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Everything You Need To Know About Keratoconus

Everything You Need To Know About Keratoconus 640×350If you’ve been diagnosed with keratoconus, our New York City eye doctors understand your challenge and are here to help you see clearly and comfortably.

Below are some of the most commonly asked questions to help you gain a better understanding of what keratoconus is and how it can be treated.

What is Keratoconus?

Keratoconus affects about 1 in every 2,000 people. This progressive eye disease impacts the shape of the cornea, weakening it and causing it to thin and bulge outward into a cone shape.

The cornea is the clear, dome-shaped outer covering of the eye. It’s responsible for focusing incoming light onto the retina at the back of the eye to enable clear vision. So, when keratoconus develops, the change in the cornea’s shape directly impacts the way light is focused.

Keratoconus often results in nearsightedness and high levels of astigmatism — two refractive errors that cause blurry and distorted vision.

If left untreated, keratoconus can lead to permanent corneal damage and even loss of vision.

What Typically Causes Keratoconus?

Keratoconus develops when the collagen fibers that support the cornea begin to weaken. While having a family member with the disease is a significant risk factor, the following conditions can also lead to keratoconus:

  • Eye trauma
  • Eye allergies
  • Excessive eye rubbing
  • Certain eye diseases
  • Marfan syndrome
  • Ehlers-Danlos syndrome
  • Down syndrome
  • Osteogenesis imperfecta
  • Addison’s disease
  • Leber’s congenital amaurosis

The Signs & Symptoms of Keratoconus

The symptoms of keratoconus include:

  • Blurry vision
  • Distorted vision, with straight lines appearing bent or wavy
  • Sensitivity to bright light and glare
  • Red and irritated eyes
  • Increasing difficulty wearing standard contact lenses

Keratoconus tends to be initially detected in teens or young adults in their 20s, but symptoms can develop at any age.

Keratoconus symptoms usually start out mild but grow progressively worse over time — often over a decade or two — until the condition plateaus.

Both eyes are usually affected, and it’s common to have a difference in optical prescriptions between each eye.

Can Keratoconus Cause Vision Loss?

Keratoconus progression causes nearsightedness, astigmatism and visual distortions to worsen.

Eventually, corneal swelling can lead to scarring of the corneal tissue, which diminishes its transparency and increases your risk of vision loss.

Early detection and treatment of this condition are therefore critical for preventing permanent vision loss.

Can Keratoconus Be Corrected?

Initially, blurry and distorted vision can be corrected with custom-fit soft contact lenses or eyeglasses. However, as the condition progresses and your cornea becomes increasingly cone-shaped, these standard methods of vision correction become less effective.

At this point, many patients with mild to moderate keratoconus opt for scleral lenses, an effective, non-surgical method of achieving clear vision.

Severe keratoconus may require a corneal transplant procedure to replace your damaged cornea with a healthy donor cornea.

Scleral Lenses for Keratoconus

Custom designed scleral lenses help patients with corneal irregularities achieve dramatic improvements in visual acuity and comfort. Scleral lenses vault over the cornea and rest on the sclera while avoiding the diseased cornea. This creates a new optical surface instead of the damaged cornea and prevents discomfort by resting on the sclera of the eye. Moreover, the reservoir of pure saline solution between the back surface of the lens and the front of the cornea ensures that the eye is always in a liquid environment – making it optimal for healing.

Don’t let keratoconus impact your quality of life. We can help you achieve clear, comfortable vision with scleral contact lenses.

If you or a loved one has been diagnosed with keratoconus, call Specialty Contact Lens Center at Sight Improvement Center today to schedule a scleral lens consultation.

Our practice serves patients from New York City, Manhatten, The Bronx, and Brooklyn, New York and surrounding communities.

 

Frequently Asked Questions with Dr. Hollander

Q: How long does it take to get used to scleral lenses?

A: While scleral lenses are easy to handle and care for, it can take a few days to feel comfortable inserting and removing them from your eyes. The more you [practice] the easier it will become. Once the lenses are settled in your eyes, you’ll benefit from the crisp and comfortable vision they provide.

Q: Are scleral lenses covered by insurance?

A: When it comes to scleral lenses, every insurance company is different. We recommend contacting us or checking with your insurance provider to find out if scleral lenses are covered under your plan.

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Call Us 646-846-7741

Can Cataract Surgery Prevent Dementia?

Cataract surgery is a highly successful procedure that removes cataracts, the cloudy formations on the eye’s lens that impair vision.

Now, researchers are discovering that vision loss may be linked to a higher rate of dementia and suggest that restoring clear vision (through cataract surgery, for example) may reduce the risk of developing dementia.

Is There a Correlation Between Cataracts and Dementia?

More than half of those 80 or older have had at least one cataract. Many people in this age range also have dementia, a decline in cognitive functioning.

But is there a connection between these two seemingly unrelated conditions?

Recent studies suggest that, yes, there could be a link. One 15-year study found that patients with age-related vision problems, including cataracts, had a higher incidence of dementia.

