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?

Cataract is clouding of clear natural lens present inside the eye, this is a major cause of decreased vision in elderly. Cataracts can occur in one or both eyes, usually developing very slowly. Things look blurry, hazy, less colourful and less sharp with cataract. 

Most cataracts are related to ageing, however many other factors can either increase the rate of formation or cause cataract formation. 

Causes of Cataract Formation-

Ageing: Most common cause. As the proteins present in the lens of the eye degenerates over the years ( just like any other organ) cataract is formed. If you are having Diabetes or hypertension, the rate of formation gets accelerated.

Radiation: Prolonged exposure to ultraviolet rays, especially UV-B rays, results in cataract in your eyes. Wearing sunglasses in the daytime helps in slowing down the process of cataract.

Genes: Many genetic disorders can result in congenital cataract ( cataracts present since birth) or early formation. Like in Lowe syndrome or Down's syndrome. 

Lifestyle Choices: Cigarette smoking, long hours of sun exposure regularly, antioxidant, poor diet etc. are responsible for the onset of cataract.

How To Detect Cataract?

Certain signs and symptoms suggest the existence of cataract in the eye. Depending on the type and level of cataract, problems in vision occurs. The main symptom is foggy cloudy vision as if seeing through a dirty glass window. 

Other Symptoms are- 

inability to see clearly in bright light (during the day) which becomes better in dim light ( evening and night) and vice versa. 
watery, tired eyes - mild pain in and around eyes. 
yellow tinge in vision 
Halos around light bulbs or bright light. 
If you are experiencing above symptoms and having problems in viewing things clearly, visit an ophthalmologist and get your eyes checked.

Foggy and Cloudy Vision - A Sign Of Cataract?

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!

With technology at your fingertips, it is hard to think of times when the existence of laptops and television sets was unimaginable. Technology is common enough to be taken for granted in present times. TV and laptops are especially in widespread use. The primary reason could be entertainment, an urge to connect to the larger world, or the need to kill time. Such dependability leads to severe health hazards. Read on to find out more:

Effects of TV and laptops on your health:

    Sleep deprivation: Long hours of exposure to artificial light can lead to sleep deprivation.
    It can also lead to serious vision problems: Watching TV or using laptops for long hours can make your eyes vulnerable to constant glare. You fail to realize, but changing lights of a computer screen or of a television set in a dark room can be extremely strenuous for your eyes to adjust. Constantly changing lights can lead to glaucoma. However, dry and itchy eyes, headaches and poor vision are the commonly noticed effects.
    It causes obesity in children and adults: Since all your work can be done on the internet, you tend to become lethargic. You are too lazy to go to the market or to the bank. Even if you are not watching you use the television for background music. Adults therefore do not make qualitative use of their free time. Children are addicted to playing games and browsing sites on the laptop. They hardly indulge in outdoor games. This leads to obesity in adults and children all the same.
    Propels your desire to eat fast food or packaged food: Binge eating is a very common practice while watching TV or using laptops. Chips, pizzas, burgers, ice- creams, cold drinks and absolutely anything junk devoid of nutritional value are more liked by us. Junk food not only leads to weight gain but is also detrimental to our digestive system.
    Can increase the risk of infertility in men: Laptops heat up when used for a long span of time. This heat can increase scrotum temperature which results in reduced sperm production, leading to infertility.   

As is said, nothing in excess is good for your health. It is therefore, best to make controlled use of TV and laptops to avoid its harmful effects.

Watching TV and Using Laptop: How it Affects Your Health?

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

Don't wait any longer, manage your Phaco Cataract Surgeon online with a Lybrate doctor today

Consult for Phaco Cataract Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES