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How to Deal with Contact Lens Discomfort

Do your eyes itch or burn when wearing contact lenses? There are several reasons why you may be experiencing contact lens discomfort. Discover the possible causes behind the problem and see what you can do to relieve your discomfort.

What Causes Contact Lens Discomfort?

Some of the top causes of uncomfortable contacts are:

Dry eyes

Dry eye syndrome is a common condition that arises when your tears can’t keep your eyes sufficiently lubricated due to an imbalance in the tear film. Certain diseases, medications and environmental factors, like high levels of dryness and wind, can cause or contribute to red, itchy or irritated eyes, especially when wearing contacts.

Allergies

Allergens are typically harmless substances that induce an allergic response in certain people. Pollen, mold, dust and pet dander are some of the most common airborne allergens that trigger eye allergies. Cosmetics and certain eye drops, such as artificial tears with preservatives, can also induce eye allergies, which can make contact lens wear uncomfortable.

Corneal irregularities

The cornea at the front of the eye may be irregularly shaped due to astigmatism, keratoconus, eye surgeries (i.e. LASIK or cataract surgery), eye injuries or burns, scarring, corneal ulcers and/or severe dry eye. Irregular corneas often prevent traditional contact lenses from fitting correctly and comfortably.

Symptoms of Contact Lens Discomfort

  • Burning, itchy, stinging eyes
  • Sensation of something being stuck is in the eye
  • Excessive watering or tearing of the eyes
  • Unusual eye secretions
  • Redness of the eyes
  • Reduced sharpness of vision
  • Blurred vision, rainbows, or halos around objects
  • Sensitivity to light

How to Relieve Contact Lens Discomfort

Try Different Contact Lenses

Nowadays, there are many types of contact lenses on the market, including specialty contacts for dry eyes and astigmatism. Meet with our optometrist for a personalized eye exam for contacts.

With the variety of contact lens brands available, switching to a different contact lens may be the simplest answer if you’re experiencing discomfort that isn’t connected to improper fitting or issues with tear production. If your existing lenses fit well but still irritate and dry out your eyes, speak to us about trying a different design or brand of contact lenses, or changing your lens-wearing schedule.

Artificial Tears or Eye Drops

Over-the-counter artificial tears or eye drops are a common way to temporarily relieve contact lens discomfort. However, it’s important to keep in mind that unless prescribed by an eye doctor, they may not be treating the root of the problem.

Moreover, certain eye drops are incompatible with contact lenses, and may damage your contacts or harm your eyes. We also recommend staying away from products that claim to remove redness from your eyes, which temporarily reduce the size of blood vessels to lessen redness, but do not address the underlying cause of the condition, and can actually worsen it over time.

Take Good Care of Your Lenses

Inadequate contact lens care leaves residue on your lenses, which can discomfort, harmful eye infections and inflammation. Below are a few important contact lens hygiene guidelines to follow:

  • Before handling your contact lenses, thoroughly wash and dry your hands.
  • Remove your lenses before showering, bathing or swimming to prevent infection.
  • Do not sleep in your contact lenses (unless they are approved for sleeping).
  • Replace your contact lenses according to the manufacturer’s instructions (e.g., don’t reuse daily wear lenses).
  • Regularly clean your contact lens case and ask your eye doctor when to replace it.
  • Only use a contact lens solution that is appropriate for your lenses.
  • Never reuse or mix contact lens solutions.
  • Schedule regular appointments with your eye doctor.

If you are experiencing discomfort with your contact lenses, get in touch with Kissel Eye Care in Lancaster County today. We’ll get to the bottom of the problem and provide effective solutions for all-day comfort.

Q&A

What kinds of contacts are available?

Contact lenses are available in a wide range of materials and replacement schedules. Disposable contact lenses and extended wear contacts are the most convenient for many users.

I’ve already been fitted for contact lenses, so why did my optometrist ask me to come back?

If you’re asked to return a week later, it’s because your optometrist wants to rule out any issues, such as contact lens-related dry eye or irritation.

If it’s been around a year since your last eye checkup, you’ve likely been contacted to check whether your prescription has changed and to evaluate your eye health. The sooner problems are detected and treated, the better the outcome.

What’s a Chalazion?

What is a Chalazion 640Finding a lump on your eyelid can be scary, but it doesn’t have to be. Luckily, a chalazion isn’t a serious condition and is rather simple to resolve.

In most cases, a chalazion can easily be treated and will completely disappear following treatment. However, if non-invasive treatments don’t work, your eye doctor may need to remove it through an in-office surgical procedure.

At Kissel Eye Care we can diagnose and help treat your chalazion so that you can see comfortably.

What is a Chalazion?

A chalazion, also known as a meibomian cyst, is a small fluid-filled cyst.

Eyelids contain meibomian glands, which produce oil to lubricate the surface of the eye. When one of these glands becomes blocked, it may cause swelling and lead to a small painless lump called a chalazion.

What Causes a Chalazion?

A chalazion occurs when the gland in the eyelid is clogged. Exactly why the gland becomes clogged isn’t known, but some individuals appear to be more susceptible to developing a chalazion than others.

A chalazion may be associated with dry eye syndrome, which is often caused by meibomian gland dysfunction.

People exhibiting certain risk factors are more likely to develop a chalazion. This includes people who have:

  • Blepharitis, an inflammation of the eyelids
  • Conjunctivitis, also known as pink eye
  • Thicker oil or meibum than normal consistency
  • Ocular rosacea, a skin condition adjacent to the eyes
  • Seborrhea, or dandruff, of the eyelashes
  • Styes or a history of styes

What Are the Symptoms of a Chalazion?

