Managing Myopia Progression in Children

Managing Myopia Progression in Children

Why is it important to manage myopia progression in children?

Myopia, also known as short sightedness or near sightedness, is an increasingly common condition that affects children’s sight. There can be many causes of myopia, such as family history or genetics, spending too much time focusing on close objects as a child, not spending enough time outdoors, etc.

Myopia can progress rapidly in children if it is not managed well, and every 1 diopter increase in myopia increases risk of myopic maculopathy by 67% – there is no “safe” level of myopia. As seen in the table below, myopia increases the risks of eye diseases such as cataracts, glaucoma, retinal detachment, and myopic maculopathy.

Some other risk factors (non-exhaustive) include diabetes, high blood pressure, family history of eye disease, or taking prescription medications which may affect the eyes.

Do take comprehensive eye exams to check your child’s eyes or your and detect eye diseases such as cataracts and glaucoma. You should also maintain healthy habits such as relaxing your eyes and eating healthy to get sufficient vitamins for your eyes and body.

What are some ways to slow down myopia progression?

EyedropsEyeglassesContact Lenses
What is it and how can it manage myopia progression?Atropine eyedrops, with differing doses available depending on the child’s needsIt slows down the progression of myopia in about 50% to 60% of children for low-dose atropine 0.01%, and 20% to 30% of children may require higher dose atropine (0.125% / 1%).Bifocal lenses: top half corrects for long distance and the bottom half corrects for reading vision, research has shown that it can slow down myopia progression  Myopia control lenses of differing designs: special lenses designed to help control myopia progression more effectively than the typical bifocal and progressive designsHard contact lenses, also known as Orthokeratology or OrthoK lenses which are worn to sleep; it flattens the central area of the cornea to restore clear vision and the mid-peripheral area is steepened to control myopia progression
Soft contact lenses: multifocal lenses can help slow down myopia progression. These lenses are clinically effective for myopia progression control.
AdvantagesThese eye drops can help to complement the eyeglasses that your child uses.Eyeglasses are usually more cost-effective than contact lenses. No infection risks involved as kids are not required to touch their eyes or put lenses into their eyes.Hard contact lenses: no need to wear anything during the day to see well, parents are able to supervise closelySoft contact lenses: lowest infection risk for daily disposables, minimal lifestyle limitations such as need for sufficient sleep
LimitationsChildren on 1% atropine eye drop treatment often require photochromatic or sunglasses with UV filters, and a progressive or reading additions in their glasses. Other possible side effects are often mild and temporary e.g. glare, dry eyes, eye allergy. Eyeglasses may be inconvenient when leading an active lifestyle, or some kids may find eyeglasses uncomfortableBifocal lenses: obvious line in the middleMyopia control lenses: pricier than normal single vision or bifocal lensesHard contact lenses: need to have sufficient amount of sleep every night, need to ensure hygieneSoft contact lenses: daily disposables may cost more

References:

  1. https://www.snec.com.sg/patient-care/specialties-and-services/clinics-centres/myopia-centre/Patient-Care
  2. https://pubmed.ncbi.nlm.nih.gov/24435660/
  3. https://www.singhealth.com.sg/news/patient-care/childhood-myopia-use-of-atropine-eye-drops

Age-related Eye Problems

Age-related Eye Problems

Not only does ageing contribute to vision problems such as presbyopia, it also increases risk for eye health problems.

What eye problems are associated with ageing?

Age increases risk for many eye diseases and conditions, including:

  • Age-related macular degeneration

Based on research by Singapore Eye Research Institute in 2009, age-related macular degeneration is one of the leading causes of blindness in people over 50 years of age.

Glaucoma is the cause of about 40% of blindness in Singapore. Based on research by Singapore Eye Research Institute in 2009, around 3% of people above 50 years old have glaucoma, while this figure is higher at 10% for those above 70 years of age.

Cataracts are the leading cause of blindness worldwide.

