Vision Development and Children

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

Infant Vision Development

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

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

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

Early Childhood Vision Development

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

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

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

Why You Need Multiple Pairs

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

Misplacement

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

Style

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

Protection

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

Contact Lens Wearers

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

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

Screen Time and Children

Screen time is the amount of time a person spends staring at digital displays including computers, tablets, smartphones, and TVs. In our modern and technology-focused world children are spending time on digital displays for educational and recreational purposes. Children who spend several hours on digital devices are at risk of developing vision-related problems.

Average Time Children Spend On Digital Devices

According to the Vision Council, 72% of American parents report their children regularly spend more than two hours on screens per day. It is likely that children spend significantly more time on screens than their parents think. Common Sense Media reports that children under age eight spend more than two hours a day with screen media. For 8 to 10-year-olds screen time triples to six hours per day. Kids in middle school and high school spend up to nine hours per day looking at digital displays.

Risks of Screen Time

Too much screen time can be dangerous for anyone’s eyes, children included. Screens emit a broad spectrum of visible light. While most of these light rays are harmless, blue light is a high-energy visible light that can cause damage to your eyes. Blue light has shorter wavelengths and higher energy causing harm to the retina over time. Overexposure to blue light can cause:

  • Difficulty sleeping
  • Headaches
  • Neck/shoulder pain
  • Eye strain
  • Reduced attention span
  • Poor behavior
  • Irritability

Computer Vision Syndrome

Computer vision syndrome is a condition caused by visual stress. Symptoms include tired eyes, dry eyes, headache, and fatigue.

Unhealthy Posture

Your body naturally slouches inwards when on digital devices. Your back and shoulders round, your head tilts back, and your chin justs forward. This reaction to digital devices is called “turtling” and can cause neck, back, and shoulder pain.

How To Protect Your Child’s Eyes

It is clear digital devices will not be going away anytime soon. Therefore it is essential to ensure you are doing everything you can to protect your children’s eyes from digital screens. One way you can do this is by limiting screen time for your children while at home. You can also apply blue light filters or download blue light filtering apps to all digital devices. If your child wears prescription glasses, ask us about add blue light blocking to their lenses during your next appointment.

Nighttime Use

The largest source of blue light is our sun, which tells our brain when to be awake or sleep. The high use of digital devices emitting blue light may disrupt your natural circadian rhythm (sleep cycle) by miscommunicating the time of day and if you should be awake or asleep. Stop digital device time two hours before usual bedtime to ensure your child’s sleep schedule affected by blue light.

Do you have more questions about screen time and blue light? Stop by our office or give our office a call and we would be happy to answer your questions!

Know the Facts About Cataracts

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

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

What causes cataracts?

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

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

Symptoms

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

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

Types of cataracts

Subcapsular

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

Nuclear

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

Cortical

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

Congenital

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

Are cataracts preventable?

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

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

 

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

Get the Facts About Lazy Eye

Lazy eye, or amblyopia, occurs when one eye fails to reach normal visual acuity, even with prescription lenses. In most cases, this begins in infancy and early childhood. If left untreated, lazy eye can result in blindness, loss of vision, or the abnormal development of a child’s eyes.

What causes lazy eye?

Lazy eye occurs when one eye experiences fewer visual signals from the brain in comparison to the other eye. In prolonged cases, the eyes may stop working together and eventually the brain may completely ignore the input coming from the “lazy” eye.

Strabismus

Strabismus, the most common cause of lazy eye, is when an individual has a crossed or turned eye. Due to poor alignment, the brain begins to ignore the input from the poorly aligned eye resulting in strabismic amblyopia.

Refractive

Refractive amblyopia is caused by unequal refractive errors in the eyes. For example, if one eye has an uncorrected nearsighted RX and the other does not, an individual will experience blurred vision in only one eye. In this example, the brain will eventually neglect the blurred vision and causes amblyopia from lack of use.

Deprivation

Deprivation amblyopia is caused by articles on the eye, such as a cataract, preventing light from entering the eye.

Signs and symptoms to look for:

Because lazy eye begins at such a young age, it is difficult to pinpoint exact symptoms. However, as a parent, there are signs you should look for to determine if your child may have a visual disability. These include:

  • Crossed eyes or misalignment
  • If a child cries or fusses when you cover one eye
  • Trouble reading
  • An eye which wanders inward or outward
  • Poor depth perception
  • Squinting or shutting an eye

Importance of early detection

Lazy eye will not subside on its own and can worsen over time. If left completely untreated, lazy eye could lead to permanent visual problems. It is important to have your child’s eyes examined at an early age to catch any signs of lazy eye and seek treatment if needed.

