GLAUCOMA – WHAT DOES YOUR FAMILY TREE SAY?

Infographic poster with detailed effects of untreated glaucoma disease showing the passing through a good and healthy eye to a progressive vision loss.

A new year is a time for a new beginnings, resolutions and making a fresh start. The top resolutions on the list typically are to lose weight and take better care of your health. As we turn the page on another calendar year and move into 2017, make sure taking care of your eyes is on the list.

January is National Glaucoma awareness month. Learn the effects of this disease, how early detection can prevent permanent vision loss and what treatment options are available should you be diagnosed with Glaucoma.

Risk factors and family history play a role in your chances of developing the disease. That’s why when you have an eye exam at Bissell Eye Care, we review your medical history to see if you might fall into any of these categories.

You are at a higher risk of developing glaucoma if you are over the age of 60, an African American over the age of 40 or if your family has a history of glaucoma. Other factors such as, high eye pressure, abnormal optic nerve anatomy and thinness of the cornea can contribute to increasing your risk factor. It is important to maintain routine eye exams in order to help detect glaucoma early.

During the early stages of glaucoma there are often no symptoms, no pain and no vision loss. Without treatment, as glaucoma develops it will cause a slow loss of the peripheral vision that may go unnoticed.

As time progresses, peripheral vision continues to deteriorate and it will begin to appear as though you have tunnel vision. If left untreated, glaucoma can eventually lead to total vision loss.

Early detection is key in helping to prevent permanent damage before it begins. During your routine eye exam you doctor will perform several checks that help to detect glaucoma. Some of the tests may include:

Visual Acuity Test: utilizes an eye chart to measure how well you see at different distances.

Visual Field Test: is used to measure your peripheral vision. It can show signs of early vision loss which could be one of the symptoms of the onset of glaucoma.

Pachymetry: is a simple, painless test to measure the thickness of your cornea — the clear window at the front of the eye. A probe called a pachymeter is gently placed on the front of the eye (the cornea) to measure its thickness. Pachymetry can help your diagnosis, because corneal thickness has the potential to influence eye pressure readings.

Ophthalmoscopy: this dilated eye exam uses drops to dilate your pupils allowing the doctor to look through your eye and examine the shape and color of the optic nerve and retina for signs of damage.
While there is currently no cure from glaucoma, preventative measures can help to reduce the chances of developing it. Once vision is lost to this disease it is impossible to ever regain that vision.
Be informed, take control of your health and protect your vision.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

DIABETES AWARENESS MONTH

If you are one of the estimated 29.1 million people that have diabetes, then you have most likely had a discussion with you doctor about possible health related issues that comes with the disease. Diabetes also can have a negative effect on your eyesight. Obtaining regular screenings will allow you to monitor your health and react to any changes that may have occurred.

While it is important for everyone to maintain routine visits with their optometrist, people with diabetes need to be especially vigilant in scheduling their annual exams. Diseases such as Glaucoma, cataracts, and retinopathy are best treated when they are detected early. Talk to your eye doctor about any concerns or vision loss you may be experiencing for the best chances of early detection and treatment.

Glaucoma occurs when pressure builds inside the eye and is 40% more likely to occur in individuals who have diabetes. The pressure pinches blood vessels that carry blood to the retina and optic nerve. Vision is gradually lost as the retina and nerves are damaged from the increase in pressure. There are several treatments available for Glaucoma; however, some treatments may require surgery. Early detection of high pressure may be able to be managed by medication. Maintaining the proper eye pressure is key to preventing permanent damage to the eye.

As we age, many people run a higher risk of developing cataracts. Those with diabetes are 60% more likely to develop them. By detecting cataracts early you can help to slow down the progression. The typical corrective action for cataracts is to remove the lens of the eye. Patients then would typically receive a new transplanted lens. In people with diabetes, vision can get worse after the removal of the lens and glaucoma may start to develop so additional treatment may be necessary.

Retinopathy is a general term used for all disorders of the retina that are caused by diabetes. The good news that there have been giant strides in the past decade on treatment for retinopathy.

Have you noticed a pattern? Particularly those with diabetes must be extra vigilant with screenings and health checkups. The key to being able to keep your vision as clear as possible when you suffer from diabetes is early detection. Keep in mind that you often can lose more than 60% of your vision before you begins to see significant differences. Talk with your doctor if you have diabetes so you know what symptoms to look for and schedule your annual vision screening.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

HALLOWEEN COSTUME TIPS

As the leaves start to turn and the days get shorter, it becomes time to finalize your costume for Halloween. Are you ready for some Halloween parties? Costumes have gotten more complex as the years have gone by. There are a few things to keep in mind this year as you put the final touches on your costume.