  • Retinal detachment

Those over the age of 40 are at higher risk of retinal detachment.

Normal, harmless floaters are often caused by age-related changes to the vitreous fluid in our eyes. Sudden onset of or increase in floaters can be indicative or retinal detachment.

As we age, our tear production decreases, resulting in dry eyes.

How to counter age-related eye problems

Comprehensive eye exams should be taken every 1-2 years for people 40-64 years old and annually for those 65 years old and above. If you have other risk factors for eye diseases, such as diabetes or family history of eye diseases, you should get a comprehensive eye exam more often.

This allows your optometrist/ophthalmologist to monitor your eye health and detect any eye diseases early. Early detection of eye diseases is important in treating the condition before it has irreversible consequences or results in blindness.

Have not had a comprehensive eye exam in the past year?


Sources:

  • https://www.singhealth.com.sg/patient-care/patient-education/age-related-macular-degeneration
  • https://www.singhealth.com.sg/patient-care/patient-education/glaucoma
  • https://www.singhealth.com.sg/patient-care/patient-education/retinal-detachment
  • https://www.aarp.org/health/conditions-treatments/info-2020/age-related-eye-issues.html
Comprehensive Eye Exam: Why It Is Important and What To Expect

Comprehensive Eye Exam: Why It Is Important and What To Expect

Why is it important to have a comprehensive eye exam regularly?

Keeping an eye on your vision requires different care and attention at different stages of life. Even when we are young, we should do a comprehensive eye check-up regularly as eye problems can be present at any age. 

Did you know some eye diseases such as glaucoma have no symptoms? Having a regular eye check-up gives you the best chance to diagnose any underlying eye diseases. Your eye doctor can also help to evaluate your eyes as an indicator of your general well-being.

What is the difference between a vision screening and an eye exam?

Vision screenings are basic eye tests to help recognize any issues with your vision, but it does not test for any underlying eye diseases. Usually, it checks for basic refractive errors such as myopia, astigmatism, and hyperopia.

A comprehensive eye exam performed by an optometrist or ophthalmologist involves a thorough examination of all aspects of your vision. Your eye doctor will be able to diagnose visual health issues and ocular conditions that are otherwise unable to be determined by vision screening.

What to expect from a comprehensive eye exam?

History Taking

Your eye care professional will ask for your background and health history as existing medical conditions may increase the potential risk of developing certain eye diseases.

Visual Acuity Test

This is a test to measure how well you can see in different distances by asking you whether you can see numbers and letters of varying sizes using an eye chart.

Refraction

This is a test to measure your type and degree of refractive error to determine your exact eyeglasses prescription.

Eye Pressure Test

Usually done with a tonometer, this test measures your eye pressure that checks for glaucoma: an eye condition that can cause vision loss due to built-up eye pressure damaging the eye’s optic nerve.

Check the front of your eyes: Slit Lamp Test

The front part of your eyes will be examined under high magnification to detect any abnormalities such as cataracts and macular degeneration.

Check the back of your eyes: Retinal Imaging / Fundus Examination

A high resolution, wide-angle picture of your retina will be captured to detect any abnormalities such as retinal detachment in the back part of your eyes.

A perfectly healthy retina.

Assessment and Management

After the eye exam, your eye care professional will advise you on the test results and steps needed if abnormalities are detected.

A comprehensive eye exam may involve more tests depending on your ocular conditions but these are the most common and will help cover a wide spectrum of eye diseases.

Babies (Age 6 months onwards)

Ensure that your child’s eyes are screened during regular pediatric appointments and they are free from common childhood eye conditions and diseases.

Children and Teenagers (Age 3 to 19)

Ensure that your child has a thorough eye check every 1-2 years during routine health check-ups or when getting fitted for corrective eyewear, such as for myopia.

Young Adults (Age 20 to 39)

Have a comprehensive eye examination if you have a family history of eye disease or if you are suffering from an eye injury.