Common symptoms of a chalazion include:

  • A bump on the eyelid that sometimes becomes swollen and red
  • An entirely swollen eyelid, although very rare
  • Vision issues (such as blurred vision) if the chalazion becomes large enough to press on the eyeball

While a chalazion is not an infection, it may become infected. In the rare event that this occurs, it may become red, more severely swollen, and painful.

Chalazia are often mistaken for styes since they have a similar appearance.

What’s the Difference Between a Chalazion and a Stye?

It can be difficult to differentiate a chalazion from a stye.

Styes develop along the edge of your eyelid and can at times be seen at the base of an eyelash. In contrast, chalazia usually occur closer to the middle of the eyelid. A stye is more likely to be painful and tends to have a yellowish spot at the center that may burst after a few days.

Basically, the most noticeable difference between a chalazion and a stye is that a chalazion tends to be painless while a stye is usually painful and may cause the eye to feel sore, itchy or scratchy.

How to Treat a Chalazion

Most chalazia require minimal medical treatment and some may even clear up on their own in a few weeks to a month. When a chalazion first appears, you can try doing the following for 1-2 days:

  • Apply a warm compress to the eyelid for 10 to 15 minutes, 4 to 6 times a day. The warm compress helps soften the hardened oil that blocks the ducts, allowing drainage and healing.
  • Gently massage the external eyelids for several minutes each day to help promote drainage.

If the chalazion does not drain and heal within a few days, contact your eye doctor. Don’t attempt to squeeze or pop the chalazion, as it may inadvertently cause more damage.

To learn more about chalazion treatment and the other eye care services we offer, call Kissel Eye Care to schedule an appointment.

Kissel Eye Care serves patients from Lititz, Lancaster County, Elizabeth Township, and East Petersburg, Pennsylvania and surrounding communities.

Frequently Asked Questions with Dr. Collins

Q: Can a chalazion spread from one person to another?

  • A: Since a chalazion is not an infection, it cannot spread from one person to another or even to the other eye of the affected person.

Q: Can a chalazion affect my eyesight?

  • A: A chalazion doesn’t affect vision. In rare cases, if the lump is large enough to distort the ocular surface it can cause temporary astigmatism, blurring vision. However, vision will return to normal once a medical professional removes the chalazion or once it diminishes in size.


Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 717-625-4989

Can People With Dry Eye Syndrome Wear Eye Makeup?

Eye Makeup 640×350If your eyes feel dry and irritated after wearing eyeliner—you aren’t alone. Many patients report symptoms of dry eye syndrome after rocking a smoky eye look, especially for extended periods of time.

The good news is those makeup lovers who have dry eye syndrome can continue to put their best face forward with the guidance of their dry eye optometrist.

What is Dry Eye Syndrome?

Dry eye syndrome (DES) is a chronic lack of ocular hydration that can be caused by several factors, including genetics, environmental irritants, allergies, certain medical conditions, specific medications and hormonal fluctuations.

Symptoms of DES may include:

  • Burning eyes
  • Itchy eyes
  • Red or irritated eyes
  • Dry eyes
  • Watery eyes
  • Mucus around the eyes
  • Discomfort while wearing contact lenses
  • Light sensitivity
  • Blurred vision
  • Eyes that ache or feel heavy

DES treatment depends on the underlying cause of the problem. Your dry eye optometrist will thoroughly evaluate your eyes to find and treat the source of your symptoms.

Can Eyeliner and Other Eye Makeup Cause Dry Eyes?

Our eyes are lined with tiny glands, known as meibomian glands, at the edge of both the upper and lower eyelids that secrete nourishing oils into our tears to help prevent premature tear evaporation. Any blockages or irritation in these glands can lead to meibomian gland dysfunction (MGD), a leading cause of dry eye symptoms.

A recent study published in The Journal of Cornea and External Disease found that the regular use of eyeliner can cause the tear film to become unstable as the eyeliner can clog these small meibomian glands.

An important measurement, known as tear film breakup time, was much lower in the eyeliner-wearing group in the study, indicating that their tears evaporated more quickly. The same group also had reduced meibomian gland function and more symptoms of MGD.

The good news is that you can still wear eyeliner and other eye makeup products, despite having dry eyes. Here’s how:

Tips for Safely Wearing Eyeliner With Dry Eyes

  1. Only use eye makeup products that are intended for use around the eye area.
  2. Keep your makeup and applicators clean. Sharpen your eyeliner pencil and clean your brushes before each use to avoid contamination.
  3. Replace your eye makeup as often as recommended by the manufacturer.
  4. Never share your makeup with friends or family members.
  5. Avoid liners or shadows with glitter, as the particles can easily disrupt your tear film.
  6. Try to stick to cream-based products for the least amount of irritation.
  7. Apply eye makeup to the outside of your eyelashes. Lining the inner rim of your eyelids can clog or irritate the meibomian glands.
  8. Be diligent about eye hygiene. Always thoroughly wash your face and eyes before bed with eye-safe cleaning products.
  9. Visit your dry eye optometrist!

Our Dry Eye Optometrist Can Help

At Kissel Eye Care, we know that our patients want to look and feel their best. That’s why we tailor your dry eye treatment to suit your lifestyle and needs.

