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?

While spectacles are a fashion statement for some people, for others they are an uncomfortable necessity. Though contact lenses may be a little more aesthetically pleasing they too can be quite uncomfortable and cannot be worn throughout the day. Thankfully, there is a third way to correct vision. Laser surgery or LASIK, it is a popular refractive procedure that can correct common vision problems, such as nearsightedness, farsightedness and astigmatism. This procedure aims at reshaping the cornea so that light entering the eyes can be focused onto the retina for the person to have a clearer vision. 

Laser surgery is pain-free and quick in most cases. Usually, it does not take more than 15 minutes to correct vision in both eyes. The results of this surgery can be seen in as little as 24 hours. 

The first step of laser surgery to correct vision is to create a thin, circular flap in the cornea. This is then folded back to access the stroma or underlying cornea. An excimer laser is then used to remove some of the corneal tissue. For people suffering from nearsightedness, the cornea is flattened while for people suffering from farsightedness, the cornea is made steeper. In cases of astigmatism, an irregular cornea is smoothened. Once the correct gradient has been achieved the corneal flap is put back into place and the cornea is allowed to heal naturally. There are no stitches or bandages required in a laser eye surgery. You may feel a temporary burning or itching sensation in your eyes immediately after the procedure. It is important not to rub your eyes or place any pressure on them. Your vision may also be cloudy or blurred for the first few hours. A doctor will usually advise you to rest for a few days after the surgery so that your cornea can heal properly. In a few days, your eyesight should stabilize, though, in a few rare cases, it may take a little longer. You should also avoid any form of strenuous exercising for a few days after the surgery. 

Though LASIK surgery has a very high success rate, there are very rare occasions where spectacles may still be needed even after the surgery. Thus LASIK is a choice of treatment for many who seek freedom from glasses.

LASIK - Say No to Boring Glasses! 

The quality and sharpness of vision are generally measured with a Snellen chart. The Snellen chart shows letters of logically smaller size. Perfect vision is 20/20. This implies the patient or subject sees the same line of letters at twenty feet that a typical individual sees at twenty feet.

Here are a few doctor recommended tips that can be followed in order to achieve a perfect vision. These are as follows:

1. Eat right for good vision
Taking good care of your eyes begins with the food that you eat. Foods, for example, fatty acids, lutein, zinc and vitamins C and E may avert age related vision and eyesight problems, for example, macular degeneration and cataract as shown by certain studies. Eating these foods daily can lead to healthy eyesight. Following are some of the nutrients that can help us do so:

    Green vegetables, for example, spinach, kale, and collards
    Salmon and fish
    Eggs, nuts, beans, and other non-meat protein sources
    Oranges and different citrus natural products or juices
    Shellfish and pork

2. Quit smoking
Smoking makes you more inclined to get cataract, optic nerve damage and macular degeneration. The more times you attempt to stop smoking, the more probable you are to succeed.

3. Wear shades
The right sort of shades will shield your eyes from the sun's bright (UV) beams. An excess of UV exposure makes you more inclined to get cataracts and macular degeneration. Pick shades that piece ninety nine to hundred percent of both UVA and UVB beams. Wraparound lenses shield your eyes from the side. Spellbound lenses diminish the glare when driving. Some of the contact lenses come with UV protection as well. It is still a smart thought to wear shades for more protection, however.

4. Turn away From the Computer Screen
Gazing at a computer screen for a really long time can bring about eye strain, foggy vision, trouble focusing at a distance, dry eyes. The muscles around the eyes can start getting weak and painful if given too much strain. Turn down the screen brightness. You need to at present have the capacity to see, however, you should not feel like you are gazing at a very bright light. In case you are reading from the computer, use the zoom capacity to make the content bigger.

5. Pencil exercise
Take a pencil, and place it some place in the centre. Draw a letter, number or dot in on any side of the pencil. For this activity, you will concentrate on the pencil and the spot as you move it toward and far from your eyes. Pencil push-ups are rumoured to correct twofold vision and crossed eyes, yet it cannot hurt to attempt them for different issues since it is free, easy, and just includes focusing and refocusing your eyes. 

How to Have the Perfect Vision? Doctor Recommended Tips

A person is said to have great vision more in the metaphorical way than in the literal sense. However, having both is just so important, especially as the ability to see reduces as a person gets older. Old age comes with its own set of problems, and vision loss is one of them. If kept in check from an early age, however, vision loss can be deferred indefinitely.

