Category: Eye Health and Diseases

Flashes, Floaters, and Spots: What’s in my Vision?

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 in 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 eye 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

FAQs: About My Symptoms

An overview and explanation of common eye symptoms.

Whether you or someone you know is suffering from a common eye-related condition, we know that you want the facts! Here are some of the most common questions and eye-related disorders we see in our office every day. If you are experiencing any of these eye symptoms or have questions about your eye health, give us a call to schedule your next appointment today.

Why are my eyes red?

Red or bloodshot eyes are a common problem caused by swollen or dilated blood vessels on the outer surface of the eye. Sometimes red eyes bother people because they are in pain, but that’s not always the case.

Potential causes of red eye include:

  • Allergies
  • Pink eye
  • Eye trauma

Why are my eyes itching?

Itchy eyes are one of the most common eye-related condition that patients experience. When an allergen (irritating substance) enters the eyes, your immune system responds with a natural defense mechanism by releasing a chemical causing the itching sensation.

Potential causes of itchy eyes include:

  • Allergies
  • Prolonged use of digital devices
  • Contact lens usage

How do I reduce my symptoms of itchy eyes?

To reduce your allergy symptoms try using eye drops to help lubricate your eyes. While rubbing can provide temporary relief it puts you at risk for damaging your cornea or adding even more allergens and bacteria into your eye.

Why are my eyes puffy?

Swelling around the eyes is due to excessive fluids in the skin tissue. As this fatty tissue gains fluid it begins to push forward and “bags” form under the eye.

Excessive fluid and puffy eyes can be caused by:

  • Allergies
  • Sinus problems
  • Dehydration
  • Overconsumption of salt
  • Fatigue or lack of sleep
  • Stress
  • Aging
  • Crying  

What is causing my burning, itchy eyes?

The sensation of burning eyes can be caused by a variety of everyday environments. For example, exposure to products such as makeup, facial cleansers, or shampoo may cause burning or itchy symptoms. Other factors like allergies, wind, and environmental irritants can also cause burning in your eyes. Keep track of what surroundings or products are causing these symptoms and try to reduce your exposure. If you live in a high wind or sandy environment, try wearing a pair of wraparound sunglasses to protect your eyes from the elements when outdoors.

I’m seeing spots and floaters, why?

Spots and floaters are a shadow in your vision caused by bits of protein and tissue in the gel-like matter in your eyes. It is normal to occasionally see spots or floaters in your vision and will become more common with age as the gel-like material in your eye begins to dissolve and liquefy.

I am experiencing eye pain, what should I do?

If you are experiencing prolonged eye pain or have a foreign object enter your eye, call our office immediately. It is important not to rub your eyes or try to remove the object yourself as this may irritate your eye further.

Describing Your Symptoms

Being able to describe the type of pain you are experiencing will help your eye doctor diagnose the problem. For example, pain behind the eye can be attributed to migraines or sinus infections.

Use descriptor from the list below to help describe the pain to your eye doctor.

  • sharp or dull
  • internal or external
  • constant or inconsistent
  • stabbing or throbbing

Eye Exams 101

Regular comprehensive eye exams are key to early detection of eye-related diseases to keep you seeing your best every day. Adults should have a comprehensive eye exam every 1-2 years. Children should have an eye exam as early as 6 months, before they start school, and then every 1-2 years. If you or your family need a comprehensive eye exam, contact our office to schedule an appointment.

We often get questions about what an eye exam is like, so we’ve created an overview of a typical eye exam in our office.

Eye Exam Basics

What does an eye exam test for? Eye exams test your visual acuity and the overall health of your eye.

Why is an eye exam important? Eye exams check for early signs of serious eye and health problems; some of which may not present with any symptoms.

Who gives an eye exam? Your eye exam is performed by a licensed eye doctor.

Terms to know:

  • Ophthalmologist: An ophthalmologist is a medical doctor (MD) who specializes in eye care. Ophthalmologists can prescribe eyeglasses and contacts but commonly specialize in treating medical conditions of the eye and performing eye surgery
  • Optometrist: Optometrists are eye doctors who prescribe glasses, contacts, vision therapy, and medication to treat eye diseases. Optometrists are not trained or licensed to perform eye related surgery.
  • Optician: An optician is not an eye doctor, but is an eye care professional who fits, adjusts, and repairs your eyeglasses. They can also help patients learn to apply, remove, and care for contact lenses.

What to prepare for your appointment?

Before your comprehensive eye exam, there are several materials you can prepare. First, create a list of all your prescription and non-prescription medications you take along with the dosage. This will help your eye doctor determine any vision risks you may have. Bring your most recent pair of eyeglasses or contact lenses, if you have them. Don’t forget to have a copy of your vision insurance card and other medical insurance cards with you. To learn more about the insurance providers our office accepts and other payment options, please call our office directly. Finally, bring a list of questions or concerns you may have about your eyesight to discuss with your eye doctor.

What to expect during your appointment?

Prepare for your eye exam to take an hour or more depending on the number of tests your eye doctor needs to evaluate your vision and eye health. A typical comprehensive exam is a series of visual tests to inform your eye doctor about your vision.

