Eye Exams: What to Expect

Yearly comprehensive eye exams are crucial to detecting changes in your vision and risk of eye-related diseases. We recommend adults have a comprehensive eye exam every year, and children should have an eye exam as early as six months before they start school, and then every 1-2 years. We often get questions about what to expect from your eye exam, so we’ve created an overview of the parts of a typical eye exam.

Eye Exams: What to Expect

Eye exams are quick and painless! 

Who gives an eye exam? An optometrist will perform your eye exam. Optometrists are eye doctors who prescribe glasses, contacts, vision therapy, and medication to treat eye diseases.

Choosing eyewear? Following your exam, one of our staff opticians will help you select a pair of eyewear. An optician will ask you about your lifestyle to determine which eyewear is best for you as well as fit, adjust, and repair your eyeglasses.

What to expect during your appointment?

Your eye exam may take an hour or more based on the tests your eye doctor determines are needed to evaluate your eye health. Your eye exam may consist of the following tests.

Pre-Exam Tests

Before your exam, a technician will often perform a few basic tests, including:

  • During a color sensitivity test, we will ask you to look at colored circles or shape and simply read the letter or number you see within it.
  • For a peripheral vision test, we will place an object in your peripheral vision and ask that without moving your eyes if you can see the item displayed.
  • The glaucoma (or “air puff” test) is commonly the most uncomfortable testing during your exam. For this test, the technician will puff a small bit of air into your eye to measure your eye pressure. There is no direct contact between the technician or machine and your eye and should only result in some watery eyes following.

Your Eye Exam

To prepare for your exam, bring your most recent pair of eyeglasses or contact lenses. Remember also to bring a list of questions or concerns you may have about your eyesight to discuss with your eye doctor.

Pupillary Reaction

Using a light, the doctor checks your pupils’ responsiveness. Your pupils’ response to light is a natural function of the eye and is critical to your vision. While using the light, the doctor will also look at the surface of your eye for signs of dry eye, corneal scratches and bacterial debris.

Slit Lamp Test

A slit light test is when your doctor shines a vertical bar of light into your eye to magnify its surface and inspect for abnormalities. This test allows the doctor to check your cornea, iris, and lens. During this test, you may be asked to blink or look in a specific director to allow your doctor to view your eye’s surface.

Visual Acuity and Refraction

The most well-known part of the eye exam is the visual acuity test. Your doctor will ask you to read an eye chart filled with numbers and letters with one or both eyes. Your ability to clearly read and identify the numbers and letters helps the doctor further determine your vision prescription needs. To hone in on your exact prescription, your doctor will place a large lens refractor in front of you and ask you a series of questions about which lenses make your vision better or worse.

Pupil Dilation

We recommend getting a dilated eye exam every year! By dilating your eyes, your doctor can more clearly examine your retina and optic nerve. To dilate your eyes, your doctor will place a few eye drops in your eyes to cause your pupils to enlarge. After a dilated exam, your eyes may be sensitive to light for up to an hour after the test. If you need a pair of temporary sunglasses, ask us, and we may be able to provide you one for comfort while driving home.

What to do after the exam?

Shop our selection of eyewear to find the perfect pair for your lifestyle. An optician for our team will be available to walk you through this process. Finally, schedule your follow-up appointment for the next year!

How Eating Healthy Affects Your Eyes

The foods and vitamins you consume affect your body’s overall health, including your eyes. With a healthy diet and lifestyle, the likelihood of developing some eye diseases and health disorders dramatically decreases. With a few simple steps, your body will thank you later!

Eating Healthy Foods

One of the best things you can do is choose foods rich in antioxidants and vitamins. An easy trick to remember is dark green or brightly colored fruits and vegetables are the go-to foods. Not only will they impact your overall health, but they will help to reduce the chances of developing eye diseases such as dry eyes and cataracts.

Another trick is to look for different versions of your favorite snacks. Instead of foods that are high in sugar or made from white flour, look for sugar-free foods and whole-grain alternatives. Healthy fats such as salmon and nuts are high in omega-3, which helps with your eye health.

Hydration

Water is one of the best drinks that you can choose, so drink plenty of it! Stay away from sugary drinks because proper hydration helps to reduce dry eye symptoms.

