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Year: 2020

Home Remedies For Dry Eye

woman washing her face with water 2087954If your eyes burn, itch or feel gritty, you may have dry eye syndrome. This is typically caused by a low production of tears or low-quality tears.

Many substances and situations can cause dry eyes, such as the medication you’re taking, the time spent staring at your phone or computer without blinking, exposure to smoke or dry air, wearing contact lenses or aging. No matter the cause, it feels pretty terrible.

If you’re stuck at home and social distancing in order to keep yourself and others safe, worry not — you can still find relief from your unpleasant symptoms. In addition to using artificial tears and ocular lubricants, you may want to try these at-home remedies with products or items you may have in your cupboard.

Eyelid Wash

One way to produce higher quality tears is to keep your eyelids clean. You can do this by using a gentle cleanser, such as baby shampoo, and rubbing a small amount between your fingertips until it becomes frothy. Simply close your eyes and gently massage the soap into the base of your eyelids, right by your eyelashes, and then rinse with warm water while keeping your eyes closed.

Pay particular attention to the areas with makeup or facial creams that could enter the tear film and potentially irritate your eyes. Follow the eyelid wash with a warm compress (see below) to help your eyes regain moisture.

Repeat this process morning and night to relieve dry eye symptoms.

Warm Compress

A warm compress increases circulation to the eye area and stimulates tear production. This method also soothes your eye irritation by releasing oils that may have accumulated in the glands of your eyelid, thus improving tear quality.

Instructions: Prepare a bowl with warm water. Then soak a clean, lint-free cloth in the water, wring it out and place it over your eyes for a maximum of ten minutes. If the compress cools down, soak it once again in the warm water. Do this several times a day for a few days until your eyes feel better.

Add Omega-3 to Your Diet

Those lacking essential fatty acids in their diet are prone to developing dry eye syndrome. Studies show that consuming omega-3 fatty acids may stimulate tear production and create quality tears that lubricate your eyes more effectively. Consider supplementing your diet with omega-3 fatty acids, which are naturally found in foods like salmon, sardines, anchovies, and flax seeds. Taking fish oil capsules or other omega-3 tablets also works really well.

Coconut Oil

Virgin coconut oil is great for those with dry eyes, as it creates a protective layer over the tear film layers, resulting in reduced evaporation. Furthermore, coconut oil has antibacterial, antifungal, antimicrobial, anti-parasitic, antiviral and anti-inflammatory properties. All you need to do is soak a cotton ball in coconut oil and place it on your closed eyelid. Do this several times a day until your eyes feel better.

Increase Caffeine Intake

Studies indicate that caffeine may alleviate dry eye by increasing production in the tear glands. Just make sure you’re careful when consuming caffeine, as it can lead to jitters, irritability and insomnia, particularly if you’re sensitive to caffeine, or if consumed in high quantities.

The participants in one study consumed capsules with 200 mg to 600 mg of caffeine (or 2-6 cups of coffee), depending on their weight.

On the other hand, caffeine in some people may act as a mild diuretic, which means they generally pass more water, possibly making the dry eye worse.

Change Your Environment

You may need to change your environment to prevent or alleviate dry eye, as dry air, high winds, dust, smoke, pollution and air conditioning can lead to temporary eye dryness. Consider using a cold-mist humidifier and avoid sitting directly in front of air conditioners or fans.

Wear Sunglasses

When outdoors, particularly when it’s windy, dusty or there’s the risk of high levels of UV exposure, wear wraparound sunglasses to protect your eyes and decrease the chance of debris entering the eyes. Additionally, the front of your eyes has a protective layer called the conjunctiva, which can become red and inflamed when exposed to high levels of UV light or dust. Wearing good quality sunglasses will further prevent the eyes from experiencing those dry and irritating feelings.

Dry eye syndrome can cause another condition called photophobia, or acute sensitivity to light. By wearing sunglasses, you can further ease your dry eye symptoms.

More tips to prevent or alleviate dry eye symptoms

Blink More

By deliberately blinking, you stimulate the flow of tears which can help keep the moisture on your eyes intact. Though purposeful blinking may look unnatural, it’s still worth practicing in order to get used to blinking enough throughout the day — particularly when staring at screens (computer or digital devices) for extended periods.

Reduce Alcohol Consumption

Drinking alcohol can dehydrate your body, which then affects the quality of your tears. Consider limiting your alcohol intake, or eliminate it entirely, and see whether there’s a correlation between your alcohol consumption and dry eyes.

Stop Smoking

Cigarette smoking can double the risk of developing dry eye syndrome. Cigarette smoke is harmful to the eyes as it has more than 7,000 chemicals, all of which can irritate eyes. Furthermore, smoking can impact the composition of your tears.

If you’re a smoker, consider quitting. If you’re a non-smoker, avoid environments where there is an abundance of heavy smoking.

Drink More Water

Last but not least: drink more water! Staying well-hydrated is good for your eyes and is critical for manufacturing healthy tears, clearing out debris, blinking and seeing comfortably.

Make sure you drink 8-10 glasses of water a day for eye health, and of course, overall general physical wellbeing.