The 2021 study, published in the British Journal of Ophthalmology, followed 12,000 subjects aged 55-73. When compared to patients with healthy vision, cataract patients had an 11% higher incidence of dementia.

Can Cataract Surgery Prevent Dementia?

Can sight-saving cataract surgery reduce your risk of dementia? It certainly looks promising!

A 2022 study published in JAMA Internal Medicine found that removing cataracts was “significantly associated with a lower risk of dementia development.” In fact, patients who had undergone cataract surgery had a 29% lower rate of dementia.

In addition, MRI scans have shown greater brain activity following cataract surgery.

How Can Vision Loss Cause Dementia?

Scientists studying the link between vision loss and dementia suspect that vision loss negatively impacts the brain. They theorize that the more visual information we receive, the more active our brains are, and brain activity may be able to fend off dementia.

For this reason, by restoring clear vision, cataract surgery may stimulate the brain and prevent cognitive decline.

There could be an emotional and social dimension to cognitive decline as well. People who suffer from significant vision loss often feel isolated. They may feel discouraged by their inability to recognize faces or perform everyday tasks, and may avoid social interactions. According to the Centers for Disease Control, social isolation raises the risk of developing dementia by 50%.

If you have cataracts and you feel your quality of life is affected, schedule an appointment with Sight Improvement Center in New York City without delay. We’ll answer your questions about cataract surgery and ensure you receive optimal treatment.

Q&A With Our Optometrist

How is cataract surgery performed?

Cataract surgery is a short 30-40 minute procedure that replaces your cloudy, natural lens with a synthetic intraocular lens (IOL). First, the eye surgeon makes a hole in the cloudy lens and breaks it into tiny pieces. Next, the eye surgeon places the new clear lens onto the eye. You’ll be conscious throughout the surgery. The surgery is safe, effective and painless.

Is cataract surgery always successful?

Cataract surgery is highly successful, with a 99% success rate. Complications from cataract surgery are very rare.

June 27 Is National Sunglasses Day!

Monday, Jun 27, 2022 is National Sunglasses Day, so grab your favorite pair of sunnies and celebrate!

Many people think sunglasses are little more than a fashion accessory or a way to minimize glare while driving.

But the truth is that wearing sunglasses is vital if you want to safeguard your eye health and vision.

Why Sunglasses are Important

The number one reason to wear sunglasses is that they prevent ultraviolet (UV) light from entering your eyes.

UV light has been shown to age every part of the eye, from the delicate outer eye tissue to the tiny structures within the eye itself. Chronic UV exposure raises your risk of developing cataracts, age-related macular degeneration and corneal damage.

The skin on your eyelids is the thinnest skin of your body, and UV light exposure can further thin eyelid skin, leading to premature aging and the appearance of dark circles and under-eye bags. Additionally, wearing sunglasses can help prevent wrinkles because you’ll squint less in the sunshine. Who knew sunglasses can be a key player in your anti-aging routine?

Moreover, UV light has been shown to slow the cornea’s ability to heal itself, making sunglasses a medical necessity for people who’ve recently had eye surgery like LASIK, or those who frequently wear contacts (overwearing contacts can irritate the cornea).

Finally, sunglasses are a fun way to show the world your personality and accessorize any outfit.

Activities for National Sunglasses Day

Not sure how to celebrate National Sunglasses Day? Here are a few ideas you may enjoy.

Sport your favorite pair of sunglasses during an outdoor activity, whether it’s a barbecue with friends, a concert at a stadium or time spent in the park.

You can also celebrate National Sunglasses Day by gifting a pair of quality sunglasses to a friend, spouse or child!

No matter how you choose to celebrate National Sunglasses Day, we hope you enjoy and keep your eyes protected.

For all matters related to eye health, ​​Sight Improvement Center in New York City is here for you. Contact our eye doctor today!

FAQ With Our Optometrist

Should kids wear sunglasses?

Yes, children of all ages should wear sunglasses whenever they’re outdoors. In fact, it’s crucial because a child’s crystalline lens within the eye is much more clear than an adult’s, letting more light through. Contact us to learn more about kids’ eye health or to schedule an eye exam.

Can sunglasses block blue light?

Sunglasses with lenses that have a yellowish tint offer the most amount of blue light protection, from the sun and other sources. If you’re interested in blocking the blue light that’s emitted from your digital devices, speak with us to determine if computer glasses are right for you.

What’s The Connection Between Dry Eye And Asthma?

Woman with Dry Eye And AsthmaResearchers have already established several known risk factors for developing dry eye syndrome: the quality of your tears, excessive screen time, air pollution, hormonal fluctuations, aging, certain medications and medical conditions, and even one’s gender (females are more prone).

Here’s another risk factor that’s recently been added to the list: having asthma.

Asthma is a disease of the lungs that affects about 300 million people around the globe. Symptoms include wheezing, chest tightness, coughing and breathlessness.

Fortunately, asthmatic patients are usually able to do the activities they enjoy by taking prescription medications that facilitate easier breathing.

