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?

Eyeglasses and contact lenses are both used for vision correction. Both of the options have their advantages and disadvantages but a number of factors like lifestyle, comfort and age etc. are important while deciding which one to choose. Here is a list of the fundamental differences between using spectacles and using contact lenses:

1. Distance from the cornea
Lenses are worn directly on the eye and are in constant physical contact with the cornea while glasses are worn over the eyes. Contact lenses may cause infections in the eye because the user has to touch the eye in order to wear them and to take them off.

2. Difference in vision
Since the lenses of spectacles are a little distance away from the eye, vision can be slightly distorted but contact lenses can provide natural and accurate vision. Also, side vision is not improved by glasses as you have to turn your head to see what is beside you. The contacts move around with your eyeballs and the peripheral vision is in focus.

3. Ease of use
Some people find eyeglasses difficult to use because of the constant weight on the face and the obstruction caused by the frames of the glasses. There may also be a constant need to adjust the frames. Often eyeglasses slip down the nose when you sweat or engage in rigorous physical activity. Contact lenses are free from all these hassles - they are not distracting or obstructive and so they are extensively used by dancers and athletes. Spectacles is very uncomfortable to wear during the rains or in humid weather because they fog up.

4. Infections and complications
Contact lenses can get displaced inside the eye and they can be difficult to reposition. They also cause the eyes to itch and water if you wear them for a very long time at a stretch or if tiny dust particles enter your eyes. The use of eyeglasses is far more flexible in this respect - they can be removed in case your eye itches or burns, but regular use of glasses causes dark circles and bags under the eyes.

5. Aesthetic differences
People often prefer contact lenses as they do not change the physical appearance - they help you look natural and you can also use colored lenses to change the color of your eyes. Glasses may look slightly unnatural but some people also prefer them for the fashion quotient.

Lens Vs Specs

Glaucoma is a group of eye diseases characterised by damage to optic nerve usually due to excessively high intra ocular pressure (eye pressure). If left untreated can lead to optic nerve damage resulting in progressive, permanent vision loss. Glaucoma usually affects people above the age of 40, but can affect younger people as well. This condition causes fluid to build up in the eye, which puts pressure on the optic nerve. 

There are broadly two types of glaucoma - Open angle glaucoma ( more common in elderly) and angle closure glaucoma.
Women are more likely to suffer from glaucoma than men are. Ethnicity also plays an important role in determining the risk of suffering from this condition. East Asian and African Americans have a high risk of glaucoma, as they have a shallow, anterior chamber depth. Some of the other conditions that can increase a person s risk of glaucoma are:

Diabetes
Hypothyroidism
Myopia
An earlier eye surgery
Retinal detachment
Tumours
Injury to the eye
Long term corticosteroid medication
If diagnosed early enough, glaucoma can be treated and its effects can be reduced. However, the damage already caused by glaucoma cannot be reversed. The aim of glaucoma treatment is to either reduce the production of fluid in the eye or improve its flow. This helps slow down the progression of this disease and prevents any further loss of vision. Glaucoma treatment usually takes the form of eye drops or surgery.

Eye drops are the first step towards treating glaucoma. There are many different types of eye drops. Prostaglandin analogues aim at increasing the flow of fluid out of the eye and are usually prescribed in cases of swelling around the rim of the eyes, darkening of the iris and blurred vision. Beta-blockers can also help lower the secretion of fluids in the eye.

Patients who are also suffering from diabetes or lung conditions such as bronchitis may be prescribed cholinergic agents, carbonic anhydrase inhibitors or sympathomimetic drugs. Cholinergic agents help improve the outward flow of fluid in the eyes while Carbonic anhydrase inhibitors reduce fluid production in the eyes. Sympathomimetic drugs do both reduce the production of fluids and improve outflow.

If the eye drops are not effective, surgery may be advised to lower the pressure built up in the eye. Some of the common types of surgery for glaucoma are:

Trabeculoplasty: This procedure involves directing a high-energy laser beam into the eye to open clogged drainage canals. The surgery has high success rates but the problem may recur after surgery.
Filtering surgery: This involves creating an opening in the eye and removing a part of the trabecular meshwork, thus allowing fluid to flow outwards.
Drainage implants: Children or patients with secondary glaucoma may be treated with this surgery where a small silicone tube is placed in the eye to aid in fluid drainage.

Glaucoma - Factors That Put You Risk!

5 myths about eye health and the real facts behind them

Your eyes are an important part of your health. There are many things you can do to keep them healthy and make sure you are seeing your best. However, there are a number of myths regarding what you should do and what you shouldn't do when it comes to maintaining good eye health.

Here are 5 of those myths busted:

Myth #1: reading in dim light and sitting too close to the tv hurts your eyes

Fact: sitting too close to the tv, you may feel eye strain or get a headache from reading in the dark, but it will not weaken your eyes. It fatigues your eyes but does not harm your eye health in any way.

Myth #2: eating carrots will improve your vision

Fact: carrots are rich in vitamin a, a nutrient essential for good vision. But eating carrots will only provide a small amount of vitamin a. To get the optimum amount, you need to include other sources of vitamin a in your diet as well, some of which are milk, cheese, egg yolk and liver. Spinach is best for eye health. It has lutein and zeaxanthin, both of which can help prevent cataracts.