Decorative or cosmetic contact lenses were introduced to the market a few years back and have gained popularity. While many people look at them as a prop or something that will simply change your eye color, remember that contact lenses are considered a medical device requiring a prescription. Places that sell decorative lenses without a prescription may give you few or no instructions on how to clean and care for your lenses. Failure to use the proper solution to keep contact lenses clean and moist can lead to infections. If you do choose to use them it is best to consult your eye doctor and even stop in for a quick visit and be sure that they fit properly.

Make up can be another unthought-of hazard to your eyes. Halloween is the one time of year where people can really become creative with makeup. Often when people put their Halloween face on, you are getting closer to your eyes than you normally would. While many people may not realize the danger to this, cosmetic makeup that is meant for the eye is tested and FDA approved. These types of makeup are less likely to injure the eye if it is accidently exposed. If you are planning using facial makeup be sure that it is hypoallergenic and safe to use near your eyes before you apply!

If using some type of mask, make sure you or your children are able to clearly see. Obstructive views can cause a trip hazard for young and old alike. Be sure that you costume allows you to adequately see, with large enough eye holes. Use approved makeup and contacts to create the best costume this year. Wishing you a safe and Happy Halloween!

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

FALL IS IN THE AIR

Are you enjoying the change in color on the landscape? Fall is certainly upon us as we see the leaves turning color and falling from the trees. It’s the time of year where fall cleanup will soon be in full swing. With the temperature dropping and the leaves changing color, they are falling to the ground covering your yard in what seems like a never ending task of clean up.

As you step outside with your rake or leaf blower, be sure to use the proper eye and ear protection to help keep you safe. Dead leaves tend to break apart as your rake them up or use your leave blower to corral them into a pile. Having proper eye safety can help prevent pieces of these leaves from being blown into your eyes. October is eye safety awareness month. Every year, 2.5 million eye injuries occur, and almost half of those injuries take place in the home.

While using a rake can seem harmless, when working outside moving large amounts of leaves, sticks, and other debris from your yard, you run the risk of having a foreign object enter your eye. I’m sure as a child you remember raking a giant pile of leaves and then jumping into them. Your kids will find the same joy that you did when you were younger. Perhaps you ended up with pieces of leaves in your eyes as you jumped into that massive pile. If your children are having fun with piles of leaves and get something in their eyes, be sure to flush with water to clean the eye.

If you’re using a leaf blower you may feel as though there is no danger, that all of the leaves are being blown away from you. Your eyes and ears are at danger of permanent damage when using a leaf blower if proper protection is not worn. Like any engine, leaf blowers, even electric ones, emit sound. This sound can be harmful to your ears and can cause hearing loss. A good sign of needing hearing protection is if you hear ringing, or feel uncomfortableness during or after the use of power tools. Next is to be sure to have eye protection. Even sunglasses are a good source of protection when using a leaf blower. As you blow the leaves, they get thrown up into the air where the wind can grab them and pull them back toward you. This can cause dirt and dust particles that have also been picked up to be blown back toward you. If they get into your eyes you can experience discomfort and may also scratch your cornea.

When using chemicals to clean stains before winter sets in, be sure to wear eye protection. Fully read labels on all chemical products. Never mix chemicals like bleach, detergents and cleansers together. Use cleaners and chemicals in well-ventilated areas, and wear safety goggles to avoid chemical splashes.

Remember this year as you step outdoors that even a simple pair of sunglasses can help to protect your vision. If you intend on using power tools to help clear the yard of those pesky leaves, add ear protection while using power tools along with the eye protection. Happy raking!

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

NIGHT DRIVING

Driving on an asphalt road towards the headlights

Do you prefer to drive during the daytime?  Do you have trouble seeing at night?  If night driving is difficult, millions of Americans feel the same way.  There are many different things that may cause trouble seeing at night.  It can be as simple as needing a new eyeglass prescription, lacking vitamins, over exposure to the sun or the presence of cataracts.  If you find that you are having trouble seeing at night, contact your eye doctor to rule out diseases that could cause long term loss of vision.

Below are some of the most common causes of vision loss in adults.