But medical professionals have noticed that individuals taking these medicines, and sometimes even asthmatic patients who don’t, have a higher incidence of dry eye syndrome.

If you have asthma or any other risk factors for dry eye syndrome, let your eye doctor know. The eye care professionals at Dry Eye Center at Sight Improvement Center can identify the underlying cause of your dry eye symptoms and provide you with lasting dry eye relief.

What is dry eye syndrome?

Dry eye syndrome occurs when the eyes consistently lack proper lubrication, either due to insufficient tears or tears that lack essential oils.

Here’s a list of the common dry eye symptoms:

  • Burning, gritty or itchy eyes
  • Eye dryness
  • Red or painful eyes
  • Blurred vision
  • Stringy mucus around the eyes
  • Light sensitivity
  • Difficulty or inability to wear contact lenses
  • Feeling that something is stuck in your eye

What Causes Dry Eye Syndrome?

Most cases of dry eye syndrome result from the dysfunction of the meibomian glands in the eyelids, which produce the vital oils needed for healthy tears, and which reduce tear evaporation. But dry eyes can also be caused by some autoimmune diseases, hormone replacement therapy, certain medications and, it appears, asthma or the medications that treat it.

Environmental factors that can bring on dry eye syndrome include exposure to wind or airborne irritants, pollution, infrequent or incomplete blinking (people blink less when they use digital devices), heating, air conditioning and dry weather. Certain makeup products, including mascara, and application methods such as applying makeup on the eyelid margin, can block the glands that lubricate the eyes.

Can Dry Eye Syndrome Be Cured?

There is now a wide range of treatment options that can successfully manage your dry eyes. The key is to allow us to find and target the underlying cause of your condition, so we can create a plan to minimize and sometimes eliminate your dry eye symptoms.

What’s the Link Between Asthma and Dry Eye Syndrome?

Several studies have examined the relationship between asthma and dry eye syndrome and found that although a link exists, researchers aren’t sure exactly why.

One study, published in BMJ Open (2019), found that asthmatic people of Australian, Caucasian and Asian descent have higher rates of dry eye syndrome than those without asthma.

Another study, published in Medicine (2020), established a significant link between asthma and dry eye syndrome, and found that children with asthma tend to have an unstable tear film — a common cause of dry eyes.

One hypothesis is that asthma medications, like inhaled corticosteroids, oral antihistamines and leukotriene receptor antagonists may contribute to eye dryness by inhibiting tear production, but further research is needed.

Could asthma itself be the culprit? Possibly, but more research is needed for a better understanding. What is known, however, is that having low blood oxygen levels caused by severe asthma can deprive the front section of the eye (the cornea) of oxygen, potentially leading to dry eye syndrome.

What’s the Bottom Line?

Research shows that having asthma may increase your risk of experiencing dry eye symptoms.

If you have asthma, speak with your optometrist about lowering your risk of developing dry eye syndrome and make sure to bring all of your asthma medications to your next eye exam.

If you already have certain symptoms of dry eye syndrome, promptly contact Dry Eye Center at Sight Improvement Center to schedule a dry eye consultation. We’ll create a personalized treatment plan so you can enjoy long-term relief.

Our practice serves patients from New York City, Manhatten, The Bronx, and Brooklyn, New York and surrounding communities.

Frequently Asked Questions with Dr. Hollander

Q: What at-home remedies can relieve dry eye syndrome?

  • A: Make sure to stay hydrated and wear sunglasses whenever outdoors. If you use an indoor heater or air conditioner, direct the airflow away from your face. Use a humidifier at home and at work. You can also try using a warm eye compress. Ask your eye doctor for instructions on how to do so. But keep in mind that trying to manage dry eye syndrome without seeing a dry eye optometrist won’t be as effective.

Q: How is dry eye syndrome treated?

  • A: The type of treatment depends on what’s causing the symptoms. For example, if premature tear evaporation is the problem, your optometrist may prescribe eye drops. Or if your meibomian glands aren’t functioning as they should, unclogging the glands may do the trick. Medicated eye ointment or drops may be prescribed, or we may recommend certain in-office dry eye treatments. Each treatment plan is carefully formulated with your eyes and lifestyle in mind.

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4 Facts You Should Know About Scleral Lenses

Woman wearing Scleral Lenses scenic viewDo you have keratoconus or another type of corneal irregularity due to a medical condition or post-surgical complications? Are you considering giving up conventional contacts due to dry eye syndrome?

Consider scleral contact lenses! Contact Sight Improvement Center in New York City to learn more and to discover a new sense of freedom with sclerals!

What Are Scleral Contact Lenses?

Sclerals are customized rigid gas permeable lenses that are wider than conventional lenses. Their name reflects the fact that they vault over the cornea and rest on the sclera, the white part of the eye.

Scleral contact lenses are 14-24 mm in diameter, while regular contacts are 9mm. This gives sclerals room to accommodate irregularly shaped corneas and provides a reservoir of moisture to soothe dry eyes.

