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Cataracts

What’s Your Optometrist Role in Cataract Surgery?

If you’re over the age of 60, there’s a good chance you’ll develop cataracts sometime in the next 20 or so years. While the only effective long-term treatment for cataracts is surgery, it can take years or even decades for a cataract to reach the point where it needs to be surgically removed.

In the meantime, your optometrist can monitor its progression, manage your symptoms and ensure you have the best vision possible. Once your cataract makes it difficult for you to function day-to-day, your eye doctor will refer you to an ophthalmologist who will perform eye surgery to replace your eye’s natural lens with a clear artificial lens.

Following your surgery, your optometrist will co-manage your post-op recovery in coordination with your eye surgeon.

Your Optometrist Will Discuss Cataract Treatment Options

A cataract, a clouding of the eye’s natural lens caused by the breakdown of proteins in the lens, leads to progressively blurry vision. So if you’ve been diagnosed with a cataract but aren’t yet ready for surgery, you’ll be having regular contact with your optometrist, who will explain the condition, discuss your treatment options and help manage your symptoms.

Once you’re diagnosed with cataracts, you may want to slow the progression of the condition. Working with an optometrist who knows your personal and family health history as well as your various options for cataract management and surgery is a massive advantage, as your optometrist can give you advice on dietary and lifestyle changes.

The Importance of Regular Eye Exams

Regular eye exams are important for everyone, and particularly if you’ve been diagnosed with cataracts. Because the cloudy areas on your eye lenses will worsen with time, your optometrist will carefully monitor your vision and upgrade your glasses or contact lens prescription as needed. Your optometrist will perform a visual acuity test and other tests to gauge increased sensitivity to light and glare, as well as deterioration in your contrast and color vision.

When’s It Time for Cataract Surgery?

At some point, your optometrist may determine that your cataracts are severe enough to require surgery. That’s typically when options to correct your vision — updated prescriptions and speciality filters that block glare and increase contrast vision — are no longer sufficient to give you the vision you need.

Your optometrist can recommend an ophthalmologist and provide information about what to expect during cataract surgery. You’ll see your eye surgeon for post-surgery check-ups, and your optometrist for long-term eye care.

If your vision is blurred or if you notice a cloudy patch forming on your eye, you may have developed cataracts. For optimal vision care and cataract management, make sure to schedule an appointment with Dr. Patricia Fink at Dr. Patricia Fink Optometry in Burlington today.

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Q&A With Our Eye Doctor in Burlington, Ontario

What’s the best treatment for cataracts?

Although many people use glasses to manage cataract symptoms and improve their deteriorating vision, the only way to really treat cataracts is via surgery. You may want to delay the procedure, but once your quality of life is affected to the degree that it’s difficult to drive or perform everyday tasks, it’s time to have cataract surgery.

Will cataracts return after surgery?

Generally, no. Because the eye’s natural lens is removed and replaced with an artificial one during cataract surgery, a cataract can’t return to that eye. That said, there’s a possibility that a few years after the surgery, you may need a quick laser procedure if the proteins on the lens capsule — the layer that holds the artificial lens in place — becomes cloudy.

6 Ways To Maintain Eye Health If You’re Over 50

Aging and certain lifestyle choices can affect your vision, especially if you’re in your 50’s and up. While it’s normal for your eyes and vision to change, there are certain actions you can take to protect your sight.

6 Tips for 50+ Eye Health

  1. Eat Well

    A well-balanced diet helps maintain a healthy body including healthy eyes, and reduces your odds of developing some very serious eye diseases. Nutrients and nutritious foods, which help prevent vision loss include:

    • Vitamin A: Carrots, spinach, kale, egg yolks, dairy products
    • Vitamin C: Citrus fruits and juices, broccoli, potatoes, green peppers
    • Vitamin E: Whole grains, eggs, sunflower seeds, vegetable oils
    • Fatty Acids: Coldwater fish, such as mackerel, rainbow trout and salmon; corn oil, sunflower oil
    • Lutein: Kale, spinach, broccoli, brussels sprouts, corn
    • Zinc: Poultry, meat, fish, dairy products, whole grains

  1. Quit Smoking

Smoking can significantly increase the chances of developing age-related macular degeneration and cataracts, as well as diabetic retinopathy in diabetics. So if you’re a smoker, the sooner you quit, the better.