If you or a loved one suffers from symptoms of DES to any degree, we can help. Our optometric team will determine the underlying cause of your dry eye symptoms and offer the relief you seek.

To schedule a dry eye consultation, comtact Kissel Eye Care today!

Kissel Eye Care serves patients from Lititz, Lancaster County, Elizabeth Township and East Petersburg, Pennsylvania and surrounding communities.

 

Frequently Asked Questions with Dr. Collins

Q: Are there any vitamins I can take to prevent or relieve dry eye disease?

  • A: Yes, certain foods help the eyes stay properly hydrated. Specific vitamins, fatty acids and trace elements are good not only for our overall health but also for our tear film. These include Omega 3 fatty acids, Vitamins A, B, C, E, as well as Lutein and Zeaxanthin.

Q: Is dry eye syndrome dangerous for eye health?

  • A: When chronic dry eye isn’t treated, several eye conditions can occur: pink eye (conjunctivitis), keratitis (corneal inflammation) and corneal ulcers. DES can also make it difficult or impossible to wear contact lenses, cause difficulty with reading and trigger headaches.

 

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 717-625-4989

Is it a Learning Disability or is it BVD?

Is it a Learning Disability or is it BVD 640×350Parents and teachers have noticed that the number of children diagnosed with learning disabilities (LD) and behavioral problems seem to be growing. Many of these kids have trouble concentrating and struggle with reading and writing, to the point where they can become angry and easily frustrated.

While learning disabilities are a real concern, some children diagnosed with LDs actually have a binocular vision dysfunction (BVD), a condition that occurs when the eyes are misaligned. Being misdiagnosed means that they do not receive the treatment that would help them excel in school.

How BVD Symptoms Are Mistaken for Learning Disabilities

Binocular vision dysfunction has symptoms that are very similar to learning disabilities. Because of the substantial overlap between these two conditions, it’s difficult to distinguish between them without performing the appropriate tests for both learning disabilities and functional vision.

Teachers typically recommend that children who have problems reading and writing, or have trouble concentrating, get tested for learning disabilities and ADHD. It’s only due to lack of awareness that the teacher doesn’t refer them for a BVD evaluation.

Symptoms of Binocular Vision Dysfunction

Binocular Vision Dysfunction is the eyes’ inability to work together as a team due to the eyes’ physical misalignment.

When our eyes work in perfect harmony, the brain is able to integrate the two images sent by our eyes into a single, distinct image. When our eyes are even slightly misaligned, each eye sends the brain two slightly different images, which the brain has a hard time combining into a single clear image. This is known as BVD.

One common form of BVD is Vertical Heterophoria (VH). VH occurs when a subtle vertical eye misalignment is present. This means one eye is slightly higher than the other, causing the eye muscles to work hard to correct the misalignment. The muscles eventually become fatigued and overworked due to the constant eye strain. This vertical misalignment of the eyes can result in a variety of symptoms, including:

  • Blurred vision
  • Double vision
  • Irritability
  • Lightheadedness & dizziness
  • Migraines & headaches
  • Problems focusing
  • Reading difficulties
  • Vertigo
  • Anxiety

How to Treat BVD

The best way to treat BVD is by wearing aligning prismatic lenses. Neuro-optometrists prescribe these lenses to correct the eyes’ misalignment.

Aligning prismatic lenses modify incoming light before it reaches your eyes, allowing your brain to blend the images from both eyes into one image. Your brain is tricked by the prisms in the glasses into believing your eyes are perfectly aligned. This unified image minimizes BVD symptoms by preventing your eye muscles from straining to compensate for the misalignment.

Usually, patients find that their symptoms gradually subside or completely disappear once they begin wearing their prescribed prism lenses.

At , we care about your vision. If your child has been told they have a learning disability and you want to know whether BVD is at the root of their struggles, contact us to schedule an appointment today.

serves patients from Lititz, Lancaster County, Elizabeth Township, and East Petersburg, Pennsylvania and surrounding communities.

Frequently Asked Questions with Dr. Collins

Q: How does BVD affect reading?

  • A: Similar to ADHD or a learning disability, BVD can affect your reading. You may find your child rereading for comprehension or having difficulty concentrating, skipping lines or losing their place while reading. They may also find that the words run together while reading.

Q: How common is BVD in children with learning disabilities?

  • A: It’s estimated that up to 50% of children who have been diagnosed with dyslexia, ADD/ADHD and other conditions that impede learning and concentration may actually have BVD and not these conditions. In some cases, children have learning disabilities as well as BVD.

 

Did You Know Pandemic Stress Can Affect Eyesight?

The past months have wreaked havoc with most people’s lives, no matter what you do or where you live. It’s become the norm to feel overwhelmed by anxiety, stress, and fear. What you may not realize is the impact this kind of stress can have on your eyes. The benefits of managing stress are therefore far-reaching, helping to preserve not only your body health – but eye health, too. Read some helpful tips from our eye doctor near you on how to prevent vision complications as a result of pandemic stress.

Fight or Flight

You’ve probably experienced the “fight or flight” response at some point. It’s when you hear bad news or confront a powerful negative, and your body goes into protection mode. Adrenaline courses through your veins. In response, your heart may pump faster, your breathing becomes more shallow, and the pupils of your eyes dilate to improve your ability to see danger.

These automatic responses are your body’s way of preparing for a physical threat, even if the stress is coming from a nonphysical source, such as a challenging project at work or a fight with your spouse. These effects can stress the eyes either mildly or seriously, depending on your individual health condition.

