Glaucoma is a serious eye condition in which the optic nerve gets damaged and the situation gets worse over time. If untreated, individuals may go permanently blind. Most individuals, with glaucoma, have no previous symptoms or warning signs of this disorder and this is the reason why it is important to have regular eye check-ups.

Causes of glaucoma
Eyes have a liquid called aqueous humor. This fluid flows out of the eyes through mesh like channels for proper lubrication of the eye. However, there can be situations in which these channels may get blocked. In such a case, there would be a build-up of this liquid, thereby causing an increase in fluid pressure. This is usually a major cause of glaucoma. Although there has been no elaborate evidence of what exactly causes this blockage, doctors have noticed that this can be inherited.

Other less common causes include:

Any sort of blunt injury or chemical injury to the eye
Blocking of blood vessels inside the eye
Other inflammatory conditions
Improper eye surgery
Types of glaucoma
There are mainly two kinds of glaucoma than can occur:

Open-angle glaucoma: This is the most common kind of glaucoma and is also called wide-angled glaucoma. In this kind, the tubular meshwork through which the liquid flow occurs is normal. However, the fluid flow isn t the way it should be.
Angle-closure glaucoma: This is also known as acute glaucoma or chronic angle closure. In this case, the liquid is not able to drain properly because of the angle between the iris and the cornea being too narrow, thus causing the iris to be in the way. This can cause a sudden build-up of pressure, thereby leading to chronic glaucoma.
Facts about glaucoma

This disorder usually has no previous signs or symptoms and occurs all of a sudden.
This disorder mainly affects individuals above 40 years of age.
Glaucoma can be inherited.
People with diabetes have chances of suffering from glaucoma.
If not treated early, it may lead to permanent blindness.
Symptoms of glaucoma
Usually there aren t many symptoms to warn people about this disorder. However, one of the first signs is definitely losing peripheral or side vision. Other symptoms might include

Chronic vision loss
Visibility of halo around lights
Narrowed vision
Glaucoma is treated by any of the three methods:

Prescription eye drops in order to reduce eye fluid formation, thereby resulting in outflow increase
Laser surgery
Microsurgery

Glaucoma - A Complete Guide on It!

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

The eye is a complex organ. It is made up of a number of different parts which together build a sense of image. Retina is a very significant part of the eye. It is this part of the eye that helps it project the image. The object image is ultimately created on this part of the eye. But it is also a very sensitive and delicate organ. There are many abnormalities that may affect the retina. Central Serous Retinopathy is one such abnormality.

This medical condition of the eye is precipitated when there is a buildup of fluid behind the retina. This leads to the detachment of the retina. The patient may experience gradual or even sudden loss of vision as the central retina gets detached.

The Retina and its Structure

The retina is a very important part of the eyes. It is a membranous structure where vision takes shape and is composed of several layers. It contains special photoreceptor cells that help in identifying color, vision, etc. There are different cells that help in central as well as peripheral vision. The central region of the retina is also known as macula. Retinal Detachment is a disorder of retina that can turn people blind or low in vision. Medical intervention is necessary to regain lost vision.

Symptoms of Central Serous Retinopathy

Patients need to be aware of the symptoms lest they should be caught completely unaware of it.

Objects may appear farther away than usual.

White portions of images may appear dull and lines may appear crooked.

Patients may experience blurry vision in the initial stages.

However, it does not always a precipitate symptom. If fluid buildup is not affecting the central vision area, the patient may not experience any deterioration in central vision. This is a perception that the central part is responsible for the central vision. He or she may experience a clear central vision, although there is a fluid buildup. Nevertheless, it may eventually push the central part and detach the retina resulting in Central Serous Retinopathy. Patients may experience a darkening or blurring of their central vision. This is usually limited to one eye. However, one may experience such problems in both eyes at different stages of life.

Risk factors

Though the contributory factors are not well known, it is thought that stressful lifestyles and some medicines can contribute to such ailments.

Treatment

Treatment may not always be required in all cases. Doctors may just ensure that built-up fluid is draining out. However, if fluid is not draining out, medical intervention is necessary doctors may go for treatments like photodynamic therapy, thermal laser treatment, or medications. Doctors may also recommend stopping steroids and bringing in lifestyle changes.

Conclusion:

People who notice any changes in their vision or experience pain or blurry vision should consult an Ophthalmologist as soon as possible. If a person is already suffering from any eye disease and experiences such symptoms, he/she should immediately seek medical attention without waiting for his/her next appointment.

In some cases, the fluid dissolves itself with no further medical treatment. However, if it does not, a variety of medicines and medical treatments are available.

Central Serous Retinopathy - What Should You Know?

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?

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!

Amblyopia or Lazy eye is the eye condition in which vision is reduced and cannot be corrected with glasses or contact lenses. All the images seen by the amblyopic eye are not fully acknowledged by the brain. It always affects only one eye, but may be accompanied with reduction of vision in both eyes. It can cause loss of vision, including loss of depth perception and two-eyed 3D vision. It's treatment can yield improvements at any age, but early detection can offer the best chances for a cure. Recent research has proven that lazy eye treatment can be successful in older children and adults. Comprehensive vision examinations are required for infants, toddlers, and pre-school children for the detection of lazy eye or amblyopia.

When the brain parts related with visual processing do not function properly, problems arise with such visual functions as the perception of movement, depth perception and fine detail (acuity, clear eyesight and sharp vision). Amblyopia is the most prevalent neurological defect of vision in children and adults resulting from developmental problems in the brain. Any interference with clear vision in either eye during the first six years or 'critical' period of visual and brain development can cause a lazy eye.

Constant strabismus or the constant turn of one eye in any direction, be it inward turn or crossed eye is one of common causes of amblyopia. The differences in vision or it's prescription between the two eyes leads to refractive amblyopia. Sometimes congenital disorders or a physical blockage of an eye due to trauma, drooping lids, cataract or a blocked tear duct can also lead to amblyopia. Many parents and children are not aware of any symptoms, as amblyopia usually occurs in one eye only and a lazy eye condition can exist without a noticeable eye turn. The visual acuity tests in addition to the 20/20 eye test charts and eye examination with cycloplegic drops by ophthalmologists are necessary to detect lazy eye.

Vision therapy for the eyes and brain is a highly effective non-surgical treatment for lazy eye. It is a progressive program of vision exercises customized to fit the visual needs of each patient. It is conducted at the clinic and occasionally supplemented with exercises to be done at home or workplace. It improve visual comfort, ease, and efficiency and change how a patient processes or interprets visual information. When considering treatment options, it is important to understand that lazy eye results from neurological deficit or problems in the brain and surgery for lazy eye is performed on the muscles on the outside of the eye. Most of the cases, lazy eye surgery provides cosmetic benefits and does not improve the patient's vision, hence options for vision improvement should be exhausted before eye muscle surgery is considered.

Lazy Eye or Amblyopia - Symptoms and Cure

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