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Author: cosmin

What Eye Drops Are Best For My Eyes?

Are you suffering from red, irritated and scratchy eyes? Do you feel like you have something stuck in your eyes? These are hallmark symptoms of dry eye syndrome, a condition that occurs when your eyes are not properly lubricated due to insufficient tear production, blocked glands, or unbalanced tear composition.

The symptoms can be so unpleasant that many rush to the nearest pharmacy to find the perfect eye drops that will offer them the relief they need so that they can get back to focusing on other things.

However, seeking the ideal artificial tears to relieve dry eyes can be a daunting process. The eye drops shelf at the drug store offers so many options that it’s hard to know which ones are right for you. What’s more, some can actually make your symptoms worse.

Not all eye drops are created equal—currently, there are 6 main categories of artificial tears available over the counter. Choosing the artificial tears based on your specific needs can help narrow your options.

The 6 Types of Eye Drops / Artificial Tears

Preserved Artificial Tears

Preserved artificial tears contain added preservatives to maintain a very long shelf and keep bacteria at bay once the bottle is opened. Unfortunately, it also causes inflammatory dry eye disease, meibomian gland dysfunction and an allergic reaction in those who are sensitive, leading to redness, irritation and inflammation. While these drops may offer temporary relief, long term they can do more harm than good. Moreover, the preservatives may leave residue on contact lenses.

Preservative-Free Artificial Tears

Preservative-free artificial tears are great for contact lens wearers as they don’t cause any preservative build-up on the lenses. They are also suitable for those with sensitive eyes since they contain fewer ingredients that can cause irritation.

Preservative-free eye drops typically come in a box of 28 to 30 small vials that fit in a pocket or purse.

To use these drops, just pop the top off and insert the drops into your eyes. Some of these vials can be re-capped to allow you to continue to use the vial for up to 24 hours, but not longer. Refrigerate opened vials between uses to prevent any bacterial growth.

Oil-Based Artificial Tears

Oil-based tears come in preserved and preservative-free versions. These are thicker than traditional eye drops, as they contain an oil-based formulation. The oil helps prevent the watery portion of the tears from evaporating too quickly.

If you suffer from moderate or severe dry eye, oil-based artificial tears may be a great option. However, they’re not recommended for contact lens wearers, as the oils may stick to the surface of the lenses, making it difficult to keep them clean.

Eye Drop Spray or Mist

These sprays are preservative-free and are used to relieve dryness and irritation in both the eyes and eyelids. They’re easy to use, especially for those who struggle to insert drops into their eyes.

To use the spray, just close your eyes and spray onto your closed eyelids. Once you blink, the tears will slide into your eyes.

Don’t use the spray if you’re wearing makeup, lotions, or creams on your eyelids, as it can cause the makeup or lotion to enter your eye.

Artificial Tear Gel

Artificial tear gel adds a thick coating of tears and can be used at any time of the day or night. However, the thicker consistency of the gel drop may blur your vision for several minutes.

The gel is applied in the same way as eye drops. It effectively soothes the eyes and provides extended relief for both moderate to severe dry eye.

Most artificial tear gels contain preservatives, so they can only be used up to 4 times a day, and usually they are not safe for contact lens wearers.

Artificial Tear Ointment

Dry eye ointments are thick and coat the front of your eye. They’re usually used 1 to 2 times daily as needed. It may be best to use them at bedtime, as it will blur your vision.

Get Dry Eye Relief Today!

Artificial tears may be a good way to temporarily relieve eye dryness. However, using the wrong type of eye drops can be worse than not using any drops at all. So be sure to consult your eye doctor before you get eye drops.

Keep in mind that eye drops don’t address the root cause of dry eyes; they just provide temporary respite from the uncomfortable dry eye symptoms. Only an eye doctor can examine your eyes to determine the underlying cause of your symptoms and recommend the best treatment for your unique case of dry eye.

Schedule an appointment with Pacific Eye Doctors in Maple Ridge to learn more about dry eye syndrome and to find out which treatment is best for you.

Q&A

Frequently Asked Questions with Drs. Schnarr and Piotrowski

Q: What is dry eye syndrome?