Children should have their first eye exam at 6 months old, another at 3 years old, and again before starting school. Regular comprehensive eye exams help ensure your child’s eyes are developing normally and allow for early detection and treatment of eye-related conditions.

Myth or Fact

Bangs cause lazy eye. MYTH. Lazy eye cannot be caused by bangs or other cosmetic modifications unless it causes the eye’s line of sight to be blocked all day and night.

Patching is a common way to treat lazy eye. FACT.

Older children and adults with lazy eye cannot receive treatment. MYTH. An individual can receive treatment for lazy eye at any time. The effectiveness of treatment depends on a variety of factors including development stage and early detection.

The eye becomes “lazy” because the brain has decided not to process visual information from the eye. FACT.

Treatment is most effective if lazy eye is detected before age 7. FACT.

Why Your Children Should be Wearing Sunglasses

As you may know, the sun’s harmful ultraviolet (UV) rays can cause damage to your skin, but how often do you think about the damage these rays can cause to your eyes? What about your child’s eyes? At a young age, children’s eyes are still developing, and with the substantial time they spend outdoors, it is important to purchase sunglasses to protect their eyes from harmful UV rays.

What Are UV Rays?

UV rays or ultraviolet radiation is a form of electromagnetic radiation or energy. These rays are emitted from the sun as well as a few man-made sources, like tanning beds. A key factor in what makes ultraviolet rays so dangerous is our inability to see them. Ultraviolet rays fall outside the range of visible light for the human eye. To read more about UV rays, click here.

Your Exposure to UV Rays

Eye Development

The lens inside a child’s eye is still developing and is not as capable of filtering high energy rays similar to eye lenses in adults. This inability to filter and fully protect their eyes causes children to have a higher risk of damage from UV rays. Shielding your infant’s or child’s eyes from UV rays as early as possible will help prevent overexposure to UV radiation throughout their lifetime. For younger children and infants, a sun hat provides additional protection to their skin and eyes throughout the day as the sun shifts and in case they remove their sunglasses.

Environment

Exposure to UV radiation increases at high altitudes, tropical locations, and in reflective environments. Consider the level of risk in your environment and if protective eyewear should be worn. Here are a few environment aspects and how they could affect your exposure to harmful UV rays.

  • Altitude: At higher altitudes, the earth’s atmosphere is thinner and unable to provide the same protection from UV rays.
  • Location: As you move closer to the earth’s equator, the level of UV rays increase. If you and your family are visiting a tropical location near the earth’s equator, always wear 100% UV blocking eyewear when outdoors.
  • Highly reflective services: Areas with highly reflective services like pools, lakes, oceans, and snow reflect UV rays. Snow can reflect up to 80% of UV rays creating a higher risk of UV damage to your eyes.
  • Clouds: Keep in mind clouds do not block UV radiation. UV exposure can be high on cloudy days.

Time of Day

  • Time of day: UV levels are higher between 10 am to 2 pm when the sun is at its peak.
  • Setting: Highly reflective surfaces like sand, water, and snow provide a much higher risk of eye damage due to UV radiation.

Children’s Eyewear

We understand convincing your child to wear sunglasses can be a challenge. Use these pointers when talking with your kids about sunglasses! Don’t forget, you know your children better than anyone else, so some of these tips may not work for them.

  • Match the current trends. If your child loves a certain color, pattern, or shape, purchase sunglasses to match their unique style.
  • TV shows, young celebrities, and brands like Disney create sunglass lines to appeal specifically to children. That’s right, children notice and prefer brand named items just like teens and adults.
  • Keep frame in the family. If the child has an adult or sibling they look up to and admire, purchase your child similar sunglasses to what the adult or sibling owns. This will appeal to the child’s desire to look more like their older sibling or parent!
  • Let them do the shopping. Take children shopping specifically to pick out their very own special pair of sunglasses. The more they like their sunglasses, the more likely they are to wear them, and the better protected their eyes will be from harmful UV radiation from the sun.

Flashes, Floaters, and Spots: What’s in my Vision?

Have you noticed tiny shadows cast upon objects you are looking at? Do you see small spots in your vision when looking at a clear or overcast sky? You may be seeing floaters and spots in your field of vision.

What is the spot in my vision?

It is completely normal to see spots or floaters in your vision. As you age the gel-like consistency in your eyes begins to dissolve creating floaters in the watery center of your eye. While you cannot see the particle floating in your eye, a shadow of these particles can be seen reflected in the objects you are viewing.

Do I need treatment for my floaters?

