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!

The ability to see is one of our greatest powers and it needs to be valued and looked after. Sometimes this involves wearing glasses to improve our vision. Spectacles not only help us see better but also prevent straining and further deterioration of the eye muscles. Here are a few signs to watch out for that will indicate your need for spectacles. Keep in mind however that a comprehensive eye exam is the only way to determine the power required for your spectacles. 

-  Blurred vision
Blurred vision or the inability to focus on something in the distance is one of the first signs or eye deterioration. When it comes to children, watch out for complaints of inability to read the writing on class blackboards.

-  Frequent headaches
Unexplained headaches that come and go could be a sign that you need glasses. These headaches can usually be felt at the end of a long day or after watching television. 

-  Constant squinting
Squinting is a natural way to improve vision. This is because the act of squinting reduces extra light and light scattering thus allowing us to see something clearer. Thus, if you notice yourself squinting more than usual it is time to schedule an eye exam.

-  Difficulty working on a computer
Struggling to read figures and words on a computer screen is usually a sign of poor vision. Try adjusting your screen angle and the distance of the screen from your eyes to see if your vision improves or worsens. 


-  Difficulty adjusting to lights
Sudden increased sensitivity to lights can be a sign of many eye disorders with vision problems being the most common. 


-  Eye strain
Occasional pain in the eyes after a long day or as a result of an allergic reaction is nothing to worry about. However, if this pain persists for a few days, it could be an indication that you need spectacles. 
Deterioration of vision is usually a very gradual process and so you may not realize when it begins. However, the earlier you start wearing corrective glasses to improve your vision the easier it will be to control the deterioration of the eye muscles and you may even be able to rectify your condition completely. So, do not ignore any of these warning signs. Even if you do not have any of these symptoms, it is a good idea to get a thorough eye examination at least once a year.

Common Signs You Need Glasses

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

Blurred vision is most often a sign that you need corrective spectacles for near sightedness, far sightedness or astigmatism but it could also be a sign of a bigger problem including eye diseases or neurological problems. Blurred vision involves the loss of sharpness of vision and objects appearing hazy and out of focus. It can affect one eye or both eyes simultaneously.

Whatever be your age, it is a good idea to consult a doctor as you begin to experience a blurred vision. To measure the extent of your vision problem, a doctor will do a comprehensive eye examination including spatial contrast sensitivity and a standard eye chart test. Some of the factors that trigger blurred vision are:

1. Myopia or nearsightedness
2. Hypermetropia or farsightedness
3. Astigmatism caused by an irregularly shaped cornea
4. Presbyopia - the diminished ability to focus on objects due to the hardening of the lens in the eye
5. Dry eyes or the lack of lubrication on the surface of the eyes
6. Hormonal changes during pregnancy
7. Migraine headaches
8. Temporary floaters in the eye formed by the liquefying of the gel in the eyes
9. After effects of lasik surgery
10. Eye drops or medication
11. Overuse of contact lenses
12. Diabetes

Blurred vision can also be a symptom of a serious condition such as cataract, glaucoma, macular degeneration, diabetic retinopathy and cardiovascular diseases.

Treatment for blurred vision depends on the factors triggering it. Wearing corrective glasses can cure blurred vision caused by myopia, hypermetropia and astigmatism. These conditions can also be treated by lasik surgery. For blurred vision related to diabetes, check your blood sugar and get it into its optimal range.

Exercises for the eye muscles can also help sharpen vision and lower the rate of eye muscle degeneration. Some of these exercises are:

1. Alternately focus on an object close to you and another far from you for ten seconds each.
2. Blink your eyes and hold for two seconds
3. Roll your eyes clockwise and anticlockwise. Repeat 15-20 times.
4. Rub your palms together to generate heat and place over your eyes to relax them.

A healthy diet with plenty of vitamin a can help keep your eyes healthy and prevent blurring of vision. Wearing sunglasses can also protect your eyes from harmful uv radiation and lower their rate of wear and tear. Lastly avoid reading in moving vehicles and holding a book too close to your face.

Is Your Vision Blurry? What Should You Do?