  • A: Dry eye syndrome is a condition where your eyes either produce low-quality tears or don’t produce enough tears to keep your eyes hydrated. This may be due to certain diseases (like diabetes or other autoimmune diseases), aging, allergies, hormonal changes, smoking, poor air quality, medications and the environment.

Q: What are the symptoms of dry eye syndrome?

  • A: Dry eye syndrome can cause a wide range of symptoms including:Itchy eyes
    A feeling that there is grit or debris in the eye
    Blurred vision
    Burning sensation
    Dryness
    Irritation
    Sensitivity to light and glare

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridge, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

Childhood Myopia Is in Crisis Mode on a Global Scale

When it comes to the prevalence of myopia (nearsightedness), the statistics are staggering. By 2050, nearly half of the world’s population—about 5 billion people—will be myopic. Below are a few useful tips to help you prevent your child from being part of that statistic.

What Is Myopia?

Myopia occurs when the eye elongates, causing light rays to focus in front of the light-sensitive retina rather than directly on it, while looking at something far away. So, people with nearsightedness perceive distant objects as blurred while close-up objects can remain clear.

Myopia tends to develop during childhood, when the eyeballs rapidly grow (along with the rest of the body), mainly between the ages of 8-18. It can worsen slowly or quickly, but it is not simply an inconvenience. People with progressive myopia are more likely to develop serious eye diseases like cataracts, retinal detachment, macular degeneration and glaucoma later in life—conditions which may lead to permanent loss of vision and even blindness.

How To Know Whether Your Child Is Myopic

Below are some telltale signs to watch for:

  • Blurred distance vision – Objects in the distance are blurred; kids may complain that they can’t see the board
  • Headaches – When myopia isn’t corrected, it can cause eye strain and headaches.
  • Head tilting or squinting – If your child squints or tilts his or her head while watching TV, for example, it may be a symptom of myopia.
  • Looking at objects too closely – If you notice your child moving closer to the TV or squinting as they try to see the writing on the board, it may indicate myopia.

What Parents Can Do to Slow Their Child’s Myopia Progression

  • Encourage your child to go outdoors for at least 90 minutes a day, preferably in the sunshine. Studies show that playing outdoors reduces the risk of developing myopia and slows its progression.
  • Limit the amount of time your child spends staring at a screen, reading and doing close work such as homework.
  • When your child uses a digital screen, make sure that it isn’t too close to the face.
  • Teach the 20-20-20 rule: During screen time, take a break every 20 minutes to look at an object across the room or out the window about 20 feet away, for at least 20 seconds.
Frequently Asked Questions with Dr. Jeneta Rubaranjan

Q: How is myopia diagnosed?

  • A: Your child’s eye doctor will perform a thorough pediatric eye exam to diagnose myopia, which often includes a visual acuity test, where the eye doctor will use an eye chart made up of letters of varied sizes. If the test results indicate myopia, then the optometrist may shine a light into their eyes and evaluate the reflection off the retina to determine the degree of refractive error for their prescription.

Q: Can myopia lead to blindness?

  • A: High myopia may increase your child’s risk of developing more serious eye conditions later in life, such as cataracts, retinal detachment and glaucoma. Left untreated, high myopia complications can sometimes lead to blindness—which is why routine eye exams are critical.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridge, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

Are You Susceptible To Vision Loss?

Vision loss is more common than you may think! In fact, it’s among the most prevalent disabilities in adults and children. Knowing what puts you at risk of developing vision loss is important and can help you to be proactive about caring for your eyes.

Below, we’ll explore the most common causes of vision loss and the risk factors associated with each.

Spreading awareness and education about visual health is just one way that our eye doctors near you can help. To schedule your comprehensive eye exam, call us today.

Common Causes of Vision Loss

Glaucoma

Glaucoma is a group of eye diseases caused by a buildup of pressure within the eye. Too much inner-eye pressure can damage the optic nerve and lead to vision loss.

