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Why Are Dilated Eye Exams So Important?

Advanced Eye Health Dilated Eye Exam near you in Le Mars, Iowa

Having your eyes dilated during an eye exam may seem like a nuisance. But when you consider the benefits of a dilated eye exam, the temporary blurred vision and sensitivity to light that typically follow are definitely worth it.

What Are Dilated Eye Exams?

At some point during a comprehensive eye exam, your optometrist will shine a bright light into your eyes to examine the back of your eye, called the retina. The problem is that bright light causes the size of the pupil’s opening to shrink, which makes it hard for the optometrist to see a large portion of the retina.

That’s why eye doctors apply special eye drops in each eye to keep the pupils open. A dilated pupil allows for a much more accurate assessment of your eye’s structures, including the focusing lens, blood vessels and tissues at the back of the eye called the retina, as well as the optic nerve and macula.

Dilating the eyes makes it easier for your optometrist to detect the following conditions and diseases:

It’s important to note that many of these conditions can develop without noticeable symptoms, until they cause vision loss at which point treatment may be more challenging, making dilated eye exams all the more crucial.

The Dilation Process

First, your eye doctor will apply eye drops to each eye to trigger dilation of the pupil. Your eyes should be fully dilated about 10-20 minutes later.

Your eyes will remain dilated for 4-6 hours, and during this time you may be sensitive to light. That’s because the larger pupil allows more light than usual to enter the eye. Many patients find it more comfortable to wear sunglasses until their eyes return to normal.

Reading and using a computer may be difficult with dilated eyes, and your vision may be blurred. Some patients report feeling a tightening sensation in their eyelids, or headaches.

Dilated eye exams are a crucial part of keeping your eyes healthy. To schedule your comprehensive eye exam, call our optometry practice today!

Advanced Eye Health, your Le Mars eye doctor for eye exams and eye care

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Adult & Pediatric Eye Exams – Eye Exam in Le Mars Walmart

You should have your dilated eye exam no matter your age. Most eye doctors will dilate a new patient at their first exam regardless of age to get a baseline of their retinal health.

Will I be able to return to work after a dilated eye exam?

Everyone reacts differently, so it’s hard to tell. If your job requires you to focus on small print or detail, it may be challenging. Typing and writing may also be difficult with dilated pupils. To be on the safe side, book your appointment at the end of your work day, clear your schedule after your eye exam and only plan to do activities which aren’t visually demanding.

Are Contact Lenses Safe For Young Children?

Here’s a question we often get at our practice: Is my child too young for contact lenses?’ This is an important question, and the answer may surprise you.

For children with myopia (nearsightedness), contact lenses can be a convenient method of vision correction. It allows kids to go about their day without having to worry about breaking or misplacing their glasses, and enables them to freely participate in sports and other physical activities.

Local Contact lens supplier near you in Le Mars, Iowa

Some children and young teens may ask their parents for contact lenses because they feel self-conscious wearing glasses. Contact lenses may even provide children with the confidence boost they need to come out of their shell. Moreover, these days, it is very popular for children to wear single-use one-day disposable soft contacts, since there is no cleaning or maintenance involved.

Some parents may deny their child’s request for contacts due to concerns about eye health and safety. There’s no reason to worry: contact lenses are just as safe for children as they are for anyone else.

Advanced Eye Health Eye Clinic and Eye exam, contact lenses, myopia in Le Mars, Iowa

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 Le Mars eye doctor has prepared the following answers to your questions about eye disease.

At Advanced Eye Health, we provide children, teens, and patients of all ages with a wide variety of contact lenses. If you’re concerned about the safety of contacts for your child, we’ll be happy to explain and explore ways to ensure maximum safety, optimal eye health and comfort. To learn more or to schedule a pediatric eye exam for contact lenses, contact us today.

What Are the Risks of Having My Child Wear Contact Lenses?

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A study published in the January 2021 issue of The Journal of Ophthalmic & Physiological Optics found that kids aren’t at a higher risk of experiencing contact lens complications.

The study followed nearly 1000 children aged 8-16 over the course of 1.5-3 years to determine how contact lenses affected their eye health.

The results indicate that age doesn’t have an effect on contact lens safety. In fact, the researchers found that the risk of developing infections or other adverse reactions was less than 1% per year of wear — which is comparable to contact lens wearers of other ages.

