Irlen Syndrome is a visual perception processing disorder. According to statistics, Irlen Syndrome is identified and treated appropriately, in one in two children and adults worldwide with learning and perception issues. However, leaders in the field of behavioural optometry, like Gary Rodney a fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC), are now debating whether these figures really reflect the causes of perception issues or whether they are the outcome of incorrect diagnoses brought on by subpar eye exams.

What is Irlen Syndrome

Irlen Syndrome is thought to be a neurological disorder that leads to the brain being overactive or overstimulated, which creates a breakdown in communication between the brain and eyes, affecting how people perceive and therefore process what they see. This can cause issues with accuracy and understanding as well as attention deficit, handwriting, and visual distortion when reading. Sensitivity to light, headaches while reading, and seeing distorted images and text on pages are some other signs and symptoms. The patient is thought to have an abnormal sensitivity to certain light wave lengths, thus treatments entail the application of colour filter overlays that block such wavelengths.

Irlen Syndrome According to Subjective Responses

Gary Rodney and a growing number of scientists and optometrists do not dispute Irlen Syndrome’s underlying premise or the course of therapy recommended by Irlen diagnosticians. They do, however, raise concerns about whether the diagnoses and treatments are justified and accurate, given that both are solely based on the subjective experiences of those who are experiencing the symptoms and those who are receiving the treatment, respectively, and that neither is supported by objective data.

The Hawthorne Effect, which contends that individuals behave differently when they are aware they are being observed, may impact the legitimacy of the responses and report-backs in certain situations, according to Rodney.

Is Irlen addressing the root of the problem or just the symptoms

“This subjective approach has had a negative impact on the thoroughness of routine optometric eye exams, leading some optometrists to forego tests and screenings that could result in an accurate diagnosis of eye function anomalies that exhibit the same symptoms as Irlen filters and are amenable to eye therapy,” says Rodney, the creator of the Smart Vision method of optometry.

Furthermore, screening revealed that a significant portion of patients who qualified to get the Irlen Syndrome filter therapy had this undiscovered visual aberration, according to two different investigations on the effectiveness of the treatment. According to Taub et al., the percentages were 83%, and the research by Scheiman et al. found that the figures were 95%.

“Just as crucial as the ability to see is the capacity for accurate perception of what you are seeing and effortless visual focus,” says Rodney.

Smart Vision Optometry Eyes InDesign Mosman, provides professional clinical services to best evaluate and treat eye-related queries and visual problems and supports patients to optimise their visual health.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

Eye floaters look like small spots or lines that drift through the field of vision. Most eye floaters are caused by age-related changes that occur as the jelly-like substance (vitreous) inside the eye becomes more liquid.  Floaters often appear when looking at something bright, for example, a piece of white paper or a bright blue sky. They can become annoying but shouldn’t affect one’s sight or be any cause for concern. People who are near-sighted, have diabetes or have had cataract surgery are more prone to experiencing eye floaters.

Gary Rodney, Master of Optometry and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC) based at the Smart Vision Optometry Eyes InDesign Mosman clinic, explains the reasons for eye floaters as well as ways they can be treated.

“You can become accustomed to floaters and they should not bother you too much. Only rarely do they become bad enough to require treatment or indicate a more serious problem,” says  Gary Rodney, a Smart Vision Behavioural Optometrist at Eyes InDesign Mosman.

Floaters are made up of small bits of protein, called collagen. As a person gets older, the protein fibres become smaller and form little shreds that clump together. As a result, they cast shadows over the retina. The reason they are called floaters is because they move around the eye and normally disappear when focused on. They appear in many different shapes for example; black or grey spots, squiggly lines, thread-like strands, cobwebs or rings. Once they begin to occur in the eye, they normally do not go away but they become less noticeable over time.

While uncommon, floaters can be a sign of a more serious eye problem. A sudden appearance of floaters accompanied by a flash of light, or a dark shadow in the peripheral or central vision could indicate a retinal tear which would need immediate attention. An Optometrist or Ophthalmologist should be consulted, and a dilated eye examination should be undertaken. “Floaters normally occur if you are near-sighted or if you had cataract surgery. They are rarely caused by eye disease, an eye injury or eye tumours. Those are unusual situations and normally they have no cause for alarm. However, it is important to frequently visit an Optometrist to maintain good eye health,” says Gary.

While floaters don’t normally affect a person’s vision, there are treatments that can be undertaken if the floaters begin to affect one’s daily life or if they are caused by another eye problem. It is important to maintain healthy eyes. Book and appointment for a Comprehensive Vision Skills Assessment with a Smart Vision Behavioural Optometrist to ensure your eye health is what it should be. If treatment is required, a unique wellness plan can be developed.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by: YDMA News

Cortical Visual Impairment (CVI) sometimes called Cerebral Visual Impairment is an eye disorder that is caused by damaged parts of the brain that process vision. It is more common in babies and children but it can continue into adulthood. Normally the eyes send electrical signals to the brain but if you have CVI, the brain has trouble processing and understanding these signals.

Gary Rodney, a Smart Vision Behavioural Optometrist at Eyes InDesign Mosman, raises awareness of CVI as it is one of the leading causes of blindness in children and more attention should be paid towards it. Adults can also develop CVI after a traumatic brain injury. This is known as acquired CVI.

Cortical Visual Impairment is caused by an injury to the brain. These injuries normally happen before, during or directly after birth. Some common causes of CVI include; lack of oxygen or blood to the brain (often due to a stroke), a  build up of fluid in the brain, infections that reach the brain, head injuries or specific genetic conditions. Premature babies are more likely to have CVI than full-term babies. There is no specific test for detecting CVI. “If you suspect your child may have CVI the first step is to book a  Comprehensive Vision Skills Assessment. If the assessment doesn’t find a problem it might mean that the problem could be neurological.” says Rodney. It can be difficult to diagnose CVI but it is crucial to act quickly if CVI is suspected.

For some children with CVI, improvements over time can be seen however, everyone is different. If your child has symptoms of CVI, it is essential to act quickly and make sure the child is getting early intervention, therapy, educational support and other resources that will help them to develop and learn.

CVI presents with various symptoms depending on the severity of the situation. If a child has CVI, they may have trouble responding to things that are seen, seeing certain things in front of them, recognising faces and objects, recognising things in cluttered spaces, reaching for something while looking at it and understanding what they’re looking at. “It is important to pick up the signs of CVI as soon as possible. Parents should look out for slow reactions to visual cues. Is the child preferring to look at things that are moving or does the child like to look at things from a specific part of their vision, for example with their peripheral vision,” says Rodney.

While there is no cure for Cortical Visual Impairment, vision rehabilitation or vision therapy can help children to improve their vision. In some cases, the vision does improve over time by itself. Experts are not sure why this happens. However, the most important thing is early detection so that the child can receive early intervention and help.

If you are concerned that your child may have CVI, book a Comprehensive Vision Skills Assessment with a Behavioural Optometrist at Eyes InDesign Mosman where a specialised wellness plan can be developed to provide the necessary therapy and rehabilitation supports.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News

Eye twitching or myokymia is an uncontrolled, repetitive squeezing or twitching of the eyelids. An eye twitch is sometimes referred to as an eye spasm. A twitch normally happens on the upper lid but it can occur in both the upper and the lower lids.

Jacqueline Gattegno, a Smart Vision Behavioural Optometrist at Eyes InDesign Bondi, sheds light on the different kinds of eye twitches. “Eye twitches can be classified into three types. The first is a general eye spasm, the second is a Benign Essential Blepharospasm and the third is a Hemifacial Spasm,” explains Jacqueline.

A general eyelid spasm is the most common type of eye twitch and usually has no cause for concern. This type of twitching can be caused by environmental factors and generally disappears with rest.  However, if these twitches persist, it is advised to speak to an eye care professional.

A benign essential blepharospasm is a long-term or chronic type of eye twitching. This type of eye twitching causes blurry vision, facial spasms and increased sensitivity to light.

A hemifacial spasm normally only affects one eye. It is usually caused by a blood vessel adding extra pressure to one of the facial nerves. This disorder is more common in women and also more common in people from Asia. If left untreated it can cause consistent and uncontrollable eye twitching, inability to open eye and twitching of all muscles on one side of the face.

“There are many different factors that can cause eyelid twitching,” suggests Jacqueline. Generally, eyelid spasms are caused or made worse by eye strain, environmental irritants, fatigue, stress, dry eyes, medication side effects, light sensitivity, conjunctivitis or migraine episodes. Normally eye twitches are no cause for concern. However, chronic eyelid twitches could be a sign of a more serious brain or nervous system disorder. If this is the case, twitches are almost always accompanied by other symptoms. It is important to know when eyelid twitches require medical attention. A doctor may need to be contacted if the eye is red, swollen or has an unusual discharge, the upper lid is drooping, the eye completely shuts when the eyelid twitches, twitching continues for several weeks, and if the twitching affects other parts of the face.

Most eyelid twitches go away within a couple of days or weeks without treatment. If it does not go away, try to eliminate or minimise possible causes. “Some ways to relieve eye twitching are to drink less caffeine, get enough sleep, keep eyes moist with over-the-counter eye drops and to apply a warm compress over the eyes when the spasms begin,” says Jacqueline. If a doctor advises that intervention is needed, antibiotics or surgery might be suggested.

If eye twitching persists, it is crucial to book a session with a Smart Vision Behavioural Optometrist to undertake a Comprehensive Vision Skills Assessment in order to detect any problems with the eyes. At  Eyes InDesign Bondi, a unique vision wellness treatment for the issue can be developed.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

Eye allergies, also known as ‘Allergic Conjunctivitis’ are a common eye problem seen every year by eye care professionals. This issue surges during the springtime due to environmental allergens such as pollen, dust mites and pet dander. Dirt, smoke, chemicals, chlorine and perfume can also cause irritation and infection. The tissue around the eyeball, called the conjunctiva, which keeps the eyeball and the eyelid moist, becomes inflamed and can then become infected. This can become uncomfortable and sometimes even painful.

Jacqueline Gattegno, a Smart Vision Behavioural Optometrist at Eyes InDesign Bondi, provides information that can help people cope with, or avoid the problem of eye allergies this spring.

Some of the main symptoms related to Allergic Conjunctivitis include, redness in the eyes, itchiness, burning, watery eyes, swollen eyelids, or feeling like there is dirt or grit in the eyes. These are often accompanied by a runny or itchy nose as well as coughing, sneezing and other normal allergy symptoms. “Some people have also experienced blurry vision for a brief period. If not treated immediately, there is a risk that the allergens could spread from one eye to the other and then both eyes will be affected,” says Jacqueline. Symptoms can vary depending on the person. One may have a combination of these symptoms or perhaps only one of the symptoms.

Treatments for Allergic Conjunctivitis include, saline drops that help to wash away the allergens, over-the-counter medications, prescription treatments, or allergy shots from a doctor. If treated correctly, the symptoms may disappear completely. “Although there are ways to treat eye allergies, the best option is to try to avoid coming into contact with the allergens,” suggests Jacqueline.

Other methods to avoid eye allergies include, not touching or rubbing eyes, washing hands often with soap and water, making sure the environment is free of dust, regularly washing bedding and vacuuming pet hair, wearing sunglasses and a wide brimmed hat, and keeping windows closed to avoid pollen from blowing into the house.

