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?

Are you losing your sight day by day? Does it make difficult to see you at night? Is this the onset of Blindness? Get to know about Retinitis Pigmentosa with these tips.

What actually is Retinitis Pigmentosa? 
Retinitis Pigmentosa (RP) refers to a group of diseases, which causes a slow, but progressive vision loss. It is a genetic disorder that affects the ability to respond to light.This inherited disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision and eventually results in blindness.

Causes:
Retinitis pigmentosa is often hereditary (runs in families). If you or your partner has retinitis pigmentosa, there may be up to a 50 percent chance that you will pass it on to your children. Ask your ophthalmologist about genetic counseling if you are planning to have children.

Symptoms:
1. Slow loss of vision
2. Beginning of decreased night vision
3. Loss of peripheral vision
4. Difficulty in identifying colours

Diagnosis:
If you have poor night vision or a loss of side vision or if there is a history of retinitis pigmentosa in your family, your ophthalmologist will conduct a comprehensive eye exam to determine if you have retinitis pigmentosa. Your ophthalmologist will dilate your eyes to look at the back of them for signs of disease.

Treatment:
Currently there is no known cure for retinitis pigmentosa. However, research has shown that vitamin A palmitate may slow the progression of certain forms of RP. Your ophthalmologist can advise you about the risks and benefits of vitamin A palmitate and how much you can safely take. Taking too much vitamin A palmitate can be toxic, and evidence of vitamin A palmitate effect on RP progression is not substantial.
Another recommendation for slowing vision loss from RP is to wear sunglasses to protect your retina from harmful ultraviolet (UV) light.

Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.

Retinitis Pigmentosa: What You Should Know About It?

As you reach the age of 40, you will likely notice changes in your vision. Perhaps you have difficulty reading a book without glasses, or distinguishing between colours. These changes occur as an effect of ageing. However, nowadays people in their teens are also exposed to a host of eye disorders and vision problems, mostly resulting from eye injuries and visual stress.

The most common disorders of the eye, which affect the age group 19-40, are Refractive errors. The following signs and symptoms characterize such disorders-

  Haziness
  Double vision
  Halos or glares when you are surrounded by bright lights
  Headaches
  Squinting
  Eye strain

What are the Refractive errors?

Refractive errors develop when light cannot focus on the retina (the light-sensitive tissue situated at the rear side of the eye) directly due to the shape of the eye. The change in the cornea s shape, the ageing of the lens, or the length of your eyeball can lead to refractive errors. Most people suffer from one or more of the above conditions.

Type of Refractive Errors:

Following are the most common types of refractive errors-

  Myopia or Nearsightedness - If you have this condition, you will see nearby objects clearly but distant objects will appear blurry. This happens because the light comes to focus right in front of the retina, instead of on the retina.

  Hyperopia or Farsightedness - This condition is just the opposite of myopia. Distant objects are clearly visible but those located close to you appear blurry. However, some people may not observe any problem with their vision at a young age. If you have significant hyperopia, objects at any distance, far or near, can appear blurry.

  Presbyopia - This age-related condition affects your ability to focus on things closely. This happens because as you age, the lens of the eye is unable to change shape to allow the eye to focus on nearby objects clearly.

  Astigmatism - In this condition, the eye cannot focus light onto the retina evenly. As a result, images appear stretched out and blurry.

  Amblyopia or Lazy eye - This vision development disorder begins during early childhood and infancy. In this condition, the eye does not achieve normal visual acuity despite using contact lenses or prescribed glasses. Usually, amblyopia affects only one eye.

Can early diagnosis help treat the problem?

Yes, it can. Your eye care specialist can diagnose refractive errors and detect what exactly is impeding your vision with a comprehensive dilated eye examination. Upon encountering the symptoms mentioned above, one should consult an ophthalmologist at the earliest and get oneself checked.

If the condition is detected early, vision problems due to refractive errors can be treated. The common treatment options include the use of contact lenses, prescription glasses, and surgery (in severe cases).
People with visual problems should also adopt some lifestyle changes to correct their vision - eat more veggies, get adequate sleep and rest, abstain from smoking etc. Additionally, you should get periodic eye check-ups to monitor the condition.

Difficulty In Vision - It Can Be Better If Treated On Time!