Nutrients

Nutrients are essential to your overall health. If you find yourself not getting the amounts needed daily, look into taking supplements to ensure you receive the proper amount. The following nutrients can help reduce your risk for many eye related issues!</p

  • Vitamin A: night blindness and dry eyes
  • Omega-3: macular degeneration and dry eyes
  • Vitamin C: cataracts and macular degeneration
  • Vitamin D: macular degeneration
  • Zinc: night blindness
  • Vitamin E: advanced macular degeneration

Aging Eyes

Your eyes will change as you age, so it’s essential to take all factors into consideration on how to keep your eyes healthy. One of the most important things is to protect your eyes from the sun’s ultraviolet rays. By wearing sunglasses with built-in UV protection, you can help prevent your eyes from developing cataracts and macular degeneration.

Eating lean beef in moderation can also boost your eye health. Beef contains zinc, which helps your body absorb vitamins and may play a role in reducing the risk of advanced age-related macular degeneration.

Another habit you should start is leaving the cigarettes behind. Not only is smoking harmful to your overall health, but it increases the chances of developing eye diseases.

Finally, one of the easiest things you can do is schedule an annual eye exam to detect any eye diseases as early as possible. Many eye conditions start without symptoms, so it’s crucial to have a professional take a look. Call us today to learn more!

Eye Allergies in Every Season

Eye allergies are caused by the same substances that give you a runny nose and sneezing. Individuals with seasonal allergies typically experience various reactions to their allergens such as sneezing, itchy eyes, or a headache. Symptoms of eye allergies include itching, redness, burning, and clear watery discharge. Additionally, you may notice dark circles under the eyes and puffy eyelids. It is essential to manage your allergies to prevent these allergy symptoms and other eye infections related to seasonal allergies.

Winter Allergies

Indoor allergens are the most common cause of eye allergies during the winter months. Spending more time inside with the house closed up tends to worsen these allergens. We recommend using mite-proof bedding to limit exposure to dust mites. Frequently wash bedding, blankets, and furniture to decrease allergy symptoms from both dust mites and pet dander. Additionally, using a dehumidifier is the best way to control mold in your home mainly focused on basements and bathrooms.

  • Dust Mites
  • Mold
  • Pet Dander

Spring Allergies

Spring can be a dreaded season for seasonal allergy sufferers. Pollen is the primary cause of reaction during the spring months. With the trees, flowers, and plants coming into bloom their pollen can severely irritate your eyes. Wearing glasses or sunglasses outdoors can help to prevent pollen from entering your eyes.

  • Tree Pollen
  • Flower Pollen

Summer Allergies

During the summer months, grass pollen and mold spores are the most common allergens. On high pollen count days, we recommend staying indoors as much as possible. To limit your exposure to allergens we recommend keeping your windows closed and using air conditioning in your car and home. Avoid using fans, as they can draw pollen and mold into the house.

  • Grass Pollen
  • Molds Spores

Fall Allergies

As fall comes around, seasonal allergies come back on the horizon. Check the pollen count and avoid spending time outside during peak pollen times. Mold spores begin to grow on damp leaves in the fall. While it can be challenging to prevent seasonal allergens completely, we recommend limiting your exposure as much as possible. Additionally, replacing the carpet in your home with hardwood, tile, or linoleum helps to keep pet dander and pollen from settling in your home.

  • Ragweed
  • Mold Spores
  • Pet Dander

Don’t let eye allergies stop you from living your life. We can help you manage your eye allergies and control your symptoms. Give our office a call or request an appointment to discuss your allergies with your eye doctor!

Computer Vision Syndrome: Eye Strain

According to The Vision Council, 65% of adults experience some form of computer vision syndrome. Often individuals associate eye strain as a “normal” part of computer work. However, the eye strain you are experiencing is a symptom of computer vision syndrome and can be reduced or avoided!

What is Computer Vision Syndrome?

Computer vision syndrome is caused by the eyes and brain reacting to the characters on a computer screen. On-screen characters have less contrast than characters in print and are more challenging for our eyes to focus on. The difficulty of having to focus on the characters on computer screens is what causes eye fatigue and strain.

Symptoms of CVS

Depending on the individual they may experience one, several, or all symptoms of computer vision syndrome. These symptoms can cause discomfort for the individual and make it difficult to complete work effectively.

  • Headaches
  • Loss of focus
  • Burning eyes
  • Tired eyes
  • Red eyes
  • Double vision
  • Eye twitching
  • Blurred vision
  • Neck and shoulder pain

Ways to Combat CVS

Many computer users find their eyes feel strained working under fluorescent lights. Users feel more eye comfort when using floor lamps instead of harsh overhead lights. Minimize the reflection of glare off your computer screen by installing an anti-glare screen on your monitor. Consider closing the blinds to prevent the sun from reflecting off your computer screen as well.