Impact of Stress on Eye Health

When your eyes suffer undue stress, a range of symptoms can occur – some of which will resolve on their own, and others of which require eye care near you. Common symptoms include:

    • Light sensitivity it can feel like you need to shut your eyes when exposed to light.
    • Tunnel vision your peripheral vision becomes blurred, leaving only your central vision clear.
    • Dry eyes your eyes will feel dry and irritated
    • Eye twitching random spasms occur in one or two eyelids.
    • Eye strain visual fatigue can be experienced (this may also be the result of too much screen time, an unfortunate outcome of the pandemic too).
    • Blurred vision generally, only a mild symptom when caused by stress.
    • Loss of vision cortisol, the “stress hormone,” can damage the eyes and the brain. Extreme stress is also linked with diseases such as glaucoma, which can lead to vision loss.

Most people only experience mild effects of stress on their eyes, but if any of these symptoms persist or detract from your quality of life, contact our eye doctor near you for treatment.

Tips to Help Relax Your Eyes

      • Don’t overdo screen time, give your eye muscles a break by following the 20-20-20 rule: every 20 minutes, look into the distance 20 feet away for 20 seconds.
      • Exercise regularly
      • Practice meditation
      • Take outdoor walks
      • Eat healthy foods
      • Get enough sleep

The benefits of daily stress management will help keep your body and eyes in top shape, functioning at their best!

Many eye diseases can be quickly and easily diagnosed during a Comprehensive eye exam, Pediatric eye exam and Contact lens eye exam. If you were diagnosed with an eye disease, such as Cataracts, Astigmatism, Pink Eye or conjunctivitis Myopia or Nearsightedness , Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Is LASIK eye and vision surgery an option for you ? Our Lititz eye doctor is always ready to answer your questions about eye disease and Contact lenses.

Book an eye exam at Kissel Eye Care eye clinic near you in Lititz, Pennsylvania to learn more about your candidacy for contact lenses and which type is right for you. Call 717-625-4989

Kissel Eye Care, your Lititz eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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      • How do I tell that I am developing glaucoma?

        The real tragedy behind vision-stealing glaucoma is that most people afflicted with this eye disease do not even realize they have it. As a result, the condition goes undiagnosed and untreated, which too often leads to unnecessary blindness. Of the 2.7 million people in the United States with glaucoma, half are undiagnosed. Most are lulled into a false sense of confidence because glaucoma often displays no symptoms in its early stages. By the time it begins to affect vision, any lost sight is impossible to regain. The risk of developing glaucoma begins to increase dramatically at midlife, which is why everyone should have a baseline exam by age 40. The most important concern is protecting your sight. Doctors look at many factors before making decisions about your treatment. If your condition is particularly difficult to diagnose or treat, you may be referred to a glaucoma specialist. While glaucoma is most common in middle-aged individuals, the disease can strike at any age, with those having a family history of the disease being especially vulnerable.

      • What exactly is pink eye?

        Pink eye is really anything that makes the eye pink. The official term is conjunctivitis, meaning an inflammation of the conjunctiva, the mostly transparent, skinnish like covering over the white of the eye. When the eye is irritated, the conjunctiva swells and blood vessels in it dilate, giving the eye a pink or reddish appearance. Many different agents can lead to this, including bacteria, viruses, allergens, and toxic or mechanical irritants. Treatment and contagion protection depend on the specific cause. Often the cause can be determined based on history, eye appearance with specialized instruments, and symptoms. Viral pinkeye, for example, is typically associated with increased light sensitivity, whereas itching is a key sign in allergic pink eye. There is a good deal of overlap with all kinds, however. Bacterial and viral pinkeye are both contagious, and fairly common. With any pink eye, particularly if it is getting worse, or not getting any better within a day, it’s best to be seen by an eye care practitioner. She or he will have the experience, knowledge and instrumentation to provide the most efficient treatment and recommendations.

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

        Yes. Generally those that suffer with allergies, or have systemic inflammatory diseases like arthritis and sjogrens’, or those who use the computer or digital devices often and even contact lens wearers tend to be more susceptible to dry eye symptoms.

      • Are electronic devices really unhealthy for my eyes or is it all hype?

        Our heavy use of electronic devices is causing Digital Eye Strain for people of all ages. Hoya research shows that 61% of adults experience eye strain due to prolonged use of electronic devices. Nearly 25% of children are on digital devices 3 or more hours per day and 40% of Millennials spend 9 or more hours per day on digital devices. The benefits of technology have a downside, especially fatigue brought on by stress to the accommodative (focusing) system. This stress can lead to headaches, dry eyes, blurred vision and difficulty when focusing from distance to near.

9 Eye-Healthy Habits for Computer Users

As Covid-19 kept all of us homebound for long periods, the gaming industry grew by leaps and bounds. Then, even when countries began to reopen and jumpstart their economy, nobody abandoned their video games. In fact, sales of video games experienced a 35% jump.

Impact of Gaming on Eye Health

What are some of the effects of this rising role of gaming in our lifestyle? It translates directly into increased screen time, which our optometrist near you points out is linked to a variety of negative effects on eye health. For some of us, the digital era has turned our days into an endless view of screens. As a result, many people suffer the symptoms of computer vision syndrome, such as:

  • Less blinking, leading to dry eyes
  • Blurry vision
  • Eye irritation, burning
  • Eye fatigue and strain
  • Headaches

While it’s unlikely that excessive screen time can cause irreversible damage to your eyes, dry eye syndrome and eye strain can worsen gradually – leading to painful vision and a decreased quality of life.

