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?

High blood pressure can lead to hypertension, which is known to cause a variety of debilitating side effects or symptoms in the life of the patient. It can also lead to a number of related ailments which can affect the various organs of the body. The eyes are one of the organs that are most susceptible to this kind of spike in the body s blood pressure. Let us learn more about the connection between the two.

Retina: When high blood pressure goes untreated for a prolonged period, it can easily start to affect the blood vessels that can be found in the retina. The retina is the third or the inner most layer of the eye which is sensitive towards light and usually helps in refraction. This is where the light reaches so that one can focus clearly on an image. When the blood pressure of the patient stays high for a prolonged basis, there is significant pressure on the blood vessels in this part of the eye which can lead to an eye disease known as hypertensive retinopathy.

Symptoms: Symptoms of this eye disease include lack of clarity and focus when the eye comes to rest on an object, as well as headaches and other vision problems that typically spring from eye strain that one will go through while trying to focus even harder. It may be seen that the symptoms do not appear in the very early stages of this disease.

Diagnosis: The diagnosis of the condition is usually done by an ophthalmologist who will use an ophthalmoscope in order to project light towards the specific part of the eye so that the back of the eyeballs can be examined. The signs that the doctor will look for during the examination include narrowing of the blood vessels in this part of the eye, inflammation of the macula which is the central portion of the retina, and bleeding in the back of the eye. Also, the doctor will check for spots in the retina with the help of cotton swabs and exudates.

Treatment: The best and only way of treating this condition is by keeping one s blood pressure in control with the help of medication prescribed by the doctor.

Prevention: There are many ways of preventing the onset of this disease, including losing weight so that there is less pressure on the body. Also, one must stick to a healthy diet and exercise regularly after taking recommendations on the appropriate exercises from the doctor. Additionally, it is also important to see a doctor on a regular basis so that there is constant monitoring and regulation of the medicines and the blood pressure.

Blood Pressure - How it Affects Your Eye Sight?

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

Allergic reactions
Fluctuation of hormones associated with puberty and adolescence
Acne and other skin conditions
Lice or mites on the eyelashes
Unsanitary contact lens solution
Contaminated eye makeup
Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
However, in some cases, a clear trigger factor may not be identifiable.
Some of the characteristic symptoms of this disease are:

Dry eyes
Constant watering from the eyes
Inflammation and reddening of the eyelids
Burning sensation in the eyes
Itchiness
Flaking of skin around the infected eye
Heightened sensitivity to light
Excessive blinking
Crusting of eyelashes
Blurred vision
Frequent formation of sties
Loss of eyelashes or abnormal growth of eyelashes
Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms.

Meibomianitis - 8 Things That Can Trigger It!

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

Astigmatism is an eye condition where there is an imperfection in the curvature of the cornea. The cornea and lens are smooth and equally curved in all directions, which helps to focus the light rays to the retina. But if there is an imperfection in the curvature, then you will suffer from a refractive error. Astigmatism is not an eye disease. It is simply a condition where the eye is not able to focus the light. 

Causes: 
Irregular shape of the cornea is the main cause for astigmatism. It might also be caused because of the imperfect shape of the lens. Suffering from astigmatism is very common. You are either born with the condition or you might have developed it after an eye surgery. It is an incorrect concept that watching too much of television or reading without enough light causes astigmatism.

Types: 
There are three different types of astigmatism:
1. Myopic astigmatism: When the principal meridians of the cornea are nearsighted.
2. Hyperopic astigmatism: When the principal meridians of the cornea are farsighted.
3. Mixed astigmatism: When one of the principal meridians is nearsighted and the other is farsighted.

It can also be classified in two other types:
1. Regular astigmatism: When the principal meridians are perpendicular to each other.
2. Irregular astigmatism: When the principal meridians are not perpendicular to each other.

Symptoms: 
Blurry or distorted vision, strain in the eye, eye discomfort, squinting and headaches are a few symptoms of astigmatism

Diagnosis:
If you notice the symptoms stated above, make sure you pay a visit to your ophthalmologist. If you are suffering from astigmatism, your doctor will do an eye test to check how much your eye is able to focus on light. After conducting his tests, he will determine how much power you have and you will have to wear glasses of that power. Apart from the option of wearing glasses or artificial lenses, you can also go for a surgery to correct the condition. LASIK is an option among the many other options of surgeries available.

Diet: 
Eat foods rich in sulphur. Foods like fish, green vegetables, pineapple, garlic, onion, olive oil, etc are rich in sulphur. Hence, eating these will help you battle astigmatism.

All About Astigmatism

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?

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