The type of screen and settings of your screen can also impact your eye strain. We recommend making sure you have an LCD screen because it has an anti-reflective surface and is more comfortable for the eyes.

Additionally, you can adjust the settings of your screen for optimal viewing. A few settings to adjust are the brightness, text, and color temperature. The brightness should be the same as your surrounding workstation, the text size and contrast can be changed to your comfort level, and reducing the color temperature lowers the amount of blue light emitted by your screen.

Computer Eyewear

One of the best ways to reduce your risk of computer vision syndrome is to visit our office. Your eye doctor can perform a few tests to detect vision problems which could be contributing to your computer vision syndrome and help decide if computer eyewear is the solution for you. Many individuals discover computer eyewear helps reduce their symptoms and improves their productivity.

Schedule an appointment with our office to discuss the impact computer work is having on your eyes and the best ways to reduce your eye strain and fatigue.

 

What Is Dry Eye?

Dry eye syndrome is caused by a chronic lack of moisture and lubrication of the eyes. Your eye’s tears keep the surface of the eye moist and lubricated, as well as washing away dust, debris, and other microorganisms.

What causes dry eye?

Typically dry eye occurs when there is a problem with your tears. Tears are made up of an oily, watery, and mucin component. Any issue with those components could cause dry eye. It could be tear instability, tear film evaporation, or insufficient tear production. The only way to detect the cause of your dry eye is an eye exam.

Symptoms

  • Burning sensation
  • Itchy eyes
  • Aching sensations
  • Heavy eyes
  • Fatigued eyes
  • Sore eyes
  • Dryness sensation
  • Red eyes
  • Photophobia (light sensitivity)
  • Blurred vision

Who gets dry eye?

Dry eye can happen to anyone at any age. Each case of dry eye varies in severity and individual tolerance. However, there are certain factors which can increase your risk for dry eyes. These factors include:

  • Computer use: Humans blink less frequently when working at computers, allowing for increased tear evaporation.
  • Smoking: Causes eyes to dry over time and is the root of various other eye problems.
  • Aging: Dry eye syndrome is more common after the age of 50.
  • Menopause: Women who have completed menopause are at a higher risk for dry eye than men of the same age.
  • Health conditions: Certain diseases have a higher risk of contributing to dry eyes- such as diabetes or thyroid diseases.
  • Medications: Prescription and nonprescription medicines can have dry eye as a side effect.

Visiting The Doctor

Getting an eye exam by an eye doctor is the only way to know for sure you have chronic dry eye syndrome. Symptoms of dry eye can vary significantly from person to person and may even be symptoms of other eye problems. Personal perception of dry eye severity does not indicate whether or not an individual has chronic dry eye syndrome. Some individuals with mild dry eye may feel their eyes are very bothersome, while some individuals with severe dry eye may not consider their symptoms significant.

If you are showing symptoms of dry eye, schedule an appointment with our office as soon as possible. The only way to know the medical severity of your dry eye is through an eye exam.

 

Smoking and Your Vision

Smoking harms nearly every organ in your body, including your eyes. It is the most significant preventable cause of disease and premature death in the United States. If you smoke, you have a higher risk of developing several eye diseases.

Cataracts

Cataracts are a clouding of the lens in your eye, and the leading cause of blindness in the world. Smokers have double the chance of forming cataracts compared to non-smokers.

Macular Degeneration

Macular degeneration is the deterioration of the macula in your eye, which impacts central vision. If you smoke, you are three times more likely to develop macular degeneration. Consequently, female smokers over age 80 are 5.5 times more likely than nonsmokers of the same age.

Uveitis

Uveitis is the inflammation of the eyes middle layer called the uvea. As a result, it harms the iris, retina, and can eventually result in blindness. Smokers have 2.2 times greater risk of developing uveitis.

Diabetic Retinopathy

Those who smoke and have diabetes have increased the risk of developing diabetic retinopathy. Diabetic retinopathy damages the blood vessels in the retina and can result in vision loss. Smoking double the risk of developing diabetes, therefore, increasing your risk for diabetic retinopathy and other diabetic eye diseases.

Dry Eyes

Dry eye is when you do not have enough tears on the eyes surface, causing itchy and red eyes. Smoke is considered an eye irritant, consequently worsening dry eye symptoms for many. Therefore, those who smoke are twice as likely to experience dry eye and individuals who experience second-hand smoke are more likely to suffer from dry eye as well.

