Ever noticed spots or strands that  float  into your line of vision. These are known as floaters. In most cases, they do not affect your vision, but can cause a lot of discomfort. Thus, in most cases they do not require treatment unless they affect your vision significantly. Floaters are more likely to stand out when looking at bright objects or something like a clear blue sky. Moving your eyes can shift the fluid in your eyes and move these floaters out of your line of sight.

Dust particles entering and irritating the eye should not be confused with floaters. Floaters can be described as flecks of a protein called collagen. These flecks can be seen when they are loosened from the back of the eye known as the vitreous. This can happen at any age but is more likely to affect people between the ages of 50 and 75. Being near sighted or suffering from cataract also increases your risk of seeing floaters. In rare cases, it can also be triggered by a disease in the eye, an injury to the eye, tumors or crystal deposits in the back of the eye.

Noticing the odd floater is not something to worry about. However, if you notice a sudden increase in the number and frequency of floaters in your eye, see flashes of light, have pain in the eyes or experience a loss of side vision, consult a doctor immediately. This could also be a sign of a more serious condition like a detached retina that requires immediate medical attention. Excessive floaters can be removed through a surgery known as a vitrectomy or laser vitreolysis. A vitrectomy involves the removal of vitreous gel from the middle of the eye and replacing it with silicone oil or a gas bubble. The surgery last 2 or 3 hours, but you may require an overnight stay in the hospital.

Laser vitreolysis is a more recent form of treatment for this condition. This pain free procedure involves the projection of a laser beam into the eye that focuses on large floaters to break them apart or vaporize them. This procedure can be performed as an outpatient and is considered safer than a vitrectomy. The form of treatment suited to a person will depend on a number of factors including their age, what the floaters look like, where they are located and the frequency of their appearance.

Eye Floaters - When Should You Consult A Doctor?

An eye allergy or allergic conjunctivitis is a condition that strikes when certain substances irritate the eyes, which can cause a reaction. This reaction has varied symptoms starting from inflammation to watering and even redness and an itching sensation. So how can you tell if you have an eye allergy? this article will tell you all you need to know!

Causes: to begin with, this is an immune response that happens when the eye comes in contact with substances like dirt, grime, pollutants, pollen, nettle, pet hair, smoke, mold and more, which may cause irritation. These are typically known as allergens. The immune system takes these allergens to be invaders and begins attacking the same by releasing chemicals that cause these allergic reactions. Also, an eye allergy may be a symptom or outcome of other conditions like asthma, hay fever, or even eczema.

Symptoms: the eye usually bears a pink or red appearance when the patient is suffering from an eye allergy. Also, watery eyes are a common sight during this condition while scaling around the eyes may also take place. Further, itching and burning sensation may be felt by the patient and swelling or puffiness can be seen. The symptoms may afflict one or both eyes. The patient may also have a runny nose or stuffy nose as well as nasal congestion.

Difference between eye allergy and pink eye: conjunctivitis or pink eye is usually caused due to bacteria or a virus that spreads infection in the eye. But eye allergy is caused due to a response of the immune system that leads to an allergic reaction. While the pink eye may be a contagious condition, an eye allergy is not.

Diagnosis: the diagnosis of an eye allergy will be done with the help of various tests conducted by an ophthalmologist. The skin prick test will help in introducing allergens to find out if the spot gets raised or suffers from inflammation. Also, the doctor will check for other ailments like asthma and eczema.

Treatment: there are varied methods of treating this condition. To begin with, the doctor may prescribe medication like decongestants and antihistamines as well as steroids for more severe and persistent cases. Also, injections may be prescribed in order to do away with the allergic reaction and eye drops containing olopatadine hydrochloride may also be used.

Home remedies: staying away from allergens and using a warm and clean washcloth over the eyes, for a few minutes every day, may help in relieving the painful symptoms of the condition.

Do not forget to consult your doctor before you try any natural or home based remedies.

Are You Suffering From Eye Allergy?

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?

Eye twitching, tics in the eyelids and spasms in the eye are pretty common. In case of eye twitching, usually the lower eyelid becomes involved. The upper eyelid may also twitch in certain cases. Twitches are not permanent in nature, and they leave after some time. In some cases, eye twitching may last for long durations of time such as weeks or months.