At-home remedies can alleviate mild and temporary instances of the condition. If the symptoms persist or worsen, contact Dry Eye Center At Evans Eyecare Optometry to speak with Dr. Greg Evans.

Dry Eye Center At Evans Eyecare Optometry is committed to helping you manage your long-term eye health. We serve patients from Palm Springs, Palm Desert, La Quinta, Indio, and throughout California.

Resources:

https://www.aao.org/eye-health/news/caffeine-dry-eye

https://www.sciencedaily.com/releases/2012/04/120417102358.htm

https://www.healio.com/optometry/nutrition/news/print/primary-care-optometry-news/%7B4ec4aff0-09b2-4c1c-aca1-7c8201b7610b%7D/ods-recommend-omega-3-omega-6-supplements-for-managing-dry-eye

How to Disinfect Glasses to Help Prevent COVID-19

Coronavirus and Your Eyeglasses

Did you know that our glasses (this includes the lenses and the frame) can potentially transfer viruses, such as COVID-19, to our eyes, nose, and mouth? This is because viruses — as well as bacteria —  are easily transferred from our surroundings to our hands and then from our hands to our glasses.  

In fact, research has shown that coronavirus can remain on glass surfaces for as long as 9 days. If we’re not careful, we can easily touch our glasses then touch our eyes, nose, or mouth, thus continuing the contagion cycle. 

The danger is even higher for people with presbyopia, age-related farsightedness that generally affects those aged 40 and above. Presbyopes who wear reading glasses tend to put them on and take them off several times throughout the day. What’s more worrisome is that this age group is at higher risk for more serious complications from COVID-19.

The good news is that disinfecting your glasses is easy! Let’s delve into ways you should and should not disinfect your lenses at home. 

What NOT to Use to Cleanse Your Glasses

Many of us may have rubbing-alcohol at home, and although it may seem like a perfectly good idea to use it to disinfect your specs, we discourage you from doing so. It may be too harsh for your eyeglasses, especially if you have any special coatings on your lenses.

Other products you should stay away from include ammonia, bleach, or anything with high concentrations of acid, such as lemon juice or vinegar, which can damage lens coatings and some eyewear materials. 

How to Safely Disinfect Your Glasses

Now that we’ve eliminated the substances and chemicals that should not be used on your lenses, let’s see what is safe to use to clean eyewear.

Dish Soap and Water

The absolute easiest and most efficient way to disinfect and clean your lenses is to use lukewarm water with a gentle dish soap. Massage the soap onto each lens, rinse, and dry using a microfiber cloth (not paper towels, as the fibers can easily scratch lenses). While you’re at it, don’t forget to include your frame’s nose pads and earpieces.

Lens Cleaning Wipes 

Pre-moistened lens wipes are excellent for cleaning your glasses, as well as your phone, tablet and computer screen. They remove bacteria, dust, dirt and germs from your glasses and the formula restores shine to glass surfaces without leaving any streaks or residue. The durable material is tough enough to remove stains, while being gentle enough not to scratch your screens or lenses. Contact Evans Eyecare Optometry to find out how you can access these. 

So, In Summary:

  • Do not use rubbing alcohol to disinfect your glasses.
  • Avoid using household cleaners or products with high concentrations of acid. 
  • Clean your glasses with a gentle dish soap and lukewarm water, or lens wipes.
  • Dry your glasses with a microfiber cloth to prevent smudging and scratching. 

Disinfecting your glasses shouldn’t be stressful or worrisome. Just follow the easy steps above to protect your lenses and your health. 

On behalf of everyone at Evans Eyecare Optometry in Rancho Mirage, California, we sincerely hope you and your loved ones stay healthy and safe during this uncertain time.

Coronavirus and Your Eyes – What You Should Know

As coronavirus (COVID-19) spreads around the world, health professionals are demanding that people limit their personal risk of contracting the virus by thoroughly washing their hands, practicing social distancing, and not touching their nose, mouth, or eyes. In fact, it may surprise you to learn that the eyes play an important role in spreading COVID-19. 

Coronavirus is transmitted from person to person through droplets that an infected person sneezes or coughs out. These droplets can easily enter your body through the mucous membranes on the face, such as your nose, mouth, and yes — your eyes. 

But First, What Is Coronavirus?

Coronavirus, also known as COVID-19, causes mild to severe respiratory illness associated with fever, coughing, and shortness of breath. Symptoms typically appear within 2 weeks of exposure. Those with acute cases of the virus can develop pneumonia and other life-threatening complications. 

Here’s what you should know: 

Guard Your Eyes Against COVID-19 

  • Avoid rubbing your eyes. Although we all engage in this very normal habit, try to fight the urge to touch your eyes. If you absolutely must, first wash your hands with soap and water for at least 20 seconds. 
  • Tears carry the virus. Touching tears or a surface where tears have fallen can spread coronavirus. Make sure to wash your hands after touching your eyes and throughout the day as well.
  • Disinfect surfaces. You can catch COVID-19 by touching an object or surface that has the virus on it, such as a door knob, and then touching your eyes. 

