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How to Deal with Contact Lens Discomfort

Do your eyes itch or burn when wearing contact lenses? There are several reasons why you may be experiencing contact lens discomfort. Discover the possible causes behind the problem and see what you can do to relieve your discomfort.

What Causes Contact Lens Discomfort?

Some of the top causes of uncomfortable contacts are:

Dry eyes

Dry eye syndrome is a common condition that arises when your tears can’t keep your eyes sufficiently lubricated due to an imbalance in the tear film. Certain diseases, medications and environmental factors, like high levels of dryness and wind, can cause or contribute to red, itchy or irritated eyes, especially when wearing contacts.

Allergies

Allergens are typically harmless substances that induce an allergic response in certain people. Pollen, mold, dust and pet dander are some of the most common airborne allergens that trigger eye allergies. Cosmetics and certain eye drops, such as artificial tears with preservatives, can also induce eye allergies, which can make contact lens wear uncomfortable.

Corneal irregularities

The cornea at the front of the eye may be irregularly shaped due to astigmatism, keratoconus, eye surgeries (i.e. LASIK or cataract surgery), eye injuries or burns, scarring, corneal ulcers and/or severe dry eye. Irregular corneas often prevent traditional contact lenses from fitting correctly and comfortably.

Symptoms of Contact Lens Discomfort 

  • Burning, itchy, stinging eyes
  • Sensation of something being stuck is in the eye
  • Excessive watering or tearing of the eyes
  • Unusual eye secretions
  • Redness of the eyes
  • Reduced sharpness of vision
  • Blurred vision, rainbows, or halos around objects
  • Sensitivity to light

How to Relieve Contact Lens Discomfort

Try Different Contact Lenses

Nowadays, there are many types of contact lenses on the market, including specialty contacts for dry eyes and astigmatism. Meet with our eye doctor for a personalized eye exam for contacts.

With the variety of contact lens brands available, switching to a different contact lens may be the simplest answer if you’re experiencing discomfort that isn’t connected to improper fitting or issues with tear production. If your existing lenses fit well but still irritate and dry out your eyes, speak to us about trying a different design or brand of contact lenses, or changing your lens-wearing schedule. 

Artificial Tears or Eye Drops

Over-the-counter artificial tears or eye drops are a common way to temporarily relieve contact lens discomfort. However, it’s important to keep in mind that unless prescribed by an eye doctor, they may not be treating the root of the problem. 

Moreover, certain eye drops are incompatible with contact lenses, and may damage your contacts or harm your eyes. We also recommend staying away from products that claim to remove redness from your eyes, which temporarily reduce the size of blood vessels to lessen redness, but do not address the underlying cause of the condition, and can actually worsen it over time.  

Take Good Care of Your Lenses

Inadequate contact lens care leaves residue on your lenses, which can discomfort, harmful eye infections and inflammation. Below are a few important contact lens hygiene guidelines to follow:

  • Before handling your contact lenses, thoroughly wash and dry your hands.
  • Remove your lenses before showering, bathing or swimming to prevent infection. 
  • Do not sleep in your contact lenses (unless they are approved for sleeping). 
  • Replace your contact lenses according to the manufacturer’s instructions (e.g., don’t reuse daily wear lenses).
  • Regularly clean your contact lens case and ask your eye doctor when to replace it.
  • Only use a contact lens solution that is appropriate for your lenses. 
  • Never reuse or mix contact lens solutions.
  • Schedule regular appointments with your eye doctor.

If you are experiencing discomfort with your contact lenses, get in touch with Wesson and Mothershed Eye Center in Tupelo today. We’ll get to the bottom of the problem and provide effective solutions for all-day comfort.

Q&A

What kinds of contacts are available?

Contact lenses are available in a wide range of materials and replacement schedules. Disposable contact lenses and extended wear contacts are the most convenient for many users.

I’ve already been fitted for contact lenses, so why did my eye doctor ask me to come back?

If you’re asked to return a week later, it’s because your eye doctor wants to rule out any issues, such as contact lens-related dry eye or irritation.

If it’s been around a year since your last eye checkup, you’ve likely been contacted to check whether your prescription has changed and to evaluate your eye health. The sooner problems are detected and treated, the better the outcome. 

Your Eyes Are the Windows to Your Health

Your eyes aren’t just the windows to your soul — they can also reveal valuable information about your general health beyond whether you need glasses, including: diabetes, heart disease, and even cancer. It is not unusual for people to come in for an eye exam just to check their eyesight and then have certain health issues or predispositions picked up by the eye doctor.

Eye Exams and Your Health

Eye examinations can help doctors detect general health conditions early enough to intervene. Advanced screenings enable eye doctors to better predict cardiovascular incidents like stroke, and possibly detect signs of mental changes such as Alzheimer’s. Read below to learn how eye exams can unveil a whole lot more than just eye health.