But before you decide that contact lenses are right for your child, you may want to consider whether your child is ready to wear them. During his or her eye doctor’s appointment, the optometrist may ask about your child’s level of maturity, responsibility, and personal hygiene. Since many children are highly motivated to wear contacts, they tend to display real maturity in caring for their lenses. That said, in the initial stages, parents may need to play an active role, as their child gets used to inserting and removing the new contact lenses.

It’s important to note that just as with any other medical device, contact lenses are not risk-free. Anyone who wears contact lenses has a chance of developing eye infections or other complications with contact lenses. However, when worn and cared for according to your eye doctor’s instructions, contact lenses are low-risk and perfectly safe for children and teenagers.

So, go ahead and bring your child in for a contact lens consultation! We’ll help determine if your child is ready for contacts and answer any questions you or your child may have. To schedule your child’s contact lens fitting or eye exam, contact Advanced Eye Health in Le Mars today.

Call Advanced Eye Health on 712-546-6868 to schedule an eye exam with our Le Mars optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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Wearing Colored Contact Lenses This Halloween? Beware and Take Care!

Countless adults, teens and even children will be wearing colored contact lenses this Halloween, but few are aware of the risks involved. Ever wondered what those cat-eye contacts are doing to your eyes? If you got them without a prescription, beware of health complications.

Enjoy a safe and happy Halloween by educating yourself and others about the dangers of wearing colored contact lenses without a prescription.

Why Can Over-The-Counter Colored Contact Lenses Cause Eye Damage?

Contact lenses made to change one’s appearance go by many names: cosmetic, theatrical, Halloween, circle, decorative, colored, or costume contact lenses. While it’s illegal to sell colored contact lenses without a prescription, authorities rarely enforce the law — which means they’re still accessible in many places.

Many people believe that wearing non-prescription color contact lenses can cause no harm. This unfortunate myth has led to many contact lens complications. For instance, when a person feels that a contact lens is “dry”, it could be because the lens is not a good fit. Ideally, the lens should follow the contour of the eye, and stay centered, with enough lens movement to allow tear exchange beneath the lens.

Advanced Eye Health Eye Clinic and Colored Contact Lenses, Halloween in Le Mars, Iowa

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 Le Mars eye doctor has prepared the following answers to your questions about eye disease.

Furthermore, non-medical colored contact lenses are often produced by unlicensed manufacturers that tend to use inferior plastic and toxic materials, such as lead (often used in lens coloring), which can get absorbed through the eyes into the bloodstream. These illegal lenses may also contain high levels of bacteria from unsanitary packaging, shipping, and storage conditions.

Therefore, purchasing any kind of contact lenses without a prescription or medical oversight can result in a variety of eye complications, such as corneal abrasions, eye sores, conjunctivitis, other eye infections, vision impairment and, in rare cases, even permanent vision loss.

Even if you have perfect vision, all contact lenses, including colored contacts, require a prescription and proper fitting by an optometrist.

Contact us at Advanced Eye Health and make an appointment with us to get properly examined for a contact lens prescription.

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The Dos and Don’ts of Colored Contact Lenses

DO make sure you undergo a comprehensive eye exam by an optometrist who will measure your eyes and properly fit you for contact lenses.

DO get a valid prescription that includes the measurements, expiration date and the contact lens brand name.

DO purchase the decorative contact lenses from a reliable retailer (hint: they should demand a prescription.)

DO follow the contact lens hygiene directives (cleaning, inserting and removing lenses) provided by your eye doctor.

DO make sure to undergo follow-up eye exams as directed by your eye care professional.

DON’T ever share contact lenses with anyone else. ” “So don’t let an eye infection get in the way of your fun this Halloween. Wearing decorative lenses without a valid prescription can result in serious harm to your eyes, which can haunt you long after October 31st.

Get your comprehensive eye exam and contact lens fitting by an eye doctor in Le Mars at Advanced Eye Health.

Call Advanced Eye Health on 712-546-6868 to schedule an eye exam with our Le Mars optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

FOLLOW US

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Summer Heat Wave and Your Eyes

This summer, heat waves with scorching temperatures have hit communities nationwide, making an already hot summer even hotter. With high temps and heat waves in certain areas, it’s now more important than ever to protect yourself.

For best practices and tips for maintaining healthy vision in the summer heat, talk to us at Advanced Eye Health.”