  • Cataracts. The eye’s lens is located behind the pupil.  As you age cells grow and die inside of the lens.  This causes debris to build up and leads to cataracts.  Cataracts are not painful, however they will gradually cloud your lens.  One of the first symptoms of cataracts is decreased visibility at night.  Blurry vision is also common with cataracts or seeing halos around objects.
  • Lack of vitamin A.  Vitamin A is found in many leafy vegetables and also in carrots.  It helps to keep the retina healthy.  While it is not common for many Americans to lack vitamin A, diseases such as Crohn’s disease, Celiac disease or Gastric bypass may make it difficult for the body to absorb needed vitamins.  Not getting enough of needed vitamins can increase the chance of having decreased night visibility.
  • Retinitis pigmentosa.  This is a rare genetic disorder that mostly affects younger people before they reach the age of 30.  A decline in night vision is usually the first symptom, but can lead to total loss of vision.
  • Sunlight exposure.  Having large amounts of sun light exposure, after a trip to the local ski resort or laying out on the beach, can burn your eyes.  This is known as sun blindness and can last for a few days or longer depending on the amount of exposure and the frequency that you experience this exposure.  Wearing sunglasses helps to prevent permanent damage to your eyes from the sun.

While many of these conditions can cause difficulty seeing at night, most of them are preventable or able to be treated.  If night driving is difficult for you, talk with your eye doctor to rule out any treatable cause.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

HEALTHY AGING

Have you turned around twice and ten years have passed?  Are the kids grown and out of the house when it feels like just yesterday that they were born?  It happens all too fast that the time seems to just slip away.  As we age it becomes more important than ever to take care of yourself because the quality of our lives later on will depend on what we do today.

With age often comes wisdom.  What does this mean though?  Aging wisely is taking care of yourself, scheduling your annual and routine doctors’ visits and making sure that you stay as healthy as possible.

September is National Healthy Aging Month and we want to point out some advantages of annual screenings and health visits.  When it comes to your vision there are many diseases that can be slowed down, stopped or even reversed if caught early.  Having routine screenings helps to give a baseline for your doctor to better be able to notice changes in your eyes.

Vision loss is not always noticeable immediately.  Many times an individual can lose a significant amount of vision before it becomes noticeable.  When vision loss is detected early, the person stands a much greater chance of being able to slow down or even prevent their vision loss.

Medical screenings are important too.  Annual physicals, bloodwork and regular cancer screenings can be a pivotal point of identifying a problem and taking the proper steps to treat it.  These screenings also provide peace of mind that you are as healthy as you can be.

Diet and exercise also play in role in healthy aging.  It’s easy to come home from a long day at the office, run through the take out window and grab a quick bite.  Taking time to plan and cook meals on the weekend allows for better eating habits and healthier food all around.

Elderly couple with their bikes

Put regular exercise into your routine that will help shed some unwanted pounds.  Take a walk at lunch or right after work if you can.  As we grow older, gone are the responsibilities of running kids to their various activities.  Make taking care of yourself the priority and put exercise into your calendar.

While we, at Bissell Eye Care, focus on vision and helping our patients to see to the best of their ability, we want to stress that importance of not just routine eye appointments, but all suggested medical appointments and screenings.  Early detection is key to living a long happy life.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

BACK TO SCHOOL

It’s getting to be that time of year. Have you been bombarded with all of the health forms and documents that need filled out for your little one to either go back to school, or to start a new adventure in attending school for the first time? With all of the hustle and bustle in buying new clothes, school supplies, getting immunizations, and reviewing schedules, something as simple as your child’s eyesight can be overlooked.

Children often start their first few years of school without having an eye exam by an optometrist. While you can tell when your child is sick it is nearly impossible to determine when there is a problem that could be affecting their vision.

With August being Children’s Eye Health and Safety Month, we want to remind parents the importance of scheduling routine eye exams for children starting at the age of three. There is no better time to schedule your child’s checkup than before they start back to school and after school schedules and activities become hectic.

There are some signs to watch for that could indicate your child is having trouble seeing:

  • Wandering or crossed eyes.
  • Squinting or turning their head in an unusual manner while watching TV.
  • Disinterest in reading or focusing on things in the distance.
  • Or if there is a family history of childhood vision problems.

By having routine eye visits, eye doctors can monitor your child’s vision and eye health. This will help to detect any problems with your children’s eyes that could affect their vision long term. If their vision deteriorates, you may also see a decline in your child’s grades as struggling to see may set them at a disadvantage when it comes to watching and understanding what is being taught.

We want to stress the importance of eye safety. As school starts back, fall sports are in full swing. With high school sports become faster paced and highly competitive, more injuries are occurring. Eye injuries are often top of the list. By having your children wear the proper eye protection you can help reduce the chances of sustaining an eye injury, an injury that could leave them with a permanent vision loss.