These tests help determine:

  • Sharpness of near and distance vision
  • Color blindness
  • Lazy eye
  • Ability to follow moving object and/or move between two separate fixed objects
  • Depth perception
  • Determine your eyeglass prescription
  • Structures of the eye
  • Glaucoma test
  • Eye drop test to look inside your eyes
  • Blind spots

What to do after the exam?

Following your exam, you will have the opportunity to explore the various frames and lenses found in our optical space. An optician will be available to assist you in selecting a pair of eyewear that best fits your lifestyle needs. If you choose to wear contact lenses, you will need to schedule a contact lens fitting appointment.

Once your new eyewear is ready to be picked-up, an optician will adjust your frame to fit you best and make it comfortable for everyday wear.

Finally, schedule your follow-up appointment for the next year. Regular comprehensive eye exams are essential in maintaining healthy vision. If you ever experience any sudden vision changes or eye injuries be sure to contact our office.

Healthy Vision is More than 20/20

Taking care of your eyes includes more than going to a yearly exam and wearing an up-to-date prescription. Although both are certainly important, there are many more things you can (and should) do to make sure you’re preventing eye problems and protecting your vision.

Diet and nutrition play an important role in the long-term health of your eyes. Certain vitamins and minerals have proven necessary for good vision while also protecting against eye diseases. A diet high in dark leafy greens such as spinach, kale, and collard greens provides us with lutein, bioflavonoids, and beta-carotene. Omega-3 fatty acids are great for those who suffer from dry eyes. Omega-3s can be found in fish, fish oil supplements, flaxseed, and walnuts. Vitamin A, C, D, E and zinc can be consumed through foods such as eggs, sweet peppers, milk, almonds, and beef. Consumption of these foods high in vitamins may reduce the risk of macular degeneration, cataracts, blindness, and dry eyes, among others.

Full-body physical exams are also important. Physicals check for diabetes and high blood pressure. These conditions can lead to diabetic retinopathy, macular degeneration, glaucoma, and ocular hypertension if left untreated.  

Shielding your eyes from the sun is important, but many people believe it is just the tint of sunglasses that offers protection. In actuality it’s the UV-blocking abilities of sunglasses that guard your eyes from damage. Make sure that your eyewear is dark enough to keep you from squinting into the sun when you’re outdoors, but also check that your glasses have a UV coating. Some sunglasses have an inexpensive UV coating that rubs off over time, so your best bet is to purchase a reputable brand that offers a durable coating or is manufactured into the lens itself and will block 99–100% of UVA and UVB rays.

The number of people in the United States who smoke has been declining for several years, and now just 18% of people in the US smoke. Unfortunately, smoking still accounts for 480,000 deaths each year, and smoking increases several risk factors for poor eye health. Smoking doubles your chance of developing cataracts, a clouding of the eye that is the leading cause of blindness. Also, age-related macular degeneration (AMD) causes blind spots and impairs vision, and smokers have a three-fold increase in their risk of developing AMD. So quitting smoking is crucial for your overall health, but also to protect your eyesight.

Most people know that they should be getting twenty minutes of exercise three times a week, but eye health is yet another reason that you should get moving. Regular exercise is linked to retina health. Plus, sufficient exercise along with a balanced diet can help prevent other medical conditions that put your eyes at risk.

Aside from these things, being aware of your family’s health history is another big factor in eye health. Your physician and eye care professionals can help you check for symptoms that may be signs of known health problems common to your family, and can suggest prevention tips as well as early intervention if you discover there is a problem.

If you notice any changes in your vision—things like haziness, cloudiness, double vision, difficulty seeing at night—see your doctor right away. A healthy lifestyle, regular checkups, knowing your risk factors, and basic protective measures will help you keep your eyesight clear for as long as possible.

Glaucoma: The Silent Thief of Sight

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 eye 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 a normal pressure within their eye and typically has no symptoms associated until tunnel vision occurs.

 

*Glaucoma Research Foundation

What is a Black Eye?

A black eye forms when blood and fluids collect in the space around the eye causing swelling and discoloration. Typically, a black eye is considered a minor injury.

What causes black eyes?

A black eye is caused by bruising surrounding the eye, not inside the eye. This bruising is caused by broken blood vessels under the skin. A blow to the eye, nose, or head is the most common cause for a black eye, but surgical procedures near the eye or nose could also cause a black eye.

Symptoms:

  • Pain
  • Swelling
  • Discoloration
  • Headaches
  • Temporary blurry vision

How do I prevent black eyes?

You cannot always foresee an eye injury, but one way to prevent black eyes is to wear protective eyewear. If the activities you participate in require or recommend eyewear, such as safety glasses, face shields, or goggles, abiding by these recommendations and wearing eye protection will significantly decrease the risk of a face or eye injury and can keep you in the field or in the game.

How do I get rid of a black eye?

Typically, most black eyes heal on their own within one to two weeks. While healing, the black eye will change color varying in shades of purple, blue, green, or yellow. There are, however, a few steps you can take to help the healing process and relieve pain.