Coronavirus and Pink Eye

Pink eye, or conjunctivitis, refers to an inflammation of the membrane covering the front of the eyeball. Conjunctivitis is characterized by red, watery, and itchy eyes. Viral conjunctivitis is highly contagious and can be spread by coughing and sneezing, too.

According to a recent study in China, viral conjunctivitis may be a symptom of COVID-19. The study found conjunctival congestion in 9 of the 1,099 patients (0.8%) who were confirmed to have coronavirus. 

If you suspect you have pink eye, call your eye doctor in Rancho Mirage right away. Given the current coronavirus crisis, we ask patients to call prior to presenting themselves at the office of Dr. Greg Evans, as it will allow the staff to assess your condition and adequately prepare for your visit.

Contact Lenses or Eyeglasses?

Many people who wear contact lenses are thinking about switching to eyeglasses for the time being to lower the threat of being infected with coronavirus.

Wearing glasses may provide an extra layer of protection if someone coughs on you; hopefully that infected droplet will hit the lens and not your eye. However, one must still be cautious, as the virus can reach the eyes from the exposed sides, tops and bottoms around your frames. Unlike specialized safety goggles, glasses are not considered a safe way to prevent coronavirus.

Contact Lenses and COVID-19

If you wear contacts, make sure to properly wash your hands prior to removing or inserting them. Consider ordering a 3 to 6 month supply of contact lenses and solution; some opticals provide home delivery of contact lenses and solutions. At this stage there is no recommendation to wear daily lenses over monthlies.

Don’t switch your contact lens brand or solution, unless approved by your optometrist or optician.

Regularly Disinfect Glasses 

Some viruses such as coronavirus, can remain on hard surfaces from several hours to days. This can then be transmitted to the wearer’s fingers and face. People who wear reading glasses for presbyopia should be even more careful, because they usually need to handle their glasses more often throughout the day, and older individuals tend to be more vulnerable to COVID-19 complications. Gently wash the lenses and frames with warm water and soap, and dry your eyeglasses using a microfiber cloth. 

Stock up on Eye Medicine

It’s a good idea to stock up on important medications, including eye meds, in order to get by in case you need to be quarantined or if supplies run short. This may not be possible for everyone due to insurance limitations. If you cannot stock up, make sure to request a refill as soon as you’re due and never wait until the last minute to contact your pharmacy. 

It is important that you continue to follow your doctor’s instructions for all medications.

Digital Devices and Eyestrain

At times like this, people tend to use digital devices more than usual. Take note of tiredness, sore eyes, blurry vision, double vision or headaches, which are symptoms of computer vision syndrome if they are exacerbated by extensive use of digital devices, and might indicate a need for a new prescription in the near future. This usually isn’t urgent, but if you’re unsure, you can call our eye doctor’s office.

Children and Digital Devices

During this time your children may end up watching TV and using computers, tablets and smartphones more frequently and for more extended periods too. Computer vision syndrome, mentioned above, can affect children as well. We recommend limiting screen time to a maximum of 2 hours per day for children, though it’s understandably difficult to control under the circumstances. 

Try to get your child to take a 10 to 15 minute break every hour, and stop all screen time for at least 60 minutes before sleep. 

Children and Outdoor Play

Please follow local guidelines and instructions regarding outdoor activities for your children. If possible, it’s actually good for visual development to spend 1-2 hours a day outside.

 

From all of us at Evans Eyecare Optometry in Rancho Mirage, we wish you good health and please stay safe. 

Why All Low Vision Patients Are Upset

Bifocal Type R.By Richard J. Shuldiner, OD, FAAO, FIALVS, Chief Clinical Editor

In 1960, at the age of seven, Wayne F. was diagnosed with amblyopia in his left eye (commonly referred to as Lazy Eye), but it was left untreated. As an adult, Wayne scheduled regular eye exams every few years and received new glasses each time the vision in his right eye changed. In November of 2019, it was time to renew his driver’s license. During all previous DMV visits, Wayne could read the vision charts with the help of glasses. This trip was different.

How Wayne Suddenly Became a Low Vision Patient

Wayne’s vision had slowly deteriorated to the point where the DMV eye chart became impossible to read, and, to his surprise, his license was revoked. Wayne scheduled an appointment with his eye doctor to get new glasses. He expected that a new prescription would improve his vision enough to get his driver’s license reinstated. It also seemed like an opportunity to get new frames and a new look. That’s when Wayne received the news that dry macular degeneration had developed in his right eye, and that new glasses would not improve his vision. He was told, “Nothing more can be done.”

Wayne was devastated. Confusion and worry took over as he asked himself, “How will I get to work? How will I pay the mortgage? How will I support my family? What will become of me?”

Low Vision Patients Have a Reason to Be Upset

ALL low vision patients are upset. Every one of them. And it doesn’t matter if they have a happy disposition, a good attitude or have “accepted” it. They are upset.

As we know, Wayne is not alone. Many patients are struggling with the shocking news that new glasses will not restore their vision. Loss of vision is one of the major fears that people have. When it happens, the upset can be truly debilitating.

Definition of Low Vision

What exactly is “low vision”? There are many ways to say it, but for me, this is the most understandable: Best corrected vision is insufficient to do what you want to do.

