Night blindness is also called nyctalopia.It's a type of vision impairment. People with night blindness experience poor vision at night or in dimly lit environments. It is not a disease in itself, but rather a symptom of an underlying problem, usually a retina problem.

What Causes Night Blindness?
A number of eye conditions can cause night blindness, including:
1. Nearsightedness or blurred vision when looking at faraway objects.
2. Cataracts or clouding of the eye's lens.
3. Retinitis pigmentosa, which occurs when dark pigment collects in your retina and creates tunnel vision.
4. Vitamin A Deficiency
5. Zinc Deficiency
6. Dry Eyes
7. Diabetes

Are the Symptoms of Night Blindness?
The sole symptom of night blindness is difficulty seeing in the dark. You're more likely to experience night blindness when your eyes transition from a bright environment to an area of low light, such as when you leave a sunny sidewalk to enter a dimly lit restaurant. You're likely to experience poor vision when driving due to the intermittent brightness of headlights and streetlights on the road.

How can I Prevent Night Blindness?
You can't prevent night blindness that's the result of birth defects or genetic conditions, such as Usher syndrome. You can, however, properly monitor your blood sugar level and eat a balanced diet to make night blindness less likely. 

Orange colored foods are excellent sources of vitamin A, including:
1. Cantaloupes
2. Sweet potatoes
3. Carrots
4. Pumpkins
5. Butternut squash
6. Mangoes

What are the Treatment Options for Night Blindness?
The treatment will depend on its causes.
1. Nutrient deficiency (Vitamin A and Zinc) is the easiest to treat. 
2. If the cause is cataract, you can go for cataract surgery to remove the clouded lens and replace it with artificial intraocular lens. Vision is usually dramatically improved after surgery. 
3. For dry eye syndrome, lubricate your eyes with artificial tear drops as they provide instant relief. Just make sure that they are without preservatives. 
4. Diabetic retinopathy can be prevented with tight control over blood sugar, active lifestyle and good dietary habits.
5. As for retinitis pigmentosa, unfortunately there are no treatments available. Thankfully, new research is showing that vitamin A might have a slowing effect on the progression of this eye disease.

Night Blindness: Causes and Symptoms

People may have weak eyes due to a variety of reasons. Astigmatism happens to be one of those reasons. When one is affected by astigmatism, it results in blurry vision. The eye has a part called the cornea, which is the outermost layer of the eye and is responsible for allowing light to enter. When the cornea is not shaped as it should be, it leads to astigmatism.

However, this is not the only condition under which it can occur. In fact, there are two different types of astigmatism. One is corneal astigmatism which is the result of an odd-shaped cornea. The other is lenticular astigmatism, which occurs when the lens has an incorrect shape. More often than not, people are born with astigmatism. However, there are chances of developing this eye disorder after an eye injury or after an eye disease.

How to diagnose?
There are a few ways in which astigmatism can be diagnosed. 

One of the most popular methods is the visual acuity test. This measures the distance at which a letter is read clearly, as compared to what it should be. 
Another way is by refraction. By placing lenses in front of the eyes, the way they focus light is measured. 
The third way by which astigmatism can be detected is by keratometry, also known as topography. Light is focused on the cornea and the reflection is measured to find the curvature of that area.
Treatment options
The easiest way to go about treating astigmatism is by using corrective lenses. This is usually the method of treatment for people whose astigmatism is not that bad. The lenses could either be a part of spectacles or used as contact lenses. The good part about contact lenses is that the field of view is wider.

Orthokeratology (Ortho-k) works to improve astigmatism by using lenses as well. However, the lenses are of the hard variety. These lenses are useful for corneal astigmatism patients as they reshape the eye. Usually, they are worn while sleeping and most people can have normal vision the next day. However, if one stops using them, the eye goes back to its original state. So, they are not a permanent solution.

Surgery, however, can be a permanent solution to astigmatism. LASIK and PRK are two of the most popular types. RK is also popular, but to a lesser extent. It is good to remember that the risks of surgery should be discussed with a doctor prior to undergoing one.

Astigmatism - Ways They Can Be Diagnosed!

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?

While it's assumed that numerous eye injuries are inflicted at work, just about the same number of them may happen while at home. Luckily, most eye wounds are preventable. Find ways to prevent eye injuries, as the eyes are very sensitive and delicate.
Here is a list of some of the most common eye injuries and tips on how to prevent them:

1. A lot of eye injuries happen from dust particles entering the eyes, causing itching and burning sensation. Protective glasses should be worn when doing any kind of activity in a dusty area with flying particles.

2. Pencils, scissors, forks, knives and all similar sharp objects can cause a serious eye injury. Day to day household items like bungee cords, wire coat hangers, rubber bands and fishhooks are capable of causing eye injuries. You must always remain aware and super conscious while using such objects.

3. While performing activities such as dusting, sweeping or lawn mowing, make sure to protect your 
eyes well as dust is involved.

4. Children are very curious by nature. Thus, all hazardous stuff like fertilizers, acids should be kept away from their reach. These contain harmful chemicals, which may inflict fatal damage to the eyes.

5. Cooking powder and spices like chili powder can cause injury to the eye. Always wash your hands 
after using these items, so that you don't harm the eyes if you by chance rub them with your hands.

