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Eye Exam

Childhood Myopia Is in Crisis Mode on a Global Scale

When it comes to the prevalence of myopia (nearsightedness), the statistics are staggering. By 2050, nearly half of the world’s population—about 5 billion people—will be myopic. Below are a few useful tips to help you prevent your child from being part of that statistic.

What Is Myopia?

Myopia occurs when the eye elongates, causing light rays to focus in front of the light-sensitive retina rather than directly on it, while looking at something far away. So, people with nearsightedness perceive distant objects as blurred while close-up objects can remain clear. 

Myopia tends to develop during childhood, when the eyeballs rapidly grow (along with the rest of the body), mainly between the ages of 8-18. It can worsen slowly or quickly, but it is not simply an inconvenience. People with progressive myopia are more likely to develop serious eye diseases like cataracts, retinal detachment, macular degeneration and glaucoma later in life—conditions which may lead to permanent loss of vision and even blindness.

How To Know Whether Your Child Is Myopic

Below are some telltale signs to watch for: 

  • Blurred distance vision – Objects in the distance are blurred; kids may complain that they can’t see the board
  • Headaches – When myopia isn’t corrected, it can cause eye strain and headaches.
  • Head tilting or squinting – If your child squints or tilts his or her head while watching TV, for example, it may be a symptom of myopia. 
  • Looking at objects too closely – If you notice your child moving closer to the TV or squinting as they try to see the writing on the board, it may indicate myopia.

What Parents Can Do to Slow Their Child’s Myopia Progression 

  • Encourage your child to go outdoors for at least 90 minutes a day, preferably in the sunshine. Studies show that playing outdoors reduces the risk of developing myopia and slows its progression. 
  • Limit the amount of time your child spends staring at a screen, reading and doing close work such as homework. 
  • When your child uses a digital screen, make sure that it isn’t too close to the face.
  • Teach the 20-20-20 rule: During screen time, take a break every 20 minutes to look at an object across the room or out the window about 20 feet away, for at least 20 seconds.

How We Can Help

Certain eye doctors offer treatment methods known as myopia control or myopia management. These include orthokeratology, bifocal or multifocal contact lenses, and eye drops like low dose atropine. Regular eyeglasses and contact lenses don’t prevent its progression but do correct myopia so the child can see and function normally.

If your child shows signs of myopia, schedule an eye exam with Nostlgc Eyewear in Great Neck as soon as possible.

Q&A

How is myopia diagnosed?

Your child’s eye doctor will perform a thorough pediatric eye exam to diagnose myopia, which often includes a visual acuity test, where the eye doctor will use an eye chart made up of letters of varied sizes. If the test results indicate myopia, then the optometrist may shine a light into their eyes and evaluate the reflection off the retina to determine the degree of refractive error for their prescription.

Can myopia lead to blindness?

High myopia may increase your child’s risk of developing more serious eye conditions later in life, such as cataracts, retinal detachment and glaucoma. Left untreated, high myopia complications can sometimes lead to blindness—which is why routine eye exams are critical.

Why Are Dilated Eye Exams So Important?

Nostlgc Eyewear Dilated Eye Exam near you in Plainview, New York

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 Nostlgc Eyewear in Plainview today!

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At what age should one have a dilated eye exam?

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.

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 optometrist.

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 optometrist 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 optometrist 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 optometrist 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 Dr. Yaris at Nostlgc Eyewear in Great Neck, remember that a comprehensive eye exam can do more than determine your eyeglasses or contacts prescription. Dr. Yaris 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.