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Vision Development and Children

Childhood is a critical time for vision development. Nearly 80% of what a child learns in school is presented visually. Arguably making vision the most important of the five senses. Visual skills start developing during pregnancy and continue to evolve and develop as a child grows. Undetected vision problems can cause developmental and educational delays in children.

Infant Vision Development

Your infant’s vision starts developing during pregnancy. It is crucial that toxins are not consumed during pregnancy as they can cause serious vision problems. At birth, babies only see black, white, and shades of gray. Infants are unable to focus on objects for several months and can only see the outline of objects.

As infants grow, they can distinguish between high contrast colors. By six months your child can see color, has sharper vision, and has begun developing hand-eye coordination skills. Schedule your child’s first eye exam at six months to make sure their eyes are healthy and on the right developmental track. Detection of eye health issues and vision problems at this stage in development can help to ensure your child does not experience setbacks in learning and growth.

When your infant begins to crawl and potentially walk they are learning to coordinate their body movements and their vision. Over time, your child will become better at judging distances. However, this is also a time when your child may grow more injury prone because they are exploring their environment. Bumps, bruises, eye injuries, and other injuries can occur which is why it is so vital to ensure that your infant’s vision is on track to prevent these injuries as much as possible.

Early Childhood Vision Development

During these years your child will be growing, developing, and improving their visual skills. It is recommended to schedule your child eye exam at three years old. Even if you don’t think your child has vision problems, your child is growing and changing. A comprehensive eye exam before your child enters school provides enough time to catch and correct any vision problems.

They are discovering how to integrate their vision and body position to complete new tasks. They learn this through playing games, throwing a ball, and riding a bike. Children are also working on developing their fine motor skills. The primary way preschool age children are learning this is through writing their name and the alphabet.

Between the ages of 3 to 6 is when you, as a parent, may begin to notice signs of a vision problem. If your child complains about headaches or tired eyes, this could potentially be due to a vision problem. Signs of vision problems include squinting, tilting the head, frequently rubbing eyes, and closing one eye to see. Additionally, look for sitting too close to a tv, holding a book too close, or avoiding activities that require near or distance vision. Some of these activities include coloring, reading, playing ball, or tag if you notice these signs in your child schedule an eye exam as soon as possible. Correct their vision before any learning is delayed!

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!

Why You Need Multiple Pairs

Thanks to our busy lives, multiple hobbies, and all the activities in between, having multiple pairs of eyewear handy is a necessity. Even contact lens wearers should have alternative pairs of eyewear. But some of us still haven’t jumped on that bandwagon. If you’re still on the fence, here are a few reasons why it’s a great idea to have at least two pairs of eyewear:

Misplacement

We’ve all been there, searching for missing glasses just when we need them the most. An additional pair of eyewear can’t guarantee they won’t keep slipping through the cracks, but it will significantly reduce the chances of having to go without. Lost a contact lens and don’t have a replacement? Backup glasses can hold you over until your new contact lenses come in!

Style

Think about it: a night out on the town is going to call for more stylish eyewear than the amber-tinted lenses you wear at your computer desk. Funky frames may better showcase your personality, but a more neutral pair may be needed for professional situations. Having different styles of glasses removes this dilemma by giving you situation-specific options.

Protection

Chances are, your standard glasses aren’t going to adapt and darken in reaction to sunlight (unless you have photochromic lenses), so it only makes sense to invest in a pair of prescription sunglasses to protect your eyes. Polarized lenses are a good option, especially since the tint can be tailored to your specific sport or hobby.

Contact Lens Wearers

Plano sunwear is a must have for all contact lens users. Contact lenses do not protect your eyes from the harmful UV rays of the sun. We recommend plano sunwear that blocks 100% of UV rays for anyone who wears contacts.

Schedule an appointment with our office if you’re interested in investing in a second pair of glasses! We will help you find the best frames and lenses for your lifestyle!

Are online eye tests any good?

