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All About Vision

Contacts & Glasses that Enhance Performance

Every sports activity requires a different skill set for success, yet all sports share a critical need for good vision. Geraint Griffiths, a British optometrist, devised a study to determine the effects of visual acuity on sports performance. This study distributed special vision-blurring goggles to Wimbledon tennis players and UK national clay pigeon shooters. Their performance was studied while the goggles were worn. Even though the goggles only blurred their vision a bit, the marksmen and tennis players showed a 25% decrease in accomplishment. This study demonstrated clearly that vision and sports achievement are inextricably linked.

Visual clarity isn’t the only benefit provided by sports eyewear. There are a number of additional eyewear features that boost athletic performance and enhance eye safety.

Protect Your Eyes from Impact-Related Injuries

As reported by the American Academy of Ophthalmology, over 42,000 sports-related eye injuries occur in the United States each year. Approximately 43% of those injuries happen to children under the age of 15. The majority of these injuries can be prevented with protective eyewear, such as safety goggles with polycarbonate lenses.

Regular eyeglasses are designed for daily wear, and they aren’t resilient enough to handle the rough and tumble wear needed for sports. They also provide inadequate protection for your eyes. Contact lenses offer zero protection from sports-related eye injuries. In contrast, sports eyewear is constructed to be highly impact-resistant, thereby granting superior protection for your eyes and removing anxiety about potential eye injuries. Able to withstand the hit of a ball traveling at up to 90 miles per hour, polycarbonate lenses are about 10 times more impact-resistant than regular lenses.

Safety eyeglasses are advised for every activity that has the potential for injuries to the eye. Be aware that the following land sports run a higher risk to eyes: softball, baseball, hockey, football, basketball, handball, squash, racquetball, tennis, volleyball, soccer and lacrosse. In water, all swimming and pool sports require specialized eye gear. Paintball players should also make safety eyewear an essential part of their game.

A Barrier against UV Rays

Harmful ultraviolet (UV) radiation can be just as damaging to your eyes as other injuries. A number of eye diseases, such as ocular tumors, macular degeneration, and cataracts, have been associated with exposure to UV rays. Photokeratitis, which refers to sunburn on your eye, is another hazard. This painful condition can cause long-term corneal damage.

Dangerous UV rays are more potent at higher altitudes and also bounce off snow or outdoor water, which increases exposure. It is imperative for skiers and anyone who enjoys outdoor water sports to wear sports sunglasses or tinted goggles that block 100% of the sun’s UV rays.

Some types of contact lenses provide UV protection, yet they only cover the central part of your eye. For this reason, sunglasses that block UV rays should still be worn, preferably in a wraparound style that also covers the delicate tissues surrounding your eyes. Hats with a wide brim will upgrade your protection by further reducing facial exposure to UV rays.

Enhance Your Game with Colored Lenses

Special tinted eyewear may add a winning edge to your game. Depending upon the lighting conditions, it’s not always simple to “keep your eye on the ball”. Hunters favor shooting glasses with amber tinted lenses, which highlight the contrast of birds flying against an overcast, dim sky. Golfers tend to gain the largest benefit from green tinted lenses.

A wide range of specialized tints for specific indoor and outdoor sports are available. These lenses can improve visibility and contrast in a diversity of environments. Ask your eye doctor or optician for more information about which lenses can help raise your scores.

Don’t Let Light Get in the Way

Reflective surfaces, such as a flat body of water, a sandy beach or even light-colored pavement, can disturb your vision with glare. Polarized sunglasses are one effective way to resolve this problem.

Another glare reducer is to add and anti-glare (AG) component to your lenses. At night, sports eyewear with anti-glare will diminish lens reflections when playing under bright lights or spotlights. It’s a good idea to apply anti-glare to the back surface of sport sunglasses in order to decrease the glare that bounces into your eyesight when sunlight hits the back of your lenses.

You can control the light that enters your eye by wearing photochromic lenses. These clear lenses transition automatically into dark lenses upon exposure to UV rays. They also offer 100% UV protection, and return quickly to their former clear state when you go indoors.