Brain Cancer & Stroke

Because of the similarities between the blood vessels in the eye and brain, an eye doctor can occasionally detect an issue taking place in the brain by examining the blood vessels in the eyes. If swelling or shadows in the eye is observed, it may indicate a serious condition in the brain, like a tumor, or clots that might result in a stroke.

Diabetes

Diabetes can cause damage to the blood vessels in the retina at the back of the eye, resulting in Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME). If an eye care professional detects leaky blood vessels in the eye, the patient would be advised to see a doctor to help control their blood sugar. Changes are gradual, and they start before visual symptoms are noticed. The earlier diabetic eye disease is managed, the better the chances are of preserving eyesight.

Hypertension

High blood pressure, characterized by having too much pressure in the blood vessels, can be detected during an eye exam, sometimes even before it’s diagnosed by your regular doctor. The damaged blood vessels lead to swelling, hemorrhages, and leaking — all of which can be observed in the eyes. According to the CDC, hypertension “the silent killer” affects nearly 1 in 3 adults, and up to a whopping 20% of those don’t even know they have it. So early detection at an eye doctor’s evaluation can be truly life-saving.

High Cholesterol

Eye exams can also detect a buildup of cholesterol. High cholesterol is among the easiest conditions to spot during a complete eye exam, as the cholesterol deposits manifest on the front of the eye, appearing as a thin, gray rim around the cornea. It can also be detected in the retina by assessing artery and vein patterns.

These deposits may indicate the current or future development of Retinal Blood Vessel Occlusion, a condition where blockages restrict blood flow to the back of the eye, causing temporary or permanent vision loss.

Heart Conditions

In some cases, heart conditions associated with a buildup of plaque in the carotid artery in the heart can also lead to deposits that clog the ocular arteries in the eye. If an eye doctor detects such changes to the vascular structure at the back of the eye, he or she will typically recommend going to a specialist.

Multiple Sclerosis (MS)

Sudden vision loss may be attributed to Multiple Sclerosis (MS). While the doctor can recognize signs indicating the presence of MS, such as the color and appearance of the optic nerve, such cases will be referred for further testing to confirm the diagnosis.

Thyroid

Thyroid disease can make itself apparent through the eyes in several ways. The thyroid gland controls the hormones that regulate tear production so some thyroid disorders can cause dry eye disease. Additionally, overactive thyroid (hyperthyroidism) can make the extraocular muscles enlarge and stiffen, causing bulging eyes — an indicator of Graves’ disease.

Inflammation

Systemic conditions that are associated with inflammation in the body can have an inflammatory effect on the eyes. Uveitis, for example, causes eye inflammation, redness, and blurred vision, and tends to occur in people with lupus, rheumatoid arthritis, and other autoimmune diseases.

Cancer

Breast cancer, leukemia, and other metastatic cancers are occasionally discovered during an eye evaluation. In addition to brain cancer mentioned above, melanoma and basal cell carcinoma (skin cancer) can be detected, and eye doctors can also diagnose lymphoma and other eye tumors. Eye exams save lives.

What the Future Holds

Alzheimer’s

Recent studies show that a non-invasive and precise imaging device called Octa (optical coherence tomography angiography) can signal the presence of eye changes associated with Alzheimer’s disease. Because the retina is in many ways an extension of the brain, the altered blood vessels at the back of the eye offer a glimpse into the changes taking place within the brain.

Parkinson’s Disease

Parkinson’s Disease can often be misdiagnosed as its early symptoms are characteristic of other conditions. Research has shown that subtle eye tremors, an early Parkinson’s marker, could be detectable using advanced eye exam technology. One day soon, practitioners may send patients to an eye doctor to test for this and other diseases.

Your Eye Doctor’s Appointment Could Change Your Life

So the next time you visit the doctors at Wesson and Mothershed Eye Center in Tupelo, remember that a comprehensive eye exam can do more than determine your eyeglasses or contacts prescription. We can evaluate your eyes for existing or potential health issues, and communicate them to your primary care physician for the best possible care. By knowing that you’re at risk for a certain disease, you can take precautions early on and manage the condition as needed. After all, an ounce of prevention is worth a pound of cure.

Sports-Related Eye Injuries

September Is Sports Eye Safety Month!

Ocular sports trauma is among the leading causes of permanent vision loss in North America. Tens of thousands of people get treated for sports-related eye injuries each year, with the most common injuries occurring during water sports and basketball. Infections, corneal abrasions, eye socket fractures, and detached retinas are just a few of the typical cases eye doctors encounter on a regular basis.

