People are well aware of the harmful effects that UV rays have on the skin, but very few know that UV rays can damage their eyes as well. The tissue that human eye is made up of is one of the most sensitive tissues in the body and hence, the most vulnerable. The increasing level of UV radiation reaching the Earth s surface every minute has made it indispensable to take the required precautionary measures to protect the eyes.

What are UV rays?

Sunlight consists of 3 types of radiations - Infrared, Visible light and UltraViolet. Artificial sources like lasers, tanning beds and welding machines also emit UV radiation.

There are three types of UV radiations - UV-A, UV-B and UV-C. 

UV-C is absorbed by the ozone layer and does not possess any risk. It is UV-A and UV-B radiations that adversely affect the eyes and vision.

Impact of UV rays on  eyes

Too much exposure to UV rays can affect vision, harm the eyes, and deteriorate overall eye health. There are various eye problems that are aggravated by excessive exposure to UV radiation:

Macular Degeneration: It is caused by damage to the retina over time by UV rays. It leads to age-related blindness. Too much exposure to UV rays increases the risk of developing macular degeneration.
Cataract: It is the clouding of eye s natural lens - the part of the eye that focuses the light we see. Too much exposure to UV rays increases the risk of developing cataracts. 
Pterygium: Often known as  surfer s eye , pterygium is a pink, non-cancerous growth that is formed on the conjunctiva. UV rays are believed to be responsible for the development of this growth.
Skin Cancer of the Eyelids: Too much exposure to UV rays can cause skin cancer in and around the eyelids.
Photokeratitis: Popularly known as corneal sunburn or  snow blindness , photokeratitis is caused due to excessive short-term exposure to UV-B rays. Photokeratitis occurs when you spend long hours at the beach or skiing. It sometimes leads to temporary vision loss. 
How to protect the eyes from harmful UV rays?

Here are some tips to help ensure that eyes are protected against harmful UV rays:

Always use quality sunglasses that block out 99-100 percent of both UV-A and UV-B radiation when outdoors.
Stay away from tanning beds, and if you use them occasionally, always wear eye protection. 
Wrap around frames should be used if you spend a lot of time outdoors.
Be sure to see your doctor at least every two years.

UV Rays - Are They Damaging Your Eyes?

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?

If your eyes suddenly look reddish and feel extremely itchy, you may be suffering from allergic conjunctivitis. Allergic conjunctivitis is triggered by exposure to allergens like pollen or mold spores. An allergy to eye drops or contact lens solution can also trigger this condition. Allergic conjunctivitis is a very common health condition and more common during the hay fever season.

There are two types of allergic conjunctivitis; acute allergic conjunctivitis and chronic allergic conjunctivitis. Acute allergic conjunctivitis is characterized by the swelling of eyelids and intense itchiness and burning. Amongst the two, this is a more common condition. Chronic allergic conjunctivitis can occur during any season and has symptoms that come and go. It is a milder response to allergens such as dust, food, pollen, chemical scents etc.

On presenting the symptoms of conjunctivitis to a doctor, he may ask for an allergy skin test, a blood test or a scraping of the conjunctival tissue to understand the type of conjunctivitis you are suffering from. Allergic conjunctivitis can be treated with a combination of medication and home care.

Antihistamines are the most common form of treatment for this disease. This can reduce and block the release of histamines in the body. Artificial eye drops may also be used to create a screen over the eye and prevent the eye from coming in contact with the allergen. Eye drops may also be used to shrink swollen blood vessels in the eye. Steroid eye drops may also be used along with anti inflammatory eye drops.

Home care to treat allergic conjunctivitis focuses on preventing the trigger. Today, apps on your phone can update you n the pollen levels in the air. Close your windows every time you notice a higher than normal pollen count and keep your home as dust free as possible. You could also use an air purifier in your home. Also, avoid exposure to strong chemicals, dyes, perfumes etc.

To avoid the condition from worsening, avoid rubbing your eyes and wash your hands every time you touch your eyes. Disinfect your towels, sheets and pillowcases that come in contact with your eyes every few days with hot water. Wash eyes with cold water twice daily especially after coming home from outside. Do not share your make up or brushes with other people. This is a healthy habit to follow even when you are not suffering from this condition. While you suffer from pink eye you should also not wear contact lenses. Once the eye has healed, discard the old lenses and replace them with a new pair.