Since symptoms don’t usually manifest in the early stages of glaucoma, getting regular eye exams is all the more crucial. Advanced or rapidly progressing glaucoma can show a variety of symptoms, such as blurred vision, headache, severe eye pain and redness, seeing halos around lights, and nausea.

Risk factors for developing glaucoma include:

  • Being 60 years or older
  • Family history of glaucoma
  • African, Asian, or Hispanic descent
  • High myopia (nearsightedness) or hyperopia (farsightedness)
  • Previous eye injury or certain eye surgeries
  • Certain medications, like corticosteroids
  • Thin corneas
  • Certain medical conditions, like diabetes, hypertension, heart disease, and sickle-cell anemia

Cataracts

Cataracts occur when the eye’s lens becomes cloudy. A healthy lens is clear and allows light to pass through it undisturbed.

Common cataract symptoms include cloudy or blurred vision, difficulty seeing at night, light sensitivity, double vision in the affected eye, and seeing colors as faded or yellowish.

Risk factors for developing cataracts include:

  • Aging
  • Diabetes
  • Hypertension
  • Smoking
  • Previous eye surgery, injury, or inflammation
  • Alcoholism
  • Extended use of corticosteroids

Age-Related Macular Degeneration (AMD)

AMD is the leading cause of severe vision loss in adults over the age of 60. It occurs when the macula (the small central portion of the retina, which is responsible for sharp, colorful, central vision) begins to wear down.

Early stages of AMD usually go unnoticed, but later stages of the disease can produce symptoms like blurred vision, dark or blurry areas in your central vision, and problems with color perception.

There’s not yet a cure for AMD, but certain treatments can help prevent vision loss.

Risk factors for developing AMD include:

  • Smoking
  • Obesity
  • Aging
  • Long-term sun exposure
  • Hypertension
  • Heart disease
  • Family history of AMD
  • Light-colored eyes
  • Farsightedness

Diabetic Retinopathy (DR)

Diabetic retinopathy is a complication of Type 1 or Type 2 diabetes that affects the light-sensitive tissue at the back of the eye called the retina.

Initially, diabetic retinopathy shows no symptoms but can eventually lead to blindness. As it develops, it can cause increased floaters, impaired color vision, dark spots in your visual field, and blurred vision.

Risk factors for developing diabetic retinopathy include:

  • Length of time from diabetes diagnosis — the longer you’ve had it, the higher your chances of developing visual complications
  • Uncontrolled blood sugar
  • Obesity
  • High cholesterol or blood pressure
  • Pregnancy
  • Smoking
  • African American, Hispanic, and Native American ethnicities
  • Family history of DR

So, what’s the bottom line ?

Multiple factors contribute to eye disease and vision loss, and some may even be relevant to you. If you think you may be at risk for vision loss or experience any of the symptoms listed above, speak with your eye doctor in Maple Ridge as soon as possible. We also recommend you have your eyes thoroughly examined every 1-2 years, or as often as your eye doctor recommends. To schedule your comprehensive eye exam, call Pacific Eye Doctors today.

 

Frequently Asked Questions With Our Maple Ridge Eye Doctors

  1. Can blindness be prevented?

When caught early, many eye diseases can be treated to halt or slow the progression of the disease and potentially prevent vision loss. The best things you can do to preserve your vision for the long term is to lead a healthy lifestyle and make sure you undergo a comprehensive eye exam every 1-2 years.

  1. Which eye diseases are genetically inherited?

More than 350 ocular diseases have some sort of genetic component. Certain diseases, like retinitis pigmentosa and albinism, are directly inherited through chromosomal information. In other cases, a predisposition to the disease is inherited, rather than the disease itself.

How Sleep Apnea Affects The Eyes

Did you know that some eye conditions are associated with sleep apnea? According to the National Sleep Foundation, more than 18 million Americans have sleep apnea, and Health Canada reports similar prevalence. It’s a sleep disorder where people stop breathing — often multiple times per night — while sleeping.

If you have sleep apnea: it tends to take longer for your tears to be replenished, you’re more likely to have ocular irritation, you have a higher chance of developing floppy eyelids, and you’re at increased risk for glaucoma.

