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.

When people think of workplace dangers to the eyes, it is usually machinery, chemicals or construction materials that come to mind.  However, a growing danger to the eyes is one that may be less obvious – exposure to blue light from digital devices, television and computer screens and artificial lighting.  

While the long-term effects of blue light or high-energy visible (HEV)  light emission are not yet fully known, what is known is that blue light is a cause of computer vision syndrome (CVS) and sleep disruptions.  60% of people spend more than 6 hours a day in front of a digital device and 70% of adults report some symptoms of computer vision syndrome (CVS) which include eyestrain, headaches, blurred or double vision, physical and mental fatigue, dry or watery eyes, difficulty focusing, sensitivity to light, or neck, shoulder or back pain (caused by compromised posture to adjust to vision difficulty). Most people do nothing to ease their discomfort from these symptoms because they are not aware of the cause. 

In its natural form, blue light from the sun is actually beneficial to your body by helping to regulate your natural sleep and wake cycles – also known as your circadian rhythm.  It can also boost your mood, alertness and overall feeling of well-being. However, prolonged exposure to artificial sources of blue light, such as that found in electronic devices, television and energy-efficient fluorescent and LED lights, has been shown to cause disruptions in the circadian rhythm as well as more serious vision problems. Researchers at Harvard University have linked blue light with damage to the retina at the back of your eyes, indicating that long-term exposure to blue light could be linked to age-related macular degeneration (AMD) and possibly other serious health and vision problems. 

Since 43% of adults work at jobs that require prolonged use of a computer, tablet or other digital monitor, blue light is an increasingly serious threat to your vision, health and productivity. There are a number of options for reducing your exposure to blue light which include computer glasses, specialized lenses and protective coatings. Speak to our eye care professionals to determine which option is best for you.

• Single Vision Computer Glasses: Provide the optimum lens power and field of view for viewing your computer screen without straining or leaning in to reduce symptoms of CVS. These are ideal for when the computer is at a fixed working distance, and work well if the user needs to view multiple screens at the same working distance.
• Office Lenses or Progressive Lenses: No-line multifocal eyewear that can be made to correct near, intermediate and some distance vision with a larger intermediate zone for computer vision if indicated. Perfect for those with presbyopia which is the gradual loss of focusing ability that occurs naturally with age. Office lenses work like progressive lenses but provide a wider field of view for intermediate (1-3 m) viewing distance and near working distance (about 40 cm). 
• Blue-Blocking Lenses: Definitely recommended for this electronic age, blue-blocking lenses block blue light emitted from computer screens that is associated with glare, eye strain and possible sleep disturbances. 
• Anti-glare and filtering coatings (treatments): Eliminate reflections from the surfaces of your lens to reduce eye strain and discomfort from glare. Some coatings can also block blue light emitted from computer screens. 

While all of these are good options for protecting your eyes, the 20/20/20 rule still applies – after every 20 minutes of near tasks, look at something beyond 20 feet away for at least 20 seconds…it’s a good time to stretch the rest of the body too. 

Additionally, diets high in lutein and zeaxanthin, which are carotenoids found in dark, leafy green vegetables like spinach and kale are protective to blue light damage.

A note about children and blue light:

Children are more prone to blue light damage than adults because the natural lenses in their eyes are so clear that blue light passes easily through to reach the retina.  Adults are somewhat less prone since the older we get our natural lenses become more cloudy and blue light does not pass through quite as easily. Pediatricians recommend that young children under the age of two should get ZERO screen time.   They have much better ways of developing their eyesight with activities requiring hand eye coordination with high contrast physical objects.

Technology is advancing the world, and our jobs and daily lives will only continue to rely upon it. Don’t let technology get in the way of your vision and your health. Ask us about the best solution for you. 

Whether you are looking for regular prescription glasses, sunwear or protective sports eyewear, it can be tough choosing the best eyewear for children and teens. On the one hand, they need to be comfortable and provide the optimal fit for improved vision and protection. At the same time, they also need to be durable, especially if your child is active, plays contact sports or tends to drop or lose things. Not to mention, particularly once you get into tween and teenage years, they have to be stylish and look good. When you add in a budget and your child’s opinion, the decision can be truly overwhelming.

Before you begin looking, it is best to narrow down your options by answering the following questions (and consulting your eye doctor when necessary):

1. Does my child need to wear his or her glasses all the time or are they for part time wear?
2. Does my child’s prescription call for a thicker or wide lens requiring a certain type of frame?
3. Does my child have any allergies to frame materials?
4. What type of sports protection does my child need?
5. Would cable (wrap around) temples or a strap be necessary for my child (particularly in toddlers)?
6. Do I have a preference in material or features (such as flexible hinges or adjustable nose pads)?
7. Are there particular colors or shapes that my child prefers or that will look most attractive?

Armed with the answers to those questions and a qualified optician, you can begin your search. Keep the following tips in mind:

1. Including your children in the selection process will greatly enhance the chances of them actually being excited about wearing and caring for their glasses. So make it fun and exciting for them!
2. Polycarbonate or Trivex lenses are impact-resistant lenses that are recommended for children’s eyewear to protect their eyes. Also consider adding a scratch resistant coating. 
3. When trying on options, consult with the optician to ensure proper fit. Make sure the frames don’t slide off the bridge of the nose, cover the eyes, squeeze at the temples or extend too far behind the ears. Proper frame fit is especially important for kids with specialty prescriptions like bifocals or Myovision, and for kids with lazy eye (amblyopia) and high spectacle Rx.
4. If shopping for protective sports eyewear, consider the conditions of the sport your child plays to ensure proper eye protection. They now have much more selection in children’s safety eyewear with cool designs and some glasses even have convertible temples (arms) and straps to become interchangeable dress wear and safety wear.
5. Keep in mind that it may be more cost effective to spend a little more on strong and durable eyewear now than to have to replace a flimsy pair later. Each office differs in the warranties they offer and the length and terms of coverage. Ask your optician about what is and is not covered under their frame and lens coverage policy.
6. If your child is put into bifocal lenses for reading issues or poor focusing issues (commonly used in pediatric vision therapy) they will generally require a deeper frame in order to have enough room for the bifocal, which is often difficult when dealing with smaller frames.
7. Consider a blue light protecting anti-reflective coating. Children are especially prone to damage from blue wavelengths of light because their human lenses are so clear. Blue light is emitted from many of the devices we use such as cell phone screens, tablets, laptops, TVs, and the sun as well.

The great news is that the options in children’s eyewear in terms of style, quality and innovation is progressing rapidly. Rather than dreading the eyewear shopping experience, have a positive attitude. This will have a positive influence on your child’s relationship to eyewear and good vision that can last a lifetime.