Adults and Seniors (Age 40 onwards)

Eye conditions such as age-related macular degeneration are more likely to occur as we grow older. To monitor vision changes, you should get a baseline eye disease screening when you are 40 and ask the doctor to assess how often you need to return for follow-up screenings.

For Anyone with Risk Factors

If you have a risk factor for eye disease (Diabetes, high blood pressure, family history of eye disease), you should see your eye doctor annually. Ask your eye doctor for the ideal interval between check-ups.

Have not had a comprehensive eye exam in the past year?


Sources:

Myopia – Risks and Management

Myopia – Risks and Management

What is myopia?

Myopia is a very common eye health condition. Often called “short-sighted,” a child with myopia can see clearly up close but has blurry vision when looking at objects in the distance—like a smartboard.

Myopia happens when the normal eye grows too long from front to back. 

Light rays have trouble reaching the right spot on the back of the eye (the retina) to achieve clear distance vision.

It’s more than just stronger, thicker glasses. Myopia in kids can get worse as they grow, increasing the risk of serious eye conditions.

What causes myopia?

  • Myopia can be inherited from one generation to the next. If mum or dad wears glasses, chances are their child will too.1
  • Lack of time spent outdoors in the sun has been linked to the development of myopia.1, 2,3
  • Spending more time reading close-up on digital devices may also contribute to a child’s myopia.2,3,4
  • And there’s the routine correction of myopia – resulting in Peripheral Hyperopia – that has also been shown to signal the eye to grow, thus causing myopia.2

What are the eye health risks?

The number of kids with myopia is growing at an alarming rate around the world.  The younger your child develops myopia, the greater the risk of serious eye conditions like retinal detachment, glaucoma, cataracts, and even blindness.5

Beyond the eye health risks, myopia can negatively impact your child’s performance in school and other activities.

There is NO SAFE level of myopia.5  Practitioners and researchers do not know which child will progress to what degree.  Each prescription (diopter) increase can have a significant impact and the impact can occur anywhere – in low to high myopia ranges.6   Earlier intervention may be ideal, but any intervention is a potential benefit.   If we can reduce the level of progression, data suggests that the impact could be significant:

  • 20% reduction in retinal detachment, cataracts, glaucoma, and overall visual impairment.6
  • 40% reduction in macular degeneration. 6

This means – ½ to nearly 1 year of visual impairment could be saved. 6

What are some evidence-based ways to slow down myopia progression?

Your eye care practitioners may be able to help slow or control your child’s myopia with specially designed glasses, eye drops, or contact lenses. All of these solutions have been shown to have various levels of effectiveness.  Talk to your eye care practitioner for more information like how each works, effectiveness rates, benefits, and limitations. 

  • Specially Designed Eyeglasses
  • Pharmaceutical Eye Drops (Atropine)
  • Specialty Contact Lenses
    • Hard contact lenses (or Orthokeratology or Ortho-K lenses) that physically re-shape the cornea at night during sleep.
    • Soft multifocal contact lenses like NaturalVue® Multifocal 1 Day Contact Lenses. 
      • NaturalVue Multifocal 1 Day soft contact lenses, by comparison, utilize patented optics to move the light rays inside the retina so that the signal for the eye to grow and elongate is reduced (addressing Peripheral Hyperopia). 16,17
      • These lenses provide excellent vision by day.18
      • These lenses are daily disposables, which means comfortable daily wear with no cleaning or maintenance.
      • Clinically effective for myopia progression control.19  
        • 98% of children showed a decrease in myopia progression19
        • 81% of children’s progression stopped completely, with some showing reversal. 19
        • 0.82D average dioptric decrease per year in children ages 6-1919*

Have not had a comprehensive eye exam in the past year?


