Are you losing your sight day by day? Does it make difficult to see you at night? Is this the onset of Blindness? Get to know about Retinitis Pigmentosa with these tips.

What actually is Retinitis Pigmentosa? 
Retinitis Pigmentosa (RP) refers to a group of diseases, which causes a slow, but progressive vision loss. It is a genetic disorder that affects the ability to respond to light.This inherited disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision and eventually results in blindness.

Causes:
Retinitis pigmentosa is often hereditary (runs in families). If you or your partner has retinitis pigmentosa, there may be up to a 50 percent chance that you will pass it on to your children. Ask your ophthalmologist about genetic counseling if you are planning to have children.

Symptoms:
1. Slow loss of vision
2. Beginning of decreased night vision
3. Loss of peripheral vision
4. Difficulty in identifying colours

Diagnosis:
If you have poor night vision or a loss of side vision or if there is a history of retinitis pigmentosa in your family, your ophthalmologist will conduct a comprehensive eye exam to determine if you have retinitis pigmentosa. Your ophthalmologist will dilate your eyes to look at the back of them for signs of disease.

Treatment:
Currently there is no known cure for retinitis pigmentosa. However, research has shown that vitamin A palmitate may slow the progression of certain forms of RP. Your ophthalmologist can advise you about the risks and benefits of vitamin A palmitate and how much you can safely take. Taking too much vitamin A palmitate can be toxic, and evidence of vitamin A palmitate effect on RP progression is not substantial.
Another recommendation for slowing vision loss from RP is to wear sunglasses to protect your retina from harmful ultraviolet (UV) light.

Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.

Retinitis Pigmentosa: What You Should Know About It?

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?

Eye allergies are characterized by red and itchy eyes which may result from various allergens coming in contact with the eye. Eye allergies can cause swelling of the eyelids, redness in the eyes and may also lead to conjunctivitis. Conventional treatments prescribe eye drops containing chemicals that may aggravate the condition.

Homeopathy-the best natural treatment for eye allergies-

The allopathic system relies mainly on steroids and anti-allergic medicines for the treatment of allergic conjunctivitis. Even  then, it is unable to cure the allergy. It only ends up controlling it or keeping the symptoms under check. In homeopathy, the intention is to completely cure the allergy. Homeopathy recognises that the immune system of the body sometimes overreacts to some seemingly harmless things. This overreaction of the body is the root cause of problem. 

Therefore, it tries to correct the immune system. In this the medicines that are used by homeopathy are perfectly natural medicines. None of the medicines are chemical in nature. They are made from natural sources like plants or fruits or vegetables or minerals. The basic material is further diluted by a special mechanism which reduces the content of the original matter while increasing its latent healing powers. That is why these natural homeopathic medicines do not have any side effects.

The homeopathic remedies for eye allergies are:

1. Euphrasia

This remedy is used to treat allergies which cause watery discharge from the eyes and which tends to have burning sensation on the skin. The condition tends to aggravate during the evening and in closed spaces.

2. Argentum nitricum

Argentum nitricum is used to treat eye allergies which show symptoms such as aversion to bright light and conjunctiva swelling. The symptoms may be accompanied by gas in the abdomen.

3. Ruta

This is an effective remedy for allergic conjunctivitis where you may experience a constant feeling of something being stuck in the eye. There may also be swelling in the eyelids, redness and continuous watery discharge.

4. Pulsatilla

Pulsatilla is recommended if symptoms such as itchy eyes, yellowish discharge from the eyes and swelling of the eyelids are present. Hot and humid climatic conditions tend to aggravate this.

5. Apis Mel

Apis Mel is another homeopathic remedy that is used to treat eye allergies. Symptoms such as swelling of the eyes, burning sensation and intense pain in the eyes are very common. The symptoms are aggravated by hot weather conditions and direct exposure to the sun.

Eye Allergies - Know The Homeopathic Treatment For Them!

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?

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

Bloodshot eyes aren't exactly the best feature of a person! When a person's eyes are bloodshot, it is quite easy to 'see' that something is wrong! Eyes are possibly the most delicate organs of the body, and are all the more vulnerable to infections such as 'subconjunctival haemorrhage'. However, as dour as such terms may sound, there is a lot which really should be known about them!

The eye has a thin layer which goes by the name of the conjunctiva, which covers a part called the sclera. Many a times, especially in the case of children, if an injury unfortunately occurs in the eye, there are chances that it may form subconjunctival haemorrhage.

The reason why this occurs is that there are some of the very small blood vessels in a person's eye break. The reason for this, apart from an injury could also be on account of a sudden increase in the blood pressure of the person. This usually takes place due to some very strenuous lifting exercise but also can occur due to laughing or sneezing!

The occurrence of a subconjunctival haemorrhage can also be closely linked to the consumption of pills which thin the blood such as aspirin.

Treating Subconjunctival Haemorrhage

Now, considering the fact that such a haemorrhage has the potential to look quite scary, it may be natural for a person to react proactively. However, in many cases this is not required at all. As a matter of fact, the issue clears up within a couple of weeks at the maximum and a week and a half, on average. If this does not happen to be the case, it is a signal that a medical professional should take a look at the patient's eye.

In many instances, a person may not even get to know that he or she is suffering from a subconjunctival haemorrhage as there is no effect on the vision of the person and he or she would probably get to know that this is the case by taking a look in the mirror or being informed of his or her eye looking red.

In order to treat a subconjunctival haemorrhage in an effective manner, the first thing to be done by a person is to avoid any medication which could be causing it. Also, it is quite important not to rub one's eye as this really does slow down the healing process.

Artificial tears help soothe the eye but they do not hasten the rate of repair. A subconjunctival haemorrhage may occur, but if a person follows the right steps, his or her vision can consistently remain 20/20!

All About Subconjunctival Haemorrhage

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