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?

Cataract is generally associated with old age. However, in some unfortunate cases, children could be affected by cataract as well. A cataract can be defined as a cloudy or opaque layer that forms on the eye's natural lens that lies behind the iris and the pupil, leading to eventual loss in vision. Cataract can affect children in one eye or both eyes.

Cataract can be a congenital birth defect or can develop as the child grows older. The latter case is known as pediatric cataracts. The exact cause of cataracts in children is not known, but it has been associated with a number of genetic disorders, low birth weight and infections during pregnancy. Traumatic events such as an injury to the eye can also cause cataracts.

The earlier a cataract is diagnosed and treated, the better it is. It is easier to identify a cataract that affects both eyes than a cataract that affects only one eye. If a congenital cataract is not treated in time, the part of the baby's brain used for sight may not develop properly. Hence it is crucial to recognize cataract symptoms.

Here are a few you should look out for:

    Not looking directly or responding to large, colourful objects.
    Not being able to find small objects while crawling.
    Excessive squinting or shielding their eyes to bright sunlight.
    Eyes that do not focus on the same point.
    White reflex instead of a red reflex in photographs.
    Uncontrolled movement of the eye.

Cataracts that are too small to affect sight can be treated with eye drops to dilate the pupil. However, this provides only temporary relief. Surgery is the most preferred form of cataract treatment. This surgery can be performed even in the first few weeks of a baby's life. The child is put under anesthesia and a microsurgical instrument is used to break the lens into small pieces and remove it.

This surgery is followed by the use of lenses or glasses to help the eye regain its power to focus again. In some cases, the lens may be implanted to replace the natural lens. In cases where cataract affects only one eye or one eye is more severely affected than the other, there may be a tendency to develop amblyopia or lazy eye syndrome. In such cases, it becomes necessary to patch the good eye shut and stimulate vision in the eye that has undergone surgery.

Cataract in Children

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! 

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?

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

If your eyes suddenly look reddish and feel extremely itchy, you may be suffering from allergic conjunctivitis. Allergic conjunctivitis is triggered by exposure to allergens like pollen or mold spores. An allergy to eye drops or contact lens solution can also trigger this condition. Allergic conjunctivitis is a very common health condition and more common during the hay fever season.

There are two types of allergic conjunctivitis; acute allergic conjunctivitis and chronic allergic conjunctivitis. Acute allergic conjunctivitis is characterized by the swelling of eyelids and intense itchiness and burning. Amongst the two, this is a more common condition. Chronic allergic conjunctivitis can occur during any season and has symptoms that come and go. It is a milder response to allergens such as dust, food, pollen, chemical scents etc.

On presenting the symptoms of conjunctivitis to a doctor, he may ask for an allergy skin test, a blood test or a scraping of the conjunctival tissue to understand the type of conjunctivitis you are suffering from. Allergic conjunctivitis can be treated with a combination of medication and home care.

Antihistamines are the most common form of treatment for this disease. This can reduce and block the release of histamines in the body. Artificial eye drops may also be used to create a screen over the eye and prevent the eye from coming in contact with the allergen. Eye drops may also be used to shrink swollen blood vessels in the eye. Steroid eye drops may also be used along with anti inflammatory eye drops.

Home care to treat allergic conjunctivitis focuses on preventing the trigger. Today, apps on your phone can update you n the pollen levels in the air. Close your windows every time you notice a higher than normal pollen count and keep your home as dust free as possible. You could also use an air purifier in your home. Also, avoid exposure to strong chemicals, dyes, perfumes etc.

To avoid the condition from worsening, avoid rubbing your eyes and wash your hands every time you touch your eyes. Disinfect your towels, sheets and pillowcases that come in contact with your eyes every few days with hot water. Wash eyes with cold water twice daily especially after coming home from outside. Do not share your make up or brushes with other people. This is a healthy habit to follow even when you are not suffering from this condition. While you suffer from pink eye you should also not wear contact lenses. Once the eye has healed, discard the old lenses and replace them with a new pair.

Allergic Conjunctivitis - How It Can Be Treated?

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