Common Causes of Eyelash Loss

 

Eyelashes are more than just a cosmetic fringe! Lashes protect the eye from debris that can obstruct vision or cause infection or injury. Eyelashes grow, fall out and replace themselves in a natural cycle every six to 10 weeks, just like the hair on top of your head. While it’s normal to lose between one and five eyelashes each day, a more rapid lash loss-called “madarosis”-can be a symptom of an underlying health problem in the eye or in another part of the body.

There are many reasons people can lose more lashes than average. If you’re not also losing hair from the eyebrows or scalp, eyelash loss may signal:

• Irritation from Cosmetics. Leaving eye makeup on too long, using and removing lash extensions and using eyelash curlers, whether heated or non-heated, can all harm lashes and speed up shedding. Eyelash loss can also stem from allergies to mascara and from glue used to apply eyelash extensions.
• Blepharitis. Itchiness or burning accompanied by redness or swelling of the lids may indicate blepharitis. This is a condition that happens when clogged oil glands near the base of the eyelashes cause chronic inflammation and problems in the eyelash follicles.
• Trichotillomania. This is a condition where stress or other emotional or psychological distress causes a person to pull out their own eyelashes habitually.
• Skin Cancer. More rarely, localized lash loss can be a symptom of a skin cancer on the eyelid. Cancer can interrupt eyelash growth as harmful cells spread.

If you or someone you know experiences an abnormal amount of eyelash loss, please schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.           

Ethnicity Increases Eye Disease Risk

 

While it may be widely known that the risk of vision loss increases with age, you may be less aware that one’s ancestry and ethnicity can play a significant role in increasing odds.

Researchers reporting in the journal Ophthalmology reported a link between African ancestry and Latino-Americans and increased intraocular pressure, a major risk factor for the eye disease glaucoma. This is one of the latest examples of a growing body of research showing that certain minority groups are at greater risk for serious eye conditions that can cause vision loss and blindness if left untreated. As a reminder, Americans of African, Latino and Asian heritage need to be aware of their increased risk for eye diseases. It is sharing information about eye disease among these ethnic groups to encourage people of these backgrounds to take early steps to protect their sight.

• Compared to Caucasian Americans, African- and Latino-Americans have a much higher risk of developing diabetic retinopathy, glaucoma and cataracts.
• Asian-Americans are at a significantly greater risk for developing angle-closure (acute or narrow-angle) glaucoma. While less common than open-angle glaucoma, if untreated it can still cause irreversible vision loss.

Many eye diseases may have no apparent symptoms in their early stages. Signs can remain hidden unless detected through a dilated eye exam. These exams are the best way to detect eye diseases so they can be treated early to help prevent vision loss.

If you or someone you know is of African, Latino and Asian ancestry and concerned about their risk of eye disease, please schedule and eye exam with eye doctors at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.           

Preventing Vision Loss From Diabetes

 

Diabetes is the leading cause of new cases of blindness in adults. This is a growing problem as the number of people living with diabetes increases, so does the number of people with impaired vision. Diabetes can cause a disease of the eye called diabetic retinopathy (DR). In its early stages, you may not notice any symptoms or changes to your eyesight, and you cannot tell that this condition is damaging your eyes. If it is not detected and treated in a timely manner, your vision can be damaged permanently. A recent study, conducted at Centers for Disease Control found that the prevalence of diabetic retinopathy was high, affecting almost one-third of adults over age 40 years with diabetes, and more than one-third of African-Americans and Mexican Americans.

If you or someone you know has diabetes there are important steps you can take to prevent vision loss including a) maintain good control of your blood sugar and blood pressure with diet, exercise and medications prescribed by your physician, b) having regular eye exams as recommended by your eye doctor. Depending on how long you have had diabetes and the health of your retina, your eye doctor may recommend specialized testing including scans and pictures in order to monitor changes that occur from diabetic retinopathy. Be sure to follow up on appointments and testing.

The key to preventing vision loss from diabetes and diabetic retinopathy is early detection, diagnosis and treatment if necessary.