Contacts Provide Comfortable and Convenient Vision

Many advantages come along with wearing contact lenses for sports, even if you normally wear eyeglasses on a daily basis:

  • Unobstructed peripheral vision
  • Natural-appearing vision, with no changes in image sizes
  • No fogging lenses
  • Non-slip when perspiring

The best contact lens choice for sports is soft one-day disposables. There’s no need to clean them and you can toss them in the garbage at the end of the day. The flexible, oxygen-permeable material of one-day soft lenses also requires very little adaptation. They can be inserted easily and worn comfortably for a full day of physical activity.

Although contact lenses offer high convenience and comfort, there are still a number of disadvantages with wearing contacts for sports. No protection against eye injury is provided and they don’t offer sufficient UV protection. For ultimate performance and safety, you need to wear quality protective eyewear or sunglasses over your lenses.

How Progressive Lenses Work

Progressive lenses or progressive addition lenses (PALs) are the most popular multifocal lenses today, offering an effective and great looking vision solution for individuals with presbyopia (age-related near vision loss). The main advantage of progressive lenses over standard bifocals or trifocals is that they don’t have a visible line bisecting the lens, but rather a seamless and gradual change in power as you move down the lens. Rather than two or three distinct zones (for near, far and intermediate), progressive lenses offer a smooth transition of focal powers that covers the total range of clear vision from close to far and every point in between.

As we age, particularly after the age of 40, our near vision begins to deteriorate. Progressive lenses allow you to see at all distances with one pair of glasses. They start with your distance prescription (if you have one) at the top of the lens and increase as you move toward the bottom of the lens. You simply move your head position to allow you to focus through different areas of the lens. Move your head upwards to see something in the distance, hold it straight for intermediate or arm’s length vision and down for near vision for objects that are close up.
In addition to the aesthetic improvement of the lens without the line segments (which tend to make people look and feel older as well), PALs avoid the visual discontinuity or image-jump when your eyes shift from one zone to the other in non-progressive multifocals.

Adapting to Progressive Lenses

While most people adapt to progressive lenses fairly quickly (many immediately), for some, getting comfortable vision with progressive lenses can take a few days. This is normal as you need to train your eyes to look through the appropriate area of the lens and get used to the slight adjustments when you move from one area to another – especially if you move your head quickly. If you find that you are not adapting to the lenses after a few days, speak to your eye doctor- they may not be the right fit or the right option for you.

Types of Progressive Lenses

There are a number of options for progressive lenses which vary in style, price and function.

Standard PALs
Standard progressive lenses must fit to your vision needs. They can be added to frames of your choice, but you need to ensure that the frames are the right width and height proportions to grant enough space for the gradient changes in the lens. Otherwise only a small area will remain for the distance or near vision zones.

Short Corridor PALS
To overcome the issue mentioned above, there are now progressive lenses called “short corridor” lenses made to fit into smaller frames to suit a wider range of eyewear styles.

Computer PALS
Also known as “near variable focus lenses” or “office lenses”, these specialized PALs are designed specifically for computer users and other occupations that require strong intermediate and distance vision. For computer users that work at a computer for many hours, these lenses will help to reduce eye strain, eye fatigue and other symptoms of computer vision syndrome that come from looking at a computer for extended periods.

PALs for reading
Individuals who enjoy reading can opt for a pair of lenses with a larger close vision zone. Free-form lenses offer a customizable surface with a wider area for near vision.

Progressive lenses are a great option for most individuals who require multifocal or reading glasses and still want to maintain a youthful look and appearance. Speak to your eye doctor about your specific needs and lifestyle to find the best option for you.

Eye Floaters and Spots

Eye floaters are spots, squiggles or flecks that appear to drift into your visual field. Usually they are harmless, a benign, albeit annoying sign of aging. If however, your floaters are accompanied by a sudden loss of vision, pain or flashes, they could be a sign of an underlying serious eye condition and should be checked out by an eye doctor as soon as possible.

What are Eye Floaters and Spots?

Floaters, like their name, are specks or spots that float in and out of your visual field. Usually they move away when you try to focus on them. They can appear as dark dots, threads, squiggles, webs, or even rings.

But what causes them to appear? Floaters are shadows from clumps of fibers within the vitreous, the jelly-like substance in your eye, that are cast on the retina at the back of the eye. Usually, floaters don’t go away, but you tend to get used to them and eventually notice them less. Patients usually see them more when they are looking at a plain background, like the blue sky or a white wall.