How to Preserve Healthy Vision with Computer Use

To help keep your vision healthy, despite all the long periods spent at a computer, the eye doctor near you recommends the following habits:

  1. The 20-20-20 Rule Instead of staring for hours on end at a computer screen, take regular breaks to rest your eyes. Follow this rule – every 20 minutes, move your eyes to look at an object 20 feet away for at least 20 seconds.
  2. Set Up Good Lighting Glare and other visual disturbances can make it harder to read text, which can lead to eye strain. By angling your monitor away from light sources and windows, you can eliminate glare from the screen.
  3. Adjust Screen Brightness When adjusting the lighting in your office or home is too tricky, change the monitor’s brightness instead. Rule of thumb – make it as bright as the room you are in.
  4. Take Eye Health Vitamins Supplements such as omega-3 fatty acids are a great addition to your eye care routine, helping to fortify your eyes against problems.
  5. Block Blue Light You can wear specialized blue light glasses to shield your eyes from harmful blue light emitted by digital devices, or install a blue light filter on your digital screen. Not only will these protective devices help promote quality eye health, but they can also help you sleep better at night.
  6. Eat Nutritiously A healthy, balanced diet will keep your body at its peak and improve vision to boot. Some good food choices include cold-water fish, like salmon, tuna and sardines, nuts, eggs, legumes, whole grains, berries, leafy greens, and citrus fruits.
  7. Increase Font Size A small font size can cause you to squint and hunch over to see the screen clearly. By enlarging the font, you can avoid the discomfort caused by this position.
  8. Sleep Enough Not getting enough sleep can lead to eye fatigue, which interferes with your everyday life and productivity.
  9. Visit Our Eye Clinic Near You for Regular Eye Exams Getting your eyes checked is essential for proper eye health. It’s the only reliable way to detect or rule out an eye disease or condition that requires early treatment.

Many eye diseases can be quickly and easily diagnosed during a Comprehensive eye exam, Pediatric eye exam and Contact lens eye exam. If you were diagnosed with an eye disease, such as Cataracts, Astigmatism, Pink Eye or conjunctivitis Myopia or Nearsightedness , Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Is LASIK eye and vision surgery an option for you ? Our Lititz eye doctor is always ready to answer your questions about eye disease and Contact lenses.

Book an eye exam at Kissel Eye Care eye clinic near you in Lititz, Pennsylvania to learn more about your candidacy for contact lenses and which type is right for you. Call 717-625-4989

Kissel Eye Care, your Lititz eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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  • Why do I need to have my eyes examined by an Optometrist if the nurse at my last physical exam says I can see 20/20?

    The nurse performed a “sight test”, when you come to see your Optometrist we perform an “Eye Exam”. A “sight test” only measures if you can see 20/20. An “Eye Exam” measures all aspects of visual function: sight (or visual acuity), binocular vision function (the ability of the eyes to work together), visual pathway integrity, and the overall health of your eyes. Seeing 20/20 is an important part of the overall function of your eyes; however, just because you can see 20/20 does not necessarily mean your eyes are 100% healthy. There are many conditions that exist in which someone can still see 20/20. To name just a few examples: Diabetic Retinopathy, Glaucoma, and even Retinal tears or detachments (if the macula is unaffected). I recommend having a full eye exam every 1-2 years, even if you are in good health and feel like you don’t need glasses.

  • Does reading my smartphone or tablet in the dark damage my eyes?

    Reading from a tablet or smartphone in the dark is okay for your eyes, as long as this is not for a long period of time. There is good lighting from these devices, with good contrast. There is, however, the blue light emitted from these devices. Blue light is a short wavelength light, with high energy that may cause damage to the structures of the eye if exposed for a long period of time. As well, studies have shown this blue light can disrupt melatonin production which is required for a healthy sleep cycle. Doctors of Optometry recommend limiting screen use during the last hour before bedtime.

  • What is blue light and why is it dangerous?

    Blue light is part of visible light and close to UV on the light spectrum. It is naturally produced by the sun, used in fluorescent light bulbs and emitted by LED screens on computer monitors, tablets, and smartphones. The eyes’ natural filters do not block blue light and chronic exposure can cause age-related macular degeneration. Evidence also shows that blue light exposure can lead to sleep problems.’

  • My eyes are always burning and tired, what is causing this and what can I do about it?

    These are often signs of dry eye syndrome, a very common condition that affects many people over time. Women are generally more prone to developing these symptoms and aging is often a cause as well. Dryness of our eyes is often due to a decrease in the oil production in our eyelid glands which causes the surface of the eye to become irritated. Certain medications and health issues can also contribute to dryness. There is no true cure for dryness but many treatments are available such as the use of artificial tears, nutritional supplements incorporating Omega 3, prescription medications such as Restasis, and eyelid hygiene. No single treatment works for every individual so we customize treatments for each person and their specific condition.

Why is My Dry Eye More Severe in the Mornings?

sleepy mornings 640Waking up in the morning is hard enough, but waking up with stinging, burning eyes is even worse! If your eyes feel itchy and scratchy, this miserable morning sensation may be caused by dry eye syndrome. Your tear glands may be clogged or producing insufficient tears and oils to retain moisture.

But why do certain people experience more acute dry eye symptoms in the mornings? Here are some reasons:

What Causes Red, Itchy or Painful Eyes Upon Waking?

