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6 Things To Know About Keratoconus

happy couple in winter 640×350Keratoconus is an eye disease that causes the cornea, the clear dome-shaped front surface of the eye, to become misshapen and bulge. This progressive disease usually occurs in both eyes and affects approximately 50-200 in every 100,000 individuals.

People who have keratoconus often experience problems like blurred vision, distorted vision, night blindness and sensitivity to light. Clear vision correction for keratoconus can be challenging to achieve because the irregular corneal shape makes it difficult or impossible for standard eyeglasses or contact lenses to provide you with sharp vision.

Thankfully, there are ways for people with keratoconus to achieve clear and comfortable vision, something we explore below, along with several other key points about keratoconus.

1. Everyone has different risk factors for developing keratoconus

Some risk factors for developing keratoconus include:

  • Hereditary predisposition
  • Eye rubbing
  • Other medical conditions like Down syndrome, allergic dermatitis and connective tissue disorders
  • Eye inflammation

2. Keratoconus can develop at any age

Although most cases of keratoconus are first diagnosed in adolescence or young adulthood, it can appear during any stage of life. That’s why regular eye exams are crucial, even if your vision seems clear and your eyes appear to be healthy.

3. Early diagnosis is key

This rings true for almost every eye disease, especially keratoconus. Catching it early in its tracks can allow the eye doctor to implement various treatments to slow down its progression during the initial stages, when this condition tends to worsen more rapidly.

4. Keratoconus progresses at different rates throughout life

Keratoconus progression varies from person to person, and one person can experience varying degrees of progression in each eye. Some patients live with mild keratoconus their entire lives, while other patients develop severe keratoconus early on.

Often, optometrists will recommend that patients undergo certain procedures to strengthen the cornea and prevent or slow down further progression.

5. Keratoconus can be treated with surgery or scleral contact lenses

Corneal cross-linking surgery is an effective option to provide enhanced strength to the cornea and is the only FDA-approved method of stopping or slowing keratoconus progression. However, if the condition develops into severe keratoconus, a corneal transplant may be the best option for treating the condition and restoring clear vision.

Scleral contact lenses offer another option to surgery. They are ideal for patients with early or moderate levels of keratoconus because they safely and effectively correct vision without irritating the misshapen cornea. In fact, studies have shown that patients with keratoconus who wear scleral contact lenses greatly reduce their risk of needing keratoplasty (corneal transplant surgery).

The large diameter of scleral contact lenses allows them to vault over the sensitive corneal tissue and then also coat the cornea in a nourishing reservoir of fluid for optimal comfort and visual clarity. Because eye rubbing and corneal irritation are significant risk factors for the progression of keratoconus, the protective qualities of scleral lenses can help to minimize keratoconus progression.

6. You can live a normal life with keratoconus

With the proper care and treatment from your optometrist, keratoconus shouldn’t stop you from living your life to the fullest. Although it can be discouraging to experience vision problems that can’t be resolved with standard lenses or glasses, know that there are other options available.

At Offen Eye Associates Scleral Lens Center, we help patients with keratoconus and other corneal abnormalities achieve crisp and comfortable vision using scleral contact lenses and other specialty lenses.

Our practice provides scleral lenses to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: Who else can benefit from wearing scleral contact lenses?

  • A: Scleral contact lenses are ideal for patients with any of the following conditions: corneal abnormalities, severe dry eye syndrome, post-LASIK or corneal transplant, eye allergies, high refractive error or corneal trauma. Speak with your optometrist to find out if scleral lenses are right for you.

Q: Do all optometrists fit specialty contact lenses like sclerals?

  • A: No. If you are interested in scleral contact lenses, be sure to choose an optometric practice that has years of experience fitting specialty lenses. At Offen Eye Associates Scleral Lens Center, we have the knowledge, skill and experience necessary to provide you with the best lenses for your eyes. Call us to learn more or schedule your scleral lens fitting.