If you or some you know is diabetic and has not had a recent eye exam please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Causes of Night Vision Problems

 

It’s no surprise that most people don’t see well in the dark. However, some people have considerable difficulty seeing at night or in poor light. This is called “night blindness” or nyctalopia. Night blindness doesn’t mean you are completely unable to see at night, but that your vision is poorer then. It is not a disease in itself, but instead is a symptom of some other type of vision problem. Certain cells in the eye’s retina are responsible for allowing you to see in dim light. If these cells are affected by a disease or condition, night blindness occurs.

Some of the eye conditions that can cause night blindness include:

• Nearsightedness 
• Glaucoma 
• Certain  Glaucoma Medicine
• Cataracts 
• Diabetes
• Retinitis Pigmentosa-an eye disease that causes blindness
• Vitamin A Deficiency
• Keratoconus-an cornea disease where it is very steeply curved

If you or someone you know has difficulty seeing at night-especially if it seems to be getting worse-pleas schedule an eye exam with eye doctors at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.       

Caution: Kids & Laundry Detergent Pods

 

Kids are curious! Laundry packets or laundry pods are often brightly colored, and kids may mistake them for toys or candy. If a laundry packet is popped, the detergent can severely burn the cornea, eyelids and skin around the eyes. Chemical burns to the eyes can result in lifelong decreased vision or total blindness. If children swallow laundry packets, the poisoning can be fatal. Unfortunately laundry pod detergent eye injury has increased over the past several years according to researchers reporting in JAMA Ophthalmology. Recent data suggest there has been greater than a 30 fold increase in these injuries among kids. The message is clear-if you use laundry pods, make sure you know the risks. Store them safely and keep them out of the hands of children.

If you or a child experiences an alkali chemical eye burn, please immediately rinse with cold water and attempt to get as much of the detergent out of the eyes as possible. Then, take them to the emergency room immediately and have them call our office at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

About Plaquenil, Your Retina & Side Effects

 

Plaquenil is a medication that was originally used to prevent or treat malaria, a serious but rare disease caused by bites from infected mosquitoes. It turns out that this drug is helpful in treating inflammatory diseases such as certain types of inflammatory disease. Inflammatory disease occurs when the body's immune system attacks its own healthy tissue. Some diseases treated with Plaquenil include:

• Lupus, which causes fever, rashes, skin problems, and other symptoms.
• Rheumatoid Arthritis, a condition that causes pain and swelling in the joints of your hands and feet.
• Sjorgren’s Syndrome, which causes dry eyes and dry mouth.

Plaquenil lowers your immune system’s ability to cause inflammation. This can help control symptoms like rashes, skin and mouth sores and joint pain. However, Plaquenil has side effects that can affect your eyes. A rare side effect of Plaquenil is damage to the eye's retina, which is the light-sensitive tissue at the back of the eye. Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. People with retinal damage from Plaquenil are not aware at first that they are losing vision. Unfortunately, once they lose a severe amount of vision loss, it is permanent.

If you take Plaquenil, it is very important to see an eye doctor who can examine your retina and provide any other testing and imaging, to check your retina for problems before serious damage occurs. Please schedule an eye exam with eye doctors at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.           

About Diabetes & Diabetic Eye Disease

 

What Is Diabetes?

Diabetes is a disease that affects the body’s ability to produce or use insulin effectively to control blood sugar (glucose) levels. Too much glucose in the blood for a long time can cause damage in many parts of the body. Diabetes can damage the heart, kidneys and blood vessels. It damages small blood vessels in the eye as well. The Centers for Disease Control and Prevention (CDC) says that about 90% of vision loss from diabetes can be prevented. BUT-Early detection of diabetic eye disease is the key! People with diabetes should get critical, annual eye exams even before they have signs of vision loss. Studies show that sixty percent of diabetics are not getting the exams their doctors recommend.

What Is Diabetic Eye Disease?