Nocturnal Lagophthalmos

Nocturnal lagophthalmos is the inability to close one’s eyelids completely during sleep. Since the surface of your eye is exposed at night, it becomes dry. Left untreated, this condition can damage your cornea.

Blepharitis

Blepharitis is an inflammatory condition of the eyes caused by bacterial overgrowth. These bacteria are active at night, causing dry eye-related symptoms of redness, soreness and irritation upon waking.

Environment

A gritty sensation in your eyes can also be caused by the environment. For example, sleeping directly in front of or under an air vent, heating units, or ceiling fans can dry out your eyes. In addition, sensitivity to allergens like dust that accumulate in the bedroom can cause your eyes to become dry and irritated.

Medications

Some types of over-the-counter and prescription medication can dehydrate the eyes. These include:

  • Antihistamines and decongestants
  • Antipsychotic medications
  • Antidepressants
  • Hypertension drugs
  • Hormones
  • Drugs for gastrointestinal problems
  • Pain relievers
  • Skin medications
  • Chemotherapy medications

In the majority of cases, medication-related dry eye symptoms will resolve once you discontinue the meds. However, it may take several weeks or months for symptoms to completely disappear.

Age

Many people develop dry eye symptoms with age, as tear production tends to decrease and becomes less efficient as we grow older.

How to Treat Morning Dry Eye

Depending on the cause, morning dry eye can be treated with sleeping masks, lubricating eye drops and ointment applied right before bed. To ensure that you sleep in a moisture-rich environment, consider using a humidifier. In severe cases of nocturnal lagophthalmos, eyelid surgery may be necessary.

If you are tired of waking up to red, burning eyes, visit your eye doctor for long-lasting relief. Contact Kissel Eye Care to determine the cause of your morning dry eye and receive an effective treatment plan.

Frequently Asked Questions with Dr. Collins

Q: What causes dry eye?

  • A: Dry eye can occur if the glands in your eyelids don’t produce enough oil to keep your tears from evaporating, or if you don’t produce enough water for healthy tears. No matter the cause, it’s important to have your condition diagnosed and treated to protect your vision and ensure good eye health.

Q: Can dry eye be cured?

  • A: Dry eye is a chronic condition, so there’s is no cure for it. However, many treatment methods can help you manage this condition for long-term relief. If you have dry eye syndrome, we invite you to contact us to discover the best treatment for your needs.


 

Kissel Eye Care serves patients from Lititz, Lancaster County, Elizabeth Township and East Petersburg, all throughout Pennsylvania.

 

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 717-625-4989

What’s The Link Between Obesity And Eye Disease?

People who are obese are at higher risk of developing some sight-threatening eye conditions and diseases. Read on to discover why, and how we can help.

It is well documented that obesity impacts health in numerous ways, from a higher incidence of diabetes to cardiovascular disease. What many people don’t know is obesity’s negative effect on vision and eye health. Speak with our Eye care professionals at Kissel Eye Care about any concerns you may have about your eye health or vision.

There is increasing evidence that obese individuals have a greater risk of developing serious, sight-threatening eye diseases.

Researchers at the Goldschleger Eye Institute at the Sheba Medical Center found a consistent link between obesity and the development of age-related macular degeneration, cataracts, glaucoma, and diabetic retinopathy.

The researchers noted that the public is largely unaware of this link, despite the evidence. If more people knew about the risk, they said, it might motivate them to try to shed some extra weight.

How Does Obesity Impact The Eyes?

A body mass index (BMI) of 25-30 is considered overweight and any BMI over 30 is considered obese. Recent studies indicate that a handful of ocular diseases can now be added to the list of medical conditions associated with an elevated BMI.

Diabetic retinopathy, floppy eyelid syndrome, retinal vein occlusions, stroke-related vision loss, and age-related macular degeneration are all risk factors of obesity.

While the cause is not yet certain, researchers believe this may be due to the peripheral artery disease prevalent among people who are obese. When the tiny blood vessels around the eyes are compromised, they may have trouble delivering oxygen and other nutrients to the eye area.

Obesity is also a risk factor for developing cataracts (the clouding of the eye’s natural lens). Poor nutrition or high blood sugar levels, which are commonly found in people with obesity, may contribute to the cloudiness.

Although obesity may contribute to cataract formation, losing weight may not significantly reduce the risk of developing them, partly because cataracts are also a common consequence of aging, whatever one’s weight.

Additionally, morbid obesity is associated with higher inner eye pressure, which may increase one’s risk of glaucoma and glaucomatous optic neuropathy — leading causes of vision loss and blindness. Morbid obesity is defined as having a BMI of 40 or above, or 35 and above with health conditions like high blood pressure or diabetes.

Stay Active, Healthy, and Have Regular Eye Exams

An active lifestyle and a nutritious diet can help you maintain a healthy weight and improve overall physical and eye health. Try to include several key nutrients into your diets, such as vitamins C and E, zeaxanthin, omega-3, zinc, and lutein, as they may help delay or prevent certain eye diseases.

While a balanced diet and regular exercise significantly increase your chance of living a healthy life, it’s also crucial to have regular eye exams. A comprehensive eye exam with Dr. Collins can help detect the onset of ocular disease and ensure the earliest and most effective treatment to preserve your gift of sight.

Don’t hesitate to call Kissel Eye Care in Lancaster County with any questions or concerns regarding your vision or eye health — we’re here for you.

