Children’s Vision Protocol

Children constantly grow and change. Their clothes become too small, their shoes become too tight, and their skills become more advanced. Although for parents, these stepping stones may happen too fast, it’s a part of life. It is important to get your children’s vision regularly checked to keep up with this constant activity throughout their fast-paced life. Below are a few questions parents may have surrounding their child’s first eye exam: 

Questions About Your Children’s Vision

  • Why are children’s eye exams so important?
  • When should my child have an eye examination?
  • What goes into scheduling my child’s first eye exam?
  • What are the common eye tests my child will have to do?

Why are children’s eye exams so important?

Children use their eyes to do everything! Your child’s success in learning and development can be, in part, traced back to their vision. About 80% of the information a child learns in school is taught visually, making clear vision essential for a child’s developmental success. A comprehensive eye exam for your child will ensure they have the precise eye teaming, eye movement, and focusing skills needed to succeed.

When should your child have an eye examination?

Your child should typically have his/her first eye exam around six months of age. If your eye doctor determines your child’s vision is normal, their next eye exam commonly isn’t required until three years old, and then again around five or six. Following this checkup, it’s common to have an exam every other year as long as your child doesn’t develop any vision problems that require attention.

What goes into scheduling your child’s first eye exam?

After scheduling your child’s first eye exam, pay attention to these warning signs your child may need vision correction. If you notice any of the above, make sure to mention this to your doctor during your child’s exam.

  • Delayed motor movement
  • Constantly rubbing of his her/eyes
  • Excessive blinking
  • Failure to maintain eye contact 
  • Poor eye tracking skills

What are common eye tests my child will have to take?

The tests your eye doctor performs depend on your child’s age. For infants, typical tests will make sure their pupils are filtering light and focusing properly on objects. For preschool children, tests focus on retinoscopy, lazy eye, proper alignment, and general eye health. 

Do you want to take the next steps in ensuring your child has full potential regarding his/her vision?

Contact our office today to ask our staff any questions you have about your child’s next appointment. Our team is prepared to guide you through the next steps in ensuring your family’s vision stays in line.

FAQ: Computer Vision Syndrome

What is computer vision syndrome?

Computer vision syndrome, or CVS, is the discomfort or symptoms caused by focusing on a computer or technological device for a long and uninterrupted time.

Common symptoms include:

  • Headaches
  • Loss of Focus
  • Burning Eyes
  • Tired eyes
  • Red Eyes
  • Double Vision
  • Eye Twitching
  • Blurred Vision
  • Neck and Shoulder Pain

Commonly Asked Questions

What causes Computer Vision Syndrome?

Characters, when read on a computer screen, don’t have the same level of contrast and definition as printed materials. This lack of contrast makes it harder for your eyes to focus. When your eyes and brain react differently to the various characters on a computer screen than on a print, you can develop symptoms of eye strain like blurred vision or headaches.

Who is affected?

Anyone working on a computer for extended periods has an increased risk of developing computer vision syndrome. When you stare at a screen, you are forcing your eyes to focus and refocus for long periods. As a result, your eyes are using more muscles, causing fatigue and tired eyes. 

What can I do to reduce symptoms?

It’s easy! Talk to your eye doctor about their recommendations on how you can handle CVS. Your eye doctor may do a few tests to detect vision problems that may worsen your symptoms. Depending on the results, your doctor may recommend computer eyewear to protect your eyes or tips and tricks habits to reduce your symptoms. 

For example, try practicing the 20/20/20 rule when using digital devices for an extended period. Every 20 minutes, look 20 feet away for 20 seconds. This exercise gives your eyes a break from the continued work of focusing on your computer screen.

Finding a Solution

What is Computer Eyewear?

Computer eyewear are prescription glasses specifically designed for work on a computer. Generally speaking, these lenses enable you to focus better on a computer screen, which is usually at about 20in from your eyes. 

Are there Different Types of Computer Lenses?

Yes! When shopping for the right pair of computer eyewear, ask us about the different options. Computer lenses are available in both single vision and progressive lens options to fit your vision needs. 