4 Essential Facts About Scleral Contact Lenses

1. Sclerals Are the Right Fit for Irregularly Shaped Corneas

Keratoconus, astigmatism and complications from eye surgery can all result in an irregular-shaped cornea, and wearing contact lenses when your eyes are hard to fit can be challenging. Because sclerals are larger than regular contacts and don’t sit on the sensitive cornea, they provide lots of space and a comfortable fit.

2. Scleral Contact Lenses Can Reduce Dry Eye Symptoms

If you have dry eye syndrome, you may be tempted to give up on wearing contacts altogether. Scleral lenses are ideal for people with dry, itchy and irritated eyes. A lubricating pool of saline solution inside each scleral lens can reduce or even eliminate dry eye discomfort.

3. Sclerals Create a Wider Field of Vision

The width of sclerals not only makes them more comfortable but can extend your field of vision. Their diameter can expand your optic zone and make your peripheral vision sharper and clearer.

4. Sclerals Are Durable and Long-Lasting

Rigid gas permeable contact lenses, including scleral lenses, last longer than conventional soft contacts. Their durable materials are designed to resist wear and tear, which is also why scleral lenses don’t require frequent replacements.

Enjoy the convenience and clear vision scleral lenses by scheduling an appointment with Specialty Contact Lens Center at Sight Improvement Center and discover whether scleral lenses are the right choice for you.

Our practice serves patients from New York City, Manhatten, The Bronx, and Brooklyn, New York and surrounding communities.

 

Frequently Asked Questions with Dr. Hollander

Q: Can I exercise with scleral lenses?

  • A: Scleral lenses are ideal for people who lead active lives—whether you’re a professional athlete or just like to pass a ball around with friends at the park. Thanks to their greater width, scleral lenses stay in place on the eye more than standard lenses while simultaneously providing clear crisp vision. That said, scleral lenses aren’t recommended for martial arts and other sports with a higher-than-usual rate of facial injuries.

Q: If I have keratoconus, can I avoid corneal surgery with scleral lenses?

  • A: A study published in the Journal of Ophthalmology (2018) that examined 51 patients with advanced keratoconus found that 40 of them didn’t need surgery after wearing scleral lenses. In fact, wearing them reduced the need for corneal transplant or keratoplasty by half during a 5-year period.

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Could Working From Home Be Hurting Your Vision?

Working at home is a great way to ditch your commute and enjoy more flexible hours, but there can be an unexpected consequence—digital eye strain. If you’re like many workers, you probably spend most of your day on a computer or other digital device, and likely experience the headache, blurred vision, sore eyes or achy back so common with digital (computer) eye strain.

In contrast to being in the office, where workers take coffee breaks and socialize, working solo at home often translates into spending more time on the computer without breaks, and often beyond the typical 9 to 5 schedule. This can increase the likelihood of developing digital eye strain.

What Is Digital Eye Strain?

Digital eye strain, also called computer vision syndrome (CVS), affects an estimated 70% of adults, especially those between the ages of 18 and 34.The eye strain results from extended hours focusing on a computer screen, and may be worsened by hours of exposure to blue light, high-energy visible light emitted by digital screens.

Blue light can cause short-term eye strain and discomfort, and scientists are researching whether it could also be linked to serious eye conditions, such as age-related macular degeneration (AMD) and cataracts.

Moreover, staring at a screen, or even a printed book, causes people to blink up to 66% less often. Blinking is essential as it hydrates your eyes and stimulates the release of oil from the tiny glands in your eyelids. This oil also prevents tears from evaporating too quickly, thus drying out the eyes. Dry eyes can cause blurry vision, which further exacerbates eye strain.

What Are the Symptoms of Digital Eye Strain?

The following are common symptoms of digital eye strain:

  • Blurry vision
  • Eye soreness
  • Headaches Dry eyes
  • Light sensitivity
  • Neck, back and shoulder pain

How Can I Prevent Digital Eye Strain?

No need to ditch your job in order to avoid eye strain. There are other, more practical, ways to lessen the negative impact of screen time on our eyes. Below are some helpful tips.

Take Breaks

Even if you aren’t at the office and may not have co-workers to hang out with at the coffee machine or water cooler, make sure to take frequent breaks that don’t require screen time. Perhaps take a walk or reward yourself with a short nap. These breaks not only give your eyes a rest, but can rest your mind for a few minutes so you can work more efficiently.

Consider adopting the 20/20/20 habit. For every 20 minutes you spend in front of a screen, take a 20-second break and look at something 20 feet away. This will prevent you from overstraining your eyes and will encourage you to blink more, providing your eyes with much-needed hydration.

Adjust Screen Brightness

Bright screens can place a significant burden on your eyes. Simply adjusting your screen’s brightness can help rest your eyes.

See Your Eye Doctor

If you spend prolonged periods in front of the screen, it’s important to schedule an eye exam with your eye doctor to discuss whether you would benefit from lubricating eye drops or a pair of computer glasses. These computer glasses (or blue light glasses) allow your eyes to relax and make you feel as if you’re focusing on faraway objects. They also reduce glare and filter out blue light.

