The ability to see is one of our greatest powers and it needs to be valued and looked after. Sometimes this involves wearing glasses to improve our vision. Spectacles not only help us see better but also prevent straining and further deterioration of the eye muscles. Here are a few signs to watch out for that will indicate your need for spectacles. Keep in mind however that a comprehensive eye exam is the only way to determine the power required for your spectacles. 

-  Blurred vision
Blurred vision or the inability to focus on something in the distance is one of the first signs or eye deterioration. When it comes to children, watch out for complaints of inability to read the writing on class blackboards.

-  Frequent headaches
Unexplained headaches that come and go could be a sign that you need glasses. These headaches can usually be felt at the end of a long day or after watching television. 

-  Constant squinting
Squinting is a natural way to improve vision. This is because the act of squinting reduces extra light and light scattering thus allowing us to see something clearer. Thus, if you notice yourself squinting more than usual it is time to schedule an eye exam.

-  Difficulty working on a computer
Struggling to read figures and words on a computer screen is usually a sign of poor vision. Try adjusting your screen angle and the distance of the screen from your eyes to see if your vision improves or worsens. 


-  Difficulty adjusting to lights
Sudden increased sensitivity to lights can be a sign of many eye disorders with vision problems being the most common. 


-  Eye strain
Occasional pain in the eyes after a long day or as a result of an allergic reaction is nothing to worry about. However, if this pain persists for a few days, it could be an indication that you need spectacles. 
Deterioration of vision is usually a very gradual process and so you may not realize when it begins. However, the earlier you start wearing corrective glasses to improve your vision the easier it will be to control the deterioration of the eye muscles and you may even be able to rectify your condition completely. So, do not ignore any of these warning signs. Even if you do not have any of these symptoms, it is a good idea to get a thorough eye examination at least once a year.

Common Signs You Need Glasses

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

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?

Glaucoma is a serious eye condition in which the optic nerve gets damaged and the situation gets worse over time. If untreated, individuals may go permanently blind. Most individuals, with glaucoma, have no previous symptoms or warning signs of this disorder and this is the reason why it is important to have regular eye check-ups.

Causes of glaucoma
Eyes have a liquid called aqueous humor. This fluid flows out of the eyes through mesh like channels for proper lubrication of the eye. However, there can be situations in which these channels may get blocked. In such a case, there would be a build-up of this liquid, thereby causing an increase in fluid pressure. This is usually a major cause of glaucoma. Although there has been no elaborate evidence of what exactly causes this blockage, doctors have noticed that this can be inherited.

Other less common causes include:

Any sort of blunt injury or chemical injury to the eye
Blocking of blood vessels inside the eye
Other inflammatory conditions
Improper eye surgery
Types of glaucoma
There are mainly two kinds of glaucoma than can occur:

Open-angle glaucoma: This is the most common kind of glaucoma and is also called wide-angled glaucoma. In this kind, the tubular meshwork through which the liquid flow occurs is normal. However, the fluid flow isn t the way it should be.
Angle-closure glaucoma: This is also known as acute glaucoma or chronic angle closure. In this case, the liquid is not able to drain properly because of the angle between the iris and the cornea being too narrow, thus causing the iris to be in the way. This can cause a sudden build-up of pressure, thereby leading to chronic glaucoma.
Facts about glaucoma

This disorder usually has no previous signs or symptoms and occurs all of a sudden.
This disorder mainly affects individuals above 40 years of age.
Glaucoma can be inherited.
People with diabetes have chances of suffering from glaucoma.
If not treated early, it may lead to permanent blindness.
Symptoms of glaucoma
Usually there aren t many symptoms to warn people about this disorder. However, one of the first signs is definitely losing peripheral or side vision. Other symptoms might include

Chronic vision loss
Visibility of halo around lights
Narrowed vision
Glaucoma is treated by any of the three methods:

Prescription eye drops in order to reduce eye fluid formation, thereby resulting in outflow increase
Laser surgery
Microsurgery

Glaucoma - A Complete Guide on It!

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

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?

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