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What’s the Link Between Sleep and Glaucoma?

Sleep is usually a time for restoration and healing, but the way we sleep, how much we sleep and conditions like apnea can increase your chances of developing a serious eye condition: glaucoma.

Glaucoma is a sight-threatening optic nerve disease that generally affects people over 50 and, in its early stages, usually presents no symptoms until permanent vision loss has occurred.

This is why it’s essential to have your annual eye exam, especially if you’re 50 or older or at high risk of developing glaucoma. Regular check-ups enable your eye doctor to detect any eye problems, including glaucoma, early on. This can maximize the effectiveness of eye disease treatment and management.

If you’re due for your annual eye evaluation, schedule your eye exam with at in today.

Sleep and Risk Factors for Glaucoma

The quality and amount of our sleep and the way we sleep can increase our risk of developing glaucoma due to the following factors:

Eye Pressure and Glaucoma

The pressure within our eyes is affected by the amount of aqueous fluid and its ability to drain from the eyes. The aqueous fluid doesn’t drain efficiently when we lie flat on our back. The lack of drainage due to positioning during sleep can increase ocular pressure, which can strain the optic nerve and increase the risk of glaucoma.

Blood Pressure and Glaucoma

When we sleep, our blood pressure decreases. This is often good for people who suffer from hypertension because it takes some pressure off the cardiovascular system. However, long periods of low blood pressure, or hypotension, during sleep has been shown to exacerbate glaucoma symptoms.

Sleep Apnea and Glaucoma

Sleep apnea is marked by the occasional or frequent cessation of breathing during sleep. Usually, the person is unaware that they have sleep apnea, and only a partner or someone else who sleeps in the same room will notice that they make choking or gasping sounds as they stop breathing.

These periods of interrupted breathing can lessen the flow of oxygen and damage the optic nerve. There is an observable link between people who have sleep apnea and those who suffer from glaucoma, which may suggest a causal connection. The risk of people with sleep apnea developing glaucoma could be as high as 10 times the average. Individuals with sleep apnea should consult with their primary care physician, who can suggest lifestyle changes and devices such as oral appliances to help treat the condition.

Glaucoma and the Amount of Sleep

Too little or too much sleep can affect general health and contribute to eye problems. As mentioned above, extended periods of lying down can increase pressure on the optic nerve and contribute to the development of glaucoma. Yet too little sleep causes fatigue and has been associated with field vision loss.

According to a National Health and Nutrition Examination Survey (2005-2008), those who slept 10 hours or more a night had triple the risk of developing glaucoma compared to people who slept only 7 hours a night. Getting three hours of sleep a night tripled the risk of field vision loss.

Among other lifestyle glaucoma prevention tips, such as maintaining a healthy weight and not smoking, getting the right amount of sleep — not too much or too little — are important steps towards preventing optic nerve problems.

How Glaucoma Interferes with Sleep

Not only does the amount and way we sleep affect the development and progression of glaucoma. This optic nerve disease can interfere with our sleep. This occurs because the communication between the retina’s photosensitive cells and the hypothalamus — the part of the brain that contains the circadian clock that regulates sleep — is disrupted in glaucoma patients.

The hypothalamus no longer sends a message to the pineal gland to secrete melatonin and induce sleep at the proper time. The result: people with glaucoma may also experience sleep disturbances.

Risk factors for Glaucoma

Since many glaucoma patients do not experience symptoms prior to diagnosis, it is essential to undergo regular eye exams, especially for those considered at higher risk:

  • Aged 50 or older
  • Have a family history of glaucoma
  • Hypertension, diabetes, sickle cell anemia, heart disease
  • Are African American, Asian or Hispanic
  • Have corneas that thin at the center
  • Eye injury or prior eye surgery
  • High myopia (severe nearsightedness)
  • Take corticosteroids such as eye drops, pills or creams

How is Glaucoma Detected?

A digital eye exam maps out the eye with 3D full color images allowing your eye doctor to detect any problems early.

Retinal imaging can detect glaucoma and show optic nerve damage. Eye dilation is occasionally required before the imaging of the eye to enable your optometrist to more easily see the inside of your eye.

To facilitate the early diagnosis and treatment of glaucoma and other eye diseases and conditions, schedule an appointment with at in today.
At Eye & Ear of the Palm Beaches, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 561-734-2972 or book an appointment online to see one of our Boynton Beach eye doctors.