Whether you’re suffering from any of the symptoms related to digital eye strain or simply want to prevent it, we invite you to book an appointment with Sight Improvement Center in New York City. With the right eye care and work habits, you should be able to successfully and quickly reduce and prevent eye strain.

Q&A With Our Optometrist

How long does it take to recover from computer eye strain?

If you don’t have an underlying eye condition, symptoms of digital eye strain can sometimes disappear within a few hours or days. But if you have recurrent eye strain, speak with your eye doctor, as the right eye drops or computer glasses could improve your visual comfort and quality of life.

Can digital eye strain affect my work productivity?

You may think spending hours in front of a computer screen will improve your productivity, when in reality, it may have the opposite effect. According to a study at the University of Alabama/Birmingham School of Optometry, even minor vision problems, such as eye strain, disrupt worker productivity by at least 20%.

So make sure to take steps to control lighting and glare on the device screen and establish proper working distances and posture for screen viewing. To learn more and to alleviate or prevent eye strain, contact Sight Improvement Center today.

What Exactly is an Eye Chart?

If there’s one aspect of optometry that everyone recognizes, it’s the traditional eye chart, with its rows of big letters on top, which gradually become smaller the farther down you go. This chart is usually known as the Snellen chart.

Yet how much do you really know about this eye chart? Are all eye charts the same? How are these eye charts used? And when were they invented?

Here’s everything you need to know about eye charts and more!

What is an Eye Chart?

An eye chart is one of the tools your eye doctor uses to assess your eyesight. Based on how well you can see various letters on the chart, your optometrist will determine whether you have myopia (nearsightedness), hyperopia (farsightedness), presbyopia (age-related farsightedness) or astigmatism, and will measure the prescription that will give you the clearest, most comfortable vision.

Are All Eye Charts The Same?

There are a number of variations to the standard Snellen eye chart. The one an eye doctor uses depends on the personal needs and abilities of the patient. For example, eye doctors will use charts with pictures or patterns for younger children who may not have learned to read or identify letters and numbers.

There are also certain charts that specifically measure distance vision, while others are better for measuring near vision.

History of the Snellen Eye Chart

The Snellen eye chart was developed by Dutch eye doctor Hermann Snellen in the 1860s. Before this standardized eye chart was developed, each eye doctor had their own chart that they preferred to use.

Having so many different eye charts made it impossible to standardize the vision correction available to patients. Eyeglass makers didn’t receive the defined measurements they needed to accurately design, manufacture and measure the optical prescriptions their patients needed.

For the first time, the Snellen eye chart allowed a person to provide a standardized prescription from any eye care provider they chose to any eyeglass maker, and get the same optical lenses to accurately correct their vision.

How The Snellen Chart Is Used in Eye Exams

The standard Snellen chart displays 11 rows of capital letters, with the first row consisting of a single large letter. The farther down the chart you go, the smaller the letters become.

Your New York City eye doctor will ask you to look through a phoropter – an instrument used to test individual lenses on each eye during an eye exam – and look at the Snellen chart placed 20 feet away. Your eye doctor will prescribe the lenses that provide you with the clearest and most comfortable vision.

In many offices, where 20 feet of space may not be available, you’ll be asked to view the chart through a mirror. This provides the same visual experience as if you were standing 20 feet away.

If you have 20/20 vision, it means you can see what an average person can see on an eye chart from a distance of 20 feet. On the other hand, if you have 20/40 vision, it means you can only see clearly from 20 feet away what a person with perfect vision can see clearly from 40 feet away.

If you have 20/200 vision, the legal definition of blindness, this means what a person with perfect vision can see from 200 feet away, you can see from 20 feet away.

Does 20/20 Visual Acuity Mean Perfect Vision?

No. While eye chart tests identify refractive errors, they can’t detect signs of visual skill deficiencies or diseases such as glaucoma, cataracts or macular degeneration. These are diagnosed using advanced equipment as part of a comprehensive eye exam with your local New York City eye doctor. Early diagnosis and treatment of eye conditions are essential to ensuring long-term vision and eye health.

For more information, give us a call at 646-833-0589 or visit us in person at Sight Improvement Center, today!

Q&A With Your Local Optometrist

How do you keep your eyes healthy?

You only have one set of eyes – don’t take them for granted!

Make sure to implement the following habits for healthy eyes (and body). These include:

  • Eating a balanced diet rich in fiber, fruits and vegetables
  • Drinking plenty of water to hydrate your body and eyes
  • Not smoking, and avoiding 2nd-hand smoke
  • Wearing sunglasses to protect your eyes from ultraviolet (UV) rays
  • Maintaining normal BMI with regular exercise
  • Regular visits to your eye doctor as recommended

What health conditions can an eye exam detect?