  1. Exercise

Exercising for at least 20 minutes a day is great for your whole body, including your eyes, by increasing blood flow to the optic nerve and retina! It isn’t necessary to engage in strenuous exercise—in fact, a brisk walk will suffice.

  1. Protect Your Eyes

Sunglasses

Protecting your eyes from ultraviolet rays with UV-blocking sunglasses can slow down the development of cataracts, prevent sun damage to your retina, and lower the risk of skin cancer near your eyes.

Protective eyewear

Another way to protect your eyes is to wear protective eyewear. If you play sports or work with materials such as wood, glass or metal, protective eyewear can shield your eyes from splinters and shards, as well as fast-moving objects like balls and hockey pucks.

  1. Give Your Eyes a Rest

If you spend a lot of time reading, driving or looking at digital devices, you may develop eye strain and eye fatigue. By implementing the 20-20-20 rule, especially during prolonged computer or smartphone use, you can give your eyes some much-needed rest. All you need to do is this: every 20 minutes look at something 20 feet away for at least 20 seconds.

  1. Have Regular Eye Exams

And finally, a comprehensive eye exam is crucial, as it can detect eye conditions that don’t display any symptoms until vision loss has already occurred.

These conditions include:

When detected early, treatment can often prevent permanent vision loss or even blindness. Less serious and more common, presbyopia or age-related farsightedness, develops with age, and simply updating your prescription for glasses or contact lenses at your routine eye checkup can keep you enjoying the arm’s-length activities you love.

Age-related vision changes can be challenging, both emotionally and physically. However, some of these can be mitigated by implementing the tips above.

Schedule an eye exam with Dr. Patricia Fink Optometry in Burlington, Ontario to check your eye health today!

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Q&A

How does aging affect your eyes?

Aging causes changes in every part of your body, including your eyes. As you age, the lens inside your eye begins to harden, which leads to presbyopia (age-related farsightedness). This makes it more difficult for your eyes to focus on near objects and tasks like reading. Other common age-related eye problems include:

  • Age-Related Macular Degeneration
  • Cataracts
  • Glaucoma
  • Diabetic Retinopathy
  • Dry Eyes
  • Floaters
  • Changes to Peripheral Vision

Can I do anything about my chances of vision loss?

It is estimated that half of all visual impairment and blindness can be prevented through early diagnosis and treatment. So make sure you get regular eye exams to ensure that all is in check.

Why Are Dilated Eye Exams So Important?

Dr. Patricia Fink Optometry Dilated Eye Exam near you in Burlington, Ontario

Having your eyes dilated during an eye exam may seem like a nuisance. But when you consider the benefits of a dilated eye exam, the temporary blurred vision and sensitivity to light that typically follow are definitely worth it.

What Are Dilated Eye Exams?

At some point during a comprehensive eye exam, your optometrist will shine a bright light into your eyes to examine the back of your eye, called the retina. The problem is that bright light causes the size of the pupil’s opening to shrink, which makes it hard for the optometrist to see a large portion of the retina.

That’s why eye doctors apply special eye drops in each eye to keep the pupils open. A dilated pupil allows for a much more accurate assessment of your eye’s structures, including the focusing lens, blood vessels and tissues at the back of the eye called the retina, as well as the optic nerve and macula.

Dilating the eyes makes it easier for your optometrist to detect the following conditions and diseases:

It’s important to note that many of these conditions can develop without noticeable symptoms, until they cause vision loss at which point treatment may be more challenging, making dilated eye exams all the more crucial.

The Dilation Process

First, your eye doctor will apply eye drops to each eye to trigger dilation of the pupil. Your eyes should be fully dilated about 10-20 minutes later.

Your eyes will remain dilated for 4-6 hours, and during this time you may be sensitive to light. That’s because the larger pupil allows more light than usual to enter the eye. Many patients find it more comfortable to wear sunglasses until their eyes return to normal.

