Category: Eye Health

Have you noticed tiny shadows cast upon objects you are looking at? Do you see small spots in your vision when looking at a clear or overcast sky? You may be seeing floaters and spots in your field of vision.

What is the spot in my vision?

It is completely normal to see spots or floaters in your vision. As you age the gel-like consistency in your eyes begins to dissolve creating floaters in the watery center of your eye. While you cannot see the particle floating in your eye, a shadow of these particles can be seen reflected on the objects you are viewing.

Do I need treatment for my floaters?

No, most of the time treatment is not required for floaters in the eye. The floaters and spots are harmless and most will fade over time. If your vision is inhibited by large floaters, give our office a call to discuss options available to reduce these symptoms.

Why is there a flash in my vision?

When light enters your eye it sends a message to the retina, the retina then produces an electrical impulse which is sent to the brain. The brain interprets this impulse as an image. If the retina is tugged, torn, or detached from the back of the eye it is common to see a flicker of light. The flashes or flickers of light can be temporary or continue indefinitely depending on the severity of the retinal issue.

Is this ever a medical emergency?

Seeing a few new floaters is not an emergency, however, if you suddenly see a shower of floaters or spots this may be cause for concern. The sudden appearance of flashes of light could mean that damage is occurring to your retina. If any of these symptoms suddenly appear, call our office immediately to discuss with your doctor.

Conditions associated with eye floaters and flashes:

• Bleeding inside the eye
• Inflammation of the interior of the eye
• Nearsightedness
• Cataract surgery
• Laser eye surgery
• Diabetes
• Eye infections

Eyes are one of the most sensitive areas of the body and we tend to notice any pain related to our eyes relatively quickly. Here are a few common eye conditions and symptoms that cause bumps on or around our eyelids. Have more questions? Give our office a call!

I have a red bump near the edge of my eyelid, what is this?

This red bump is likely an infection called a stye. A stye is caused by bacteria entering the base of an eyelash and becoming infected. A stye can be contagious so it is important to wash your hands if you touch your eyes and not share any washcloths or hand towels with others. While a stye can be annoying, you should never pop or poke it. A stye will heal on its own within a few days. A warm washcloth can help to alleviate some of the pain and speed up the healing process.

What is the bump inside my eyelid?

This type of bump is called a chalazion. Chalazions are similar to styes but are found inside the eyelid on an oil gland. This red swollen bump is usually benign and containings fatty secretions that normally help lubricate the eye. Chalazion are not infectious and typically resolve on their own within a few days to a week. A warm compress can help to relieve discomfort and move along the healing process. If you are experiencing pain or discomfort from a chalazion and it does not heal on its own, call our office to make schedule an appointment to talk with your optometrist.

Why does my baby have tiny bumps on and around the eye area?

Milia are the tiny white or yellowish bumps seen around a baby’s eyes. These look similar to a whitehead, but are not acne. Milia occur in clusters and are caused by dead skin cells getting trapped under the surface of the skin. They occur most commonly in babies but can be found on any age. Milia in newborns often resolves on its own within a few weeks. Do not try to pop or remove milia yourself.

Why is my eyelid swollen?

Swollen eyelids occur when there is inflammation or excess fluid surrounding the eye. Eye infections, injuries, trauma, and allergies are the most common causes for swollen eyelid. The cause of the swelling will determine whether or not you experience pain and how long the healing process will take. If you are experiencing swelling surrounding your eye from an unknown cause or for an extended period of time, call our office to schedule an appointment or consult with your doctor.  

Have more questions?

If your eyelid condition or concern does not fit into one of these categories or you have additional questions please call our office to schedule a consultation. Consultations allow us to answer all of your questions and give personalized recommendation for your eye care.

Individuals over the age of 50 are at a higher risk for developing age-related macular degeneration (AMD), which causes gradual vision loss. If you are over the age of 50 and have noticed changes in your vision, call our office to schedule an appointment with your doctor to discuss your risk for AMD.

What is Macular Degeneration?

Macular degeneration is a condition in which the macula in the eye breaks down resulting in gradual central vision loss. This vision loss is commonly referred to as age-related macular degeneration due to its increased development in individuals over the age of 50. Early signs of this condition include shadows in your central vision, fuzzy vision, or distorted vision. While AMD is not curable, early detection, prevention, and treatment can help slow or stop the progression.