Infant Eye Disease

Smoking during pregnancy transmits toxins to the placenta and can harm the unborn child. As a result, smoking increases the chance of many fetal and infant eye disorders.

Infant Eye Disorders

  • strabismus
  • underdeveloped optic nerve
  • premature birth
  • retinopathy of prematurity
  • potential blindness

 

The best way to decrease your risk for developing these eye diseases is to quit smoking. It is never too late, at any age you can reduce your risk of developing these sight-threatening eye conditions. Contact our office to discuss the impact of smoking on your vision.

*All statistics are from https://www.allaboutvision.com/smoking/

Puffy Eyes and Dark Circles

Ordinary swelling around the eyes is due to an excessive accumulation of fluids in the surrounding skin tissue. Puffy eyes and dark circles can occur for many reasons, and a visit to your eye doctor can usually detect the underlying cause behind your puffy eyes.

Causes

The skin around your eyes is the thinnest skin on your body; therefore it shows swelling and discoloration more prominently. There are various factors which can cause puffy eyes, a few of the most common causes include:

  • Overconsumption of salt
  • Allergies
  • Sinus problems
  • Dehydration
  • Fatigue and lack of sleep
  • Stress
  • Crying
  • Aging
  • Inherited facial features

Why are my eyes puffy in the morning?

Some individuals may notice their eyes are puffy when they wake up in the morning. Since we don’t blink when we sleep, this allows fluids to settle or get trapped in the skin around the eyes. As soon as you wake up and start blinking this swelling will begin to diminish. Likewise, some individuals develop swelling in their lower extremities while sleeping, which reduces upon walking.

Medical condition

In some situations, puffy eyes can be due to an underlying medical condition. Those with thyroid disease can develop swelling around their eyes. Eye allergies can cause swollen eyelids due to the release of histamine. Additionally, eye infections such as pink eye can cause swelling and puffiness. However, the best way to detect the cause of your puffy eyes is through a comprehensive eye exam by your doctor.

What can be done?

To find the best solution or remedy to your puffy eyes, your eye doctor must first determine the underlying cause. Temporary solutions include eye drops, hydration, iced compresses, cucumber slices, creams, reducing salt in your diet, and getting plenty of rest. In other circumstances, cosmetic solutions may be the only long term way to reduce swollen eyes.

To learn more about your puffy eyes, schedule an appointment with our office. We are here to answer all of your questions and advise you on the best steps to alleviate your puffy eyes.

Nutrition and Your Eyes

The foods you eat and the dietary supplements you take affect your overall health and the health of your eyes. Nutrition and your eyes are linked together and can help prevent certain eye diseases along with other health problems.

Healthy Foods

Choosing healthy foods improves your overall health as well as your eye health. Dark green or brightly colored fruits and vegetables are essential parts of a healthy diet. These fruits and vegetables may also help to reduce the risks of developing eye diseases. Sugars and white flours may increase your risk of age-related eye disease, instead, opt for whole grains which do not have the same risks. Healthy fats containing omega-3 essential fatty acids are critical to your diet. These healthy fats can help prevent dry eyes and cataracts.

Hydration

Staying hydrated is essential to the health of your eyes. Drink plenty of water every day! We also recommend choosing healthy beverages and avoiding high sugar beverages. Proper hydration is linked to the reduction of dry eye symptoms.

Nutrients

Nutrients are an essential part of a healthy diet. These nutrients can be found in foods but can also be taken in supplements to ensure you are receiving the proper amount in your diet. Consult with your primary care provider before taking any dietary supplements. Here are a few nutrients that may have a link to eye health:

  • Vitamin A: may protect against night blindness and dry eyes
  • Omega 3 fatty acids: may prevent macular degeneration and dry eyes
  • Vitamin C: may reduce risks of cataracts and macular degeneration
  • Vitamin D: may reduce risks of macular degeneration
  • Zinc: may reduce risks of night blindness
  • Vitamin E: may reduce the risk of advanced macular degeneration

Aging Eyes

As you age, it is essential to consider all factors that could affect the overall health of your eyes. Not only should you adopt a healthy diet, but you can also do several other things to protect your eyes. One way to protect your eyes is to avoid overexposure to ultraviolet rays, which includes wearing sunglasses outdoors and staying away from tanning beds. Now is the time to quit smoking, not only is smoking harmful to your overall health it also increased your risks for many eye diseases. Finally, ensure that you are getting annual eye exams to detect any eye diseases before they cause permanent vision loss.