I don’t have Computer Vision Syndrome now. Should I still look into computer eyeglasses?

Yes. Even though you may not have computer vision syndrome now, you can still develop symptoms down the road. Many individuals experience reduced productivity and accuracy when working behind a screen, even without vision problems.

Do you have more questions about computer vision syndrome and the possible solutions that you can take? Contact our office today and ask us your vision questions!

5 Reasons Eye Exams Are Important

Your eyes allow you to interact with the world around you every day and are a vital part of your daily life. By taking care of your eyes today, you are ensuring you will see your best for years to come. Let’s take a closer look at five reasons why routine eye exams are so important.

  1. Eye exams help children succeed in school.
  2. Myopia is becoming more common.
  3. Vision screenings should never substitute a yearly comprehensive eye exam.
  4. Glaucoma does not present symptoms in the early stages.
  5. Annual eye exams can help detect other health issues.

Eye Exams & School

During a child’s schooling, 80% of the information presented for learning requires good vision. By scheduling a yearly comprehensive eye exam, you are ensuring your child sees clearly and comfortably in the classroom. Even more, an eye exam is the only way to know for sure if your child is able to see their best for sports and other activities.

Reducing Myopia Progression

Myopia, or nearsightedness, is being diagnosed more than ever before, and at an earlier age, too. Children who become nearsighted early in life tend to experience a worsening progression of nearsightedness throughout childhood. This progression puts them at a higher risk of developing cataracts, glaucoma, and retinal detachment later in life.

By scheduling a routine eye exam, your doctor can evaluate your risks of developing myopia. When detected early, you and your eye doctor can dramatically slow the progression of myopia and decrease the chances of developing eye problems down the road. 

Vision Screenings Vs. Comprehensive Eye Exams

While commonly provided, a vision screening test is not a replacement for a yearly routine eye exam. Vision screening tests only look to see if a vision problem exists. These tests cannot diagnose the vision problem you have but are able to signify a larger exam is needed. During a comprehensive eye exam, your optometrist will perform tests that evaluate your vision and eye health. 

As you age, your risk of eye problems also increase. Routine eye exams are essential to detecting eye-related issues when merely getting a vision screening would not. 

Reducing Your Risk of Glaucoma

Many people who develop glaucoma often don’t show symptoms at first. These individuals usually develop vision loss before they have learned that something is wrong with their eyes. This type of vision loss is irreversible if caught too late. With a routine exam, your optometrist can detect high eye pressure and other early signs of glaucoma before any serious damage to your vision occurs.

Detecting Issues During Your Annual Eye Exam

An eye exam can detect other health-related issues such as diabetes, high blood pressure, high cholesterol, and even cancer. During your exam, your eye doctor will evaluate the health and condition of the blood vessels in your retina, which are predictors of the health of blood vessels throughout your entire body. By scheduling a yearly comprehensive eye exam, you can reduce your risk for diabetes, hypertension, and hypercholesterolemia.

So do you want to take a burden off of your eyes? Contact our office today and ask our staff any questions that you might have about scheduling your eye exam. 

Screen Time and Children

Screen time is the amount of time a person spends staring at digital displays including computers, tablets, smartphones, and TVs. In our modern and technology-focused world children are spending time on digital displays for educational and recreational purposes. Children who spend several hours on digital devices are at risk of developing vision-related problems.

Average Time Children Spend On Digital Devices

According to the Vision Council, 72% of American parents report their children regularly spend more than two hours on screens per day. It is likely that children spend significantly more time on screens than their parents think. Common Sense Media reports that children under age eight spend more than two hours a day with screen media. For 8 to 10-year-olds screen time triples to six hours per day. Kids in middle school and high school spend up to nine hours per day looking at digital displays.

