Category: Eye Health and Diseases

Common Eyelid Bumps

Eyes are one of the most sensitive areas of the body and we tend to notice any pain related to our eyes relatively quickly. Here are a few common eye conditions and symptoms causing eyelid bumps. Have more questions? Give our office a call!

I have a red bump near the edge of my eyelid, what is this?

An infection called a stye causes this red bump. Bacteria enter the base of an eyelash and become infected. It can be contagious so it is important to wash your hands if you touch your eyes and not share any washcloths or hand towels with others. While a stye can be annoying, you should never pop or poke it. Eventually, a stye will heal on its own within a few days. Use a warm washcloth can help to alleviate some of the pain and speed up the healing process.

What is the bump inside my eyelid?

An infection called chalazion causes the bump inside your eyelid. This is similar to stye but found inside the eyelid on an oil gland. Typically, this red swollen bump is benign and containings fatty secretions that normally help lubricate the eye. Chalazions are not infectious and typically resolve on their own within a few days to a week. Try using a warm compress to help relieve discomfort and move along the healing process. If you are experiencing pain or discomfort from a chalazion and it does not heal on its own, call our office to schedule an appointment!

Why does my baby have tiny bumps on and around the eye area?

Milia are the tiny white or yellowish bumps seen around a baby’s eyes. These look similar to a whitehead but are not acne. Milia occur in clusters and are caused by dead skin cells getting trapped under the surface of the skin. Most commonly, they occur in babies but can be found at any age. Parents can expect milia on newborns to resolve on its own within a few weeks. Do not try to pop or remove milia yourself.

Why is my eyelid swollen?

Inflammation or excess fluid surrounding the eye causes a swollen eyelid. Eye infections, injuries, trauma, and allergies are the most common causes of a swollen eyelid. Whether or not you experience pain and how long the healing process will take is determined by the cause of the swelling. Are you experiencing swelling surrounding your eye from an unknown cause or for an extended period of time? Call our office to schedule an appointment or consult with your eye doctor.  

Have more questions?

If your eyelid condition or concern does not fit into one of these categories or you have additional questions please call our office to schedule a consultation. The staff can answer all of your questions and give a personalized recommendation for your eye care.

Get the Facts About Lazy Eye

Lazy eye, or amblyopia, occurs when one eye fails to reach normal visual acuity, even with prescription lenses. In most cases, this begins in infancy and early childhood. If left untreated, lazy eye can result in blindness, loss of vision, or the abnormal development of a child’s eyes.

What causes lazy eye?

Lazy eye occurs when one eye experiences fewer visual signals from the brain in comparison to the other eye. In prolonged cases, the eyes may stop working together and eventually the brain may completely ignore the input coming from the “lazy” eye.

Strabismus

Strabismus, the most common cause of lazy eye, is when an individual has a crossed or turned eye. Due to poor alignment, the brain begins to ignore the input from the poorly aligned eye resulting in strabismic amblyopia.

Refractive

Refractive amblyopia is caused by unequal refractive errors in the eyes. For example, if one eye has an uncorrected nearsighted RX and the other does not, an individual will experience blurred vision in only one eye. In this example, the brain will eventually neglect the blurred vision and causes amblyopia from lack of use.

Deprivation

Deprivation amblyopia is caused by articles on the eye, such as a cataract, preventing light from entering the eye.

Signs and symptoms to look for:

Because lazy eye begins at such a young age, it is difficult to pinpoint exact symptoms. However, as a parent, there are signs you should look for to determine if your child may have a visual disability. These include:

  • Crossed eyes or misalignment
  • If a child cries or fusses when you cover one eye
  • Trouble reading
  • An eye which wanders inward or outward
  • Poor depth perception
  • Squinting or shutting an eye

Importance of early detection

Lazy eye will not subside on its own and can worsen over time. If left completely untreated, lazy eye could lead to permanent visual problems. It is important to have your child’s eyes examined at an early age to catch any signs of lazy eye and seek treatment if needed.

Children should have their first eye exam at 6 months old, another at 3 years old, and again before starting school. Regular comprehensive eye exams help ensure your child’s eyes are developing normally and allow for early detection and treatment of eye-related conditions.

Myth or Fact

Bangs cause lazy eye. MYTH. Lazy eye cannot be caused by bangs or other cosmetic modifications unless it causes the eye’s line of sight to be blocked all day and night.

Patching is a common way to treat lazy eye. FACT.

Older children and adults with lazy eye cannot receive treatment. MYTH. An individual can receive treatment for lazy eye at any time. The effectiveness of treatment depends on a variety of factors including development stage and early detection.

