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Why is My Dry Eye More Severe in the Mornings?

sleepy mornings 640Waking up in the morning is hard enough, but waking up with stinging, burning eyes is even worse! If your eyes feel itchy and scratchy, this miserable morning sensation may be caused by dry eye syndrome. Your tear glands may be clogged or producing insufficient tears and oils to retain moisture.

But why do certain people experience more acute dry eye symptoms in the mornings? Here are some reasons:

What Causes Red, Itchy or Painful Eyes Upon Waking?

Nocturnal Lagophthalmos

Nocturnal lagophthalmos is the inability to close one’s eyelids completely during sleep. Since the surface of your eye is exposed at night, it becomes dry. Left untreated, this condition can damage your cornea.

Blepharitis

Blepharitis is an inflammatory condition of the eyes caused by bacterial overgrowth. These bacteria are active at night, causing dry eye-related symptoms of redness, soreness and irritation upon waking.

Environment

A gritty sensation in your eyes can also be caused by the environment. For example, sleeping directly in front of or under an air vent, heating units, or ceiling fans can dry out your eyes. In addition, sensitivity to allergens like dust that accumulate in the bedroom can cause your eyes to become dry and irritated.

Medications

Some types of over-the-counter and prescription medication can dehydrate the eyes. These include:

  • Antihistamines and decongestants
  • Antipsychotic medications
  • Antidepressants
  • Hypertension drugs
  • Hormones
  • Drugs for gastrointestinal problems
  • Pain relievers
  • Skin medications
  • Chemotherapy medications

In the majority of cases, medication-related dry eye symptoms will resolve once you discontinue the meds. However, it may take several weeks or months for symptoms to completely disappear.

Age

Many people develop dry eye symptoms with age, as tear production tends to decrease and becomes less efficient as we grow older.

How to Treat Morning Dry Eye

Depending on the cause, morning dry eye can be treated with sleeping masks, lubricating eye drops and ointment applied right before bed. To ensure that you sleep in a moisture-rich environment, consider using a humidifier. In severe cases of nocturnal lagophthalmos, eyelid surgery may be necessary.

If you are tired of waking up to red, burning eyes, visit your eye doctor for long-lasting relief. Contact Offen Eye Associates Dry Eye Center to determine the cause of your morning dry eye and receive an effective treatment plan.

Frequently Asked Questions with Dr. Alboher

Q: What causes dry eye?

  • A: Dry eye can occur if the glands in your eyelids don’t produce enough oil to keep your tears from evaporating, or if you don’t produce enough water for healthy tears. No matter the cause, it’s important to have your condition diagnosed and treated to protect your vision and ensure good eye health.

Q: Can dry eye be cured?

  • A: Dry eye is a chronic condition, so there’s is no cure for it. However, many treatment methods can help you manage this condition for long-term relief. If you have dry eye syndrome, we invite you to contact us to discover the best treatment for your needs.


 

Offen Eye Associates Dry Eye Center serves patients from Westfield, Piscataway, Metuchen and Springfield Township, all throughout New Jersey.

 

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 908-259-6646

3 Causes of Lazy Eye in Children

3 Causes of Lazy Eye in Children 640Amblyopia, commonly known as ‘lazy eye,’ is a neuro-developmental vision condition that begins in early childhood, usually before the age of 8.

Lazy eye develops when one eye is unable to achieve normal visual acuity, causing blurry vision in the affected eye—even when wearing glasses. Left untreated, amblyopia can lead to permanent vision loss in one eye.

It’s important to understand that a lazy eye isn’t actually lazy. Rather, the brain doesn’t process the visual signals from the ‘lazy’ eye. Eventually, the communication between the brain and the weaker eye deteriorates further, potentially leading to permanently reduced vision in that eye. Fortunately, vision therapy can improve the condition by training the brain to work with both eyes equally.

What Causes Lazy Eye?

When the neural connections between the eyes and the brain are healthy, each eye sends a visual signal to the brain. The brain combines these two signals into one clear image, allowing us to properly see what we are looking at.

In the case of amblyopia, the brain doesn’t recognize the weaker eye’s signals. Instead, it relies only on the visual input from the stronger eye.

Amblyopia can be caused by strabismus, anisometropia and deprivation.

Strabismus

Strabismus occurs when the eyes are misaligned and point in different directions. The most common cause of amblyopia is eye misalignment, which causes the brain to receive two images that cannot be combined into one single, clear image.

A child’s developing brain cannot process images when both eyes are not aligned in the same direction, so it ‘turns off’ the images sent by the weaker eye. This is the brain’s defense mechanism against confusion and double vision.