Sports Eye Safety Month is sponsored by Prevent Blindness America (PBA) to remind people to protect their eyes when playing sports. Though young children are usually the most vulnerable to eye injuries, it should be noted that professional athletes can also suffer eye injuries while on the job. 

Eye accidents can happen in a split second – the effects can last a lifetime…

By wearing protective eyewear, you can safeguard your eyesight without compromising on your favorite sports activities. Athletes who wear contact lenses still need additional eye protection for relevant sports.

At Wesson and Mothershed Eye Center, our doctors are experienced and trained to treat sports-induced eye injuries sustained by our active patients. Our practice and our dedicated staff are committed to providing the most comprehensive eye care to help get you back on the field again. Furthermore, we provide consultations on a wide array of protective eyewear for all your sporting needs. 

What Eye Injuries Can Be Caused by Sports?

Corneal Abrasion

A corneal abrasion, also known as a scratched cornea, is the most common sports-related eye injury. When someone gets poked in the eye, the eye’s surface can get scratched. Symptoms may include acute pain and a gritty or foreign body sensation in the eyes, as well as redness, tearing, light sensitivity, headaches, blurry or decreased vision. Medical care includes prevention or treatment of infection, and pain management. If you suspect that you have suffered a corneal abrasion, make sure to see an eye doctor right away. 

Traumatic Iritis

Iritis is an inflammation of the iris, the colored part of the eye. The condition rapidly develops and typically affects only one eye. Symptoms include pain in the eye or brow region, blurred vision, a small or oddly-shaped pupil, and sensitivity to bright lights. 

Hyphema

Hyphema is among the more common sports-related eye injuries, with racquet sports, baseball and softball accounting for more than 50% of all hyphema injuries in athletics. 

A hyphema is a broken blood vessel inside the eye which causes blood to collect in the space between the cornea and iris, also known as the “anterior chamber”. Although the main symptom is blood in the eye, it can be accompanied by blurry or distorted vision, light sensitivity or eye pain.  

If you recognize the signs and symptoms of hyphema, make sure to seek immediate medical attention in order to avoid secondary complications. 

Angle recession

Angle recession can develop from an eye injury or bruising of the eye, caused by getting punched, elbowed, or hit with a ball. The trauma damages the fluid drainage system of the eye, which causes it to back up, increasing the pressure in the eye. In 20% of people with angle recession, this pressure can become so severe that it damages the optic nerve, and causes glaucoma (known as “angle-recession glaucoma”). 

You may not notice any symptoms at first, and it may take years before you experience any signs of vision loss. Therefore, it’s critical to visit the eye doctor as soon as possible for a complete eye exam and make sure that you follow-up with routine screenings. 

Retinal tear or detachment

Retinal detachment is a condition in which the retina gets lifted or pulled away from its normal position at the back of the eye. If not treated immediately, retinal detachment can lead to  permanent vision loss.

Symptoms include seeing flashing lights, floaters or little black spots in your vision. A retinal detachment is a medical emergency and requires an eye doctor’s immediate attention – surgical intervention may be necessary.

Subconjunctival Hemorrhage 

This happens when a blood vessel breaks on the white part of the eye. In addition to a sport-related injury, it can be induced by rubbing the eye, heavy lifting, sneezing or coughing. For those with subconjunctival hemorrhage, the eye appears intensely red – though this minor condition will often clear up within a couple weeks on its own without treatment.

Orbital Fracture 

This occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face – such as by a baseball or a fist. This is a major injury and should be assessed by an eye care professional, along with X-Rays or CT scan imaging to help confirm the diagnosis.

Black Eye or Periorbital Hematoma

A “shiner” can occur when a blunt object such as a fist or ball strikes the eye-area of the face and causes bruising. Typically, this kind of injury affects the face more than the eye. Blurry vision may be a temporary symptom, but it’s a good idea to get a black eye checked out by your eye doctor in any case, because sometimes there is accompanying damage to the eye which could impact vision.

How Does One Prevent Sports-Related Eye Injuries?

One of the most important things one can do in order to prevent eye injuries is to wear protective eyewear. In fact, wearing eye protection should be part of any athlete’s routine, and should be prioritized just like wearing shin guards or a helmet. 

Below are a few tips to prevent sports-related eye injuries: 

  • Wear safety goggles (with polycarbonate lenses) for racquet sports or basketball. For the best possible protection, the eye guard or sports protective eyewear should be labeled “ASTM F803 approved” – which means it is performance tested.
  • Use batting helmets with polycarbonate face shields for baseball.
  • If you wear prescription eyewear, speak with our optical department about fitting you for prescription protective eyewear.
  • Sports eye protection should be comfortably padded along the brow and bridge of the nose, to prevent the eye guards from cutting into the skin.
  • Try on protective eyewear to assess whether it’s the right fit and size for you and adjust the straps as needed. For athletic children who are still growing, make sure that last-year’s pair still fits before the new sports season begins. Consult our practice to determine whether the comfort and safety levels are adequate. 
  • Keep in mind that regular glasses don’t provide nearly enough eye protection when playing sports. 

