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Macular Degeneration

Concerned About Macular Degeneration? – Here Are 6 Tips to Lower your Risk

What Is Macular Degeneration?

Age-related macular degeneration (AMD) is a deterioration of the macula, the key part of the retina responsible for highly detailed vision and central vision. There are two main types of macular degeneration: dry and wet.

Dry AMD occurs when small deposits in the macula called drusen gradually damage the light-sensitive retinal nerve cells, leading to vision loss.

In wet AMD, fragile new blood vessels grow under the macula. When these blood vessels leak blood or fluid, it damages the macula. Although both types of macular degeneration can result in vision loss, wet AMD is the more serious form of the disease as it results in faster and greater vision loss.

Who Is At High Risk for Macular Degeneration?

  • age 50+
  • a diet high in saturated fat
  • Smoking
  • High blood pressure
  • Obesity
  • Family history of AMD
  • Cardiovascular disease

6 Ways to Reduce Your Risk of Macular Degeneration

The following have been shown to lower the risk of developing AMD:

Stop smoking

If you don’t smoke, don’t start, and if you smoke—quit. Smokers are 4 times more at risk of developing AMD and typically develop the disease around 10 years earlier than non-smokers.

Wear Quality Sunglasses

UV rays from sunlight can put your eyes at risk. So make sure you choose high-quality 100% UVA & UBV filtering sunglasses to block the sun’s harmful UV rays. Consider getting polarized lenses, as they filter out reflected light rays more efficiently. That’s especially important if you spend time on the water, at the beach, in the snow or driving.

Check Your Blood Pressure

High blood pressure not only harms your heart, but restricts oxygenated blood from reaching your eyes. Have your blood pressure checked regularly. If you already have hypertension, consider using an at-home monitor to keep tabs on it.

Eat Healthy and Consider Supplements

Cut out saturated fat, which can raise your blood pressure. Eat fewer animal fats and replace butter with olive oil. Look for plant-based, high-protein alternatives to meat, and eat oily fish like sardines, mackerel and salmon.

Dark, leafy greens are terrific for your eyes. Kale and other greens are full of lutein and zeaxanthin, antioxidants that promote eye health. If you have dry AMD, ask your optometrist about antioxidant supplements that can slow AMD’s progression.

Know Your Family History

Up to 70% of AMD cases have a genetic component. People with a parent or sibling with AMD have a greater risk of developing this serious sight-threatening eye disease. If you have a family history of this disease, get your eyes frequent eye tested for AMD.

Get Your Eyes Checked Regularly

Everyone should have regular comprehensive eye exams, especially if you’re over 50, have a family history of AMD, hypertension or other risk factors.

An eye exam that screens for AMD typically includes:

  • Visual Acuity – tests your ability to read and see an eye chart from various distances
  • Pupil Dilation – the optometrist applies eye drops to dilate the pupil so they can examine the inside of your eyes
  • Digital Retina Image and/or OCT – full color 3D imaging of the macula to detect leakage from the vessels and measure retinal thickness. This can help the eye doctor diagnose wet AMD, even in the early phases.
  • Amsler Grid – The optometrist asks the patient how straight lines on a checkerboard grid appear. The answer “wavy” or “missing” could indicate the presence dry or wet AMD.

Your vision is your gateway to the world. Good vision lets you live an active and independent life, even in your advanced years. Regardless of your age, get your eyes checked regularly, and all the more frequently if you have a family history of AMD or other risk factors.

To schedule your eye exam with Dr. Wilson, contact Bear Creek Eye Care in Wildomar today.

FAQ

What percentage of the population has macular degeneration?

An estimated 8.7% of the global population has macular degeneration. This number is expected to increase from the current 196 million people affected to 288 million by 2040.

Do injections work for wet macular degeneration?

When AMD has progressed to the “wet” phase, anti-VEGF injections can preserve remaining vision by reducing fluid leakage and bleeding from the macular blood vessels.

Why Are Blue Eyes More Sensitive To Light?

Why Do Your Eyes Need Sun Protection?

Eyes of all colors need shielding from the sun’s harmful ultraviolet (UV) rays. Exposure to UV light can contribute to the formation of short-term and long-term eye conditions such as corneal sunburn and macular degeneration.

That’s why it’s so important to choose high-quality Sunwear with 100% UV blocking lenses and to throw on a sun hat for an added layer of protection.

UV protection is important for individuals of all ages—especially children—who are more susceptible than adults to the sun’s harmful rays and tend to spend more time outdoors. It is estimated that up to 80% of a person’s lifetime exposure to UV rays happens before the age of 18.

Why are Blue Eyes More Sensitive to Light?

Lighter-colored eyes like blue, hazel, and green have less of a pigment called ‘melanin’ than brown eyes do.