Nutrition and your eyes are highly connected, continue to find ways to feed your body the food and nutrients it needs to live a healthy life with healthy eyes.

Macular Degeneration

Individuals over the age of 50 are at a higher risk for developing age-related macular degeneration (AMD), which causes gradual vision loss. If you are over the age of 50 and have noticed changes in your vision, call our office to schedule an appointment with your eye doctor to discuss your risk for AMD.

What is Macular Degeneration?

Macular degeneration is a condition in which the macula in the eye breaks down resulting in gradual central vision loss. This vision loss is commonly referred to as age-related macular degeneration due to its increased development in individuals over the age of 50. Early signs of this condition include shadows in your central vision, fuzzy vision, or distorted vision. While AMD is not curable, early detection, prevention, and treatment can help slow or stop the progression.

Symptoms of AMD

  • Straight lines appear wavy
  • Fuzzy vision
  • Night vision problems
  • Gray, dark, or empty area in central vision
  • Dramatic vision loss

Types of macular degeneration

Dry macular degeneration is the most common type of AMD, diagnosed in nearly 90% of cases.* Dry macular degeneration causes yellowish deposits to form in the retina resulting in deterioration. Dry AMD will not result in full vision loss, but it is not curable or reversible. By maintaining good health and protecting your eyes from UV rays, you can decrease your risk and prevent early development of dry macular degeneration.

Wet macular degeneration is a severe form of AMD and accounts for about 10% of macular degeneration cases.* Wet AMD is an advanced form of macular degeneration and can result in full loss of central vision. Wet macular degeneration occurs when abnormal blood vessels grow under the retina and macula in the eye. As these blood vessels start to leak blood and fluid into the eye, the macula is forced to lift away from its base causing distorted central vision.  

Who is at risk?

Macular degeneration primarily affects female Caucasians over the age of 50 people. While smoking is one of the highest risk factors for developing macular degeneration, other risk factors include obesity, high blood pressure, lighter eye color, and a family history of AMD.

If you are concerned about changes in your vision or suffer from one of these risk factors, call our office to schedule an appointment with your eye doctor and discuss your vision and risk of macular degeneration.

*American Macular Degeneration Foundation

Know the Facts About Cataracts

Did you know, cataracts are the leading cause of blindness in the world? Cataracts affect nearly 20.5 million Americans age 40 and older.* If you are over the age of 50, you should have a yearly comprehensive eye exam to detect cataracts as they develop.

A cataract is the clouding of the lens in your eye. Many people describe the feeling as if you are looking through a foggy or frosted window.

What causes cataracts?

Clouding of the natural lens in your eye is caused by proteins clumping together within the lens. It is unknown why the eye changes as the body ages, but these changes may cause cataracts to grow larger over time, resulting in an increased difficulty to see clearly.

Some factors that have been linked to cataract development are diabetes, obesity, smoking, ultraviolet radiation, and family history.

Symptoms

Symptoms associated with cataracts can vary from person to person. However, there are a few key symptoms associated with most cases of cataract development. If you are experiencing one or more of these symptoms, schedule a visit with your eye doctor to discuss your risk or development of cataracts.

  • Slight blur in vision
  • Vision is cloudy
  • Sunlight or lamps feel too bright
  • Headlights have more glare and/or a halo around them
  • Colors no longer appear as bright as they once did

Types of cataracts

Subcapsular

Subcapsular cataracts typically occur in the back of the lens and are most common in individuals with diabetes or those taking a high dose of steroid medication.

Nuclear

Nuclear cataracts are associated with aging and occur in the central zone of the lens.

Cortical

Cortical cataracts occur in the lens cortex and are associated with streaks which interfere with light passage through the eye.

Congenital

Congenital cataracts are present at birth and may be due to genetics or intrauterine infection.

Are cataracts preventable?

No studies have shown a way to prevent cataracts, however, there are recommended practices to help maintain eye health and lower your risk of developing cataracts.

  • Yearly comprehensive eye exams help maintain eye health and detect the development of cataracts at an early stage.
  • Smoking has been linked to the development of cataracts. Quitting smoking provides a variety of health benefits lowering your risk for further cataract development.
  • Keeping up with treatment if you have diabetes or other medical conditions will help minimize your risk.
  • Maintaining a healthy diet, including fruits and vegetables, provides increased overall eye health.
  • Wearing sunglasses to prevent ultraviolet radiation will decrease your risk of UV damage which has been linked to the development of cataracts.

 

*National Eye Institute (https://nei.nih.gov)