For athletes, whether amateur or pro, there is so much more at stake than just losing the game. Fortunately, by wearing high-quality protective eyewear, you can prevent 90% of all sports-related eye injuries. 

Speak with the doctors and staff at Wesson and Mothershed Eye Center about getting the right sports-related protective eyewear to ensure healthy eyes and clear vision. Our eye care clinic serves patients from Tupelo and the surrounding areas. 

UV Safety Awareness Month

July is UV Safety Awareness Month, and no wonder! With the summer sun out in full force, it’s now more important than ever to protect your eyes from harmful UV rays.

During this month, people who have suffered from UV ray damage and their loved ones are encouraged to share their experiences and advice. Use the hashtag #UVSafetyAwareness on your social media channels to support others in your community.

Did You Know?

Your eyes can get sunburned. It isn’t only your skin that’s at risk, but your eyes, too. When your cornea is exposed to too much UV radiation, a condition known as photokeratitis or ultraviolet keratitis can occur. Ultraviolet keratitis can actually cause a temporary loss of vision, often after using a tanning bed or being out in the sun too long. UV radiation can also cause small growths on the white part of your eye, which are called pterygium and pinguecula. They can make your eyes feel dry, irritated, and scratchy.

If you experience any of these symptoms, Wesson and Mothershed Eye Center can help.

UV ray exposure is a risk factor for eye conditions and diseases. In 20% of cataract cases, cataract growth has been linked to UV ray damage. Cataracts develop when the normally clear lens of the eye becomes cloudy. UVA rays are a known risk factor for macular degeneration – the leading cause of blindness in people over the age of 65. Macular degeneration occurs when the macula of the eye, which is responsible for clear central vision becomes damaged. It’s critical to be aware of UV ray exposure, especially if you or a family member are in this age group.

What Exactly Are UV Rays?

You may have heard about UV rays without knowing what they actually mean. UV stands for ultraviolet light. That’s a potentially harmful type of radiation, which is typically found in fluorescent lights, tanning booths. But its main source is from the sun, and it’s invisible to the naked eye, so you don’t even feel it as it touches your skin or body.

Why Are UV Rays Dangerous?

So why are they considered dangerous? Well, too much of a good thing isn’t really a good thing. Sunlight helps us make vitamin D, which is healthy. Too much sun exposure, though, can cause premature aging in the skin, burns in the eye, and may even change the shape of your cornea and other serious eye damage, leading to vision problems. It’s even more dangerous for younger people, especially children, because children’s lenses are more transparent and transmit UV rays more easily.

If you or a loved one is experiencing vision problems or eye diseases, we can help. Our eye care professionals see patients from all over the Tupelo, Mississippi area, and can treat your condition with a number of advanced solutions. Regular eye exams and checkups are critical for keeping your vision healthy, especially during the summer.

UV Safety Can Go a Long Way

Thankfully, it’s pretty easy to protect yourself from long-term exposure to UV rays. Check out our top 3 UV safety tips:

  1. Put on Those Shades

Snag a pair of sunglasses with 100% UVA and UVB blocking power. Anything less than that won’t protect your eyes from harmful rays. Concerned about your look? Don’t worry, there are plenty of awesome sunglass designs, so you’ll protect your eyes without compromising on incredible style. Ask your doctor which lens is best for you.

  1. Sunscreen and More Sunscreen

Mothers and doctors say it all the time, and with good reason! Use sunscreen before going outdoors and make sure it has a good SPF (Sun Protection Factor) number. If you’re in the water, reapply it every 2 hours. UV rays can reflect off of water, so if you’re hitting the pool or beach, take extra precautions.

  1. I Tip My Hat to You

Protect your head and the skin on your scalp with a hat. A wide-brimmed hat is best for a good amount of sun-blocking coverage, since it also protects the tops of your eyes which might not be shaded by your sunglasses, and is too sensitive for sunscreen. For the fashion-conscious, there are endless styles to choose from, so go shopping!

During this UV Safety Awareness Month, we encourage you to share your stories and successes. If you have any questions, our team is here to help.

Should I Be Concerned When My Eyelid Twitches?

We all experience the occasional eyelid twitch, which is when the muscle of the eyelid spasms involuntarily. Usually, it comes and goes without intervention and while sure, it can be irritating, is a twitching eyelid ever something to be concerned about?

An eyelid twitch, also known as a myokymia, can affect the upper or lower lid and usually lasts for at least a few seconds and then may continue off and on for a few minutes. Usually unpredictable, twitching episodes can last several days and sometimes they may go away and then return weeks or months later.