Risks of Screen Time

Too much screen time can be dangerous for anyone’s eyes, children included. Screens emit a broad spectrum of visible light. While most of these light rays are harmless, blue light is a high-energy visible light that can cause damage to your eyes. Blue light has shorter wavelengths and higher energy causing harm to the retina over time. Overexposure to blue light can cause:

  • Difficulty sleeping
  • Headaches
  • Neck/shoulder pain
  • Eye strain
  • Reduced attention span
  • Poor behavior
  • Irritability

Computer Vision Syndrome

Computer vision syndrome is a condition caused by visual stress. Symptoms include tired eyes, dry eyes, headache, and fatigue.

Unhealthy Posture

Your body naturally slouches inwards when on digital devices. Your back and shoulders round, your head tilts back, and your chin justs forward. This reaction to digital devices is called “turtling” and can cause neck, back, and shoulder pain.

How To Protect Your Child’s Eyes

It is clear digital devices will not be going away anytime soon. Therefore it is essential to ensure you are doing everything you can to protect your children’s eyes from digital screens. One way you can do this is by limiting screen time for your children while at home. You can also apply blue light filters or download blue light filtering apps to all digital devices. If your child wears prescription glasses, ask us about add blue light blocking to their lenses during your next appointment.

Nighttime Use

The largest source of blue light is our sun, which tells our brain when to be awake or sleep. The high use of digital devices emitting blue light may disrupt your natural circadian rhythm (sleep cycle) by miscommunicating the time of day and if you should be awake or asleep. Stop digital device time two hours before usual bedtime to ensure your child’s sleep schedule affected by blue light.

Do you have more questions about screen time and blue light? Stop by our office or give our office a call and we would be happy to answer your questions!

Eye Safety In The Home

Have you thought about eye safety in your home? Over 2.4 million eye injuries each year in the United States. Experts say wearing safety glasses and taking a few common-sense precautions can prevent or reduce the severity of eye injuries.

Common causes of eye injury in the home:

  • Household cleaners and chemicals
    Tip: Keep out of reach of children, high shelves in cupboards or childproof cupboards.
  • Toys and games (hard or sharp edges)
    Tip: Always check the age recommendation to ensure toys are appropriate for your child.
  • Eye makeup and applicators
    Tip: Throw out old or damaged products to avoid potential eye hazards.
  • Lawn, garden, and hand tools
    Tip: Wear protective eyewear when completing house or yard work.
  • Champagne Corks
    Tip: Never face the cork towards anyone’s face, including your own.
  • Fireworks
    Tip: Attend a professional firework show, avoid the risks associated with at home fireworks.

 

What to do in case of eye injury

If you or your child has an eye injury contact your eye doctor immediately. If it is after regular work hours, try an emergency contact number or call 911. It is always better to be over cautious when it comes to your eyes.

The next steps after your phone call vary greatly depending on the eye injury. Typically, we either recommend you come to our office or go to the emergency room. Depending on the situation your eye doctor may also ask you to flush your eye, remove your contact lenses, or cover your eye.

When in doubt treat all eye injuries as potential emergencies. You only have one pair of eyes, and we want to ensure they are taken care of.

What to look for in safety glasses

Safety glasses should be worn when doing any house repairs/renovations, yard work, or sports activities. This is the best way to protect your eyes from potential harm. When looking for safety glasses, it is important to have impact-resistant polycarbonate lenses and safety rated frame.

If you have additional questions about eye safety in the home, ask our staff. We want to help you keep your eyes safe and healthy!

How to Read Your Prescription

Have you ever received your prescription at the end of your exam but were unsure how to interpret it? Below are some common questions and terms explained to help you better understand what each part of your prescription means. If you have any questions about your prescription, please reach out to our office.

What does it mean to be nearsighted?

Nearsightedness (myopia) is the most commonly diagnosed refractive error. Nearsighted individuals have difficulty reading road signs and clearly seeing distant objects. This refractive error typically begins in childhood and stabilizes in early adulthood. Symptoms of myopia include squinting, eye strain, and headaches.

What does it mean to be farsighted?

Farsightedness (hyperopia) affects about one-fourth of the population.* Farsighted individuals will have difficulty focusing on objects up close but can clearly see objects at a distance. The eye shape of someone who is farsighted is shorter than normal. For this reason, many children are born farsighted and outgrow it as their eyeball grows.