It's the month of Phagun again and time to prepare for the most colourful and vibrant festival of India - Holi. As the festive cheer spreads and people get ready to paint the town red with colours, dance to rocking beats at Holi bashes, and gorge on Gujiya and Thandaai, it s good to remember that you need to play it safely and naturally. The biggest reason for this is the synthetic agents, which are used to make the colours of Holi. What used to be a festival played with flowers, natural dyes and herbs have now transformed into a celebration of colours made from chemicals that are harmful for our body. 

Apart from the allergies to the skin, there is also the risk of increased blood pressure after the Holi festivities due to the high intake of bhaang, the official Holi drink. To avoid the harmful effects of such materials used during the festival, here are some must-follow health tips for you.

Tips to care for your skin

Use organic colours: Skin is the most sensitive body part and synthetic colours are a big no-no for it, as they can lead to rashes and other skin allergies. Therefore, it is advisable that you opt for organic colours, considering they are not only chemical free but are made from natural ingredients. Organic colours are safe for children too, as they are softer on the skin and easy to wash off. It is crucial that you protect kids from synthetic colours as they contain lead oxide, mercury sulphide and aluminium bromide, chemicals which not only damage the skin but can also cause various health issues.
Skin and sun protection: To avoid any kind of damage to the skin from colours, apply a good amount of Vaseline, any other petroleum jelly or mustard oil to your skin. You can also apply this to your child s skin as it is completely safe for their sensitive skin. When playing outdoors, opt for a waterproof sunscreen to protect your skin against sun damage.
Choose the right clothes: Wear long pants and full-sleeved shirts. This will help you stay safe from the harmful effects of colours. 
Tips to care for your hair

Oil your hair: You can apply a generous amount of oil to your hair, this will not only moisturize your hair but also safeguard the scalp and hair from the chemicals in the colours.
Cover your hair: Tie a ponytail and cover your hair with a shower cap to prevent your hair from dreadful damage. For a trendy look, you can also tie a bandana over your hair and safeguard them at the same time. 
Tips to care for your eyes

Wear sunglasses: Synthetic or organic, colours can be harsh on your eyes. You can protect your eyes by wearing sunglasses as they will help in preventing your eyes against any sort of damage. If your eyes come in contact with the colour, rinse them immediately to avoid infections. 
Moisturize around the eyes: Applying a good cream around your eyes will shield them from getting the colour into your eyes.
Avoid wearing contact lenses: You should refrain from wearing contact lenses while playing Holi. In case you cannot do without them, wear the eyeglasses. 
Use rose water: Rose water is known for its antiseptic and antibacterial properties and can do a great job in removing colour from the eyes. It can also be used to reduce irritation cause by the chemicals present in the colours.
Other health tips

Stay hydrated: Drink plenty of water before, during and after the festivities. Staying hydrated will not only keep you energetic but will also prevent your skin against the absorption of harmful chemicals. Drinking fluids will also ensure that all the toxins are flushed out of the body. 
Check your sweets for purity: Adulteration is at all-time high during the festive season. Therefore, make sure you buy your sweets from a reputed brand. In case, you are preparing your own sweets, buy your ingredients from a reputed shop, especially in case of products like khoya or if you can you even make that at home.
Keep your hands clean: Keeping your hands clean during the festivities can be a daunting task but since the colours used during Holi come as a fine powder and can easily get mixed with food, they can lead to different health problems. Make arrangements for snacks and drinks away from the festivity area. Make sure you wash your hands every time you touch the food.
Preventing asthma attacks: If you are an asthmatic patient, you must avoid playing with dry colours as they can aggravate breathing problems. The particles can enter your lungs and trigger an asthma attack. Asthmatic patients are also advised to carry inhalers, in order to avoid complications.
Apart from the above mentioned problems, these synthetic colors can also cause health problems like nausea, headache and vomiting in many people. Follow these tips and enjoy the festival to the fullest, while steering clear of all the harmful effects. So, forget all your worries and storm in the riot of colours. Be safe and be healthy! Have a great Holi!

This Holi Let's Paint The Town Red While Keeping Yourself Safe

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?

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