Symptoms of AMD

• Straight lines appear wavy
• Fuzzy vision
• Night vision problems
• Gray, dark, or empty area in central vision
• Dramatic vision loss

Types of macular degeneration

Dry macular degeneration is the most common type of AMD, diagnosed in nearly 90% of cases.* Dry macular degeneration causes yellowish deposits to form in the retina resulting in deterioration. Dry AMD will not result in full vision loss, but it is not curable or reversible. By maintaining good health and protecting your eyes from UV rays, you can decrease your risk and prevent early development of dry macular degeneration.

Wet macular degeneration is a severe form of AMD and accounts for about 10% of macular degeneration cases.* Wet AMD is an advanced form of macular degeneration and can result in full loss of central vision. Wet macular degeneration occurs when abnormal blood vessels grow under the retina and macula in the eye. As these blood vessels start to leak blood and fluid into the eye, the macula is forced to lift away from its base causing distorted central vision.  

Who is at risk?

Macular degeneration commonly affects individuals over the age of 50 people, primarily caucasians and females. While smoking is one of the highest risk factors for developing macular degeneration, other risk factors include obesity, high blood pressure, lighter eye color, and a family history of AMD.

If you are concerned about changes in your vision or suffer from one of these risk factors, call our office to schedule an appointment with your doctor and discuss your vision and risk of macular degeneration.

*American Macular Degeneration Foundation

Did you know, nearly 2.2 million people in the United States are affected by glaucoma?* Due to the lack of symptoms in the early stages of glaucoma, almost half of Americans with glaucoma do not know they have it; causing glaucoma to be the second leading cause of blindness in the United States and worldwide.

What is glaucoma?

Glaucoma is an eye condition that damages the optic nerve in the eye and, if left untreated, can result in blindness. High pressure within the eye causes damage to the optic nerve and prevents the nerve from sending messages from the eye to the brain.

Typically, there are no symptoms or pain associated with glaucoma until severe vision loss has occurred; at which point vision loss is permanent and cannot be reversed. The degree of vision loss differs from each individual.

Symptoms

• Most often has no symptoms
• Damage starts in peripheral vision
• Blurred vision
• Distorted vision
• Vision loss

Who is at risk?

According to the Glaucoma Research Foundation, African Americans are three times more likely to be affected by glaucoma, and six times more likely to suffer from blindness as a result of glaucoma. Hispanics and Latinos have the second highest risk for glaucoma. Those with a family history of glaucoma and diabetes are also at a higher risk. In order to help with early detection and to prevent irreversible vision loss, be sure to notify your doctor if glaucoma runs in your family or if you have diabetes.

Primary Types of Glaucoma

• Primary open-angle glaucoma: Primary open-angle glaucoma causes peripheral vision to gradually reduce without any other symptoms. If not controlled or discovered, it can progress to tunnel vision and ultimately lead to blindness.
• Acute angle-closure glaucoma: Acute angle-closure glaucoma, also called narrow angle glaucoma, produces a variety of sudden symptoms such as eye pain, headache, halos, dilated pupils, vision loss, nausea, and vomiting. Each onset of new symptoms causes additional vision loss.
• Normal tension glaucoma: Normal tension glaucoma occurs in patients with normal pressure within their eye and typically has no symptoms associated until tunnel vision occurs.

*Glaucoma Research Foundation

Pink eye might look and sound scary, but it is a common and easily treatable eye irritation. Also called conjunctivitis, pink eye most commonly affects those working in close proximity with one another. While anyone can get pink eye, schoolchildren, college students, teachers, and daycare workers are at a higher risk.

What is pink eye?

Pink eye is inflammation in the clear covering on the white part of the eye. It is a highly contagious viral infection caused by several types of viruses.

Symptoms of pink eye

• Pink appearance in the eye
• Watery eyes
• Itchy eyes
• Sticky eye discharge
• Waking up with eyes stuck shut

What causes pink eye?

Viral conjunctivitis is very contagious and is caused by a virus, such as the common cold. Typically, this will clear up on its own after a few days.

Bacterial conjunctivitis is caused by bacteria entering the eye and must be treated by a doctor.

Allergic conjunctivitis is caused by individual allergy irritants, which could include pollen, dust, and animal dander. Every person has differing allergies, symptoms, and flare up times so this typically occurs during the peak of their allergy season.  

Tips for preventing pink eye

1. Do not share washcloths, hand towels, or tissues.
2. Never share contact lenses (prescription, colored, or special effect).
3. Cover your mouth when coughing.
4. Wash your hands, often.
5. Use hand disinfectants or hand sanitizers frequently.
6. Clean shared surfaces such as counters, door handles, faucet handles, and phones.
7. Properly clean your contact lens.
8. Wear swim goggles to prevent bacteria from entering your eyes.
9. Before going into the water of any kind, remove your contact lenses. This will prevent bacteria from getting trapped between the lens and your eye.