Causes of Eyelid Twitching

Although they may be bothersome, most eyelid twitches are nothing to cause concern and usually resolve on their own. However, in some rare cases, they may be a sign of a more serious problem, especially if they are accompanied by other symptoms – we will discuss this further below.

Some known causes of eyelid twitches include:

 

  • Fatigue or lack of sleep
  • Stress
  • Eye irritation or dry eyes
  • Medications
  • Alcohol or caffeine
  • Physical exertion
  • Allergies
  • Eye strain (such as with extended digital device use)
  • Poor nutrition

 

Preventing and Treating Eyelid Twitching

Usually eyelid twitching will resolve itself within a couple of days or weeks but if it persists try to determine the cause in order to speed up the process. Consider going to bed a little earlier, cutting out caffeine or alcohol or finding ways to reduce or manage your stress. You can also try lubricating eye drops to add moisture to your eyes. If you take notice of when the spasms are happening and what else is going on in your life at that time (time of day, food intake, stress level, exhaustion) you can make some changes that will stop or prevent eye twitching from occuring.

If you notice eye twitching in addition to vision disturbances or eye strain, contact your doctor for a vision assessment as it could be a sign of a refractive change.

When is Eyelid Twitching a Concern?

If the eyelid spasms don’t pass and become chronic it may be a sign that you have a condition called benign essential blepharospasm. This condition is when the eye muscles blink uncontrollably and it usually affects both eyes. While the cause of blepharospasm is not known, it is more common in middle age women and there are a number of conditions that can exacerbate symptoms including:

  • Eye inflammation (blepharitis) or infection (pink eye)
  • Dry eyes
  • Fatigue
  • Stress
  • Alcohol, caffeine or tobacco
  • Irritants or allergens in the environment

Blepharospasm is usually a progressive condition that can eventually lead to spasms in other muscles in the face, blurred vision and light sensitivity. The condition is sometimes treated with medication to temporarily reduce the spasms and in severe cases, surgery may be performed to remove some of the muscles that are affected.

On very rare occasions eye twitching can be a symptom of a more serious disorder affecting the brain or nervous system, however, usually it will be accompanied by other symptoms. Examples of such conditions include: glaucoma, hemifacial spasms, Parkinson’s disease, Bell’s palsy, multiple sclerosis, dystonia, and Tourette’s. A corneal scratch or abrasion can also be a cause of the eyelid muscle spasm.

If you experience any of the following symptoms along with your eye twitching, see your doctor as soon as possible:

  • Twitching that continues for more than a few weeks
  • Twitching that spreads to other areas of the face
  • A drooping upper eyelid
  • Red, irritated or swollen eyes
  • Discharge coming from the eye
  • Spasms that cause the eyelid to close completely or difficulty opening the eyelid.

In most cases, eye twitching is not something to worry about, but when you do experience a spasm it is worthwhile to take note of the circumstances so you know when your body is trying to tell you that something is out of balance.

Got a Shiner!

What Exactly Is a Black Eye?

A black eye, also known as a periorbital hematoma, is usually not an injury of the actual eye (which is why it is called “periorbital”- around the eye). It typically occurs when there is an injury to the face or the eye socket which causes bleeding beneath the skin and bruising. The term, “black eye” comes from the dark coloring of the bruising that occurs underneath the skin around the eye.

When a blunt force hits the eye socket, this can cause capillaries in the area to burst, causing hemorrhaging, also known as a hematoma. This blood can accumulate in the eye socket and as it begins to be reabsorbed into the surrounding tissues, the colors of the bruising begin to change. That’s why you will often notice the coloring of the black eye to go from a dark purplish-red color to brownish and then yellow.

Sometimes along with the external bruising, you might also notice a small amount of bleeding on the white surface of the eye, which is called a subconjunctival hemorrhage. This is when the tiny blood vessels on the white sclera are broken and leak blood. It’s generally harmless but sometimes looks scarier to the patient than the black eye does. This condition will also reabsorb on its own and is nothing to be concerned about.

While most black eyes can look pretty serious due to the dramatic color, an uncomplicated black eye will typically heal within a week to ten days. If it doesn’t, there could be a more serious issue such as a bone fracture or an orbital blowout fracture.This could present with restricted eye movement, especially if looking up or down, and numbness of the cheek and/or upper lip on the same side as the black eye. The eye may even appear sunken in. Further, if there is bleeding within the actual eye (called a hyphema) or floaters or flashes in the vision, then it is definitely advisable to see your eye doctor as soon as possible. These could be signs of more serious damage such a corneal or retinal damage and can lead to vision loss.

