NEWSLETTER

 

'All about eyes' Issue #32

Articles include:
» Help for headaches
» Progressive lenses
» Relief for dry eye
» Multifocal contact lenses
» Safety
» Alister keeps an eye on his competitors
» Lasik and the presbyopia problem

 

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Help for headache
Recurring headaches can be a symptom of an underlying problem. Vision problems that cause eyestrain and associated headache include astigmatism, longsightedness (hyperopia) and poor binocular vision. Eye-related headaches can also occur after extended periods of close work that require intense concentration. Presbyopia, which affects most people from the age of 40 years, can make you more prone to near-work induced headaches.

In cases of uncorrected hyperopia and astigmatism, the eyes’ muscles have to work harder to keep the image in focus. With presbyopia the lens becomes harder and inflexible with age, causing blurriness at near, sore eyes and difficulty changing focus from near to distance. Poor binocular co-ordination means people’s eyes may not work well together, causing strain on the external muscles of the eye and resulting in tired or aching eyes, poor concentration, headaches and blurring of vision, particularly with close work.

Most conditions can be corrected with prescription spectacles or contact lenses and sometimes advice about lighting, glare eduction, eye exercises and computer ergonomics can help. If you experience headaches after reading or using the computer, or after work every day, or feel pain around your eyes, seek an eye examination by an optometrist. Optometrists are trained in headache management and may be able to help alleviate them or suggest where you can look for further assistance.

 

 

Progressive lenses
Progressive lenses are multifocal lenses that are used to correct vision in various ways. The lens prescription makes it possible to see objects clearly whether they are far away, at a medium distance or close up. This is done by blending varying lens powers so that the wearer can look through the spectacles at different angles, depending on the type of vision required.

The distance section is used when the wearer looks straight ahead, the close-up section for tasks such as reading is at the bottom and the intermediate vision area is somewhere in between and is suited to actions about an arm’s length away such as using a mobile phone.

The areas at the sides of the progressive lenses are known as the blending zones. Unlike bifocal and trifocal lenses which have lines through them, progressive lenses have no visible dividing lines to indicate that the lens prescription has taken different levels of vision into consideration. The spectacles appear to have clear, unlined lenses but they are actually constructed with a number of curves through which the progression from one area of focus to the next is achieved. The progression is gradual, meaning that the progressive lenses enable the person wearing the spectacles to adjust focus smoothly from one area of vision to the next.

The ease of seeing through progressive lenses has a lot to do with looking directly at the object on which you want to focus. For best results your nose needs to point at the object you want to see. This keeps our spectacles and your progressive lenses centred on the object and maximises your ability to focus. Your near and intermediate prescriptions form a vertical corridor in the middle, lower portion of each lens.

Progressive lenses are cleverly designed to ensure the right part of your prescription is positioned at the right place for your various vision needs.

 

 

Relief for dry eye
Healthy eyes generate tears that protect and moisturise the surface of the eye. Changes to the health of tears can result in a change in the quantity and quality of the tears, which can lead to symptoms of dry eye. Dry eye can sometimes lead to more tears being produced, causing a watery eye, but excessive tears are not necessarily good because it can mean the eyes are trying to over-compensate for the lack of healthy tear production.

Tears are composed of three layers. The outer layer consists of an oily film that counters evaporation and keeps the eye moistened. The middle film provides nutrients and proteins that assist in limiting eye infections and the inner coating contains mucous that allows the tear film to spread and remain stable on the eye.

Dry eye symptoms can occur as a part of the natural ageing process, especially during menopause or as a side-effect of Relief for dry eye some medications, such as antihistamines, antidepressants, certain blood pressure medicines and birth control pills. Air conditioning, room heating and a dry, dusty or windy climate can make eyes dry, as do using a hair dryer, cigarette smoke and exposure to wind while running or bike-riding.

Another cause is insufficient blinking, which often occurs when staring at a computer screen for long hours.

Some soft contact lenses are prone to dehydration because they contain water and as the water evaporates from the front surface of the lens, the lenses react by absorbing water from your natural tear film, causing dry eye symptoms. Dry eye symptoms from contact lenses often can be minimised or eliminated by changing lens materials or the water content of the lenses. Your optometrist may prescribe lubricating eye-drops, gels, ointments or natural supplements that may alleviate dry eye symptoms.

 

 

Multifocal contact lenses
People are aware of multifocal spectacle lenses but most do not know that there are also multifocal contact lenses. These amazing little lenses allow you to focus clearly on near and on distant objects.

During our 40s, presbyopia develops and near objects become more difficult to focus on yet as they age, people want their vision to continue to be as comfortable and convenient as if their vision had not changed.

For contact lens wearers who require a vision correction to see close objects and have to use spectacles over their contact lenses for reading, multifocal contact lenses can provide good close-up and distance vision without the need for spectacles.