Many eye diseases can be quickly and easily diagnosed during a Comprehensive eye exam, Pediatric eye exam and Contact lens eye exam. If you were diagnosed with an eye disease, such as Cataracts, Astigmatism, Pink Eye or conjunctivitis Myopia or Nearsightedness , Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Is LASIK eye and vision surgery an option for you ? Our Lititz eye doctor is always ready to answer your questions about eye disease and Contact lenses.

Book an eye exam at Kissel Eye Care eye clinic near you in Lititz, Pennsylvania to learn more about your candidacy for contact lenses and which type is right for you. Call 717-625-4989

Kissel Eye Care, your Lititz eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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  • Is it possible to prevent Macular Degeneration?

    Doctors aren’t sure how to prevent macular degeneration. Research suggests that ultraviolet light (and possibly blue light) factors into the problem, so sunglasses could be very beneficial.

  • My doctor says I have a cataract, but he wants to wait a while before removing it. Why?

    A cataract usually starts very small and practically unnoticeable but grows gradually larger and cloudier. Your doctor is probably waiting until the cataract interferes significantly with your vision and your lifestyle. You need to continue to visit your eye doctor regularly so the cataract’s progress is monitored. Some cataracts never really reach the stage where they should be removed. If your cataract is interfering with your vision to the point where it is unsafe to drive, or doing everyday tasks is difficult, then it’s time to discuss surgery with your doctor.

  • What exactly is glaucoma?

    Glaucoma is a condition in which the eye’s intraocular pressure (IOP) is too high. This means that your eye has too much aqueous humor in it, either because it produced too much, or because it’s not draining properly. Other symptoms are optic nerve damage and vision loss. Glaucoma is a silent disease that robs the patient of their peripheral vision. Early detection is very important.

  • What is diabetic retinopathy?

    Doctors aren’t sure how to prevent macular degeneration. Research suggests that ultraviolet light (and possibly blue light) factors into the problem, so sunglasses could be very beneficial.

Computer learning and vision problems

Unfortunately because of COVID-19, we’re seeing a lot of our kids spend an enormous amount of time in front of a computer.

This has bad consequences not just for adults that have eye fatigue and strain, but especially in younger children who are still developing their vision. Our visual system needs to be actively involved in using all our space. Not just our close distances like reading and computers, but also moving outside in an infinite space setting like a playground.

Our visual system uses being outdoors to kind of recalibrate, and have good functional focusing ability. Studies show that children who are indoors a lot like in China tend to have higher degrees of myopia or nearsightedness.

The ability to be outside, to play, and have sports is very important for the visual system.

Here are a couple of things we can recommend for your child or young adult that might be spending a lot of time in front of the screen.

First of all, I would suggest the 20-20-20 rule.

Every 20 minutes, look away from the screen, hopefully, 20 feet or more.

Looking outside a window is ideal. Relax your eyes for about 20 seconds. This will be a visual break. If your teacher doesn’t like it, tell them your eye doctor is recommending this. You can still listen to what your teacher is saying, however, you should relax your focus periodically.

Also, make sure that when you are reading or writing that you are no closer than the Harmon distance. The Harmon distance is between knuckle and elbow. If you see your child getting closer and closer to their work, check their Harmon distance and move them back. This is very effective when dealing with younger children. I did this with my daughter when she was 4, and she would check her Harmon distance by putting her elbow on the desk and backing her head up to her knuckles. If you see the children are still doing this a lot, have them checked by a developmental optometrist because, very often, a low plus lens can help the child relax their focus.

You can also make sure that if your child is experiencing eye pain, strain, discomfort, double vision or blur, that you get them in to see their developmental optometrist. We can prescribe glasses for their best comfort at near. We want to preserve our vision & our children’s vision & keep our nation strong despite this pandemic.

Many eye diseases can be quickly and easily diagnosed during a Comprehensive eye exam, Pediatric eye exam and Contact lens eye exam. If you were diagnosed with an eye disease, such as Cataracts, Astigmatism, Pink Eye or conjunctivitis Myopia or Nearsightedness , Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Is LASIK eye and vision surgery an option for you ? Our Lititz eye doctor is always ready to answer your questions about eye disease and Contact lenses.

Book an eye exam at Kissel Eye Care eye clinic near you in Lititz, Pennsylvania to learn more about your candidacy for contact lenses and which type is right for you. Call 717-625-4989

Kissel Eye Care, your Lititz eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

FOLLOW US

  • My child had a vision exam at my Paediatrician, why do I need to come to the eye doctor?

    Vision screening programs are intended to help identify children or adults who may have undetected vision problems and refer them for further evaluation. However, they can’t be relied on to provide the same results as a comprehensive eye and vision examination. Vision screening programs are intended to help identify children or adults who may have undetected vision problems and refer them for further evaluation. Screenings can take many forms. Often schools provide periodic vision screenings for their students. A pediatrician or other primary care physician may do a vision screening as part of a school physical. When applying for a driver’s license, chances are your vision will be screened. Many times vision screenings are part of local health fairs put on by hospitals, social service agencies or fraternal groups like the Lions and Elks Clubs. While vision screenings can uncover some individuals with vision problems, they can miss more than they find. This is a major concern about vision screening programs. Current vision screening methods cannot be relied upon to effectively identify individuals in need of vision care. In some cases, vision screening may actually serve as an unnecessary barrier to an early diagnosis of vision problems. They can create a false sense of security for those individuals who “pass” the screening, but who actually have a vision problem, thereby delaying further examination and treatment. Undetected and untreated vision problems can interfere with a child’s ability to learn in school and participation in sports or with an adult’s ability to do their job or to drive safely. The earlier a vision problem is diagnosed and treated, the less it will impact an individual’s quality of life.