Diabetic eye disease is a term for several eye problems that can all result from diabetes. Diabetic eye disease includes: 

• diabetic retinopathy,
• diabetic macular edema,
• cataract, and
• glaucoma.

Diabetic Retinopathy

Diabetic retinopathy is when blood vessels in the retina swell, leak or close off completely. Abnormal new blood vessels can also grow on the surface of the retina.

People who have diabetes or poor blood sugar control are at risk for diabetic retinopathy. The risk of developing diabetic retinopathy increases the longer you have diabetes.

Diabetic Macular Edema

Macular edema happens when fluid builds up on the retina and causes swelling and blurry vision. Diabetes can cause macular edema. Diabetic macular edema can lead to permanent vision loss.

Diabetes and Cataracts

Excess blood sugar from diabetes can causes cataracts. You may need cataract surgery to remove lenses that are clouded by the effects of diabetes. Maintaining good control of your blood sugar helps prevent permanent clouding of the lens and surgery.

Diabetes and Glaucoma

Glaucoma is a group of diseases that cause damage to your eye's optic nerve. This damage leads to irreversible loss of vision. Having diabetes doubles your chance of getting glaucoma.

Other Eye Problems Can Be Related to Diabetes!

Diabetes can cause vision problems even if you do not have a form of diabetic eye disease.

If your blood sugar levels change quickly, it can affect the shape of your eye’s lens, causing blurry vision. Your vision goes back to normal after your blood sugar stabilizes. Have your blood sugar controlled before getting your eyeglasses prescription checked. This ensures you receive the correct prescription.

Cataract Prevention in the Produce Aisle!

 

Did you know that regularly enjoying a piece of fruit and a side of vegetables can help prevent vision loss from cataracts? Many Americans don’t eat enough fresh vegetables and fruits. Most of us know that these foods are important for avoiding heart disease, stroke and cancer but don’t associate diet with cataract prevention. Studies from the United States, Japan and Sweden show that a diet rich in foods with substances called antioxidants may reduce your risk of developing cataracts. Antioxidants protect our cells from damage caused by molecules called free radicals. That damage is called oxidation. Free radicals in our bodies may come from:

• the sun’s ultraviolet (UV) rays,
• tobacco smoke,
• pollution, and
• the body’s normal process of using energy.

Oxidation can lead to cataracts by causing changes to fats and proteins in the eye’s lens, making the lens cloudy. Antioxidants help slow down or prevent free radical damage. Antioxidants include vitamins C and E, certain substances in plants called flavonoids, and some minerals like selenium.

While you can take antioxidant supplements in the form of daily pills or capsules, these beneficial vitamins and minerals are best when they come from a healthy diet with plenty of fruits and vegetables.

Loading up in the produce aisle and on your plate with fresh veggies and delicious fruits, knowing you are doing your eyes a favor!

A daily diet rich in fruits and vegetables may help prevent cataract formation. If you or someone you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Nine Signs Children May Need an Eye Exam

 

Back-to-school shopping lists might include school supplies, new clothes, and even a haircut, but does it include an eye exam? It really should! Comprehensive eye exams can detect a variety of eye conditions that, left untreated in a child, could result in partial or complete loss of vision later in life. Common conditions include astigmatism and nearsightedness. Conditions such as amblyopia can cause serious problems if not addressed early in life. A screening at a pediatrician’s office is a great way to get referred for a vision or eye problem suspected in a child, but even a screening can miss eye problems that would be found during a full dilated eye exam. Here are nine signs children may need an eye exam:

·       Complaining of headaches: When children overly strain their eyes to focus, this causes headaches over extended periods of time

·       Becoming fatigued after reading: Eye fatigue is when eyes are burning, itching, or tired. It might be difficult to notice these symptoms in a child, but if a child is falling behind in reading comprehension or shies away from reading activities, this might be the culprit

·       Poor sports performance: If a child’s visual processing seems slower than it should, this might be a sign there is a vision issue at play. A child with an untreated vision problem might perform poorly in sports due to clumsiness, poor hand-eye coordination, inability to focus or skewed depth perception