Reading and using a computer may be difficult with dilated eyes, and your vision may be blurred. Some patients report feeling a tightening sensation in their eyelids, or headaches.

Dilated eye exams are a crucial part of keeping your eyes healthy. To schedule your comprehensive eye exam, call Dr. Patricia Fink Optometry in Burlington today!

Dr. Patricia Fink Optometry, your Burlington eye doctor for eye exams and eye care

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At what age should one have a dilated eye exam?

You should have your dilated eye exam no matter your age. Most eye doctors will dilate a new patient at their first exam regardless of age to get a baseline of their retinal health.

Will I be able to return to work after a dilated eye exam?

Everyone reacts differently, so it’s hard to tell. If your job requires you to focus on small print or detail, it may be challenging. Typing and writing may also be difficult with dilated pupils. To be on the safe side, book your appointment at the end of your work day, clear your schedule after your eye exam and only plan to do activities which aren’t visually demanding.

What You Should Know About Night Blindness

If you don’t see well while driving at night, there’s a chance you have night blindness. Night blindness, or nyctalopia, is the inability to see well at night or in dim lighting. It’s not considered an eye disease, but rather a symptom of an underlying problem.  

Our eye doctor can help diagnose, manage and treat your night blindness so that you can enjoy being out at night again. 

Here are 4 things you should know about night blindness:

Causes of Night Blindness 

The inability to see well at night can be the result of a condition such as:

Vitamin A Deficiency — Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness. 

Cataracts — A buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.

Diabetic Retinopathy — Damage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.  

Glaucoma — This group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both glaucoma and the medications used to treat it can cause night blindness. 

Myopia — Also called nearsightedness, myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.

Keratoconus — An irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.

Retinitis Pigmentosa (RP) — A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.

Usher Syndrome — This genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors. 

Symptoms of Night Blindness Include:

  • Reduced contrast sensitivity
  • Difficulty seeing people outdoors at night
  • Difficulty seeing in places with dim lighting, like a movie theater
  • Trouble adapting to the dark while driving
  • Excessive squinting at night 
  • Trouble adjusting from bright areas to darker ones 

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery. 

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision. 

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness. 

If you experience poor vision at night or in dim lighting, we can help. Contact Dr. Patricia Fink Optometry in Burlington to schedule your appointment today. 

8 Ways Your Eyes Change With Age

Our eyes and vision change with age. Your eye doctor can monitor these changes — some of which are a natural part of the aging process — and identify any eye conditions or diseases early enough to treat them and prevent vision loss. Read on to learn more about the different types of eye changes one may encounter with age.

Age-Related Eye Conditions and Diseases

Cataracts

If your vision is starting to get blurry, you may be developing cataracts. There are a few types of cataracts, but the one usually caused by aging is known as a “nuclear cataract”. At first, it may lead to increased nearsightedness or even a temporary improvement in your reading vision. But with time, the lens gradually turns more densely yellow and clouds your vision. As the cataract slowly progresses, the lens may even turn brown. Advanced yellowing or browning of the lens can lead to difficulty distinguishing between shades of color, and left untreated, it can eventually lead to blindness. Luckily, cataract surgery, where the cloudy lens is replaced with a clear lens, is an extremely safe and effective treatment option. 

Blepharoptosis

Blepharoptosis or ptosis is a drooping of the upper eyelid that may affect one or both eyes. The eyelid may droop only slightly or may droop enough to cover the pupil and block vision. It occurs when there is a weakness of the eye’s levator muscle that lifts the eyelid. This condition is usually caused by aging, eye surgery, or disease affecting the muscle or its nerve. Fortunately, blepharoptosis can be corrected with surgery.

Vitreous detachment

This occurs when the gel-like vitreous fluid inside the eye begins to liquefy and pull away from the retina, causing “spots and floaters” and, sometimes, flashes of light. This occurrence is usually harmless, but floaters and flashes of light can also signal the beginning of a detached retina — a serious problem that can cause blindness, and requires immediate treatment. If you experience sudden or worsening flashes and increased floaters, see Dr. Patricia Fink immediately to determine the cause.