In most cases, there is no treatment for floaters, people just get used to them, however if there are more serious symptoms that accompany them, there could be an underlying problem such as inflammation, diabetes or a retinal tear that needs to be addressed and treated. If the floaters are so serious that they are blocking your vision, a surgical procedure to remove the clumps may be performed.

What Causes Floaters?

Age: Although floaters may be present at any age, they are often more apparent as a result of aging. With time, the fibers in the vitreous begin to shrink and clump up as they pull away from the back of the eye. These clumps block some of the light passing through your eye, causing the shadows which appear as floaters. You are also more likely to develop floaters if you are nearsighted.

Eye Surgery or Injury: Individuals who have previously had an injury, trauma or eye surgery are more susceptible to floaters. This includes cataract surgery and laser surgery as well as other types of eye surgery.

Eye Disease: Certain eye diseases such as diabetic retinopathy, eye tumors or severe inflammation can lead to floaters.

Retinal Tears or Detachment: Retinal tears or detachments can be a cause of floaters. A torn retina can lead to a retinal detachment which is a very serious condition where the retina separates from the back of the eye and if untreated can lead to permanent vision loss.

When to See a Doctor

There are some cases where seeing spots is accompanied by other symptoms that could be a sign that there is a more serious underlying problem. The most common of these is seeing flashes of light. This often happens when the vitreous is pulling on the retina which would be a warning sign of a retinal detachment. Retinal detachment must be treated immediately or you can risk a permanent loss of vision. Flashes of light sometimes also appear as symptoms of migraine headaches.

If you experience a sudden onset or increase in floaters, flashes of light, pain, loss of side vision or other vision disturbances, see a doctor immediately. Further, if you have recently had eye surgery or a trauma and you are experiencing floaters during your recovery, it is advised to tell your doctor.

Generally, floaters are merely a harmless annoyance but keep an eye on your symptoms. As with any sudden or serious change in your health, it is worth having them checked out if they are really bothering you. In some cases, they may be an early warning sign of a serious problem that requires swift treatment to preserve your vision.

Corrective Eye Surgery Basics

In recent years there have been tremendous advances in the field of vision correcting eye surgery which is also known as refractive or laser surgery. Corrective eye surgery offers patients clear vision without the use of glasses and contact lenses. There are a number of types of refractive surgeries that are able to correct different vision problems, so if you are considering surgery here are some of the options you should know about.

LASIK

LASIK (laser-assisted in situ keratomileusis) surgery is perhaps the most well-known refractive surgery today. LASIK can help patients with myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. During the procedure, the doctor makes a flap in the outer layer of the corner to reach the underlying tissue and then uses a laser to reshape the tissue which allows the cornea to then focus light properly. The procedure is usually painless and vision is usually clear within a few hours.

Recent advances in the field have developed subcategories of LASIK surgery such as Bladeless LASIK, which uses a laser rather than a mechanical tool to make the initial flap or Wavefront (custom) LASIK which uses computer mapping to guide the reshaping of the cornea and is able to create a much more precise visual correction for very subtle optical imperfections. There is also a procedure called Epi-LASIK in which following the procedure, the doctor applies a soft contact lens to protect the surgical area, holding the flap in place while it heals.

PRK

PRK (photorefractive keratectomy) also uses a laser to correct mild to moderate myopia, hyperopia and astigmatism. PRK was a precursor to LASIK which eliminated many of the complications of prior surgeries such as glare, seeing halos around lights, blurred vision and regression of vision. Unlike LASIK, the procedure only reshapes the surface of the cornea and not the underlying tissue. Consequently, there is often some discomfort for a couple of weeks until the outer layer of the cornea heals. Additionally, the patient may experience blurred vision during this period of healing. PRK does offer an advantage over LASIK in that there is less risk of certain complications. Wavefront technology is also available for PRK surgeries.

Due to the increased comfort of LASIK there was a period that PRK saw a decline. Recent studies show however that LASIK and PRK have similar long-term success for improved visual acuity and with the assistance of newly developed effective pain medications, PRK has become more popular again as an option.