Wearing heavy eye makeup can also irritate eye allergies.  Allergic Conjunctivitis symptoms can last 4-8 weeks and commonly remain through the pollen season. If the symptoms do not go away after the pollen season then it may be time to seek help.

“Allergic Conjunctivitis is sometimes confused with Conjunctivitis or pink eye but they are definitely different,” says Jacqueline. If any of the symptoms or eye allergies arise, it is important to book an assessment with a Smart Vision Behavioural Optometrist so that an assessment can be made and a unique wellness treatment can be developed to help manage eye allergies.

Smart Vision Optometry Eyes InDesign Bondi, provides professional expertise to best evaluate and treat eye-related queries and visual problems and supports patients to optimise their visual health.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

Hypertropia is a type of strabismus or misalignment of the eyes; that is when a person has one eye that is turned upwards while the other eye looks in the right direction. Normally the eyes work together and move together. However, sometimes eyes move separately. If they move in different directions from one another, this can cause vision problems. Hypertropia is most common in children although adults can develop it. It is the rarest of the strabismus conditions and affects about 1 in 400 children.

Jacqueline Gattegno, a Smart Vision Behavioural Optometrist at Eyes InDesign Bondi states the importance of raising awareness of Hypertropia as very few people know about this condition. Even though it is uncommon, it is still important for people to know the symptoms, causes and treatments.

Hypertropia is caused by an imbalance in the eye muscles, which means they will often not work together. The most common cause of this is weakness or ‘palsy’ in the nerves of the brain that control eye movements. People who suffer from Hypertropia are usually born with the condition but it can also be developed later in life due to a stroke, eye injury, thyroid disease or neurological disorders. “The symptoms can be hard to detect because in some cases they are permanent and in others they appear from time to time when stressed or tired,” says Jacqueline. The most common symptoms include; eye wander (one or both eyes will wander up towards the ceiling), double vision, head tilt, eye strain and headaches.

Hypertropia is normally detected with an eye exam and other specialised tests. With children it is often noticed in the first instance by their local doctor or paediatrician; their eyes won’t be straight and they often tilt their head. “Children should have regular screening during their baby check-ups, especially if there is a family history of the condition. It is important to diagnose early on to ensure the child does not develop lazy eye syndrome,” says Jacqueline.

There are ways to treat Hypertropia. The main goal is to align both eyes and make sure that vision is clear in both. Treatments include; glasses (wearing glasses with special prisms could potentially correct vision problems), an eye patch (this is worn over the strong eye to try and strengthen the weak one) and vision therapy (eye exercises that will be performed everyday along with other treatments).

If there is a risk of Hypertropia or if symptoms are occurring, it is important to book an appointment with a Smart Vision Behavioural Optometrist so that the condition can be detected early and a unique vision wellness plan can be started to avoid the situation from getting worse. If the Optometrist believes that surgery might be needed to rectify the situation, they would refer the patient to an Ophthalmologist. However, it is important to note that surgery is really a last option when other treatments have not been successful.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047. Alternatively, book an appointment online.

Written and syndicated by YDMA News.

Drinking water and being properly hydrated has an effect on more than just the skin, it also affects the eyes. Dehydration is when more liquid leaves the body than enters it. This could be due to not drinking enough water or when a large amount of water has been lost.

The body’s initial response to dehydration is to conserve water. Symptoms of dehydration include a dry mouth, light-headedness as well as a lack of tear production.  When the eyes are not properly lubricated, this can lead to dry eye disease, eye strain and vision problems.

Jacqueline Gattegno, a Smart Vision Behavioural Optometrist at Eyes InDesign Bondi expresses the importance of staying hydrated and how integral it is for the whole body including the eyes!

Dry eye disease occurs when there are not enough tears to nourish and lubricate the eyes. Tears are also needed for clear vision. Tears help to cleanse the eyes and wash away any impurities that could cause infection. Symptoms of dry eyes include blurry vision, irritation and the feeling of having something stuck in the eyes. Having dry eyes is a symptom of being dehydrated. One of the best treatments for dry eyes is to drink enough water as well as use eye drops to rehydrate and lubricate the eyes. Eye drops can also wash away any impurities from the eyes.

If eyes are constantly dehydrated it can also increase the risk of developing cataracts. As cataracts increase in size, they affect vision and could eventually lead to blindness.

Dehydrated eyes can also lead to eye strain. The symptoms of eye strain include tired and blurry eyes, headaches and double vision. Eye strain can also be caused by concentration on a screen or digital device for an extended period. “If eye strain is caused by dehydration, drink plenty of water and try to rest your eyes more to avoid straining them,” suggests Jacqueline. The best way to know if dehydrated or dry eyes is the problem is to see an optometrist regularly to ensure that correct eye care is being practised.

“The best way to avoid dehydrated eyes is to adjust your lifestyle choices and opt for healthier habits. By seeing a Smart Vision Behavioural Optometrist you will be able to get the advice you need from professionals,” says Jacqueline. Some healthy lifestyle changes that can be made include switching to a low sodium diet because a diet high in sodium can dehydrate the body. Reduce the amount of alcoholic and caffeinated drinks, drink at least eight glasses of water ever day and try and reduce the amount of time spent in front of a screen (laptops, cellphones and tablets).

The most important thing to do if symptoms of eye strain or dry eyes appear is to book an appointment with a Smart Vision Behavioural Optometrist so that an assessment can be done and a unique wellness treatment can be developed.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047. Alternatively, book an appointment online.

Written and syndicated by YDMA News.

One of the positive outcomes of the COVID-19 pandemic is that many companies realise how effective and efficient working from home can be. Employees agree! Many people love the flexibility of rolling out of bed in their pj’s and firing up the computer for a serious day of work, while juggling household chores during regular breaks without the grind of the daily commute!

Sadly, this new-found freedom comes at a serious price to eye health. People from all walks of life now spend more time in front of screens than ever before. At work, boardroom meetings become Zoom meetings and emails replace water-cooler conversations.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, stresses the importance of proper eye protection and treatment from the effects of digital eye-strain. “Digital eye-strain occurs from the increased use of computers, iPads, mobile phones and computer gaming. It’s a major issue which is not exclusive to adults. Eye-strain in children and teenagers may affect normal vision development and the side effects can be debilitating if left untreated,” says Jacquie.

Eye-strain occurs when tasks are performed which force the eyes to converge closely, and maintain focus for long periods, often leading to problems with focusing. Other activities that require intense focus, such as long hours reading or driving, can result in people blinking less often, causing eye-strain.

Jacquie says, “there are primary symptoms associated with severe eye-strain to be aware of, which include sore, tired, dry or burning eyes, glare sensitivity, blurred vision, double vision, eye twitching and excessive tiredness towards the end of the day.”

“However, there are some more subtle effects that aren’t necessarily attributed to eye conditions, such as headaches, sore neck and back and even difficulty concentrating,” Jacquie says. Failure to treat the problem properly, particularly in younger people, has been shown to cause shortsightedness (myopia). “It’s a serious concern, and it is forecast that more than half the world’s population will be myopic by 2050,” says Jacquie.

Eye-strain can make being productive at work or learning at school an uphill battle, and when it starts to affect the ability to get work done, it’s time to start taking steps to tackle eye-strain head-on.

“Probably the easiest fix is to ensure frequent breaks from the screens to rest the eyes. The ‘20-20-20 rule’ is an effective and productive exercise that doesn’t significantly encroach on one’s work schedule. Simply, every 20 minutes, spend 20 seconds looking at something at least 20 feet (6 metres) away,” says Jacquie. “Another simple exercise is to keep blinking. Blinking, washes the eyes in naturally therapeutic tears,” Jacquie says.

For those who spend a lot of time in front of a computer screen, it’s important to ensure the workstation is set up properly.  Jacquie says, “set the screen about an arm’s length away and adjust the screen so the top of the screen is at eye level. Ensure brightness and contrast are set to comfortable levels.”

Smart Vision Optometrists recommend a comprehensive vision skills assessment every 12-months. Jacquie says, “this one-hour consultation performs a detailed assessment of focusing and eye coordination abilities so preventative measures can be implemented. Depending on the outcome of the exam, the optometrist may prescribe computer eyeglasses, potentially with a blue light filter, to help the eyes focus on the screen more comfortably.” Clinical studies have shown that having the correct prescription in computer eyeglasses increases productivity and accuracy.

For more information about Smart Vision Optometry’s digital eye-strain wellness treatment programmes, contact Smart Vision Optometry today.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by: YDMA News

We all know that a child’s development can vary immensely from child to child. It is perhaps not as well known that a child’s vision also develops over time and can also vary from child to child.

Jacqueline Gattegno, a leading Smart Vision Optometrist at Eyes InDesign Bondi, explains the relationship between vision and learning; and why it is so important for parents to understand the difference between sight and vision.

Often it is not until children begin to read that we first notice they have a vision problem. This is the time when they start using their visual system more intensively to tune in to small details. The level of demand on visual skills required for reading increases throughout a child’s learning years.

Jacquie says, “it is important for parents to understand that children with excellent eyesight can still have significant vision-related learning difficulties. A child presenting vision skills concerns is more likely to have difficulty reading and understanding what they have read. The extra effort required can cause blurriness and discomfort, as well as preventing them from performing to their potential.”

“It is important that we understand the difference between sight and vision,” says Jacquie. “Eyesight essentially refers to the physical attributes and performance of the many organic components involved in the visual system. 20/20 vision is a commonly quoted measure of normal vision, yet it simply describes the sensitivity of the eye to see fine detail in the distance,” Jacquie says.

“Unlike eyesight, vision is a thought process, which emerges as an understanding of what is seen, where it is and how to react to it. It combines information from many sensory systems to create a perception of reality,” says Jacquie. “Vision describes a more dynamic and interactive process, essentially a whole information processing system developed through experience to gain understanding of the external visual space world.”

For example, for a person driving a car, vision is much more than reading license plates clearly at a distance. Vision is the total process whereby the spatial relationships between the cars are taken in and processed by the driver in order to guide the car safely to its destination, without an accident and with minimum stress. Vision judges the relative speeds of the other cars, and alerts the driver to a pedestrian stepping onto the road or another car at an intersection, or the door of a parked car opening.

Jacquie says, “therefore, some of the primary visual skills required for early readers include; Tracking: scanning from letter to letter, word to word, looking ahead and predicting text, moving from one line to the next. Focusing: maintaining clear focus at a particular point (e.g. a word on a page) and the ability to rapidly change focus from one point to another (e.g. from copying from the board to the book). Sequencing: recognising the order of numbers or letters in words, as well as left to right progression when reading and writing. Short Term Visual Memory: recalling information presented quickly; and Visual Discrimination: recognising subtle visual differences between letters (e.g. m/n) and words (e.g. was/saw or big/dig), reducing reversals and improving overall recognition.”

Some children complain about headaches. These can be caused by vision problems, which can signal a broader issue as well as distract them from their learning, and it can also cause them to strain to see the board at the front of the classroom.

“A comprehensive vision skills assessment takes about one hour and is crucial for detecting various eye conditions. This includes, Strabismus (misaligned eyes), Amblyopia (lazy eye), Myopia (near-sightedness), Hyperopia (far-sightedness), and Astigmatism,” says Jacquie.

