Visual Comfort at the Computer

computer and glasses

There are many symptoms of computer vision strain: eyestrain, headaches, blurred vision, dry eyes, watery eyes, tired or burning eyes, squinting, and eye pain.
If you experience any of the above, here are a few things you can do now to improve your situation.
Lighting is one of the biggest problems. Light should be distributed equally to avoid discomfort. The overhead lights and windows are often too bright. If possible dim the lights over your computer and rearrange your workstation to avoid facing bright light sources such as a window. Use blinds to adjust the light allowed into the room.
If auxiliary lights are used they should be low wattage and not make the documents or desk brighter than the computer screen. Remember you are trying to equalize the lighting.
Workstation set-up is also within your control. Avoid reflective materials such as white or shiny surfaces. Desktops should be matte.
Lower the monitor and increase blink rate to reduce tear evaporation which contributes to dry eyes.

Take a Break. Follow the 20-20-20 rule. Take a 20 second break every 20 minutes. Focus your eyes on images at least 20 feet away.

It is important to have an accurate spectacle or contact lens prescription for computer use. Often a prescription designed just for the computer can relief most eye symptoms. Call (707-762-8643) or schedule an appointment online to resolve your computer vision issues.

Red Winter Eyes

Colder temperatures, winter winds and moisture zapping heaters can cause dry, red and irritated eyes. Tears are essential for good eye health and clear vision. They bathe the eye, washing out dust and debris, and keep the surface moist and clear. The natural tear film also contains enzymes that neutralize microorganisms, reducing the risk of eye infections. Tear FilmThe most common signs and symptoms of dry eyes are persistent dryness and irritation, scratchiness, a burning feeling in your eyes and red eyes. Oddly enough, dry eye syndrome also can make your eyes watery, as dryness can cause a protective overproduction of the watery component of your tears.

How to prevent dry eyes in winter:

  • Cold winter wind outdoors and dry heat indoors can cause or worsen dry eyes. Follow these tips to keep dry eyes at bay.
  • Wear sunglasses or goggles. Wearing close-fitting sunglasses outdoors reduces exposure to sun and wind that can dry out your eyes. If it’s especially cold and windy, try foam-lined goggles that provide even greater protection from tear evaporation.
  • Supplement your diet. Fish oil and other nutritional supplements containing omega-3 fatty acids can help prevent or relieve dry eye symptoms.
  • Drink more water. Mild dehydration often makes dry eyes worse, especially during dry and windy weather.
  • Switch contact lenses. If your contact lenses feel dry and uncomfortable, ask me about trying different lenses that are replaced more frequently and/or are better for someone with dry eyes.
  • Maintain good eyelid hygiene. This includes thorough removal of all make-up and cleaning of the eyelashes and eyelids.

Dry eyes may not be completely curable but the dryness, scratchiness and burning sensation can be managed. In addition to dry eye evaluations, Westside Optometry carries products we have found most beneficial for dry eye treatment.

bruder mask

Bruder Masks   – a reusable hot compress      

 

Cliradex

Cliradex  – Individual wipes to naturally clean and promote overall eye and skin health

avenova

Avenova – A daily spray that cleans debris and microorganisms from eyelids and eyelashes, as well as reducing inflammation.

Oasis Tears

Oasis  – A preservative-free artificial tear that contains long-molecule hyaluronic acid which keeps the moisture on the eye longer.

 

Sunglasses

MJ Blue Hawaii 2015
Maui Jim Blue Hawaii Collection

Prolonged exposure to ultraviolet (UV) light may cause cataracts, age-related macular degeneration (AMD), skin cancer, sunburns, and premature aging of the skin. Wearing good quality sunglasses can protect the eyes from harmful effect of UV light.

When it comes to choosing sunglasses, the options are endless and confusing. Not all lenses are equal in terms of UV and blue light protection. Here are a few tips on selecting good optical quality of the lens and the correct level of protection.

UV light

The light spectrum is categorized by wavelength. If the light is in the visible spectrum, the wavelengths will determine its color. If it is in the ultraviolet range, these wavelengths determine its UV category (A, B or C)

Blue Light

A relatively new term, blue light can damage the retina, leading to AMD and blurring of vision.

gg3711s 2015

Sun Lens features:

The color, or tint, of the sunglass lens does not affect its UV and blue light protection. In fact, you can get UV 400 protection in some clear lens materials. To learn more about the different color of sun lenses, click here.