LASEK

In LASEK or laser-assisted sub-epithelial keratomileusis, the doctor creates a flap smaller but similar but to LASIK, and then uses an alcohol solution to loosen the tissue around the cornea which is pushed aside, and then a laser is used to reshape the cornea itself. In an Epi-LASEK procedure, the doctor may apply a soft contact lens to hold the flap in place to assist in reattaching to the cornea as the eye heals. Patients that undergo LASEK generally experience less discomfort and quicker vision recovery than PRK patients. LASEK may be preferred over LASIK as a safer option for patients with a thin cornea.

Cataract Surgery

Cataract Surgery is a very common refractive surgery that removes the clouded natural lens of the eye and replaces it with an artificial lens called an IOL (intraocular lens). Many patients these days will receive a lens that also corrects any refractive error they have such as nearsightedness, farsightedness or presbyopia.

RLE

RLE or refractive lens exchange is a non-laser procedure the replaces the natural lens of the eye. This is the same as the surgery that is used to treat cataracts, ,yet for non-cataract patients, RLE is used to correct severe nearsightedness or farsightedness. The procedure involves the doctor making a small cut in the cornea, removing the natural lens and replacing it with usually a silicon or plastic lens. It is particularly useful for patients with minor corneal problems such as thin corneas or dry eyes.

RLE is more risky than the other procedures mentioned and can affect the patient’s ability to focus on close objects, possibly requiring reading glasses following the procedure. However, in cases of severe vision correction it is often the preferred method.

PRELEX

PRELEX or presbyopic lens exchange is for patients with presbyopia, the age-related condition in which you lose the flexibility of your lens and can no longer focus on close objects. Patients that prefer not to wear reading glasses or multifocals, can opt for a procedure in which the doctor removes the natural lens of your eye and replaces it with a multifocal artificial lens. This procedure is often done in conjunction with cataract surgery.

Phakic Intraocular Lens Implants

Phakic IOLs are implants that are used for individuals with very high nearsightedness who do not qualify for LASIK or PRK. The implant is attached to your iris or inserted behind your pupil, while the natural lens remains intact. Because this is a procedure that involves the inner eye, it is more risky than LASIK or PRK and is therefore also typically more expensive.

Conductive Keratoplasty (CK)

CK uses a hand-held radio wave device to shrink tissue on the cornea to reshape it. The procedure is typically used to treat mild farsightedness and presbyopia, particularly for patients who have already undergone LASIK.

Any surgical procedure has risks and may have some side effects or complications that you should research before you decide to go ahead with the surgery. Nevertheless, as technology advances these complications are being significantly reduced making refractive surgery a great option for vision correction in many patients.

Causes of Diabetic Retinopathy

What are the causes of diabetic retinopathy and long-term diabetes? Changes in blood-sugar levels is the main culprit. People suffering from diabetes generally develop diabetic retinopathy after at least ten years of having the disease. Once you are diagnosed with diabetes, it is essential to have an eye exam once a year or more.

In the early stage of diabetic retinopathy, called background or non-proliferative retinopathy, high blood sugar in the retina damages blood vessels, which bleed or leak fluid. This leaking or bleeding causes swelling in the retina, which forms deposits.

In the later stage of diabetic retinopathy, called proliferative retinopathy, new blood vessels begin to grow on the retinal. These new blood vessels may break, causing bleeding into the vitreous, which is the clear gelatinous matter that fills the inside of the eye. This breakage can cause serious vision difficulties. This form of diabetic retinopathy can cause blindness, and is therefore the more serious form of the disease.

It is not hard to greatly reduce your risk of diabetic retinopathy by following some simple steps and being aware of your overall health. The most important factor you can control is maintaining your blood sugar at a healthy level. Eating a healthy diet will help greatly in controlling blood sugar levels. A regular exercise regimen is also a great help. Finally, make sure to listen to your doctor’s instructions.

Shooting Glasses and Hunting Eyewear

Firearms can be dangerous, and all have some recoil. In addition most shooting occurs outside, where elements such as dust, wind, sun, trees and vegetation can potentially harm eyes. Therefore it’s very important to use eye protection at all times when engaged in shooting activities, indoors and outside.