As the brain ‘turns off’ the weaker eye, this eye will eventually become ‘lazy’—unless treatment is provided.

Anisometropia

Anisometropia is when the refractive powers (visual acuity) of your eyes differ markedly, causing your eyes to focus unevenly – rendering the visual signal from one eye to be much clearer than the other. The brain is unable to reconcile the different images each eye sends and chooses to process the visual signal from the eye sending the clearer image. The brain begins to overlook the eye sending the blurrier image, further weakening the eye-brain connection of the weaker eye. If not treated, this results in permanent poor vision in that eye.

Deprivation

Deprivation refers to a blockage or cloudiness of the eye. When an eye becomes cloudy, it directly impacts the eyes’ ability to send a clear image to the retina, harming the child’s ability to see images clearly from that eye. When clear images can’t reach the retina, it causes poor vision in that eye, resulting in amblyopia. Deprivation is by far the most serious kind of amblyopia, but it is also incredibly rare.

There are several types of deprivation: cataracts, cloudy corneas, cloudy lenses and eyelid tumors. Each of these can affect a child’s vision, resulting in amblyopia. Because these are also difficult to notice from a child’s behavior, it’s crucial to have your child tested for eye-related problems so that treatment can begin right away.

How To Treat Amblyopia

The goal of most amblyopia treatments is to naturally strengthen the weaker eye so that your child’s eyes can work and team with the brain more effectively. Amblyopia treatment will be determined by the cause and severity of their condition.

Common types of treatment include:

  • Corrective eyewear
  • Eye drops
  • Patching
  • Vision Therapy

Vision Therapy

Vision therapy is the most effective treatment for amblyopia, which may be used in conjunction with other treatments.

A vision therapy program is customized to the specific needs of the patient. It may include the use of lenses, prisms, filters, occluders, and other specialized equipment designed to actively make the lazy eye work to develop stronger communication between the eye and the brain.

Vision therapy is highly successful for the improvement of binocular vision, visual acuity, visual processing abilities, depth perception and reading fluency.

Vision therapy programs for amblyopia may include eye exercises to improve these visual skills:

  • Accommodation (focusing)
  • Binocular vision (the eyes working together)
  • Fixation (visual gaze)
  • Pursuits (eye-tracking)
  • Saccades (eye jumps)
  • Spatial skills (eye-hand coordination)
  • Stereopsis (3-D vision)

Contact Offen Eye Associates Vision Therapy Center to make an appointment and discover how vision therapy can help improve your child’s vision. Our eye doctor will ask about your child’s vision history, conduct a thorough evaluation, and take your child on the path to effective and lasting treatment.

Frequently Asked Questions with Dr. Alboher

Q: How do I know if my child has lazy eye?

  • A: It’s difficult to recognize lazy eye because the condition usually develops in one eye, and may not present with a noticeable eye turn. As such, children generally learn how to ignore the lazy eye and compensate by mainly relying on the sight from the ‘good’ eye. Some symptoms of lazy eye include:
  • – Closing one eye or squinting
    – Difficulty with fine eye movements
    – Poor depth perception
    – Poor eye-hand coordination
    – Reduced reading speed and comprehension
    – Rubbing eyes often

Q: How is lazy eye diagnosed?

  • A: Your child’s eye doctor will conduct specific tests during their eye exam, to assess the visual acuity, depth perception and visual skills of each eye.


Offen Eye Associates Vision Therapy Center serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, all throughout New Jersey.

Request A Function Visual Exam
Find Out If Vision Therapy Can Help You! 908-259-6646

4 Reasons Why Scleral Lenses Are a Big Deal

happy girl wearing contact lenses 640Scleral contact lenses have been called “life-changing” and “transformative” by patients who wear them.

What makes these contact lenses so revolutionary?

What Are Scleral Lenses?

Scleral lenses are contacts that vault over the entire cornea and rest on the white part of the eye (sclera). Their diameter is much larger than standard lenses, which adds to their comfort and compatibility with hard-to-fit eyes.

Here’s why they’re gaining popularity in the contact lens world and why patients and doctors are calling sclerals a big deal.

1. Sclerals are Ideal for People with Corneal Irregularities or Dry Eyes

There was a time when patients with corneal irregularities or severe dry eye syndrome weren’t able to wear contact lenses at all, due to the discomfort associated with direct corneal contact. Nowadays, patients with keratoconus, other corneal aberrations or dry eye can successfully wear scleral contact lenses and enjoy comfortable and crisp vision.