The definition contains two variables: vision and task— the amount of vision available to work with, and the tasks the patient wants to be able to do. A person with no visual goals does not have low vision, regardless of the extent of vision loss.

What Is it Like?

Consider the plight of most of the low vision patients we see. They have had decent vision for most of their lives. They needed glasses at some point, for any of the refractive reasons, including presbyopia. Some solved their conditions with glasses, others with contact lenses, vision therapy, or a surgical procedure. In each case, these solutions enabled them to see well enough to do what they wanted to do.

Now, after scores of eye examinations over the years, they once again don’t see well. Still confident that their vision can be corrected, they make an appointment with clear expectations and intentions: stylish new frames, better contacts, clearer vision to enjoy life and be productive. After all, they’ve been through this many times. Only this time, it doesn’t happen.

Instead, they are told they have an “eye condition” that has caused them to lose vision permanently!

And, they are told that if there is a treatment, it won’t bring back the vision they have lost!

And, they may lose more vision!

And it could happen at any time!

And they might go blind!

And lastly, they are told, “There’s nothing more we can do!”

Each sentence stabs like a knife.

What Being Upset Is All About

Surprisingly, there are only three things that upset human beings.

  • Unfulfilled expectations
  • Thwarted intentions
  • Undelivered communications

Think about any time you have ever been upset. Regardless of the circumstances, regardless of who you think was to blame, regardless of what “they” did, regardless of the topic or whom it was with, the upset falls into one or more of the above three categories.

No one expects to lose vision permanently.

No one expects to hear these words from their eye doctor: “There’s nothing more that can be done.”

The expectation is that the doctor will have a solution to the problem.

The intention is to get new glasses, see better, get new frames and have a new, fashionable look.

They walk out in a daze, unable to communicate or even think clearly.

Upset Reactions

Three things happen to a human being when they become upset:

  • A shift in reality
  • A loss of affinity
  • A decrease in communication

Everyone knows not to make decisions when upset. Why? Because the shift in perception of reality leads to bad decisions. We’ve all experienced a reduction in both love and appreciation when we are upset with a loved one. And, we all know that getting someone to open up and communicate when they are upset is nearly impossible.

Words From an Eye Doctor

Life is full of unexpected and upsetting events and, like a flash of lightning, life can change in an instant. An event, such as being told you have Macular Degeneration (or some other vision-affecting eye condition) and that new glasses won’t help, becomes so upsetting that clear thinking is virtually impossible. What I’ve seen over the years while working with low vision patients is a state of chaos, of not knowing what to do, who to turn to, and how to deal with permanent vision loss. Confusion and fear take over as people have no idea what their lives will be like or what they should do.

Providing a Future

When faced with “going blind,” all the hopes and dreams of the future seem to be destroyed. The idea of having time to read great novels, travel to see famous sights, watch the grandchildren play their sports, and more is crushed in their minds. The future they have imagined is gone.

This is where low vision care comes in. People need a future to live into. Dr. Greg Evans can give them that and reduce the turmoil they feel.

We are telling our patients today: “There is life after vision loss. There are low vision doctors who can help to keep you doing those things you love. Your life is not over.”

Advanced LOW VISION CARE is available at Low Vision Center At Evans Eyecare Optometry and a fulfilling life is attainable. Low vision glasses (i.e. telescopes, microscopes, prismatics, filters, etc.), low vision devices, adaptive technology, large print materials, and auxiliary professionals, such as Occupational Therapists and Orientation/Mobility specialists are available. Dr. Greg Evans is a member of the International Academy of Low Vision Specialists and has years of experience treating and caring for low vision patients.

This article first appeared here: https://emailactivity1.ecn5.com/engines/publicPreview.aspx?blastID=2606173&emailID=387066764

This Contact Lens Can Actually Treat Dry Eye Syndrome!

something in my eyeWearing traditional contact lenses can be a convenient method of correcting vision — unless you are suffering from dry eye. Dry eye symptoms, such as red, itchy eyes, or a feeling of having something in your eye, tend to worsen when wearing traditional contact lenses.

There is, however, one type of lens that isn’t only comfortable to wear, but also improves vision and reduces symptoms — it’s called a scleral lens. This lens differs from a conventional contact lens in several ways, most notably in size. Scleral lenses are large custom-fit contact lenses that offer multiple benefits for people with dry eyes and a variety of other eye conditions.

If you are experiencing dry eye symptoms, speak with Dr. Greg Evans to see whether wearing scleral lenses is the best course of action for your condition.

Dry Eye Symptoms

First things first, what does dry eye mean? If you’ve been experiencing any of these symptoms for some time, you may be suffering from dry eye syndrome:

  • Red eyes
  • Itchy eyes
  • Sensitivity to light
  • Mucus in or around your eyes
  • A feeling of dust or sand in your eyes
  • Difficulty wearing contact lenses
  • Watery eyes
  • Blurred vision or eye fatigue

Why Do the Symptoms Occur?

Your eyes are usually covered with a thin film of tears to keep them lubricated and protected. If the lubrication is inadequate, that is, if the quality or quantity of the tears is out of balance, one of the above symptoms may occur.