Generally, sports goggles that you can buy without prescription usually protect your eyes if you wear contacts or don’t need glasses. These goggles usually wrap around your eyes to form a shield against the elements. Make sure to buy goggles with lenses made of polycarbonate, which is the best and strongest lens material available.

Features of Shooting Glasses

Glasses for shooters are specially designed and have several important features. These glasses have more features that the general aviator- shaped frames that are popular. The most important feature is that the frame has a safety rating. Don’t buy any shooting glasses that don’t have such a rating. All of these models have a strong rim which holds the lenses in place. Some glasses have a “sweat bar” that goes along the width of the frame which creates stability for the frame to stay on the face. Other models use padding on the frame around the eyes, which cushions the frame on your face. This protects your face from gun recoil. Additionally, it adds to the protection against the elements.

Glasses for shooting often have temples with spring hinges. This type of hinge allows the frame to move without breaking. Many glasses often include temples that wrap around your ear which helps keep the frame in the correct position on your face. Features that make the frames more comfortable often include soft silicon pads around the nose, which also help to keep the frame in place. Frames may be made out of several different types of materials, including various metals and titanium, plastic and polycarbonate.

Lenses for Shooting Glasses

Shooters have chosen polycarbonate lenses with UV protection and a scratch-resistant coating as their lens of choice for years. Polycarbonate lenses are extremely resistant to impact, and also give a lot of “bounce back” and “blow back” protection. However, there are newer materials for lenses that have been developed recently that are also excellent choices for shooters.

Non-prescription shooting glasses often come with interchangeable lenses. These lenses are used when facing varied conditions of light. If you need prescription lenses, you can order your lenses in various colors of your choice. Shooters often enjoy using orange or yellow colored lenses. These colors of lenses block blue light as well as haze. They also provide a more vivid hue of orange, which is often the color of the target. Bright yellow lenses are good for using in low light, or foggy weather conditions.

A light purple lens is particularly good for seeing an orange target when the background is green trees. Purple lenses are made from a mixture of vermillion and gray. Some shooters like vermilion, because this color helps see where there is a natural outdoor background, and helps the target to stand out. If you prefer a neutral or natural color, gray is the color of choice. A gray lens allows you to see all colors naturally, and are good for using in strong sunshine.

Polarized lenses are available in most colors. Polarized lenses are good for use in the outdoors, as they reduce glare. This is particularly helpful when shooting near water.

Occupational Bifocal and Trifocals

Occupational bifocals and trifocals are specialized multifocal lenses created for specific jobs, hobbies or tasks. They are designed for people – generally over 40 – who have developed presbyopia, a condition in which the lens of the eye weakens and it becomes difficult to see objects that are close up. They differ from regular multifocal lenses in that the magnified power areas to see close and intermediate objects are typically larger and positioned in a different area on the lens, according to needs of the designated task.

Occupational bifocal and trifocal lenses are intended for specific tasks and not for everyday use. Here are a few examples:

Double-D Lenses

The most popular type of occupational lens is the Double-D lens. The lens is divided into three segments, with the top designed for intermediate vision, the bottom segment for near vision and the rest for distance. This design is ideal for people who need to see close both when looking down (to read something) and when looking overhead. Professionals that frequently use Double-D lenses are auto mechanics (who have to look overhead when under a car), librarians, clerks or office workers, (who have to look at shelves overhead) or electricians (that are often involved in close work on a ceiling). They are called Double-D lenses because the intermediate and near segments of the lens are shaped like the letter “D”.

E-D Trifocal Lenses

As opposed to Double-D lenses which have the majority of the lens for distance vision, E-D lenses focus on intermediate vision with an area for distance on the top and for near vision on the bottom. These are ideal for individuals who are working at about an arm’s-length away the majority of the time, such as on a multiple computer or television screens, but frequently need to look up into the distance or close to read something. The “E” in the name stands for “Executive Style” which represents the division between the top distance vision lens and the bottom intermediate vision lens which goes all the way across the lens. “D” in the name of the lens is due to the fact that the near section in the bottom of the lens is shaped like a “D”.

Office or Computer Glasses

Multifocal lenses designed for office work provides the largest section with an intermediate lens designated for viewing the computer screen and a smaller area for limited distance vision. You can have progressive or trifocal lenses that incorporate near vision as well.