Many children and teens have near-sighted or far-sighted vision problems. “These conditions can be treated with special glasses or contact lenses,” says Jacquie. Some children and teens may benefit from having contact lenses instead of eyeglasses. Contact lenses are a good choice for those who often play sports and feel uncomfortable wearing glasses. Children often wear glasses to help improve their vision and provide protection against vision loss.

“Having a vision problem can affect a child’s academic performance and quality of life,” says Jacquie, “being able to identify these symptoms can help prevent this from happening.

A few signs or symptoms that indicate your child may be experiencing vision problems and needs glasses include squinting, also known as a refractive error. A child might tilt his or her head to one side and depend on one eye to improve their vision. It could also be a sign that the eyes are not aligned properly or that there is a lazy eye. Sitting too closely to a television or holding a hand-held device too closely to the eyes can be signs of poor vision. Excessive rubbing of the eyes is also a common symptom of poor vision and can also be a sign of other conditions that cause vision problems. Complaining of eye pain or headaches are other common symptoms to take note of.

Due to the nature of our environment and the variety of technology devices that children use, children with visual disorders may have difficulty concentrating on their schoolwork. “Many parents don’t know that their child has a problem with their vision, which is why it’s important that they have a comprehensive vision skills assessment, annually,” says Jacquie. She concludes that whenever children show signs of lack of concentration or symptoms such as mentioned above, a visit to the optometrist is a must.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by: YDMA News

Apart from being a fashion statement, sunglasses provide a wide range of health benefits to the eyes, particularly protection from ultraviolet (UV) rays in the same way that sunscreen protects our skin. UV light is harmful to the eyes, and can dangerously affect the cornea, lens, retina and the eyelids.

Jacqueline Gattegno, a leading Smart Vision Optometrist at Eyes InDesign Bondi, explains the importance of sunglasses, with a specific focus on the importance of using them from a young age. “Regardless of whether it is winter or summer, cloudy or sunny, the naked eyes are always being exposed to Ultra Violet (UV) rays,” says Jacquie.

It is estimated that more than 50% of a person’s lifetime exposure to UV is received before the age of 18. Children are more susceptible to UV damage because they spend more time outdoors. As the effects of UV exposure are cumulative, it is crucial that good eye-wear protection habits start early in life.

People should prioritise the use of sunglasses, especially in Australia and when travelling in areas with bright light and excessive sun exposure. Additionally, eye protection is important when in or on the water as reflective light from the water can be dangerous to the eyes. “Other weather conditions like snow also reflect sunlight and wearing sunglasses in these conditions is important,” says Jacquie. “Neglecting to wear sunglasses in visually harsh conditions can make the eyes susceptible to corneal burns as a result of excessive UV exposure,” Jacquie adds.

The importance of protecting the outer aspects of the eye is equally as important as the inner parts. “Eyelid skin is the thinnest skin on the human body, posing more of a risk of sunlight damage. Wearing sunglasses helps to protect delicate skin from both UV exposure, as well as from unwanted ageing,” says Jacquie.

Severe eye conditions like glaucoma and cataracts have a much lower chance of impacting eye health with the use of both polarised and tinted sunglasses. As an additional measure, individuals are encouraged to visit their nearest Smart Vision Optometrist for their annual comprehensive vision skills assessment to check up on their current eye and vision health.

When selecting a pair of sunglasses, there are some considerations to make. “Today’s advanced technologies offer superior protection, including polarised sunglasses to reduce glare and visual discomfort. The convenience of prescription sunglasses and sports eye-wear is completely practical,” says Jacquie. All eye-wear is subjective to the wearers’ own preferences, but that’s where Smart Vision Optometry’s optical dispensers help. “Selecting the right frame for your face in terms of size, colour and weight is important. Eye-wear is a fashion item and selecting the right eye-wear for your lifestyle is as important as any other fashion accessory, and the optical dispensers will help find and fit a pair that’s just right,” says Jacquie.

“These days people buy eye-wear to suit the occasion, and we regularly help customers and patients choose and fit eye-wear for weddings, boating, car and horse racing events,” adds Jacquie.

Smart Vision Optometry clinics stock a range of boutique quality eye -wear designed with style and lifestyle in mind. Properly fitted to suit all face shapes and sizes, while offering maximised protection for both adults and children.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

It’s time to shed some light on eye health this month, even though one should focus on maintaining their visual health everyday. Paying close attention to one’s visual health has long term benefits. Regular visits to the optometrist can forewarn individuals of potential health risks, as well as identify notable visual concerns.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, expands on the importance of healthy vision. “There are approximately 2.2 billion people globally with near or distance-related vision impairment. In approximately half of these cases, vision impairment could have been prevented, or identified early with a regular visit to a Smart Vision Optometrist,” says Jacquie.

Sadly, however, not all vision-related issues can be detected from a standard eye test from your local optometrist, and that’s because there is a difference between sight and vision. “As a Smart Vision Optometrist, we conduct a Comprehensive Vision Skills Assessment with each patient on their very first appointment. This thorough examination takes about an hour, and because of the techniques and equipment used, this type of examination is not available from your local optometrist,” says Jacquie.

“It is important that we understand the difference between sight and vision,” says Jacquie. “Eyesight essentially refers to the physical attributes and performance of the many organic components involved in the visual system. 20/20 vision is a commonly quoted measure of normal vision, yet it simply describes the sensitivity of the eye to see fine detail in the distance,” Jacquie says.

“Unlike eyesight, vision is a thought process, which emerges as an understanding of what is seen, where it is and how to react to it. It combines information from many sensory systems to create a perception of reality,” says Jacquie. “Vision describes a more dynamic and interactive process, essentially a whole information processing system developed through experience to understand the external visual space world.”

For example, “vision is what directs the cricket player to swing the bat at the exact right moment and place in space to make contact and hit a six, right over the fence,” Jacquie explains.

The primary causes of vision impairment and blindness are, uncorrected refractive, diabetic retinopathy, cataracts, corneal opacity, trachoma and age-related macular degeneration. The majority of individuals with vision impairment tend to be over the age of 50, however vision loss is possible in all age groups. “Children’s vision should be tested continually throughout their school years to ensure vision-related issues do not affect their ability to learn,” Jacquie said.

Uncorrected myopia and presbyopia alone were estimated to be $352 billion and $36.8 billion respectively, in terms of productivity losses within the working world. “The gravity of not addressing visual problems creates a domino effect of unwanted health issues, as well as financial burdens,” says Jacquie.

Vision impairment impacts the quality of life, especially as one ages. “Should vision impairment progressively deteriorate, the significant detriments include, higher risks of falls and fractures, difficulty walking, and social isolation, among many,” says Jacquie.

While many eye diseases can be prevented, not all visual problems are as easily treated. Thus, every single eye condition requires a specific and timely response. “Prevention, treatment and rehabilitation are effective interventions to both address and facilitate the needs of individuals with vision impairment or eye conditions,” says Jacquie.

“Treatments are available for various eye conditions that do not cause severe vision impairment like: conjunctivitis, dry eye, and blepharitis, commonly known as inflammation of the eyelids. While pain and discomfort can be incurred with these eye conditions, the treatments aim to alleviate the symptoms and prevent more severe conditions or diseases,” says Jacquie.

It has been proven that the rehabilitation of one’s visual health has a high effective rate in improving irreversible vision impairment from severe eye conditions like age-related macular degeneration, glaucoma and diabetic retinopathy.

With any eye condition, it is important to make an appointment with an optometrist or preferably a Smart Vision Optometrist. The earlier a condition can be addressed, the better the outcome. A Smart Vision Optometrist can address symptoms with a tailored wellness treatment program.

Smart Vision Optometry Eyes InDesign Bondi, provides professional expertise to best evaluate and treat eye-related queries and visual problems and supports patients to optimise their visual health.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

Glaucoma is the leading cause of irreversible blindness worldwide. It is estimated that over 300,000 Australians have glaucoma, but 50% are undiagnosed. There’s no cure for glaucoma, but early treatment can often stop the damage and protect one’s vision.

Glaucoma is a condition of the eye where the optic nerve is damaged due to inadequate blood supply. The most common cause is raised pressure inside the eye (intraocular pressure) of the aqueous humour.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, explains the fundamental signs of glaucoma to look out for.

“There are two main types of glaucoma, open-angle glaucoma and closed-angle glaucoma. With open-angle glaucoma, eye pressure builds gradually over time, but with closed-angle glaucoma, it’s far more sudden, requiring urgent treatment in most cases,” Jacquie says.

Peripheral vision loss is a common symptom of glaucoma. It does not affect the central vision, which is often caused by a condition known as macula degeneration, and is usually only experienced during the later stages of the disease.

The earlier the damage is detected, the better the prognosis. The damage to the optic nerve can lead to progressive and irreversible vision loss. “Most early changes cannot easily be noticed in normal life, simply because people are used to how they see out of their eyes, and, unless they can compare their vision to a healthy vision range, they would be none the wiser. That is why regular eye examinations are important in order to detect then treat glaucoma,” Jacquie says.

Some people are more susceptible to glaucoma than others. “A family history of high myopia and high blood pressure levels are known to increase a person’s chance of developing glaucoma,” says Jacquie. “Ageing and certain medication usage can also increase the risk profile of glaucoma,” she adds.

Annual eye examinations should be a priority for everyone, as it is the best way to detect glaucoma quickly. “Smart Vision Optometry uses state-of-the-art technology to diagnose and monitor eye conditions such as glaucoma,” says Jacquie. “Fortunately, early treatment for this condition can help stop its progress,” she adds.

Glaucoma can happen at any age. When glaucoma occurs in babies, children, and teenagers, it is called paediatric glaucoma. There are different classifications of the condition, and each type has a different age when it appears.

Congenital glaucoma occurs when a baby is born. It can also be caused by the development of an infantile eye. Congenital glaucoma occurs in babies at birth. Infantile glaucoma is usually diagnosed in babies who are less than one month old. Juvenile glaucoma normally refers to the condition in children under the age of three.

Although rare, congenital, infantile, or juvenile glaucoma are still considered uncommon. The Glaucoma Foundation states that about one in 10,000 births results in congenital glaucoma. Most babies with congenital or infantile glaucoma have vision that’s good enough to see clearly. However, if they are not treated correctly, their vision maybe lost over time.

Symptoms of paediatric glaucoma include, cloudy eye, dull appearing iris (coloured part of the eye), sensitivity to light, and excessive tearing. Although these symptoms may not be noticed at first, they can be detected through an eye examination. In most cases, they can be triggered by factors that are not yet apparent.

“Intraocular pressure reduction is one of the goals of treatment for glaucoma. By lowering the pressure gradually, it can help preserve vision,” says Jacquie.

A comprehensive vision skills assessment takes about one hour and is a key examination for the detection of glaucoma.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by: YDMA News

July is Eye-Injury Prevention Month, an important time to shine a light on the rather serious aspects of eye injuries. Daily, there are an estimated 2000 workers experiencing eye-related injuries on the job, costing businesses and insurance companies millions of dollars annually; let alone the pain and costs to the injured. Of course, the major cost is one’s eyesight. Luckily 90% of eye injuries can be prevented through utilising safety eye wear. A simple precaution, yet one that goes unacknowledged by many.