How Can Heat Affect Vision?

Staying out in the sun too long can give you a sunburn and make you feel exhausted. Did you know that it can affect your vision, too?

If you get dehydrated, lack of moisture can make it hard for your eyes to naturally produce enough tears, which can contribute to seasonal dry eye. If you already have dry eye, extremely dry heat can exacerbate your symptoms of itchy, red, sore, and irritated eyes.

Do you sit in front of a fan or air conditioning system? That may feel great, but it can also contribute to dryer and less comfortable eyes.

To give your eyes some temporary relief, keep artificial tears on hand. If your eyes still feel dry or uncomfortable, contact Advanced Eye Health.

Advanced Eye Health Eye Clinic and Dry Eyes, Sunglasses in Le Mars, Iowa

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 Le Mars eye doctor has prepared the following answers to your questions about eye disease.

If You Love the Sun, Read This

Golden sunshine may sound dreamy, but too much isn’t a good thing.

The sun’s ultraviolet (UV) rays can be very harmful, and your eyes are no exception. UV radiation, which can gradually contribute to eye conditions like cataracts and macular degeneration. Dr. Becky DeRuyter recommends that you always wear sunglasses with 100% of UVA and UVB light blocking protection. There’s no shortage of trendy and sunglasses, designed with a flair for fashion, so you won’t have to compromise on style while protecting your eyes from dangerous UV rays.

Excessive sun exposure can cause headaches, blurry vision, eye pain, and eyestrain. So while you’re out at the pool, hanging out at the beach, sunbathing, or at a backyard barbeque, pay close attention to how much time you’re outside.

If you love the sunshine, you just need to protect yourself. Wear hats, sunscreen, and, of course, 100% UV protective polarized sunglasses. But if you experience discomfort or symptoms that don’t go away on their own, then it’s time to visit your eye doctor.

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Computer Vision Syndrome in the Summer

There’s nothing quite like a family road trip or flying to a vacation getaway over the summer. Yet something about being stuck in the backseat of a car or inside of an airplane makes kids feel closed in and restless. It’s then that many kids will play on a smartphone, iPad, or gaming device over many hours to help pass the time.

When it comes to kids and computer use, they’re just as susceptible to the effects of digital eye strain, also called Computer Vision Syndrome, as adults are. In fact, studies show that 25% of children spend more than 3 hours each day on digital devices.

In the summer, when the heat is sizzling, it’s tempting for kids to spend more time than usual watching TV, using a computer, or playing games on their smartphones. To help ease the effects of digital eyestrain, Dr. Becky DeRuyter suggests following the 20-20-20 rule: Every 20 minutes, take 20 seconds to look at something at least 20 feet away. It’s a great way to counteract the effects of Computer Vision Syndrome and let the eyes rest.

This summer, however you choose to beat the heat, don’t forget to protect your vision and keep your eyes strong and healthy. Advanced Eye Health is always here to help if you have any questions.

Have a great summer!

Call Advanced Eye Health on 712-546-6868 to schedule an eye exam with our Le Mars optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

FOLLOW US

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Don’t Let Snow Blindness Ruin Your Winter Vacation

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UV Safety Awareness Month

Woman wearing sunglasses and a hat for UV protectionJuly 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 keratitis can occur. 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, Advanced Eye Health 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. Dr. Becky DeRuyter sees patients from all over the Le Mars, Iowa 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 the optometrist 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, Dr. Becky DeRuyter is here to help.

Top 4 Eyecare Tips for Summer Vacation

This summer, whether you’re headed across state lines on a family road trip, flying off to Europe, grabbing a quick weekend getaway, or taking a vacation in your own backyard, don’t forget to protect your eyes! Check out our top 4 tips for ensuring healthy eyes this summer, and remember, your eye doctor is here to help make the most out of your vision. Dr. Becky DeRuyter sees patients from all over the Le Mars, Iowa area. Let us give you the top-quality eye care you and your family deserve, not only during the summer, but all year long.

Advanced Eye Health Eye Clinic and Eye Care, Summer in Le Mars, Iowa

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 Le Mars eye doctor has prepared the following answers to your questions about eye disease.