I have astigmatism, what does that mean?

Individuals with astigmatism usually experience some degree of blur or distortion at all distances. In astigmatism, light comes into the retina at multiple focus points because of an irregular shaped cornea, which causes blurring. With astigmatism, one or both eyes can be farsighted, one or both eyes can be nearsighted, or one eye can be nearsighted while the other is farsighted.

Reading the Prescription

Your prescription is an outline of corrections your eyes need in order to see as precisely as possible. Every prescription will look different based on the patient’s eyes. If you have questions or do not understand a section of your exam or prescription, be sure to ask your doctor.

OD and OS

Doctors use the abbreviations OD, OS, and OU when writing a prescription for eyeglasses, contact lenses, and eye medicines. OD and OS are abbreviations for the latin words oculus dexter (right eye) and oculus sinister (left eye). The latin term oculus uterque is used for describing both eyes.

Other terms on your prescription:

  • Sphere (SPH): Indicates the lens power needed to correct nearsightedness or farsightedness. If you have a minus sign (-) you are nearsighted; if you have a plus sign (+) or no sign you are farsighted.
  • Cylinder (CYL): Indicates the amount of lens power for astigmatism. If nothing appears in this column you do not have astigmatism. The minus sign is for nearsighted astigmatism and a plus sign for farsighted astigmatism.
  • Axis: Indicates the direction of astigmatism. For example, if the axis is 180 degrees the astigmatism is horizontal.
  • Add: Indicates the magnifying power applied to the bottom of multifocal lenses to correct presbyopia. The number is typically a plus power and will be the same for both eyes.
  • Prism: This is to compensate for eye alignment problems, a very small percentage of prescriptions contain a prismatic power. Abbreviations used for prism direction: BU- base up, BD- base down, BI- base in, BO- base out.

Sample Prescription:

How to Read Your Prescription - INTERNAL IMAGE

*All About Vision

Get the Facts About Lazy Eye

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

What causes lazy eye?

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

Strabismus

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

Refractive

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

Deprivation

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

Signs and symptoms to look for:

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

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

Importance of early detection

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

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

Myth or Fact

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

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

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

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

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

FAQs: About My Symptoms

An overview and explanation of common eye symptoms.

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

Why are my eyes red?

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

Potential causes of red eye include:

  • Allergies
  • Pink eye
  • Eye trauma

Why are my eyes itching?

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

Potential causes of itchy eyes include:

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

How do I reduce my symptoms of itchy eyes?

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

Why are my eyes puffy?

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

Excessive fluid and puffy eyes can be caused by:

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

What is causing my burning, itchy eyes?

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

I’m seeing spots and floaters, why?

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

I am experiencing eye pain, what should I do?

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

Describing Your Symptoms

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

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

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

Eye Exams 101

Regular comprehensive eye exams are key to early detection of eye-related diseases to keep you seeing your best every day. Adults should have a comprehensive eye exam every 1-2 years. Children should have an eye exam as early as 6 months, before they start school, and then every 1-2 years. If you or your family need a comprehensive eye exam, contact our office to schedule an appointment.

We often get questions about what an eye exam is like, so we’ve created an overview of a typical eye exam in our office.

Eye Exam Basics

What does an eye exam test for? Eye exams test your visual acuity and the overall health of your eye.

Why is an eye exam important? Eye exams check for early signs of serious eye and health problems; some of which may not present with any symptoms.

Who gives an eye exam? Your eye exam is performed by a licensed eye doctor.

Terms to know:

  • Ophthalmologist: An ophthalmologist is a medical doctor (MD) who specializes in eye care. Ophthalmologists can prescribe eyeglasses and contacts but commonly specialize in treating medical conditions of the eye and performing eye surgery
  • Optometrist: Optometrists are eye doctors who prescribe glasses, contacts, vision therapy, and medication to treat eye diseases. Optometrists are not trained or licensed to perform eye related surgery.
  • Optician: An optician is not an eye doctor, but is an eye care professional who fits, adjusts, and repairs your eyeglasses. They can also help patients learn to apply, remove, and care for contact lenses.

