If your are like most of our patients, you hate getting your eyes dilated. The hours of light sensitivity, blurred vision, stinging eye drops involved are a drag. Dilation has been important to an eye exam. This is the traditional way that a doctor can get a comprehensive view of the health of your eyes, specifically the retina. We have some good news though. Technology has improved to where a retinal imaging machine is faster and far less invasive for evaluating the retina in many cases.
So what is the retina?
The retina is the light sensitive tissue that lines the inside of our eyes. Much like the once pervasive film based cameras, the retina is like the film in the back of the camera where images from the outside world is focused. The retina allows us to see: it adapts to dark and light so that we can perceive at night and day, it differentiates different wavelengths of light (seeing color), and it responds to movement. It captures light from the outside world and sends this information to the brain which processes it into an organized view of the world. For many of us, vision is our most precious sense and the retina is vision’s most important structure.
Why is examining the retina important?
The retina is a window to the general health of the body. It is an integral part of the body so anything that affects your body such as metabolic or endocrine disorders, inflammatory conditions, circulatory disorders such as high blood pressure, or diabetes can affect the retina. As we mentioned in previous articles, the retina can also get damaged with too much UV exposure. Other than UV, there are a vast amount of things that can damage the retina. Cancerous tumors, freckles, bleeding can all occur without significant symptoms. Freckles can occur in the eye as they do on the skin. They are very common and should be monitored. Holes or tears in the retina are common and should be monitored as they can develop over time and cause serious consequences to vision. Given its central role in vision and its window to our general health, the retinal should be thoroughly evaluated.
What type of retinal imaging do we offer?
At D/Vision Optical, we offer retinal imaging with the Optos retinal scan. We can use that device to provide an instant “optomap” of the retina with no side effects, and using these images my team and I can evaluate the health of your eyes with you. Retinal scanning should be an integral part of regular comprehensive eye exams. When combined with other tests that our doctors perform, you can often complete an exam without needing to dilate your eyes. Your eyes are worth it.
If it has been a year or more since you have had exam, don’t let eye dilation be the reason. Set up an appointment today.
Spring in Chicago brings some needed sun. The sun crosses into a higher path, and gives us some warm and energizing rays. Ultraviolet (UV) radiation is a type of radiation emitted by the sun that is more energetic than visible light. Being more energetic, these rays provide vital energy to plants and animals, but that same energy can be damaging. As the suns rays become stronger, everyone should take steps to protect their eyes from UV.
How can UV harm your eyes?
We often don’t think twice about the dangers of UV rays when it comes to applying sunscreen to our skin. It’s common knowledge that sunscreen is a vital part of maintaining good health and preventing skin cancer. We often forget about our eyes being exposed to these same damaging rays. Excess exposure can accelerate cataracts (the fogging of the lens inside the eye causing visual decline) and macular degeneration (central vision blindness). UV can even cause growths on the surface of the eye that can cause irritation and distort vision. To be more specific, UV-A rays can damage the interior structures of the eye and UV-B the surfaces of the eye.
How can you protect your eyes from UV?
Everyone has a few good options. Well built lenses can help block harmful UV rays. Regular clear prescription lenses can block most UV rays, and we now have some contact lenses that are designed to block UV. Of course neither will reduce any uncomfortable brightness or glare of being in the sun. That’s where good sunglasses are really helpful. They can reduce glare plus block both UV-A and UV-B rays. Coupled with an anti-reflective coating, good quality sunglasses are a solid option. If you shift between inside and outside often, photochromic lenses that darken when exposed to UV are a good choice. My team and I can help you evaluate the options which would work best for you and your lifestyle.
Also if you would like to see sunglasses and lens options, please stop into the shop. We have a wall of designs that will fit anyone’s style. You can also get info on the collections we carry here:
This time of year patients often ask me how to relieve dry eyes. The low humidity of colder weather combined with constant use of heaters that we use in Chicago can make our environment exceptionally dry. Most people know what to do about dry skin and lips. Dry eyes are often neglected, even though it can be uncomfortable.
What are the symptoms of dry eyes?
Redness in the whites of your eyes. This occurs because the eye’s surface needs a constant coat of moisture and when it doesn’t have it, the eyes get irritated and the surface blood vessels in the area get larger.
A sandy, gritty, burning feeling in your eyes. Again, without a coat of moisture on the surface of your eyes, pain receptors on the surface of your eyes get activated.
Teary eyes. This may seem paradoxical but when your eyes get dry, a tear reflex causes a sudden burst of tears out of the tear glands. The chemical makeup of these tears causes them to evaporate away quickly or simply run off out of your eyes and don’t give sustained relief.
What causes dry eyes?
Other than the low humidity environments like we experience during winter, behavioral factors can contribute to dry eyes. The act of focusing on something, especially at close distances such as your computer, inhibits the blink reflex to the point that tears can begin to evaporate more and not enough tears flow to the surface. This is a major reason why people get red eyes after a long day in front of the screen.
Contact lenses are another culprit as they require constant moisture and they compete for your own moisturizing tears.
Some people are prone to dry eyes because of a dysfunction of their tear glands or oil glands in their eyelids. Tears may seem simple but they are complex with various parts that need to be in balance. Oil glands in your eyelids provide tears with stability so that they don’t evaporate. Other glands provide the “glue” for your tears to remain on the surface of your eyes. The lacrimal gland provides the liquid portion of your tears. All these parts, including your environment, must be in balance for your tears to provide the stable, consistent moisture your eyes need.
How to relieve dry eyes
The vast majority of dry eyes can be relieved by using lubricant eye drops. Pick the right ones though. Eyedrops that claim to get the red out will not relieve the symptoms of dry eyes but only mask them. Instead stick to the lubricant eye drops. These can be found over-the-counter at the drugstore. Using them throughout the day can provide relief. This will not cure dry eyes but provide temporary relief. Just as you must reapply lip balm with chapped lips, you must re-apply eye drops for continued relief and therapy.
If using drops do not provide enough relief even with proper and regular use, there may be other causes in the complex chemistry that keeps your eyes moist. Your eye doctor is specially trained to identify them. During your eye exam, we can discuss any more complex issues that you have.
Please do set up an eye appointment if you haven’t had one in a while. You can make an appointment on our optometry page.