What Is Obstructive Sleep Apnea?

There are different types of sleep apnea. The most common one is obstructive sleep apnea (OSA). During OSA, your airway becomes partially blocked due to relaxed muscles in your nose and throat. This causes apnea (the absence of breathing) or hypopnea (abnormally shallow, slow breathing). It’s twice as common in men, and is more likely to affect people with obesity, hypertension, diabetes or heart disease.

What are the common symptoms of sleep apnea?

Sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These temporary breathing lapses cause lower-quality sleep and affect the body’s oxygen supply, which can lead to potentially serious health consequences.

While snoring is a common symptom, not everyone who snores has sleep apnea. Interrupted sleep can cause excessive daytime sleepiness, fatigue, irritability or depression, headaches in the morning, difficulty concentrating and thinking, and a sore throat.

Which Eye Conditions Are Associated With Sleep Apnea?

Glaucoma

Glaucoma occurs when increased pressure within the eye damages the optic nerve, which connects the eye to the brain, leading to vision loss and sometimes blindness. In some cases, it might be due to a drop in blood oxygen levels, which happens when you stop breathing. However, CPAP machines, one of the most common treatments for sleep apnea, can also cause glaucoma.

So, people with sleep apnea — even if it’s being treated — need to get their eyes checked on a regular basis for glaucoma.

Floppy Eyelid Syndrome

Floppy Eyelid Syndrome (FES) is an eye condition where a person has an unusually large and floppy upper eyelid. It can cause eye redness, irritation, discharge, or blurry vision — and over 90% of people with FES also have sleep apnea.

Non-Arteritic Anterior Ischemic Optic Neuropathy

Non-arteritic anterior ischemic optic neuropathy (NAION) is an eye condition that occurs when there is a loss of blood flow to the optic nerve. Patients typically complain of significant vision loss in one eye without any major pain. Approximately 70-80% of patients with NAION have been found to have OSA.

Retinal Vein Occlusion

Also referred to as an ‘eye stroke,’ retinal vein occlusion (RVO) is a blockage of the small veins that carry blood away from the retina. A recent study of 114 RVO patients found that sleep apnea was suspected in 74% of the patients that had previously been diagnosed with RVO.

Other Eye Health Issues Associated With Sleep Apnea

Some other ocular conditions that are more common in patients with sleep apnea include: papilledema, keratoconus, and central serous chorioretinopathy. Furthermore, in addition to glaucoma mentioned above, CPAP machines are associated with dry eye syndrome and bacterial conjunctivitis.

Talk To Your Doc

Get eye exams regularly to rule out eye disorders and prevent potential vision loss, especially if you have been diagnosed with sleep apnea. At Pacific Eye Doctors in Maple Ridge we encourage you to share your medical history with us so we can better diagnose and treat any eye conditions or ocular diseases you may have, and help you keep your eyes nice and healthy.

Frequently Asked Questions with Dr. Jeneta Rubaranjan

Q: What Causes Sleep Apnea?

  • A: Sleep apnea occurs when in-part or completely stop breathing when sleeping. This causes your lungs to strain harder for oxygen, and makes the brain send signals that jerk your body awake to resume proper breathing.

Q: What are the Warning Signs of Sleep Apnea?

  • A: A common sign of sleep apnea is loud snoring. Snoring that is loud enough to disturb the sleep of the patient as well as others around, even across the walls. That said, not everyone who snores suffers from obstructive sleep apnea.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridge, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

3 Benefits of Anti-Glare Coating

Glare refers to the excessive brightness caused by direct or reflected light. It can cause eye strain, digital eye strain (when using a computer, for example), halos, and headaches. Glare can also reduce visibility, making it unsafe to drive.

Anti-glare coating, also known as anti-reflective (AR) coating, is a thin layer applied to the surface of your eyeglass lenses that allows more light to pass through your lenses. By reducing the amount of glare that reflects off of your lenses, you can see more clearly and experience more comfortable vision. You can request anti-glare coating for lenses when you buy eyeglasses.