Sources:

  1. Gifford P, & Gifford KL. (2016). The Future of Myopia Control Contact Lenses. Optometry and Vision Science. 93(4): 336-343.
  2. Enthoven CA, Tideman JWL, Polling JR, Yang-Huang J, Raat H, Klaver CCW. The impact of computer use on myopia development in childhood: The Generation R study. (2020) Mar;132:105988. doi: 10.1016/j.ypmed.2020.105988. Epub 2020 Jan 15.
  3. Grzybowski A, Kanclerz P, Tsubota K, Lanca C, Saw SM. BMC Ophthalmology (2020) Jan 14;20(1):27. doi: 10.1186/s12886-019-1220-0.
  4. Huang HM, Chang DS, Wu PC. The Association Between Near Work Activities and Myopia in Children – a Systematic Review and Meta-Analysis. PLoS ONE. 2015 Oct; 10(10): e0140419
  5. Flitcroft D. The complex interactions of retinal, optical and environmental factors in myopia aetiology. Progress in Retinal and Eye Research. 2012;31(6):622-660.
  6. Bullimore MA, Brennan NA. Myopia Control: Why Each Diopter Matters. Optom Vis Sci 2019 Jun.96(6):463-465
  7. Huang J, et al. (2016). Efficacy Comparison of 16 Interventions for Myopia Control in Children. Ophthalmology. 123(4): 697-708.
  8. Cooper J, Schulman E, Jamal N. (2012). Current Status on the Development and Treatment of Myopia. Optometry. 83(5):179-199.
  9. Cope j., et al. (2016). Acanthamoeba Keratitis among Rigid Gas Permeable Contact Lens Wearers in the United States, 2005 through 2011. Ophthalmology. 123(7): 1435-1441.
  10. Nichols, J. (2017). Contact Lenses 2016. Contact Lens Spectrum. 32(January 2017): 22-29.
  11. Chalmers RL, Keay L, McNally J, & Kern J. (2012). Multicenter Case-Control Study of the Role of Lens Materials and Care Products on the Development of Corneal Infiltrates. Optometry and Vision Science. 89(3): 316-325.
  12. Tan D, Tay SA, Loh, K, & Chia A. (2016). Topical Atropine in the Control of Myopia.  Asia-Pacific Journal of Ophthalmology. 5(6): 424-428.
  13. Liu Y M, & Xie P. (2016). The Safety of Orthokeratology—A Systematic Review. Eye & Contact Lens: Science & Clinical Practice. 42(1): 35-42.
  14. Gifford P, & Gifford KL. (2016). The Future of Myopia Control Contact Lenses. Optometry and Vision Science. 93(4): 336-343. 
  15. Lam CSY, Tang WC, Tse DY, et al. Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomized clinical trial. Br J Ophthalmol. 2019 May29, e pub.
  16. Dillehay S, Woods J, Situ P, Payor R, Griffin R, Tyson M, Jones L. (2014). Comparison of Three Power Levels of a Novel Soft Contact Lens Optical Design to Reduce Suspected Risk Factors for the Progression of Juvenile Onset Myopia. ARVO Poster, Poster #A00863637; Investigative Ophthalmology & Visual Science. 55(13). 3637
  17. Payor R, Woods J, Situ P, Dillehay S, Griffin R, Tyson M, & Jones L. (2014) Feasibility Testing of a Novel SCL Optical Design to Reduce Suspected Risk Factors for the Progression of JuvenileOnset Myopia. Investigative Ophthalmology & Visual Science. 55(13). 3638. Retrieved from http://iovs.arvojournals.org/article.aspx?articleid=2269075.
  18. VTI data on file. N=59. Data assessed after 1 week of wear.
  19. Cooper J, O’Connor B, Watanabe R, Fuerst R, Berger S, Eisenberg N, Dillehay SM. Case series analysis of myopic progression control with a unique extended depth of focus multifocal contact lens. Eye & Contact Lens. 2018;4(5):e16-e24.

*Both eyes combined; On an annualised basis in children 6-19. Retrospective analysis of 32 children, ages 6 to 19, across 10 different practice locations who wore the lenses for 6-25 months.