Pink Eye Q&A

How long does pink eye last?

This depends on the type of infection you have, but typically it lasts anywhere from a few days to a few weeks. If you experience prolonged discomfort or suspect you have pink eye, give us a call to schedule your next appointment today.

How long is pink eye contagious for?

If the pink eye is caused by virus or bacteria it can be contagious for several days to several weeks.

How long should I wait to return to work or school after pink eye?

Typically, you may return once the obvious signs of pink eye are gone. This can take anywhere from 3 to 7 days. Check with the facility to see if they have specific requirements for returning after experiencing pink eye.

Is there a way to avoid pink eye if someone else in my house has the infection?

The best way to avoid contracting pink eye in close quarters is to clean all surfaces touched by the infected individual, frequently wash your hands, and avoid sharing washcloths and towels. This doesn’t guarantee you won’t get pink eye but can help to prevent it.

Do I need to come to the doctor if I think I have pink eye?

Yes, it is always recommended you, or your family, visit our office if you have any type of eye infection.

Lazy eye, or amblyopia, occurs when one eye fails to reach normal visual acuity, even with prescription lenses. In most cases, this begins in infancy and early childhood. If left untreated, lazy eye can result in blindness, loss of vision, or the abnormal development of a child’s eyes.

What causes lazy eye?

Lazy eye occurs when one eye experiences fewer visual signals from the brain in comparison to the other eye. In prolonged cases, the eyes may stop working together and eventually the brain may completely ignore the input coming from the “lazy” eye.

Strabismus

Strabismus, the most common cause of lazy eye, is when an individual has a crossed or turned eye. Due to poor alignment, the brain begins to ignore the input from the poorly aligned eye resulting in strabismic amblyopia.

Refractive

Refractive amblyopia is caused by unequal refractive errors in the eyes. For example, if one eye has an uncorrected nearsighted RX and the other does not, an individual will experience blurred vision in only one eye. In this example, the brain will eventually neglect the blurred vision and causes amblyopia from lack of use.

Deprivation

Deprivation amblyopia is caused by articles on the eye, such as a cataract, preventing light from entering the eye.

Signs and symptoms to look for:

Because lazy eye begins at such a young age, it is difficult to pinpoint exact symptoms. However, as a parent, there are signs you should look for to determine if your child may have a visual disability. These include:

• Crossed eyes or misalignment
• Child cries or fusses when you cover one eye
• Trouble reading
• An eye which wanders inward or outward
• Poor depth perception
• Squinting or shutting an eye

Importance of early detection

Lazy eye will not subside on its own and can worsen over time. If left completely untreated, lazy eye could lead to permanent visual problems. It is important to have your child’s eyes examined at an early age to catch any signs of lazy eye and seek treatment if needed.

Children should have their first eye exam at 6 months old, another at 3 years old, and again before starting school. Regular comprehensive eye exams help ensure your child’s eyes are developing normally and allow for early detection and treatment of eye-related conditions.

Myth or Fact

Bangs cause lazy eye. MYTH. Lazy eye cannot be caused by bangs or other cosmetic modifications unless it causes the eye’s line of sight to be blocked all day and night.

Patching is a common way to treat lazy eye. FACT.

Older children and adults with lazy eye cannot receive treatment. MYTH. An individual can receive treatment for lazy eye at any time. The effectiveness of treatment depends on a variety of factors including development stage and early detection.

The eye becomes “lazy” because the brain has decided not to process visual information from the eye. FACT.

Treatment is most effective if lazy eye is detected before age 7. FACT.

Did you know, cataracts are the leading cause of blindness in the world? Cataract affects nearly 20.5 million Americans age 40 and older.* If you are over the age of 50, you should have a yearly comprehensive eye exam to detect cataracts as they develop.

A cataract is the clouding of the lens in your eye. Many people describe the feeling as if you are looking through a foggy or frosted window.

What causes cataracts?

Clouding of the natural lens in your eye is caused by proteins clumping together within the lens. It is unknown why the eye changes as the body ages, but these changes may cause cataracts to grow larger over time, resulting in an increased difficulty to see clearly.

Some factors that have been linked to cataract development are diabetes, obesity, smoking, ultraviolet radiation, and family history.