AR Coating Offers 3 Major Advantages

Better Appearance

Without an anti-glare coating on your glasses, camera flashes and bright lights can reflect off your lenses. This can hinder your appearance when speaking to people or in meetings, cause flash reflections when picture-taking, and make it difficult to find the right angle for video calls. Anti-reflective coating eliminates the harsh reflections and allows others to clearly see your eyes and face.

Reduced Digital Eye Strain

You know that tired, irritated feeling you get after staring at a digital screen for several hours? That’s digital eye strain. Anti-glare coating helps reduce digital eye strain by lowering exposure to excessive glare from digital devices and lighting.

Safe Driving at Night

The bright headlights from cars driving in the opposite direction can pose a serious danger when driving at night. These sudden glares can lead you to momentarily lose focus of the view ahead. AR coating on your prescription eyewear effectively reduces reflections from headlights at night, allowing you to enjoy a better view of the road and safer driving at night.

Let your eyes look and feel better every day with anti-glare coated lenses. Contact us to book your appointment today!

Frequently Asked Questions with Dr. Jeneta Rubaranjan

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Yes. Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridge, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

What You Should Know About Night Blindness

If you don’t see well while driving at night, there’s a chance you have night blindness. Night blindness, or nyctalopia, is the inability to see well at night or in dim lighting. It’s not considered an eye disease, but rather a symptom of an underlying problem.

Our eye doctor in Maple Ridge can help diagnose, manage and treat your night blindness with specialized digital eye exams, so that you can enjoy being out and about at night again.

Here are 4 things you should know about night blindness:

Causes of Night Blindness

The inability to see well at night can be the result of a condition such as:

  • Vitamin A Deficiency — Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness.
  • Cataracts — A buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.
  • Diabetic Retinopathy — Damage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.
  • Glaucoma — This group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both glaucoma and the medications used to treat it can cause night blindness.
  • Myopia — Also called nearsightedness, myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.
  • Keratoconus — An irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.
  • Retinitis Pigmentosa (RP) — A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.
  • Usher Syndrome — This genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors.

Symptoms of Night Blindness Include:

  • Reduced contrast sensitivity
  • Difficulty seeing people outdoors at night
  • Difficulty seeing in places with dim lighting, like a movie theater
  • Trouble adapting to the dark while driving
  • Excessive squinting at night
  • Trouble adjusting from bright areas to darker ones

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery.

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision.

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness.

If you experience poor vision at night or in dim lighting, we can help. Contact Pacific Eye Doctors in Maple Ridge to schedule your appointment today.

Frequently Asked Questions with Dr. Jeneta Rubaranjan

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Yes. Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridge, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

Are Contact Lenses Safe For Young Children?

Here’s a question we often get at our practice: ‘Is my child too young for contact lenses?’ This is an important question, and the answer may surprise you.

For children with myopia (nearsightedness), contact lenses can be a convenient method of vision correction. It allows kids to go about their day without having to worry about breaking or misplacing their glasses, and enables them to freely participate in sports and other physical activities.

Some children and young teens may ask their parents for contact lenses because they feel self-conscious wearing glasses. Contact lenses may even provide children with the confidence boost they need to come out of their shell. Moreover, these days, it is very popular for children to wear single-use one-day disposable soft contacts, since there is no cleaning or maintenance involved.

Some parents may deny their child’s request for contacts due to concerns about eye health and safety. There’s no reason to worry: contact lenses are just as safe for children as they are for anyone else.

At Pacific Eye Doctors, we provide children, teens, and patients of all ages with a wide variety of contact lenses. If you’re concerned about the safety of contacts for your child, we’ll be happy to explain and explore ways to ensure maximum safety, optimal eye health and comfort. To learn more or to schedule a pediatric eye exam for contact lenses, contact us today.

What Are the Risks of Having My Child Wear Contact Lenses?

A study published in the January 2021 issue of The Journal of Ophthalmic & Physiological Optics found that kids aren’t at a higher risk of experiencing contact lens complications.

The study followed nearly 1000 children aged 8-16 over the course of 1.5-3 years to determine how contact lenses affected their eye health.