Golf Bifocals

That’s right, there are even specialized lenses made for golfers! Golfers need to see a wide range of distances during their game from their scorecard, to their ball on the tee, to hole far away to line up their drive. In these lenses, the close segment is small and placed on an outer corner of one lens, to allow for brief close vision but not interfere with the distance game. Usually, right handed golfers will have the lens on the right side and vice versa.

Personalized Lenses

Standard multifocals can be redesigned to adapt to specific tasks or hobbies simply by changing the size, shape or location of the different segments. Many adults over 40 would benefit from having multiple pairs of multifocals to give optimal vision for different tasks or hobbies they enjoy. Note that occupational lenses are made specifically for the task they are designed for and should not be worn full-time, especially while driving.

Eye Allergies

Along with congestion, runny nose, coughing, sneezing, headaches and difficulty breathing, individuals with allergies often suffer from eye allergies or allergic conjunctivitis resulting in red, watery, itchy and sometimes swollen eyes. Just as irritants cause an allergic response in your nasal and respiratory system, your eyes also react with an oversensitive immune response, triggered by an environmental substance that most people’s immune systems ignore. Most individuals with allergies also suffer from eye allergies which affect millions of North Americans, particularly with seasonal allergic conjunctivitis (SAC) which is common during the spring, summer and fall.

What Causes An Eye Allergy?

Eye allergies, or any allergies for that matter, occur when the immune system is hypersensitized to a stimulus in the environment that comes into contact with the eye. The allergen stimulates the antibodies in the cells of your eyes to respond by releasing histamine and other chemicals that cause the eyes and surrounding tissue to become inflamed, red, watery, burning and itchy.

Eye allergens can include:

  • Airborne substances found in nature such as pollen from flowers, grass or trees.
  • Indoor allergens such as pet dander, dust or mold.
  • Irritants such as cosmetics, chemicals, cigarette smoke, or perfume.

Tips for Coping With Eye Allergies

Allergies can go from mildly uncomfortable to debilitating. Knowing how to alleviate symptoms and reduce exposure can greatly improve your comfort and quality of life, particularly during allergy season which can last from April until October.

To reduce exposure to allergens:

  1. Stay indoors and keep windows closed when pollen counts are high, especially in the mid-morning and early evening.
  2. Wear sunglasses outside to protect your eyes, not only from UV rays, but also from airborne allergens.
  3. Avoid rubbing your eyes, this can intensify symptoms and increase irritation. When the eyes get itchy, it is difficult not to rub and scratch them. However, rubbing the eyes can aggravate the allergic cascade response, making them more swollen, red, and uncomfortable.
  4. Check and regularly clean your air conditioning filters.
  5. Keep pets outdoors if you have pet allergies and wash your hands after petting an animal.
  6. Use dust-mite-proof covers on bedding and pillows and wash linens frequently.
  7. Clean surfaces with a damp cloth rather than dusting or dry sweeping.
  8. Remove any mold in your home.
  9. Reducing contact lens wear during allergy season or switch to daily disposable contact lenses.

Treatment for the uncomfortable symptoms of allergic conjunctivitis include over-the-counter and prescription drops and medications. It is best to know the source of the allergy reaction to avoid symptoms. Often people wait until the allergy response is more severe to take allergy medication, but most allergy medications work best when taken just prior to being exposed to the allergen. Consult your eye doctor about your symptoms and which treatment is best for you.

Non-prescription medications include:

  • Artificial tears (to reduce dryness)
  • Decongestant eyedrops
  • Oral antihistamines

Prescription medications include eyedrops such as antihistamines, mast-cell stabilizers, or stronger decongestants as well as non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids.

Immunotherapy which are allergy injections given by an allergist are sometimes also helpful to assist your body in building up immunity to the allergens that elicit the allergic response.

If no allergy medicine is on hand, even cool compresses and artificial tears can help alleviate symptoms.

Finding the right treatment for your allergies can make all the difference in your quality of life, particularly during the time of year when most of us like to enjoy the outdoors.