Correcting presbyopia with contact lenses

Correcting presbyopia with contact lenses

Myth: Only eyeglasses can correct Presbyopia

Fact: It is well-known that progressive spectacle lenses help you to see clearly, but did you know that presbyopes now have multifocal contact lenses that allow excellent vision at all distances? 

Contact lenses are great for those who do not like the feeling of wearing eyeglasses, do not like the look of eyeglasses, or those who lead a more active lifestyle.

The NaturalVue® Multifocal 1 Day Contact Lenses are a great option to correct Presbyopia, as these lenses offer excellent vision at all distances1 – at near (reading your phone), intermediate (computer distance), and far (trees and road signs) – without using readers. 

In a clinical study1, people with presbyopia gave higher ratings to NaturalVue Multifocal for vision in everyday situations vs. their current correction. NaturalVue® Multifocal Contact Lens wearers can perform 92% of daily activities without reading glasses, even in low light.

People prefer NaturalVue™ Multifocal 1 Day contact lenses over some options for better vision1, like reading very small print or using a cell phone:

Why NaturalVue® Multifocal?

  • See clearly like spectacles2 with little compromise
  • No need for readers – Clear vision near, far, and everywhere in between
  • Superior overall vision – 89% found better vision for everyday activities.1
  • Daily disposability for a fresh new pair every day
  • Added UV protection for your busy outdoor days**

5 pairs free trial of NaturalVue® Multifocal 1 Day Contact Lenses


Sources:

1. VTI Data on file, 2015. N=59. Data assessed after 1 week of wear. Preference based on those who expressed a preference among brands tested. p<0.05.

2. VTI Data on file, 2015. N=59. Data assessed after 1 week of wear. Of those who expressed a preference of mode of vision, 79% preferred NVMF vs. select tested brands. Attribute ratings based on subjective ratings from patients vs. select brands (100-point scale, 0=extremely poor and 100=extremely good/no problem).

**UV absorbing contact lenses aren’t substitutes for protective UV absorbing eyewear – for example, protective UV absorbing goggles or sunglasses – because they don’t completely cover the eye and surrounding area. Patients should continue to use UV absorbing eyewear as directed. Note: Long term exposure to UV radiation is a part of risk factors associated with cataracts. Exposure is according to a number of factors, for instance, environmental conditions (altitude, geography, cloud cover) and personal factors (extent and nature of outdoor activities). UV absorbing contact lenses help provide protection against harmful UV radiation. However, clinical studies have not been done to demonstrate that wearing UV absorbing contact lenses reduces the risk of developing cataracts or other eye problems.

Persistent Eye Floaters – Causes, Symptoms and Treatment

Persistent Eye Floaters – Causes, Symptoms and Treatment

What are eye floaters?

Floaters are small dark shapes that float across your vision. They can resemble dots, specks or lines.

Most people experience temporary floaters that do not require treatment as they go away on their own. However, for more severe or persistent cases, eye floaters may obstruct vision and require removal.

EYE FLOATERS: Causes, symptoms and treatment / COC

Causes of floaters

Floaters are caused by the gel-like fluid in your eye (vitreous) becoming more liquid as you age. As you age, small strands of the vitreous clump together and cast shadows on your retina, which are the tiny specks or dots that you see. As floaters are largely age-related, people 60 years old and above are more likely to experience floaters.

Most people experience floaters at one point or another, but in most cases, the floaters end up sinking and settling at the bottom of the eye, below the field of vision. Hence, the floaters are no longer noticeable.

However, some people experience more serious cases of floaters. Such cases include:

  • Eye infections
  • Eye injuries
  • Eye inflammation
  • Bleeding in the eye
  • Retinal detachment
  • Retinal tear
  • Diabetic Retinopathy

Some people are also at higher risk for floaters than others, due to:

  • Being nearsighted
  • Having diabetes
  • Having previous surgery to treat cataracts

Symptoms of floaters

Floaters look like tiny shapes such as dots, specks, rings, cobweb shapes or other irregular shapes. Floaters seem to float across your vision when your eyes are not moving, but move when your eyes move. Trying to look directly at a floater usually results in the floater moving in the opposite direction.

