Tuesday, September 29, 2020

Drusen – What is it?

 “Drusen” is the plural of the German word “druse” which means node. In medical terms drusen refers to small yellowish deposits of cellular debris that at accumulate under the retina – the light-sensitive layer of cells at the back of the eye, that is essential to vision, sometimes drusen will form on the optic nerve.

Drusen occur in most people over the age of 60 and are more common in women than men.

A few small drusen can be a harmless sign of age, but more numerous and larger ones may indicate an early stage of age-related macular degeneration (AMD). – A condition that seriously impairs vision. It is a leading cause of blindness in people over 65. Drusen do not cause AMD, but is one early sign of dry AMD.

Types of drusen that have been identified:

  • Soft drusen-As the condition progresses to the advanced stages drusen get larger, bleeding occurs and the light-sensitive cells that make up the macula become scarred. Soft drusen may result in a softening of the macula. The macula is a structure in the center of the retina that process stimuli in the central field of vision (straight ahead vision).
  • Hard Drusen-Small deposits that tend to be spread out. Typically do not cause problems and do not require any intervention.
  • Optic nerve drusen-In many cases this is benign. Optic nerve drusen is more common in children. If vision is affected it is peripheral vision.

Risk factors:

  • Being female and/or Caucasian
  • Family history of AMD
  • High Cholesterol or cardiovascular disease
  • Smoking
  • Over the age of 65

Symptoms:

  • Distortion of straight lines in your field of vision
  • Difficulty adapting from bright lights to low lights
  • Hazy or blurry vision
  • Blank spot in central vision





Tuesday, September 22, 2020

National Pet Eye Health Awareness Week (21-27th September)


We know that eye health is important but how often do you take your pet’s eye health into account? National Pet Eye Health Awareness Week (21-27th September) is to help educate owners on how to recognize common eye problems, and understand what they should do about them. Eye problems are often painful and, if left untreated, may result in sight loss. That’s why understanding the symptoms and getting a vet appointment early is essential. Eye problems can also be a symptom of underlying medical conditions, so the quicker you can see your vet, the better.

 

WHAT ARE THE SYMPTOMS OF EYE DISEASE I SHOULD LOOK OUT FOR?

Any changes in your pet’s eyes or if one eye suddenly looks different from the other could indicate a problem. Read about some specific symptoms of eye disease below.

  • Redness - A red eye is most commonly due to inflammation. Inflammation can occur anywhere in or around the eye. There may also be discharge, irritation and swelling present. Conjunctivitis is a common cause of a red eye in dogs and cats and can be secondary to a number of causes such as allergies, foreign bodies, tear film disorders or pathogens. Your vet will treat your pet accordingly depending on the underlying cause. Redness may less commonly be due to engorged blood vessels (e.g. in glaucoma) or hemorrhage within the eye, either of which can be damaging to vision.
  •  Irritation-Eyes are very sensitive due to their dense network of nerve endings. Irritation is common and is usually an indicator of a painful or itchy eye.

o   Pain – This can manifest as pawing or rubbing at the eye, squinting or increased blink rate, excessive tearing, sensitivity to light and vocalization. Corneal ulceration (damage to the window-like structure at the front of the eyeball) is a common cause of acute pain and needs to be addressed promptly to avoid further deterioration. Other causes of acute eye pain may be trauma or foreign bodies. Some conditions, such as glaucoma, can cause dull/throbbing pain due to buildup of pressure inside the eyeball. Your pet may not show the above symptoms and may just be quieter and off food (similar to how you would feel with a dull headache or migraine!

o   Itchiness – Pets will often paw and rub their eye if itchy. Itchy eyes may be due to allergies, infections or skin conditions and they may also show other symptoms such as redness or discharge.

  •  Discharge- Discharge can range from watery to sticky/ thick and be a variety of colors (clear, yellow/green/brown or bloody). Normal healthy eyes should be clear and bright so if you notice any discharge you should consult your vet. Once discharge dries it can become crusty and adhere to the eyelids which is uncomfortable for your pet and may become a site for bacterial multiplication. Ocryl is a gentle eye cleansing solution designed specifically for pets which helps to soften and remove dried on discharge and flush debris from the eye.
  •  Dull/cloudy/change in color

o   Dull – A healthy pet has bright and shiny eyes. If your pet has dull looking eyes it could be a sign of by dry eye (AKA Kerato-Conjunctivitis Sicca or KCS), most commonly caused when the immune system attacks the tear gland tissue leading to gradual tear volume depletion and an unhealthy cornea. Tear gland loss can become total and permanent if left unchecked but can be saved in most cases if identified and treated early. 

o   Cloudy – Cloudy looking eyes can be due to fluid or cellular infiltrate into the cornea or issues with the lens (e.g. cataracts)- any eye with a cloudy appearance should be checked immediately. 

o   Change in color – Speak to your vet if there is any change in color of any part of the eye(s) 