The results indicate that age doesn’t have an effect on contact lens safety. In fact, the researchers found that the risk of developing infections or other adverse reactions was less than 1% per year of wear — which is comparable to contact lens wearers of other ages.

But before you decide that contact lenses are right for your child, you may want to consider whether your child is ready to wear them. During his or her eye doctor’s appointment, the optometrist may ask about your child’s level of maturity, responsibility, and personal hygiene. Since many children are highly motivated to wear contacts, they tend to display real maturity in caring for their lenses. That said, in the initial stages, parents may need to play an active role, as their child gets used to inserting and removing the new contact lenses.

It’s important to note that just as with any other medical device, contact lenses are not risk-free. Anyone who wears contact lenses has a chance of developing eye infections or other complications with contact lenses. However, when worn and cared for according to your eye doctor’s instructions, contact lenses are low-risk and perfectly safe for children and teenagers.

So, go ahead and bring your child in for a contact lens consultation! We’ll help determine if your child is ready for contacts and answer any questions you or your child may have. To schedule your child’s contact lens fitting or eye exam, contact Pacific Eye Doctors in Maple Ridge today.

6 Common Myths About Glaucoma

Glaucoma is an eye disease in which increased pressure causes progressive, permanent vision loss and even blindness. Unfortunately, many misconceptions about the disease can leave you misinformed. Below we sort fact from fiction by debunking 6 of the most common glaucoma myths.

Glaucoma Facts vs. Myths

MYTH 1: Glaucoma is a single disease

FACT

Glaucoma is a group of eye diseases; the most common ones are open-angle glaucoma (OAG) and angle-closure glaucoma (ACG).

In open-angle glaucoma, the drainage structure in your eye (called the trabecular meshwork) doesn’t allow the fluid inside the eye to flow out as it should, causing an increase in internal ocular pressure that damages the optic nerve. OAG develops slowly, and usually by the time people perceive symptoms, such as peripheral vision loss, they already have optic nerve damage.

In angle-closure glaucoma, the eye doesn’t drain fluid as it should because the drainage channel between your iris and cornea becomes too narrow, causing increased eye pressure. This pressure damages the optic nerve, leading to vision loss. ACG can occur suddenly or gradually.

MYTH 2: Only the elderly suffer from glaucoma

FACT

Although it’s true that people over 60 are at a greater risk of developing open-angle glaucoma compared to people in their 40s, there are other types of glaucoma that can affect people aged 20 to 50 and even young infants (due to abnormal ocular development).

In addition to age, those with a higher risk of developing glaucoma include:

  • African Americans and Hispanics
  • Individuals with a family history of glaucoma
  • Patients with cardiovascular disease, diabetes, or sickle cell anemia
  • Those who have previously sustained an eye injury
  • People taking steroid medications over the long term

MYTH 3: Glaucoma shows symptoms early on

FACT

The most common form of glaucoma, open-angle glaucoma, shows virtually no signs or symptoms until its later stages when vision loss sets in. Despite what people may think, the increased eye pressure causes no pain. And since peripheral vision is the first to go, you may not recognize vision loss until your vision has become significantly impaired. The only way to detect glaucoma is to undergo a comprehensive eye exam.

MYTH 4: Nothing can be done once you have glaucoma

FACT

While there’s currently no cure for glaucoma, many effective treatment options exist: eye drops, oral medications, as well as laser and surgical procedures that can help slow glaucoma progression. Each treatment option is used to get the fluid to flow properly out of the eye, reducing pressure inside the eye and decreasing damage to the optic nerve.

MYTH 5: Testing for glaucoma is painful

FACT

Actually, testing for glaucoma is practically painless. One of the tests includes a non-contact device that blows a gentle puff of air into each eye to test the intraocular pressure. The sound of the puff may be startling, but it’s over in a second and is painless. With the Goldmann applanation tonometry test, an anesthetic eye drop is inserted into each eye, which may cause a stinging sensation for a few seconds. Your eye doctor will then use a blue light to quickly and gently touch the cornea to precisely measure intraocular pressure. The most accurate of all, however, are visual field testing and OCT (optical coherence tomography), non-invasive imaging, both of which are also painless.