A comprehensive eye exam can often detect certain underlying diseases that can threaten your sight and eye health, such as diabetes, high blood pressure, high cholesterol, tumors, autoimmune conditions and thyroid disorders. This is why having your eyes checked regularly is key. The earlier the diagnosis and treatment, the better the outcome and the higher your quality of life.

Covid Patients Are 40% More Likely to Get Diabetes – What Does That Mean for Your Vision?

Covid 19 Patient Sick in BedHave you had Covid-19? After your fever and cough have subsided, you may think the virus is behind you. However, even after your Covid test comes back negative, you may experience health problems in the near future, including diabetes.

Recent studies have found that a significant percentage of post-Covid-19 patients developed diabetes within a year of contracting the virus. This is particularly problematic, as diabetes raises the risk of developing many health problems, including several sight-threatening eye conditions that can rob people of their vision.

What Does the Research Show?

A March 2022 Lancet study that evaluated the records of 181,280 U.S. military veterans found a 40% higher risk of developing Type-2 diabetes in those who had Covid. Although those at greatest risk were over 65, African American and/or had underlying health conditions, many younger patients also developed Type 2 diabetes.

A study published in January 2022 by the Centers for Disease Control (CDC) found that children and teens under 18 were more likely to receive a new diabetes diagnosis (both Type 1 and Type 2) at least 30 days after infection than those who never contracted Covid.

Scientists are investigating exactly why Covid-19 raises the risk of developing diabetes. In many cases, it’s believed that the virus targets pancreatic cells, which are responsible for making insulin, a hormone that regulates blood sugar levels. A lack of insulin causes diabetes.

Some scientists also theorize that inactivity and weight gain due to lockdowns and quarantines may have raised the risk of developing diabetes.

Diabetes-Related Conditions

Diabetes is linked to many eye conditions, including:

Blurry Vision – High blood sugar drives the lens inside your eye to swell, causing your vision to blur.

Cataracts – Diabetes can cause cataracts, cloudy patches that form in the lens of the eye.

Glaucoma – This disease develops from high pressure inside the eye and can lead to severe vision loss.

Diabetic Retinopathy – High blood sugar levels damage the small fragile blood vessels on the retina, leading to vision loss.

Maculopathy – Swelling of the macula, the center of the retina, can make it difficult to drive, read or see detail.

Some of these conditions have no noticeable symptoms during their early stages when it’s still possible to prevent or minimize vision loss. So having regular comprehensive eye exams is crucial.

How to Reduce Your Risk of Diabetes Post-Covid

Even after you’ve recovered from Covid, you may still be at a higher risk of developing diabetes. So, along with people who have a family history of the disease, make sure to book a comprehensive eye exam, eat a healthy and balanced diet, don’t smoke, maintain your appropriate weight, and ask your physician to monitor your blood sugar levels.

Also, if you have any eye symptoms, such as blurry vision, schedule an appointment with Sight Improvement Center immediately. Remaining vigilant and aware of the risks can help safeguard your vision thanks to early intervention and treatment.

Are you concerned about the effect having Covid may have on your eyes? Schedule an appointment with Sight Improvement Center today!

Our practice serves patients from New York City, Manhatten, The Bronx, and Brooklyn, New York and surrounding communities.

Q&A with Dr. Hollander

Q: What is a diabetic retinal eye exam?

A: A diabetic retinal [eye__exam] checks for diabetic retinopathy, a condition that affects the small thin blood vessels in the retina located at the back of the eye. Your optometrist will place eye drops into your eye to open your pupils so they can more easily see the back of your eye. They may take digital images to inspect blood vessels: these full-color 3D images show the cross-section of the retina and measure the retinal thickness to help your optometrist detect any fluid or blood leakage.

Q: How common is vision loss with diabetes?

A: People with diabetes are more likely to experience eye and vision problems. Among people over 45 diagnosed with diabetes, 17.6% experience some degree of vision loss.
– 9.2% is caused by cataracts
– 4.1% is caused by diabetic retinopathy
– 2.2% is caused by macular degeneration
– 2.1% is caused by glaucoma. Therefore, anyone diagnosed with or with risk factors for diabetes should have regular eye exams to protect their vision and eye health.

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Call Us 646-846-7741

The Link Between Dry Eyes and Depression

The Link Between Dry Eyes and DepressionDepression is a serious illness that impacts a person’s mood and emotional well-being. It creeps into all areas of a person’s life, and can become life-threatening if left untreated.

Not only does depression impact mental health; it can manifest as physical symptoms, too, like insomnia, chronic pain and inflammation, weight loss or gain and heart problems, among others. These physical problems can worsen depressive thoughts — sometimes leading to a vicious cycle.

Interestingly, many patients with depression also suffer from severe dry eye symptoms. The question is, how are these two conditions related?

What is Dry Eye Syndrome?

Dry eye syndrome, also known as dry eye disease, is a chronic condition that results from inadequate lubrication of the eyes. Ocular hydration is crucial when it comes to keeping your eyes healthy and your vision clear. Your tears are responsible for maintaining this necessary hydration, and in healthy eyes fulfill their unique mission each time you blink.