While a person's eyesight is likely to deteriorate over the course of his life, there is a lot which can be done in an effort to make sure that this is not the case. To start with, it makes good sense to be regular with eye check-ups. After a person attains the age of sixty, he or she should have a doctor take a look at his or her eyes on a yearly basis. There is no point trying to conserve eye sight if a person is too late in taking corrective action. By paying a visit to the ophthalmologist, a person will get to know the exact problem that he is suffering from.

A good diet which is rich in the nutrients which improve a person's eye sight does go a very long way in the long run. A person should make sure that is diverse enough to take care of the needs of a person and should include grapefruit, strawberries as well as berries and nuts.

One of the main things which can be done in order to preserve the health of a person's eyes until he or she reaches an advanced age is to stop smoking in all forms. As a matter of fact, tobacco leads to cyanide entering the blood stream and this does a lot of damage to the eyes. In fact, quite a few irreversible conditions of the eye are caused due to this.

Exercise is said to be good for a person at any age for a variety of reasons and it is really good for even the eyes, though the link may not be immediately so clear. It reduces the risk of age related degeneration by up to 70 per cent!

What is really interesting about a person's eyes is that they can be signs of trouble in other parts of the body. For example, if a person has blurry vision, they should get checked for diabetes. Also, eyes which do not produce enough natural lubrication can show a risk of rheumatoid arthritis and perhaps even thyroid disease.

All in all, a person's eyesight is so crucial to his or her overall health and wellbeing. We have only one pair of eyes, so we might as well take care of them!

Tips to Prevent Vision Loss in Elderly People

People may suffer from visual impairment even though their eyes are perfectly normal. Such loss of vision may result from neurological impairment.

Vision is the combination of image formation and perception of various attributes of the image by the brain. When the brain is not able to perceive images or various attributes of images, the patient may suffer from neurological impairment of vision. Such impairment owes its origin to the nervous system.

Causes of Visual Impairment:

There are various areas in the brain that process some or the other attribute of the image that has formed on the retina. Occipital cortex, the area situated at the rear side of the brain is a very important site. It is responsible for processing visual stimuli and allowing people to make an idea about shape, distance, movement, color, etc. The severity of loss of vision depends on the extent and location of damage in the brain.

Neurological loss of vision may result from acquired brain injury, difficulties with visual perception, impairment in coordination of the eyes, etc. All these may stem from damage areas in the brain that are responsible for vision. There are many areas in the brain that are responsible for vision.

These areas can get damaged from various accidents like:

Stroke: If a person suffers a stroke, a part of his or her brain is likely to get damaged due to a haemorrhage or a blocked blood vessel.

Traumatic Brain Injury: A traumatic brain injury such as in a car accident or a violent fall can damage visual perception of the brain.

Infections: Infections such as meningitis attack the brain and may impair various areas of it.

Lack of Oxygen: People may suffer from lack of oxygen if they experience accidents like a near-drowning episode or a heart attack or something else, which has the effect of interrupting blood flow to the brain.

Diseases: Diseases such as brain tumors, multiple sclerosis etc. can precipitate neurological vision loss.

Symptoms of Visual Impairment:

Symptoms of neurological vision loss depend on the type of vision impairment and the location of damage in the brain. It may include:

Blurry vision: In Blurry vision, a person will not see things clearly or may see something in light but find it difficult to see them in dim light.

Double vision: In double vision, the patient sees a single object as two and cannot merge them as one.

Problems with depth perception of objects

Problem with bright light: In this type of problem, a person experiences difficulty seeing an object in a bright light. One may also feel pain or discomfort in the eye in bright light.

Difficulty with interpreting the object the person is looking at

Partial loss in the visual field: In this problem, half of the visual field in each eye is missing.

Treatment of Visual Impairment:

There is hardly any treatment for such vision loss since the rectification of visual acuity is of no help. Depending on the location and degree of neurological impairment, vision may improve over time. Some children with acquired brain injury or impairment in the coordination of the eyes and difficulties with visual perception also tend to improve with age.

Conclusion:

This is a type of vision loss where glasses, contact lenses, surgeries, or eye drops are not going to help. Such vision loss is usually permanent. Children with similar symptoms need to be presented with pictures, bright light, etc., which may help to form an idea about the object.

Visual Impairment Related To Nervous System!

Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following  

Clouding of normally transparent eye structures

Abnormalities in the retina

Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy. 

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one s career   you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways  

Helps individual understand and accept the disability, and find ways to cope with it

Motivates them in to keep trying

Cope with the pain and depression

Overcome feelings of fear or despair

Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 




Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

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