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

There are many common measures people take to improve their eyesight or to improve their vision, including wearing glasses, lenses, and many more. Here are some effective exercises, which can prove to be highly beneficial to improve your eye health:

1. Stretching
This is the most common and also one of the easiest to do. It requires you to just look up, hold for two seconds, look down, hold for two seconds and then repeat this procedure for each corner of your eye, which means top-left, top-right, bottom-left and bottom-right corners.

2. Flexing
This is simply rotating your eyes in circles. Roll your eyes in the clockwise direction for one minute and then roll your eyes in the anticlockwise direction for one minute.

3. Focus switching
This particular eye exercise is probably the most useful one to improve eye health. In this eye exercise, you have to hold something at a reading distance and cover the other eye. You then have to find something that is at least twenty feet away and trace its shape with one eye closed. With one eye closed, trace more shapes, which are twenty feet away.

4. Palming
This exercise is also very simple to perform. All you have to do is cover your eyes with your palms. Once you have done this, just wait and see that there are no bright flashes of light. If you see that there is a bright flash of light, just wait till they go. This is used primarily to distress the eyes.

5. Deep blinking
This is also an incredibly useful exercise for distance vision. What you have to do is to place some large letters are at a fair distance and then sit on a chair. You have to then close your eyes and tighten all your muscles for 5 seconds. After 5 seconds are over, you have to open your eyes and then you have to see the letters for a second or two. The more number of times you do this, the more clearly you will be able to see the letters after reopening your eyes.

However, these eye exercises are not universally accepted by all doctors.

Exercises to Improve Eye Health

Eyeglasses and contact lenses are both used for vision correction. Both of the options have their advantages and disadvantages but a number of factors like lifestyle, comfort and age etc. are important while deciding which one to choose. Here is a list of the fundamental differences between using spectacles and using contact lenses:

1. Distance from the cornea
Lenses are worn directly on the eye and are in constant physical contact with the cornea while glasses are worn over the eyes. Contact lenses may cause infections in the eye because the user has to touch the eye in order to wear them and to take them off.

2. Difference in vision
Since the lenses of spectacles are a little distance away from the eye, vision can be slightly distorted but contact lenses can provide natural and accurate vision. Also, side vision is not improved by glasses as you have to turn your head to see what is beside you. The contacts move around with your eyeballs and the peripheral vision is in focus.

3. Ease of use
Some people find eyeglasses difficult to use because of the constant weight on the face and the obstruction caused by the frames of the glasses. There may also be a constant need to adjust the frames. Often eyeglasses slip down the nose when you sweat or engage in rigorous physical activity. Contact lenses are free from all these hassles - they are not distracting or obstructive and so they are extensively used by dancers and athletes. Spectacles is very uncomfortable to wear during the rains or in humid weather because they fog up.

4. Infections and complications
Contact lenses can get displaced inside the eye and they can be difficult to reposition. They also cause the eyes to itch and water if you wear them for a very long time at a stretch or if tiny dust particles enter your eyes. The use of eyeglasses is far more flexible in this respect - they can be removed in case your eye itches or burns, but regular use of glasses causes dark circles and bags under the eyes.

5. Aesthetic differences
People often prefer contact lenses as they do not change the physical appearance - they help you look natural and you can also use colored lenses to change the color of your eyes. Glasses may look slightly unnatural but some people also prefer them for the fashion quotient.

Lens Vs Specs

Hypertension is a killer disease whose symptoms develop late when the damage is in advanced stages. Hypertensive Retinopathy is one such disease.

It damages the retina of eyes. Since retina is responsible for vision formation, Hypertensive Retinopathy can result in loss of vision. It is of grave concern that in most cases, Hypertensive Retinopathy is diagnosed later.

This is due to the fact that there are often no symptoms in the early stages of the disease. In some cases, where symptoms do manifest, patients may experience pain in the eyes, reduced vision, or headache.

What Happens in Hypertensive Retinopathy

People suffering from long term hypertension are susceptible to Hypertensive Retinopathy. Long-term hypertension affects the small and narrow blood vessels that join arteries to capillary blood vessels taking blood to different parts of the eye. These blood vessels become narrow with time if hypertension in the eyes continues unabated. This narrowing is more common in young adults compared to older people. Such unabated systemic hypertension also leads to leakage of fluid. This is why in some cases of Hypertensive Retinopathy, patients may experience exudation. Ultimately, Hypertensive Retinopathy may lead to damage to retinal blood vessels.