No, most of the time treatment is not required for floaters in the eye. The floaters and spots are harmless, and most will fade over time. If your vision is inhibited by large floaters, give our office a call to discuss options available to reduce these symptoms.

Why is there a flash in my vision?

When light enters your eye it sends a message to the retina, the retina then produces an electrical impulse which is sent to the brain. The brain interprets this impulse as an image. If the retina is tugged, torn, or detached from the back of the eye it is common to see a flicker of light. The flashes or flickers of light can be temporary or continue indefinitely depending on the severity of the retinal issue.

Is this ever a medical emergency?

Seeing a few new floaters is not an emergency, however, if you suddenly see a shower of floaters or spots this may be cause for concern. The sudden appearance of flashes of light could mean that damage is occurring to your retina. If any of these symptoms suddenly appear, call our office immediately to discuss with your eye doctor.

Conditions associated with eye floaters and flashes:

  • Bleeding inside the eye
  • Inflammation of the interior of the eye
  • Nearsightedness
  • Cataract surgery
  • Laser eye surgery
  • Diabetes
  • Eye infections

Eye Exams 101

Regular comprehensive eye exams are key to early detection of eye-related diseases to keep you seeing your best every day. Adults should have a comprehensive eye exam every 1-2 years. Children should have an eye exam as early as 6 months, before they start school, and then every 1-2 years. If you or your family need a comprehensive eye exam, contact our office to schedule an appointment.

We often get questions about what an eye exam is like, so we’ve created an overview of a typical eye exam in our office.

Eye Exam Basics

What does an eye exam test for? Eye exams test your visual acuity and the overall health of your eye.

Why is an eye exam important? Eye exams check for early signs of serious eye and health problems; some of which may not present with any symptoms.

Who gives an eye exam? Your eye exam is performed by a licensed eye doctor.

Terms to know:

  • Ophthalmologist: An ophthalmologist is a medical doctor (MD) who specializes in eye care. Ophthalmologists can prescribe eyeglasses and contacts but commonly specialize in treating medical conditions of the eye and performing eye surgery
  • Optometrist: Optometrists are eye doctors who prescribe glasses, contacts, vision therapy, and medication to treat eye diseases. Optometrists are not trained or licensed to perform eye related surgery.
  • Optician: An optician is not an eye doctor, but is an eye care professional who fits, adjusts, and repairs your eyeglasses. They can also help patients learn to apply, remove, and care for contact lenses.

What to prepare for your appointment?

Before your comprehensive eye exam, there are several materials you can prepare. First, create a list of all your prescription and non-prescription medications you take along with the dosage. This will help your eye doctor determine any vision risks you may have. Bring your most recent pair of eyeglasses or contact lenses, if you have them. Don’t forget to have a copy of your vision insurance card and other medical insurance cards with you. To learn more about the insurance providers our office accepts and other payment options, please call our office directly. Finally, bring a list of questions or concerns you may have about your eyesight to discuss with your eye doctor.

What to expect during your appointment?

Prepare for your eye exam to take an hour or more depending on the number of tests your eye doctor needs to evaluate your vision and eye health. A typical comprehensive exam is a series of visual tests to inform your eye doctor about your vision.

These tests help determine:

  • Sharpness of near and distance vision
  • Color blindness
  • Lazy eye
  • Ability to follow moving object and/or move between two separate fixed objects
  • Depth perception
  • Determine your eyeglass prescription
  • Structures of the eye
  • Glaucoma test
  • Eye drop test to look inside your eyes
  • Blind spots

What to do after the exam?

Following your exam, you will have the opportunity to explore the various frames and lenses found in our optical space. An optician will be available to assist you in selecting a pair of eyewear that best fits your lifestyle needs. If you choose to wear contact lenses, you will need to schedule a contact lens fitting appointment.

Once your new eyewear is ready to be picked-up, an optician will adjust your frame to fit you best and make it comfortable for everyday wear.

Finally, schedule your follow-up appointment for the next year. Regular comprehensive eye exams are essential in maintaining healthy vision. If you ever experience any sudden vision changes or eye injuries be sure to contact our office.

Combating Dry Eye Syndrome

Do you experience itchy, burning, or dry eyes? You may be suffering from dry eye syndrome. Tears are necessary for overall eye health and clear vision, when there is insufficient moisture on the surface of the eye it can cause discomfort. Let’s looks at some common causes of dry eye syndrome, symptoms, and risk factors.

What are the causes of dry eye syndrome?