Melanin helps protect the retina from UV damage and blue light, putting those with blue eyes at a higher risk of developing UV-related eye damage.

If you have blue eyes, you may have experienced this first-hand. Bright light may be uncomfortable or you may want to reach for your shades as soon as you leave the house on a sunny day.

That’s why optometrists urge blue-eyed patients to be particularly vigilant about UV protection, so as to mitigate their chances of developing eye disease and other complications.

How We Can Help

Whether you have blue eyes or not, sunglasses are an important part of keeping your eyes healthy for a lifetime.

At Bear Creek Eye Care, we’ll be happy to advise on the perfect high-quality and protective pair of sunglasses to suit your needs and personal style.

Bear Creek Eye Care, your Wildomar eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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Should I wear sunglasses even when it’s not sunny outside?

Yes! You should wear your sunglasses whenever outdoors during the day, even on an overcast, winter day. UV light can pass through clouds and reflect off surfaces like car windows and pavement.

What type of sunglasses are the most suitable for blue eyes?

The most protective sunglasses are wraparound sunglasses that protect the eyes from every angle. You can also opt for photochromic lenses, which offer total UV protection but only become tinted when exposed to outdoor sunlight, and turn clear when you come indoors again. Your optometrist can help you choose the best lens and frame options for your needs and lifestyle.

Why Are Dilated Eye Exams So Important?

Bear Creek Eye Care Dilated Eye Exam near you in Wildomar, California

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 Bear Creek Eye Care in Wildomar today!

Bear Creek Eye Care, your Wildomar eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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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.

Are You Susceptible To Vision Loss?

Ask Our Eye Doctor in Wildomar, California, how To Prevent Vision Loss

Vision loss is more common than you may think! In fact, it’s among the most prevalent disabilities in adults and children. Knowing what puts you at risk of developing vision loss is important and can help you to be proactive about caring for your eyes.

Below, we’ll explore the most common causes of vision loss and the risk factors associated with each.

Spreading awareness and education about visual health is just one way that our eye doctors near you can help. To schedule your Comprehensive eye exam, call us today 951-609-9099.

Glaucoma

Glaucoma is a group of eye diseases caused by a buildup of pressure within the eye. Too much inner-eye pressure can damage the optic nerve and lead to vision loss.

Since symptoms don’t usually manifest in the early stages of glaucoma, getting regular eye exams is all the more crucial. Advanced or rapidly progressing glaucoma can show a variety of symptoms, such as blurred vision, headache, severe eye pain and redness, seeing halos around lights, and nausea.

Risk factors for developing glaucoma include:

  • Being 60 years or older
  • Family history of glaucoma
  • African, Asian, or Hispanic descent
  • High myopia (nearsightedness) or hyperopia (farsightedness)
  • Previous eye injury or certain eye surgeries
  • Certain medications, like corticosteroids
  • Thin corneas
  • Certain medical conditions, like diabetes, hypertension, heart disease, and sickle-cell anemia

Cataracts

Cataracts occur when the eye’s lens becomes cloudy. A healthy lens is clear and allows light to pass through it undisturbed.

Common cataract symptoms include cloudy or blurred vision, difficulty seeing at night, light sensitivity, double vision in the affected eye, and seeing colors as faded or yellowish.

Risk factors for developing cataracts include:

  • Aging
  • Diabetes
  • Hypertension
  • Smoking
  • Previous eye surgery, injury, or inflammation
  • Alcoholism
  • Extended use of corticosteroids

Age-Related Macular Degeneration (AMD)

AMD is the leading cause of severe vision loss in adults over the age of 60. It occurs when the macula (the small central portion of the retina, which is responsible for sharp, colorful, central vision) begins to wear down.

Early stages of AMD usually go unnoticed, but later stages of the disease can produce symptoms like blurred vision, dark or blurry areas in your central vision, and problems with color perception.

There’s not yet a cure for AMD, but certain treatments can help prevent vision loss.

Risk factors for developing AMD include:

  • Smoking
  • Obesity
  • Aging
  • Long-term sun exposure
  • Hypertension
  • Heart disease
  • Family history of AMD
  • Light-colored eyes
  • Farsightedness

Diabetic Retinopathy

Diabetic retinopathy (DR) is a complication of Type 1 or 2 diabetes that affects the light-sensitive tissue at the back of the eye called the retina.

Initially, diabetic retinopathy shows no symptoms but can eventually lead to blindness. As it develops, it can cause increased floaters, impaired color vision, dark spots in your visual field, and blurred vision.

Risk factors for developing diabetic retinopathy include:

  • Length of time from diabetes diagnosis — the longer you’ve had it, the higher your chances of developing visual complications
  • Uncontrolled blood sugar
  • Obesity
  • High cholesterol or blood pressure
  • Pregnancy
  • Smoking
  • African American, Hispanic, and Native American ethnicities
  • Family history of DR

So, what’s the bottom line?