Dry eye can have many causes, such as certain medical conditions, medications, environmental influences, hormones, and extensive exposure to blue light from digital devices. Long-time contact lens usage may also impact tear quality. Dry eye mostly affects women, particularly upon reaching menopause.

What Are Scleral Lenses?

This gas permeable contact lens is considerably larger than any other contact lens, and due to its size, a scleral lens rests on the sclera—the white part of the eye— without touching the cornea.

As mentioned earlier, when you have dry eye, the cornea is more sensitive than usual, rendering it uncomfortable when a traditional contact lens comes into contact with it. Scleral lenses, on the other hand, cause no friction to the cornea as they do not directly touch it, but rather vault right over it.

Scleral lenses were initially developed for patients who could not wear traditional contact lenses, such as those with high astigmatism, keratoconus, and other corneal irregularities. Over the years, study after study has shown that scleral lenses can improve and even treat dry eye syndrome.

How Does a Scleral Lens Treat Dry Eye?

Standard soft contact lenses absorb moisture from the eye, whereas scleral lenses provide moisture. Furthermore, when inserting a scleral lens into your eye, you first apply a saline solution, which fills the gap between the cornea and the lens. This provides moisture for the irritated eye and promotes healing.

By ensuring consistent hydration of the eye and shielding the cornea from external irritants, scleral lenses provide the eye with the conditions needed to heal. As you can see, scleral lenses can play a therapeutic role in the healing process of dry eye syndrome.

What You Need to Know About Wearing Scleral Lenses With Dry Eye

Most people find that scleral lenses are very comfortable to wear. They do not move around on the eye, and dust particles are less likely to get caught underneath. Caring for, inserting and removing a larger lens, however, involves some practice and calls for a little more caution.

One of the few side effects of dry eye is a higher production of mucus, which can accumulate underneath the lens. As a result, you may have to clean your lenses more frequently to ensure clear vision.

Eye Drops and Scleral Lenses

Artificial tears are a common treatment for dry eye, and you can use them in combination with scleral lenses. However, make sure to consult Dr. Greg Evans regarding which drops to use for your specific case.

To further reduce symptoms and improve the quality of your tears, consider using lid scrubs regularly. Also, warm compresses can provide relief and contribute to improving the tear film.

Where Can You Get Scleral Lenses?

Scleral lenses are custom-made for each patient. At Specialty Contact Lens Center At Evans Eyecare Optometry, we have made scleral lens fitting one of our primary objectives, which is why our practice is equipped with the latest technology and contact lens modalities. This has enabled us to achieve positive results for our dry eye patients.

This Contact Lens Can Actually Treat Dry Eye Syndrome from EyeCarePro on Vimeo.

Contact Dr. Greg Evans at Specialty Contact Lens Center At Evans Eyecare Optometry for a personal consultation and find out whether scleral lenses are a suitable option for your dry eye syndrome.

We serve dry eye patients from Palm Springs, Palm Desert, La Quinta, Indio, and throughout California.

How Safe Are Overnight Contact Lenses?

boy in yellow zip up jacket 3771646Your optometrist recommended orthokeratology (ortho-k) treatment for your child — that is, wearing corrective lenses overnight. However, the idea of having your child wear contact lenses while they sleep may be worrisome. Can it lead to an eye infection, or scratch/ squeeze the cornea?

A closer look into the research done on overnight ortho-k lens wear reveals the extent of any actual risk factors and how they compare to other contact lens options.

What Are Overnight Ortho-K Lenses?

Ortho-k lenses are custom-made contact lenses that are worn overnight to gently reshape the cornea, thus enabling clear vision the following day. Research shows that overnight ortho-k not only effectively removes the need to wear any glasses or daytime contact lenses, but can slow down the progression of myopia. Optometrists, such as , are therefore increasingly using ortho-k for myopia management as well as for patients who no longer want to wear any optical correction during the day.

Is Your Child at a Higher Risk of Eye Infection With Ortho-K?

An extensive study involving 1300 people at Ohio State University concluded that overnight ortho-k carries no more risk than any other type of contact lens modality.

Hygiene plays a vital role in preventing infections with all contact lenses. During the lens fitting process, your eye care professional will provide you and your child with detailed information and guidance on how to clean and store the lenses, as well as what precautions to take. Make sure to carefully follow the instructions regarding the cleaning schedule and use only the appropriate solutions provided for the overnight lenses.

Other Potential Risks With Orthokeratology

Can an Ortho-k Lens Squeeze or Scratch the Cornea?

An ortho-k lens floats on a tear film covering the eye. The reshaping is achieved by hydraulic force that is applied to the thin central part of the cornea without any tissue being squeezed or crushed.

A corneal abrasion can occasionally occur and is usually the result of a fingernail or lens edge scratching the cornea. That said, the risk isn’t any higher with overnight lenses than with other rigid lenses.

Do Overnight Lenses Involve a Higher Risk of Hypoxia?

The cornea needs a regular oxygen supply. This supply is typically reduced when covered by a contact lens. Extended uninterrupted contact lens wear can cause hypoxia and swell the cornea — this applies to all contact lens modalities when worn longer than recommended.

What is Corneal Staining?