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What are the symptoms of glaucoma?

Symptoms vary depending on the type of glaucoma.

Open-angle glaucoma results from a lack of drainage of fluid from the eye. It generally has no obvious symptoms in its early phases. In its later stages, it presents with:

  • Blind spots and patches in the central or peripheral vision
  • Tunnel vision

Acute angle-closure glaucoma occurs when there is a sudden buildup of fluid pressure in the aqueous humor. Symptoms include:

  • Headaches
  • Pain in the eyes
  • Blurry vision
  • Nausea
  • Eye redness
  • Appearance of halos

What Causes a Feeling of Pressure Behind the Eye?

Glaucoma is often caused by pressure on the optic nerve. However, a feeling of pressure behind the eye is generally only felt with closed-angle glaucoma.

An excessive amount of fluid in the eye, called the aqueous humor or a sudden blockage to proper drainage causes a buildup and increased pressure on the optic nerve. Drainage of the aqueous humor is through the trabecular meshwork, which is located where the cornea and the iris meet.

Eye Vitamins: Can They Prevent or Treat Glaucoma?

Some initial studies have shown a potential link between Vitamin A and Vitamin C and a protective effect related to glaucoma. However, a systematic review of the literature on vitamins and glaucoma (Nutrients, March 2018), concludes that these studies are inconclusive and more research, including randomized clinical trials, are needed to establish any clear link between specific vitamins and preventing or treating glaucoma.

8 Ways Your Eyes Change With Age

Our eyes and vision change with age. Your eye doctor can monitor these changes — some of which are a natural part of the aging process — and identify any eye conditions or diseases early enough to treat them and prevent vision loss. Read on to learn more about the different types of eye changes one may encounter with age.

Age-Related Eye Conditions and Diseases

Cataracts

If your vision is starting to get blurry, you may be developing cataracts. There are a few types of cataracts, but the one usually caused by aging is known as a “nuclear cataract”. At first, it may lead to increased nearsightedness or even a temporary improvement in your reading vision. But with time, the lens gradually turns more densely yellow and clouds your vision. As the cataract slowly progresses, the lens may even turn brown. Advanced yellowing or browning of the lens can lead to difficulty distinguishing between shades of color, and left untreated, it can eventually lead to blindness. Luckily, cataract surgery, where the cloudy lens is replaced with a clear lens, is an extremely safe and effective treatment option.

Blepharoptosis

Blepharoptosis or ptosis is a drooping of the upper eyelid that may affect one or both eyes. The eyelid may droop only slightly or may droop enough to cover the pupil and block vision. It occurs when there is a weakness of the eye’s levator muscle that lifts the eyelid. This condition is usually caused by aging, eye surgery, or disease affecting the muscle or its nerve. Fortunately, blepharoptosis can be corrected with surgery.

Vitreous detachment

This occurs when the gel-like vitreous fluid inside the eye begins to liquefy and pull away from the retina, causing “spots and floaters” and, sometimes, flashes of light. This occurrence is usually harmless, but floaters and flashes of light can also signal the beginning of a detached retina — a serious problem that can cause blindness, and requires immediate treatment. If you experience sudden or worsening flashes and increased floaters, see our optometric team immediately to determine the cause.

Other Age-Related Changes

In addition to the above eye conditions and diseases, the structure of our eyes and vision change as we get older.

Presbyopia

Why do people in their 40s and 50s have more difficulty focusing on near objects like books and phone screens? The lens inside the eye begins to lose its ability to change shape and bring near objects into focus, a process is called presbyopia. Over time, presbyopia, also known as age-related farsightedness, will become more pronounced and you will eventually need reading glasses to see clearly. You may need multiple prescriptions – one prescription to enable you to see up close, one for intermediate distance, and one for distance vision. In that case, people often get bifocals, multifocals or PALs, and they can be combined with contact lenses as well.

Reduced pupil size

As we age, our reaction to light and the muscles that control our pupil size lose some strength. This causes the pupil to become smaller and less responsive to changes in ambient lighting. The result? It becomes harder to clearly see objects, such as a menu, in a low-light setting like a restaurant.

Dry eye

Our tear glands produce fewer tears and the tears they produce have less moisturizing oils. Your eye doctor can determine whether your dry eye is age-related or due to another condition, and will recommend the right over-the-counter or prescription eye drops, or other effective and lasting treatments, to alleviate the dryness and restore comfort.