Multifocal contact lenses are available in both soft and rigid gas permeable lens materials and are designed for daily wear, extended (overnight) wear or continuous wear. Soft multifocal lenses can be comfortably worn on a part-time basis, so they are great for weekends and other occasions if you prefer not to wear them all day, every day. For the ultimate in convenience, one-day disposable soft multifocal lenses allow you to discard the lenses at the end of a single day of wear, so there is no hassle with lens care.

Soft multifocal contact lenses can also correct astigmatism by using a toric lens design. New generation silicone hydrogel contact lenses allow more oxygen to pass through the lens to the eye, making them less prone to end-of-day discomfort than traditional contact lenses. Advances in technology have meant that the inconvenience of vision problems has decreased significantly. Multifocal contact lenses come in various designs that work in different ways to give you good vision. Your optometrist can tell you all about them.

Safety
More than 70 per cent of people do not protect their eyes when doing tasks such as repairs or improvements at home.1 Despite the availability of appropriate protective eyewear, eye injuries remain common with more than 116,000 Australians each year seeking medical assistance for eye injuries.2

Most eye injuries occur either around the home or in the workplace. The two activities most frequently associated with eye injuries are welding and grinding. Eye injuries are also sustained by those watching, assisting or just passing through a workshop where welding or grinding activities are taking place so it is important for these people to wear protective eyewear too.

Many people risk their eyesight by wearing spectacles or sunglasses as a substitute for proper eye protection but this can be more dangerous because the lenses can shatter. Wearing proper face shields or safety goggles that have side shields can protect against injuries caused by flying fragments or particles impacting from the side or below.

If you are thinking about undertaking renovations or handy work, ask yourself if the job requires an expert with specialised skills and the appropriate safety protection.

If you can do it yourself, look for ways that minimise potential risks to your eyes before you start the job and make sure you wear the appropriate safety gear, including protective eyewear, at all times. Do not let anyone do the job unless they have the appropriate safety gear as well.

There is a wide range of eye protection designed specifically for spectacle wearers, in different sizes and styles, and with anti-fog or antiscratch lenses. If eye damage does occur, seek medical assistance as even an apparently minor injury may cause permanent eye damage if not treated immediately.

1. Optometrists Association Australia research conducted in March 2006.
2. Monash University Accident Research Centre Report #137. Unintentional adult eye injuries. Imberger, Altmann and Watson. May 1998.

 

 

Alister keeps an eye on his competitors
Rowing is a power and endurance sport that requires strong core balance as well as physical strength and cardiovascular endurance. Because rowers row backwards, excellent and unobstructed peripheral vision is essential.

Alister Taylor was 21 when he began rowing. Although he admits that might be considered old in some sports, he says it doesn't matter how old you are for rowing as long as you are dedicated. He has been rowing for nine years and has represented the Mercantile rowing club at national championships. He also competed for selection for the Beijing Olympic Games.

Alister was six years old when he started wearing spectacles for shortsightedness (myopia) and as a 12-year-old he began wearing contact lenses. He finds that spectacles limit his peripheral vision when rowing so contact lenses are crucial in helping him reach peak performance. 'If I don't feel as if my eyesight is at its best, then I'm not going to operate properly and could be left behind when I'm competing,' he said. Alister's optometrist suggested that Alister change from monthly-wear to daily-wear contact lenses. This gave Alister confidence in knowing that hygiene risks were reduced. 'My old monthly lens used to feel a bit gritty after rowing on the Yarra River every day. These new daily lenses are more convenient and I don’t have to worry about contamination,' he said. Rowing requires long hours of training.

In addition to one or two daily rowing sessions, Alister undertakes three or four gym sessions each week to develop strength and muscular endurance, and other cross training sessions such as running and cycling to develop aerobic fitness. Alister didn't make the 2008 Olympic squad this time round but says he will try again for the 2012 London games. In the meantime, he plans to stay enthusiastic about rowing.

 

 

Lasik and the presbyopia problem
In a normal eye light rays strike the cornea, which bends the rays inward so they meet at a sharp, focused point on the back of the eye, the retina. Shortsightedness (myopia), longsightedness (hyperopia) and astigmatism are common vision problems that occur because light does not focus properly on the retina.

Wearing spectacles or contact lenses can correct these vision problems and LASIK eye surgery is another option. LASIK is laser eye surgery that reshapes the front surface of the eye, the cornea, so the eye can focus light more accurately, improving vision. LASIK is the medical acronym for laser in situ keratomileusis.

If you undergo LASIK as a young person you will still develop a condition called presbyopia later in life, between 40 and 50 years of age. Presbyopia is often first noticed when fine print starts to blur due to the inability of the eye to focus at all distances. Eventually everyone experiences this because it is part of the natural ageing process. Even if you have LASIK surgery, you may still need to wear spectacles as presbyopia develops.

When presbyopia begins, people who already wear spectacles may need bifocals or multifocals, and those who have never worn spectacles may require reading spectacles.

Not all patients are suitable to undergo LASIK. Your optometrist can help determine if you are a LASIK candidate and refer you to an ophthalmologist who will carry out the procedure. As with any surgery there are risks to consider.

 

 


'All about eyes' Issue #32 © Copyright 2008 Optometrists Association Australia.