Treatment for a Black Eye

Usually, the best treatment for a black eye is to apply a cold compress (or even better, a bag of frozen vegetables, which is more flexible and can conform to the contours of the face) directly on the area. The cold will reduce swelling and constrict capillaries to reduce internal bleeding as well. Apply the cold for about 15-20 minutes every hour. If there is pain, over the counter pain medications can help.

If however, you experience any of the following symptoms, you should seek medical attention:

  • Blood on the surface of the eye or a visible incision on the eye
  • Vision changes such as double vision, blurred vision, loss of vision or the appearance of floaters
  • Loss of consciousness, dizziness or fainting
  • Loss of eye movement
  • Persistent headaches
  • Blood or fluids coming from the ears or nose
  • Vomiting
  • Signs of infection such as excessive swelling, pus, redness or a fever
  • Severe pain

In addition to blunt trauma, black eyes can be caused by sinus infections, nasal or eye surgery or other infections in the area such as the teeth infections or cellulitis (a serious infection that can occur around the eyes). A skull fracture can also cause both eyes to turn black, sometimes known as raccoon eyes.

Unless you notice any severe symptoms you can rest assured that your black eye is a bruise just like anywhere else on the body and with a little care, rest and patience, it will clear up in no time.





Got a Shiner!


A black eye, also known as a periorbital hematoma, is usually not an injury of the actual eye (which is why it is called “periorbital”- around the eye). It typically occurs when there is an injury to the face or the eye socket which causes bleeding beneath the skin and bruising. The term, “black eye” comes from the dark coloring of the bruising that occurs underneath the skin around the eye.

When a blunt force hits the eye socket, this can cause capillaries in the area to burst, causing hemorrhaging, also known as a hematoma. This blood can accumulate in the eye socket and as it begins to be reabsorbed into the surrounding tissues, the colors of the bruising begin to change. That’s why you will often notice the coloring of the black eye to go from a dark purplish-red color to brownish and then yellow.

Sometimes along with the external bruising, you might also notice a small amount of bleeding on the white surface of the eye, which is called a subconjunctival hemorrhage. This is when the tiny blood vessels on the white sclera are broken and leak blood. It’s generally harmless but sometimes looks scarier to the patient than the black eye does. This condition will also reabsorb on its own and is nothing to be concerned about.

While most black eyes can look pretty serious due to the dramatic color, an uncomplicated black eye will typically heal within a week to ten days. If it doesn’t, there could be a more serious issue such as a bone fracture or an orbital blowout fracture.This could present with restricted eye movement, especially if looking up or down, and numbness of the cheek and/or upper lip on the same side as the black eye. The eye may even appear sunken in. Further, if there is bleeding within the actual eye (called a hyphema) or floaters or flashes in the vision, then it is definitely advisable to see your eye doctor as soon as possible. These could be signs of more serious damage such a corneal or retinal damage and can lead to vision loss.

Treatment for a Black Eye

Usually, the best treatment for a black eye is to apply a cold compress (or even better, a bag of frozen vegetables, which is more flexible and can conform to the contours of the face) directly on the area. The cold will reduce swelling and constrict capillaries to reduce internal bleeding as well. Apply the cold for about 15-20 minutes every hour. If there is pain, over the counter pain medications can help.

If however, you experience any of the following symptoms, you should seek medical attention:

– Blood on the surface of the eye or a visible incision on the eye
– Vision changes such as double vision, blurred vision, loss of vision or the appearance of floaters
– Loss of consciousness, dizziness or fainting
– Loss of eye movement
– Persistent headaches
– Blood or fluids coming from the ears or nose
– Vomiting
– Signs of infection such as excessive swelling, pus, redness or a fever
– Severe pain

In addition to blunt trauma, black eyes can be caused by sinus infections, nasal or eye surgery or other infections in the area such as the teeth infections or cellulitis (a serious infection that can occur around the eyes). A skull fracture can also cause both eyes to turn black, sometimes known as raccoon eyes.

Unless you notice any severe symptoms you can rest assured that your black eye is a bruise just like anywhere else on the body and with a little care, rest and patience, it will clear up in no time.

Resolve to Prevent Glaucoma in 2016

Glaucoma 20Eye 20Diagram

This year, make healthy eyes and vision your resolution. Find out if you or a loved one is at risk for glaucoma, and take steps for prevention.

Glaucoma is a leading cause of preventable vision loss and blindness in adults in the United States and Canada and the second leading cause of blindness in the World. Projections show that the number of people with the disease will increase by 58% by 2030. These facts however could change with proper awareness.

When detected in the early stages, glaucoma can often be controlled, preventing severe vision loss and blindness. However, symptoms of noticeable vision loss often only occur once the disease has progressed. This is why glaucoma is called “the sneak thief of sight”. Unfortunately, once vision is lost from the disease, it usually can’t be restored.