The eye becomes “lazy” because the brain has decided not to process visual information from the eye. FACT.

Treatment is most effective if lazy eye is detected before age 7. FACT.

Flashes, Floaters, and Spots: What’s in my Vision?

Have you noticed tiny shadows cast upon objects you are looking at? Do you see small spots in your vision when looking at a clear or overcast sky? You may be seeing floaters and spots in your field of vision.

What is the spot in my vision?

It is completely normal to see spots or floaters in your vision. As you age the gel-like consistency in your eyes begins to dissolve creating floaters in the watery center of your eye. While you cannot see the particle floating in your eye, a shadow of these particles can be seen reflected in the objects you are viewing.

Do I need treatment for my floaters?

No, most of the time treatment is not required for floaters in the eye. The floaters and spots are harmless, and most will fade over time. If your vision is inhibited by large floaters, give our office a call to discuss options available to reduce these symptoms.

Why is there a flash in my vision?

When light enters your eye it sends a message to the retina, the retina then produces an electrical impulse which is sent to the brain. The brain interprets this impulse as an image. If the retina is tugged, torn, or detached from the back of the eye it is common to see a flicker of light. The flashes or flickers of light can be temporary or continue indefinitely depending on the severity of the retinal issue.

Is this ever a medical emergency?

Seeing a few new floaters is not an emergency, however, if you suddenly see a shower of floaters or spots this may be cause for concern. The sudden appearance of flashes of light could mean that damage is occurring to your retina. If any of these symptoms suddenly appear, call our office immediately to discuss with your eye doctor.

Conditions associated with eye floaters and flashes:

  • Bleeding inside the eye
  • Inflammation of the interior of the eye
  • Nearsightedness
  • Cataract surgery
  • Laser eye surgery
  • Diabetes
  • Eye infections

FAQs: About My Symptoms

An overview and explanation of common eye symptoms.

Whether you or someone you know is suffering from a common eye-related condition, we know that you want the facts! Here are some of the most common questions and eye-related disorders we see in our office every day. If you are experiencing any of these eye symptoms or have questions about your eye health, give us a call to schedule your next appointment today.

Why are my eyes red?

Red or bloodshot eyes are a common problem caused by swollen or dilated blood vessels on the outer surface of the eye. Sometimes red eyes bother people because they are in pain, but that’s not always the case.

Potential causes of red eye include:

  • Allergies
  • Pink eye
  • Eye trauma

Why are my eyes itching?

Itchy eyes are one of the most common eye-related condition that patients experience. When an allergen (irritating substance) enters the eyes, your immune system responds with a natural defense mechanism by releasing a chemical causing the itching sensation.

Potential causes of itchy eyes include:

  • Allergies
  • Prolonged use of digital devices
  • Contact lens usage

How do I reduce my symptoms of itchy eyes?

To reduce your allergy symptoms try using eye drops to help lubricate your eyes. While rubbing can provide temporary relief it puts you at risk for damaging your cornea or adding even more allergens and bacteria into your eye.

Why are my eyes puffy?

Swelling around the eyes is due to excessive fluids in the skin tissue. As this fatty tissue gains fluid it begins to push forward and “bags” form under the eye.

Excessive fluid and puffy eyes can be caused by:

  • Allergies
  • Sinus problems
  • Dehydration
  • Overconsumption of salt
  • Fatigue or lack of sleep
  • Stress
  • Aging
  • Crying  

What is causing my burning, itchy eyes?

The sensation of burning eyes can be caused by a variety of everyday environments. For example, exposure to products such as makeup, facial cleansers, or shampoo may cause burning or itchy symptoms. Other factors like allergies, wind, and environmental irritants can also cause burning in your eyes. Keep track of what surroundings or products are causing these symptoms and try to reduce your exposure. If you live in a high wind or sandy environment, try wearing a pair of wraparound sunglasses to protect your eyes from the elements when outdoors.

I’m seeing spots and floaters, why?

Spots and floaters are a shadow in your vision caused by bits of protein and tissue in the gel-like matter in your eyes. It is normal to occasionally see spots or floaters in your vision and will become more common with age as the gel-like material in your eye begins to dissolve and liquefy.

I am experiencing eye pain, what should I do?

If you are experiencing prolonged eye pain or have a foreign object enter your eye, call our office immediately. It is important not to rub your eyes or try to remove the object yourself as this may irritate your eye further.

Describing Your Symptoms

Being able to describe the type of pain you are experiencing will help your eye doctor diagnose the problem. For example, pain behind the eye can be attributed to migraines or sinus infections.