This is likely the most common of all contact lens complications. Corneal staining refers to the appearance of tissue disruption and other changes on the corneal surface. This may be due to a variety of causes, such as improper lens fit, foreign bodies, tear film disruption or irregularities at the edges of a contact lens.

A corneal stain can also occur when a specific contact lens solution comes into direct contact with the cornea and the patient has a reaction to the chemicals in that solution. Research shows that children who wear ortho-k lenses are at no greater risk of corneal staining than those who wear soft contact lenses.

What You Need to Remember When Handling Ortho-K Lenses

  • Always wash hands before inserting or removing contact lenses.
  • Make sure to strictly adhere to the cleaning and disinfection routine as instructed by your optometrist.
  • Provide your child with all the necessary assistance and support regarding the care of the lenses. Young children should not handle the lenses on their own.
  • Only use the solutions recommended by Dr. Greg Evans. If you feel your child has an issue with any of them, please contact us.
  • Frequently replace the lens case to avoid microbial contamination and make sure you or your child do not touch the tip of the solution bottle.
  • Do not use tap water to rinse your lenses, always use saline solution.
  • Never use a soft contact lens solution for a rigid lens. These solutions are made of different liquids, each with their own guidelines and protocols.
  • If your child feels discomfort or experiences redness of the eye, contact Dr. Greg Evans.

How Safe Are Overnight Contact Lenses? from EyeCarePro on Vimeo.

Overnight Ortho-K Lenses are Safe

Orthokeratology is a safe and effective method of providing clear daytime vision and of slowing down the progression of myopia in children.

As long as they carefully follow the instructions regarding hygiene and the handling of the lenses, there should be no reason to worry. Children mature enough to understand the importance of these instructions will also be responsible enough to adhere to them.

Get more information regarding overnight ortho-k lenses at Myopia Management Center At Evans Eyecare Optometry. Dr. Greg Evans will carry out an eye exam and will happily answer any questions you may have.

What Is the Shape of a Healthy Eye and How Does It Affect Vision?

eyes eye care 640x350The human eye is a biological piece of functional art, capable of producing colorful moving three-dimensional images with high precision. At the same time, one can marvel at the aesthetic beauty of the human eye and its shape.

The Shape of a Healthy Eye

In a healthy and perfectly shaped eye, light passes through the cornea and crystalline lens, and is accurately focused onto the retina, located at the back of the gel-filled eyeball. This process enables an image to be passed onto the optic nerve and then the visual cortex of the brain. Accurate focus and convergence depend on the proper shape of each part of the eye. However, eyeballs can be either shortened (hyperopia) or elongated (myopia).

Unhealthy Eye Shapes That Impact Vision

The Myopic Eye

In an elongated myopic eyeball, the distance between the lens and retina is too long, leading the image to come into focus before reaching the retina. As a result, the photosensitive cells of the retina pick up a blurry image.

The Hyperopic Eye

In hyperopia or farsightedness, the opposite is the case. The eyeball is too short, as is the distance that light travels from lens to retina. Therefore, the image comes into focus behind the retina, causing distant objects to appear clear, whereas close ones do not come into proper focus.

The Cornea

While the crystalline lens is flexible and auto-adjusts its shape for proper focus, the cornea is static. A healthy cornea maintains its smooth dome shape. However, if the cornea is weak, the structure of the cornea cannot hold this round shape, causing the cornea to bulge outward and downward like a cone. Perfect curvature of the cornea ensures the correct bending of incoming light onto the lens, whereas inadequate curvature results in a refractive error.

An uneven or irregularly shaped cornea also distorts the image that forms at the retina. Common corneal irregularities include astigmatism and keratoconus.

Keratocoonus Labelled

Scleral Lenses for a Smooth Eye Shape

Scleral lenses are large contact lenses that rest on the sclera — the white part of the eye. The lenses span over the cornea, making them ideal for a deformed cornea as they even out the irregularity to create a perfectly shaped eye.

Contact Dr. Greg Evans at Specialty Contact Lens Center At Evans Eyecare Optometry to learn more about how your eye shape affects your vision. We’ll be happy to discuss the different correction methods available that offer you sharp, comfortable and clear vision all day, every day.

We receive clients from Palm Springs, Palm Desert, La Quinta, Indio, and throughout California.

 

Resources:

https://www.lasikmd.com/blog/eye-shapes-affect-vision

https://www.everydayhealth.com/vision-center/the-healthy-eye/how-the-eye-works.aspx

https://www.nvisioncenters.com/eye-shapes/

https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/refractive-errors

Is It Possible to Read and Write With Macular Degeneration?

man reading a newspaper 3393375Once you’ve been diagnosed with macular degeneration, you may find yourself overwhelmed with questions. The uncertainty as to whether you will be able to read, write, and recognize faces can be depressing. Before you let these concerns weigh you down, contact a low vision optometrist, such as at , dedicated to helping macular degeneration patients live independent, fulfilling lives.

The Importance of Vision in Daily Tasks

“To help a person do what he or she wants to do” is the central idea behind the work of every low vision optometrist. Our goal is to enable patients to carry out activities that are important to them. The ability to engage in daily tasks concerns patients with macular degeneration the most, as many routine activities, such as reading and writing, rely on central vision.