Gary Rodney, Founder of Smart Vision Optometry and a leading Smart Vision Optometrist at Eyes InDesign, Mosman, emphasises the key importance of Eye Injury Prevention Month, and what individuals need to prioritise, when it comes to eyesight safety.

Many eye-related injuries can become serious should they go untreated or if the injury deteriorates, which can lead to life-changing effects such as blindness. “It is of the utmost importance that individuals, both at home and in the workplace, equip themselves with preventative measures to avoid eye-related injuries,” says Rodney.

“In workplaces such as laboratories, workshops, timber yards, hardware stores etc, or when undertaking particular work-related activities, it is highly advised that employees utilise safety eye wear. Safety goggles should be on employees, or at least always within their proximity for easy access,” says Rodney.

It is also important to wear protective eye wear during sporting or recreational activities where there can be the possibility of injury to the eyes. “Also, wearing sunglasses that give 97-100% UV protection and preferably wrap well around one’s temples should be prioritised,” says Rodney.

Some recreational activities where fire or fireworks are used can have disastrous consequences should events get out of hand. It is always important to be alert when around open fires, gas barbecues, etc or at festivals where fireworks are being used.

“The early detection and treatment of eye conditions and diseases is pivotal to both visual maintenance and health,” says Rodney. Where there is a family history of childhood eye conditions or diseases, it is imperative that children are screened for eye problems, ideally before the age of five.

“If a child experiences excessive tearing or dryness, visual changes, or flashes of light, they should visit their nearest optometrist,” adds Rodney. Smart Vision Optometry Eyes InDesign, Mosman, specialises in attending to these symptoms, providing  expert diagnosis and solution by experienced behavioural optometrists.

“Adults between the ages of 40 and 65 should book and attend an eye exam every two to four years to monitor eye health,” says Rodney. He goes on to say that, “adults over the age of 65 should attend an eye exam at least once every two years.” Smart Vision Optometry Eyes InDesign, Mosman, can also evaluate and treat numerous eye conditions like Refractive Errors, Pink Eye, Cataracts, Glaucoma, etc, while helping patients to promote optimum eye-health.

“At Smart Vision Optometry Eyes InDesign, Mosman, we promote Eye-Injury awareness and prevention 365 days a year, but July is the month where we encourage everyone to think about the health of their eyes,” says Rodney.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047. Alternatively, book an appointment online.

Written and syndicated by YDMA News.

Eyesight is often taken for granted, and eye health should be prioritised in a daily routine. While people tend to think of vision as an unchangeable constant in their lives, it’s important to note that people can do things to influence their eye health on an everyday basis.

Diet plays an integral role in a healthy body but, more specifically, has a lot of impact on ocular health as well. Many biological processes rely on the vitamins and minerals we obtain through food to function properly, including maintaining excellent vision. For instance, Omega 3 fatty acids are involved in the healthy growth of a child’s brain and eyes during early development, with deficiencies linked to neurological conditions in children. Omega 3’s are usually obtained through fatty fish such as salmon. However, they can also be obtained through nutritional supplements. When buying an Omega 3 supplement, look for adequate dosages of EPA and DHA. These are the specific fatty acids that make Omega 3s the nutritional powerhouses that they are.

Another essential aspect of nutrition for eye health is ensuring sufficient vegetable intake, specifically green leafy vegetables such as kale and spinach. These provide the body with zinc, iron and vitamin C. Zinc is involved in the formation of pigments in your retina as well as staving off macular degeneration. Studies have shown that people with cataracts tend to have low levels of antioxidants in their systems, and Vitamin C is a well-known and easy to obtain antioxidant.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi says that proper hygiene plays a crucial role in eye health. “Regularly washing hands can also reduce the risk of infections such as microbial keratitis and corneal inflammation”. In addition, researchers have linked hand washing to decreased rates of reported eye infections. “We touch our eyes more than we realise and can bring in a lot of dirt and bacteria”, says Gattegno.

Another simple daily habit that can help maintain eye health is drinking enough water. The eye primarily consists of fluid and requires water to maintain ocular pressure and lubrication. If there is not enough liquid to produce tears, this can lead to dry eyes and can open the door to infections and irritation of the eye. All of which can ultimately lead to visual degradation.

A good habit to get into is using sunglasses outdoors to protect the eyes from bright sunlight and harmful UV rays. UV radiation damage builds up over time and can lead to the development of cataracts or macular degeneration, even in small amounts. A decent set of sunglasses can minimise the risk of these diseases. Be on the lookout for sunglasses that expressly say that they block UVA and UVB rays. Moreover, polarised shades can further help by reducing the glare from reflective surfaces helping further protect the eyes.

Adding these small daily habits can help protect the eyes from everyday harm and increase their longevity.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by YDMA News.

The gift of sight is something all people cherish and should not take for granted. It’s essential to be aware of any changes in visual acuity as this could indicate future complications with eyesight. There are many diseases that can present with fairly innocuous symptoms early on but can later lead to more severe conditions, potentially resulting in blindness.

Some of the symptoms discussed here can be pretty innocent and are not inherently cause for alarm. However, if multiple symptoms present without explanation, it is probably best to contact an optometrist or health care professional.

Red eyes have many explanations and can be reasonably common. Redness of the eye is usually a result of irritation leading to inflammation of the tiny capillaries within the eye leading to the red look. This can happen due to lack of sleep, dehydration or allergies but can also result from more serious conditions such as corneal ulcers, infectious conjunctivitis (more commonly known as pink eye) or a subconjunctival haemorrhage. A bleed in the back of the eye can lead to complications and affect vision, potentially leading to complete blindness.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, warns that taking action too late can have dire consequences. “Most times, these symptoms are not very serious and can be easily explained and rectified, but if symptoms continue and vision deteriorates, it’s time to consult a professional,” says Gattegno.

Another typical indication of vision problems is an increased sensitivity to light, otherwise known as photophobia. Light sensitivity can present as merely squinting to see in a brightly lit room but can also cause a significant amount of pain in more severe cases. Migraines are frequently associated with photophobia and may require medical treatment in some cases as the condition can become debilitating. Another common condition linked to light sensitivity is cataracts, where the eye’s lens becomes cloudy. While cataracts can be treated, they can only be completely removed with surgery.

Blurred or distorted vision is a more prominent and concerning symptom of certain eye conditions. The manifestation of sudden alterations to your vision should immediately be reported to your optometrist. In some cases, this is caused by a possible torn or detached retina, a severe condition requiring medical attention to prevent permanent damage. Another potential explanation for sudden blurred vision is macular edema. Macular edema is when there is a fluid build-up within the macula of your eye, causing swelling and increased pressure. Once again, this condition can potentially lead to permanent vision loss.

Tears are commonly thought to be an emotional function of the eye, but the primary role is to lubricate the eye and keep it hydrated. In certain situations, excessive tearing can indicate an underlying problem such as bacterial keratitis or a blocked tear duct. With bacterial keratitis, the cornea has become infected and can progress rapidly. An infection of the cornea could be a result of an eye injury or possibly the use of a poorly sterilised contact lens or even a contact lens that has had tap water touch it prior to insertion. Therefore, it’s vital to ensure that contact lenses are cleaned and properly stored as instructed by us.

Gattegno explains that there are certain habits and steps that can be taught to prevent the most common visual ailments.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by YDMA News.

Eyesight is arguably the most important of the five senses, and a loss of visual acuity can be alarming. While there are many ways to prevent damage to the eyes, such as wearing proper eyewear to protect your eyes from UVA, UVB and blue light, what can be done to reverse it once there is actual damage?

Gary Rodney, leading Smart Vision optometrist with Smart Vision Optometry, says that while protecting your eyes to mitigate damage in the first place should be a priority, there are steps you can take after the fact to either slow or reverse damage to the eye.

“This all depends on the initial cause of visual deterioration,” tells Rodney. “Not all injuries can be reversed, however; there is new research coming out each day finding new ways to tackle old problems.”

Physical injury to the eye generally requires surgery depending on the severity, while some less serious injuries merely require proper rest and recovery. In these cases, it is best to keep the eye covered to protect it from sunlight as well as infection. A wounded eye is very susceptible to inflammation or infection. This could potentially slow the healing process of scratches or cuts, and it is best to let the eye rest completely hence the eyepatch.

Some age-related issues can be reversed with surgery as well. For example, the eye’s ability to focus either at a distance or on near objects can deteriorate over time, making a person either nearsighted or farsighted. Some are born with these conditions, while some develop them later on in life. LASIK, which stands for Laser-Assisted In-Situ Keratomileusis, is a surgical process using a tiny laser beam to lift a flap of the cornea’s surface and remove a small layer of tissue in the lens to alter its shape. This surgery has also proved helpful in cases where the patient has presented with astigmatism, where the lens or surface of the eye is irregularly shaped, causing blurred or distorted vision.

However, Smart Vision Optometrists only support LASIK treatment as a last resort after exhausting all holistic wellness treatment methods, as the LASIK is permanent and most often removes the ability to provide holistic treatment.

Certain diseases stem from nutritional deficiencies. In some cases, it is possible to fix the damage caused by these diseases by simply correcting the fault. For instance, a lack of Vitamin A, which is crucial for maintaining the photoreceptors in your retina, can lead to dry eyes and separately, retinal damage eventually leading to total blindness . One of the first signs of Vitamin A deficiency is dry eyes or night vision problems. There are many nutritional sources of Vitamin A such as dairy, carrots and spinach, but to be safe, consume a wide variety of fruit and vegetables as part of a healthy diet.

New research is constantly being published, giving doctors and optometrists hope to correct irreversible eye damage. For example, a study performed by researchers at Harvard Medical school showed that it is possible to reverse glaucoma-like damage in mice by inserting three specific genes into the retina. While this study was not done in humans, it does give hope for the possibility of reversing the effects of glaucoma but does require further research before it can be safely used in practice.

While there are ways to reverse ocular damage, prevention is better than a cure, so take proper steps to protect your eyes and have regular eye health checkups to have intervention before it becomes serious.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

With advances in technology changing and shaping peoples lives in so many aspects, it’s not surprising to see that technology also has a role to play in improving eyesight. New processes and technologies are being developed every day to find ways to help patients see better. Smart Vision Optometrists pride themselves on being at the forefront of cutting edge technology to provide patients with the best possible care and service.

Gary Rodney, leading Smart Vision optometrist with Smart Vision Optometry, says that patients looking for a non-invasive alternative to surgery to correct myopia need look no further than Smart Vision Optometry’s Ortho-K process. Orthokeratology or Corneal Refractive Therapy is a unique therapy that uses custom-fitted, oxygen permeable contact lenses that reshape your corneas while you sleep. This method allows patients to see clearly without any daytime interventions as the process occurs overnight. This is great for those unable to wear spectacles or contact lenses during the day, such as surfers and sportspeople with the added benefit of helping to protect the elongation of the eyeballs which causes the long term damage to the health of the eyes and the progression of the myopia (shortsightedness).

Another great use of technology to improve visual acuity is through the use of Vivid Vision Virtual Reality Vision Training. This system utilises virtual reality technology to create a fun and interactive way for children and adults to improve their vision skills and correct visual dysfunctions such as strabismus and convergence insufficiency. There are only 92 practices worldwide that can boast of having this technology available to help patients improve optical efficiency in all areas of life.