Scleral lenses are also great for patients with corneal dystrophy, high astigmatism, Sjorgren’s syndrome, corneal trauma and corneal ectasia, or who have undergone cataract surgery.

2. They’re Completely Custom-Made

Each pair of scleral contact lenses is custom-designed to gently and securely rest on your unique eyes. The fitting process for scleral lenses starts with corneal topography, where the optometrist creates a digital map of your eye’s surface. This information is then used to customize your perfectly fitted pair of sclerals.

3. They Offer Optimal Visual Clarity and Comfort

The liquid reservoir that sits between the lens and the eye helps enhance the visual optics of the lens. Moreover, scleral lenses are made of very high-grade materials and don’t place any pressure on the cornea, delivering ultimate all-day comfort. Many patients have reported that they comfortably wear sclerals for up to 14 hours a day, which is longer than the wear time for standard soft contact lenses.

4. They Promote Eye Healing

Scleral contact lenses protect the eye by surrounding it with an oxygen-permeable, liquid-filled chamber. This hydrating environment gives the eye the moisture and oxygen it needs to stay healthy and ward off outside irritants.

This can also explain why scleral lenses promote healing of the eye’s surface, whether after a corneal transplant or when recovering from a chemical burn or other eye injury.

If you or a loved one have been diagnosed with a corneal condition that prevents you from wearing standard lenses, consider scleral lenses. To schedule an appointment or to learn more, call Offen Eye Associates Scleral Lens Center in Westfield today!

Offen Eye Associates Scleral Lens Center serves patients from Westfield, Piscataway, Metuchen, Springfield Township and throughout New Jersey.

Frequently Asked Questions with Dr. Alboher

Q: #1: How long do a pair of scleral lenses last?

  • A: Scleral lenses can last 1-2 years before requiring replacement. Your optometrist will provide you with instructions on how to wear and care for your lenses to keep them feeling fresh and clean, day in day out.

Q: #2: Are scleral lenses expensive?

  • A: Just like any other customized product, scleral lenses tend to be more expensive than standard soft contact lenses. Although they have a higher price point, most patients who wear them will tell you that their comfort, visual clarity and stability make them worth the cost.


Request A Scleral Lens Appointment
Can Scleral Lenses Help You? Find Out! 908-259-6646

Why Does Outdoor Time Delay Or Prevent Myopia?

outdoor children 640Now that myopia (nearsightedness) is reaching epidemic proportions across the globe, it’s all the more important for parents to understand how myopia can impact their child’s future, and learn which actions they should take to protect their child’s eye health in the long run.

You see, myopia isn’t simply an inconvenience. Childhood myopia raises the risk of developing vision-robbing diseases like macular degeneration, cataracts, glaucoma, retinal detachment and diabetic retinopathy later in life.

Myopia develops as the eye elongates more than it should, causing light to focus in front of the retina instead of directly on it. This manifests as blurred distance vision and clear near vision.

While myopia is caused by a combination of circumstances, including genetic and environmental, a key factor comes down to the amount of time a child spends outdoors in the sunlight.

How Does Outdoor Play Affect Myopia?

Although researchers haven’t yet pinpointed exactly why “sun time” prevents or delays myopia, almost all agree that it plays a large role.

One possible reason is correlated to the brightness of the sun. Some experts have found that the intensity of the sun’s rays triggers a dopamine release in the retina which is thought to slow down the elongation of the eye.

Another theory holds that outdoor time encourages a child to shift their gaze from near objects to faraway ones. Excessive near work, like staring at a digital screen, is believed to be a driving force behind the stark increase in myopic individuals today.

Sending a child outdoors to play gives their eyes a break from focusing on their tablets, smartphones, homework, gaming and other near work.

Additionally, spending more time in the sunshine means more Vitamin-D production. Small-scale studies have found nearsighted people have lower levels of Vitamin D than those with normal eyesight. However, more research is needed to confirm this theory.

Here’s the Bottom Line

Childhood myopia increases the risk of developing sight-threatening eye diseases later in life. Parents should be proactive about their child’s eye health and do what they can to prevent myopia from developing or progressing at a rapid rate.

Even if your child doesn’t have myopia, encouraging them to play outdoors for several hours a day has been found to prevent the onset of myopia in certain instances.

So go ahead and give your child a water bottle, sunscreen, a pair of sunglasses—and send them out to play! Children aged 6 and up should spend about 2 hours daily outside in the sunshine.

But sun time alone isn’t enough to ensure the best possible outcome for their eye health. A myopia management program can help give your child the best odds of healthy vision for a lifetime.