Multiple factors contribute to eye disease and vision loss, and some may even be relevant to you. If you think you may be at risk for vision loss or experience any of the symptoms listed above, speak with your eye doctor in Wildomar as soon as possible. We also recommend you have your eyes thoroughly examined every 1-2 years, or as often as your eye doctor recommends. To schedule your comprehensive eye exam, call Bear Creek Eye Care today.

Book an eye exam at an eye clinic near you to learn more about your candidacy for contact lenses and which type is right for you.

Bear Creek Eye Care, your Wildomar eye doctor for eye exams and Contact lenses

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Can blindness be prevented?

When caught early, many eye diseases can be treated to halt or slow the progression of the disease and potentially prevent vision loss. The best things you can do to preserve your vision for the long term is to lead a healthy lifestyle and make sure you undergo a comprehensive eye exam every 1-2 years.

Which eye diseases are genetically inherited?

More than 350 ocular diseases have some sort of genetic component. Certain diseases, like retinitis pigmentosa and albinism, are directly inherited through chromosomal information. In other cases, a predisposition to the disease is inherited, rather than the disease itself.

Why You Regularly Need to Replace Your Sunglasses

Did you know that sunglasses, or at least sunglass lenses, regularly need to be replaced? 

According to a study conducted at the University of São Paulo, the UV protection that sunglasses provide deteriorates over time. You may adore your current ones, but if you’ve been rocking those shades for two or more years, it might be time to get a new pair. 

In addition to the UV-blocking properties, anti-reflective and anti-scratch coatings wear down, and the frame material may become brittle over the years, too. Even if you have the most durable sunglasses available, regular lens-replacement is the best way to ensure that your vision is maximally protected from the harmful effects of ultraviolet light. 

UV Light and Sunglasses

The protective efficacy of your sunglasses comes in large part from the lens coating of dyes and pigments that reflect and absorb ultraviolet radiation. They create a barrier that prevents UV radiation from penetrating your eyes.

However, this protective coating can, and often does, break down over time. Wear and tear can cause an invisible web of tiny abrasions, compromising its UV-blocking power. Furthermore, the protective dyes and pigments aren’t able to absorb UV rays indefinitely; the more sunlight they’re exposed to, the more rapidly they’ll become ineffective. 

A pair of shades worn on occasion and in mild conditions is likely to remain effective longer than a pair that is heavily used in a more intensely sunny environment. For example, if you spend long days on the water paddling, kayaking, or canoeing, the protective coating on your lenses will deteriorate more quickly than it would if you only wear your shades to go grocery shopping or sit in a cafe. 

Why It’s Important to Protect Your Eyes From UV

Protecting your eyes from the sun is critical no matter where in the world you are, as UV exposure places you at risk for developing eye diseases like eye cancer, pterygium, and pinguecula — which can result in disfigurement and discomfort — as well as cataracts and macular degeneration — which cause vision loss and, in severe cases, blindness.

Even short-term overexposure can result in photokeratitis, a corneal sunburn. Symptoms include eye pain, swelling, light sensitivity, and temporary vision loss. Some people experience it when spending too much time boating or skiing without wearing eye protection. Snow and water can increase solar exposure because they reflect sunlight toward your face.  

What to Look for When Getting New Sunglasses

When choosing new sunglasses, make sure they’re labeled 100% UV protection or UV400. Although most pairs sold in the United States and Canada offer this degree of protection, it’s still worth confirming before making the purchase. Keep in mind that factors like cost, polarization, lens color, or darkness don’t have much to do with the level of UV protection. Even clear prescription lenses can be UV protective. 

It’s important to note that there is a lot of counterfeit sunwear in the marketplace. This is dangerous since counterfeit eyewear may not provide much-needed ultraviolet protection. So if the price of a renowned brand is too good to be true, it’s probably a fake. 

The size and fit of the sunglasses is important. Bigger is definitely better if you spend a lot of time outdoors. Larger wrap-around eyewear is best if you regularly ski or spend many hours in the water, as this style blocks light from all directions. 

To find out whether it’s still safe to wear your favorite shades, visit a Wildomar eye doctor to determine whether your lenses still offer the right level of UV protection. It’s also a good opportunity to discuss prescription sunwear. 

For more information about UV safety, or to get the perfect sunglasses tailored to your vision needs and lifestyle, contact Bear Creek Eye Care in Wildomar today!  

 

References 

https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/s12938-016-0209-7

 

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 Wildomar

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 Bear Creek Eye Care 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 Bear Creek Eye Care — we’re here for you. 

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