Glaucoma is a disease that damages your eye's optic nerve. It usually happens when fluid builds up in the front part of your eye. That extra fluid increases the pressure in your eye, damaging the optic nerve.Glaucoma is the second largest cause of eye blindness in the world.

There are several types of Glaucoma:
1. Open-angle Glaucoma
2. Normal-tension Glaucoma
3. Angle-closure Glaucoma
4. Congenital Glaucoma
5. Secondary Glaucoma
6. Glaucoma suspect

How will you know that you are suffering from Glaucoma?
Only half the people with glaucoma are aware that they are suffering from this condition. When Glaucoma develops, there are usually no early symptoms. This is why glaucoma can 'steal' sight gradually.

Symptoms:
1. In its early stages, open-angle Glaucoma has no obvious symptoms. As the disease progresses more blind spots develop in the peripheral (side) view.
2. An attack of angle-closure Glaucoma includes the following:
a. Severe pain in the eye or forehead
b. Redness of the eye
c. Decreased vision or blurred vision
d. Vision rainbows or halos
e. Headache
f. Nausea
g. Vomiting
If you get any of the symptoms rush to your doctor and take an eye exam as soon as possible.

Causes:
1. Eye injury
2. Inflammation of the eye
3. Dilating eye drops
4. Blocked or restricted drainage in your eye
5. Use of steroid-containing medications (pills, eye drops, sprays)
6. Poor or reduced blood flow to your optic nerve
7. High or elevated blood pressure

Who is at Risk for Glaucoma?
People with more risk of developing Glaucoma include people who:
1. Are over age 40
2. Have family members with glaucoma
3. Have high eye pressure
4. Are farsighted or nearsighted
5. Have had an eye injury
6. Have diabetes, migraines, high blood pressure, poor blood circulation or other health problems affecting the whole body.

Types, Causes and Symptoms of Glaucoma

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

Allergic conjunctivitis is the result of a foreign particle (allergen) coming in contact with the eye. Once this happens, the immune system overreacts resulting into an inflammation of the eye. The eyes sore with pain. The over secretion of the histamine dilates the blood vessels causing the nerve to irritate and blood vessels of the eyes to expand. Some common reasons of allergic conjunctivitis include eye drops, pollen, dust mites, makeup and animal fur. The good news is that allergic conjunctivitis is easily treatable. Here are top five ways to deal with this condition:

Taking care of the eye: It is advised not to wear contact lenses until the symptoms go away fully. If any medication is used, a person must wait for at least 24 hours before putting on the contact lenses. Sometimes our hands carry major pollens that result in allergic conjunctivitis. It is equally important not to rub the eye without washing both the hands. Many studies have also reported that frequent bathing of the eye with cold water helps to clear the symptoms quickly. Some even say that frequent splash of warm water does the trick.
Avoid the allergen: Allergen being the villain behind the occurrence of this condition, it is very important to stay away from it. In peak pollen times, it makes sense to close the door. In case a person must go out, it makes sense to wear a sunglass. A pillow made of feathers should be changed every week to stay away from the infection. The number of dust mites at home should be decreased as much as one can.
Antihistamines: To quickly get rid of allergic conjunctivitis, doctors often prescribe antihistamines. It can be in the form of eye drop or oral presentation. They can successfully counter the effect of histamine which the body produces because of the hyper activity of the immune system. An antihistamine can block the aggressive effect of the immune system in a short time. Some of the commonly prescribed histamines include loratadine, cetirizine, emedastine, and ketotifen. People taking this form of the medicine for the very first time should refrain from carrying heavy load or driving.
Mast cell Stabilizers: These takes a little longer to act as compared to antihistamines. Their effects, however, are more lasting compared to its peers. Some of the popular mast cell stabilizers include nedocromil and lodoxamide. This medicine belongs to a non-steroid family and can successfully block the chemicals that cause inflammation.
Corticosteroids: These medicines are only prescribed by doctors when the symptoms of allergic conjunctivitis are serious. They belong to the steroid family of medicine produced synthetically. They can reduce the immune response of the body quickly and reduce the swelling as well. They can have possible side-effects. It is therefore wise, to consult a doctor before using it.

Allergic Conjunctivitis - 5 Top Ways To Deal With It!

Sunglasses are an important part of the accessories you use in summer or any time of the year. They help you to look fashionable and stylish and also make a pretty good style statement. But is that the only job of sunglasses? Or do they have something more to them? Here are a few reasons why sunglasses are more than just a style statement:


1. Decrease in eye problems: Generally, you use sunscreen to protect your skin from the Sun s glare. Similarly, sunglasses protect your eyes from the harmful UV rays of the sun. It is extremely important for you to protect the eyes so that the harmful UV rays cannot enter the sensitive eye tissue and harm them. If you do not use sunglasses, then you have a higher chance of damaging your eye tissue than a person who uses them regularly. Bear in mind that the strong UV rays can cause serious permanent damage to your eyes.


2. Protection from other environmental components: Not only is the sun harmful to your eyes, but also the wind can be extremely dangerous for them. Dirt, sand, dust particles can fly into your eyes even when just a breeze is blowing. On a windy day, damage can be much more. If you are wearing sunglasses when out on a windy day, they act like a shield to your eyes against the wind and the particles,which might enter your eye.


3.  Helps clear vision: It s often difficult to have a clear vision when out in the Sun. The bright sunlight doesn t give you the clarity in vision. Without protection, you will have reduced vision as the bright glare of the Sun might cause you discomfort in your eyes and limit your vision as you will have to squint in the bright light.


4. Helps prevent aging: Although it might sound a bit surprising, but wearing sunglasses actually helps in prevent aging. The bright glare of the sun causes you to squint and this causes the age lines to appear. So, if you wear sunglasses and your eyes are protected from the bright sunlight, then you will not be squinting anymore, and hence it will not cause the age lines to appear before time.


So now, before you think that sunglasses only make you look good, think again about how they actually do much more than that.

4 Reasons Why Sunglasses are More than Just a Style Statement

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?

78% of urban youth are in front of the computer screen/ mobile screen for about 12 hours a day. Such extensive strain to the eyes can have long term effects on vision.  Act now to protect your eyes by following these tips-

1) Ensure appropriate glasses or contact lens prescription which is also adequate for computer use. 
2) For prolonged exposure, use glasses to help with contrast, glare, and eye strain when using a computer.
3) Adjust your computer such that your eyes are level with the top of the monitor. This allows you to look slightly down at the screen.
4) Avoid any glare on your computer from windows or lights. Use an anti-glare screen if required.
5) Choose a comfortable, supportive chair. Position it so that your feet are flat on the floor.
6) If your eyes feel dry, blink more often.
7) Every 20 minutes, rest your eyes by looking 20 feet away for 20 seconds. At least every 2 hours, get up and take a 15-minute break.

Click on consult privately to ask me any follow-up questions on this.

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Protect Your Eyes While Working. 7 best ways.

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