Floaters are likely to be more noticeable when looking at something bright like a clear blue sky or a sheet of white paper. Floaters may appear as darker or lighter than the rest of your field of vision. Other times, the area where the floaters are located may appear more blurry than the rest of the field of vision. 

When should you be concerned?

Most cases of floaters are not causes for concern as they occur naturally. However, in certain instances, an eye doctor should be consulted as soon as possible. These situations include:

  • A lot more floaters than usual
  • Sudden increase in number of floaters
  • Flashes of light in the same eye as the floaters
  • Darkness on any side of your vision in the same eye as the floaters (peripheral vision loss)
  • Persistent floaters that interfere with your vision

When consulting an eye doctor, they will perform a dilated eye exam to check for floaters and other eye problems such as retinal tears. This exam is done by administering eye drops that widen (dilate) your pupil, allowing the eye doctor to examine your eye. This exam is typically painless. You may only experience some discomfort if the doctor presses on your eyelids to check for retinal tears.

Treatment of floaters

In most cases, the best way to deal with floaters would be to ignore them. Overtime, they will either disappear to the bottom of your eye or your brain will learn to ignore them, making them no longer noticeable.

In more serious cases, where the floaters are caused by an underlying eye problem, the eye doctor will treat that eye problem.

For rare cases where the floaters require removal, the most common treatment is a vitrectomy. During the procedure, the eye doctor will surgically remove the vitreous gel that is causing the floater and replace it with a solution to maintain the shape of your eye. This procedure is usually only used for severe cases of floaters as it comes with risks.

An alternative to the surgical method would be laser vitreolysis, where lasers are aimed at the floaters to break them up or dissolve them, making them less noticeable. However, this method is not preferred as it is still experimental. Discuss the options with your eye doctor if you are experiencing severe symptoms of eye floaters.

Reducing risk of floaters

There is no guaranteed way to prevent eye floaters. However, maintaining good eye health can help reduce risks of getting floaters. One can adopt good lifestyle habits such as:

  • Maintaining a healthy diet and incorporating leafy greens, salmon and citrus fruits
  • Quitting smoking
  • Wearing protective eyewear when necessary to protect your eyes from injury
  • Wearing sunglasses when outdoors during the day
  • Taking breaks to rest your eyes

Sources:

3 Tips for Dry Eyes

3 Tips for Dry Eyes

Why is blinking so important?

Every time you blink, you restore tear film across the surface of your eye. Light needs to pass through your eye smoothly. If your tear film is broken up, your vision is not clear. Tear film also acts as a barrier, protects your cornea and provides nutrition for the underlying structure.

Why do you experience dry eyes when using the screen for long?

When you’re concentrated on near work, you blink less. The average blink rate is 8-21 blinks per minute. Studies show that individuals blink approximately 60 percent less when using a computer.

This decrease in blink rate may be a result of serious concentration on the task at hand, or a relatively limited range of eye movement.  

When you blink less, your tear film is replenished less frequently and evaporates more quickly, causing ocular discomfort such as blurred vision, dry eyes, light sensitivity, watery eyes or a stinging sensation.

Unfortunately, there is no cure for dry eyes. However, you can still manage its symptoms. Here are 3 tips to avoid dry eyes or relieve your dry eyes:

 Tip 1: Adjusting your environment

Whether you are working in the comfort of your own home or clocking in hours at the office, the lack of moisture in your surrounding environment can cause irritation to the eyes as its surface starts to dry out. Having a humidifier near your workspace would be a great asset as it adds moisture to the air, thus providing better air quality and keeping your eyes hydrated!

Also, while using your computer or electronic gadgets, remember to adjust the brightness of your computer screen to match the light intensity of your surrounding environment to reduce eye strain.  