Use descriptor from the list below to help describe the pain to your eye doctor.

  • sharp or dull
  • internal or external
  • constant or inconsistent
  • stabbing or throbbing

Don’t Forget UV Protection This Winter

Most people think of sunglasses as summer gear, but in some ways, it’s even more important to wear sunglasses in certain winter conditions than in the warm summer months.

Thanks to public awareness campaigns about the risks of skin cancer, more people are aware that UV rays and intense sunlight are bad for our skin. Sunblock, clothing, and shade are regularly used to protect us. Do you know that UV rays are damaging to our eyes, too?

Prolonged UV exposure raises risks for:

  • Cataracts
  • Macular Degeneration
  • Pingueculae
  • Pterygia
  • Photokeratitis

In the warmer months, we think about protection from the sun because we expose so much skin and can experience sunburns when we’re not covered. In the winter, however, people are colder, and bundled up, so they don’t think of the sun as a risk. This is a problem because snow can reflect 80% of UV rays! That means you’re experiencing normal sunlight from being outside, and harsh glares from white surfaces.

The fatiguing effects of winter glares become apparent usually when doing outdoor activities like skiing, snowboarding, or sledding, but driving in bright wintry conditions can also be damaging and dangerous. It’s important to be protected year-round!

When looking for appropriate winter sunwear, remember:

  • Good sunglasses offer UV protection, so always be sure to check that they block 100% UVA/UVB rays.
  • Larger glasses are in style, which is great because the bigger lens protects more of your eyes and the skin around your eyes from UV damage. Look for a large lens and wraparound style.
  • Don’t worry about the color or darkness of the lens. Those things can vary while still providing adequate UV protection. Check the label for that information, or speak to an optician.
  • Remember, polarization is for more than fishermen! Especially in the winter months when ice and snow can cause harsh glares, polarization can be a big help.
  • Specialty eyewear exists for all of your favorite winter sports. Be sure your eyes are protected from the sun and safe during sports.

Talk to us if you have any questions about your UV exposure or any specialty eyewear you need to live your active winter lifestyle!

Glaucoma: The Silent Thief of Sight

Did you know, nearly 2.2 million people in the United States are affected by glaucoma?* Due to the lack of symptoms in the early stages of glaucoma, almost half of Americans with glaucoma do not know they have it; causing glaucoma to be the second leading cause of blindness in the United States and worldwide.

What is glaucoma?

Glaucoma is an eye condition that damages the optic nerve in the eye and, if left untreated, can result in blindness. High pressure within the eye causes damage to the optic nerve and prevents the nerve from sending messages from the eye to the brain.

Typically, there are no symptoms or pain associated with glaucoma until severe vision loss has occurred; at which point vision loss is permanent and cannot be reversed. The degree of vision loss differs from each individual.

Symptoms

  • Most often has no symptoms
  • Damage starts in peripheral vision
  • Blurred vision
  • Distorted vision
  • Vision loss

Who is at risk?

According to the Glaucoma Research Foundation, African Americans are three times more likely to be affected by glaucoma, and six times more likely to suffer from blindness as a result of glaucoma. Hispanics and Latinos have the second highest risk for glaucoma. Those with a family history of glaucoma and diabetes are also at a higher risk. In order to help with early detection and to prevent irreversible vision loss, be sure to notify your eye doctor if glaucoma runs in your family or if you have diabetes.

Primary Types of Glaucoma

  • Primary open-angle glaucoma: Primary open-angle glaucoma causes peripheral vision to gradually reduce without any other symptoms. If not controlled or discovered, it can progress to tunnel vision and ultimately lead to blindness.
  • Acute angle-closure glaucoma: Acute angle-closure glaucoma, also called narrow-angle glaucoma, produces a variety of sudden symptoms such as eye pain, headache, halos, dilated pupils, vision loss, nausea, and vomiting. Each onset of new symptoms causes additional vision loss.
  • Normal tension glaucoma: Normal tension glaucoma occurs in patients with a normal pressure within their eye and typically has no symptoms associated until tunnel vision occurs.

 

*Glaucoma Research Foundation

Preventing Snow Blindness, Sunburn for Your Eyes

We take many precautions to avoid sunburn on our skin, face, and lips, but have you ever thought about your eyes? Many are surprised to learn our eyes can also acquire sunburn. This condition is known as photokeratitis or snow blindness.

What causes Snow Blindness?

Snow Blindness occurs when your eyes are exposed to ultraviolet light for an extended period of time, causing sunburn. It most commonly occurs in snowy areas because snow reflects 80% of UV rays.* Snow blindness can also occur in highly reflective environments with water or white sand.