Don’t Leave Home Without It

If you have a chronic illness and need to head out of town for a few days, you would never leave home without your medications, right? That’s because you know that if something happens and your meds aren’t with you, you could suffer discomfort or complications to your health. The same is true for your vision. If you suffer from dry eyes, make sure to take artificial tears or medicated eye drops with you when you travel. Preservative-free eye drops are a traveler’s friend. They’re also available as individual strips, which are recommended since there’s less risk of contamination. Running low on disposable contact lenses? Include an extra pair in your carry-on suitcase and stock up on new lenses ahead of time. If you wear eyeglasses, bring a spare set and a copy of your prescription along with you, just in case they get lost or broken. We recommend speaking to Dr. Becky DeRuyter before you leave for vacation to make sure your vision needs are all set.

It’s Getting Hot Outside

Usually, most people think of protecting their skin from sunburns when they’re at the beach, by the pool, or just spending time outdoors.

Did you know that your eyes can get sunburned, too? This happens when the cornea is exposed to excessive UV rays. When the sclera (the white part of your eye) looks red, that’s a sign that you’ve got sunburned eyes. You might also notice symptoms like a sudden sensitivity to light, or your eyes may feel like something is stuck in them, or they could feel sore.

The best way to prevent sunburned eyes? Always wear sunglasses with 100% of UVA and UVB light blocking protection. ”

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Watch Out for the Pool

Swimming is one of summer’s greatest pastimes. There’s nothing quite like a dip in a pool or ocean to cool off from the sweltering summer heat. While you’re slicing through the water, remember to protect your eyes.

Remove contacts before going swimming, wear goggles while underwater, and rinse your eyes with cold water when you get out of the pool (it helps get the chlorine or salt out). If your eyes feel dry or scratchy after a swim, use some moisturizing eye drops to lubricate your eyes.

Back to School is Sooner Than You Think

Your kids will be back in school before you know it. Help them prepare for the upcoming school year by scheduling an eye exam now. If they need new glasses because their prescription has changed or your teen simply wants a new look for the new school year, come in to Advanced Eye Health for a consultation and take a look at the newest selection of frames and contact lenses.

Have you had a sudden eye injury or emergency while on vacation? Don’t wait until you’re back home to handle it — seek immediate care today. Certain eye injuries can damage your vision or lead to ulcers, so if you notice symptoms like redness, eye pain, changes to your vision, or flashing light, contact your eye doctor right away.

Call Advanced Eye Health on 712-546-6868 to schedule an eye exam with our Le Mars optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

FOLLOW US

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Trouble Seeing the Fine Print? Here are Your Options…

Top 5 Tips for Managing Eye Allergies This Spring

Spring is a season of new beginnings, when the cold harsh winter months are behind us, flowers bloom, and people begin spending more time outdoors.

For people with allergies, spring means one more thing: suffering. Spring may be in the air, but for allergy sufferers, so is pollen, pet dander, mold, and dust. These airborne allergens can trigger uncomfortable reactions such as watery eyes, coughing, sneezing, congestion, and sinus pain.

There are some things you can do to minimize the discomfort throughout the spring season.

Check out Our Top 5 Tips for Getting Through Eye Allergy Season:

  1. Pollen tends to have a higher count in the mornings and early evenings. During these times, stay inside and keep windows closed. If you enjoy an early morning exercise run, consider an alternative indoor workout during peak allergy season.
  2. Take a shower before going to sleep. Doing this at night can rinse away any lingering allergens and leave you with a clearer eye and nasal area, as well as a more restful night’s sleep.
  3. Keep artificial tears close by. They can temporarily alleviate ocular allergy symptoms by lubricating your eyes when they feel dry and itchy, and they’re usually small enough to fit inside a purse or pocket. If you don’t have any good eye drops, use a cool compress as an alternative method of relief.
  4. If your allergies are caused by dust or pet dander, vacuum. A lot. Dust collects quickly and can be difficult to spot until there’s a high amount of it. Pets can shed fast and often, and just when you think you’ve removed all the fur from your sofa, carpet, or bed, you suddenly find more, so vacuum a few times each week.
  5. Wash your hands thoroughly with soap and water and change your linens more often during the spring season. Remnants of airborne allergens can stay on your hands, towels, and bed sheets. Washing them more frequently can minimize some of your allergic reactions.

Though it may be tempting, don’t rub your eyes. This can actually aggravate the allergy response. If you find yourself using artificial tears more than 4 times a day, or other short-term solutions aren’t enough, speak with your eye doctor. You may be able to receive antihistamine eye drops or other prescription medications to ease your discomfort.