·       Squinting or closing one eye: Squinting does not damage eyes, but it might be a sign that a child needs glasses. By squinting, a child is subconsciously attempting to make the pupil smaller, therefore letting in less light. This technique enhances a child’s focus that might be potentially blurry

·       Blinking or rubbing eyes: If a child rubs his/her eyes while trying to concentrate on an activity, particularly reading, or while being active, it could mean the child has a vision problem

·       Poor reading ability and comprehension: Good vision is essential for students of all ages to reach their full academic potential. If a child seems disinterested in reading, is sidetracked easily, does not understand material read, or reads the same sentence multiple times, it might be time to schedule an eye exam

·       Poor school performance: It is important for parents to remember that children do not have a concept of poor vision, so they might not always tell you when they cannot read something their teacher writes on the blackboard. As a result, his/her grades can suffer

·       Holding electronic devices or books too close to eyes: It is a myth that sitting too close to electronic devices can hurt your eyes, but if a child is sitting too close to the TV or holding a book too close to his/her face, it might be a sign of a vision problem. Leaning closely in to read text or see images on the television might often mean a child is living with nearsightedness

·       Loss of place while reading: Using a finger to track the words can be typical behavior for a child who is learning to read, but pay attention to this behavior. He or she should eventually be able to focus on the words without losing place

If you or someone you know has a child who might have an eye problem please schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Five Fabulous Foods for Your Eyes

Most people are aware that keeping your heart healthy depends in part on what you eat. Fortunately, the same diet that helps your heart is good for your eyes!

Eating a diet low in fat and rich in fruits, vegetables and whole grains can pay benefits not only to your heart but to your eyes. The isn't surprising as your eyes rely on tiny arteries for oxygen and nutrients, just as the heart relies on much larger arteries. Keeping those arteries healthy will help your eyes.

Some foods stand out as particularly helpful for eye health. Here are five things you should make sure are part of your diet for healthy vision.

• Leafy green vegetables. Kale and spinach are high in lutein and zeaxanthin, two nutrients found in the healthy eye that may lower your risk for age-related macular degeneration (AMD). Other vegetables with significant amounts of lutein and zeaxanthin include romaine lettuce, collards, turnip greens, broccoli and peas. And while not leafy and green, eggs are also a good source of these nutrients.
• Citrus fruits. Oranges, tangerines, grapefruit and lemons are high in vitamin C, an antioxidant critical to eye health. Research shows that your eyes need relatively high levels of vitamin C to function properly, and antioxidants can prevent or at least delay cataracts and AMD. Lots of other foods offer vitamin C, including peaches, red peppers, tomatoes and strawberries.
• Beans. All kinds of beans (legumes), including black-eyed peas, kidney beans and lima beans, contain zinc, an essential trace mineral that is found in high concentration in the eyes. Zinc may help protect your eyes from the damaging effects of light. Did you know that peanuts are a legume too? Other foods high in zinc include oysters, lean red meat, poultry and fortified cereals.
• Cold-water fish. Research shows that diets rich in omega-3 fatty acid from cold-water fish may help reduce the risk of developing eye disease later in life. These fish include salmon, tuna, sardines and halibut.
• Orange-colored vegetables and fruits. Carrots are high in beta-carotene, a nutrient that helps with night vision, as are other orange-colored fruits and vegetables like sweet potatoes, apricots and cantaloupe. Making them a part of a colorful diet can help you keep your eyes healthy.

You can help to keep your eyes healthy by eating a “heart healthy” type diet. Learn about how diet can impact eye health and vision when you schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, Google or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.           

Sleep Problems & Glaucoma

A study of more than 6,700 people in the United States over age 40 who were previously diagnosed with glaucoma based on their optic nerve damage and visual field loss, responded to a survey about their sleep that revealed possible connections between glaucoma and sleep problems. Glaucoma is a disease of the optic nerve. Damage to this nerve-which is responsible for sending signals from the eye to the brain so you can see-often goes unnoticed until an eye exam reveals the nerve damage and related vision loss caused by glaucoma.

