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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 can help diagnose, manage and treat your night blindness so that you can enjoy being out 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 Village Optometry in Carlsbad to schedule your appointment 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 actually a group of eye diseases; the most common ones being 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, and can be painful.

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 less than a second, and is painless. With the Goldmann applanation tonometry test, an anesthetic eye drop is used to keep the measurement painless. Your eye doctor uses a blue light to quickly and gently touch the cornea to precisely measure the intraocular pressure. Additionally, visual field testing and OCT (optical coherence tomography), non-invasive imaging, are both painless.

MYTH 6: You can’t prevent glaucoma

FACT 

Regular eye exams are the only way to prevent the vision loss of 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 Village Optometry in Carlsbad to book your comprehensive eye exam today!

Does Obesity Impact Eye Health?

Nation-wide awareness about the vast dangers of obesity is at an all-time high, with TV shows like “The Biggest Loser” and health initiatives such as Michelle Obama’s “Let’s Move!” campaign shining a spotlight on the importance of fitness and good nutrition. However, despite the public’s knowledge of obesity’s effects on hypertension, stroke, and diabetes, many are not aware of how it damages eye health and vision.

Increasing evidence shows that people who are clinically obese have an elevated risk of developing serious eye diseases. It is widely known that expanding waistlines place people at a higher risk of getting diabetes, heart disease, and cancer — but researchers say the link between obesity and deteriorating vision is the “risk factor that no one talks about”. Professor Michael Belkin and Dr. Zohar Habot-Wilner, from the Goldschleger Eye Institute at the Sheba Medical Center, found a consistently strong correlation between obesity and the development of four major eye diseases that may cause blindness: 

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Glaucoma
  • Diabetic retinopathy

The researchers said that although the evidence was out there suggesting a link between obesity and these conditions, their study emphasizes the optometric risks of obesity which can help motivate people to shed those extra pounds.

How Obesity Contributes to Eye Disease

A Body Mass Index (BMI) of 25 is considered overweight and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Recent research indicates that a handful of ocular diseases can now be added to that list. 

Serious eye conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss. 

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair! 

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts result when the focusing lens in the eye becomes cloudy and requires surgery to be replaced. In addition to age, cataract development is associated with obesity, poor nutrition, gout, diabetes and high blood sugar levels, though the exact cause isn’t clear.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases. 

We Can Help Keep Your Eyes Healthy in Carlsbad

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams with Dr. Osborne can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, don’t hesitate to call Village Optometry — we’re here for you. 

3 Ways Diabetes Can Affect Your Vision and Eyes

Did you know that people with diabetes are 20 times more likely to get eye diseases than those without it? There are three major eye conditions that diabetics are at risk for developing: cataracts, glaucoma, and diabetic retinopathy. To prevent these sight-threatening diseases, it’s important to control your blood sugar level and have your eyes checked at least once a year by an eye doctor.

But First, What Is Diabetes?

Diabetes is a disease that is associated with high blood glucose levels. Insulin, a hormone produced by the pancreas, helps our cells get energy from the sugars we eat. Diabetes develops when the body doesn’t produce or respond to insulin effectively, leaving too much sugar in the blood stream instead. Over time, diabetes can lead to potentially irreversible ocular damage and poor eyesight. However, by taking care of your blood sugar levels and your eyes, you can prevent vision loss.

Annual eye exams are recommended for everyone, but routine screenings are even more important for diabetics. Eye doctors may send diabetic eye health reports to a patient’s primary care physician or internist to adjust medication as needed to prevent complications.

Village Optometry Eye Clinic and Diabetes in Carlsbad, California

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Carlsbad eye doctor has prepared the following answers to your questions about eye disease.

What’s the Link Between Vision and Diabetes?

Blurred vision or fluctuating eyesight clarity is often one of the first noticeable signs that diabetes has begun to affect your eyes. Sometimes, fluid leaking into the eye causes the lens to swell and change shape. This, in turn, makes it difficult for the eyes to focus, resulting in fuzzy vision. Such symptoms can indicate that an eye disease is developing, or may simply be due to imbalanced blood sugar levels which can be rectified by getting your blood sugar back to healthy levels.

If you start to notice blurry vision, make an appointment with Dr. Osborne as soon as possible.

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The 3 Ways Diabetes Impacts Vision

Cataracts

While cataracts are extremely common and a part of the natural aging process, those with diabetes tend to develop cataracts earlier in life. Characterized by a clouding or fogging of the lens within the eye, cataracts impede light from entering the eye, causing blurred vision and glares. The best treatment is cataract surgery, which is very safe and effective.