Controlling Nearsightedness in Children

Childhood myopia or nearsightedness is a common condition that causes blurred distance vision and can usually be easily corrected with either glasses or contact lenses. Unfortunately, simply getting a pair of glasses doesn’t always solve the problem, because often myopia is progressive which means that every year the vision gets worse. This usually continues until sometime around the child’s 20th birthday when his eyes stop growing and eyesight levels off.

It can be worrisome and quite disconcerting for both the parent and the child when each visit to the eye doctor results in a higher prescription. There could be a number of factors involved in progressive myopia, involving hereditary factors as well as possible environmental or behavioral factor such as frequent close-up tasks such as reading or using an electronic device. In fact, studies show that children that spend more time outdoors playing have a lower incidence of myopia. Much research is currently being done into treatments for slowing or stopping myopia progression in children. Here are some of the treatment options currently being offered:

Orthokeratology (Ortho-k)

Ortho-k is a process that uses specially designed rigid gas permeable contact lenses worn at night to gently reshape the cornea, eventually allowing clear vision during the day. The lenses are worn every night or every couple of nights depending on the results of the individual. Ideal for mild to moderate myopia, ortho-k usually takes a few weeks to show results, during which time the patient may need to temporarily continue wearing glasses or contact lenses.

Studies show that the use of ortho-k can permanently reduce the progressive lengthening of the cornea which is responsible for nearsightedness and can therefore slow or stop the childhood progression of the condition. Therefore, in addition to being used for myopia correction, it is now also being offered as a therapeutic treatment to halt myopia progression in children.

Multifocal Eyeglasses or Contact Lenses

Bifocal or multifocal soft contact lenses or glasses have been shown in some studies to slow myopia progression. This therapy is based on the idea that the eye is strained from accommodating to see close up and that by providing multiple focusing powers, this allows the eye to relax when doing near work, which reduces the progression of the refractive error. This treatment has been shown to delay or slow the advancement of myopia in some children.

Atropine Drops

Treatment with atropine drops is another therapy that is used to relax the eye from “focusing fatigue” which may be a culprit in myopia progression. Research is still being done but some studies show that daily use of low doses of atropine drops do slow the progression of myopia. Atropine drops dilate the pupil which temporarily prevents the eye from being able to focus, thereby allowing this mechanism to relax. Research is still being done to determine dosages, but the results are promising.

If your child has progressive myopia, seek out a pediatric optometrist who is knowledgeable about the options available. Finding the right treatment could give your child the gift of better eyesight for life.

Signs and Symptoms of Diabetic Retinopathy

Diabetes prohibits the body from properly using and storing sugar, leaving excessive amounts of sugar in the bloodstream which can cause damage to blood vessels and various parts of the body- including the eyes and visual system. Diabetic retinopathy is when this condition results in progressive damage to the retina at the back of the eye. The retina is a light-sensitive tissue that is essential for vision, so if left untreated, diabetic retinopathy will eventually cause blindness. Sadly, despite the fact that proper monitoring and treatment can successfully halt the progression of the diabetic eye disease, it is still the leading cause of new cases of blindness in adults in North America.

Symptoms of Diabetic Retinopathy

Diabetic retinopathy progressively damages the blood vessels of the retina to the point that they begin to leak blood and fluids. This leakage causes swelling in the retinal tissue which can impact your ability to focus causing vision loss and if left untreated, eventually will cause blindness. Retinopathy typically affects both eyes and often will have no symptoms in the early stages – making regular eye exams essential for anyone with diabetes. The longer an individual has had diabetes, the more likely it is that they will have some degree of retinopathy.

Symptoms include:

  • Blurred or cloudy vision
  • Seeing floaters or spots
  • Difficulty reading or seeing close objects
  • Double Vision
  • Poor Night Vision

Untreated diabetic retinopathy can also lead to a detached retina. This can happen if the disease has progressed to proliferative retinopathy in which new, fragile blood vessels grow in the retina and the vitreous at the back of the eye. The blood vessels can break, leaking fluid and causing the growth of scar tissue which can cause the retina to detach. If left untreated this can cause blindness as well.

Many of the symptoms of diabetic retinopathy, particular in the early stages of vision loss, can be reversed with proper treatment and control of blood sugar levels. Diabetics with or without retinopathy must see an eye doctor at least once a year for a comprehensive eye exam to monitor any changes and ensure that proper treatment is prescribed.