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Eye Conditions

 

Vision Conditions    Myopia | Hyperopia | Astigmatism | Presbyopia

Eye Health Conditions     Cataracts | Glaucoma | Macular Degeneration | Diabetic Retinopathy

 

Click here to view a diagram of the eye.

 

Vision Conditions                             

 

Myopia (Nearsightedness)

Myopia, or nearsightedness, manifests as distant blur, while near vision remains relatively unaffected.  It's caused by the eye focusing an image short of the retina at the back of the eye.  If the eye is too long, or if the corneal curvarture is too strong, the light focuses in front of the retina causing myopia.  Myopia is thought to be caused by genetics as well as prolonged near work 

Myopia is very common and can be corrected with eyeglasses, contact lenses, or in some cases refractive surgery.

 

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Hyperopia (Farsightedness)

Hyperopia (farsightedness) usually means that one has better distant vision than near vision. It is very common. In fact, the majority of the United States population is farsighted. The condition is characterized by an eye that is too short in length, or where corneal curvature is too weak.

Most people can automatically compensate for their hyperopia by focusing more with their lens. However, in cases of moderate to high hyperopia this compensation may not be possible and the hyperopia must be corrected. Also, as we age, the lens loses its ability to focus. So, hyperopia may manifest itself when people get older and therefore must be corrected.

Hyperopia can be corrected with eyeglasses, contact lenses, or in some cases refractive surgery
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Astigmatism

Astigmatism is type of refractive error like myopia (nearsightedness) and hyperopia (farsightedness). Though astigmatism can occur by itself, it is most commonly found in combination with myopia or hyperopia. 

Astigmatism occurs when the cornea is not perfectly spherical. It is a little longer in one direction than it is in the other. This creates two focal points for the eye.

Astigmatism can be corrected with glasses, contact lenses, or in some cases refractive surgery.

 

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Presbyopia

Presbyopia means "old eyes" in Latin. 

The lens inside the eye is responsible for fine tuned focusing when performing near visual tasks. The lens is elastic and changes shape in order to focus. With the passage of time, the lens looses elasticity and the ability focus becomes difficult.

Around the age of 40, we loose enough elasticity in our lens to interfere with our ability to read within arm's length. To see clearly, it becomes necessary to hold reading material further and further away.

Eventually, corrective devices that "focus" for us, become a necessity. The options are regular reading glasses, bifocals, trifocals, or progressive or no-line bifocals. 

Also, contact lenses can be utilized to correct presbyopia. Bifocal contact lenses are available as well as monovision. Monovision is a procedure in which your dominant eye is corrected for distance and your non-dominant eye is corrected for near.

 

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Eye Health Conditions

 

Cataracts

A cataract is a clouding of the normally clear lens of the eye. It can be compared to a window that is frosted or "fogged" with steam. Common symptoms of cataracts include a painless blurring of vision, glare, light sensitivity, needing brighter light to read, poor night vision, and fading or yellowing of colors 

Although the most common type of cataract is related to aging of the eye, other causes include family history, medical problems (such as diabetes), medications (such as steroids) long-term unprotected exposure to sunlight, and previous eye surgery. 

Most cataracts associated with aging process gradually develop over a period of years while other cataracts in younger people and people with diabetes may progress over a few months. It is not possible to predict exactly how fast cataracts will develop in any given person. 

Surgery is the only way to remove a cataract, however if symptoms are mild a change of glasses may be all that is needed to function more comfortably. There are no medications, dietary supplements, exercises, or optical devices that have been shown to prevent or cure cataracts. Sunglasses that screen out ultraviolet (UV) light rays or regular eyeglasses with a clear, anti-UV coating can provide protection from excessive sunlight, which may help prevent or slow the progression of cataracts. 

 

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Glaucoma

Glaucoma is an eye disease that is one of the leading causes of blindness in the United States. There are usually no symptoms of glaucoma until very late in the disease.  Glaucoma can produce damage to the optic nerve of the eye, which carries visual information to the brain, thereby causing blind spots in the field of vision. Glaucoma is usually caused by the blocking of the drainage of aqueous humor (a clear transparent liquid) that flows continuously through the eye. The name of the structure where the aqueous humor drains is the trabecular meshwork. When this gets blocked, pressure within the eye is increased and can cause damage to the optic nerve.  Blockage may be due to one of several reasons. 

Glaucoma is usually treated and controlled with eye drops. These medications act to decrease eye pressure either by assisting flow of fluid out of the eye or by decreasing the amount of fluid entering the eye. Treatment should be monitored regularly and may need to be changed periodically since glaucoma can get worse without a person knowing it. Treatment also helps prevent further damage as well as preserving existing vision.  Surgical treatment for glaucoma is available when medications don't prove effective.

 

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Macular Degeneration
Macular Degeneration is one of the leading causes of legal blindness in the United States.  It is characterized by damage or breakdown of the macula of the eye. The macula is the area on our retina which gives us our sharpest vision. When the macula doesn't function correctly, we experience blurriness or darkness in the center of our vision. Macular Degeneration affects both distance and close vision, and reduces vision in the central part of the retina but does not effect the eye's side, or peripheral, vision. Macular Degeneration alone does not result in total blindness. 

The two most common types of age-related macular degeneration are "dry" and "wet".  Most people have "dry" macular degeneration, which is caused by aging and thinning of the tissues of the macula. This vision loss is usually gradual. "Wet" macular degeneration accounts for approximately 10% of all cases and is caused by abnormal blood vessels at the back of the eye. These blood vessels may leak fluid or blood and blur central vision. Vision loss with "wet" macular degeneration may be rapid and severe. 

Although sometimes only one eye is affected and the other eye continues to see well for years, when both eyes are affected central vision loss may be noticed more quickly. Signs of possible macular degeneration in individuals may include a dark or empty area appearing in the center of vision or straight lines look distorted. 

Macular degeneration can be diagnosed during an eye examination. Despite ongoing research, there is no cure for macular degeneration, although "wet" macular degeneration can be treated with laser surgery in its early stages.

 

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Diabetic Retinopathy

The major cause of blindness in people with diabetes is Diabetic Retinopathy. Diabetic Retinopathy is a term used for all the abnormalities of the small blood vessels of the retina caused by diabetes, such as weakening of blood vessel walls or leakage from blood vessels. Retinopathy progresses from non-proliferative or background retinopathy to proliferative retinopathy.

 

Non-proliferative retinopathy is a common, usually mild form that generally does not interfere with vision. Abnormalities are limited to the retina and usually will only interfere with vision if it involves the macula, the area on the retina that gives us the sharpest vision.  If left untreated it can progress to proliferative retinopathy.  Proliferative retinopathy, the more serious form, occurs when new blood vessels branch out or proliferate in and around the retina. It can cause bleeding into the center of the eye or swelling of the retina and lead to blindness.  In severe cases of diabetic retinopathy, surgical treatment is available which may improve sight or prevent any further loss of vision.

 

Therefore, it is important that all diabetics get an annual dilated eye exam to detect any early signs of Diabetic Retinopathy.

 

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