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?

Macular Degeneration is a condition in which the central part of the retina degenerates. In this condition, the posterior part of the eye, retina, is affected.

The central part of retina, macula, is associated with the central vision in the eye. The macula is responsible for controlling various abilities, such as distance perception, perceiving faces and colours, and identifying fine details of the objects. When this central part degenerates, the person slowly loses the ability to see clearly.

Such a condition can be treated with ayurvedic remedies.

Cause

The main cause of macular degeneration is the damage to the macula, the central part of the retina. This reduces the person s ability to have a clear vision. This condition progresses with time and can result in complete blindness.

Type of Macular Degeneration

Macular degeneration is of two types:

Dry Macular Degeneration: In this condition, there is a change in the pigment of the macula. Moreover, small piles of waste products generated by cells also appear on the retina. These tiny waste piles deteriorate the retina over time. Among people affected by macular degeneration, almost 90 percent of people have  dry  macular degeneration. This condition is also called non-neovascular AMD (age-related macular degeneration)

Wet Macular Degeneration: In this condition, new blood vessels begin to grow behind the retina in the choroid layer. That is why this condition is also referred to as Choroidal neovascularization (CNV). These new blood vessels are weak and begin to leak fluids, blood, and lipids (parts of cell structure). These leaks get into the layers of the retina and macula that results in scar tissue. Since wet macular degeneration is caused by leaking of fluids from newly formed blood vessels, it is also called neovascular AMD.  

Treating Macular Degeneration with Ayurveda

In Ayurveda, there are several types of herbal medications that ensure improving the vision quality and enhancing the overall quality of life of the patient.

Some of the eye supplements for macular degeneration is Ayurveda are:

Triphala Guggulu: One of the most effective herbs in Ayurveda, it has an antioxidant effect that protects the eye against free radicals and treating macular degeneration.

Shilajeet (Asphaltum): This herb is associated with anti-aging properties. It restricts the degenerative process in the eye that result due to the advancing age.

Ashwagandha (Withania somnifera): For managing macular degeneration in India, this herb is used to regenerate macula and helps in restoring the vision.

Giloy (Tinospora cordifolia): This herb protects the eyes from free radicals and prevents blindness due to macular degeneration.

Amalaki (Phyllanthus emblica): It is a source of vitamin C that prevents the deterioration of the retina and macula.

Take Away

Macular degeneration is caused due to the deterioration of the central part of the retina. It is caused either in the  dry  form or  wet  form. Dry AMD is common in people. Ayurveda can help in regenerating and restoring the functioning of retina and help is improving overall vision.





Macular Degeneration - Have Ayurveda For It!

LASIK stands for Laser In-situ Keratomileusis. This is a common eye surgery that helps in correcting vision problems. During this procedure, the cornea of the eye is cut across by a medical expert to raise the tissues and reshape them to correct vision. LASIK is suitable for patients who have shortsightedness, long sightedness or who suffer from astigmatism.

Here are the 5 benefits that a LASIK surgery offers:

1. Improved vision

A study reveals that 95% of the people who underwent this surgery achieved uncorrected visual acuity of 20/40 and 85% of the people achieved 20/20 vision. This procedure ensures that a patient achieves enhanced vision.

2. Quick results and recovery

This surgery enables you to return to your normal schedule immediately the day after the surgery. You can have clear and improved vision within a day.

3. Long- lasting outcomes

A minimum timeframe of 3 months is required for the eyes to adjust, after which LASIK results are permanently noticeable in a patient. No follow up procedures are required unless something wrong went with the surgery. The patient will continue to have improved vision unless there is any normal loss due to illness or aging.

4. No need of glasses

You no longer require glasses as your vision turns to normal post-LASIK surgery.

5. Goodbye contact lenses

LASIK surgery will help eliminate the need for contacts. You will be able to avoid all the problems pertaining to wearing a contact lens, including lens solution.

5 Benefits of Lasik Surgery

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!

Did you know that your vision is responsible for around 80% of you sensory input? your eyes are among the most delicate organs in your body. Long work hours in front of the computer and long study hours results in tired and sometimes irritating eye conditions. But help isn't too far. Before you head to the doctor, you can head to your kitchen to look for solutions. There are several home remedies that you can try to not only improve your eyesight but also get rid of glasses and rebuild your vision! here's how you can do it:

1. Exercise: Just like any other body part, your eyes need exercise too. Blinking your eyes rapidly for 5 seconds helps moisturize it. Similarly, cupping your eyes with you palms for 4-5 minutes triggers acupuncture points that helps the eye to relax. There are specific exercises to reduce eye strain, improve blurred vision and enhance reading. Do these as per the specific problem you are facing.

2. Take a break: Follow the 10-10-10 rule when you are on the computer for extended hours. For every half hour of work, take a 10 min break to look at something n a distance at least 10 feet away for 10 seconds. These becomes tricky if you are studying or working in a fast paced environment and easily forget to take breaks. Set alarms that help you know the time so that you can actively plan your breaks. To enhance break time, try to look at greenery during your 10 sec break which helps the eyes relax better. Splash your eyes with cold water to give them a fresh feel.

3. Yoga: Yoga and meditation relaxes your body and mind. It is also a great way to relax your eyes as you get to close them and give them rest. When you close your eyes, you shut out a big chunk of sensory inputs helping your body go from an active reaction mode to a passive action mode.

4. Eat for your eyes: Make sure you add your weekly quota of vision enhancing food in you diet. Carrots which are rich in beta-carotene and vitamin a are great for the eyes. Similarly grapes and blueberries work great to improve your night vision. Green leafy veggies, garlic, shallots, eggs and onion all contribute in keeping your eyes healthy and strong. Cold water fish rich in DHA is an another great food that helps reduce dry eyes and muscular degeneration.

5. Change your lifestyle: Other than exercise and proper nutrients, you need to ensure you get a shut eye for six to eight hours every day to let your eyes fully rest and rejuvenate. As always drink 6 - 8 glasses of water. And don't forget to get regular eye check ups especially if you are a diabetic or have other health conditions that adversely affect your eyes.

Natural Remedies For Better Eyesight

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?

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