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

The Link Between Myopia Progression and COVID Confinement

The Link Between Myopia Progression and COVID Confinement 640×350Several months into the COVID-19 pandemic eye doctors began to notice that children’s myopia was worsening. Researchers set out to learn whether there was, in fact, a link between the pandemic and increased myopia progression, and if so, why.

How The Pandemic Affected Children’s Vision

A recent study published in JAMA Ophthalmology (2021) found that children aged 6 to 13 experienced an increased rate of myopia progression since the beginning of the pandemic, and the lockdowns and restrictions that accompanied it.

The researchers examined the rate of myopia progression from 2015 to 2020 in more than 120,000 children from 10 elementary schools, based on school vision screenings. By the end of the study, children were shown to have significantly higher rates of myopia progression in 2020 than in previous years.

The higher rate of progression was especially severe in children between the ages of 6 and 8. Researchers theorized that the children’s earlier stage of visual development might have been the crucial factor.

Other studies have already determined that children who spend at least 2 hours a day outdoors experience less myopia progression than their peers who stay mostly indoors.

Researchers from the National Eye Institute found that children who spent significant time outdoors — about 14 hours a week — significantly reduced their chances of needing glasses for myopia. Among children with two myopic parents, the chances of needing glasses are roughly 60% if they don’t spend significant time outdoors. However, this study found that, after spending the prescribed 14 hours per week outside, the same children’s risk of myopia dropped to around 20%.

Similar results appear in a study published by the journal of the American Academy of Ophthalmology (February 2019), that shows a significant link between the amount of time children spend engaged in near-work tasks and increased myopia progression.

Taken together, these studies give us a clearer picture of the challenges children have faced during the COVID-19 pandemic, and why myopia rates in children have soared.

What Can Parents Learn From All Of This?

Parents should make an effort to encourage their children to go outside as often as possible and to spend more time away from screens and other near-work tasks. Moreover, progressive myopia in childhood has been linked to heightened risks of developing sight-robbing eye diseases later in life, such as glaucoma, macular degeneration and cataracts.

If you’re concerned about your child’s myopia, make an appointment with their eye doctor as soon as possible, as delays in seeking professional advice can make myopia management more challenging in the future.

Our practice offers myopia management to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

 

References:

https://pubmed.ncbi.nlm.nih.gov/33443542/

https://www.aaojournal.org/article/S0161-6420(17)33464-4/fulltext

 

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

Can Restricting Online Gaming Time Reduce Myopia Progression?

Two kids playing online gamesThe Chinese government recently implemented a new policy that’s sparked conversations about childhood myopia and online gaming.

Under the policy, Chinese children and teens under the age of 18 are only permitted to play online video games for one hour on weekend evenings and public holidays — a significant reduction compared to their previous online gaming allotment. This restriction includes all forms of video games, from handheld devices to computer and smartphone gaming.

The government hopes to combat a common condition called online gaming disorder, or video game addiction, which affects more than 30% of children in China. Another potential benefit of limiting online gaming may be a reduction in childhood myopia progression, something we explore below.

The Link Between Online Gaming and Myopia Progression

Myopia, or nearsightedness, is a condition that causes blurred distance vision. Several factors contribute to the onset and progression of myopia, including genetic and environmental.

Several studies have found that screen time, along with other forms of near work, is associated with higher levels of myopia and myopia progression in children.

According to a study published in the British Journal of Ophthalmology (2019), children who engage in screen time for more than 3 hours per day have almost 4 times the risk of becoming myopic. Younger children, around ages 6-7, are even more susceptible to experiencing screen-related nearsightedness, with 5 times the risk compared to children who don’t use digital screens.

Limiting screen time may also encourage children to spend more time outdoors in the sun, a protective factor against developing myopia and slowing its progression.

In The Sydney Adolescent Vascular and Eye Study (2013), researchers found that spending at least 21 hours outdoors per week was more important for delaying the onset of myopia than limiting near work in both younger and older children, although both were effective.

What’s the Bottom Line?

Although online gaming can give children a sense of community and togetherness, excessive online gaming can increase a child’s risk of developing myopia and contribute to its progression.