When It’s More Than Allergies

Certain eye allergy symptoms can also be signs of eye conditions or diseases, so pay close attention to any reactions that don’t dissipate after allergy season ends.

These Eye Symptoms can include:

  • Dryness
  • Excessive tearing
  • Itchiness
  • Persistent eye pain
  • Redness
  • Swelling

These Symptoms Can Indicate Eye conditions, Such As:

  • Blepharitis (inflamed eyelids)
  • Conjunctivitis (pink eye)
  • Corneal Abrasions
  • Dry Eye Disease
  • Styes (an oil gland infection that causes a bump or pimple-like shape in the eyelid)

Eye Allergies and Contact Lenses

If you wear contact lenses, speak to your doctor about daily disposable contacts. These can be a great option for allergy sufferers. Since dailies are thrown away at the end of the day, there’s no heavy allergen buildup on the lenses to worry about.

Consider switching to eyeglasses for a while. Even the most comfortable soft lenses can feel irritable during allergy season. Use the springtime to get yourself a new look. With a wide range of incredible styles to choose from, including exclusive eyewear collections from today’s hottest designers, there’s something for everyone. Not sure what the choose? Talk to your optician to help you find a style that’s right for you.

An Ocular Allergy Optometrist Near You

We’re here for you, and we want to help. Contact your eye doctor for any specific questions or concerns about your eye allergies.

How Can I Protect My Eyes From Diabetes?

Advanced Eye Health - Local Vision Center in Le Mars, Iowa

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million.

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

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What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring.

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes.

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy.

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness.

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages.

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy.

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision.

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss.

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes.

Call Advanced Eye Health at 712-522-2162 in Le Mars, IA to schedule an eye exam with our optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

 

Hidden Vision Problems In Children

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Pediatric Optometrist in Le Mars, IA

Your toddler may show every sign of good eyesight including the ability to see objects in the distance, however that doesn’t necessarily mean that he or she doesn’t have a vision problem.

Amblyopia is one common eye condition that is often hidden behind the appearance of good eyesight.

Also known as “lazy eye” it usually occurs when the brain begins to ignore the signals sent by one eye, often because that eye is weaker and doesn’t focus properly. Sometimes it can occur in both eyes, in which case it’s called bilateral amblyopia. This eye condition is especially common in preemies, and tends to run in families as well, so it’s important to provide your eye doctor with a complete medical and family history.

There are several factors that can cause amblyopia to develop. These include:

  • astigmatism,
  • high nearsightedness or farsightedness,
  • uneven eye development as an infant,
  • congenital cataract (clouding of the lens of the eye),
  • strabismus (where the eyes are misaligned or “cross-eyed”)

However in many cases of amblyopia there may be no obvious visible structural differences in the eye. In addition to the fact that the eyes may look normal, vision often appears fine as the brain is able to compensate for the weaker eye by favoring the stronger one. Because of this, many children live with their eye condition for years before it is diagnosed. Unfortunately, as a person ages, the brain loses some of its plasticity (how easy it is to train the brain to develop new skills), making it much harder – if not impossible – to treat amblyopia in older children and adults. That’s why it’s so important for infants and young children to have a thorough eye exam.

Are There Any Signs of Amblyopia?

Young Boy Amblyopia in Le Mars, IAIf you notice your child appears cross-eyed, that would be an indication that it's time for a comprehensive eye exam to screen for strabismus and amblyopia development.

Preschoolers with amblyopia sometimes show signs of unusual posture when playing, such as head tilting, clumsiness or viewing things abnormally close.

However, often there are no signs or symptoms. The child typically does not complain, as he or she does not know what normal vision should look like. Sometimes the condition is picked up once children begin reading if have difficulty focusing on the close text. The school nurse may suggest an eye exam to confirm or rule out amblyopia following a standard vision test on each eye, though it might be possible to pass a vision screening test and still have amblyopia. Only an eye doctor can make a definitive diagnosis of the eye condition.

So How Do You Know If or When To Book a Pediatric Eye Exam?