  • I have heard about blue light being a concern as well. Can you talk a little bit about this and what it means for protecting your eyes?

    Recently, the optical community has found that blue light can also cause long-term damage to the eye. It has been found that overexposure to blue light over time can lead to macular degeneration. To help protect our eyes from these rays, a new coating has been found to block out this blue light. Anti-reflective or anti-glare coating could be a term that is familiar to you. Labs have found a way for these features to block the blue rays coming from our handheld devices, computers, and fluorescent bulbs. This coating has several benefits and protecting our eyes from these harmful rays is one of them.

  • What causes myopia?

    Myopia is caused by a combination of heredity and environmental factors. Studies show that if we can move the focal point in front of the mid-peripheral retina we can slow the progression of myopia. The increased use of cell phones and computers, as well as less time outdoors, is probably a contributing factor.

  • Do I need an optometrist or an ophthalmologist?

    Both are eye doctors that diagnose and treat many of the same eye conditions. The American Optometric Association defines Doctors of Optometry as: primary health care professionals who examine, diagnose, treat and manage diseases and disorders of the visual system, the eye and associated structures as well as diagnose related systemic conditions. They prescribe glasses, contact lenses, low vision rehabilitation, vision therapy and medications as well as perform certain surgical procedures. The main difference between the two, is that ophthalmologists perform surgery, where an optometrist would not, preferring to specialize in eye examinations, as well as eyeglass and contact lens-related services. Optometrists would be involved in all of the pre-and post-operative care of these surgical patients; collecting accurate data, educating the patient, and insuring proper healing after the procedure. An ophthalmologist is more of a medical-related specialist, who would need only to be involved if some kind of surgery were being considered. An optometrist can treat most any eye conditions, including the use of topical or oral medications if needed. This might include the treatment of glaucoma, eye infections, allergic eye conditions, dry eyes and others, to name just a few. A third “O” that often is overlooked is the optician. An optician is not a doctor, and they cannot examine your eye under their own license. However, a highly trained optician plays an indispensable role in the most successful eye doctor’s offices. An optician most often handles the optical, contact lens, and glasses side of things. Based on their vast knowledge of lenses, lens technology and frames, they manufacture eyeglasses, as well as assist in the selection of eyewear based on the requirements of each individual patient.’

Why Do I Get Dizzy When Grocery Shopping?

Grocery Shopping 640Imagine you’re walking down a supermarket aisle when, all of a sudden, a dizzy spell hits. The room begins to spin, your vision blurs, and you can’t seem to orient yourself to your surroundings.

For people who suffer from dizziness, simple everyday activities like taking a walk, driving and shopping can feel like monumental tasks.

If you experience frequent dizzy spells and difficulty maintaining your balance, you may be suffering from binocular vision dysfunction (BVD), a condition caused by a misalignment of the eyes.

Schedule an appointment with to determine whether visual dysfunction is causing your symptoms.

What is Binocular Vision Dysfunction?

Binocular Vision Dysfunction (BVD) is the eyes’ inability to work together as a team due to the eyes’ physical misalignment.

Ordinarily, an individual’s two eyes work as a team to move and focus, allowing clear and comfortable vision. If their eyes are misaligned, they cannot work together, so instead of the brain receiving one image, it receives 2 separate images. The brain struggles to combine these two distinct images and responds by trying to force the eyes to work together. This results in eye strain, fatigue, double vision and/or blurred vision, which can lead to dizziness and balance issues.

How Does BVD Affect Balance and Dizziness?

Binocular vision, or the ability of the eyes to work together to create a coherent and cohesive view of the world around you, is the most important visual skill for maintaining balance. Since the visual system aids in the regulation of the other systems involved in maintaining balance, any defect in the visual system will result in a balance disorder.

Treatment for BVD

If a visual dysfunction is detected, your neuro-optometrist will prescribe a neuro-optometric rehabilitation program to treat the visual components contributing to your balance disorder.

Neuro-optometric rehabilitation therapy, a type of vision therapy, teaches both eyes to work together using a combination of approaches and techniques. It consists of individualized exercises that, when performed over time, help the patient regain balance by rehabilitating any visual and perceptual disorders. This effectively decreases or eliminates dizziness, vertigo, and loss of balance symptoms.

Your optometrist might also prescribe micro-prism lenses. These lenses correct the misalignment of the two eyes, relieving or reducing the symptoms of BVD.

The neuro-optometric rehabilitation program offered at addresses the underlying vision problem causing your dizziness and balance issues.

To schedule your appointment contact and begin your road to recovery today.

Frequently Asked Questions with Dr. Collins

 

Q: Why does binocular vision dysfunction often go undiagnosed?

  • A: Routine eye exams include assessments of visual acuity — whether a patient is nearsighted or farsighted, for example, but usually don’t assess how well your eyes work together as a team (binocular vision). Or, such exams may fail to detect subtle misalignments between the two eyes.

Q: What are common symptoms of BVD?

A: The most common BVD visual symptoms include:

  • Blurry or double vision
  • Difficulty with night vision
  • Dizziness
  • Difficulty with close-up vision
  • Eye strain and sore eyes
  • Poor depth perception
  • Poor hand-eye coordination
  • Light sensitivity
  • Nausea
  • Difficulty with reflections or glare