Other Age-Related Changes

In addition to the above eye conditions and diseases, the structure of our eyes and vision change as we get older. 

Presbyopia

Why do people in their 40s and 50s have more difficulty focusing on near objects like books and phone screens? The lens inside the eye begins to lose its ability to change shape and bring near objects into focus, a process is called presbyopia. Over time, presbyopia, also known as age-related farsightedness, will become more pronounced and you will eventually need reading glasses to see clearly. You may need multiple prescriptions – one prescription to enable you to see up close, one for intermediate distance, and one for distance vision. In that case, people often get bifocals, multifocals or PALs, and they can be combined with contact lenses as well.

Reduced pupil size

As we age, our reaction to light and the muscles that control our pupil size lose some strength. This causes the pupil to become smaller and less responsive to changes in ambient lighting. The result? It becomes harder to clearly see objects, such as a menu, in a low-light setting like a restaurant.  

Dry eye

Our tear glands produce fewer tears and the tears they produce have less moisturizing oils. Your eye doctor can determine whether your dry eye is age-related or due to another condition, and will recommend the right over-the-counter or prescription eye drops, or other effective and lasting treatments, to alleviate the dryness and restore comfort.

Loss of peripheral vision

Aging causes a 1-3 degree loss of peripheral vision per decade of life. In fact, one may reach a peripheral visual field loss of 20-30 degrees by the time they reach their 70s and 80s. While peripheral vision loss is a normal part of aging, it can also indicate the presence of a serious eye disease, like glaucoma. The best way to ascertain the cause is by getting an eye exam. 

Decreased color vision

The cells in the retina responsible for normal color vision tend to decline as we age, causing colors to become less bright and the contrast between different colors to be less noticeable. Though a normal part of aging, faded colors can at times signal a more serious ocular problem. 

Beyond the normal changes that come with age, the risk of developing a serious eye disease, such as age related macular degeneration and glaucoma, increases. Routine eye exams are essential to keeping your eyes healthy. Your eye doctor can determine whether your symptoms are caused by an eye problem or are a normal byproduct of aging. 

If you or a loved one suffers from impaired vision, we can help. To find out more and to schedule your annual eye doctor’s appointment, contact Dr. Patricia Fink Optometry in Burlington today. 

Does Obesity Impact Eye Health?

Nation-wide awareness about the vast dangers of obesity is at an all-time high, with TV shows like “The Biggest Loser” and health initiatives such as Michelle Obama’s “Let’s Move!” campaign shining a spotlight on the importance of fitness and good nutrition. However, despite the public’s knowledge of obesity’s effects on hypertension, stroke, and diabetes, many are not aware of how it damages eye health and vision.

Increasing evidence shows that people who are clinically obese have an elevated risk of developing serious eye diseases. It is widely known that expanding waistlines place people at a higher risk of getting diabetes, heart disease, and cancer — but researchers say the link between obesity and deteriorating vision is the “risk factor that no one talks about”. Professor Michael Belkin and Dr. Zohar Habot-Wilner, from the Goldschleger Eye Institute at the Sheba Medical Center, found a consistently strong correlation between obesity and the development of four major eye diseases that may cause blindness: 

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Glaucoma
  • Diabetic retinopathy

The researchers said that although the evidence was out there suggesting a link between obesity and these conditions, their study emphasizes the optometric risks of obesity which can help motivate people to shed those extra pounds.

How Obesity Contributes to Eye Disease

A Body Mass Index (BMI) of 25 is considered overweight and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Recent research indicates that a handful of ocular diseases can now be added to that list. 

Serious eye conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss. 

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair! 

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts result when the focusing lens in the eye becomes cloudy and requires surgery to be replaced. In addition to age, cataract development is associated with obesity, poor nutrition, gout, diabetes and high blood sugar levels, though the exact cause isn’t clear.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases. 

We Can Help Keep Your Eyes Healthy in Burlington

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams with Dr. Patricia Fink can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, don’t hesitate to call Dr. Patricia Fink Optometry — we’re here for you.