The good news is that parents can make eye-healthy choices for their children that can have lifelong benefits. Limiting near work activities like online gaming and other screen time, and encouraging your children to play outdoors can significantly reduce their chances of developing high (severe) myopia.

How Myopia Management Can Help

The best thing that parents can offer their children to prevent myopia and halt its progression is a custom-made myopia management treatment plan with an eye doctor.

Whether or not myopia has set in already, we can help preserve your child’s eye health and lower their risk of developing sight-threatening eye diseases like glaucoma, cataracts, macular degeneration and retinal detachment in the future.

To learn more about our services or schedule your child’s myopia consultation, contact Offen Eye Associates Myopia Management Center in Westfield today!

Offen Eye Associates Myopia Management Center offers myopia management to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: Who is an ideal candidate for myopia management?

  • A: Children, teens, and young adults who are nearsighted or are at risk of becoming nearsighted are ideal candidates for myopia management. If you think myopia management is right for you or your child, speak with us about how we can help. Remember, the sooner your child starts myopia management, the better their outcome will be.

Q: Is myopia management based on scientific evidence?

  • A: Yes! The treatments used in myopia management are all safe and clinically proven to slow the onset and progression of myopia in children and teens. There have been several scientific studies that support its effectiveness.

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

What’s a Multifocal Intraocular Lens?

Multifocal Intraocular Lenses 640×350A cataract clouds the eye’s natural lens, leading to significant visual distortions that can affect your ability to see clearly. Eventually, the natural lens will need to be removed and replaced with an artificial intraocular lens (IOL) that provides clear vision.

While most patients pick monofocal IOLs, many patients choose multifocal IOL lenses. Discuss with your [eye_ doctor] which type of IOL is right for you.

What Is a Multifocal Intraocular Lens?

A multifocal IOL allows patients to see all distances clearly. These IOLs allocate different optical powers on the IOL. The varying optical powers are created by the IOL design, which incorporates concentric rings on the surface of the lens. These allow images at a variety of distances to be in sharp focus.

It can take some time for people to adapt to multifocal IOL lenses because the focusing power the lenses provide is different from what people are accustomed to. Since the IOL relies on a different design than the bifocal or multifocal optical lenses used in eyeglasses, the brain might need time to adjust.

To ease the adjustment, most cataract surgeons recommend having multifocal IOLs implanted in both eyes, rather than just one.

Are Multifocal IOLs Right for You?

If you are looking for an IOL that can provide you with clear vision for reading, driving and watching TV, a multifocal IOL may be just right for you.

After cataract surgery, multifocal IOLs can reduce the need for reading glasses or computer glasses. These implanted lenses widen your field of vision, allowing you to see well both up close and far, often without the use of glasses. Many patients who choose multifocal IOLs find that they can go glasses-free or only occasionally need reading glasses for small print after surgery.

Despite the obvious benefits of these lenses, they may not be suitable for everyone. Some patients find that it takes longer to adapt to multifocal lenses than to monofocal lenses. Contact to discover whether IOL multifocal lenses are right for you.

Frequently Asked Questions with Dr. Alboher

Q: How does a multifocal IOL work?

  • A: When wearing bifocal or multifocal glasses, you look through the bottom part of the lens for near vision and through the top part of the lens for distance vision. A multifocal IOL is specially designed to provide clear vision at all distances at all times. Your brain adjusts, allowing you to see clearly for the task at hand.

Q: Will a multifocal IOL eliminate the need for glasses?

  • A: Most people find they do not need glasses with multifocal IOLs, but some do, depending on the situation. There may be times when the print or graphics are simply too small or too far away to be seen without glasses.
  • serves patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Screen Time Can Lead To Eye Strain And Convergence Insufficiency In Children

Screen Time 640×350Now that a couple of years have passed since the start of the COVID-19 pandemic, researchers have gotten a clearer picture of the impact that online schooling has had on children’s eyes.