Tip 2: Applying Eye Drops and Using Eyelid Wipes

Artificial tears, also known as eye drops, help in maintaining eye surface moisture by providing lubrication to the eye.

Did you know that there are two different types of eye drops? 

  1. Preservative-free
    These eye drops come in single-use vials and can only be used within 24 hours of opening it.

Refresh Plus® Lubricant Eye Drops

Refresh Plus® Lubricant Eye Drops deliver extended protection and high-performance dry eye symptom relief that lasts. 

  • Designed to provide fast and long-lasting relief with an intelligent delivery system. It provides minimal blurring and immediate comfort.
  • Compatible with contact lens wear.
  • Preservative-free option for sensitive eyes.

2. Regular use

Unlike preservative-free eye drops, regular use eye drops have preservatives added to them in order to extend their shelf life.  

SYSTANE® ULTRA Lubricant Eye Drops

Similar to Systane Ultra Unit Dose, Systane Ultra is designed to provide fast and long lasting relief with intelligent delivery system. It provides minimal blurring and immediate comfort.

  • Systane Ultra is contact lens compatible.
  • Can be kept for 6 months after opening. Making it more cost-effective.

Refresh Tears® Lubricant Eye Drops

  • Ideal first line recommendation since it works on all dry eye types.
  • For consumers looking for first time eye drop, or looking for a better upgrade.
  • Other than applying eye drops, using eyelid wipes also help to relieve dry eyes, as these wipes help to cleanse the eyelids and lashes and support their natural eye lubricating functions.

SYSTANE® Lid Wipes

  • Hypoallergenic, pre-moistened.
  • Gently removes oily residues and cleanses.
  • For daily lid hygiene and to wipe infectious or oily eye lids.
  • Also removes make-up.

Tip: Bring some eye drops and eyelid wipes with you while on the go. You’ll never know when you need them!

Tip 3: Eye Vitamins

If you wish to rely less on eye drops, eye vitamins are a good and natural replacement to keep your eyes healthy too. Eye vitamins can:

  • Protects against sensation of dry eyes.
  • For dry eye sufferers who want to reduce reliance on eye drops. 
  • Contains vitamins, zinc, borage oil, omega 3 and alpha lipoic acid to improve the nutrition of the cornea and maintain a comfortable tear film.

If you are still experiencing severe visual discomfort after taking steps to adjust your environment and enhance your diet, we suggest you take a comprehensive eye exam to do a thorough check of your eyes and rule out any serious conditions that could potentially lead to blindness.  

See the recommended frequency of eye exams here:

Haven’t done a comprehensive eye exam before, or in the past year?

What is Presbyopia?

What is Presbyopia?

“Though presbyopia is a normal change in our eyes as we age, it often is a significant and emotional event because it’s a sign of aging that’s impossible to ignore and difficult to hide.”

— Gretchyn Bailey, NCLC, FAAO, Eye Health Contributor

Do not worry, presbyopia is a normal process of our eyes ageing. It is an age-related condition that results in the progressive loss of our eyes’ ability to focus clearly on nearby objects. It eventually affects everyone – people who do not have pre-existing eye conditions and even those who are already farsighted or nearsighted. According to researchers, an estimated nearly two billion people in the world have presbyopia.

What causes Presbyopia?

Presbyopia is caused by the natural aging of the lens in our eyes. As we age, the lens in our eyes hardens and becomes less flexible, and gradually loses its ability to change shape to focus on close objects.

What are the symptoms of presbyopia?

  • Blurry vision at reading distance that used to be comfortable.
  • Holding objects or reading materials further away from your eyes to see more clearly
  • Brighter light needed to see clearly
  • Headaches and eye strain when focusing up-close

If you have experienced any of the above symptoms, please do an eye exam to seek professional advice and get a better understanding of your eyes’ condition. If you are above the age of 40 but have not experienced any of the symptoms, it is still recommended that you do eye exams regularly to ensure good vision in the long run.


Sources:

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