Risk Factors

Prevention is possible only with early detection and treatment. Since symptoms are often absent regular eye exams which include a glaucoma screening are essential, particularly for individuals at risk for the disease. While anyone can get glaucoma, the following traits put you at a higher risk:

  • Age over 60
  • Hispanic or Latino descent, Asian descent
  • African Americans over the age of 40 (glaucoma is the leading cause of blindness in African Americans, 6-8 times more common than in Caucasians.)
  • Family history of glaucoma
  • Diabetics
  • People with severe nearsightedness
  • Certain medications (e.g. steroids)
  • Significant eye injury (even if it occurred in childhood)

What is Glaucoma?

Glaucoma is actually a group of eye diseases that cause damage to the optic nerve due to an increase in pressure inside the eye or intraocular pressure (IOP). Treatments include medication or surgery that can regulate IOP and slow down the progression of the disease to prevent further vision loss if detected early. The type of treatment depends on the type and the cause of the glaucoma.

What are the Symptoms?

Most times glaucoma does not have symptoms. There is no pain unless there is a certain type of glaucoma called angle closure glaucoma. In this case, the channel of outflow gets crowded then blocked, causing foggy, blurred vision, halos around lights, headache and even nausea. This is a medical emergency and should be assessed immediately as the intraocular pressure can become extremely high and cause permanent damage within hours.

Most forms of glaucoma have an “open angle”, which is not so urgent, but does need compliance with the treatment plan (which is sometimes difficult as some of the glaucoma drops have uncomfortable side effects). Once vision loss develops it typically begins with a loss of peripheral or side vision and then progresses inward.

What Can You Do To Prevent Glaucoma?

Because there are no symptoms, regular eye exams are vital to early detection. If you have any of the above risk factors or you are over 60, make a yearly comprehensive eye exam part of your routine. Make sure that your eye doctor knows your family history and any risk factors that are present.

A comprehensive eye exam can determine your risk of developing glaucoma; if you have been diagnosed with glaucoma and have concerns about your treatment, it is best to speak openly with your doctor. Remember, a simple eye doctor’s appointment on a regular basis could save your vision for a lifetime.

Why Do We Need Glasses?

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The most well-known part of a comprehensive eye exam is the basic vision test. When you have a general vision test, one of the main conditions the eye care practitioner is checking for is a refractive error. A refractive error means there is an abnormality in the shape of the eye, changing the eye’s ability to focus light directly onto the retina.This causes blurred vision and can usually be corrected by wearing prescription eyeglasses, contact lenses and possibly, alternate treatments such as vision therapy, ortho-k, LASIK or refractive surgery such as LASIK.

 

The term, “refractive error” refers to a problem with the process of refraction that is responsible for sight. Normally, light rays that enter your eye are refracted or bent through the cornea and the lens, and ultimately converge or are focused onto a single point on the retina. From the retina, messages are sent through the optic nerve to the brain which then interprets these signals into the image that we are seeing.   

 

In order for this process to work effectively, the anatomy of the eye including the length of the eye and the curvature of the cornea and the lens must be just right to be able to focus the light onto the retina. When this is not the case, a refractive error will occur.

 

There are several different types of refractive errors, depending on which part of the eye is affected, and it is possible to have multiple refractive errors at the same time:  

 

Myopia or nearsightedness:

In myopia the length of the eyeball is too long which results in light coming to a focus in front of the retina, rather than on the retina. This allows the individual to see well when objects are close but not clearly when looking at objects at a distance.

 

Hyperopia or farsightedness:

Hyperopia is when the eyeball is shorter than normal and can result in near objects being blurry. However, people experience hyperopia differently. Sometimes distant objects are clear while other times people may experience overall blurred vision near and far or no problems at all. In children particularly, the lens may accommodate for the error allowing for clear vision but may cause fatigue and sometimes crossed eyes or strabismus. Hyperopia causes eyestrain or fatigue especially when looking at near objects for a period of time. Often people with 20/20 vision may still need glasses at their desk to relax their eyes and improve concentration.

 

Astigmatism:

Astigmatism is usually the result of an irregularly shaped cornea (although it can sometimes also be due to a misshapen lens). The cornea, which is normally round, is more football-shaped in an eye with astigmatism, resulting in multiple focus points either in front of the retina or behind it (or both). People with astigmatism usually have blurred or distorted vision to some degree at all distances, near and far.

 

Presbyopia:

Presbyopia is an age-related condition which usually begins to appear sometime after 40.  As the eye begins to age, the lens stiffens and can no longer focus clearly on objects that are close.  

 

It’s important to note that presbyopia is often confused with hyperopia, as both cause problems focusing at near distances.  However, high hyperopia can also cause blur at far distances as well, especially in dim lighting, and depth perception problems can result in motor vehicle accidents.  In these instances people with hyperopia could use glasses at any distance.

