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Eye exams, education are important when it comes to knowing about cataracts

Cataracts affect millions of Americans and are a common cause of vision loss as we age.

That’s why it’s important to be aware of cataract symptoms and to have regular eye exams to help diagnose problems and monitor your vision.

Cataracts affect your eyes by causing cloudiness or opacity to the normally clear lenses that focus light to the retina at the back of your eyes. A cataract distorts that light, which can cause blurry vision and make your eyes sensitive to bright lights – especially at night.

The water and protein that make up the lens or each eye can change as you age, with the protein clumping together to cloud the lens. As the cataract grows it becomes harder to see clearly and may require surgery to remove and replace the lens.

Causes of cataracts:

  • Aging is the most common cause.
  • Diseases such as diabetes or hypertension.
  • Exposure to ultraviolet light from the sun.
  • Smoking and excessive alcohol use.
  • Injury to your eyes.
  • Use of steroid medications
  • Family history.

Symptoms of cataracts include:

  • Blurry or cloudy vision.
  • Problems with night vision.
  • Glare from the sun, headlights or other light sources.
  • Colors may start to seem faded.
  • Double vision.

Diagnosis of cataracts:

While it is important to have regular eye exams, you should contact your eye care professional if you notice cataract symptoms. Testing can include:

  • Visual acuity testing to determine how well you see at different distances.
  • Visual field testing to check your peripheral vision.
  • Questions about your vision and medical history.
  • Examination of the lenses of your eyes to check for things that indicate a cataract.

Treatment of cataracts:

  • The necessity of cataract surgery and the surgery itself is something that should be discussed by you and your eye doctor.
  • Cataract surgery is very common and usually is performed without complication on an outpatient basis.
  • The lens with the cataract is removed and often replaced with an intraocular lens (IOL), which is implanted in the eye about where your original lens was.
  • Your doctor will discuss the recovery period after your surgery with you.
  • While the IOL may correct your distance vision, it’s likely you will need reading glasses.

If an IOL can’t be used, your doctor will discuss options with you.

Things you can do to protect your eyes:

There is no scientific proof that you can prevent cataracts, but here are some things experts say can reduce your risk:

  • Get regular eye exams. Early detection of eye problems might save your sight.
  • Wear polarized sunglasses to protect your eyes from harmful UV rays.
  • Quit smoking and limit alcohol consumption.
  • Eat healthy, including fruits, vegetables, nuts and fish high in omega-3 fatty acids. These foods provide vitamin C, vitamin E, as wells as lutein and zeaxanthin. Be sure to discuss any diet change with your eye care professional.
  • Keep diabetes under control.

It’s important to know how cataracts can affect your vision and even more vital to have regular eye exams to screen for cataracts and other problems that can affect your sight as you age.

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Ask Dr. Stewart Your Eye Care Questions

What can be expected during a contact lens fitting?

A patient can expect to have a different experience when having a contact lens fitting. In addition to the eyeglass exam, questions will be asked to determine which contact lens will work best for them. Will they want to leave the lenses in their eyes overnight or will they remove them every day? Will they wear them only occasionally or will they be for everyday use? Do they want a contact lens that they throw away every day or do they want a contact lens that they have to clean and disinfect? If the patient is over age 40 and has a compromised ability to see up close, how will they see up close with their contact lenses? Will they wear readers over their distant contacts, or will they wear multifocal contacts, or will they wear monovision?

Are some people more prone to having Dry Eyes than others?

Experiencing dry eye symptoms is more common as we grow older, particularly in people 50 years of age and older. Hormonal changes in women who are experiencing menopause or who are post-menopausal. Inflammation in our body can affect the tear gland's ability to produce tears. Eye or health conditions such as glaucoma, diabetes, lupus, rheumatoid arthritis, and Sjogren's Syndrome can be associated with Dry Eyes. Environmental conditions such as dry winter air, dry indoor heated air, working on the computer, and wearing contact lenses can cause Dry Eyes.

Are there advantages to single-use contact lenses? What are they?

Single-use daily wear contacts are convenient to the patient and a healthy recommendation from their eye doctor. At the end of the day, the patient only has to dispose of the contacts. There is no need to take the contacts out to clean and disinfect them. The patients time and money spent on solutions and caring for them are eliminated. Not to mention that the next time they wear a contact, they will be wearing a brand new contact! The single best recommendation your eye doctor can make is to recommend single-use daily wear contacts. They are the healthiest contact that can be worn. The contact lens pathology issues of wearing the same contact for two or four weeks such as neovascularization, microcystic edema, and bacterial infections are greatly reduced.

What is an eye infection?

Your eyes can get infections from bacteria, fungi, or viruses. Eye infections can occur in different parts of the eye and can affect just one eye or both. Two common eye infections are conjunctivitis (also known as pink eye) and lid styes which are swollen lid bumps that can also be painful. Common signs of an eye infection are pain, itching, or a sensation of a foreign body in the eye, photosensitivity, redness or small red lines in the white of the eye, discharge of yellow pus that may be crusty upon awaking, and tears.

What happens during a typical Diabetic Eye Exam?

Your Eye Doctor will evaluate the back of your eye called the Retina to check for leaking blood vessels. Diabetic retinopathy occurs when elevated blood sugars damage the walls of the blood vessels. The vessel walls may thicken, leak, develop clots, close off, or grow balloon-like defects called microaneurysms.

My eyes tear all the time. Why do you call it Dry Eyes?

Your eyes have extra tears because your eyes produce extra tears to combat irritation and dryness. A better way to describe Dry Eyes is tear film instability, which refers to the composition of your tears not being in the proper composition. Stopping eyes from producing extra tears is a goal in the treatment of Dry Eyes.

At what age should my child have his/her eyes examined?

If you ask 10 different Doctors you will get 10 different answers. Newborns have their eyes checked in the birthing ward for starters. From birth to age 5 their eyes are growing. At age 5 is a good time to schedule a regular eye examination, however, if any unusual eye behavior is observed under age 5 an eye exam should be scheduled at that time. Unusual eye behavior such as eye squinting, a head tilt, or having to get close to see.