 50 and 75. Being near sighted or suffering from cataract also increases your risk of seeing floaters. In rare cases, it can also be triggered by a disease in the eye, an injury to the eye, tumors or crystal deposits in the back of the eye.

Noticing the odd floater is not something to worry about. However, if you notice a sudden increase in the number and frequency of floaters in your eye, see flashes of light, have pain in the eyes or experience a loss of side vision, consult a doctor immediately. This could also be a sign of a more serious condition like a detached retina that requires immediate medical attention. Excessive floaters can be removed through a surgery known as a vitrectomy or laser vitreolysis. A vitrectomy involves the removal of vitreous gel from the middle of the eye and replacing it with silicone oil or a gas bubble. The surgery last 2 or 3 hours, but you may require an overnight stay in the hospital.

Laser vitreolysis is a more recent form of treatment for this condition. This pain free procedure involves the projection of a laser beam into the eye that focuses on large floaters to break them apart or vaporize them. This procedure can be performed as an outpatient and is considered safer than a vitrectomy. The form of treatment suited to a person will depend on a number of factors including their age, what the floaters look like, where they are located and the frequency of their appearance.

Eye Floaters - When Should You Consult A Doctor?

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

Glaucoma is a group of eye diseases characterised by damage to optic nerve usually due to excessively high intra ocular pressure (eye pressure). If left untreated can lead to optic nerve damage resulting in progressive, permanent vision loss. Glaucoma usually affects people above the age of 40, but can affect younger people as well. This condition causes fluid to build up in the eye, which puts pressure on the optic nerve. 

There are broadly two types of glaucoma - Open angle glaucoma ( more common in elderly) and angle closure glaucoma.
Women are more likely to suffer from glaucoma than men are. Ethnicity also plays an important role in determining the risk of suffering from this condition. East Asian and African Americans have a high risk of glaucoma, as they have a shallow, anterior chamber depth. Some of the other conditions that can increase a person s risk of glaucoma are:

Diabetes
Hypothyroidism
Myopia
An earlier eye surgery
Retinal detachment
Tumours
Injury to the eye
Long term corticosteroid medication
If diagnosed early enough, glaucoma can be treated and its effects can be reduced. However, the damage already caused by glaucoma cannot be reversed. The aim of glaucoma treatment is to either reduce the production of fluid in the eye or improve its flow. This helps slow down the progression of this disease and prevents any further loss of vision. Glaucoma treatment usually takes the form of eye drops or surgery.

Eye drops are the first step towards treating glaucoma. There are many different types of eye drops. Prostaglandin analogues aim at increasing the flow of fluid out of the eye and are usually prescribed in cases of swelling around the rim of the eyes, darkening of the iris and blurred vision. Beta-blockers can also help lower the secretion of fluids in the eye.

Patients who are also suffering from diabetes or lung conditions such as bronchitis may be prescribed cholinergic agents, carbonic anhydrase inhibitors or sympathomimetic drugs. Cholinergic agents help improve the outward flow of fluid in the eyes while Carbonic anhydrase inhibitors reduce fluid production in the eyes. Sympathomimetic drugs do both reduce the production of fluids and improve outflow.

If the eye drops are not effective, surgery may be advised to lower the pressure built up in the eye. Some of the common types of surgery for glaucoma are:

Trabeculoplasty: This procedure involves directing a high-energy laser beam into the eye to open clogged drainage canals. The surgery has high success rates but the problem may recur after surgery.
Filtering surgery: This involves creating an opening in the eye and removing a part of the trabecular meshwork, thus allowing fluid to flow outwards.
Drainage implants: Children or patients with secondary glaucoma may be treated with this surgery where a small silicone tube is placed in the eye to aid in fluid drainage.

Glaucoma - Factors That Put You Risk!

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.

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Protect Your Eyes While Working. 7 best ways.

Glaucoma is a leading cause of blindness in people across the globe. It damages the optic nerve that carries sensory images from the retina to the brain. A faulty eye pressure is responsible for damaging the very delicate optic nerve fiber causing small blind spots in the retina. Unfortunately, for most patients this disease only gets diagnosed when the number of blind spots is on the higher side.

Types of Glaucoma

Open angle: This is a type of Glaucoma which results from the blockage of the drainage angle of the eye resulting into an increased eye pressure.
Angle closure: This is the kind of Glaucoma which results from the narrowing down of the drainage angle leading to complete blockage.
Target segment of Glaucoma

Family history: Inheritance surely plays a role in case of Glaucoma too. If Glaucoma runs through families of an individual, there are higher chances of getting this disease. Although there is no hard and fast rule about it, the risks of inheriting this disease are on the higher side.
Eye injury: If there is any history of previous eye injuries, the probability of the onset of Glaucoma cannot be turned down. Specially, if the injury is related to optic nerve, there are very high risks involved.
Bilateral Oophorectomy: Dual Ovary removal before the age of 40 results in deficiency of estrogen resulting in Glaucoma. Although most surgeons warn their patients of the possible risk of these procedures, many surgeries such as these have resulted in patients losing eyesight in the form of Glaucoma.
Patient with Diabetes: In case of acute diabetes, retina gets damaged and the eye starts producing new blood vessels on the iris resulting into an increased eye pressure. This condition often leads to Glaucoma due to blockage of fluid flow in the eye.
Eye Conditions: Myopia, multiple surgeries to the eye, blunt trauma etc. can lead to Glaucoma. A patient who has undergone any kind of eye surgeries suffers from inflammation. However, major inflammation is often found twisting blood flow in the eye resulting into Glaucoma.
If a patient is 40 or above: After a person reaches 40 years of age, a lot of diseases start cropping in to the body. Studies show that Glaucoma has a higher frequency in people who is more than the age of 40 or above.
High eye pressure: A patient with an eye pressure of above 21 mm HG is also at a very high risk of getting glaucoma. For a normal person the IOP lies between 10 to 21 mm HG.
Blood flow related disease: Diseases such as acute migraine, hypertension and low blood pressure which involves blood flow related problem often aggravate to glaucoma.
Ethnic Background: Statistics show that people from Afro American, Hispanics, Asian and Caribbean background have greater chances of being affected by Glaucoma.

Glaucoma - Are You at Risk?

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