If you are having trouble seeing, it is important to have an eye exam to determine the cause of the problem and to effectively correct your vision. Even if your vision is fine, you should schedule a routine eye exam on a regular basis to ensure that your eyes are healthy and that any potential problems are caught early.

 

Eye Safe Toys and Gifts for This Holiday Season

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‘Tis the season for giving, and parents, grandparents, family and friends need to know which toys and games to leave off the list because they can pose a risk to children’s health and eyesight. Last year nearly 252,000 emergency visits were due to toy-related injuries, almost half of which were to the head or face. Further, about 1 in 10 children’s eye injuries treated in the emergency room can be traced back to toys, most of which occur in children under 15 years of age.

The most common types of eye injuries that occur from toys can be anything from a scratch on the cornea (the front surface of the eye) to very serious injuries that can threaten vision such as traumatic cataracts, corneal ulcers, bleeding inside the eye and retinal detachment.

Most of these injuries can be prevented by taking the proper measures to evaluate the safety of gifts before they are purchased and to supervise children during any play with toys that could have the potential to cause damage or harm.

Here are some tips on how to select safe toys for children this holiday season:

  1. Check age recommendations on all toys to make sure they are age appropriate and suitable for the child’s maturity level. If younger siblings are present, ensure that any toys made for older children are kept out of reach.
  2. When possible, check toys for a seal of approval that the product meets national safety standards from a toy safety testing organization such as the American Society for Testing and Materials (ASTM) or the Canadian Toy Testing Council.
  3. Do not purchase toys that have a projectile or sharp, protruding parts. Toys such as darts, guns, arrows or sharp propelling toys can cause serious eye injuries that can lead to permanent eye damage and even vision loss. Even high-powered water guns such as super soakers or soft foam dart guns can cause significant damage when shot at close range.
  4. Purchase safety eyewear with polycarbonate lenses to accompany sports equipment, chemistry sets or woodworking tools. Speak to your optometrist to learn more about the best option for your child’s hobby of choice.
  5. Check that toys with sticks or handles such as swords, fishing rods, pogo sticks, brooms or pony sticks have rounded edges or handles and avoid or supervise use with little children.
  6. Any toys or devices that have a laser or bright light (such as laser pointers or flashlights which are sometimes used by kids to play laser tag) can be dangerous. Bright lights such as those produced by high-powered flashlights can cause temporary vision loss that can lead to a risk of a fall or accident. Further, laser pointers are not safe for use by children as the light intensity can cause permanent vision loss if shined in someone’s eyes.

When purchasing a toy for a child that is important to you, make sure you are considering what is most important – their safety. Ask us if you have any questions about the eye safety of a toy or gift you are considering.

How Do We See?

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Have you ever thought about how vision works? Seeing is an incredible gift made possible by a system in which the eye and the brain process visual information from the outside world. If any step of that process does not function properly, vision will be impaired.

Similar to a camera, the eye transmits light from the world around us into an image that we can perceive. Certain parts of the eye even function like the different parts of a camera such as the shutter, the lens and film (if we can hearken back to the days when we used film in cameras). Here is a quick breakdown of the fascinating way our eyes and brain enable us to see and experience the world around us:

The Vision Process

Light reflected from an object in our field of view is gathered by the cornea which is essentially the clear “window” to our eye. The cornea then refracts the light rays through the pupil (the center of the iris where light enters the eye). The iris, which like the shutter of a camera will enlarge and shrink based on how much light is coming in, then passes the image onto the crystalline lens. Just like a camera lens, the lens in the eye focuses the light rays, projecting them to a point at the back of the eye called the retina, where the image will appear upside down. The retina contains a thin layer of color-sensitive cells called rods and cones that perceive color.

From the retina, the visual signals travel to the brain via the optic nerve. The brain receives information from both eyes and must then converge the images (and flip them right side up) to get a complete picture.

Vision Problems

A breakdown in vision can happen at any point in this process. From the muscles that control the eyes, to the parts within the eye, to the pathway to the brain. Sometimes vision impairment is due to technical problems with the eye receiving the information and passing the signal on, such as convergence insufficiency (inability to coordinate the eyes to converge on one point), myopia (nearsightedness) or cataracts (clouding of the lens).

Other times, the eyes might work perfectly, but there is a problem with the brain interpreting the signals it receives. In these cases we can’t “see” in the traditional sense, because our brains aren’t able to properly “read’ the signals or we don’t know what we are looking at. This is the case for some learning disorders that are caused by the visual processes in the brain such as dyslexia.

As you can see, vision is quite a complicated process. A simple vision exam isn’t always able to determine vision problems, especially in children which is why it is so important to have regular comprehensive eye exams, to measure the health of the eye and all of its parts.