To learn more about the myopia treatments we offer and schedule your child’s myopia consultation, call Offen Eye Associates Myopia Management Center today!


Frequently Asked Questions with Dr. Alboher

Q: #1: What is myopia management?

  • A: Myopia management is the science-based method used to slow or halt the progression of myopia. There are several options available, and your optometrist will sit down with you and your child to discuss which treatment option is most suitable for your child’s needs.

Q: #2: Who can benefit from myopia management?

  • A: Myopia management treatments have been approved for children as young as 8 and can be used until early adulthood. Myopia management is great for children with low myopia but can also be effective for slowing myopia progression in kids and teens with moderate to high myopia. Contact us to find out whether your child is a candidate for myopia management.

Offen Eye Associates Myopia Management Center serves patients from Westfield, Piscataway, Metuchen and Springfield Township, all throughout New Jersey.

 

Request a Myopia Management Appointment
Want To Discuss Myopia? Call 908-259-6646

Can Drinking Coffee Relieve Dry Eyes?

Can Drinking Coffee Relieve Dry Eyes 640Many of us enjoy a cup or two of coffee in the morning to keep our eyes awake and mind alert. But what else can caffeine do for our eyes?

If you suffer from dry eye syndrome (DES), characterized by dry, itchy and red eyes, you may have been advised by a friend or doctor to steer clear of caffeinated coffee due to its diuretic effect. Caffeinated beverages increase the frequency of urination, which leads to water loss. Yet some research suggests that a cup of caffeinated joe might actually promote tear production.

Below, we’ll explore scientific research that studies the relationship between caffeine consumption and tear film.

What is Dry Eye Syndrome?

  • Dry eye syndrome (DES) is an eye condition characterized by dry, stinging, red, itchy eyes. It can be caused by several factors: poor tear quality, insufficient tears, allergies, environmental irritants and excessive digital screen time. Left untreated, DES can lead to corneal damage and scarring and even permanent vision loss in severe cases.
    Certain foods and beverages have been shown to improve the symptoms of DES, like fish high in omega 3s, leafy greens, seeds, nuts, and…possibly coffee.

How Does Caffeine Consumption Impact Dry Eye Syndrome?

  • Caffeine contains a chemical called xanthine, which has been shown to stimulate tear production when applied topically to the eye. As yet, there is insufficient published research to confirm that ingesting xanthine provides the same tear-producing effect, though preliminary studies seem to suggest that it does.

 

A study published in Optometry and Vision Science found that drinking caffeinated beverages significantly increased tear production after 45-90 minutes. Interestingly, age, gender and body mass had no bearing on the outcome.

Another study, published in Ophthalmology, found similar results. Researchers measured the participants’ tear film twice: once after consuming caffeine and once after drinking a placebo. Their tear film was thickest after consuming caffeine, especially in those with a specific genetic makeup.

While both of these studies showed promising results, they didn’t include enough participants to accurately project the findings onto the general population.

If You Have Dry Eye Syndrome, We Can Help

Finding relief from dry eye syndrome relies on understanding the root cause of your symptoms. Only your eye doctor can diagnose the problem and determine the best treatment for you, whether in the form of medicated or lubricating eye drops, in-clinic treatments, personalized eye hygiene products like eyelid cleansing wipes, nutritional supplements and more.

For long-lasting relief from dry eye syndrome, schedule your dry eye consultation with Offen Eye Associates Dry Eye Center today.

Offen Eye Associates Dry Eye Center serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, all throughout New Jersey.

References:

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 908-259-6646

Living With Keratoconus | Kenneth’s Story

Kenneth’s Story 640From the time Kenneth was 11 years old, he wore glasses to correct his quickly deteriorating vision. He was always forced to sit at the front of the classroom and felt embarrassed by it. This time in his life marked the beginning of seemingly endless visits to various eye doctors to try and figure out what was causing his vision problems.

Four years later, at the age of 15, Kenneth was diagnosed with keratoconus, a progressive eye disease that affects the shape and condition of the cornea. Kenneth was referred by his ophthalmologist to an optometrist who [specializess] in treating keratoconus.

The optometrist explained that keratoconus is a condition that causes the cornea to thin and bulge out in a cone-like shape, leading to visual impairment. The early stages of this progressive eye disease usually cause mild to moderate vision problems that can be corrected with eyeglasses. But as the cornea’s shape continues to distort, glasses are no longer suitable and rigid contact lenses must be prescribed.