Allergic conjunctivitis is the result of a foreign particle (allergen) coming in contact with the eye. Once this happens, the immune system overreacts resulting into an inflammation of the eye. The eyes sore with pain. The over secretion of the histamine dilates the blood vessels causing the nerve to irritate and blood vessels of the eyes to expand. Some common reasons of allergic conjunctivitis include eye drops, pollen, dust mites, makeup and animal fur. The good news is that allergic conjunctivitis is easily treatable. Here are top five ways to deal with this condition:

Taking care of the eye: It is advised not to wear contact lenses until the symptoms go away fully. If any medication is used, a person must wait for at least 24 hours before putting on the contact lenses. Sometimes our hands carry major pollens that result in allergic conjunctivitis. It is equally important not to rub the eye without washing both the hands. Many studies have also reported that frequent bathing of the eye with cold water helps to clear the symptoms quickly. Some even say that frequent splash of warm water does the trick.
Avoid the allergen: Allergen being the villain behind the occurrence of this condition, it is very important to stay away from it. In peak pollen times, it makes sense to close the door. In case a person must go out, it makes sense to wear a sunglass. A pillow made of feathers should be changed every week to stay away from the infection. The number of dust mites at home should be decreased as much as one can.
Antihistamines: To quickly get rid of allergic conjunctivitis, doctors often prescribe antihistamines. It can be in the form of eye drop or oral presentation. They can successfully counter the effect of histamine which the body produces because of the hyper activity of the immune system. An antihistamine can block the aggressive effect of the immune system in a short time. Some of the commonly prescribed histamines include loratadine, cetirizine, emedastine, and ketotifen. People taking this form of the medicine for the very first time should refrain from carrying heavy load or driving.
Mast cell Stabilizers: These takes a little longer to act as compared to antihistamines. Their effects, however, are more lasting compared to its peers. Some of the popular mast cell stabilizers include nedocromil and lodoxamide. This medicine belongs to a non-steroid family and can successfully block the chemicals that cause inflammation.
Corticosteroids: These medicines are only prescribed by doctors when the symptoms of allergic conjunctivitis are serious. They belong to the steroid family of medicine produced synthetically. They can reduce the immune response of the body quickly and reduce the swelling as well. They can have possible side-effects. It is therefore wise, to consult a doctor before using it.

Allergic Conjunctivitis - 5 Top Ways To Deal With It!

Bloodshot eyes indicate the reddening of the eye vessels. They can cause irritation and make the eye swollen. The condition may arise due to allergies, eye infections, allergies, fatigue and other illness of the eye. It does not signify a disease but indicates an eye condition which might have caused the eye to redden. Bloodshot eyes can be encountered in one or both the eyes.

Causes of Bloodshot Eyes:

One of the frequent causes of bloodshot eyes is irritants such as dry air, pollen, pet dander, dust and UV rays of the sun. Shortage of sleep also tends to make the eyes red. Inflammations of the eye can also make them red giving a bloodshot appearance. It can even happen with people who wear contact lens for more than 16 hours without soaking it in the disinfectant. At times excessive dryness can make the eyes red. Some other reasons for the eye to become red include conjunctivitis, blepharitis, glaucoma and corneal ulcer. Another concerning reason of bloodshot eyes is a subconjunctival haemorrhage. While the latter is not dangerous in nature, it can cause significant trouble if proper care is not taken on time.

Symptoms of Red Eyes:

Some of the common signs of bloodshot eyes include watery eyes, foreign sensation, burning feeling, dermatitis, falling of eye lashes, light sensitivity, swollen eyelid, itching of the eye and feeling of irritation of the eye.

The Complications Involved:

In most of the cases, bloodshot eyes do not imply serious complications. In case it happens from conjunctivitis, a person may not be able to go to work, wear cosmetics and come in public places since it is a communicable disease. If bloodshot eyes arise from a serious condition such as glaucoma and trauma, some of the possible complications may involve the following:

Eye scarring

Vision loss due to complete blindness

Spreading of the existing condition to other persons

Eye loss in severe cases

Preventive Measures:

Bloodshot eyes might arise from an array of reasons. While it cannot be totally dodged, some general preventive measures can ensure that such a condition does not arise:

Keeping hands clean by thoroughly washing them with liquid soap

Not sharing personal belongings such as washcloths, linen, and cosmetics

Get immediate medical attention in case of any eye injuries

Stay away from an environment that is full of allergens

Staying away from people who are suffering from infectious eye diseases such as conjunctivitis

Taking a shower immediately after getting in touch with an infected person suffering from conjunctivitis

Wearing eye glasses in a dusty environment

Bloodshot Eyes - Causes, Symptoms and Complications

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma-

A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination.

Tonometry may also be performed:Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision. 

Symptoms that will help a doctor identify this condition in people:-

A loss of peripheral vision is experienced in the early stages of glaucoma.
A person may see halos when in the presence of bright lights.
Your eyes could turn red.
Hazy or blurry vision is a problem faced by young children affected with glaucoma.
Glaucoma could be accompanied by headaches and eye pain.
An affected person might repeatedly feel nauseous.
Ways to Treat Glaucoma:-

Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy.

Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes.

Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Diagnosis and Treatment for Glaucoma

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