MYTH 6: You can’t prevent glaucoma

FACT

Regular eye exams are the only way to prevent glaucoma, as blindness or significant vision loss can be prevented if the disease is diagnosed and treated in the early stages. That’s why routine comprehensive eye exams which include glaucoma testing are so important.

Getting your eyes checked regularly can ensure that any existing eye problems are detected early enough to prevent or slow ocular damage. Contact Pacific Eye Doctors in Maple Ridge to book your comprehensive eye exam today!

Frequently Asked Questions with Dr. Jeneta Rubaranjan

Q: If one of my parents has glaucoma, does that mean I will develop it as well at some point?

  • A: Having a parent with glaucoma does not mean that the child will automatically develop the condition too. However, those people with an immediate family history (parents, siblings) of glaucoma are at more risk to develop this disease. Patients should have a comprehensive eye examination each year to evaluate the health of the eyes and to look for signs of glaucoma. Some of these signs can be an increase in the pressure of the eyes as well as changes to the appearance of the optic nerve. Many times there are no symptoms noticed by the patient. If there is suspicion of glaucoma, more frequent visits to the eye doctor along with additional nerve testing are often required.

Q: Why do I need to scan my retinas/back of the eye?

  • A: The retina shows us a lot about the overall ocular health as well as systemic conditions that can affect the eyes. Often diabetes, hypertension or high cholesterol can be observed from a retinal scan. Also, retinal scans allow us to diagnose and treat macular degeneration and glaucoma. Scans are often very important for a complete eye check up.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Maple Ridg, British Columbia. Visit Pacific Eye Doctors for an eye exam and eyeglasses that match your style.

The Importance of Eye Exams for Contact Lenses

Are you planning on wearing contact lenses for the first time? Do you need a new contact lens prescription? Are your current contacts not as comfortable as you wish they were? Your eye doctor will perform a contact lens eye exam to ensure that your vision with contacts is clear, comfortable, and safe, providing you with the right lenses for you.

What is a contact lens exam?

If you wear or want to wear contact lenses, you’ll need an eye exam for contact lenses, in addition to your regular comprehensive eye exam. Special tests are performed during a contact lens exam to evaluate your eyes and vision with contacts.

Are eyeglass prescriptions the same as contact lens prescriptions?

No, a prescription for glasses cannot be used for contact lenses. An eyeglass prescription is for lenses that are positioned approximately 12 millimeters from your eyes, whereas a contact lens prescription is measured for lenses that sit directly on the surface of your eye.

The prescription for contact lenses also includes the brand, lens diameter and curvature, which are not part of an eyeglass prescription.

Contact lenses fitting: One size does not fit all

One contact lens size doesn’t fit all eyes. If a contact lens is too flat or too steep for your corneal shape, you may experience discomfort or even eye damage. Your eye doctor will take certain measurements to determine the best contact lens design and fit for your eyes.

Corneal curvature

This measures the curvature of your eye’s clear front surface (cornea) so the eye doctor can select the optimal curve and diameter for your contact lenses. If your eye’s surface is somewhat irregular because of astigmatism or other conditions, you may require a special lens.

Pupil and iris size

The size of your pupil and iris (the colored part of your eye) is also important in determining the best contact lens design.

Tear film evaluation

This test evaluates the quality of your tears, to determine whether they will be able to keep contact lenses and your cornea sufficiently hydrated throughout the day. If you have dry eye disease, standard contact lenses may not be right for you.

Trial lenses

Following the eye exam, you will be provided with trial lenses to verify that the chosen contact lenses offer clear and comfortable vision. This will allow the eye doctor to make any fine adjustments to the prescription.

Contact Lens Eye Exam Near You

Wearing the correct contact lenses for your eyes allows you to enjoy all of the benefits of wearing contacts, while keeping your eyes healthy and comfortable.

If you’re already a contact lens wearer, visit your eye doctor at least once a year to make sure the lenses are still providing you with optimum vision and comfort.