Your tear film is made up of three layers, consisting of oil, water and mucus. If any of these layers become compromised, inadequate tear quality or insufficient tear quantity can result and lead to a host of uncomfortable dry eye symptoms.

The most common dry eye symptoms include:

  • Dry eyes
  • Red or irritated eyes
  • Itchy eyes
  • Gritty eyes
  • Light sensitivity
  • Blurry vision

Can Depression Cause Dry Eye (or Vice-Versa)?

This is what researchers are trying to find out.

In a March 2022 study published in JAMA Ophthalmology, researchers examined the link between depression and severe dry eye symptoms. The study followed 535 dry eye patients for an entire year.

After a year, the patients who tested positive for depression had more severe dry eye symptoms than the patients who didn’t have depression. Their symptoms were measured based on the Ocular Surface Disease Index (OSDI), Brief Ocular Discomfort Index and composite dry eye disease sign score.

Additionally, severe depression was associated with more severe dry eye symptoms at baseline, six months, and one year.

The study concluded that depression was associated with more severe dry eye symptoms, which suggests that among patients with moderate to severe dry eye syndrome, those with depression may be likely to have more severe dry eye symptoms.

The researchers said further research is needed to learn exactly why people with depression have more severe dry eye symptoms than those without depression.

Could the sometimes debilitating symptoms of dry eye syndrome actually cause depression and anxiety?

A 2016 dry eye study published in Nature concluded that chronic discomfort and pain from dry eye symptoms can negatively affect the cognitive processes, sleep, mood and mental health. The researchers urged eye doctors to be aware of the higher incidence of dry eye syndrome in people with depression, whatever the underlying cause.

Can Antidepressants Cause Dry Eye Symptoms?

Yes. Antidepressants have been shown to increase dryness in the body, including the eyes. These medications work by blocking signals between nerve cells, which can result in insufficient tear production and dry eye syndrome.

If you’re taking an antidepressant, be sure to inform your eye doctor during your consultation.

How We Can Help

At Dry Eye Center at Sight Improvement Center in New York City, we recognize that some of our patients that come in with dry eye symptoms may be suffering from depression.

We’ll diagnose the cause of your dry eye symptoms and offer the most effective dry eye treatments to give you the relief you’re searching for.

Contact us today to schedule a dry eye assessment and take the first step towards regaining your quality of life.

Frequently Asked Questions with Dr. Hollander

Q: Who is affected by dry eye syndrome?

  • A: While dry eye syndrome is most common in adults over 50, it can occur at any age. The following factors can increase your risk of dry eye:
    – Aging
    – Hormonal changes
    – Medical conditions such as Sjogren’s syndrome and rheumatoid arthritis
    – Prolonged screen time
    – Living in a dry, dusty or windy environment
    – Eye allergies
    – Blepharitis or meibomian gland dysfunction
    – Certain medications, such as decongestants, antihistamines, antidepressants, hormone replacement therapy
    – Vitamin A deficiency

Q: How can you reduce your risk of dry eye?

  • A: While some dry eye risk factors can’t be avoided completely, making some lifestyle changes can help. Practice these recommended tips:
    – Use a humidifier to add moisture to the air
    – Wear wraparound sunglasses outdoors to protect your eyes from harsh winds
    – Take frequent screen breaks and blink often while using your digital device.
    – Quit smoking
    – Use lubricating eye drops
    – Consume a healthy diet including omega 3 and drink plenty of water.
    – Have regular eye exams

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Bloodshot Eyes – Should You Be Concerned?

You wake up in the morning ready to start your day, only to discover that your eyes are bloodshot. That might not be surprising if you stayed up late to finish a project, had too many drinks at a party or spent time in a smoke-filled room.

But bloodshot eyes can also signal an underlying eye problem. If your eyes appear red or bloodshot, make an appointment with an eye doctor for a comprehensive eye exam to determine the cause and to receive effective treatment.

Why Do I Have Bloodshot Eyes?

When blood rushes to the front of the eye, the tiny red blood vessels on the white of the eye dilate and become visible. This makes the eyes appear red and irritated.

So why do these blood vessels dilate, causing your eyes to look bloodshot?

Bloodshot eyes tend to be caused by:

  • Dry eyes
  • Irritants such as smoke, pollen and perfume
  • Lack of sleep
  • Excessive alcohol consumption
  • Spending too much time in front of the computer

Bloodshot eyes due to lifestyle and environmental irritants may disappear on their own, or you can try to relieve them with over-the-counter eye drops or liquid tears. Lifestyle changes, such as getting more sleep, cutting down on alcohol intake and limiting screen time can often be helpful. If allergies are the culprit, oral antihistamines and antihistamine eye drops may relieve symptoms.

At other times, underlying problems requiring prompt medical attention can cause your eye’s blood vessels to dilate. The following are some of these medical conditions:

Conjunctivitis

You’ve probably heard of “pink eye.” It’s another name for infectious conjunctivitis – an infection of the conjunctiva, the thin membrane covering the eyelid and the front surface of the eye.