Reading With Macular Degeneration

Think about how often throughout the day you use your eyes to read labels, street signs, bills, or restaurant menus.

With the loss of central vision, reading can become a true challenge. The good news is that there are devices that can enable you to read again, even with macular degeneration.

Writing With Macular Degeneration

Your grandchildren are about to come for dinner, and you want to cook their favorite dish. First, you need to write the shopping list to buy the necessary groceries. And maybe you want to leave a note for your spouse on the fridge to let them know you went shopping.

With the help of low vision glasses provided by an IALVS optometrist, an eye doctor with advanced training in treating patients with vision loss, you can write shopping lists, sign checks, or fill in your favorite crossword puzzles.

Recognizing Faces With Macular Degeneration

Reading and writing are technical tasks. However, central vision loss due to macular degeneration can have an emotional impact as well. Being able to see the delighted smiles on your grandchildren’s faces when you serve them their favorite dish can bring tremendous joy.

IALVS optometrists understand the emotional impact of vision loss and will address your concerns with compassion. will work to maximize your vision every step of the way, so you can continue to enjoy looking into the eyes of your loved ones.

What Type of Low Vision Glasses Do You Need?

Different types of low vision glasses enable macular degeneration patients to accomplish the tasks mentioned above. These include telescopic, microscopic, and prismatic reading glasses.

Prismatic glasses and microscopic glasses are designed for reading and writing. Both types provide the wearer with clear vision at a close range. Thanks to these lenses, you can continue to engage in the activities you enjoy, such as play cards, knit sweaters, or build airplane models.

For face recognition, a low vision optometrist may recommend telescopic lenses. These help you clearly see things at a far distance — such as the face of a child walking towards you from the front gate.

Consult a Low Vision Optometrist

The three essential tasks for which vision is paramount can be helped with a variety of low vision aids and devices. Consult a low vision optometrist, such as at , who can enable you to engage in a variety of other tasks on your wishlist.

serves patients in Palm Springs, Palm Desert, La Quinta, Indio, and throughout California.

8 Ways to Protect Your Eyes at the Office

Everyone seems to be staring at a screen these days, whether their computer, their smartphone or another digital device. The stress it puts on your eyes can cause a condition called “digital eye strain” (DES) or “computer vision syndrome” (CVS). Symptoms include eye fatigue, dry eyes, blurred vision, headaches, neck and shoulder pain, red eyes, and eye twitching.

How To Protect Your Eyes While You Work

Below are a few things you can do to lower your risk or mitigate any discomfort associated with DES. 

1. See your eye doctor for a comprehensive eye exam

This is one of the most important things you can do to prevent or treat symptoms associated with computer vision syndrome. During your eye doctor’s appointment, make sure to speak with Dr. Greg Evans about your working habits, including the frequency and length of time you use a computer and other devices at work and at home.

If you get a chance before you come, measure the distance between your eyes and your computer screen and bring that information to the optometrist, so that you can get your eyes tested for that specific working distance.

Computer vision syndrome may be exacerbated by an underlying dry eye disease, which can be diagnosed and treated at our eye clinic in Rancho Mirage.

Sometimes people who have good visual acuity assume they don’t need any glasses. However, even very mild prescriptions can improve eyestrain and curb fatigue when working at a computer. 

2. Good lighting is key 

Excessively bright light, whether due to outdoor sunshine coming in through the window or harsh interior lighting, is a common cause of eyestrain. When using your computer, your ambient lighting should be about 50% dimmer than what is typically found in most offices. 

You can reduce exterior light by closing drapes, blinds or shades and diminish interior illumination by using fewer or lower intensity bulbs. Computer users often find that turning off overhead fluorescent lights and replacing them with floor lamps is easier on their eyes. 

3. Minimize glare

Eyestrain can be aggravated by glare from light reflecting off surfaces including your computer screen. Position your computer so that windows are neither directly in front of nor behind the monitor, but rather to the side of it. Consider installing an anti-glare screen on your display. If you wear glasses, get anti-reflective (AR) coating on your lenses to reduce glare by limiting the amount of light that reflects off the front and back surfaces of your lenses (more on that below.)

4. Upgrade your display 

If you have a CRT (cathode) screen on your monitor, consider replacing it with a flat-panel LED (light-emitting diode) screen that includes an anti-reflective surface. Old-school CRT screens can be a major cause of computer eye strain due to the flickering images. 

For your new flat panel desktop display, choose one with a diagonal screen size of at least 19 inches, and the higher the resolution, the better.

5. Adjust display settings for added comfort 

Adjusting your computer display settings can help decrease eye strain and fatigue too.

  • Brightness: Adjust your device’s brightness to match the luminance around you. If the white background of this page looks like a light source, then it should be dimmed. However, if it appears dull and gray, it may not provide enough contrast, which can make it hard to read.
  • Text size: Adjust the text size for maximum eye comfort, particularly when reading, editing or writing long documents. Increase the size if you find yourself squinting, but bigger isn’t always better, since overly large text display may force your eyes to track back and forth too quickly for comfort.
  • Color temperature: This refers to the spectrum of visible light emitted by a color display. Blue light is short-wavelength visible light, whereas orange and red are longer wavelength hues. Exposure to blue light helps keep you alert but tends to cause eye fatigue after a while; yellow to red tints are more relaxing and may be better for long-term viewing, especially at night. Many devices allow the user to adjust the color temperature.