  • A mirror on the front of your lenses will reflect most of the direct glare, essentially “squinting” so you don’t have to.
  • A polarized filter in your sunglasses will eliminate reflected glare from the road, water and other flat shiny surfaces. With polarized lenses, you can see below the water’s surface, so they are great for fishing.
  •  A back surface anti-reflective coating will prevent light from bouncing off the back of the lens and into your eyes. This feature reduces glare.
  •  A photochromic lens will adjust to lighting conditions, getting darker as the lights gets brighter. A photochromic lens is activated by UV rays, so the lens will not change as much inside a car.
  •  Excellent quality sunglasses will be impact-resistant, light-weight and treated with an anti-scratch coating. They will have high-quality optics, provide sharp, clear and comfortable vision.
  •  Specialized tints are available for different sports and activities. You can get lenses that maximize your vision for tennis, golf, hunting and fishing.

Sun Frame Features:

Aspire Sun AcclaimedWhen choosing a sunglass frame, the most important thing to consider is its fit. The frame should fit close to your eyes and face to reduce the entry of bounce back glare. The frame has to be big enough to provide appropriate coverage and protection for your eyes.
Most quality sunglasses will be available with your own prescription so you can enjoy clear vision outdoors.

Clip-on sunglasses are available for most prescription glasses. Although these are an acceptable compromise, they add to the weight of you glasses. Also, there will be internal reflection between the two sets of lenses that decreases the quality of your vision.
Select a frame style appropriate for your lifestyle. Fashion sunglasses are beautiful and fully functional at the beach and for running errands. A different style, something lightweight more durable better suited for sports and athletic activities.

Westside Optometry carries the following sunglasses: Maui Jim, Nike, Gucci, Kate Spade, Saks Fifth Avenue and Aspire.

Diabetes A1C Test

Diabetes illness concepts word cloud illustration. Word collage concept.

What is a diabetes A1C test? The hemoglobin A1C is a blood test that is a regular part of diabetic care. It is done every 3-4 months. The benefit of the A1C test is that it provides a measure of how your blood glucose levels have averaged over the past 2-3 months and provides a “picture” of overall blood sugar control. Sugar builds up in your blood and combines with your hemoglobin, becoming “glycated,” the average amount of sugar in your blood can be found by measuring your hemoglobin A1c level.

The daily blood glucose checks that are done at home or in the doctor’s office measure the blood glucose level at that moment. The A1C test measures the blood sugar over time and is extremely important for monitoring how well your diabetes is controlled.

For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes. Because studies have repeatedly shown that out-of-control diabetes results in complications from the disease, the goal for people with diabetes is a hemoglobin A1c less than 7%. The higher the hemoglobin A1c, the higher the risks of developing complications related to diabetes.
One of these complications due to high blood sugar is diabetic retinopathy. Since diabetes primarily affects the blood vessels, it is very important to have a dilated eye examination at least once a year. The retina inside the eye is the only place in the body where blood vessels can easily be examined.

How Does Diabetes Damage Your Eyes?

November is Diabetes Awareness month. High amounts of blood sugar can harm the internal structures of the eye. Below are some of the things that diabetes can do to the eyes.

  • Blurry or Double Vision. Fluctuating blood sugar and fluctuating vision are connected. A change in glucose levels affects the eye’s ability to maintain sharp focus. It may take several months after your blood sugar is well controlled for your vision to stabilize.

 

  • Diabetic Retinopathy. The leading cause of diabetes-related vision loss is diabetic Diabetic Retinopathy retinopathy. This condition damages the network of blood vessels supplying the retina with blood and oxygen. It also causes abnormal growth of blood vessels on the retina. When these vessels leak they damage  the retina causing permanent vision loss.
  • (the picture on the left is an example of fluid and blood leakage in diabetic retinopathy.)

 

 

  • Cataracts. People with diabetes have a much greater risk of developing cataracts and at an earlier age. A cataract is clouding of the eye’s natural lens and results in glare and obscured vision.
  • Glaucoma. Diabetes also increases your risk of developing glaucoma. This condition results from an increase in fluid pressure inside the eyeball, which causes damage to the retina and optic nerve. If untreated, glaucoma leads to gradual but permanent vision loss.

Actions to take right now include the following: Eating sensibly, the American Diabetes Association recommends filling half your plate with vegetables, a quarter of the plate should be lean protein and the rest a carbohydrate. Make time for 30 minutes of exercise everyday. Take your medicine as prescribed and know your blood sugar level.