Remember, as fall approaches it is important to have a regular eye exam done for children three and older and to have your children use the proper, approved eye protection as they participate in fall sports.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

eyeglass frames, Bissell Eye Care

DOES THE FRAME FIT?

eyeglass frames, Bissell Eye Care
What style of eyeglass frames are best for you?

If you are like most people when needing new glasses, you have tried on frame after frame, looking for the one that fits your face just right. It can be very overwhelming as you look at the wall of frames, trying to decide which frame you like best.

There are some ways that you can easily narrow the selection from hundreds of frames down to a select few, which will help you to find a pair that compliment your facial features.

The first part of choosing a set of eyeglass frames is to consider the shape and size of your face. Every face has a shape, round, oval, square, diamond or even heart-shaped.

Determining your facial shape will help you to narrow down the types of frames will best compliment your look.

  • Round: Square or rectangular frames often tend to be wider than a round face. This can help your face to appear slimmer and longer.
  • Oval: These often have a strong bridge. Avoid frames that are overlarge and cover up more than half of your face as it can throw off the symmetry of your face.
  • Square: You want to look for frames that sit high on the bridge of your nose. Oval or round glasses will add a thinner appearance. Avoid boxy eyeglass frames which will make your face appear squarer.
  • Diamond: You want to look for frames that sweep up and or are wider than then the cheekbones. You want to find frames that will accentuate your cheek bones.
  • Heart shaped: Ideal frames are low-set templets and bottom heavy frame lines. Round eyeglasses or square eyeglasses with curved edges will help draw attention away from a broad forehead.

When looking for eyeglass frames remember that in most cases opposites attract. You want to find a balance to your face. If you find frames that are the same shape as your head they can often throw the balance off.

The next thing to consider is what type of lifestyle you lead. Are you physically active, a gamer, or looking to make a fashion statement? You need to find frames that are flexible if you are active, enhance your gaming experience if you’re a gamer, and look stylish and sophisticated if you are looking to make a fashion statement.

At Bissell Eye Care, our trained staff are always available to help you select that perfect frame that best fits your face and lifestyle.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

color blindness

SEEING IN COLOR

color blindness
Have you inherited one of the three main types of color blindness?

For many people being, able to walk along a crowded downtown street, look up at the streetlight, and be able to see if the light is red, yellow, or green, is a common occurrence that we rarely think twice about. There are many people, however, who have never experienced this. They are color blind or are color blind to some degree.

While color blindness is most common in men, affecting as many as 8% of men, it can also occur in women. They experience a much lower percent, with as little as .5% of women being color blind.

The reason that men are much more susceptible to suffering from color blindness is that gene responsible for color blindness is on the X chromosome. With males only having one X chromosome, if there is any deficiency they will begin to lose the ability to see colors. Women, have two X chromosomes. Because of this, women have the advantage that if one X chromosome is deficient, the other is able to overcome that gene allowing them to see in color.

The most common types of color blindness are inherited. Color blindness can range greatly in the degree of colors which are able to be seen. Some people can see darker colors easier than light, such as a dark red vs. a light red, with the light red being more difficult to distinguish.

There are three main categories that people who are color blind fall into.

  • Red-Green Color Blindness. The most common type of color blindness. It is caused by the loss or limited function of red cone or green cone photo pigments. People with red-green color blindness struggle to distinguish red and green colors, seeing them as different colors or even black.
  • Blue-Yellow Color Blindness. This color loss is rarer than red-green color blindness. The blue-cone photo pigments are either missing or have limited function. This form of color blindness affects the ability to distinguish yellow, and often shows yellow and red as pink. Blue can also appear as green and yellows as violet or light gray. 
  • Complete Color Blindness. People who suffer from complete color blindness see no colors at all. They may also have the clearness of their vision affected in people who suffer from complete color blindness.

There are many tests that your eye doctor can perform to determine if you are in fact color blind. If so, to determine what category of color blindness that you fall into. It is important to have children checked at a young age as many times they do not know that they are color blind. Children that are born with difficulty seeing colors do not know the difference of what life is like with all colors being portrayed as they should be. Because color blindness is hereditary, it is especially important if one parent is color blind to have regular checkups for the entire family.

There is currently no cure for color blindness, however people with red-green color blindness may be able to use a special set of lenses to help them see colors more accurately. These lenses are typically only to be used outdoors under bright light conditions.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.