The optometrist prescribed rigid gas permeable contact lenses, which significantly improved Kenneth’s vision. But Kenneth sometimes found his contacts hard to manage, and even uncomfortable at times. People would tell him to just ‘switch back to glasses’ and ‘stop wearing the lenses if they give you so much grief.’

That wasn’t possible. He simply couldn’t see without the contacts.

Thankfully, before Kenneth’s condition progressed to the point where cornea surgery was required, new technology gave him fresh hope.

At the age of 20, Kenneth was fitted for scleral contact lenses for the first time. The day of the fitting was an emotional one for him and his family, as he was truly able to see the world around him in detail—and with great comfort.

Kenneth walked out of the optometrist’s practice, looked around, and saw leaves on the trees for the first time in 5 years. Prior to this, his perception of trees were brown stumps with green shrubbery—but never leaves.

He noticed that the cars driving past him on the street looked astonishingly clean. Nothing seemed faded anymore. Colors were vivid, lines were sharp.

The detail and clarity of each object were genuinely overwhelming for him. His mom, who also suffers from keratoconus, was overcome with emotion as she watched her son visually experience his surroundings in a whole new way.

From that day forward, Kenneth’s life changed drastically. His scleral contact lenses enabled him to function normally and achieve his goals. Wearing his sclerals allows him to work, exercise, socialize and be his authentic self.

Kenneth confesses that when he doesn’t wear his sclerals, his entire personality changes. He becomes timid, quiet and apprehensive.

Having keratoconus will no longer hinder Kenneth from living his best life, and it doesn’t have to hinder you or an affected loved one.

To a person with corneal disease, scleral lenses can be truly life-changing. If you or a loved one has keratoconus or other corneal irregularities, contact Offen Eye Associates Scleral Lens Center today.

Offen Eye Associates Scleral Lens Center serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, all throughout New Jersey.

Q&A

Q: #1: How do scleral lenses work?

  • A: Scleral contact lenses are hard lenses that have a much larger diameter than standard soft contact lenses. They vault over the entire cornea and rest on the sclera (the white of the eye) so that no part of the lens is touching the cornea itself. The lens holds a reservoir of soothing and nourishing fluid between the eye and the lens, providing the best in visual clarity and comfort.

Q: #2: What other conditions do scleral lenses help with?

  • A: Any patient with irregular corneas can benefit from scleral lenses. They’re also suitable for patients with severe dry eye syndrome, as the fluid reservoir helps maintain comfort and ocular hydration. They’re also great for patients with very high refractive errors (high myopia, hyperopia, or astigmatism). Speak to your eye doctor if you think scleral lenses may be right for you.



Request A Scleral Lens Appointment
Can Scleral Lenses Help You? Find Out! 908-259-6646

5 Vision Therapy Myths Debunked

5 Vision Therapy Myths 640There’s a lot of misinformation out there, especially when it comes to vision therapy — a customized program that trains the eyes and brain to work together more effectively and efficiently.

We are here to dispel those myths.

5 Myths and Facts about Vision Therapy

1. Myth: Vision therapy is just for children

Fact: People of all ages can benefit from vision therapy.

Although vision therapy is widely prescribed for younger patients, many adults have benefited from a personalized vision therapy program. That’s because the basis of vision therapy is neuroplasticity — the brain’s ability to change and learn new habits.

Your brain is capable of forming new neural pathways throughout your entire life, so vision therapy can be effective at any age.

2. Myth: Vision therapy isn’t based on scientific research

Fact: There are numerous scientific studies that prove the effectiveness of vision therapy, funded and published by the National Eye Institute (NEI).

In fact, according to several studies, vision therapy is the most effective treatment for the most common binocular vision problem, convergence insufficiency. Research also supports the efficacy of vision therapy when it comes to lazy eye (amblyopia), eye turn (strabismus), and difficulties related to reading and learning.

3. Myth: All vision therapy is the same

Fact: No two vision therapy treatments are alike. Each patient’s condition is unique and is treated accordingly.

Vision therapists use a host of different exercises, devices, computer programs, lenses, prisms, and other equipment for treatment. Your optometrist will decide which options will benefit your condition.

4. Myth: Eye surgery is the only option for treating eye misalignment

Fact: While surgery may help the eyes appear more aligned, it can’t fully improve binocular function.

In other words, surgery corrects the physical problem of alignment but doesn’t teach the eyes and brain to work together. That’s why vision therapy is often recommended for patients who have had strabismus surgery or are considering it.

5. Myth: I don’t need vision therapy, I have 20/20 eyesight

Fact: Vision therapy has little to do with eyesight, and everything to do with how your eyes function.

Even a person with 20/20 eyesight can have poor tracking skills, eye movement skills, depth perception, and other visual deficits.