Preventing diabetes is the best way to avoid diabetic damage to the eyes, but if you already have diabetes, regular eye examinations can prevent permanent damage to the eye due to elevated blood sugar.

 

Trick-or-Treat Safety Tips

Ask children what they like best about Halloween and the answer is likely to be dressing up and the candy. But safety and visibility top parent’s Halloween wish list. Neither has to be tricky if parents and children follow these suggestions.

Halloween and Kids

Avoid Masks

Children want to be scary and spooky; parents want them to be seen. Fortunately, make-up meets the specifications of both sides. make-up offers children a safer, more natural view than that offered by masks, which may not fit well or have adequately-sized eye openings. With hypoallergenic make-up in scary colors and parent’s help in make-up artistry, a child can sport a customized disguise without hampering vision. Parents should take care to keep make-up particles and applicators out of children’s eyes.

Get Noticed

Costumes can be both frightful and visible if parents decorate them with iron or sew-on reflective fabric, tape or decals. Retro-reflective material is the most effective way to make children visible to drivers. Studies show that people who wear retro-reflective material are visible to drivers even at speeds of 70 to 80 MPH. Be sure the material is placed so children are seen from the front, back and sides.

Make your Porch Safe

Adults can go even further to make Halloween safer for the trick-or-treaters by making sure any holes in the yard are filled, steps repaired and loose railings tightened. Porch and yard lights should also be turned on and property cleared of any yard equipment or other objects that might trip someone.

Drive with Caution

People who get behind the wheel Halloween night should be extra vigilant when traveling neighborhood streets. Reduce speed and make sure windshields, headlights and mirrors are clean. Drivers who have difficulty seeing at night should avoid driving on Halloween.

Adult Participation

Have an adult accompany trick-or-treaters. Be sure children walk on sidewalks, not in the street. Look both ways carefully at street crossings and try to cross at corners with street lights. A battery operated light adds an extra measure of visibility… and spookiness.

Halloween is a fun time for children, yet it need not scare parents. The key is to see and be seen.

Contact Lens Bad Habits

 

 

 

 

 

[heading centered=”yes” margin_bottom=”no”]Contact Lens Misbehaviors[/heading]hand-washing

 

  1. Overstayed Welcome. Studies indicate around half of soft contact lens users wear lenses longer than prescribed. If you wait until the lenses start to bother you, you waited to long.
  2. Caught Dirty Handed. The cleanest, daily disposable lenses are all for naught if wearers do not wash their hands before inserting the lenses. The last thing touching the lens before it goes into the eye is your finger.
  3. Damp Digits. The flip side of dirty hands are wet hands. Sometimes people forget to dry their hands before handling contact lenses. Water can harbor harmful microorganisms that can be transferred onto the lens and subsequently into the eye. Make sure the towel you use is clean.
  4. No Respect for the System. Not all contact lens care systems are created equal, in terms of disinfection and chemical sensitivities. Some solutions are not compatible with all  lens materials. Before grabbing a cheaper, generic solution consider your eye comfort and health.
  5. A Case of Grimy Cases. Proper contact lens care extends to storage cases, as well. Contact lens cases should be replaced at least every three months and cases should be cleaned and disinfected daily.
  6. Dozing Dangers. And finally, people snoozing in contact lenses that are not designed to be slept in are at a five times higher risk of developing corneal infections, ulcers and inflammations. Even extended wear lenses carry risk of infections. If you are in a situation without a case and solution, just throw your lenses away instead of sleeping in them.

Contact lenses are an amazing medical device. When treated well and respectively you can count on years of successful wear.

Eye Healthy Foods

[heading centered=”yes” margin_bottom=”no”]Nutrient rich foods can improve eye health[/heading]

A balanced diet is an important foundation to maintain good health, but most Americans don’t know what nutrients are best for their eyes. It is also not widely known that diet can affect your eye health and vision as you age. It’s important to make good lifestyle choices now to help avoid problems later. Enjoy a nutrient-rich diet, stay active and avoid harmful habits such as smoking.
So… what are the best foods for eye health? Most people think carrots are the best, but kale, collard greens, orange peppers and spinach are actually the most nutrient rich food for the eyes.
Green Leafy Vegetables and Eggs are rich in Lutein and Zeaxanthin. Many studies have shown that lutein and zeaxanthin reduce the risk of chronic eye diseases, including cataracts and age-related macular degeneration. Theses plant-based pigments also appear to lower the risk of developing type 2 diabetes, a leading cause of blindness. They are also protective antioxidants that work like internal sunglasses, absorbing damaging blue light.
Fruit and Vegetables are rich in Vitamins A, C and polyphenols. The eye’s light-sensitive retina (thin layer of tissue at the back of the eye) requires adequate vitamin A for proper function. Vitamin C supports the health of ocular blood vessels. Scientific evidence suggest vitamin C lowers the risk of developing cataracts and when taken in combination with other essential nutrients, can slow the progression of macular degeneration and visual acuity loss. Polyphenols are plant-derived substances that reduce inflammation and are especially high in colorful fruits and vegetables.