CoChildren's Eye Exams in Le Mars, IAmprehensive eye and vision exams should be performed on children at an early age. That way, hidden eye conditions would be diagnosed while they're still more easily treatable. An eye exam is recommended at 6 months of age and then again at 3 years old and before entering first grade. The eye doctor may need to use eye drops to dilate the pupils to confirm a child's true refractive error and diagnose an eye condition such as amblyopia.

Treatment for Amblyopia

Glasses alone will not completely correct vision with amblyopia in most cases, because the brain has learned to process images from the weak eye or eyes as blurred images, and ignore them. There are several non-surgical treatment options for amblyopia. While your child may never achieve 20/20 vision as an outcome of the treatment and may need some prescription glasses or contact lenses, there are options that can significantly improve visual acuity.

Patch or Drops

In order to improve vision, one needs to retrain the brain to receive a clear image from the weak eye or eyes. In the case of unilateral amblyopia (one eye is weaker than the other), this usually involves treating the normal eye with a patch or drops to force the brain to depend on the weak eye. This re-establishes the eye-brain connection with the weaker one and strengthens vision in that eye. If a child has bilateral amblyopia, treatment involves a regimen of constantly wearing glasses and/or contact lenses with continual observation over time.

Your eye doctor will prescribe the number of waking hours that patching is needed based on the visual acuity in your child's weak eye; however, the periods of time that you chose to enforce wearing the patch may be flexible. During patching the child typically does a fun activity requiring hand eye coordination to stimulate visual development (such as a favorite video game, puzzle, maze etc) as passive activity is not as effective.

The earlier treatment starts, the better the chances are of stopping or reversing the negative patterns formed in the brain that harm vision. Amblyopia treatment with patches or drops may be minimally effective in improving vision as late as the early teen years (up to age 14) but better results are seen in younger patients.

Vision Therapy

Vision Therapy for Children in Le Mars, IAMany optometrists recommend vision therapy to train the eyes using exercises that strengthen the eye-brain connection. While success rates tend to be better in children, optometrists have also seen improvements using this occupational therapy type program to treat amblyopia in adults.

The key to improvement through any non-surgical treatment for amblyopia is compliance. Vision therapy exercises must be practiced on a regular basis. Children that are using glasses or contact lenses for treatment, must wear them consistently. Your eye doctor will recommend the schedule of the patching, drops, or vision therapy eye exercise and the best course of treatment.

Amblyopia: Take-home Message

Even if your child is not showing any signs of vision problems, and especially if they are, it is important to have an eye examination with an eye doctor as soon as possible, and on a regular basis. While the eyes are still young and developing, diagnosis and treatment of eye conditions such as amblyopia are greatly improved.

Bifocal and Multifocal Contact Lenses 

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If you are over 40 and have difficulty seeing close up, you probably have a common age-related condition called presbyopia which is when the eye’s natural lens loses the ability to focus on close objects. Presbyopia is a natural process that occurs as the eye ages and affects the majority of people from age 40 and upward. Individuals with presbyopia are often familiar with the need to hold reading materials such as newspapers an arm’s length away from their eyes in order to see clearly, yet reading glasses with bifocal or multifocal (such as progressive) lenses can help.  

Fortunately for those who don’t like the look, feel or inconvenience of reading glasses, there is another option. Bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.    

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.

Multifocal contact lenses are generally designed in one of two ways, as either simultaneous vision lenses or alternating vision lenses.

Simultaneous Vision Lenses 

The most popular version of multifocal contact lenses, simultaneous vision lenses present the distance and near vision zones of the lens at the same time. Typically after a short adjustment period your eyes learn to utilize the segment of the lens that they need to focus on the desired object and essentially ignore the other. 

Translating or Alternating Vision lenses

Similar to bifocal eyeglass lenses, these contacts are divided into distinct areas or zones and your pupil will move to the desired zone depending on your vision needs. Typically the top of the lens, which is what you look through when looking straight ahead is for distance vision and the bottom area (what you look through when you look down) is for near vision. However, this can be reversed according to unique vision needs. 

An Alternative Option to Multifocal Contact Lenses: Monovision

Monovision is another contact lens alternative for presbyopia particularly if you are having difficulty adapting to multifocal lenses.  Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant  eye for near vision. 

Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision.  Your eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision. 

Are Contact Lenses Right for You?

If you have presbyopia, contact lenses may be a great option for you. Many people prefer the look and convenience of contact lenses over traditional reading glasses. Speak to your eye doctor about the options available to you.