Tears keep the eyes surfaces moist and wash away dust, debris, and other microorganisms. Without constant, adequate moisture, dry eye will occur. Not enough oil in the tears causes them to evaporate too quickly, and without sufficient water production, eyes cannot maintain proper moisture.

Symptoms of Dry Eye Syndrome:

  • Scratchy or gritty feeling
  • Red eyes
  • Blurriness
  • Irritation from windy conditions
  • Sensitivity to light
  • Fatigued eyes
  • Problems with contacts
  • Excessive tearing
  • Heavy eyes
  • Sore eyes

Contact lenses and dry eyes

One of the most common complaints from contact lens wearers is their contacts make their eyes feel dry. If you experience dry eye symptoms while wearing your contacts or immediately after removing your contacts, talk with your eye doctor, as it is irregular to feel discomfort.

If discomfort occurs, it is possible you are using the incorrect solution with your contact lenses; not all solutions are made equally. Your eye doctor may also recommend you use eye drops to help temporarily relieve dry eye symptoms.

Another means to relieve symptoms is to change your contact lens type to a more breathable or moisture-focused lens, which is specially made to help retain moisture. You may also want to discuss with your eye doctor the option to switch from reusable contact lenses to single-use lenses. Single-use lenses will help prevent your lens from drying out and work to maintain moisture in your eyes.

Factors that Increase Risk of Dry Eyes

Dry eye symptoms stem from multiple risk factors, including health conditions, environments, and eyewear choice. If you are suffering from dry eye try some of the tips below to help reduce your symptoms.  

  • Computer use. Humans blink less frequently when working at computers, allowing for more evaporated tears. When working on a computer for an extended period of time, follow the 20-20-20 rule. Every 20 minutes, look 20 feet away for 20 seconds to give your eyes a rest.
  • Contact lens. Dry eye discomfort is a primary reason for wearers to stop using contacts. Use rewetting drops daily or talk with your eye doctor about contact lens types that work best for your eyes.
  • Indoor environment. Air conditioning, fans, and air heating systems can decrease the humidity indoors and cause symptoms of dry eye. Try using a humidifier in your house if you notice the air getting dryer.
  • Outdoor environment. If you are outdoors in dry or windy conditions, wear a pair of sunglasses or hat to reduce your exposure to the elements which can cause dry eyes.
  • Smoking. Can cause eyes to dry over time and is the root of various other eye problems.
  • Aging. Dry eye syndrome is more common after the age of 50.
  • Menopause. Women who have completed menopause are at a greater risk for dry eye than men the same age.
  • Health conditions. Certain diseases have a higher risk of contributing to dry eye- such as diabetes or thyroid diseases.
  • Medications. Prescription and nonprescription medications can have dry eye as a side effect.

How to Clean Your Eyeglasses

If eye care professionals cringe when they see you clean your glasses, and your lenses don’t last long before they are scratched, then it’s probably time to update your eyeglass cleaning habits!

To make sure your lenses stay clear and crisp as long as possible, follow these lens cleaning instructions.

1. First, wash your hands and dry them thoroughly. Don’t use a soap that contains lotion. Regular hand soap or dish soap are preferred. Dry your hands with a lint-free towel.
2. Rinse your glasses under the water. Use lukewarm tap water with a gentle stream. Avoid using water that is too hot.
3. Put one drop of dish soap on each lens, or drop some on your fingers and apply it to the lens this way. It doesn’t take much, but remember not to use a soap with lotion.
4. Gently rub the front and back of the lens, as well as rubbing lightly along the frame. Be sure to wash along the frame components like nosepads and hinges. Dust and oil can accumulate around the lens, so clean these areas thoroughly.
5. Rinse the glasses with lukewarm water inside and out.
6. Carefully shake or tap the glasses to remove excess water.
7. Use a clean, lint-free towel to dry your lenses and frames. A cotton towel is preferred, but most dish towels are fine as long as they have been washed without substances that can smear your lenses, like fabric softener or dryer sheets. Make sure it is a fresh, clean towel!
8. Check to see that your eyewear is free from smears and smudges. Keep a microfiber cloth on hand to clean any minor residue you may encounter.

Even when using eyeglass cleaning products, it’s important to inspect your lenses and follow instructions. If you like to clean your glasses without a faucet, there are several cleaning sprays available in drugstores or at our practice. Before using a cleaning wipe, make sure to blow any debris off of your lenses to prevent scratching.

The best way to avoid not only scratching your glasses, but also having to clean them frequently is by getting an anti-reflective (AR) treatment done on your lenses. The best AR treatments prevent scratching, reduce glares, and even resist dust, dirt, and oil.

Talk to us if you have any questions about proper care for your glasses!