Nuts, Fortified Cereals and Sweet Potatoes are rich in eye-health Vitamin E. Vitamin E promotes the health of cell membranes and DNA repair and plays a significant role in the immune system. It has also been shown to slow the progression of macular degeneration and visual acuity loss when combined with other essential nutrients.

Salmon, Tuna and other Cold Water Fish contain Omega-3 Fatty Acids. Salmon filet on a wooden carving board.Omega-3 Fatty Acids may reduce inflammation, enhance tear production and support the eye’s oily outer layer by increasing oil that flows from the meibomian glands. Research has also shown omega-3 fatty acids can play a role in preventing or easing the discomfort of dry eye. Fish oil supplements are often prescribed as part of the Westside Optometry dry eye treatment.

The body doesn’t make the nutrients listed above on its own, so they must be replenished daily.

EyefoodsFor more information on Eyefoods check out the book I reviewed last year.

Eyes on the Road

Shorter days and rainy weather, both contribute to difficulty driving. A driver’s vision guides 90% of driving decisions, so good eyesight is essential for road safety.

On the Road

Start with an eye examination to assess clarity, peripheral vision and eye disease. Having the proper vision skills and prescription are important for many reasons:

Distance vision is imperative for judging distances and reaction time when driving. Poor distance vision increases the risk of making unreliable judgments with potentially disastrous results – even the simplest reactions take 0.4 seconds, so if distance vision is poor, signs or objects may not be seen until it is too late to react safely.

Good Peripheral Vision allows drivers to survey the area without looking away from the road. This includes early recognition of cross-traffic, pedestrians, animals, signs and changes in traffic flow. Impaired peripheral vision can result in the driver failing to react to a hazard on the far left or right, failing to stop at a stoplight suspended over an intersection, weaving while negotiating a curve, or driving too close to parked cars.

Safe Night Driving requires the ability to see in low light conditions and with poor contrast. Impaired night vision can result in tailgating, failing to steer when necessary (since it is difficult to see low contrast features such as edges or irregularities in the road surface), and recover from glare of oncoming headlights.

Glare refers to the disruption of vision due to veiling luminance. Important visual skills for drivers are glare resistance – the extent to which the driver can still see critical objects while facing a steady source of glare (setting sun, headlights), and glare recovery – the rapidity with which the driver’s functioning vision returns to what it was before the glare was encountered. If these skills are not adequate, the driver can miss curves, strike an animal or pedestrian or crash into slow moving or stopped vehicles.

Besides regular eye exams, additional tips for good vision while driving include:

  • Always wear sunglasses when driving to reduce glare
  • Keep headlights, tail lights , windshields and eye glasses clean
  • Keep side and rear view mirrors adjusted correctly to increase your field of vision and reduce glare from headlights
  • Always wear glasses or contact lenses if they have been prescribed for driving

Dry Eyes and Sleep Deprivation

Woman rubbing her eyes after waking up

Sleep deprivation has been reported to contribute to several disease processes and to reduce longevity. It leads to hormonal and neurochemical changes. In the short term lack of sleep reduces performance and alertness. Cognition and memory are impaired and the risk of injury increases with sleep deprivation. In the long term the consequences of sleep deprivation are worse: high blood pressure, heart attack, stroke, obesity and depression. Now you can add dry eye to the list.

A recent study of very healthy young male subjects implies that the tears are negatively affected by less sleep. The subjects were not allowed to sleep for 24 hours. When multiple measurements of their tears were compared to the subjects that slept for 8 hours there was a significant difference. The tears evaporated quicker, the tear volume was less and inflammatory markers were higher. It doesn’t take much to imagine that combined with other factors that contribute to dry eye disease such as medications, hormones and eyelid health, sleep deprivation will worsen the condition. Dry eye disease is a common ocular surface disease associated with symptoms of eye discomfort, grittiness and visual disturbance.

Conquering the causes of sleep deprivation should be foremost in maintaining good health, and having a dry eye evaluation to improve the tear quality is also recommended.