Glaucoma

Glaucoma refers to a group of eye diseases characterized by optic nerve damage. Since it tends to impact peripheral vision first, glaucoma often goes unnoticed until significant damage has occurred. However, routine glaucoma screenings can detect warning signs; early treatment can prevent disease progression and vision loss.

Although there is no true cure for glaucoma, most glaucoma patients successfully manage it with special eye drops, medication, and on occasion, laser treatment or other surgery. The earlier glaucoma is diagnosed and managed, the better the outcome.

Diabetic Retinopathy

Diabetic retinopathy occurs when the small blood vessels on your retina (capillaries) become weakened and then balloon (microaneurysm) due to poorly controlled blood sugar levels. The resulting poor blood circulation in the back of the eye causes more abnormal blood vessels to grow, which also bleed or leak fluid, and can lead to scar tissue, retinal detachment and even blindness, over time.

Often there are no symptoms until the advanced stages of diabetic retinopathy, where patients may begin to see spots and missing patches in their vision. Retinopathy can be treated through surgery and eye injections, but the best way to prevent this disease from progressing is to regularly have your eyes screened.

The good news is that diabetic eye disease can often be prevented with early detection, proper management of your diabetes and regular diabetic eye exams. Contact Village Optometry in Carlsbad to set up your eye doctor’s appointment today.

Call Village Optometry on 760-729-4327 to schedule an eye exam with our Carlsbad optometrist.

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Just in case you missed them, here are some of our previous blog posts :

Eye Allergies

10 Eye Healthy Foods to Eat This Year

Resolve to Prevent Glaucoma in 2016

Why You Regularly Need to Replace Your Sunglasses

How To Relieve Dry Eye Syndrome

This can cause a consistent lack of sufficient lubrication and moisture on the surface of the eye, known as dry eyes.

Normally, the eye constantly lubricates itself with tears by producing them at a slow and steady rate, keeping itself moist and comfortable. Usually these tears consist of three layers, an oily, a watery, and a mucus layer. Each layer has a specific role in lubricating your eyes. The oily layer is outermost. It’s main purpose is to slow evaporation of the tear. The watery layer is in the middle. This makes up the majority of what a person normally thinks of as tears. This layer cleans the eye and helps to wash away small foreign objects and particles. The inner layer consists of mucus. This mucus allows the watery layer to stick to the eye and spread evenly over the eye in order to keep it lubricated. In a person with dry eyes, either hormonal changes, side effects from medication or some other factor causes the eye to either not produce enough tears, or leave out parts of the tear that make proper lubrication possible.

Although dry eyes are not always curable, your optometrist may prescribe artificial tears to help with some of the symptoms. Artificial tears are lubricating eye drops that may help with dry, scratchy feeling eyes. Different artificial tears work in different ways. Some help replenish parts of the tear that your eyes are not producing on its own, others help to produce more tears overall. Your eye doctor will assist you to choose which will help you most. Dr. Osborne cautions, however, “These artificial tears should not be confused with eye drops that are advertised to ‘get the red out.’ These eye drops may indeed reduce the appearance of redness in your eyes, but this is accomplished by making the blood vessels in your eyes smaller rather than actually lubricating your eyes. As such, these drops can sometimes actually make your symptoms worse.

Dr. Osborne, of Douglas Osborne, OD in Vista, California explains, “Symptoms of dry eyes include stinging or burning in the eyes, scratchiness, and excessive irritation from smoke or wind. Although it may sound counter-intuitive, the eyes’ response to the consistent irritation caused by dry eyes may also cause a person to experience excessive tearing. In this case, the eye is attempting to flush and lubricate itself by producing more tears, but is unable to do so successfully due to the rate of evaporation or inability to spread the tears properly.”, Dr. Osborne, Vista eye doctor.

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Some cases of dry eyes are seasonal, such as those which occur as a result of cold, dry winter air. In this case, your eye doctor may recommend wearing sunglasses or goggles when outdoors to reduce your eyes’ exposure to the sun, wind and dust. For indoors, your optometrist may recommend an air cleaner and humidifier to take dust out of the air and add moisture to air which is too dry.
One should also be aware that if you wear contacts, some eye drops require you to take them out before using the drops and wait 15 minutes or more before reinserting your contact lenses.”
Studies have also shown that nutrition may have a part in helping to relieve some symptoms of dry eyes. Your eye doctor may recommend nutritional supplements such as omega-3. Good sources of omega-3 fatty acids are cold-water fish, cod, herring and salmon, as well as flaxseed oil. Mild dehydration can make symptoms worse too, so be sure to drink plenty of water, 100 percent fruit and vegetable juices and milk.

Please don’t forget to make an appointment to see our Eye Care Specialist

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