6. Get computer glasses

Nearly 70% of North Americans experience digital eye strain related to prolonged use of electronic devices. To combat these effects, Evans Eyecare Optometry recommends digital protection coatings, which act as a shield to cut the glare and filter the blue light emanating from digital screens and artificial light.

For the greatest eye comfort, ask Dr. Greg Evans for customized computer glasses, which feature mildly tinted lenses that filter out blue light. These can be made with or without prescription vision correction, for the benefit of those with 20/20 vision or contact lens wearers, though many people with contacts actually prefer to have alternative eyewear to use when their lenses become dry and uncomfortable from extended screen time.

Evans Eyecare Optometry can help you choose from a vast array of effective optical lenses and lens coatings to relieve the effects of digital eye strain. 

7. Don’t forget to blink 

When staring at a digital device people tend to blink up to 66% less often, and often the blinks performed during computer work are only partial which aren’t as effective at keeping the eyes moist and fresh feeling. Making a conscious effort to blink more while working or watching can prevent dryness and irritation.

8. Exercise your eyes

Another cause of computer eye strain is focusing fatigue. Look away from your computer every 20 minutes and gaze at an object located 20 feet away, for a minimum of 20 seconds. This “20-20-20 rule” is a classic exercise to relax the eyes’ focusing muscles and reduce computer vision syndrome.

 

The steps above don’t require a tremendous amount of time or money to be effective. Contact Evans Eyecare Optometry in Rancho Mirage to make an appointment with Dr. Greg Evans and learn how the right eye drops, eye exercises, computer glasses, or AR coatings can improve eye comfort, reduce computer vision syndrome and potentially lead to increased productivity and job satisfaction.

Use Your Benefits in 2020 for Ortho-K

something in my eyeDid your new year resolutions include any vision-related intentions? After all, it is the year 2020 — a year for perfect vision. This could be the right time to consider a more effective and worthwhile way to correct your or your child’s nearsightedness.

Consider ortho-k (orthokeratology), a way to correct myopia that could give you or your child clear 20/20 vision. What’s more, it comes with certain financial advantages, as Ortho-k can be eligible for reimbursement with most health-related savings accounts.

Why Use Your Benefits on Orthokeratology?

Whether you have funds that rolled over from the previous year or you just started your new health savings account this year, now is the time to plan how to allocate your benefits in 2020.

Remember, vision-related issues should never be taken lightly. An investment in vision correction pays off in numerous ways. Ortho-k provides a safe, non-surgical, non-invasive, and comfortable corrective option and lets you take advantage of your benefits.

What is Orthokeratology?

Orthokeratology, also known as corneal reshaping therapy, are custom-fit overnight lenses that gently mold your cornea into a shape that bends light correctly onto the retina. This allows you to have perfect vision without wearing glasses or contact lenses throughout the day.

Ortho-k Advantages for Adults

There are advantages to Ortho-k besides the convenience of not wearing glasses or contacts during the day. Glasses or contact lenses often don’t provide clear peripheral vision, something you will have with ortho-k. Moreover, unlike LASIK surgery, which creates a permanent change to the corneal shape and involves the risk of complications, the ortho-k treatment is safe and reversible.

Ortho-k Advantages for Children

For children, there is an additional benefit. Myopia usually worsens until around the age of 21, sometimes at an alarming speed. High levels of myopia, generally above -3.00 dioptres, can pose a higher risk of serious eye diseases later on in life that can lead to loss of vision.

Research has revealed that orthokeratology can slow down the progression of myopia, thus lowering the risks of developing macular degeneration, glaucoma, retinal detachment, and cataracts.

Which Savings Accounts Cover Orthokeratology?

You may not have to pay entirely for orthokeratology out of your own pocket, as many Health Savings Accounts (HSA) and Flexible Savings Accounts (FSA) can reimburse this kind of program. A Health Reimbursement Arrangement (HRA) may at times also refund the ortho-k costs. Just make sure to check your specific plan, as not all plans are exactly the same.

Use Your Benefits in 2020 to Correct Myopia With Ortho-K from EyeCarePro on Vimeo.

Use Benefits for Family Members

It gets even better! You can use these funds either for yourself or for someone in your family. If you have a child with progressing nearsightedness, use the benefits to help him/her get the best vision ever.

Many parents settle for glasses or regular contact lenses as they are less expensive than special ortho-k lenses. However, with a savings account, there is no need to compromise because you get a refund. Give yourself the opportunity to make the year 2020 a year of 20/20 vision for yourself or your child.

At Myopia Management Center At Evans Eyecare Optometry, we prescribe and fit orthokeratology lenses and provide all associated services. Contact Dr. Greg Evans today to schedule an appointment for an eye evaluation.

We treat patients from Palm Springs, Palm Desert, La Quinta, Indio, and throughout California.

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