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?

Glaucoma is a group of eye diseases characterised by damage to optic nerve usually due to excessively high intra ocular pressure (eye pressure). If left untreated can lead to optic nerve damage resulting in progressive, permanent vision loss. Glaucoma usually affects people above the age of 40, but can affect younger people as well. This condition causes fluid to build up in the eye, which puts pressure on the optic nerve. 

There are broadly two types of glaucoma - Open angle glaucoma ( more common in elderly) and angle closure glaucoma.
Women are more likely to suffer from glaucoma than men are. Ethnicity also plays an important role in determining the risk of suffering from this condition. East Asian and African Americans have a high risk of glaucoma, as they have a shallow, anterior chamber depth. Some of the other conditions that can increase a person s risk of glaucoma are:

Diabetes
Hypothyroidism
Myopia
An earlier eye surgery
Retinal detachment
Tumours
Injury to the eye
Long term corticosteroid medication
If diagnosed early enough, glaucoma can be treated and its effects can be reduced. However, the damage already caused by glaucoma cannot be reversed. The aim of glaucoma treatment is to either reduce the production of fluid in the eye or improve its flow. This helps slow down the progression of this disease and prevents any further loss of vision. Glaucoma treatment usually takes the form of eye drops or surgery.

Eye drops are the first step towards treating glaucoma. There are many different types of eye drops. Prostaglandin analogues aim at increasing the flow of fluid out of the eye and are usually prescribed in cases of swelling around the rim of the eyes, darkening of the iris and blurred vision. Beta-blockers can also help lower the secretion of fluids in the eye.

Patients who are also suffering from diabetes or lung conditions such as bronchitis may be prescribed cholinergic agents, carbonic anhydrase inhibitors or sympathomimetic drugs. Cholinergic agents help improve the outward flow of fluid in the eyes while Carbonic anhydrase inhibitors reduce fluid production in the eyes. Sympathomimetic drugs do both reduce the production of fluids and improve outflow.

If the eye drops are not effective, surgery may be advised to lower the pressure built up in the eye. Some of the common types of surgery for glaucoma are:

Trabeculoplasty: This procedure involves directing a high-energy laser beam into the eye to open clogged drainage canals. The surgery has high success rates but the problem may recur after surgery.
Filtering surgery: This involves creating an opening in the eye and removing a part of the trabecular meshwork, thus allowing fluid to flow outwards.
Drainage implants: Children or patients with secondary glaucoma may be treated with this surgery where a small silicone tube is placed in the eye to aid in fluid drainage.

Glaucoma - Factors That Put You Risk!

Glaucoma is a disease that damages your eye's optic nerve. It usually happens when fluid builds up in the front part of your eye. That extra fluid increases the pressure in your eye, damaging the optic nerve.Glaucoma is the second largest cause of eye blindness in the world.

There are several types of Glaucoma:
1. Open-angle Glaucoma
2. Normal-tension Glaucoma
3. Angle-closure Glaucoma
4. Congenital Glaucoma
5. Secondary Glaucoma
6. Glaucoma suspect

How will you know that you are suffering from Glaucoma?
Only half the people with glaucoma are aware that they are suffering from this condition. When Glaucoma develops, there are usually no early symptoms. This is why glaucoma can 'steal' sight gradually.

Symptoms:
1. In its early stages, open-angle Glaucoma has no obvious symptoms. As the disease progresses more blind spots develop in the peripheral (side) view.
2. An attack of angle-closure Glaucoma includes the following:
a. Severe pain in the eye or forehead
b. Redness of the eye
c. Decreased vision or blurred vision
d. Vision rainbows or halos
e. Headache
f. Nausea
g. Vomiting
If you get any of the symptoms rush to your doctor and take an eye exam as soon as possible.

Causes:
1. Eye injury
2. Inflammation of the eye
3. Dilating eye drops
4. Blocked or restricted drainage in your eye
5. Use of steroid-containing medications (pills, eye drops, sprays)
6. Poor or reduced blood flow to your optic nerve
7. High or elevated blood pressure

Who is at Risk for Glaucoma?
People with more risk of developing Glaucoma include people who:
1. Are over age 40
2. Have family members with glaucoma
3. Have high eye pressure
4. Are farsighted or nearsighted
5. Have had an eye injury
6. Have diabetes, migraines, high blood pressure, poor blood circulation or other health problems affecting the whole body.

Types, Causes and Symptoms of Glaucoma

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

Conjunctivitis, also known as pinkeye, is a very common eye disease. Though it is not harmful, anyone suffering from this infection must consult a doctor and receive treatment so that it can be cured in 7 to ten days.

Conjunctivitis can be treated through a range of medical treatments. Usually, one goes to an optometrist but have you tried consulting a homeopathic for a change?

Advantages of Homeopathy

Natural medicine: Homeopathy is a natural form of medicine and is considered to be an alternative form of medicine. It would not aggravate the problem, but it would find a quick solution to relieve you from it. Allopathic medicines contain certain chemicals and drugs which might not be suitable for many individuals.

Can fight all the symptoms of conjunctivitis: This disease has some common symptoms. Some of them are redness, swelling of the eye, yellow discharges, water flow from the eyes, and others. These symptoms can be well managed by homeopathic medicines as well. These medicines work to heal the root cause of the disease and cure it.

You recover quickly: Usually it takes around a week to t10 days for conjunctivitis to completely heal. For this period, it is advised that the affected person stays indoors to avoid contamination and spread of the disease. Adhering to homeopathy can actually reduce the time span of this disease, thereby completely healing you in no time and so that you can go about your daily routine.

No side effects: Most medicines are made of drugs and chemicals and have various side effects. But with homeopathy being a naturally sourced medicinal option, the chances of having side effects are less. However, it is advisable to know beforehand if homeopathy suits you or not. If it does, then there are lesser chances of side effects.

The above factors have made it clear that conjunctivitis can be easily treated with homeopathic medicines. In case homeopathy suits you, then it might be a good idea for you to follow this course of medicine to treat this disease.

Homeopathic Medicines For Conjunctivitis

Here are the 5 best Homeopathic medicines for allergic conjunctivitis-

Apis Mel

Euphrasia

Argentum Nitricum

Ruta

Pulsatilla

The dosage and the exact medicine varies from patient to patient and depends on the severity of the problem. This does not in any way mean that only these 5 homeopathic medicines that can be used in conjunctivitis. There are dozens of other medicines that are required at times depending on individual symptoms of the patient. It is always recommended to consult a specialized homeopath before taking any such medication.

How To Treat Conjunctivitis With Homeopathy Remedies?

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!

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