Myth #3: if you wear glasses or contacts for a continuous period, your eyes will weaken

Fact: your eyes will not grow weaker by using corrective lenses. The prescription may change over time due to aging or absence of disease but it has nothing to do with your current prescription. Some children have correctable eye problems that do require glasses to improve the condition.

Myth #4: when you get something in your eye, rub it out

Fact: this is not true for everything that gets in your eyes. If any particle falls in your eyes dust it off. But if it is sand and small debris that gets in your eye, don't touch it. Use an eye wash for flushing it out. If an object gets stuck in your eye, don't remove it or rub your eye constantly. Visit a doctor at the earliest because some serious injuries may seem minor at first.

Myth #5: dark sunglasses can protect your eyes from the sun

Fact: the color of sunglass does not ensure eye protection. Look for sunglasses that block both uva and UVB rays. Exposure to the UV-rays of sunlight can have cumulative effects on your eyes. It increases your risk for cataracts, solar retinitis, and age-related vision loss. Even if your contacts have UV protection, wear sunglasses that block 100% of uva and UVB rays for full protection.

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Sitting Too Close To TV Will Weaken Your Eyes? FALSE.

Astigmatism is a typical vision problem that occurs when the shape of the cornea is distorted due to injuries or other causes. With astigmatism, the lenses of the eye or the cornea curves. This irregular curve can change the way light refracts or passes through your retina. This causes hazy, fluffy, or twisted vision. Farsightedness and partial blindness are two different sorts of issues with the way light goes to your retina. Farsightedness is called hyperopia. Partial blindness is called astigmatism.

Types: There are two types of Astigmatisms. These are:

1. Corneal astigmatism
It happens when your cornea itself is distorted.

2. Lenticular astigmatism
Lenticular astigmatism happens when your lens is distorted.

Risks: Astigmatism can happen in youngsters and grown-ups. Your danger of creating astigmatism might be higher if you have any of the following:

1. A family history of astigmatism or other eye issues like dislocation of the cornea.
2. Scarring or diminishing of your cornea
3. Excessive partial blindness, which makes foggy vision at a separation
4. Excessive farsightedness, which makes hazy close-up vision
5. A past of eye surgeries, for example, cataract surgery (surgical expulsion of a blurred focal point)

Symptoms; The side effects of astigmatism include:

1. Hazy, Bended, Or Fluffy Vision At All Separations (Close-Up And Far Away)
2. Trouble seeing during evening
3. Lazy eye
4. Squinting
5. Irritation in the eye
6. Cerebral Pains

Diagnosis:

Visual Acuity Assessment Test

Patients are required to read letters from a graph at a particular distance to decide how well they can see the letters.

Refraction Test

A refraction test uses a machine called an optical refractor. The machine has various remedial glass lenses that are used to read an outline while looking through lenses on the optical refractor.

Treatment:

Keratometry

Keratometry is a route for your specialist to measure the bend of your cornea. They will do this by taking a look at your eye through a keratometer.


Corrective Lenses

Remedial eyeglasses and contact lenses prescribed by a specialist are the most well-known and least obtrusive solution for astigmatism.


Orthokeratology

Orthokeratology is a treatment that uses contact lenses to correct the deformation and flow of your cornea. You will wear inflexible contact lenses for certain time-periods. It is easier to wear them while you are sleeping and remove them during the day.


Surgery

Your specialist may suggest refractive surgery if your case is a serious one. This kind of surgery includes use of lasers or little blades to reshape your cornea. This will correct astigmatism permanently. The three basic surgeries for astigmatism are:

1. Laser in situ keratomileusis (LASIK)
2. Photorefractive keratectomy (PRK)
3. Spiral keratotomy (RK).

All these surgeries might carry some risks depending upon the symptoms of your problem. As innovation advances, it is very important for the patient to explore more options before choosing which refractive surgery is a good fit for him or her.

Types and Treatment for Astigmatism

There are many common measures people take to improve their eyesight or to improve their vision, including wearing glasses, lenses, and many more. Here are some effective exercises, which can prove to be highly beneficial to improve your eye health:

1. Stretching
This is the most common and also one of the easiest to do. It requires you to just look up, hold for two seconds, look down, hold for two seconds and then repeat this procedure for each corner of your eye, which means top-left, top-right, bottom-left and bottom-right corners.

2. Flexing
This is simply rotating your eyes in circles. Roll your eyes in the clockwise direction for one minute and then roll your eyes in the anticlockwise direction for one minute.

3. Focus switching
This particular eye exercise is probably the most useful one to improve eye health. In this eye exercise, you have to hold something at a reading distance and cover the other eye. You then have to find something that is at least twenty feet away and trace its shape with one eye closed. With one eye closed, trace more shapes, which are twenty feet away.

4. Palming
This exercise is also very simple to perform. All you have to do is cover your eyes with your palms. Once you have done this, just wait and see that there are no bright flashes of light. If you see that there is a bright flash of light, just wait till they go. This is used primarily to distress the eyes.

5. Deep blinking
This is also an incredibly useful exercise for distance vision. What you have to do is to place some large letters are at a fair distance and then sit on a chair. You have to then close your eyes and tighten all your muscles for 5 seconds. After 5 seconds are over, you have to open your eyes and then you have to see the letters for a second or two. The more number of times you do this, the more clearly you will be able to see the letters after reopening your eyes.

However, these eye exercises are not universally accepted by all doctors.

Exercises to Improve Eye Health

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