Risk Factors

Long standing hypertension is the number one risk factor for Hypertensive Retinopathy. People who are suffering from longer hypertension become most susceptible for this ailment.

However, studies have shown that hypertension for more than 5 years can even make people susceptible to this ailment.

Diagnosis

Diagnosis is done by Funduscopic Examination. The doctor would look at the eyes of the patient through an Ophthalmoscope which has different lenses. The Ophthalmoscope illuminates the retina and the doctor looks at the retina with different lenses. He can get a view of the retina, including blood vessels and optic nerve disks.

Findings of Diagnosis

For a person suffering from Hypertensive Retinopathy, this examination is likely to show:

Constriction of the arterioles.

Changes in the walls of retinal blood vessels.

Flame-shaped hemorrhages in the retina.

Yellow and hard exudates.

Spots in the shape of cotton wool.

Swelling of the optic disc.

Treatment

The primary treatment for Hypertensive Retinopathy is controlling blood pressure of the eyes. Some lifestyle changes like reducing the intake of salt, avoiding tobacco, etc., may bring down or control systemic hypertension in the eyes. In many cases, doctors may just recommend lifestyle modifications. Nevertheless, it completely depends on the extent of the damage and whether or not there is any fluid accumulation.

If the doctor feels that lifestyle modification is not enough, he may go for medicines that help the patients to control blood pressure effectively.

If the problem is in advanced stages and there is fluid accumulation behind the retina, the doctor may go for Intravitreal injection or Laser Therapy to control the edema.

Conclusion

Eyes are one of the most significant part of the body, this is why it is important for people to take care of it. In case of disease like Hypertensive Retinopathy, one must consult a doctor before opting any treatment or medicines.

Hypertensive Retinopathy - Everything About It!

Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following  

Clouding of normally transparent eye structures

Abnormalities in the retina

Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy. 

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one s career   you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways  

Helps individual understand and accept the disability, and find ways to cope with it

Motivates them in to keep trying

Cope with the pain and depression

Overcome feelings of fear or despair

Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 




Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

Eye twitching, tics in the eyelids and spasms in the eye are pretty common. In case of eye twitching, usually the lower eyelid becomes involved. The upper eyelid may also twitch in certain cases. Twitches are not permanent in nature, and they leave after some time. In some cases, eye twitching may last for long durations of time such as weeks or months.

Eye twitching is not a critical medical condition. It is a temporary prickling and irritation in the eyes, which ceases after some time. Common twitching of the eyes is not related to any neurological disorder.

Here are some reasons which cause eye twitches-

Stress
Every individual goes through some amount of stress, and the body reacts differently in different people as a result of stress. An eye twitch may be caused due to stress, especially related to strain in the eyes.
In order to reduce stress you should practice yoga, meditation, perform breathing exercises and take a break. Reducing the stress would also cease the twitching in the eyes.

Tiredness
Eye twitching can appear when you are fatigued or very tired. Lack of proper sleep makes your body tired, and this might trigger eye twitching.
You should improve upon your sleeping hours and sleep more.

Eye strain
Vision problems and any issue related to the eyes can cause stress, which may result in constant twitching in your eyes. Whenever too much stress is imposed upon your eyes, they tend to react and twitching occurs. Any problem would make the eyes put in more effort, which results in strain.
You should have an eye check up if you experience an eye strain accompanied by twitching sensation in your eyes.

People who use computers, laptops, tablets and smartphones for a profuse period of time experience pain and twitching in the eyes. There is a 20-20-20 rule to be followed while using such devices, which reduces eye strain and reduces itching or twitching. You can also avail special eyeglasses for people who spend a lot of time on computers.

Caffeine
Intake of an excess amount of caffeine leads to eye twitching. Cut down your doses of coffee, tea, dark chocolates and soft drinks in case of eye twitching and you may observe an easing in the twitching.

Alcohol
Alcohol also leads to eye twitching so you must abstain from alcohol in case you are having twitching in the eyes.

Dry eyes
This disorder develops in people who have crossed the age of 50. People who use computers a lot also develop dry eyes, which leads to eye twitching.

Our eyes twitch because of a lot of reasons. You should know the facts right and avoid situations that lead to eye twitching.

Why Our Eyes Twitch?

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