Those who suffer from chronic dry eyes and eyelid inflammation (better known as blepharitis) can benefit significantly by using two technological tools available to Smart Vision Optometry patients, namely the BlephEx and Blephasteam systems. BlephEx gently exfoliates the eyelids and eyelashes, removing the exotoxin-laden biofilm that accumulates on the eyelid, providing rapid relief from eyelid inflammation symptoms. This painless procedure effectively removes the scurf and bacterial debris that build up along the lid margin. This debris is responsible for most low-grade inflammatory blepharitis, the primary cause of chronic dry eye disease. Blephasteam is a safe and convenient treatment used as part of our patients’ dry eye treatment plan to relieve Meibomian Gland Dysfunction (MGD) symptoms. Blephasteam creates the perfect temperature and environment to increase blood flow, melting the thick secretions within the glands. After each session, the secretions are manually expressed, improving oil flow into the tear surface and thus tear quality.

Smart Vision behavioural optometrists also use some of the most current eye testing technology, such as the Zeiss i.Profiler. This technology measures each eye independently, thus recording irregularities and differences much more effectively. This innovative technique allows Smart Vision optometrists to prescribe bespoke lenses for each eye and help to significantly improve poor-light vision, colour perception and night vision problems.

The Visagraph is a recording system that accurately measures eye movements during reading by using infrared sensors in a pair of goggles that is connected to and analysed by a computer. The results from the assessment give optometrists a considerable amount of information about the movement of the eyes, which otherwise would never have been revealed. For example, they provide many valuable statistics on ocular function and show an illustration of the left and the right eye movements, the number of fixations and the number of regressions. From the assessment, our Smart Vision Behavioural Optometrists can give recommendations on how the child’s reading ability can be improved and prescribe a tailored Vision Therapy program to tackle deficiencies in visual functioning, perception and cognition.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

When it comes to taking care of your eyes, you may think it’s enough to wear your sunglasses now and again, not sit too close to the TV and occasionally throw in some eye drops during the dry season. But proper eye care goes far beyond that, and nutrition can be the key to keeping your eyes healthy and happy.

Gary Rodney, leading smart vision optometrist with Smart Vision Optometry, says that “Eyes need a wide range of vitamins and minerals to function well, with some of these being crucial for staving off age-related macular degeneration.”

These vitamins and minerals can be obtained through the addition of some nutritional supplements, but the most effective method is through food. This is because when vitamins are obtained through food, they come in combination with cofactors which can boost bioavailability, making them much easier for your body to absorb and use. So whole food sources are always preferred over supplements.

According to the World Health Organisation, Vitamin A deficiency is one of the leading causes of blindness worldwide. Vitamin A has an integral role in maintaining the photoreceptor cells in your retina, which allow us to convert light into neurological signals which our brain can then interpret. Symptoms of Vitamin A deficiency can include night blindness and dry eyes. Vitamin A is only found in animal-derived products such as egg yolks and dairy products. However, vegans and vegetarians can get their Vitamin A fix in a slightly different way with plants such as kale, spinach and carrots. These provide a provitamin A carotenoid called beta-carotene, which the body can convert into Vitamin A. While not the most efficient method, it can give some of your daily vitamin requirements.

In general, we hear a lot about a class of vitamins known as antioxidants when it comes to health. Along with protecting our cells from free radicals, they also have a few more specific roles in our bodies, especially when it comes to the eyes. There are two exceptional antioxidants called Lutein and Zeaxanthin, which form part of the retina. They are thought to help protect your vision from sun damage as well as harmful blue light. Studies have shown that the levels of these carotenoids within your eye are proportional to your daily intake. Researchers found that supplementing these daily slowed the progression of age-related macular degeneration (AMD). While these can be found in high amounts in dark green leafy vegetables such as spinach and kale, the most bioavailable source is egg yolk. This is due to Lutein and Zeaxanthin being fat-soluble vitamins. If you would rather go the spinach route, try pairing it with oils such as salad dressing or avocado.

“Omega 3 fatty acids can also be great vision protectors,” says Gary Rodney. Omega 3’s are long-chain fatty acids that, besides having a host of health benefits elsewhere in the body, are extremely important for early childhood development of the eye and brain. The fatty acids EPA and DHA, classified as Omega 3’s, need to be taken in adequate amounts as deficiencies have been linked to impaired vision in children. Omega 3’s are most commonly found in fatty fish such as salmon. However, they are very commonly found in health supplements and should be a staple in your daily vitamin regime.

While adding nutritional supplements to diets, the best way to get all these protective vitamins is through your food. So make sure you’re eating in a wide variety of fruits and veg, as they all have a role to play in healthy eyesight. To get information on even more ways to protect your eyes, book an appointment at your nearest Smart Vision Optometry practice.

Smart Vision Optometry clinics are located in multiple suburbs in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, book an appointment online.

Written and syndicated by YDMA News.

College students spend too much time studying in front of computer screens, and not enough time caring for their eyes. This is resulting in an explosion of progressive eye deterioration globally.

Gary Rodney, the Founder of Smart Vision Optometry and a leading Smart Vision Optometrist at Eyes InDesign Mosman, explains ways students can minimise eye strain and headaches.

Since students spend a substantial amount of time on technological devices, it is important to monitor the brightness and darkness of device to prevent eye strain.

It is also important to have a full functional vision skills assessment rather than a traditional eye sight test to determine exact levels of eyestrain at the computer viewing distance. Appropriate visual stress relieving prescription computer glasses can then be prescribed to minimise the damage from staring the screen for long periods of time.

If technology is constantly used for an extended period of time, it’s also important students take regular breaks. “It can help reinvigorate your eyes and reduce stress,” says Rodney. “Every 5 minutes we should look out the window briefly to view a distant object and every 30 minutes we should have a complete 10 minute break. Hard to do but important for the long term health of your eyes.”

Additionally, a study found that prolonged exposure to blue light can cause long-term damage to the cells in your eyes. The good news is that there are ways to filter out blue light.

Visible light can be divided into three categories: blue light, green light, and ultraviolet light. “The high energy of blue light makes it more dangerous to the eyes than other visible light,” says Rodney. The visible light spectrum has a variety of wavelengths and energy. The blue light, also known as the blue spectrum, has the highest energy level.

Computer eyeglasses can reduce blue light exposure from electronic devices. Computer glasses can help improve your vision for both phone and computer use.

Computer glasses help relieve stress and improve focusing by protecting the eyes from blue light and stopping the eyes from over focussing. They also provide protection from the effects of computer use on the eyes. “A screen brightness filter is a simple and effective way to reduce blue light exposure on your devices,” says Rodney. It works by adding a blue light filter to the screen.

Computer glasses are designed to see objects that are within arm’s length, and should not be worn for driving or other distances-vision needs. “If a person have near-sightedness or far-sightedness, prescription computer glasses can help improve the vision for phone and computer use,” says Rodney.

“Some anti-reflective coating products are used for computer glasses and eyeglasses that protect against blue light,” says Rodney. Persons can also benefit from all-purpose prescription glasses that feature photochromic lenses. These lenses protect the eyes from blue light and reduce glare.

As the use of electronic devices grows, many people are suffering from Computer Vision Syndrome (CVS). The condition causes blurred vision and other symptoms.

The angle at which you look is a crucial component of CVS. Ideally, the centre of the monitor should be positioned between your eyes and the objects in front of it.

Take breaks when using a computer or device for long periods of time to prevent eye strain. Also, look away from the screen for 20 seconds and focus on a distant object. People tend to blink about 18 times a minute, while computer users only blink once a fourth of the time. This causes the risk of developing dry eyes.

Tear film is a vital component of keeping you comfortable while using a computer. Its high-resolution camera makes it possible to see the finest of structures in the tear film. Technology can be used as a non-invasive procedure that can evaluate the quality and functioning of tear film. It can help diagnose Computer Vision Syndrome.

A Smart Vision Optometrist can help find the best computer glasses to protect the eyes. Even with the best eye care, it’s still a good idea to get a bi-annual check-up. “Regular eye examinations can help to improve and maintain good eye health, and prevent age-related diseases such as macular degeneration (AMD),” says Rodney. “It’s also a good idea to schedule an exam if you notice any of the following symptoms: red, puffy, and uncomfortable eyes, or fatigueing or headaches or losing your place when reading” says Rodney.

“Getting your eyes checked can help prevent vision problems that can affect both vision and overall health. Myopia control is a massively concerning area of global eye problems and latent hyperopia can cause a great amount of unnecesary symptoms. Astigmatism also seems to increase with unaddressed eye strain”.

Even if you do not need glasses or contacts for regular activities, “a person may still need them if they use a computer or device,” says Rodney.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Written and syndicated by YDMA News.

Glaucoma is a condition where the optic nerve is damaged. It can lead to progressive vision loss. The optic nerve carries visual signals from the front of the eye to the brain. If left untreated, primary open-angle glaucoma can cause the loss of these nerve fibres.

Gary Rodney, the Founder of Smart Vision Optometry and a leading Smart Vision Optometrist at Eyes InDesign Mosman, provides insight of contributing factors that worsen the condition of glaucoma in people of all ages.

Glaucoma can be controlled with a series of medication or surgery. If it is diagnosed early, it can usually be managed. Primary open-angle glaucoma usually doesn’t show symptoms until it has progressed to central vision loss. Acute angle-closure glaucoma is a less common type of glaucoma. It occurs suddenly and can cause severe pain, nausea, and blurred vision.

HEAR: Ultra106.5FM Interview with Gary Rodney – Covid and Myopia: What you need to know!

Although it can’t be predicted who will develop it, most people with high eye pressure will eventually develop glaucoma. “It occurs when the pressure inside the eye is too high for a certain nerve,” says Rodney.

A family history of glaucoma can increase a person’s risk of developing the condition. Also, being born with a damaged eye can increase a person’s chances of suffering from chronic eye inflammation.

The “cause of glaucoma is usually linked to an increase in fluid pressure in the eye, or is caused by a lack of oxygen to the nerve,” says Rodney.

There are different types of glaucoma that have different potential causes. Primary open-angle glaucoma is a slow and painless damage to the optic nerve is the most common type of glaucoma. Those with this condition can lose a significant portion of their vision before they realise their issues. Angle-closure glaucoma is a less common type of eye disease that can cause vision loss in just one day of its onset. It usually appears when the drainage angle in the eyes gets blocked.

As the size of the eye’s lens gets larger, the space between the cornea and the iris widens, and the fluid that collects in the eye can then be blocked. This causes the eye pressure to increase.

An acute form of eye disease occurs when the iris completely obscures the fluid drainage. An acute attack occurs when the drainage of the eye completely blocks. It can happen even if the person has no drainage angle.

“People over age 60 are at an increased risk of suffering from glaucoma”, say Rodney. Age is a common factor that increases the risk of developing glaucoma.

Having a family history of glaucoma is associated with a higher risk of developing the condition. Certain conditions can also increase the risk of developing the disease. “Physical injuries to the eye can increase pressure in the eye,” says Rodney. By keeping your eye pressure under control, your optometrist can help prevent further damage to the optic nerve. A reduction in eye pressure that is at least as likely to cause further damage is known as the target pressure.

