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Sergeant Bluff Eyecare

June 9, 2017 By Sergeant Bluff Eyecare

What to Expect at Your Eye Exam

Whether you or a loved one are having a first eye exam, a repeat eye exam, or are seeing a new eye doctor for the first time, there are a number of routine questions you can expect. But your answers to these questions during eye exams are anything but routine for your eye doctor.

That’s because there are any number of factors in your medical history that can contribute to current or potential vision problems. Understanding your lifestyle and describing any visual problems you’re having helps to point your eye exam in the right direction. There are medical conditions, medications and circumstances that can put you or a family member at a higher risk for certain eye diseases.

Beyond having your vision insurance information, necessary payment and identification ready, here’s a checklist of things to know before you approach the front desk at your next eye exam.

  • What eye problems are you having now? Is your vision blurry or hazy at certain distances? Do you have problems in your side vision? Are you experiencing pain or discomfort in certain lighting situations?
  • Do you have a history of any eye problems or eye injury? Do you have a current prescription for glasses or contact lenses? Are you wearing them regularly, and if so, are you still happy with them?
  • Were you or your loved one born prematurely? Have you had any health problems in the recent such as high blood pressure or heart disease? Are you diabetic? Are you considered overweight?
  • Are you taking any medications? Do you have allergies to medications, food or other materials? Seasonal allergies?
  • Has anyone in your family (including parents) suffered from eye problems or diseases such as cataracts, glaucoma or macular degeneration?
  • Has anyone in your family (including parents) suffered from high blood pressure, heart disease or diabetes? What about other health problems that can affect the whole body like blood disorders or cancer?

Eye exams include a detailed history because many things you might consider unrelated to vision may actually affect your current vision, or reveal potential risks for developing certain eye diseases. Be ready to provide a complete history at your next eye exam, and help the front desk, and your eye doctor, best prepare for the examination that follows.  

For regularly scheduled eye exams, expect to talk about any changes in your medical history since the last time you saw your eye doctor. And if this is your first time in a new practice, you’ll be asked to provide a more complete medical history, including a list of medications you’re currently taking, and any vision problems your parents may have experienced.

In addition, you’ll undergo a series of vision and eye tests that help determine the overall health and quality of your vision. These tests also help to check that your current prescription glasses or contacts (if you have one) is still meeting your vision needs. Your eye doctor will also check your eyes for signs of any potential vision problems or eye diseases. In many instances, your pupil may be dilated (opened) using special drops so that your eye doctor can better see the structures of the eye.

You’ll then have an honest discussion about the current state of your eye health and vision, and your eye doctor may “prescribe” vision correction for you in the form of eyeglasses or contact lenses. Any health concerns or possibly serious vision complications will also be discussed, including the next steps you must take to preserve and protect your sight. It’s essential, too, that you make the most out of your exams.

In general, a routine eye exam will last less than an hour depending upon the number of tests you have, and may be partially or completely covered by many vision insurance plans.

If it’s time for your next eye appointment, call us today to schedule your visit!

May 30, 2017 By Sergeant Bluff Eyecare

Coping with Age-Related Vision Loss

Age-related vision loss can be addressed with practical solutions. Experiment with adjusting the light settings when reading or working in your home or office. Due to the fact that after 60 your eye’s pupil decreases in diameter, it is difficult to see in dim light. Images and objects appear hazy as less light reaches your retina. This is why you will need to add extra light to perform certain tasks.

Modifications That Can Help Your Adjust

Make sure to illuminate places that have dark corners like garage spaces, above the stove and under kitchen cabinets. Work surfaces should have ample light. Brighten any area that will require you to perform fine motor skill tasks such as sewing or typing. Your workplace may be a place where you will need to add some lighting if possible. Don’t forget to schedule regular eye exams as they are essential in monitoring your vision problems. It is important to get your eyes checked to rule out any serious age-related eye diseases.

Another reason for regular eye exams is that your doctor can provide you with options on how to reduce the effects of normal age-related vision degeneration, such as color vision, near vision and contrast sensitivity. A quite common age-related vision problem is Cataracts. It is very common in the over-60 age group. Hazy and cloudy vision are the most common symptoms. Cataract sometimes can be remedied with surgery. The procedure is done to remove the eye’s cloudy lens. The natural eye lens is then replaced with an artificial one.

