Blog

December, 2018

How gameplay can affect the eyes

Protracted periods of time in front of the computer concentrating on games can induce unpleasant symptoms including blurred vision, headaches, fatigue and eye discomfort. The primary reason is the reluctance to take breaks once fully immersed in the game. The focus of the eye constantly changes when concentrating on video screens, potentially causing eye fatigue.

The importance of breaks

Lack of blinking when fully immersed in computer games causes dryness and irritation. It is imperative to try having five-minute breaks every twenty minutes or so. Where possible, it is advisable to aim to have a six-foot minimum from the screen.

Children requiring eye assessment?

Ascertaining ocular symptoms from children is an extremely difficult task. One must look for subtle signs, including:

  • Squeezing the eyes together (‘squinting’)
  • Covering one of the eyes
  • Tilting the head
  • Sitting closer to the TV

The mainstay of managing children is to prevent amblyopia, so called ‘lazy eye’. The signs described may be early signs and it is critical to seek advice and assessment.

This blog is contributed by Gurjeet Jutley.

December, 2018

Without doubt vision has a major impact on the ability to drive safely on the roads. This is highlighted by guidance and restriction on driving by the DVLA. For example there are a range of conditions that should be brought to the attention of the DVLA in order to ascertain legality to drive. Simple advice should be followed to ensure safety is preserved.

Follow your health care advice

  • Use distance spectacles or contact lenses always
    • If possible, keep spare pair of spectacles in the car
  • Consider anti-reflective coating to reduce symptoms of glare from headlights
  • Avoid wearing tinted lenses in poor light conditions as they can make dark environments seem even darker.
  • When choosing intra-ocular lenses, consider the visual requirements prior to deciding. For example, patients who drive in the evenings with lots of lighting on motorways may be debilitated with glare. Lenses that may potentiate glare should be avoided.

Visual aids for driving

  • To optimise the field of vision, consider slimmer frames
  • It’s important to perform an Easterman’s visual field in order to ascertain if driving is permissible
  • It’s important to acknowledge that the rules of the road are different depending on the type of license required
  • Visual requirements must be met, including:
    • Reading 6/12 on the Snellen chart
    • Reading a post-2001 number plate from at least 20 metres away.

Essentially, driving should be ceased immediately if told to do so.

Keep the DVLA informed

It’s a legal obligation that the DVLA is notified if the visual requirements of vision are not met. Vision-related conditions that must be disclosed include new double vision, diabetic retinopathy, macular degeneration and glaucoma.

Tests could be needed

The DVLA will decide if further tests are required to determine the requirement to drive. Commonly, binocular visual-field tests are requested. Continual driving when told conversely is not endangering others, also poses risks of:

  • Refused car insurance
  • Fine
  • Legal action

This blog is contributed by Gurjeet Jutley.

October, 2018

A quick guide to astigmatism

The outer dome of the eye called the cornea is shaped like a football, with light rays bent uniformly to focus at the back of the eye. Astigmatism occurs when the curvature of the eye’s cornea (or lens) is not spherical: i.e. it’s shaped like a rugby ball. This affects the eye’s ability to focus light on the retina, leading to blurry and distorted vision. This is a minor condition and it can usually be corrected with:

  • Spectacles
  • Contact lenses
  • Surgery

Regular vs. irregular astigmatism

There are two types of astigmatism:

  • Regular: which can be managed by toric lenses
  • Irregular: usually requiring rigid gas permeable contact lenses

Although there are two types of astigmatism, there are three ways that vision can be impaired. These are hyperopic (far sightedness), myopic (near sightedness) and mixed (a combination of near and farsightedness).

 

What causes astigmatism?

In most cases, an individual is born with an irregularly shaped cornea or, far less commonly, the lens. However, it’s also possible for people to develop this condition later in life. Genetics may play a role and there is no real known way to prevent it from developing. Specific causes include:

  • Eye surgery, such as cataract surgery
  • Eye conditions, such as keratoconus and keratoglobus
  • Conditions that affect the eyelids that push down on the cornea.

 

Astigmatism symptoms

The symptoms of astigmatism may differ amongst individuals and range from:

  • Asymptomatic
  • Blurry and distorted vision
  • In childhood, if astigmatism isn’t corrected, a lazy eye (amblyopia) can occur.

This blog is contributed by Gurjeet Jutley.

August, 2018

A quick guide to glaucoma

Glaucoma is an eye condition that involves damage to the optic nerve. The optic nerve connects the eye with the brain. Glaucoma is commonly caused by the imbalance that leads to raised pressure of fluid in the front of the eye. The fluid increases pressure, and the condition is one of the most important causes of irreversible sight loss in the working aged population.

How glaucoma develops

One particularly worrying aspect of glaucoma is that initially it can be completely asymptomatic. The condition usually develops at a slow rate over many years, affecting the peripheral vision initially. Early signs of glaucoma can be ascertained during routine eye tests.

Main symptoms

The disease is typically bilateral, although this may be asymmetric meaning one eye is predominantly clinically affected. In acute glaucoma, development of symptoms is an emergency:

  • Nausea and vomiting
  • Intense eye pain
  • Headaches
  • Blurred vision
  • Red eye
  • Haloes

Types of glaucoma

Acute glaucoma is an ocular emergency: it is critical to seek help immediately. There are of course different types of glaucoma, including primary open-angle glaucoma, the most common form. This occurs slowly over the course of several years and involves the drainage channels gradually becoming inefficient at fluid egression. Broadly categorised, glaucoma can be open angle or closed angle, primary or secondary, adult onset or congenital.

Who is at risk of glaucoma?

Quite simply, anyone can manifest glaucoma. However various risk factors exist, including:

  • Age
  • Family History
  • Ethnicity
  • Existing medical conditions

Early diagnosis and early treatment is key: hence the importance of a robust screening program and adhering to regular check-ups.

Whilst glaucoma cannot be reversed, the progression can be arrested, utilising modalities such as eye drops, laser and surgery.

This blog is contributed by Gurjeet Jutley.