In addition to natural UV rays, man-made sources of ultraviolet radiation can cause snow blindness. Typically, man-made UV rays only damage your eyes when the proper eyewear is not being worn. This can happen when working with a welder’s torch or using tanning booths or sunlamps.

Can I lose my vision completely?

No, Snow Blindness is temporary and doesn’t cause actual blindness, it typically impairs your vision for 24 to 48 hours.

Symptoms of Snow Blindness

  • Eye pain
  • Burning, red, or watery eyes
  • Gritty sensation
  • Sensitivity to light
  • Blurry vision
  • Swollen eyes or eyelids
  • A headache
  • Glare and halos around lights

Risk factors for snow blindness?

You and your family are at an increased risk for snow blindness when involved in sports with highly reflective surfaces. When skiing, snowboarding, and snow sledding, you should ensure everybody’s eyes are protected with snow goggles that provide 100% UV protection.

Altitude plays a big role in the risk for snow blindness. At higher altitudes, UV rays are stronger. Therefore, when high altitudes, such as mountains, are combined with snow, the risk of Snow Blindness doubles.

Don’t forget, water sports such as water skiing, knee boarding, and surfing require protective eyewear as well. A great option is wraparound sunglasses that block out 100% of UV rays and remain on your head throughout the duration of the activity.

How do I prevent snow blindness?

  1. Anytime you are outside, you should wear sunglasses that block 100% of UV rays.
  2. Remember, UV rays can penetrate clouds, so sunglasses are required even on cloudy days.
  3. Always wear snow goggles when skiing, snowboarding, and mountain climbing.
  4. Wear wraparound sunglasses when you plan to be on or near water for extended periods of time.
  5. Ensure you have eye shields to wear in tanning beds and booths. Never tan without eye shields.
  6. Use the recommended safety eyewear for your job if you are working with harmful light.

 

*The United States Environmental Protection Agency

What is a Black Eye?

A black eye forms when blood and fluids collect in the space around the eye causing swelling and discoloration. Typically, a black eye is considered a minor injury.

What causes black eyes?

A black eye is caused by bruising surrounding the eye, not inside the eye. This bruising is caused by broken blood vessels under the skin. A blow to the eye, nose, or head is the most common cause for a black eye, but surgical procedures near the eye or nose could also cause a black eye.

Symptoms:

  • Pain
  • Swelling
  • Discoloration
  • Headaches
  • Temporary blurry vision

How do I prevent black eyes?

You cannot always foresee an eye injury, but one way to prevent black eyes is to wear protective eyewear. If the activities you participate in require or recommend eyewear, such as safety glasses, face shields, or goggles, abiding by these recommendations and wearing eye protection will significantly decrease the risk of a face or eye injury and can keep you in the field or in the game.

How do I get rid of a black eye?

Typically, most black eyes heal on their own within one to two weeks. While healing, the black eye will change color varying in shades of purple, blue, green, or yellow. There are, however, a few steps you can take to help the healing process and relieve pain.

  • Apply a cold compress. A cold washcloth, bag of peas, or chilled spoon can help to alleviate pain and bring down swelling within the first 24 hours.
  • Taking pain medications such as acetaminophen or ibuprofen can help to relieve pain.
  • Apply a warm compress. After applying cold packs for the first day or two, apply a warm compress to the eye to increase blood flow in the area.
  • Lightly massage the area surrounding the bruise a few days after injury.
  • Snack on pineapple. Pineapples have enzymes to help reduce inflammation.

If your black eye does not subside, vision changes, bleeding occurs within the eye, or you notice other signs of infection, schedule an appointment or give our office a call. This could be a more serious issue that should be examined by an eye doctor.

Macular Degeneration: Stem Cells Restore Sight in Small Study

Macular Degeneration

 

WebMD Health News © 2018 

Peter Russell      March 21, 2018

This is a promising study that gives hope to those suffering from the most devastating form of Macular Degeneration . .

 

Article:

Doctors in the UK say they have taken an important step towards treating a common form of blindness – wet age-related macular degeneration (AMD).

Results of a study published in the journal Nature Biotechnology describe how stem cell therapy can restore sight.

Douglas Waters from Croydon, London, was one of 2 people who received the treatment at Moorfields Eye Hospital.  Mr Waters, who is 86, developed severe wet AMD in July 2015 and received the treatment 3 months later in his right eye. He says: “In the months before the operation my sight was really poor and I couldn’t see anything out of my right eye. I was struggling to see things clearly, even when up-close.  “After the surgery, my eyesight improved to the point where I can now read the newspaper and help my wife out with the gardening.”  The team behind the trials caution that further research is needed before this method could be considered for routine clinical approval.