Loss of peripheral vision

Aging causes a 1-3 degree loss of peripheral vision per decade of life. In fact, one may reach a peripheral visual field loss of 20-30 degrees by the time they reach their 70s and 80s. While peripheral vision loss is a normal part of aging, it can also indicate the presence of a serious eye disease, like glaucoma. The best way to ascertain the cause is by getting an eye exam.

Decreased color vision

The cells in the retina responsible for normal color vision tend to decline as we age, causing colors to become less bright and the contrast between different colors to be less noticeable. Though a normal part of aging, faded colors can at times signal a more serious ocular problem.

Beyond the normal changes that come with age, the risk of developing a serious eye disease, such as age related macular degeneration and glaucoma, increases. Routine eye exams are essential to keeping your eyes healthy. Your eye doctor can determine whether your symptoms are caused by an eye problem or are a normal byproduct of aging.

If you or a loved one suffers from impaired vision, we can help. To find out more and to schedule your annual eye doctor’s appointment, contact Eye & Ear of the Palm Beaches in Boynton Beach today.

How Can My Child’s Myopia Be Corrected?

Myopia, or nearsightedness, is one of the most common eye conditions affecting millions of people around the world.

Myopia is a refractive error in which the eyes are unable to focus clearly on images or objects. This results in blurry vision when looking at something at a distance, such as people walking down a street, a school board, or even the TV. However, images that are closer can be seen more clearly. Children with uncorrected myopia tend to experience eye strain, eye fatigue, or headaches in an effort to see images in the distance clearly.

Fortunately, eyeglasses or contact lenses work wonders to correct vision. In this text, we’ll discuss both glasses and contacts as options for myopia correction.

 

Methods of Myopia Correction

Contact Lenses

Contacts can be a great choice, especially for physically active children or teens who don’t want to worry about breaking or misplacing their eyeglasses.

Corrective contact lenses are usually placed in the eyes upon waking and removed at night before bedtime. We offer a range of brands of soft contact lenses, such as daily disposables and extended-wear disposables. Speak with our optometric team to determine whether your child is ready for contact lenses.

Prescription Glasses

Glasses are a popular choice among our younger patients. Choosing from an array of styles makes the process not just fun and exciting, but allows the child to be an active participant in selecting eyewear, which, in turn, increases the likelihood that they’ll actually wear them. We offer strong, flexible and resilient frames which both look great and are feel comfortable.

The optician can customize the lenses with additions, like impact-resistant or shatter-proof materials, scratch-resistant and anti-reflective coatings, UV filters, and transition lenses that darken in the sun.

We Can Help Correct Your Child’s Myopia

If you’re located near Boynton Beach, Florida, visit us for an eye exam to determine your child’s exact prescription and ask us any questions you may have about your child’s eye health and vision.

At Eye & Ear of the Palm Beaches, our friendly and knowledgeable staff will be happy to recommend the most suitable method of correcting your child’s myopia to meet his or her individual needs. Thanks to the wide range options available, your child will walk away with eyewear that will both look and feel great.

Let us help your child see the world in a whole new light. To schedule your child’s annual eye exam or to learn more, contact Eye & Ear of the Palm Beaches at 561-734-2972 today.

Summer is Just Around the Corner

Girls in Summer with Glasses

Summer is just now starting and we are spending more and more time outside. It is important to protect your vision from dangerous sun exposure! We offer a variety of sunglasses with or without the need of a prescription.

Please see our Hours & Location and contact an office conveniently located nearest you!

Eye & Ear of the Palm Beaches Now Open in Wellington!

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We are very excited to have partnered with Dr. Les Harrell O.D. in Wellington. Dr. Harrell will continue to give his upmost wonderful eyecare service to his patients. We would like to welcome Dr. Harrell and his staff to Eye & Ear of the Palm Beaches. Our Wellington location address is 11924 Forest Hill Blvd Suite 31 Wellington, Fl 33414 office phone 561-798-8282. Call us today to schedule your eye exam, please ask our associates today if we are now in network with your insurance plan.