  •  Tear staining- Tear stains are those reddish-brown marks that can appear on the fur around your pet’s eyes. These stains can be unsightly and noticeable, especially on pale fur. In most cases tear staining occurs when tears don’t drain properly and find their way onto the face. For these patients, tear staining is largely a cosmetic problem which can be solved with regular cleaning. A gentle eye cleansing solution designed specifically for pets. Some patients with tears stains may have underlying eye problems which mean they overproduce tears due to ocular irritation. These tears can then spill over onto the face resulting in tear staining so it’s important that a vet checks your pet if they have tear stains to address anything treatable. 
  • Asymmetry- Both eyes should look the same so a sudden or gradual change in appearance between eyes can indicate a problem. Look out for differences in shape, size, and color. There will be the odd exception where a difference is normal to that individual- for instance some breeds of dog, such as Collies, may naturally have different colored irises (called ‘Wall Eye’). If both eyes are asymmetrical in appearance have a vet check them out to be on the safe side.
  •  Loss of vision or declining vision 

o   Loss of vision can be sudden or gradual depending on the cause and, despite how close we are to our pets, it can sometimes go unnoticed as their other senses (such as smell and hearing) are much more heightened than ours. A blind pet often learns to compensate by using these other senses and many will continue to lead a happy life. 

o   A common symptom of vision loss might be your pet bumping into things, often initially in dim light where vision loss is gradual. Pets learn to navigate their familiar environments instinctively so setting them a little obstacle course and calling them towards you can help you identify if their vision is poor. Another symptom of vision loss to watch out for is your pet becoming more clingy with you as they use you for comfort and guidance. 

We all love our pets and they can’t tell us when something is wrong. We also must be aware of taking care of ourselves too, so we can take care of them.


 

Tuesday, September 15, 2020

eyegotcha Trivia Tuesday 9/15/2020




eyegotcha Trivia Tuesday 9/15/2020


1. Birds and reptiles cry tears much like humans

2. Our eyes close automatically to protect us from perceived dangers.

3. The four-eyed fish can see both above and below water at the same time.

4. Hamsters only blink one eye at a time.

5. 10% of anime (Japanese animation) film budgets go to drawing the eyes of characters.


 

Saturday, September 12, 2020

Fuchs Dystrophy

Fuchs dystrophy is a genetic disease of the cornea. It is when cells in the corneal layer called the endothelium gradually die off. The endothelium keeps the cornea clear for good vision by pumping out excess fluid. This disease affects 4% of US adults over 40, more women than men, and it affects both eyes, causes a gradual decline in vision due to corneal edema (swelling) and clouding. Ultimately it causes loss of vision.

Fuchs has two stages each with different symptoms

Stage 1:

Poor vision upon awakening that may improve later in the day because the fluids build up while you sleep then dry out while awake.

Stage two: your vision remains blurry for several hours or doesn’t clear up at all. Other symptoms include:

·         Glare

·         Sensitivity to light

·         Eye pain

·         Foggy or blurred vision

·         Seeing colored halos around lights

·         Difficulty seeing at night

·         The feeling that something is in your eye such as a foreign body.

Your doctor may first noticed the disease during a routine eye exam using a slit lamp (A microscope with a high intensity light) this allows the doctor to see the inner most layer of the cornea. Seeing the small bumps on the cornea are a telltale sign of Fuchs.

Video: https://bit.ly/2ZObkFM

 

www.webmd.com

www.aao.org

www.hopkinsmedicine.org

www.cornea.org

www.allaboutvision.com 

Tuesday, September 8, 2020

Mask-Associated Dry Eye

 On August 31st the Center for Ocular Research & Education (CORE), issued an alert to advise practitioners on how to recognize mask-associated dry eye (MADE). Wearing a face mask is an important part of preventing the spread of Covid-19, but some of the side effects of doing so are maskne (acne from wearing the mask), foggy glasses and general facial irritation.


As mask use is likely to continue for the foreseeable future, researchers from the University of Utah have seen an increase in dry eye among regular mask wearers or people who wear a mask for a long period of time. The condition could be attributed to incorrect mask wearing.

Dry eye is fairly common, symptoms include:

  • A scratchy feeling like something is in your eye.
  • Red eyes
  • Sensitivity to light
  • Blurry vision
  • Tearing
  • Stinging and burning

A majority of individuals with MADE describe an awareness of exhaled air blowing upward from the top of the mask. This air can hit the eyes and accelerate the evaporation of the tear film.

Ways to mitigate this condition:

  • Ensure your mask fits snug and hugs the skin with no gaps. Get a mask that has a bit of wire or metal strips over the bridge of the nose for tightening.
  • Lubricating drops for the eye.
  • Limit time in the air-conditioned environment as this can also dry the eye.
  • Take breaks from digital devices starring at the screen also contributes to drying the eye. Practice the 20-20-20 rule.
  • Wear eye protection such as goggles or wrap around sunglasses.
  • Do blink exercises.
  • Take a break every few hours and remove the mask when it is safe to do so. 
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