  • Apply a cold compress. A cold washcloth, bag of peas, or chilled spoon can help to alleviate pain and bring down swelling within the first 24 hours.
  • Taking pain medications such as acetaminophen or ibuprofen can help to relieve pain.
  • Apply a warm compress. After applying cold packs for the first day or two, apply a warm compress to the eye to increase blood flow in the area.
  • Lightly massage the area surrounding the bruise a few days after injury.
  • Snack on pineapple. Pineapples have enzymes to help reduce inflammation.

If your black eye does not subside, vision changes, bleeding occurs within the eye, or you notice other signs of infection, schedule an appointment or give our office a call. This could be a more serious issue that should be examined by an eye doctor.

Blue Light in Focus: Are Your Eyes at Risk?

More and more patients are asking about how blue light may be affecting their health. With stories about blue light exposure and possible risks frequently in the news, it’s important to understand what high energy blue light is and why you should protect your eyes.

What is High Energy Blue Light?

Blue light is simply part of the spectrum of light that we can see. The “high-energy” part of blue light refers to the intensity and is based on where it falls on the spectrum. Daylight is high in this type of light, and it’s what wakes us up when we rise in the morning as we experience sunlight. Blue light is crucial for our processing of color, and in the right balance it can be good for our health to set our circadian clock and sleep/wake cycles.

Most patients have heard about blue light because media articles frequently highlight certain kinds of blue light as causing sleep disturbances. Americans are notoriously bad sleepers, with many vices and personal habits that can interfere with getting a full night’s rest. Increased exposure to blue light and especially screen time with electronic devices at night are purportedly the biggest offenders.

When are We Exposed?

The reality is that blue light comes from many sources. The largest source of high-energy blue light is the sun, and electronic screens and indoor CFL/LED lighting emit a fraction of what the sun emits. Still, with more light sources relying on blue light for intensity and clarity, it leaves people wondering if they should opt for eyewear that reflects some of the higher energy rays.

Most people are aware that we have to protect our eyes from bright sunlight because it can cause eye problems as we age. The issue with blue light exposure is that high-energy blue light alone doesn’t make us uncomfortable like glaring sunlight does, so few people opt for special glasses to be protected.

How do I Reduce My Risk?

The good news is that there are options for people who would like to block or filter some of the high-energy blue light waves that are linked to eye health problems. Blue light blocking lenses or blue-reflecting lens treatments may help you with other problems, like eye fatigue and sleep disturbances, but the main concern is updating your eyewear and your habits to help lower your risk for cataracts and macular degeneration.

Talk to us if you have questions about what products we carry, and how your everyday eyewear can ensure your eyes are comfortable and protected!

Children and Computer Vision Syndrome

People are always touting the benefits and the risks of social media, video games, television, and other screen activities. It’s common to hear about someone giving up social media for a period of time just to see if they are able to kick what they consider an ‘addiction.’ New Year’s resolutions are often to read more and spend less time at a computer or on a smartphone. These may seem like grown-up problems, but adults and teens aren’t the only demographics spending a large part of their daily routine behind a screen. Children barely old enough to move a mouse are using computers and devices for recreation and learning every day.

In 2009, kids in grades 7–12 reported spending an average of more than 90 minutes a day just sending or receiving texts on cell phones. In 2011, 50% of children under eight-years-old reported having access to a mobile device like a smartphone or tablet. Children under two watch 53 minutes a day of television.  

Should all screen time and computer usage be cause for concern? Not quite. Consider this: studies have found that children who use a computer at school and at home perform better on tests of school readiness, visual motor skills, gross motor, and cognitive development. This positive effect seems to diminish if you look at children’s screen time beyond physician-recommended daily limits, however. Excessive screen time does not help children learn, and overuse has been shown to put children at risk for vision problems.

Children aged 8–18 reported in 2009 that they spent more than seven hours a day devoted to “entertainment media” including computers and video games. That makes screen time a full-time job! Pediatric eye doctors are warning parents that this sort of heavy screen time is putting children at risk for early nearsightedness, among other possible issues.

According to the National Eye Institute, over the past 30 years the prevalence of nearsightedness has increased from 25 percent to over 41 percent. This is an increase of more than 66 percent. No one can be certain if this increase is caused by screen time, but many professionals are concerned that there may be a connection.

The longer children are exposed to a computer screen, the greater their risk is for developing computer vision syndrome. Computer vision syndrome is the term used to describe problems associated with focusing on an electronic display for excessive, uninterrupted amounts of time. The risk is increased because children’s eyes are not as well-developed as adults. It’s easier for children to experience these problems because they often lose track of time, are assigned lots of homework to do on the computer, or may not realize that they should be taking frequent breaks. Additionally, children are notorious for sitting very close to screens even if they have perfect vision—a position that strains the eyes and the rest of the body.

Parents should pay careful attention to how long a child spends with electronics. Set limits and help them develop good habits for how to use their devices. Talk to your eye care professional to discuss your child’s media habits and determine if you should change how they interact with electronics for optimal eye health.