“Other eye-related risks include having a thinner cornea and optic nerve sensitivity,” says Rodney, “further, being near-sighted is known to increase the risk of developing glaucoma.”

There is no cure for glaucoma. As the condition worsens, patients need to continue taking their medication and undergoing eye examinations. “Getting diagnosed early and treating it properly can help prevent vision loss and minimise the risk of suffering from it,” says Rodney. Having regular monitoring and treating glaucoma can also help control it.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Syndicated by:YDMA News, Your Digital Marketing Agency

Sunglasses offer protection from the sun’s ultraviolet (UV) rays that can damage and lead to eye problems.

Gary Rodney, Master of Optometry and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC) based at the Smart Vision Optometry Eyes InDesign Mosman clinic, dispels sunglasses myths before purchasing. Rodney offers tips about wearing sunglasses and protecting your eye health.

Sunglasses aren’t just for looks

Sunglasses are more than just a fashion trend.  The most important factor of buying sunglasses is that they “protect the eyes from sun damage and UV radiation,” says Rodney.

When purchasing a pair of sunglasses, “always look at the tag to see if it offers 100% blockage from UVA and UVB radiation,” says Rodney, “and remember, the most expensive does not mean that it offers more protection”. Even many cheap pairs of sunglasses block most of the harmful UV radiation.

“Remember that poor quality plastic lenses can distort vision and cause headaches,” says Rodney. Quality prescription lenses (even with no power) are always recommended.

HEAR: Ultra106.5FM Interview with Gary Rodney – Covid and Myopia: What you need to know!

You only need to wear sunglasses when it is sunny

There is a common misconception that there is less UV damage to the eyes during the colder months, however this is not true. In winter, UV rays can reflect off wet surfaces and snow, and into the eyes. Sunglasses should be worn outdoors, regardless of the weather.

UV rays are just as prevalent in cloudy weather than direct sunlight. “People of all ages should wear sunglasses whenever they are outside,” says Rodney.

Children also need to wear sunglasses as much as adults do as they spend more time outdoors.

Lenses with a darker tint do not necessarily offer better protection

A clear lens with “100% UV protection is better for your eyes than dark tinted lenses,” says Rodney. Dark glasses without UV protection are more harmful to your eyes than not wearing glasses at all, because the “dark lenses causes the pupils to become dilated, thus exposing the eyes to harmful UV light,” Rodney adds.

All ‘good’ sun lenses can protect the eyes from UV light, however, polarised lenses, cut out the glare that bounces off reflective surface, and improves colour contrast.

The style and size of lenses does not matter

Small lenses provide less eye protection than large lenses. The distance between the lens and eyes is also important. Lenses that rest further from the eyes increase the risk of UV ray damage. The “best type of lenses are the ones that wrap around around the eyes to protect the side of the eyes from UV radiation,” says Rodney.

Opticians and eyewear stylists at Smart Vision Optometry provide expert advice on purchasing the best sunglasses suggested and suited for all clients. “Choosing the right pair has never been easier,” says Rodney.

Smart Vision Optometry clinics are located in Sydney, Australia. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Syndicated by: YDMA News, Your Digital Marketing Agency

Diabetic Disease Awareness Month aims to increase the awareness of diabetes, and diabetic eye disease.

Diabetes is the leading cause of blindness in adults, therefore it is important to seek treatment for vision impairment that are related to diabetes.

As the number of people living with diabetes grows, so does the number of people with impaired vision.

High blood sugar levels damages the blood vessels of the retina, and can cause permanent vision loss.  Vision impairment caused by Diabetic Retinopathy (DR) may be prevented by regulating blood sugar and blood pressure levels as well as regular eye examinations at your local Smart Vision Optometry.

Jacquie Gattengo, a Smart Vision Optometrist at Eyes InDesign Bondi, explains the four stages of DR and what preventable measures can be taken to reduce the disease from advancing, and causing permanent vision loss.

There are two types of DR; Non proliferative retinopathy – which refers to the bleeding of the retina or leakage of blood – and proliferative retinopathy whereby abnormal blood vessels grow on the retina. The blood may bleed in the centre of the eye, causing vision problems.

Micro aneurysms (MA) occurs in patients with non-proliferative diabetic retinopathy (NPDR) when the capillary walls leak fluid due to the haemorrhage of blood vessels.

Stage one: Mild NPDR

The first stage consists of mild non-proliferative retinopathy, which is an early stage of DR. In this stage, “small areas of swelling or bulges occurs in the blood vessels of the retina,” says Jacquie.

Vision may not be affected yet during this stage.

Mild NPDR has at least one MA. Such findings are elusive, therefore close monitoring and inspection are crucial.  Patients should have an extensive eye examination once a year.

It is also essential that “patients diagnosed with diabetes monitor their blood sugar level and diet,” says Jacquie.

Stage 2: Moderate NPDR

As the disease progresses, it results in moderate non-proliferative diabetic retinopathy, where some of “the blood vessels that nourish the retina becomes blocked and damage the retina,” says Jacquie.

Blood and other fluids build up in the small central part of the retina causing diabetic macular edema. Vision may be affected in this stage.

Patients with moderate NPDR should have an eye examination at least twice a year.

Stage 3: Severe NPDR

The third stage consists of an additional blockage of the blood vessels, “this disrupts the blood supply to the retina,” says Jacquie. The damaged retina signals the body to produce new blood vessels. The development of new blood vessels grows in the retina and fills the interior of the eye. “The obstructed blood vessels may lead to blurred vision with dark spots visible,” says Jacquie.

Multiple haemorrhages occur in the retinal quadrants. During this stage, retinal detachment may occur.

“Patients with severe NPDR should have a dilated fungus examination three or four times a year,” advises Jacquie. These patients are at high risk of disease progression and permanent vision loss

Stage 4: Proliferative Diabetic Retinopathy (PDR)

During this stage, “the new blood vessels are abnormal and rupture causing a flow of blood to the retina,” says Jacquie.

The growth of abnormal and fragile new blood vessels advance during this stage. “These blood vessels have fragile walls and can leak blood in the retina, causing severe vision loss and blindness,” says Jacquie.

Patients exhibit either neovascularisation of the eye or pre-retinal haemorrhage. Until the disease stabilises, it is required that they visit a retinal speciality once a month.

Eye examinations

There are usually no warning signs of Diabetic retinopathy (DR), however early signs of DR can be detected up regular eye examinations. The procedure of such examination includes near and distant eye tests, a dilated eye exam (which allows the examiner to see through the pupil to the retina), and a tonometry test to measure the fluid pressure in the eye.

Patients with type 1 or type 2 diabetes, are at risk of developing neurovascular complications that can lead to Diabetic Retinopathy (DR). It is advised that “patients with diagnosed type 1 and type 2 diabetes should have a comprehensive dilated eye examination,” says Jacquie.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.

Written and syndicated by: YDMA News, YDMA Group

Lifestyle is a major factor thought to influence susceptibility to many diseases including the eye. Lifestyle disease or disorder can be a result of the consequence of one’s health choices. Unhealthy lifestyle choices such as alcohol consumption, smoking, fat and sugar rich diet, lack of physical activity, poor sleep patterns and chronic eye strain are associated with the risk of developing eye diseases.

Gary Rodney, Master of Optometry and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC) based at the Smart Vision Optometry Eyes InDesign Mosman clinic, advices the significance about diabetic eye disease and Hypertensive Retinopathy.

Diabetic Retinopathy

Diabetic Retinopathy (DR) is an eye disease caused by the onset of diabetes. It is caused when high blood sugar levels damage the blood vessels of the retina.

“You may have diabetic retinopathy, and not even know it,” says Rodney. In the early stage of DR, no symptoms are shown. As this condition advances, one may “experience blurred vision, black or dark spots in the vision, and colours may appear faded,” says Rodney.

Another contributing factor to DR is smoking. Smoking is believed to increase tissue hypoxia (lack of oxygen in cells and body), a factor involved in developing diabetic retinopathy.

DR can be personally treated, such as bringing blood sugar and blood pressure levels under control. Stop smoking and maintain a healthy lifestyle to improve overall health and prevent unnecessary vision loss.

Maintaining a healthy balanced lifestyle and the richness of vitamins in meals are crucial to one’s health, and eye health. “Vitamin A plays an important role in keeping the retina and night vision in working condition,” says Rodney. “Vitamin E helps protect the eye from age-related macular degeneration (AMD),” says Rodney, and “vitamin C can help to fend off cataracts”.

Hypertensive Retinopathy

High and untreated blood pressure (hypertension) can affect one’s vision and lead to eye disease. Hypertension can cause damage to the blood vessels in the retina. This eye disease is known as Hypertensive Retinopathy.

Hypertensive Retinopathy (HR) is strongly associated with diabetes, and is related to blood pressure status. “High blood pressure causes blockage of the retinal arteries (blood vessels) that supply blood and oxygen to the eye,” says Rodney.

Retinal haemorrhages are commonly seen when there is a breakdown of blood-retinal barriers. “HR occurs when the force of blood against the artery walls is too high, causing damage to the artery.” says Rodney.

High blood pressure is a risk factor for many ocular conditions, such as glaucoma and age-related maculopathy (AMD). This condition can lead to double or dim vision, loss of vision and headaches.

Mild hypertensive retinopathy comes about due to “elevated blood pressure, and risks other chronic effects such as cardiovascular disease (CVD)”, says Rodney. When diabetes is associated with hypertension, cardiovascular risk rises, and retinopathy becomes more severe and rapidly progresses.

Moderate grade of hypertensive retinopathy, reflects higher in people with diabetes. Diabetes and hypertension are both vascular risk factors, and the prevalence of diabetes among patients with hypertension is high.

Symptoms of mild to moderate hypertensive retinopathy are not always experienced, but can be discovered upon regular eye examinations.

Treatment for Hypertensive Retinopathy includes “controlling high blood pressure through lifestyle changes,” says Rodney. The control of blood pressure in hypertensive diabetic people prevents cardiovascular risks as well as the deterioration of retinopathy and visual acuity.

Smart Vision Optometry clinics are located in Sydney, Australia. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Chronic conditions can cause eye symptoms, such as dry eye, damaged blood vessels and blindness. Many eye problems are preventable and treatable.

Jacqueline Gattengo, a Smart Vision Optometrist at Eyes InDesign Bondi, explains common illnesses that cause many eye problems.

Diabetes

People with diabetes often have problems with the blood vessels in their body, and the eye is no exception. Diabetes causes many complications, including Diabetic Retinopathy (DR).

DR is caused by the onset of diabetes. “High blood sugar and high blood pressure levels can damage the blood vessels in the back of the eye, that supply blood to the retina,” says Jacquie. A lack of blood supply can affect vision and cause permanent blindness. DR can be prevented by regulating blood sugar and blood pressure levels.

High blood sugar levels increase the risk of dry eyes. “Dry eye causes significant eye discomfort and impaired vision,” says Jacquie. The symptoms include redness, a scratchy sensation of the eye, and blurry vision. The cause of dry eye is typically a lack of tears to keep the eye moist and healthy.

People with diabetes are also at higher risk of developing cataracts and glaucoma.