Not only have myopia cases increased, but more children are experiencing symptoms of eye strain and convergence insufficiency due to extended screen time.

Below, we explore what eye strain and convergence insufficiency are, and how vision therapy can help counteract the negative effects of online learning.

Symptoms of Digital Eye Strain

Prolonged use of digital devices like computers or smartphones can cause a condition called computer vision syndrome, also known as digital eye strain. This condition affects around 50% of adults and children.

Symptoms of digital eye strain include:

  • Sore eyes
  • Blurred vision
  • Neck and shoulder pain
  • Headaches

Children who complain of any of these symptoms should have their eyes evaluated by a developmental optometrist to ensure that vision problems aren’t exacerbating their symptoms.

What is Convergence Insufficiency?

Normally, when your eyes focus on a very near object, like a pencil near your nose, they must point slightly inwards to see a unified and clear image.

With convergence insufficiency, the eyes aren’t able to work in unison to point inward. Instead, one eye may point outward when trying to focus on a near object, leading to blurred or double vision.

Children with convergence insufficiency may struggle to perform visually demanding near tasks like reading and homework. In fact, many children who have vision-related learning problems are often misdiagnosed as having learning disabilities.

How Does Screen Time Lead to Eye Strain and Convergence Insufficiency?

Experts at Wills Eye Hospital recently studied the correlation between prolonged screen time and its effects on children’s eyes. They surveyed 110 students aged 10-17 who attended classes online. Prior to the beginning of online sessions, the students all had healthy vision.

The researchers discovered that the number of hours spent in front of a screen directly correlated to the likelihood of developing digital eye strain and convergence insufficiency. More than half of the students experienced symptoms of both visual conditions, with 17% of cases being severe convergence insufficiency.

These important and timely findings should alert parents to the risks that come with online learning, and encourage them to find solutions and take preventative measures to keep their kids’ eyes healthy. Fortunately, that’s where vision therapy comes in.

How Can Vision Therapy Help?

Vision therapy trains the eyes and brain to work together efficiently to resolve a wide range of visual dysfunctions.

Restoring healthy binocular vision is the goal for children with convergence insufficiency, and vision therapy is a primary treatment for accomplishing that.

According to the National Eye Institute, most children with convergence insufficiency experience significant improvement after just 12 weeks of vision therapy.

Vision therapy can also be effective for treating symptoms of digital eye strain in children. According to the Optometrists Network, a free and extensive online library for eye care, vision therapy can relieve symptoms of digital eye strain by strengthening the visual system.

To learn more about the benefits of vision therapy or to schedule your child’s functional visual evaluation, contact Offen Eye Associates Vision Therapy Center today!

Offen Eye Associates Vision Therapy Center offers vision therapy to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: What is a functional vision evaluation?

  • A: A functional visual evaluation assesses a multitude of visual skills that normally aren’t tested in standard eye exams or vision screenings. Some examples of those visual skills include convergence, eye tracking and teaming, visual processing, eye movement, focusing, eye alignment and accommodation flexibility.

Q: Who is a candidate for vision therapy?

  • A: Children and adults who have varying degrees of visual dysfunction are ideal candidates for vision therapy. Many patients may not be aware of problems with their visual systems but suffer from symptoms like headaches or dizziness, which may be rooted in their vision. Children with learning problems or any visual symptoms may benefit from a customized vision therapy program.

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

Blinking Exercises for Dry Eye

Blinking Exercises 640×350Did you know that the average person spends around 7 hours a day looking at a screen? The glare and reflections from computer, smartphone, and tablet screens can reduce blink rates by as much as 60%. When we concentrate intensely we tend to blink less, which can, in turn, lead to dry eye syndrome.

Symptoms of dry eye syndrome include red and dry eyes, irritated eyes, blurred vision, painful or stinging eyes, light sensitivity and mucus around the eyes.

Blinking helps keep our eyes healthy and comfortable. With every blink, the ocular surface is cleaned of debris and lubricated, so less blinking means more irritation and dryness.