In fact, you may have poor visual skills and not even know it. If you experience symptoms like headaches, dizziness, nausea, eyestrain, or difficulty with concentrating and reading, it may be time to have your vision evaluated by a vision therapist to identify any underlying problems related to your visual skills.

To schedule a functional vision evaluation for you or your child, call Offen Eye Associates Vision Therapy Center today!

Offen Eye Associates Vision Therapy Center serves patients from Westfield, Piscataway, Metuchen, Springfield Township, and throughout New Jersey.

Frequently Asked Questions with Dr. Alboher

Q: #1: What is vision therapy?

  • A: Vision therapy is a program of [curtomized] eye exercises that are performed in-office with an at-home component as well. Vision therapy helps develop the visual system and trains the eyes and brain to work in unison. Duration of treatment varies from patient to patient, as each person responds differently. Speak to us to learn more about what we offer and how we can help.

Q:#2: Is vision therapy covered by insurance?

  • A: Vision therapy may be covered under major medical insurance plans (vision therapy is most often applied to a medical policy as opposed to a vision policy). However, certain insurance companies may deny or place severe limits on coverage for vision therapy as a cost-saving measure. When sorting out the insurance details for vision therapy, it’s important to know what questions to ask of your insurance agent or workplace HR department.



Request A Function Visual Exam
Find Out If Vision Therapy Can Help You! 908-259-6646

Why Computer Use Can Cause Dry Eye & Eye Strain

Long Term Computer Use 640Nearly 60% of the Western world use some kind of digital device — a phone, computer, tablet, TV — for at least 5 hours a day. All that screen time can result in eye irritation and dryness. In fact, dry eyes and eye strain have become so common that researchers have coined a name for it: computer vision syndrome (CVS).

What is Computer Vision Syndrome?

Computer vision syndrome (CVS) is an eye condition commonly experienced after staring at a computer screen, at arm’s length or closer, for an extended period of time. It is characterized by eye strain and dry eyes.

Because more people work and study at home as a consequence of the COVID-19 pandemic, eye doctors are reporting a significant rise in the number of adults and children exhibiting these symptoms.

The symptoms of CVS include:

  • Red, watery eyes
  • Burning or stinging eyes
  • Sensitivity to light
  • Blurred vision
  • The feeling of having something in your eyes

Computer vision syndrome symptoms are similar to those found among dry eye syndrome sufferers, a condition that also tends to develop as a result of extended computer use when blinking is reduced. Blinking is critical for good eye health as it rejuvenates the tear film on your eyes, ensuring constant hydration and protecting them from damage.

5 Tips to Prevent CVS

Luckily, computer vision syndrome can be effectively managed with a few simple adjustments to your screen time.

  1. Take regular breaks. Follow the 20-20-20 rule to prevent staring at your screen for too long. Take a break from your computer or device for 20 seconds, every 20 minutes, and look at something at least 20 feet away.
  2. Adjust your angle. Make sure your screen is 20-28 inches from your eyes and that the center of the screen is 4-5 inches lower than eye level.
  3. Use a cool-air humidifier. A humidifier adds moisture to the air and prevents your eyes from drying out.
  4. Reduce glare. Your eyes work harder to read when there is glare reflecting off your screen. Make sure your screen is positioned in a way that prevents glare from windows and lighting. You can also add a glare filter for eye comfort.
  5. Get computer glasses. Computer glasses allow your eyes to focus on a computer screen with less effort and the blue-light filter may also reduce exposure to potentially harmful blue light emitted by digital devices.

By taking regular breaks from your screen, you give your eyes and body a much-needed rest. To learn more about computer vision syndrome and to receive treatment to alleviate dry eye symptoms and eye strain, contact Offen Eye Associates Dry Eye Center.

 

Frequently Asked Questions with Dr. Alboher

 

Q: What’s the link between staring at a computer screen and dry eye?

  • A: Staring at a computer screen can reduce the number of times a person blinks by 30%. That’s problematic because blinking is essential for lubricating the eyes and keeping the protective tear film that covers the eye intact. If you find your eyes becoming irritated or uncomfortable at work, try to blink more, especially while using the computer and reading.

Q: Can blue light glasses help avoid computer vision syndrome and dry eye?

  • A: Spending long periods of time on a computer or device can negatively affect your eyes, potentially leading to computer vision syndrome and dry eye. Symptoms include blurred or double vision, headaches, eye strain, eye fatigue, sleep disruptions, and dry eyes. Computer glasses offer blue light protection by reducing the dangerous effects of blue light and the risks of computer vision syndrome.