Nutritional deficiency

Vitamin A deficiency can cause severe dry eye and lead to ulcers of the cornea. A lack of vitamins can increase the risk of developing cataracts.  

“Cataracts are caused by the build-up of protein which clouds the lens of the eye, causing blurry vision and blindness,” says Jacquie. If left untreated, this condition will worsen and lead to blindness.

Jacquie says, “cataracts can also be caused by diabetes, smoking, high blood pressure and a history of cataracts in blood relatives.” 

“Many people are not aware of the effects of smoking on their vision,” says Jacquie. Smoking is associated with many health problems, including eye health. Smoking contributes to cataracts by “altering the cell of the lens through oxidation,” says Jacquie, and the “heavy metal like cadmium accumulates in the lens.”

Regular eye examinations are important to “test, diagnose and treat eye deficiency before they become progressively worse,” says Jacquie. Cataracts are more prominent in people who are diabetic. Therefore, it is important to “maintain high and low blood sugar levels,” says Jacquie.

Corneal Ulcer

A cornea ulcer is a common eye condition that is often caused by bacterial infections. This causes an ulcer to form in the front part of the eye.  People with “vitamin A deficiency and those who wear contact lenses are at a higher risk of cornea ulcers,” says Jacquie, as infectious agents are trapped behind the lens.

Jacquie identifies symptoms of cornea ulcer that include, “pain, intense redness, a scratchy sensation of the eye, light sensitivity and blurred vision.”

If you suspect you have a cornea ulcer, visit your local Smart Vision Optometry for an eye examination.

High blood pressure

High blood pressure can cause a change in the retina as it damages the blood vessels that supply the eye.

Controlling high blood pressure levels is fundamental for the vision of the eyes. “The longer the blood pressure levels remain high, the more an individual is at risk of having permanent eye damage,” says Jacquie.

High blood pressure may be diagnosed during a regular eye examination.

Autoimmune disease

Autoimmune disease is a condition whereby the immune system mistakenly attacks healthy cells of the body. The autoimmune attack causes inflammation of the optic nerve that damages the eye and affects vision.

People with autoimmune disease experience common symptoms such as “dry, red and itchy eyes, light sensitivity, eye pain, and change in vision,” says Jacquie. Treating the autoimmune disease will help control eye problems caused by the condition.

Rheumatoid arthritis

Rheumatoid arthritis, a collagen vascular disease, increases the risk of dry eye, as infections with bacteria or viruses affect the eye.

This condition can be treated with eye drops

Infectious diseases

Infections can affect the condition of the eye as well as one’s eyesight. Pink eye or conjunctivitis is a common form of eye infection. Common symptoms include redness and swelling of the eyelids and eye pain.

Trachoma

Trachoma begins with a bacterial infection, similarly to conjunctivitis (pink-eye), and can be easily treated.

However, if the condition is left untreated, “the condition will worsen as it causes scarring to the eyelid that pulls the eyelashes inwards,” says Jacquie. This causes tremendous pain as every blink scrapes the eye.

Advanced trachoma is called trichiasis, which occurs when the eye is inflamed. “Scar tissue builds up inside the eyelid, making the eyelid tight, pulling the eyelashes inward,” explains Jacquie.

Symptoms of trachoma include discharge from the eye, irritated eyes and redness. This causes immense pain as the eyelashes scrape against the cornea. This can lead to blindness.

Trachoma can be treated with cleanliness and hygiene, regularly wash your bedding, clothes and face to prevent infection.

It is important to be aware of other diseases that affect the eye, as if left untreated and undiagnosed, it can result in permanent blindness and vision impairment.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.

Written and syndicated by: YDMA News, YDMA Group

Diabetic eye disease, such as Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME), is an eye condition that causes vision impairment and blindness in people with diabetes. A person with diabetes is at a higher risk of developing eye disease.

It is important to identify the relationship between diabetes and eye problems so that effective preventable measures can be considered.

Gary Rodney, Master of Optometry and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC) based at the Smart Vision Optometry Eyes InDesign Mosman clinic, advises ways to preserve one’s vision and reduce chances of eye disease.

Comprehensive eye exam

A comprehensive dilated eye examination is required at least once a year to diagnose, keep track and maintain signs of eye disease. A dilated eye exam involves a “thorough exam of the retina and signs of damage to the optic nerve before a patient notices any change in vision,” says Rodney. Treatment takes place when signs of disease appear.

Upon examinations, tests can also be performed to ensure that the patient’s vision system is strong and performs adequate function in daily tasks and activities. Comprehensive eye examinations above and beyond eye health are suitable for every age group. “We are aware that a lifestyle and work environment play an important role in patient vision,” says Rodney. Therefore it is important to consider certain treatment plans such as glasses, contact lenses and vision therapy that is comfortable and suitable for the patient, and to improve vision effectively.

Control blood sugar

High blood sugar (glucose) levels damage the blood vessels that provide the retina, nerves and soft tissue of the eye with oxygen and nutrients. “Damaged blood vessels leak fluid and blood in your eye and can result in retinal detachment,” says Rodney.  

High blood sugar can change the shape of the eye and cause blurred vision. High glucose can change the fluid levels and cause swelling in the tissue of the eye. “This causes blurred vision, but in such circumstances, the blurred vision is temporary,” says Rodney.

Once the blood sugar stabilises the blurred vision and shape of the eye’s lens may improve. Therefore it is “important to control blood sugar levels to prevent these problems,” says Rodney. Maintaining a normal blood sugar level through diet and exercise can keep your blood vessels healthy.

High blood sugar levels damage blood vessels in the eye and retina, causing permanent damage.

Quit smoking

Smoking increases inflammation in the body, when “the cigarette smoke damages the cells in the body and interferes with the functioning of the cell,” says Rodney.

Blood vessels are prone to breaking, and can cause fluid to leak in the retina, resulting in damage and vision loss.

“High levels of nicotine also reduce the efficiency of the insulin that lowers your blood sugar,” says Rodney. As a result, you may need large doses of insulin to control blood sugar levels.

Smart Vision Optometry clinics are located in Sydney, Australia. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Glaucoma is a name given to a group of eye diseases where vision loss is due to the damage of the optic nerve. This can be linked to the build-up of intraocular pressure in the eye. The increased pressure in the eye damages the optic nerve and can gradually worsen.

In this Blindness Awareness Month, Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, offers insight into the detection of glaucoma.

Glaucoma is often called “the sneak thief of sight” because the loss of vision may occur before an individual is aware of it. Signs of glaucoma often go unnoticed because there may be no visible or noticeable symptoms. For instance, the loss of vision in the periphery is a common sign of glaucoma, but it often goes unnoticed.

It is important to detect signs of glaucoma as soon as possible as this condition is a common cause of blindness. Regular eye examinations are advised to “diagnose and treat early signs of glaucoma,” says Jacquie.

Jacquie stipulates common signs of glaucoma to look out for which include, “seeing halos around lights, vision loss, redness around the eye, hazy eyes or eye pain”. If individuals are aware of these signs, it may help eye doctors treat the eye before getting worse and prevent rapid vision loss.

While anyone is at risk of developing glaucoma, some people are at a higher risk. Numerous cases of glaucoma are over the age of 40, however, signs of glaucoma can be visible at any age.

People are more likely to have glaucoma if they have “a history of glaucoma in the family, poor vision/myopia, diabetic, high eye pressure or have an injury to the eye,” says Jacquie.

Glaucoma is hereditary, therefore individuals are more susceptible to developing glaucoma if this condition is prevalent among blood relatives.

Individuals with high myopia (nearsighted or shortsighted) are at a higher risk of primary open-angle glaucoma,” says Jacquie.

Traumatic eye injury or operation can lead to glaucoma. “Eye pressure may rise immediately or gradually upon injury,” says Jacquie, and requires constant regulation and monitoring from eye specialists.

Symptoms unrelated to vision should also be adhered to. Studies have shown that people with diabetes have an increased risk and development of glaucoma. “High blood sugar can cause the lens to swell and can cause blurry vision,” says Jacquie. High or low blood pressure, can also increase the risk of glaucoma as it “affects the blood flow to the optic nerve,” says Jacquie.

Glaucoma treatment

Smart Vision Optometrists have a holistic approach to eye care and therefore invasive surgery, which is a permanent disfigurement, is not considered a viable option and would only be suggested in extreme cases as an absolute last resort,” Jacquie said.

Although glaucoma is a permanent condition, there are other ways to keep your eyes healthy. “Regular exercise may lower the pressure of the eye and keep the blood flowing to the nerve,” says Jacquie, “eating foods that are high in antioxidants also help to keep your eye condition healthy”.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.

Myopia (near sightedness) is a condition in which close objects are visibly clear, while distanced objects are blurred. This is understood as a refractive disorder that occurs as the eyeball elongates (gets longer). Myopia can cause exponentially more serious  complications if the refractive error is  severe, -5.00D or worse.

People with myopia have good near vision, and poor distance vision.

Gary Rodney, founder of Smart Vision Optometry and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC), explains the different degrees of myopia and how it leads to great risk of age related blindness.

The causes of myopia traditionally include genetics and the working environment. Now we are seeing that there does not have to be any evidence of genetic tendencies and simply lifestyle can cause myopia to develop. Genetics simply makes the problem worse. The lifestyle factors include doing work focusing on close objects, like a computer screen, digital device, or book and/or less time outdoors in the daylight.

Rays of light that enter the eye, also influence the development of myopia. “Vision is made clear as light rays enter the eye through the cornea and lens, which bend the light to the retina at the back of the eye,” says Rodney. This gives a clear and sharp image. Therefore if a person is experiencing blurry vision they are experiencing a refractive error, as the light rays are not focused correctly at the back of the eye.

If not treated for prevention and not just compensation, myopia can progressively advance, causing other disorders that can result in blindness.

Low myopia

Low Myopia is the most common. Low to moderate myopia is usually measured less than -500D.

While there is no cure, vision treatment, management and control can be influenced using Smart Vision Optometry proprietary techniques with glasses, lenses or orthokeratology (Ortho-K). Ortho-K has been shown to produce a reduction in the rate of progress of myopia.

Studies have shown that children who spend long hours doing outside activities, are at a lower risk of myopia. Progressive nearsightedness/myopia can cause vision impairment, including cataracts, macular degeneration, retinal detachment and myopia maculopathy.

High myopia

High myopia can lead to blindness. High myopia can be at least -500D or worse.

High myopia, also called pathological myopia, where the abnormal elongation of the eyeball that occurs in pathological myopia stretches the tissue at the back of the eye and leads to the development of detachment, floaters and halo. The retina is more stretched and therefore much more prone to peripheral retinal tears.

Studies have shown that the higher the myopia, the bigger the risk a person has of developing glaucoma. “As myopia worsens, retinal nerve fibre layers and macular thickness charge, increases the risk of glaucoma,” says Rodney.

Common risks to blindness led by myopia include retinal detachment, cataracts and glaucoma. These disorders may lead to visual impairment and blindness.

Retinal detachment

A thinned retina can cause retinal breaks. “Retinal detachment occurs when the retina detaches from the back of the eye,” says Rodney, and “if this detachment is not repaired urgently, it can cause blindness.”

Glaucoma

Glaucoma is associated with the damage to the optic nerve caused by increased pressure in the eye chamber.