There are two types of infectious conjunctivitis – bacterial and viral.

If your child has conjunctivitis, they’re not alone. About 12% of kids get bacterial conjunctivitis every year. This highly contagious condition affects children and adults. In addition to reddish eyes, the following symptoms are associated with conjunctivitis:

  • Bacterial conjunctivitis – irritated eyes, swollen eyelids, eye discharge, crusty eyelids and excessive tearing
  • Viral conjunctivitis – cold or flu-like symptoms, runny nose, fever, itchy eyes, excessive tearing

If you or your child are experiencing these symptoms, it’s important to schedule a prompt appointment with an eye doctor, who can diagnose whether the conjunctivitis is viral, bacterial or due to allergies.

Depending on the diagnosis, your eye doctor will prescribe antibiotic eye drops or creams to treat bacterial conjunctivitis. The viral form may run its course after a few days, but cold compresses and non-prescription eye drops may provide relief.

Dry Eye Syndrome

If your eyes are chronically bloodshot you may have dry eye syndrome (DES). Signs of DES include:

  • Dry, irritated eyes
  • Burning or stinging eyes
  • Discharge from the eyes
  • Light sensitivity
  • A feeling you have something stuck in your eyes
  • Blurred vision
  • Watery eyes

Dry eye syndrome is most commonly caused by a blockage of the tiny meibomian glands in the eyelids. These glands secrete oil that keeps eye moisture from evaporating too quickly. Without the oil, tears dry fast, leaving your eyes feeling dry, itchy and with a bloodshot appearance.

Too much screen time, aging, certain medications such as antihistamines, and medical conditions such as Sjogren’s syndrome can cause dry eye syndrome.

In addition to any medications or in-office treatments your eye doctor recommends, make sure to get plenty of hydration, take frequent breaks from digital screens and use a humidifier in your home.

Uveitis

In addition to bloodshot eyes, if you also experience blurred vision, see floaters or your eyes feel painful, you may have an eye inflammation called uveitis. The causes of uveitis include:

  • Autoimmune or inflammatory condition
  • Infection
  • Medication side effects
  • Cancer (in rare cases)

Unfortunately, uveitis symptoms can often be mistaken for something less serious. That’s the reason it’s important to get an eye exam if your eyes are bloodshot. Left untreated, uveitis can lead to serious conditions such as retinal scarring, cataracts and vision loss.

Depending on the cause and severity, your eye doctor may treat uveitis with prescription eye drops, steroid pills, injections or eye implants.

Eye Injury

It’s vital that all eye injuries receive immediate eye care from an eye doctor.

Even a minor eye injury can cause a big red blotch to form on the white part of the eye (sclera). The cause is a broken blood vessel or a subconjunctival hemorrhage.

Although the appearance of this blood looks severe, and can make the entire white part of the eye appear bright red, a subconjunctival hemorrhage is usually painless and doesn’t cause vision loss. Any time you notice excessive blood on the eye following an eye injury, schedule an appointment with an eye doctor to assess the health of your eye.

Glaucoma

In rare cases, bloodshot eyes may signal the presence of glaucoma – a leading cause of vision loss and blindness.

While some types of glaucoma don’t show symptoms in the early phases, bloodshot eyes can indicate the type of glaucoma that requires immediate medical care. This disease causes damage to the optic nerve due to excessive pressure within the eye. When this pressure suddenly rises, the eye’s blood vessels become dilated and visible, making the eye appear red.

If you have bloodshot eyes and/or have the following risk factors for glaucoma, immediately schedule an appointment with your eye doctor.

  • Family history of glaucoma
  • Aged 60+
  • African American, Asian or Hispanic
  • Diabetes
  • High blood pressure

Bloodshot Eyes Won’t Go Away?

Talk to Us Any time you notice bloodshot eyes or blood on the front of the eye, don’t wait. Schedule your eye exam with Dr. Hollander at Sight Improvement Center in New York City today.

Q&A With Your Local Optometrist

Can I get bloodshot eyes after LASIK surgery?

LASIK surgery is highly effective minimally invasive laser eye surgery that can correct refractive errors, but like all surgical procedures, it can have side effects. Your eyes may be bloodshot or you could see halos from a few days to three weeks after surgery. Additionally, you may experience other dry eye symptoms. Eye drops and liquid tears can alleviate these symptoms, but if you have any concerns about your eyes following LASIK surgery contact your eye surgeon.

What Should I Expect from a Glaucoma Exam?

If you have a family history and/or other risk factors for glaucoma, and if your eyes look bloodshot, consider scheduling a glaucoma exam. Your eye doctor may perform the following tests:

  • Tonometry – eye pressure test
  • Gonioscopy – to see how fluid is draining out of your eye
  • Vision field test – to examine the functioning of the optic nerve
  • Dilated pupil exam – to detect any damage to the optic nerve
  • Retinal photo or OCT – digital examination of the retina and optic nerve health