Contact Pacific Eye Doctors in Maple Ridge to book your contact lens eye exam today!

8 Ways Your Eyes Change With Age

Our eyes and vision change with age. Your eye doctor can monitor these changes — some of which are a natural part of the aging process — and identify any eye conditions or diseases early enough to treat them and prevent vision loss. Read on to learn more about the different types of eye changes one may encounter with age.

Age-Related Eye Conditions and Diseases

Cataracts

If your vision is starting to get blurry, you may be developing cataracts. There are a few types of cataracts, but the one usually caused by aging is known as a “nuclear cataract”. At first, it may lead to increased nearsightedness or even a temporary improvement in your reading vision. But with time, the lens gradually turns more densely yellow and clouds your vision. As the cataract slowly progresses, the lens may even turn brown. Advanced yellowing or browning of the lens can lead to difficulty distinguishing between shades of color, and left untreated, it can eventually lead to blindness. Luckily, cataract surgery, where the cloudy lens is replaced with a clear lens, is an extremely safe and effective treatment option.

Blepharoptosis

Blepharoptosis or ptosis is a drooping of the upper eyelid that may affect one or both eyes. The eyelid may droop only slightly or may droop enough to cover the pupil and block vision. It occurs when there is a weakness of the eye’s levator muscle that lifts the eyelid. This condition is usually caused by aging, eye surgery, or disease affecting the muscle or its nerve. Fortunately, blepharoptosis can be corrected with surgery.

Vitreous detachment

This occurs when the gel-like vitreous fluid inside the eye begins to liquefy and pull away from the retina, causing “spots and floaters” and, sometimes, flashes of light. This occurrence is usually harmless, but floaters and flashes of light can also signal the beginning of a detached retina — a serious problem that can cause blindness, and requires immediate treatment. If you experience sudden or worsening flashes and increased floaters, see Dr. Schnarr immediately to determine the cause.

Other Age-Related Changes

In addition to the above eye conditions and diseases, the structure of our eyes and vision change as we get older.

Presbyopia

Why do people in their 40s and 50s have more difficulty focusing on near objects like books and phone screens? The lens inside the eye begins to lose its ability to change shape and bring near objects into focus, a process is called presbyopia. Over time, presbyopia, also known as age-related farsightedness, will become more pronounced and you will eventually need reading glasses to see clearly. You may need multiple prescriptions – one prescription to enable you to see up close, one for intermediate distance, and one for distance vision. In that case, people often get bifocals, multifocals or PALs, and they can be combined with contact lenses as well.

Reduced pupil size

As we age, our reaction to light and the muscles that control our pupil size lose some strength. This causes the pupil to become smaller and less responsive to changes in ambient lighting. The result? It becomes harder to clearly see objects, such as a menu, in a low-light setting like a restaurant.

Dry eye

Our tear glands produce fewer tears and the tears they produce have less moisturizing oils. Your eye doctor can determine whether your dry eye is age-related or due to another condition, and will recommend the right over-the-counter or prescription eye drops, or other effective and lasting treatments, to alleviate the dryness and restore comfort.

Loss of peripheral vision

Aging causes a 1-3 degree loss of peripheral vision per decade of life. In fact, one may reach a peripheral visual field loss of 20-30 degrees by the time they reach their 70s and 80s. While peripheral vision loss is a normal part of aging, it can also indicate the presence of a serious eye disease, like glaucoma. The best way to ascertain the cause is by getting an eye exam.

Decreased color vision

The cells in the retina responsible for normal color vision tend to decline as we age, causing colors to become less bright and the contrast between different colors to be less noticeable. Though a normal part of aging, faded colors can at times signal a more serious ocular problem.

Beyond the normal changes that come with age, the risk of developing a serious eye disease, such as age related macular degeneration and glaucoma, increases. Routine eye exams are essential to keeping your eyes healthy. Your eye doctor can determine whether your symptoms are caused by an eye problem or are a normal byproduct of aging.

If you or a loved one suffers from impaired vision, we can help. To find out more and to schedule your annual eye doctor’s appointment, contact Pacific Eye Doctors in Maple Ridge today.