 

Loss of Central Vision

 

People with AMD experience a loss of central vision, making reading and recognising people’s faces difficult. It currently affects more than 600,000 people in the UK, and numbers are expected to rise with an aging population.

Wet AMD occurs when abnormal blood vessels form underneath the macula – the section of the retina that allows detailed, central vision – and damage its cells.  Wet AMD is more serious than dry AMD, which is more common and caused by cells in the macula being damaged by a deposit of fatty protein.

 

Transplanted Patch

 

The pioneering treatment involved implanting an engineered patch of retinal pigment from epithelium cells under the retina to replace those that are damaged.  The patients, including a woman in her 60s who also had wet AMD, were monitored for 12 months and reported improvements to their vision. Before the procedure neither were able to read, but they went on to read at 60 to 80 words per minute with normal reading glasses.

 

‘This Gives Real Hope’

Commenting on the trial in a statement, Dr Carmel Toomes, associate professor at the Leeds Institutes of Molecular Medicine, says: “These results give the many patients out there who suffer from AMD and other retinal degenerations real hope that stem cells replacement therapy may be a reality in the near future.  While this is only a very early clinical trial, the results are positive and show that the technology is moving along in the right direction.”

 

The study was carried out for the London Project to Cure Blindness, a partnership between Moorfields Eye Hospital NHS Foundation Trust, the University College London (UCL) Institute of Ophthalmology, and the National Institute for Health Research (NIHR).

 

SOURCES:
Phase 1 clinical study of an embryonic stem cell–derived retinal pigment epithelium patch in age-related macular degeneration, da Cruz L et al, Nature Biotechnology
Moorfields Eye Hospital NHS Foundation Trust
Science Media Centre
NHS Choices

Cite this article: Peter Russell. Macular Degeneration: Stem Cells Restore Sight in Small Study -Medscape – Mar 21, 2018.

Using Oils to Relieve Dry Eye

Many medical professionals are aware of the benefits of adding healthy oils to our diets. Most of the fats that are essential for a healthy heart, skin, brain, and other systems come from things like fish, nuts, seeds, and vegetables. Doctors will sometimes prescribe fish oil or flaxseed oil to help improve someone’s health, but we are learning more and more about how these beneficial oils can help more than previously thought. In the case of your eyes, certain oils may aid in treatment of dry eyes.

Vision Benefits of Flaxseed and Fish Oil

Fish oil and flaxseed oil are beneficial because of the omega-3 fatty acids they include. These materials are needed to support optimal health. Flaxseed oil contains high levels of alpha-linolenic acid (ALA), an omega-3 fatty acid. ALA is converted into two different omega-3 fatty acids during digestion. These acids are called EPA and DHA and they protect cell membranes all over the body.

By adding flaxseed oil or fish oil to your diet, you may be protecting against dry eyes. These items appear to reduce dry eye symptoms, and can be used with or without eye drops to alleviate some aspects of dry eyes. Many eye doctors are recommending fish oil or flaxseed oil as part of an overall plan to treat dry eyes, or to prevent the onset or progression of symptoms.

Symptoms of dry eyes include:

  • Chronic dryness
  • Burning
  • Stinging
  • Redness
  • Eye fatigue
  • Sore eyes
  • Light sensitivity
  • Blurred vision

How to Start Taking Flaxseed and Fish Oil

If you’re looking for how to get these substances into your diet, keep in mind that many kinds of fish are high in these oils. Look for things like salmon, sardines, tilapia, and shrimp. For people who don’t like fish, or want other options, fish oil supplements are usually pretty inexpensive and easy to come by. You may ask a pharmacist for suggestions on which over the counter versions are best.

The downside of fish oil is that sometimes people will get a fishy aftertaste from the supplements. A great alternative is flaxseed oil. These supplements are readily available as well, and will provide similar benefits. Just be sure to find a brand that is cold pressed and remember to keep it refrigerated for freshness and optimal nutrient content (benefits of flaxseed oil are reduced by exposure to oxygen, light, and higher temperatures).  

Flaxseed oil can get a little pricy, but you can buy flaxseeds and grind them in a coffee grinder before adding them to your diet. Use them immediately to get the full benefits!

Other Benefits

These fatty acids may help reduce your risk for several other health problems. The benefits include:

  • Reduced risk of macular degeneration
  • Reduced risk of cataracts
  • Increased cardiovascular function
  • Lower risk of heart disease
  • Help maintain healthy weight