Below are a few blinking exercises to help you ensure that your eyes remain lubricated and refreshed throughout the day.

Blinking Exercises

Blinking exercises are simple to do and can be seamlessly integrated into your daily routine. These exercises should be done a few times an hour. Try alternating between the 2 exercises below.

1. Close-Pause-Pause-Open-Relax

  1. Without squeezing, gently close your eyes.
  2. Pause and keep your eyes closed for 2 seconds.
  3. Gently open your eyes and relax them.
  4. Repeat 5 times

2. Close-Pause-Pause-Squeeze-Open-Relax

  1. Without squeezing, gently close your eyes.
  2. Pause and keep your eyes closed for 2 seconds.
  3. While keeping your eyes closed, squeeze your eyelids together slowly and gently.
  4. Gently open your eyes and relax them.
  5. Repeat 5 times

The Importance of Fully Blinking

It’s important to fully blink to completely lubricate your eyes. If you’re only partially blinking, it can render your dry eye symptoms worse.

To find out whether you are fully blinking, just look at your eyes in the mirror. If they feel dry or appear red, or if you see a horizontal stripe of red blood vessels across your eyes, then you have been partially blinking.

If you’ve incorporated blinking exercises into your routine but are still experiencing eye irritation, you may have dry eye syndrome. We can diagnose the underlying cause of your symptoms, and offer a variety of dry eye treatments to alleviate any discomfort. Schedule an eye exam with Offen Eye Associates Dry Eye Center today to receive effective, long-lasting relief.

Offen Eye Associates Dry Eye Center serves dry eye patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: What is dry eye syndrome?

  • A: Dry eye syndrome is caused either by insufficient tears or poor tear quality. Every time you blink, you leave a thin film of tears over the surface of your eyes. This helps keep your vision clear and your eyes healthy. If your tears don’t keep the surface of your eye moist enough, you will experience dry eye symptoms. Some medical conditions, certain medications, dysfunctional glands, allergies and environmental irritants can all cause dry eye symptoms.

Q: What are the symptoms of dry eyes?

  • A: Symptoms of dry eye include irritation; a gritty, scratchy or burning sensation; blurred vision; excessive tearing; and/or a feeling of having something stuck in the eye.

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

6 Tips For Adjusting To Wearing Scleral Lenses

6 Tips For Adjusting To Wearing Scleral Lenses 640×350Congratulations on your new pair of customized scleral contact lenses! As with most new things, there can be a learning curve when getting your scleral contacts to feel and fit just right.

Whether you’ve been prescribed sclerals for keratoconus, dry eye syndrome, corneal abnormalities or other conditions, it can take up to two weeks for you to feel completely comfortable in your new contacts.

Here are some tips to help shorten the adjustment period on your scleral lens journey:

1. Stick to proper hygiene protocol

Even the most perfectly fitted scleral lenses won’t feel right if they aren’t cleaned and cared for properly. Carefully follow the hygiene guidelines prescribed by your optometrist without cutting any corners. Although it may seem tedious at first, your efforts will be well worth the results.

2. Practice makes progress

The only way to make inserting and removing your lenses second nature is to wear them. Don’t be discouraged if it takes a bit more time to insert them than you’d anticipated. Wearing your sclerals daily will give you the opportunity to practice wearing and caring for your lenses.

3. Try out different insertion tools and techniques

At your initial fitting or follow-up consultation, your eye doctor will show you ways to safely and comfortably insert your lenses. Some patients prefer using a large plunger, while others prefer the scleral ring or O-ring. If neither of these recommended techniques are working for you, seek advice from your eye doctor.

4. Overfill the lens

A common problem that many patients encounter when they begin wearing scleral contact lenses is how to get rid of tiny air bubbles that get trapped in the lens’ bowl. Try filling up the lens with the recommended solution until it is almost overflowing. That way, you’ll have enough fluid left in the lens even if some spills out when you bring it up to your eye.