What to prepare for your appointment?

Before your comprehensive eye exam, there are several materials you can prepare. First, create a list of all your prescription and non-prescription medications you take along with the dosage. This will help your eye doctor determine any vision risks you may have. Bring your most recent pair of eyeglasses or contact lenses, if you have them. Don’t forget to have a copy of your vision insurance card and other medical insurance cards with you. To learn more about the insurance providers our office accepts and other payment options, please call our office directly. Finally, bring a list of questions or concerns you may have about your eyesight to discuss with your eye doctor.

What to expect during your appointment?

Prepare for your eye exam to take an hour or more depending on the number of tests your eye doctor needs to evaluate your vision and eye health. A typical comprehensive exam is a series of visual tests to inform your eye doctor about your vision.

These tests help determine:

  • Sharpness of near and distance vision
  • Color blindness
  • Lazy eye
  • Ability to follow moving object and/or move between two separate fixed objects
  • Depth perception
  • Determine your eyeglass prescription
  • Structures of the eye
  • Glaucoma test
  • Eye drop test to look inside your eyes
  • Blind spots

What to do after the exam?

Following your exam, you will have the opportunity to explore the various frames and lenses found in our optical space. An optician will be available to assist you in selecting a pair of eyewear that best fits your lifestyle needs. If you choose to wear contact lenses, you will need to schedule a contact lens fitting appointment.

Once your new eyewear is ready to be picked-up, an optician will adjust your frame to fit you best and make it comfortable for everyday wear.

Finally, schedule your follow-up appointment for the next year. Regular comprehensive eye exams are essential in maintaining healthy vision. If you ever experience any sudden vision changes or eye injuries be sure to contact our office.

Eye Color & Genetics

Ever wonder why your eyes are blue, green, brown, or somewhere in between? The colored part of your eye, the Iris, contains pigmentation which determines our eye color. Your parents pass on chromosomes which combine to customize your eye color.

How eye color develops

Eye color is not as simple as other genetic traits. Three different genes contribute to your eye color. Due to dominant gene types, darker colors like brown overpower lighter colors like blue and green. Colors such as gray, hazel, and multiple combinations are not as common and are not yet completely understood.

Most babies are born with blue eyes, but did you know their eyes can darken for three years? Melanin is a pigment not present at birth, which develops with age and causes eyes to darken. The more melanin someone has, the darker their eyes will be.

Facts About Common Eye Colors:

  • Brown: Most common eye color worldwide. This varies between dark brown, light brown, and honey brown eyes.
  • Blue: People with blue eyes have less melanin in their eyes than any other color. Blue eyes are thought to come from a genetic mutation of one individual.
  • Green: Thought to be the most attractive and one of the rarest eye colors.
  • Hazel: The hue of hazel eyes changes based on what you are wearing and the type of lighting you are in. Hazel eyes host a variety of colors.

Changes in eye color

When your pupil changes size, the pigments in the iris of your eye compress or spread apart causing the color of your eyes to change. Your pupils change size for a variety of reasons including changes in light and the distance of the object you are focusing on. Emotions can also change the pupil size and iris color.

Heterochromia

Heterochromia is a condition in which a person’s eyes are different colors, caused by one eye having more melanin than the other. Typically, present at birth and is not considered an eye disease as it does not commonly cause vision problems.

Enhancing your eye color

  • Wear eyeglass frames to compliment your eye color and skin tone.

Example: Determine if you are “warm” or “cool” toned skin and eye color then match your frames with a complementary color.

  • Use eye makeup to bring out the color of your eyes.

Example: Pinks, purples, and silvers bring out the warmth in brown eyes.

  • Wear clothing which compliments or contrasts your eye color.

Example: Orange, red, and gold highlight the natural hue of blue eyes.

  • Choose hairstyles and colors to accentuate your eyes.

Example: Bangs and layers which frame the face draw more attention to your eyes.

  • Colored contact lenses give you the opportunity to try out a new look.