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!

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma-

A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination.

Tonometry may also be performed:Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision. 

Symptoms that will help a doctor identify this condition in people:-

A loss of peripheral vision is experienced in the early stages of glaucoma.
A person may see halos when in the presence of bright lights.
Your eyes could turn red.
Hazy or blurry vision is a problem faced by young children affected with glaucoma.
Glaucoma could be accompanied by headaches and eye pain.
An affected person might repeatedly feel nauseous.
Ways to Treat Glaucoma:-

Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy.

Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes.

Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Diagnosis and Treatment for Glaucoma

Tip for eye care

This is the worst time of the year, for your eyes. Pollution from firecrackers, smog due to weather change and generally ever increasing vehicular pollution adds up to be the worst for your eye health. 

Protect your eyesight and take care of your eyes by following these simple daily eye care tips.

1. Eat Well: Protect your eyes from within. Eat for good vision. Eat foods that have various nutrients such as omega 3 fatty acids, zinc and lutein, vitamins A, C and E to keep eye problems at bay. Green leafy vegetables, salmon and other oily fishes, eggs and nuts, orange and citrus fruits are great for eyesight.

2. Quit Smoking: For better eye-care leave smoking. This simple activity can make you likelier to get optic nerve damage, macular degeneration and cataracts.

3. Have eye-care routine: Most of us don’t have an eye care routine, which is essential for keeping them fit. So, develop a good eye-care routine. In this routine, practice eye exercises, focusing eyes on a point far away to promote muscle development. Clean eyes everyday with fresh, clean water to reduce eye mites and other problems.

4. Wear Sunglasses: Wearing sunglasses on a regular basis will protect eyes from UV rays and ensure protection. This will help in reducing the chances of getting cataracts and developing macular degeneration.

5. Use Safety Wear: It is important that you regularly wear safety wear problems. For instance, for sports, wear eye protection products, sports goggles or protective face masks.

6. Look away from computer: A lot of us use computers too much for work and recreation. Now is the time to look away from it. Staring at the computer for long can cause eyestrain and blurry vision, trouble focusing at a distance and result in dry eyes as well as neck and shoulder pain with headaches. So, take regular breaks from that computer.

If you would like to consult with me privately, please click on 'Consult'.

Doctor's Advice On How To Keep Your Eyes Safe This Diwali

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

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

An inflammation resulting in the formation of a thin layer inside the eyelids or the white part of the eyeball is known as pink eye or conjunctivitis. This condition turns the eye ball into pinkish color, hence the name. Based on the severity of the infection, either one or both eyes get affected.

What are the common symptoms?

Medium to heavy swelling of the eye
Eye crusting after sleep
A burning sensation
Irritation, itching or blurred vision
Redness and increased sensitivity of the eye
Different kinds of conjunctivitis:

Allergic Conjunctivitis: This is the type of conjunctivitis that results from eye irritants such as animal dander, dust particles and pollen. This is not infectious in nature. Treatment prescribed by ophthalmologist includes eye drops and non-steroidal medications. It is advised to keep the eye moist till it gets cured.
Viral Conjunctivitis: As the name suggests, this kind of conjunctivitis is caused due to a viral attack. Sadly though, antibiotics don t work and there is no particular medication for this type of conjunctivitis. Like common cold, viral conjunctivitis runs its course in a span of 1-2 weeks. Since virus is contagious, it is necessary to ensure that the microbes don t spread. Some common prevention measures are listed below:
Eye cosmetics should be abandoned till the conjunctivitis is cured
Hands should be frequently cleaned
Hand and eyes should not be in contact
Frequent change of pillow covers, towels and clothes
Swimming should be completely avoided
Spectacles in place of lens should be used until advised otherwise by a medical practitioner
Bacterial Conjunctivitis: This kind of conjunctivitis is caused by the streptococcal bacteria and has potential to cause real damage if proper medication is not taken on time. This is highly contagious. Prescription often includes antibiotic drop and ointments. The medication is prescribed for 2-3 weeks depending on the level of bacterial spread in the eye. It is very essential to complete the full course of medication to avoid recurrence. Prevention measures as stated above should be strictly followed.
Chemical conjunctivitis: Eye irritants such as chlorine cause this conjunctivitis. Frequent swimmers often get affected by this type of eye infection. Topical steroids are prescribed to cure this kind of infection. Immediate medical attention is required to avoid lasting injury to the eye.
How to prevent pink eye?
While prevention is the best way to refrain from conjunctivitis, some basic hygiene checks are very important. Here is a list of must do s:

Do not share personal items such as combs, towels and toiletries.
Stay away from a conjunctivitis infected patient
Using of goggles while swimming
Frequent usage of hand sanitizer and hand wash

Pink Eye - How You Can Prevent It

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