Glaucoma is found significantly in those with myopia. In some cases, the eye can stretch out of its shape resulting in a refractive error. “The cause of high myopia in patients should be examined,” says Rodney.

Cataracts

Cataracts is common among people with myopia. “This condition occurs when the eyes lens, located behind the pupil, has a cloudy appearance,” says Rodney.

Patients with high myopia can develop cataracts earlier than those with no refractive errors.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

October brings the month of World Sight Day and World Teacher’s day, in commemoration of both annual events, this article aims to bring awareness to blindness and vision impairment in children.

Vision impairment or loss can affect people of all ages, but it can be detected at an early age. Reduced eyesight can have minor or long-lasting effects on all aspects of life including personal daily activities and participation in school and work.

Jacqueline Gattegno, a Smart Vision Optometrist at Eyes InDesign Bondi, provides insight in identifying signs of vision problems in children.

The role of educators in detecting early signs in learner

Millions of children around the world experience signs of significant visual impairment, many of which are preventable and treatable.

Educators spend a significant amount of time with learners, therefore, they “play an important role in identifying early signs of eye problems in children,” Jacquie says. This detection reduces the risk of blindness.

There is an increase in the rate of vision-related issues in children, such as diabetic retinopathy, untreated glaucoma, un-operated cataract and myopia. These are preventable causes of blindness that can easily be attended to.

Teaching methods to accommodate such issues

Much of information and education that we receive is through vision, therefore it is important to adopt this knowledge in teaching children who are visually impaired.

Educators can play a crucial role in assisting the comfortably of a child’s learning, regardless of a child’s diagnoses of vision impairment; acute or severe. An adjustment in teaching methods and techniques can help reduce the severity of vision impairment in children.

Much of the strain of the eyes is caused by reading and focusing, particularly in the classroom and on digital screens. However there are other causes to consider that are hereditary.

Here are a few examples teachers can assist with children who experience the following conditions and diagnosis:

Retinopathy of Pre-maturity (ROP)

Retinopathy refers to the disease of the retina that is caused by an abnormal growth of the blood vessel. ROP usually affects children who are born prematurely with a low body mass.

Adaptation in teaching methods can be made by discouraging physical activity as a compulsory requirement as it may result in retinal detachment.

Albinism

Albinism is a lack of pigmentation in skin, hair and eyes. Pigment is necessary for retinal development, therefore, albinism impacts vision.

In learning environments, a high contrast of colours may be beneficial for children with albinism. For example, bright colours against dark backgrounds.

Coloboma of the eye

This is a physical defect of the eyes in children that occurs from birth. To treat this in classrooms, it is important to reduce the glare in learning environments, which can be decreased with dark curtains.

How to identify signs of myopia

The more myopic the higher the risk of screening issues that cause blindness. “It is important to know the difference between high and mild myopia as the level of severity increases the chances of blindness,” Jacquie says.

Mild myopia does not immediately increase a person’s risk of developing serious eye problems but left untreated it can.

High myopia, on the other hand, happens when a child’s eyeball grows longer than it should. If left untreated, high myopia complications can lead to blindness, so regular comprehensive visual eye examinations are critical. These are not the common sight tests offered by regular optometrists.

High myopia may raise the risk of a child developing serious conditions such as cataracts, detached retinas and glaucoma.  

Educators can identify signs of myopia in classrooms in the child has:

1. Poor school grades

2. Short attention span

3. Holding objects close to the face

4. Squinting

This month brings awareness to vision impairment and blindness. The awareness of the role teachers play in a child’s sight to reduce preventable blindness is crucial.

Vision problems such as myopia can be treated with highly successful, non-invasive, smart vision eye health treatment programmes, yet some optometrists and ophthalmologists recommend invasive laser eye surgery as the only option or quick fix. “Smart Vision Optometrists have a holistic approach to eyecare and therefore invasive surgery, which is a permanent disfigurement, is not considered a viable option and would only be suggested in extreme cases as an absolute last resort,” Jacquie said.

“If a child has any of the above symptoms then a comprehensive vision skills assessment is recommended immediately,” Jacquie concludes.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.

Although laser eye surgery has become a low risk and easy-to-execute procedure, it is still invasive.

Gary Rodney, the Founder of Smart Vision Optometry and a leading Smart Vision Optometrist at Eyes InDesign Mosman, discusses an alternative non-invasive surgery to correct and improve vision.

Smart Vision Optometrists resource to non-invasive surgeries in their practice.

Many patients do not qualify for eye laser surgery, as they may have irregular corneas, or other conditions, such as inflammation, and bacterial infections often caused by poor hygiene. Additionally many patients are worried about eye surgery given the burning of the inner layers of myopia correction surgery can have permanent negative effects. Many “laser surgeries involve the burning of the matrix of the inner layers of the corneal tissue to flatten and reshape the cornea to correct vision, however this is not always a once-off fix, because the underlying issues of what caused them to become short-sighted in the first place has not been addressed and so the process may need to be repeated and burnt again,” says Rodney.

Laser surgery, such as LASIK, is invasive to the eye and can cause damage or injury to the eye, such as cornea damage, and may cause other complications such as eye infections and permanent dry eyes.

Invasive surgeries are no longer the only option for vision correction, as smart vision optometrists offer non-invasive methods and procedures.

Smart vision optometrists use vision therapy, therapeutic spectacle and contact lenses to improve comfort, enhance performance and optimise visual development.  Visual therapy is a “non-invasive method used to improve and manage different eye conditions,” says Rodney. This technique involves exercises that help improve the visual system.

Orthokeratology (Ortho-K)

Orthokeratology, also referred to as corneal reshaping treatment, is “a non-surgical vision correction alternative,” says Rodney. Corneal reshaping (CR) is a therapeutic process which reshapes the cornea using reverse geometry contact lenses. This flattens the cornea to reduce nearsightedness.

There is “no age barrier to this procedure as it is safe for both children and adults,” says Rodney. The non-surgical vision correction procedure can correct refractive errors such as mild to moderate and even large (in some cases) myopia, hyperopia and astigmatism. Ortho-K is safe and effective for children as it has been proven to treat myopia effectively. Evidence based practice has made the process very safe provided a minimum standard of care is followed. Thus includes regular checks with your orthokeratologist, tap water never used on the lenses or case at any time, hydrogen peroxide disinfection, 12 monthly lens replacement, and a perfectly fitted lens from an experienced orthokeratologist. The procedure is not effective on certain shaped corneas. “Ortho-K is also suitable for sportsmen and women, swimmers, and simply those who do not wish to wear glasses or contact lenses,” says Rodney.

Like refractive surgeries, Ortho-K gives clear unaided vision, however it has no surgical risks and is reversible. The most important part for children though is the proven effectiveness against minimising myopia progression. So it has a large preventative effect.

The Ortho-K gradually reshapes the front surface of the cornea to reduce myopia, hyperopia and astigmatism. The vision retainer is similar to contact lenses, but are worn at night while sleeping.

While asleep, “the lens uses the force of the eyelid and tear fluid beneath the lens to reshape the top of the cornea,” says Rodney. Upon awakening the patient’s vision remains clear throughout the day, without using contact lenses or glasses.

“This procedure is non-surgical vision correction is painless and reversible,” says Rodney. Ortho-K does not permanently change the shape of the eye. “The eye shape will revert to its original state within one to two weeks if the lenses are no longer worn,” says Rodney. However, improvements are visible the day after, and the procedure stabilises after a week. The process for high myopia, astigmatism and hyperopia, can take up to two to four weeks to achieve full correction.

The Ortho-K lens “offers relief from problems associated with contact lenses, such as dry eyes, and dust that may get trapped in and under the contact lens,” says Rodney.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Mosman clinic (02) 9969 1600 or the Bondi clinic (02) 9365 5047, alternatively book an appointment online.

Myopia, or shortsightedness as it is commonly known, is on the rise. It’s the most common eye disorder in the world, and the biggest cause of visual impairment, especially in children. The facts are there for all to see. In 2010, an estimated 27 percent of people were struggling with a significant level of myopia, and by 2050, that figure is expected to rise to 52 percent.

The fact that myopia is linked to genetics is not disputed. However, genetics alone would not be enough to account for the rising incidence of myopia, and it’s now believed that environmental factors also play a role. Whatever the reasons for the rise of myopia, there have also been advances in its treatment. According to Australian behavioural optometrist Jacqueline Gattegno, reducing the progression of myopia is a real possibility – provided that intervention happens soon enough.

Myopia Control Treatments

Jacqueline says that contrary to popular belief, Myopia is a childhood problem. “It’s related to an increase in the axial length of the eyeball which results in poor focus on the retina. The progressive lengthening of the eyeball occurs during growth, with the eyes generally stabilising around the age of twenty. If myopia’s progression is to be slowed, treatment must occur during this time,” says Jacqueline. “Various non-surgical, drug-free methods have been explored, with the greatest successes coming from orthokeratology and the use of peripheral defocus lenses.”

Atropine drops appear in a lot of the research literature, but Jacqueline isn’t convinced that their use should be attempted or that they will result in the best possible outcomes. “There are side-effects,” says Jacqueline, “and the drops only seem to offer myopia control benefits during their first year of use. Following excellent results in early trials, it’s now widely believed that atropine drops don’t have sufficient long-term benefits to justify their use. Orthokeratology is drug-free and it works. There’s no reason to use a drug-based treatment.”  

Efficacy of Orthokeratology in Myopia Control

Studies support Jacqueline’s confidence in orthokeratology for myopia control, and the treatment itself is remarkably simple. Optometrists carefully map the eye and then create hard contact lenses that gently mould the cornea to allow for better light focus on the retina. The lenses aren’t worn by day. Instead, they’re worn during sleep, and the eye maintains the correct shape during waking hours.

Research shows that orthokeratology, or Ortho-K, can slow the progression of myopia in children by 36 to 56 percent. “It’s known that the higher the level of myopia in people of any age, the greater the risk of certain ocular pathologies that can lead to vision loss,” says Jacqueline, “so reducing myopia in childhood not only offers a good chance of better vision during adulthood, but may even prevent conditions like retinal detachment and age-related blindness’ later on.”

Myopia Control at Home

There’s at least one other therapy that can help children in slowing the progression of myopia – and parents can practice it for free at home. “Tell the kids to go and play outside,” says Jacqueline. “There have been some remarkable studies that have shown that just spending more time outdoors reduces the risk of rapid myopia progression. There was a measurable reduction in axial elongation and myopic shift during trials in Asia, and some experts even theorise that reduced time outdoors might be at least partially to blame for the myopia epidemic that’s currently being witnessed.”

It’s Time the World Started Talking About It

Jacqueline believes that the combination of orthokeratology and a healthy, active lifestyle can make a difference in combating the rise of myopia but is concerned that myopia control isn’t more widely talked-about. “Many parents have never heard of ortho-K or myopia control. They know about glasses and contact lenses, and they bring their children to get prescription eyewear. That provides an opportunity to tell them about treatment options, but it isn’t ideal.”

“Myopia control should be headline news. It’s exciting. The benefits are beyond price. It’s time the world started talking about it because we’re rapidly heading towards a situation in which half the world’s population is myopic with high myopes facing further risks to their vision,” concludes Jacqueline.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.Written and syndicated by: YDMA News, YDMA Group