Eye twitching is not a critical medical condition. It is a temporary prickling and irritation in the eyes, which ceases after some time. Common twitching of the eyes is not related to any neurological disorder.

Here are some reasons which cause eye twitches-

Stress
Every individual goes through some amount of stress, and the body reacts differently in different people as a result of stress. An eye twitch may be caused due to stress, especially related to strain in the eyes.
In order to reduce stress you should practice yoga, meditation, perform breathing exercises and take a break. Reducing the stress would also cease the twitching in the eyes.

Tiredness
Eye twitching can appear when you are fatigued or very tired. Lack of proper sleep makes your body tired, and this might trigger eye twitching.
You should improve upon your sleeping hours and sleep more.

Eye strain
Vision problems and any issue related to the eyes can cause stress, which may result in constant twitching in your eyes. Whenever too much stress is imposed upon your eyes, they tend to react and twitching occurs. Any problem would make the eyes put in more effort, which results in strain.
You should have an eye check up if you experience an eye strain accompanied by twitching sensation in your eyes.

People who use computers, laptops, tablets and smartphones for a profuse period of time experience pain and twitching in the eyes. There is a 20-20-20 rule to be followed while using such devices, which reduces eye strain and reduces itching or twitching. You can also avail special eyeglasses for people who spend a lot of time on computers.

Caffeine
Intake of an excess amount of caffeine leads to eye twitching. Cut down your doses of coffee, tea, dark chocolates and soft drinks in case of eye twitching and you may observe an easing in the twitching.

Alcohol
Alcohol also leads to eye twitching so you must abstain from alcohol in case you are having twitching in the eyes.

Dry eyes
This disorder develops in people who have crossed the age of 50. People who use computers a lot also develop dry eyes, which leads to eye twitching.

Our eyes twitch because of a lot of reasons. You should know the facts right and avoid situations that lead to eye twitching.

Why Our Eyes Twitch?

The most common vision problems are shortsightedness and farsightedness. Shortsightedness is when a person sees close objects clearly while distant objects appear blurry. It is more common than farsightedness and affects about 70% of the Asian population.

When there is a refractive issue, the prescription usually has a plus/minus with it and also a number. A  minus  symbol is used to represent shortsightedness; the greater the number of the glasses, the higher the shortsightedness. High myopia is a more severe form of shortsightedness where the power is -6.0 or higher.

Symptoms: 

As mentioned, the person will be able to see nearby objects but will have difficulty seeing far off objects.

Difficulty reading signs and boards
Squinting
Straining to reduce the strain on the eye
Tired and fatigue due to this eye strain, especially when in constant move like playing sports or travelling
How it happens?

Vision can be explained by a physical process where light passes through a lens and falls on the retina in the posterior portion of the eye where it forms an image. This is then sent to the brain where it is read and interpreted as a particular object. When the lens becomes elongated, the image that is formed is distorted in that it is formed in front of the retina and not on the retina. Though it gradually settles down with adulthood, in most cases, it progresses and requires corrective lenses. The corrective lenses ensure the image falls on the retina and visual perception is improved.

Treatment:

Corrective glasses are the most commonly used measure for nearsightedness. The lenses could be used either as spectacles or as contact lenses.
Laser surgery can also be used to correct the problem. A thin layer of the cornea is removed and the image formation is corrected.
Artificial intraocular lenses are also being used to treat this condition. They work like contact lenses and may need periodic replacement.
The most common technique, especially for high myopia is the use of surgery to correct the problem. This is a one-time correction and is a more durable solution than the earlier mentioned options.
Appropriate calculations are done to identify the lens to be used so that proper vision is restored.
Complications: 

Though not common, retinal detachment and variable postoperative refractive error can occur during the surgery.
It is very important to set realistic expectations with the patient in terms of what to expect before, during, and after surgery. If only one eye is going for repair, the chances of mismatch in vision could be present in the early stages. Being clear about what to expect will help in successful correction.

Myopia or Nearsightedness - How It Can Be Treated?

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

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