Have you considered getting online eye tests? The idea of being able to get an eyeglass prescription and buy glasses without a trip to the eye doctor may sound appealing. Before ditching the traditional eye exams, there are a few things you need to know!

Online Eye Tests

The most important thing to know about online eye tests is they do not evaluate the health of your eyes. Even if they are called “online eye exams,” these exams only measure your visual acuity and refractive error. Some online eye tests can check for contrast sensitivity and color blindness. However, none of this can tell the health of your eyes.

The only way to know the complete health of your eyes is through eye exams with your doctor. During an eye exam, your doctor can detect vision-threatening conditions such as cataracts, glaucoma, or macular degeneration. Early detection of these conditions can prevent vision loss and blindness.

Know The Risks:

  • Online eye exams cannot detect eye diseases
  • Improper testing can occur due to error or misreading instructions
  • Higher chance of getting incorrect prescription due to self-administered the eye test
  • If you think the prescription is incorrect, your only option is to pay again and retake the test
  • An eyecare professional is not present to answer questions or concerns

Validation of Online Eye Tests

The results of online eye tests have not been guaranteed to be accurate measures of your prescription. Due to this being relatively new technology, there have not been enough studies to determine the reliability and validity of online eye tests.

Additionally, many online eye tests say their technology is suitable only for people between the ages 18 and 40 who are in good health. The limitations of the eye test raise concerns to the overall validity of the test. For these reasons, we do not recommend them as your sole option for your receiving your prescription.

The best way to ensure your eyes are healthy, you receive the correct prescription, and get answers to all your questions is through face-to-face eye exams with your eye doctor. Our staff of trained eyecare professionals will help you through every step of the process. Our office is here to address any questions or concerns you may have.

Toys and Eye Safety

Playing with a toy stimulates a child’s vision at a young age and grows their imagination as they get older. As a parent, it is important to consider toy eye safety before purchasing for the children in your life. Typically, toys are deemed unsafe because they are not age-appropriate for the child. Here are some common toy-related injuries and tips for choosing eye safe toys!

Toy-Related Eye Injuries

Each year more than a quarter of a million children were seen in emergency rooms due to toy-related injuries. Nearly half of these injuries were to the head and face. In a survey conducted by AllAboutVision.com, 41% of parents say they ‘rarely’ or ‘never’ considered eye safety when choosing toys. When asked if any of the toys their children own could cause harm to their eyes 54% of parents responded ‘definitely,’ and 22% said ‘possibly.’

We encourage you to consider eye safety everytime you purchase a toy. Toys that pose a higher risk for eye injuries include:

  • Toy Guns
  • Water Balloon Launchers
  • Toy Fishing Poles
  • Toy Wands, Swords, Sabers
  • Aerosol String
  • Laser Pointers and Bright Flashlights

 

Tips for Choosing Eye Safe Toys

Anytime you are purchasing toys for someone else’s child, be sure to discuss with the parent if the toy sounds fitting for their child. Parent’s know the maturity and personality of their child which plays a huge factor into whether a toy would be suitable or not suitable for their child. Check the recommended age range for the toy. This is usually a good way to determine the safety of the toy. However, don’t be afraid to trust your gut and use your common sense to assess the safety of a toy! We also recommend shopping in a store rather than online. When shopping in a store, you can see the features of the toy and make better judgments to the safety of the toy.

Toy eye safety is an important consideration for all parents. If you have more questions please reach out to our office, we want to help you protect your child’s eyes.

Smoking and Your Vision

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

Cataracts

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

Macular Degeneration

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

Uveitis

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

Diabetic Retinopathy

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

Dry Eyes

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

Infant Eye Disease

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

Infant Eye Disorders

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

 

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

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

Know the Facts About Cataracts

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

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

What causes cataracts?

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

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

Symptoms

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

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

Types of cataracts

Subcapsular

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

Nuclear

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

Cortical

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

Congenital

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

Are cataracts preventable?

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

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

 

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

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.

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.

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