Allergic Conjunctivitis - 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

Eye Strain is an umbrella term that denotes a number of symptoms that relate to the extended use of eyes as well as discomfort that may come from excessive smartphone and computer use. This condition may or may not lead to significant eye damage and is usually characterised by blurry vision, headaches and a feeling of dryness in the eye as you blink less which creates less tears. This may happen due to the extended use of the eye when you are following objects on a screen or staring at a screen for too long. So, is eye strain the cause of your headaches? 

Find out more in this article.

Causes: Eye Strain or Asthenopia is caused by concentrating on visually intense tasks like reading from texts that have a fine print, the use of computers and other screens for prolonged periods, and trying to focus on objects in the dark. This can lead to distress of the muscles in this area which can also cause eye strain leading to a variety of symptoms including double imagery and even headaches and mild migraine like conditions.

Eye Muscle Imbalance: When there is eye strain which leads to headaches, it can also give rise to eye muscle imbalance which makes it difficult to concentrate with both eyes at the same time. In such cases, one may need bifocal glasses so as to fix the issue and prevent such debilitating headaches to remain on a persistent basis.

Diagnosis: Digital eye fatigue and ocular eye strain leading to headaches can be diagnosed by a doctor with the help of regular eye examinations. In any case, one should have the eyes checked at least once a year. This is especially important if your job involves sitting in front of the computer screen for prolonged hours.

Symptoms: There are a variety of symptoms of these headaches that are caused by eye strain. Apart from blurry vision which does not allow the patient to see properly and clearly without glasses, it can also cause headaches with symptoms like nausea and sensitivity to light. Retinal or eye migraines do not necessarily have to come with headaches, but the pressure can be painful enough.

Treatment: To begin with, the best form of treatment for headaches born from eye strain includes prevention which can be done by getting plenty of rest and sleep even as we limit the hours spent in front of the screen. One can also lower the resolution of the screen and make it more ambient. Also, the screen should be placed at a considerable distance from the eyes. The doctor can also prescribe glasses and eye drops for better eye lubrication.

Headache - Can Eyestrain Be the Reason Behind it?

If you have got diabetes, then it is quite natural that you will soon face acute eye troubles. This is the reason diabetic patients are always suggested to keep their blood sugar levels controlled so that eye troubles can be easily avoided. Thorough medical check-up is required in order to detect conditions of the eyes. Some of the commonest eye troubles occurring due to diabetes are cataract, glaucoma, blurry vision, diabetic retinopathy and others. 

List of eye diseases caused by diabetes

1. Diabetic retinopathy: when the retina's smallest blood vessels get severely damaged due to increased blood sugar, then this kind of eye condition occurs. Early detection of this eye condition can save your eyes, but if it is too late, then nothing can be done, and it might even lead to blindness.

2. Cataract: fogging or clouding condition can bring this kind of condition and this can only be corrected by wearing proper corrective lenses. However, if you fail to control diabetes, then in spite of wearing glasses, your eye condition might get deteriorated day-by-day. Glared or blurred vision is the most common symptom in this regard. 

3. Glaucoma: when the eye fluid is not drained properly, then this kind of eye trouble occurs. In fact, eye pressure increases to a great extent as a result of which delicate eye nerves can get severely damaged. The blood vessels of the eyes can get clogged causing greater interruption in vision. Medicines can make aqueous humor to get drained in a proper manner, and thus you should go for a proper eye check-up so that you can acquire the requisite medicines. Some popular symptoms of glaucoma are headaches, eye aches, blurred vision, watery eyes, vision loss and others. 

4. Diabetic macular edema: this eye disease mainly occurs in the advanced stage of diabetic retinopathy. Macula is nothing, but the most delicate part of retina and when it gets swollen, then you might face this eye trouble. Only medications can help you to get rid of the same and thus immediate medical help is needed. 

5. Blurry vision: though this is quite a small and temporary eye issue for diabetic patients, but this condition might turn into a serious one if you neglect to correct the same in the very beginning. You might even face blindness due to negligence of this trouble. Also, fluctuating sugar-levels should be stabilized so that this kind of trouble can be easily tackled.

Eye Problems Caused by Diabetes

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