Permanent Vision Loss and Your Options

One of the major symptoms of age-related diseases such as glaucoma, retinopathy and macular degeneration is blind spots and vision loss. Living with low vision is possible with nonprescription devices that make daily tasks more manageable. Some examples include:

  • Hand held magnifiers with battery operated lights for reading, these come in different shape and sizes.
  • Shields and Lens filters to reduce glare
  • Mobile phone with large screen and large fonts settings .
  • Large Plasma Television Screens

Vision Loss and the Elderly

Older Adults living in nursing homes often neglect to take care of gradual vision loss caused by glaucoma. When glaucoma goes untreated it can lead to blindness.

Routine eye examinations are necessary for the elderly. Uncorrected vision problems may lead to falls and/or permanent vision loss. Elderly people who live alone need to have someone who can make sure that they schedule routine eye examinations. Losing their vision will undermine their confidence and it puts them at risk of accidents and falls. They will no longer be able to be independent.

If you or a loved one is suffering from age-related vision loss, please call us today to schedule an appointment to discuss your next options.

May 23, 2017 By Sergeant Bluff Eyecare

What You Should Know about Macular Degeneration

As a disease usually associated with aging, macular degeneration is also called age-related macular degeneration (ARMD), though there are other, less common types of macular degeneration.

Age-related macular degeneration is the leading cause of vision loss in Americans over age 60, and presents itself in two forms: dry macular degeneration and wet macular degeneration. Of the two, the “dry” form is far more common. Both affect the center region of the retina, the light-sensitive area in the back of the eye responsible for processing images we see. Nearly 90% of all diagnosed ARMD is the dry form.

Caucasians are far more likely to lose vision from ARMD than African Americans, and studies show that obesity, smoking, and exposure to UV rays may also be risk factors for developing the disease. Macular degeneration tends to affect women more than men, and has also been linked to heredity.

Macular degeneration symptoms include a gradual loss of central vision needed to perform everyday tasks like driving or reading, and a reduced ability to see small visual details like fine print or patterns.

Non-Neovascular

Non-Neovascular, otherwise known as Dry AMD, is the most common form of the disease, making up about 85%-90% of all cases of AMD. It is characterized by blurred central vision or blind spots, as the macula begins to deteriorate. Dry AMD is an early stage of the disease and is less severe than the wet form,.

Dry AMD occurs when the aging tissues of the macula begin to thin out and break down. Tiny pieces of white or yellowish protein called drusen begin to appear, which are thought to be deposits from the macular tissue as it deteriorates. The appearance of these drusen are often what leads to a diagnosis of AMD during an eye exam.

With dry AMD vision loss happens gradually, however, the dry form can progress to wet AMD rapidly. There is currently no cure for dry AMD, however there is research that shows that some people can benefit from supplemental vitamin therapy including antioxidants, lutein and zeaxanthin.

Neovascular

Neovascular, better known as Wet AMD, is less common occurring in only about 10 percent of those with AMD. AMD is classified as Wet AMD when abnormal blood vessels begin to grow under the retina and leak fluid and blood into the macula, resulting in blind spots and a loss of central vision. Wet AMD can cause more damage to vision and permanent scarring if not treated quickly, so any sudden blur in vision should be assessed immediately, especially if one is aware that they have AMD. Usually vision loss happens faster and is more noticeable than in dry AMD so the quicker it is treated, the more vision you can preserve.

Treatment for Macular Degeneration

There are no FDA-approved treatments for dry macular degeneration, although nutritional intervention may be valuable in preventing its progression to the more advanced, wet form.

For wet macular degeneration, there are several FDA-approved drugs aimed at stopping abnormal blood vessel growth and vision loss from the disease. In some cases, laser treatment of the retina may be recommended.

Although much progress has been made recently in macular degeneration treatment research, complete recovery of vision related vision loss is probably is unlikely. Your eye doctor may ask you to check your vision regularly with an Amsler grid – a small chart of thin black lines arranged in a grid pattern. Macular degeneration causes the line on the grid to appear wavy, distorted or broken. Viewing the Amsler grid separately with each eye helps you monitor your vision loss.

If you have already suffered vision loss from macular degeneration, low vision devices including high magnification reading glasses and hand-held telescopes may help you achieve better vision than regular prescription eyewear.

Please contact us today to schedule your next eye exam!

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