5. Give it time

If your scleral lenses feel slightly uncomfortable upon insertion — don’t worry. It’s recommended to wait 20-30 minutes to allow them to settle on the eye’s surface before attempting to readjust or remove them. Of course, remove them immediately and try again if you feel significant discomfort.

6. Follow up with your optometrist

Even once you leave your optometrist’s office, we encourage you to remain in touch with your eye doctor if something doesn’t feel right or if you have any questions regarding your scleral lenses.

To learn more or to schedule a scleral lens consultation, call Offen Eye Associates Scleral Lens Center today!

Offen Eye Associates Scleral Lens Center provides scleral lenses to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: What are scleral contact lenses?

  • A: Scleral contact lenses are rigid gas permeable lenses with a uniquely large diameter. They rest on the sclera (whites of the eyes) instead of the cornea, making them a more comfortable and stable option for people with corneal irregularities or dry eye syndrome. Scleral contacts hold a reservoir of nourishing fluid between the eye’s surface and the inside of the lens, providing the patient with crisp and comfortable vision.

Q: Who is an ideal candidate for wearing sclerals?

  • A: Patients with keratoconus, corneal abnormalities, ocular surface disease (dry eye syndrome) and very high refractive errors can all benefit from scleral lenses. Moreover, those with delicate corneas due to disease or after surgery find scleral lenses to be comfortable and therapeutic, as the lenses don’t place any pressure on the sensitive corneal tissue.

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

What Causes Retinal Tears?

What Causes Retinal Tears 640×350The retina is the light-sensitive tissue that lines the inner back portion of the eye. It is responsible for gathering incoming light and sending images to the brain so they can be processed.

Retinal tears occur when the delicate tissue gets pulled, creating a hole or tear in the retina. They need to be taken seriously because they can lead to a more severe condition called retinal detachment, which is considered a sight-threatening medical emergency.

What are the Symptoms of Retinal Tears?

Patients with retinal tears will often experience one or more of the following symptoms:

  • Flashes of light
  • Sudden onset or increase of floaters
  • Seeing a shadow in your side vision
  • Blurred vision
  • Seeing a gray curtain moving across your visual field

However, in some cases, retinal tears may not produce any noticeable symptoms.

What Conditions Can Cause Retinal Tears?

The eye is filled with a substance called vitreous. At birth, the vitreous is attached to the retina and has a gel consistency. As we age, the vitreous becomes more like a liquid and slowly detaches from the retina in a process called posterior vitreous detachment (PVD).

Usually, this process occurs without any complications. If the vitreous detaches too suddenly or abnormally, it tugs on the retina and can tear it. Additionally, some people have a more “sticky” vitreous, which makes it easier for the retina to rip.

Another main cause of retinal tears is eye trauma. Blunt force eye trauma can cause the retina to become bruised or scarred, making it more vulnerable to tearing.

Other associated causes or risk factors of retinal tears include:

  • Diabetes
  • Personal or family history of retinal tears/detachment
  • Retinal degeneration
  • Inflammatory disorders
  • Certain cancers
  • Autoimmune diseases
  • High myopia
  • Sickle cell disease
  • Retinopathy of prematurity
  • Prior surgery within the eye

Be sure to disclose any relevant medical information to your eye doctor for optimal preventative eye care.

How are Retinal Tears Treated?

Retinal tears are typically treated surgically with a laser (photocoagulation) or cryotherapy. Both methods are considered very safe and effective.

These treatments reseal the retina to the back wall of the eye and prevent fluid leakage underneath the retina.

The prognosis of a retinal tear is very positive when caught early, making regular eye exams that include examination of the retina crucial for all adults.

In some cases of minor retinal tearing, no treatment is required. If the retinal tear causes no symptoms, close monitoring may be all that’s needed.

After Your Retinal Tear Has Been Treated

After treatment, your optometrist will schedule various eye exams in order to monitor any changes in your retinas or eye health. Inform your eye doctor immediately if you notice any changes in your vision or if you experience new symptoms that may signal a problem.

If you or a loved one has been diagnosed with a retinal tear or is at risk of developing one, call to schedule a consultation.