8 Tips to Relieve Winter Dry Eyes

Whether you live in a climate with cold winter weather or you are planning a ski trip up north, winter can be a challenge if you suffer from dry eyes. Dry, cool air, cold winds and even drier indoor heating can cause eye irritation, burning, itchiness and redness, and sometimes even excessively watery eyes as more tears are produced to compensate for the dryness. Many people have a chronic feeling that they have something in their eye and some even experience blurred vision. These symptoms can be debilitating!

Dry eyes is one of the most common complaints eye doctors get from patients during the winter season, especially in the cooler climates. That’s why we’d like to share some tips on how to relieve dry eye discomfort, and how to know when your condition is serious enough to come in for an evaluation.

Tips to Relieve Winter Dry Eyes:

  1. Keep eyes moist using artificial tears or eye drops. You can apply these a few times each day when the eyes are feeling dry or irritated. If over-the-counter drops don’t help or if you have chronic dry eyes, speak to your eye doctor about finding the best drops for you. Since not all artificial tears are the same, knowing the cause of your dry eye will help your eye doctor determine which brand is best suited for your eyes.
  2. Use a humidifier to counteract the drying effects of indoor heaters or generally dry air.
  3. Point car vents or indoor heaters away from your face when the heat is on. Try to keep your distance from direct sources of heating, especially if they blow out the heat.
  4. Drink a lot! Hydrating your body will also hydrate your eyes.
  5. Protect your eyes outdoors with sunglasses or goggles – the bigger the better! Larger, even wrap-around glasses as well as a hat with a wide brim will keep the wind and other elements out of your eyes. If you wear goggles for winter sports, make sure they fit well and cover a large surface area.
  6. Soothe dry eyes using a warm compress and never rub them! Rubbing your eyes will increase irritation and may lead to infection if the hands are not clean.
  7. Give your eyes a digital break. People blink less during screen time which is why extensive computer use can lead to dry eyes. Follow the 20/20/20 rule by taking a break every 20 minutes to look 20 feet away for 20 seconds and make sure you blink!
  8. For contact lens wearers: If you wear contact lenses, dry eyes can be particularly debilitating as the contact lenses can cause even further dryness and irritation. Contact lens rewetting drops can help your eyes feel better and may also allow you to see more clearly. Not all eyedrops are appropriate for use with contact lenses, so ask your optometrist which eyedrop is compatible with your contacts and cleaning solution. If rewetting drops don’t help, consider opting for glasses when your dry eyes are bad, and speak to your optometrist about which brands of contact lenses are better for dry eyes. Many people find dry eye improvement when they switch to daily single use contact lenses.

Chronic Dry Eyes or Dry Eye Syndrome

Dry eye syndrome is a chronic condition in which the eyes do not produce enough tear film, or do not produce the quality of tear film needed to properly keep the eyes moist. While winter weather can make this condition worse, it is often present all year round. If you find that the tips above do not alleviate your discomfort or symptoms, it may be time to see a optometrist to see if your condition requires more effective medical treatment.

Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million.

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring.

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes.

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy.

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness.

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages.

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy.

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision.

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss.

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes.

Eye & Ear of the Palm Beaches now Open in Chasewood Plaza!

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Eye & Ear of the Palm Beaches is Now Open at our Chasewood Plaza located at 6380 W Indiantown Rd Jupiter, Fl 33458 office phone 561-842-2020. Call us today to schedule your annual Eye exam and our beautiful optical has all the latest designer frames. We have a great selection of sunglasses and special discounts for our grand opening!

Optical Insight has partnered with Eye and Ear

Girl with GlassesWe at Eye and Ear are very happy to announce that our locations are expanding, We have partnered with Optical Insight in Palm Spring. Eye and Ear is pleased to announce that Dr. Raymond Schwartz, and Dr. Clifford Parker III have now joined our team. They will continue to give the great service to their patients that they have always had office location 3015 S Congress Ave Palm Springs, FL 33461 office phone# 561-967-4355.

Gardens Eyecare and Specs & Winks have partnered with the Eye & Ear Team

Family with GlassesWe are currently seeing patients at our Chasewood office located at 6380 West Indiantown Rd, Suite 14, Jupiter, FL 33458. Staff at our Chasewood location can be reached by calling (561) 842-2020.

In addition, we are very pleased to announce another location now in Palm Beach Gardens! We have partnered with Dr. George Schmidt at Gardens Eyecare located at 9123 N Military Trail Palm Beach Gardens, FL 33410, office phone (561) 622-8200.