Offen Eye Associates Dry Eye Center serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, all throughout New Jersey.


Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 908-259-6646

What’s The Link Between Obesity And Age-Related Macular Degeneration?

senior woman macular degeneration 640It’s well known that obesity is a risk factor for developing serious health conditions like diabetes and cardiovascular disease. Now researchers are studying whether being obese raises the risk of age-related macular degeneration (AMD) — a leading cause of blindness in adults over the age of 60.

What’s Age-Related Macular Degeneration (AMD)?

AMD is a progressive eye disease that damages the center of the retina, called the macula. The macula is responsible for the central vision that focuses on detail. As it deteriorates, patients may notice blurry or dark spots in their central visual field. This can make it difficult to read, drive and recognize faces.

Other symptoms of AMD are distorted vision, difficulty adjusting from bright settings to dim ones, and colors appearing dull.

There are two forms of the disease: wet and dry.

Dry AMD is much more common and less severe than wet AMD, which usually sets in quickly and progresses more aggressively. Both forms can lead to legal blindness, but treatments can help slow their progression and minimize vision loss.

If you or a loved one has been diagnosed with AMD or experience any of the above symptoms, call and ask how we can help preserve your vision.

Does Obesity Affect AMD?

Researchers are investigating whether there is a link between obesity and AMD.

Some studies suggest that people with a BMI over 30 have double the risk of developing age-related macular degeration than those with a lower BMI.

However, a study published in the journal Retina found that obesity was a predictor for the development of late-stage AMD. In simpler terms, being obese accelerated AMD progression in those who had it or were at a higher risk of developing this serious eye disease.

Another study, published in BMC Ophthalmology, supports these findings. Obesity was found to be a significant factor in the development of late-stage AMD, but this study also showed that age, smoking, and a family history of AMD are higher predictive factors.

What’s the Bottom Line?

These studies indicate that maintaining a healthy weight may lower the risk of late-stage AMD.

To reduce your risk of developing AMD, or to slow its progression, we recommend you quit smoking, eat more leafy greens and ask your eye doctor about the potential benefits of taking a supplement called AREDS 2.

If you or a loved one has received a macular degeneration diagnosis, it can be scary — but we are here for you. Our team of highly trained eye doctors can provide you with cutting-edge treatments in a warm and friendly atmosphere.

Whether it’s AMD or any other eye health problem, can help. Call today to schedule your consultation.

serves patients from Westfield, Piscataway, Metuchen, Springfield Township, and throughout New Jersey.

Q&A

Q: #1: What treatments are available for AMD?

  • A: Although there isn’t yet a cure for AMD, treatments can help slow it down and even reverse eye damage. Treatment include eye injections, laser therapy, and vitamins. Your eye doctor will determine which treatment option is right for you.

Q: #2: How common is age-related macular degeneration?

  • A: Unfortunately, AMD is the most common cause of vision loss in people over the age of 60, affecting about 196 million people around the world. That number is expected to double, to over 400 million people by the year 2050. AMD is a leading cause of permanent vision loss and blindness across the globe.




A Guide to Scleral Lenses

Vision And Medicine Concept. Accessories For Contact Lenses: Con

Many people can’t wear standard contact lenses. This is especially true of patients with severe dry eye syndrome, keratoconus, irregular astigmatism, among other conditions.

That’s why eye doctors often prescribe scleral lenses to such patients. These specialized rigid, gas permeable contact lenses have a very wide diameter and extend over the entire corneal surface, making them effective and comfortable for people with irregular corneas.

At first, some patients may find scleral lenses to be difficult to insert and remove. However, after some practice, you’ll find it easy to care for your sclerals!

Safety and Hygiene for Scleral Lenses

Handling scleral lenses incorrectly can increase your risk of eye infection. Additional risk factors include improper lens cleaning, poor hygiene, and smoking. Therefore, it’s important to follow your eye doctor’s instructions on how to handle your lenses hygienically.

Before handling, inserting, or removing scleral lenses, make sure to:

  • Always wash your hands thoroughly with non-oily soap or antibacterial-based pump soap and dry them with a clean lint-free towel or paper towel.
  • Sit at a desk or table and place a lint-free cloth down to insert and remove lenses. Avoid bathrooms, as they often contain more germs than other rooms in the home.
  • Inspect your lenses for chips or cracks and protein deposits on the lens surface. If you notice any defects or are unsure whether your lenses are damaged, don’t wear them until your eye doctor has inspected them.