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

References

4 Reasons Why Your Child May Be Refusing to Read

4 Reasons Why Your Child May Be Refusing to Read 640×350Reading involves the simultaneous coordination of a number of basic visual skills. For children who have not yet mastered some of these skills, reading can be an exercise in frustration, leading them to avoid reading altogether.

While many of us take our eyes’ ability to converge, focus and track for granted, those with underdeveloped visual skills often struggle to keep track of where they are on the page and to fully understand and remember what they’ve just read.

We’ve outlined four of the top vision-related reasons why children refuse to read, and how vision therapy can help your child become a more confident reader.

1. Eye Tracking Problems

Eye tracking is the eyes’ ability to move smoothly and accurately from place to place. Good eye tracking skills allow a child to keep their eyes on an incoming baseball or move successfully from word to word on a page of text without losing their place.

For a child with eye-tracking issues, eye movements will be slow and inaccurate, often seen as eye flickering or requiring extra head movements, to compensate for the reduced visual skill.

Poor eye tracking can cause a child to frequently lose their spot and skip words or even whole lines of text while reading. In this case, the child uses a lot more energy than their peers to simply keep track of where they are on the page, causing difficulty with reading comprehension and fluency.

2. Difficulties With Eye Teaming

Eye teaming is the eyes’ ability to work together to send accurate visual information to the brain. Although each eye sends a slightly different image, the brain is able to combine these two images into a single picture, allowing for three-dimensional vision and depth perception.

When children have problems with eye teaming, their eyes are unable to work together. They send two very distinct images to the brain, which struggles to easily combine the two images into a single clear, cohesive image.

A child attempting to read with eye teaming issues may experience eye strain, headaches or even double vision. Often, words on a page will look blurry or appear to ‘float’ on the page. Eye teaming difficulties may also cause the child to have a reduced attention span, and lead them to avoid reading or not read at grade level.

3. [Visualization] Problems

Visualization refers to the ability to see something in the mind’s eye even if that thing is not right there in front of us. This skill allows a child to recall words and remember how to spell words that they’ve previously seen. [Visualization] allows many of us to read a story and then ‘see’ the characters and events play through our mind as if we are watching a film.

For some children, however, this doesn’t happen. The brain has a hard time taking the visual information it’s receiving from the eyes and interpreting it into larger images and concepts. This can result in poor reading comprehension and may render that reading is a chore and an unenjoyable experience.

4. Issues with Accommodation

Accommodation is the ability to refocus the eyes each time we shift our gaze from one image or object to the next. This happens as a result of the swift and accurate contraction and relaxation of muscles in the eye to quickly focus and refocus as the eye moves.

In children with accommodation problems, the focusing muscles in the eyes do not smoothly contract and relax efficiently as their eyes move across the page from word to word or from a book (or screen) to the board and back. They need to stop and refocus their vision every time they read another word. This stop-and-start type of reading harms reading comprehension, and the constant need to refocus can cause headaches and eye strain.

So What’s The Solution?

All of the problems mentioned above are due to reduced visual skills and can be frustrating for children and parents alike. Fortunately, there is a solution: vision therapy.

Vision therapy is a personalized, doctor-prescribed evidence-based regimen of in-office and at-home eye exercises to teach your child’s eyes and brain to more effectively work together. Depending on your child’s needs, the customized program may include vision therapy aids such as prism glasses, devices and specialized therapy computer programs.

Contact Offen Eye Associates Vision Therapy Center to help your child get back on track with their reading and learning.

Offen Eye Associates Vision Therapy Center offers vision therapy to patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

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

7 Ways to Wish Dry Eye ‘Goodbye’

7 Ways to Wish Dry Eye Goodbye 640×350There’s no reason to suffer through the uncomfortable, sometimes debilitating symptoms that can accompany dry eye syndrome. Living with chronically dry, red and irritated eyes can affect your productivity and overall enjoyment of life.

That’s why we’ve put together 7 of our top tips for relieving dry eye syndrome.