6. Precautions should be taken while dealing with heat or boiling water or oil. They may spill and cause damage to the eyes.

7. Secure floor coverings and railings. On the off chance that a kid or elderly man lives in your home, use a safety gate at the top and base of stairs, and consider covering sharp furniture edges and corners with a padding material.

8. While travelling in a car, abrupt jerking or breaks may cause the head to bump and cause injury to the eye. Always put on your seat belt and do not allow children to sit in the front of a car.

9. Many modern toys, which are very attractive have got sharp edges because of their fancy design. Abstain children from playing with these kinds of toys.

10.  Laser pointers, a common fun gadget for children is very harmful and causes permanent damage to the retina. Stay away from laser pointers.

11. Wear eye gear to protect your eyes during sports activities. Also wear goggles during swimming as chlorine in swimming pool water damages the eyes.

Eye injuries may happen out of nowhere. You must always remain alert to avoid eye injuries.

Most Common Eye Injuries That Happen and Prevention Tips

Glaucoma is a leading cause of blindness in people across the globe. It damages the optic nerve that carries sensory images from the retina to the brain. A faulty eye pressure is responsible for damaging the very delicate optic nerve fiber causing small blind spots in the retina. Unfortunately, for most patients this disease only gets diagnosed when the number of blind spots is on the higher side.

Types of Glaucoma

Open angle: This is a type of Glaucoma which results from the blockage of the drainage angle of the eye resulting into an increased eye pressure.
Angle closure: This is the kind of Glaucoma which results from the narrowing down of the drainage angle leading to complete blockage.
Target segment of Glaucoma

Family history: Inheritance surely plays a role in case of Glaucoma too. If Glaucoma runs through families of an individual, there are higher chances of getting this disease. Although there is no hard and fast rule about it, the risks of inheriting this disease are on the higher side.
Eye injury: If there is any history of previous eye injuries, the probability of the onset of Glaucoma cannot be turned down. Specially, if the injury is related to optic nerve, there are very high risks involved.
Bilateral Oophorectomy: Dual Ovary removal before the age of 40 results in deficiency of estrogen resulting in Glaucoma. Although most surgeons warn their patients of the possible risk of these procedures, many surgeries such as these have resulted in patients losing eyesight in the form of Glaucoma.
Patient with Diabetes: In case of acute diabetes, retina gets damaged and the eye starts producing new blood vessels on the iris resulting into an increased eye pressure. This condition often leads to Glaucoma due to blockage of fluid flow in the eye.
Eye Conditions: Myopia, multiple surgeries to the eye, blunt trauma etc. can lead to Glaucoma. A patient who has undergone any kind of eye surgeries suffers from inflammation. However, major inflammation is often found twisting blood flow in the eye resulting into Glaucoma.
If a patient is 40 or above: After a person reaches 40 years of age, a lot of diseases start cropping in to the body. Studies show that Glaucoma has a higher frequency in people who is more than the age of 40 or above.
High eye pressure: A patient with an eye pressure of above 21 mm HG is also at a very high risk of getting glaucoma. For a normal person the IOP lies between 10 to 21 mm HG.
Blood flow related disease: Diseases such as acute migraine, hypertension and low blood pressure which involves blood flow related problem often aggravate to glaucoma.
Ethnic Background: Statistics show that people from Afro American, Hispanics, Asian and Caribbean background have greater chances of being affected by Glaucoma.

Glaucoma - Are You at Risk?

Tip for eye care

This is the worst time of the year, for your eyes. Pollution from firecrackers, smog due to weather change and generally ever increasing vehicular pollution adds up to be the worst for your eye health. 

Protect your eyesight and take care of your eyes by following these simple daily eye care tips.

1. Eat Well: Protect your eyes from within. Eat for good vision. Eat foods that have various nutrients such as omega 3 fatty acids, zinc and lutein, vitamins A, C and E to keep eye problems at bay. Green leafy vegetables, salmon and other oily fishes, eggs and nuts, orange and citrus fruits are great for eyesight.

2. Quit Smoking: For better eye-care leave smoking. This simple activity can make you likelier to get optic nerve damage, macular degeneration and cataracts.

3. Have eye-care routine: Most of us don’t have an eye care routine, which is essential for keeping them fit. So, develop a good eye-care routine. In this routine, practice eye exercises, focusing eyes on a point far away to promote muscle development. Clean eyes everyday with fresh, clean water to reduce eye mites and other problems.

4. Wear Sunglasses: Wearing sunglasses on a regular basis will protect eyes from UV rays and ensure protection. This will help in reducing the chances of getting cataracts and developing macular degeneration.

5. Use Safety Wear: It is important that you regularly wear safety wear problems. For instance, for sports, wear eye protection products, sports goggles or protective face masks.

6. Look away from computer: A lot of us use computers too much for work and recreation. Now is the time to look away from it. Staring at the computer for long can cause eyestrain and blurry vision, trouble focusing at a distance and result in dry eyes as well as neck and shoulder pain with headaches. So, take regular breaks from that computer.

If you would like to consult with me privately, please click on 'Consult'.

Doctor's Advice On How To Keep Your Eyes Safe This Diwali

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