How to Insert Scleral Lenses

  1. Remove your scleral lenses from their storage case and rinse with them with saline. If you’re using a hydrogen peroxide solution, wait at least 6 hours from when the lenses were placed into the storage case for the solution to neutralize. Always rinse with saline before placing the lens on the eye.
  2. Either place the scleral lens between your middle, forefinger, and thumb — known as the tripod method — or secure the lens to a suction tool (plunger) supplied by your optometrist.
  3. Fill half the bowl of the lens with preservative-free saline solution to prevent air bubbles from forming between your eye and the lens. Insert the lens directly onto the center of your eye in a facedown position.
  4. Dry and wipe your lens case with a tissue and leave the case lid off to air dry.

How to Remove Scleral Lenses

There are two methods to remove scleral contact lenses: with your fingers, or with the aid of a plunger. First, to detach your scleral lenses from your eye, press firmly with your finger on your bottom eyelid just below the edge of the lens, then push upwards.

Method 1 – Manual Removal

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    Insert a drop of preservative-free saline solution or artificial tears to loosen the lens.

  2. Look down onto a flat surface (a mirror or towel can be placed there).
  3. Use your middle finger to open your eyelid wider than the lens diameter.
  4. Apply pressure to the middle of the lid — as close to the lashes as you can — and push down on the eyelid to move your eyelid under the lens and lever it off the eye.

Method 2 – Suction Tool

  1. While looking at a mirror in front of you, hold your bottom lid open. Wet the tip of the suction tool to allow for better adhesion and attach it to the bottom of the lens.
  2. Using the suction tool, remove the lens by tilting the lens up and out of the eye.

How To Care for Your Scleral Lenses

The number one rule in contact lens care is always to follow the professional advice of your optometrist. If you need any clarification, always contact their office first.

Never ever use tap water in any area of lens care, whether to rinse or fill your lens case. Tap water contains a multitude of dangerous microorganisms, including acanthamoeba, that can cause a severe, painful, and sight-threatening infection. Be sure that your hands are fully dry after using a lint-free towel prior to handling your lenses.

Remove Before Going to Sleep

Most people can comfortably wear scleral contact lenses for up to 12-14 hours at a time. Approximately an hour before going to sleep is the best time to remove the lenses. If your lenses fog up in the middle of the day, it’s best to remove them and try various methods to clear up the fogginess before reinserting.

Use a Peroxide Cleaner

You can sterilize your scleral lenses by immersing them in 3% hydrogen peroxide. Over a period of 6 hours, the catalyst in the case transforms the hydrogen peroxide into water and oxygen gas. This gives your lenses a deep clean and removes the need to rub them, thus decreasing the risk of accidental breakage. Do not use the lenses until they have been immersed for 6 hours, as the un-neutralized peroxide will painfully sting your eyes. Leave the lens case to dry when not in use.

Use a Filling Solution That Is Preservative-Free

When inserting scleral lenses, use unpreserved sterile saline solution by filling the bowl of the lens upon insertion. Don’t use tap water or a preserved solution as these can lead to an eye infection.

Remove Debris Using Multi-Purpose Lens Solution

Once you’ve thoroughly washed and dried your hands, remove your scleral lenses and rub them for 2 minutes in a contact lens case filled with saline solution. This effectively removes microorganisms and deposits, lowering your risk of infection. While scleral lenses are strong, too much force or an incorrect technique can cause them to break.

After rubbing your lenses, thoroughly rinse them using the solution for 5-10 seconds. Then place them in a case filled with fresh solution and leave them to disinfect for at least 4 hours.

Routinely Clean and Replace Your Lens Case

Regularly clean and replace your lens case to prevent infection due to bacterial contamination.

It is recommended to clean the storage case on a daily basis and to replace it monthly or as advised by your eye doctor.

Your optometrist will recommend when to get a new pair of scleral lenses, and will advise you when to schedule follow-up appointments. Failure to show up for scheduled appointments can compromise the lenses’ efficacy.

At Offen Eye Associates Scleral Lens Center, we can recommend the best wearing schedule for your contact lenses to ensure the highest level of comfort and visual acuity. Always follow the instructions provided by your eye care professional. Call to schedule an eye exam and a scleral lens fitting today.

Offen Eye Associates Scleral Lens Center serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, all throughout New Jersey.

Q&A

 

Q: Why do I need to use preservative-free solutions to fill the lens?

  • A: Long-term exposure to preservatives can cause corneal toxicity or sensitivity that results in irritation and redness.

Q: How long do my application and removal plungers last?

  • A: Plungers should be replaced every 3 months, or sooner if necessary.



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