Symptoms

Symptoms associated with cataracts can vary from person to person. However, there are a few key symptoms associated with most cases of cataract development. If you are experiencing one or more of these symptoms, schedule a visit with your eye doctor to discuss your risk or development of cataracts.

• Slight blur in vision
• Vision is cloudy
• Sunlight or lamps feel too bright
• Headlights have more glare
• Colors no longer appear as bright as they once did

Types of cataracts

Subcapsular

Subcapsular cataracts typically occur in the back of the lens and are most common in individuals with diabetes or those taking a high dose of steroid medication.

Nuclear

Nuclear cataracts are associated with aging and occur in the central zone of the lens.

Cortical

Cortical cataract occurs in the lens cortex and are associated with streaks which interfere with light passage through the eye.

Congenital

Congenital cataracts are present at birth and may be due to genetics or intrauterine infection.

Are cataracts preventable?

No studies have shown a way to prevent cataracts, however, there are recommended practices to help maintain eye health and lower your risk of developing cataracts.

• Yearly comprehensive eye exams help maintain eye health and detect the development of cataracts at an early stage.
• Smoking has been linked to the development of cataracts. Quitting smoking provides a variety of health benefits that lowers the risk for further cataract development.
• Keeping up with treatment if you have diabetes or other medical conditions will help minimizes your risk.
• Maintaining a healthy diet, including fruits and vegetables, provides increased overall eye health.
• Wearing sunglasses to prevent ultraviolet radiation will decrease your risk of UV damage which has been linked to the development of cataracts.

*National Eye Institute (https://nei.nih.gov)

People often ask about the distinction between being blind and being “legally blind.” Because “blindness” can mean several different things, legally blind is the threshold at which someone is considered visually impaired for legal purposes such as for insurance purposes, receiving certain benefits, or being accepted into various programs.

Blind people are “legally blind,” but some people who can see with strong prescription eyewear say that they are legally blind without their eyewear. This means that, without eyewear, they would not be able to see well enough to see certain things, drive, and so on. Visual acuity less than 20/200 is considered legally blind, but to actually fit the definition, the person must not be able to attain 20/200 vision even with prescription eyewear. Many people who would be legally blind without eyewear can function well in everyday life with appropriate glasses or contact lenses.

The reason that some people use this term is because there are so many different kinds of “blindness.” People wrongly believe that all blind people just see darkness, or literally nothing at all. In fact, blindness can include seeing some colors or light, or having greater visual acuity in some parts of their field of vision while others are blurry or absent.

DId you know: the largest letter on the chart (an E on most Snellen charts) corresponds to 20/200 vision. If someone cannot distinguish that letter with their prescribed eyewear, they are considered legally blind.

Visual acuity of 20/20 is considered “perfect vision” because no aids are required to see better, and the average person with good eyesight can see clearly what doctors have determined is 20/20 vision. Some people (especially young people with good eyes) are able to see letters smaller than the general “20/20” size.

If you have any questions about your own visual acuity, or if it has been a while since you’ve seen an eye doctor to determine your vision ability, get in touch. We’re happy to assess your vision with a number of painless tests and discuss any concerns you may have. You can speak to the doctor about how well you’re seeing now, and what options are available to help you get your best possible vision!

Eye doctors often get asked about small specs that appear to float through someone’s field of vision. Even very young people may notice on occasion a spot that appears when they look at a light, plain surface. The good news is that there is no reason to be alarmed!

Eye floaters are simply how we see differences in the gel or liquid in the back of our eyes. Typically these spots appear as specks, circles, or stringy webs that drift through our field of vision. The reason that we see them is that the human brain works with the eyes to interpret light that enters through the front of the eye. In between the light entering the front of the eye and the structures inside the eye that create visual images there is a gel-like substance called vitreous or vitreous humor.

Vitreous is generally a thicker gel in young people and begins to change as we age. Through our youth, the gel generally remains consistent. With age, vitreous dissolves and starts to turn into a thinner liquid. Because some of the gel does not thin and remains in a gel state, you may be able to see small discrepancies in the consistency of the material. These are floaters.

Floaters like this are not anything to worry about, but other types of visual anomalies have different causes and may be something more serious. If you see an occasional floater, there’s no need to see the doctor. If you suddenly see lots of floaters, or if you are seeing flashes of light, contact your eye doctor right away. Sudden appearance of many floaters could mean that the vitreous is beginning to separate from your retina. This is a type of detachment and can lead to damage to the delicate retina which may cause permanent loss of vision.

Always keep in mind that any sudden changes to your vision could be serious and should be addressed with a medical professional right away.