Patients were asked and responded to questions about a) amount of time slept, b) difficulties falling asleep, c) sleep disturbances specifically waking up during sleep, d) having diagnosed sleep disorders, including sleep apnea, e) use of sleep medication and f) problems with sleepiness during the day. The results revealed the following interesting information:

• People who slept for 10 or more hours a night were three times more likely to have glaucoma-related optic nerve damage than those who slept 7 hours a night.
• People who fell asleep in 9 minutes or less, or those who needed 30 minutes or more to fall asleep, were twice as likely to have glaucoma than those who took 10-29 minutes to fall asleep.
• The odds of having missing vision were three times higher among people who got 3 or fewer or 10 or more hours of sleep per night, compared with those who got 7 hours a night.
• People who said they had trouble remembering things because of daytime sleepiness were twice as likely to have visual field loss than those who said they were not sleepy during the day and did not notice memory problems.
• People who said they had difficulty working on a hobby because they were sleepy during the day were three times more likely to have vision loss than people who reported no problems working on hobbies and no daytime sleepiness.

While it is unclear whether the sleep problems are a result of some glaucoma related phenomenon or perhaps whether these sleep problems might be early risk factors for glaucoma, it is important to mention to your eye doctor whether you experience sleep problems. Schedule an eye health exam beginning at age 40 at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.          

Fireworks Eye Injuries

The most recent Consumer Product Safety Commission report found that 14% of fireworks injuries were eye injuries. In the most severe cases, fireworks can rupture the globe of the eye, cause chemical and thermal burns, corneal abrasions and retinal detachment -all of which can cause permanent eye damage and vision loss. Children and young adults are frequent victims. Children age 15 and under accounted for 36% of the total injuries, according to the commission's report. And half of the injuries requiring an emergency room visit were to people age 20 or younger. Even sparklers can be dangerous, as they burn at more than 2,000 degrees Fahrenheit. Sparklers were responsible for 1,200 of the injuries in the latest report, and a sparkler mishap caused one of the fireworks deaths reported in 2017. The people injured by fireworks aren't necessarily handling the explosives themselves. In fact, 65% of people injured by fireworks were bystanders, according to another study. The statistics don't lie. Children and people not handling fireworks themselves are in as much danger as the people actually lighting fireworks.

Please leave preparing fireworks displays to professionals in order to decrease your risk of fireworks eye injuries. If you or someone you know does experience a fireworks eye injury call us immediately or go directly to the emergency room and have them call us for consultation.

Top 5 AMD Risk Factors

Age Related Macular Degeneration (AMD) is the leading cause of severe vision loss among Americans ages 65 and over. To help reduce your chance of vision loss from AMD:

• know the risk factors for AMD,
• know your family eye & medical history, and
• Schedule and keep regular eye exam appointments.

The Top 5 Risk Factors for AMD include:

• Being over the Age of 60
• Having a Family History of AMD
• Cigarette Smoking
• Obesity
• Hypertension

People with any two of these risk factors should schedule an appointment with an ophthalmologist and,

People who are at risk should know the symptoms of Wet AMD, the form most likely to cause rapid and serious vision loss including:

• sudden, noticeable loss of vision, or
• sudden distortion of vision, such as seeing "wavy" lines. 

See an ophthalmologist right away if these symptoms occur. Treatments for wet AMD provide an excellent chance of stopping vision loss. They may actually restore some vision when macular degeneration develops. Earlier diagnosis of wet AMD gives a better chance of successful treatment.

You can control some AMD risk factors, such as smoking and diet, to reduce the risk of vision loss. One way to reduce AMD risk is to quit smoking or never start. You can't control all your risks, however. For example, you can't do anything about your genetics. Knowing family medical history and sharing it with your ophthalmologist is an important step to protect your vision. For patients at high risk for developing late-stage wet AMD, taking a specific, AMD dietary supplement lowers that risk by 25 percent. However, patients should check with their ophthalmologist before starting any dietary supplement!