1. Stay Hydrated

The tears are mostly made up of water, supplied by the tear glands. People need to drink enough liquid to maintain a stable tear film, so if your body isn’t sufficiently hydrated, your eyes won’t be able to produce sufficient tears and will suffer the consequences.

Keep your water bottle at arm’s reach throughout the day. You can even sip on juices, broths and dairy or plant-based milk to keep your body and eyes properly hydrated. Many health authorities recommend drinking between 2-3 liters of hydrating fluids per day.

If your eyes have been feeling dry or irritated, try limiting your alcohol intake because it is a diuretic.

2. Use Artificial Tears

Artificial tears aren’t just great for making your eyes feel more comfortable; they also have protective properties that can prevent ocular surface damage from occurring or worsening.

The tricky part is choosing the correct drops for your specific condition.

By assessing your eyes, your eye doctor can determine what’s causing your eyes to be dry and recommend the most appropriate drops. There are numerous types of artificial tears on the market, and what may work for a friend or relative may not be the best option for you.

3. Up Your Omega-3 Intake

A healthy tear film consists of three layers: water, oil and mucus. An imbalance in any of these components can result in tears that evaporate prematurely. To ensure that your eyes can produce enough of the oils that stabilize your tears, include the recommended daily intake of Omega-3’s in your diet. You can take a supplement and/or eat foods like fatty fish, seeds and nuts.

*It’s best practice to speak with your healthcare provider before making any changes to your diet or introducing a new supplement to your routine.

4. Wear Sunglasses

Sunglasses not only reduce your glare symptoms and provide important UV protection but also effectively offer relief from dry eyes. Dry eyes are vulnerable to irritation from light winds that can dry out the eye’s tear film.

Whenever outdoors, wear a pair of protective wraparound sunglasses to minimize the effects of wind and seal out dirt and debris that can be carried in the breeze. For severe cases of dry eye syndrome, ask your optometrist about specific lenses or eye drops to provide even more relief from dry eyes.

5. Use a Humidifier

When the air around you is too dry, it pulls the remaining moisture from your tears, leaving your eyes feeling parched.

Humidifiers combat the dryness in any indoor environment by replenishing moisture in the air. Whether at work or home, use a humidifier to offset dryness, especially if you are using a fan, heater or air conditioner in the room.

6. Try Warm Compresses

Warm eye compresses are a great way to relieve symptoms of mild to moderate dry eye syndrome.

The gentle heat from a compress helps to soften any hardened oils that may be clogged in the little oil glands that line the eyelashes. Your oil glands will work more efficiently to deliver tear-stabilizing oils to your eyes’ surface once the glands aren’t blocked. Your eye doctor will instruct you on how to easily prepare a warm eye compress at home.

7. Visit Your Dry Eye Optometrist

Your [eye doctor] offers a range of successful options to treat your dry eyes to ensure you always have clear vision and comfortable eyes. Call your dry eye optometrist to have your eyes thoroughly evaluated and treated for long-lasting relief. There is a wide range of in-office treatments that can alleviate symptoms of dry eye syndrome and help your eyes feel refreshed.

To learn more about our dry eye services and schedule a consultation, call Offen Eye Associates Dry Eye Center in Westfield today!

Offen Eye Associates Dry Eye Center serves dry eye patients from Westfield, Piscataway, Metuchen, and Springfield Township, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Alboher

Q: What are other symptoms of dry eye syndrome?

  • A: Aside from redness and dryness, dry eye syndrome can also cause watery eyes, stinging or burning, stringy mucus, blurred vision, grittiness, light sensitivity and difficulty wearing contact lenses. Symptoms can range from mild to debilitating, and from occasional to chronic.

Q: Does dry eye syndrome need to be treated?

  • A: If left untreated, dry eye syndrome can cause eye inflammation, corneal ulcers or abrasions and even vision loss in severe cases. Dry eye syndrome also puts a person more at risk of developing eye infections. If you have any symptoms of dry eye syndrome, contact us for a tailor-made treatment plan.

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