EYE INFECTIONS AND COLD AND FLU SEASON

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As of Feb. 2, 2019, the flu is widespread in 47 states, and 24 states are experiencing high levels of the disease. In addition, hospitalizations are increasing, according to the U.S. Centers for Disease Control and Prevention. “Flu activity has continued to increase this week,” said Lynnette Brammer, the lead of CDC’s domestic influenza surveillance team.

It seems like everywhere you turn, someone is sick. For those individuals who received the flu shot, your symptoms may not be quite as severe, and Brammer urges individuals who haven’t gotten the flu shot to get one as long as we’re in flu season.

When we think of the flu, things such as body aches, fever, and stomach viruses come to mind but flu season may also bring an unexpected surprise in the form of conjunctivitis, most commonly referred to as “pink eye.”

There are three types of conjunctivitis: 1) Bacterial 2) Allergic and 3) Viral Conjunctivitis. Symptoms that present with conjunctivitis include:

  • Gritty feeling in the eye or both eyes
  • Excessive tearing
  • Itchy or burning sensation
  • Discharge and/or swollen eyelids
  • Pink Discoloration
  • Sensitivity to light

Conjunctivitis is contagious, so take these steps to avoid “sharing the joy” with others:

  • Practice good hygiene and teach your children how to properly wash their hands
  • Don’t touch your face with your hands
  • Avoid using cosmetics and eye care items and discard those currently used (particularly mascara) when first diagnosed with conjunctivitis to prevent spreading the infection
  • Change towels and washcloths daily and avoid sharing with others
  • Avoid wearing contact lenses and dispose of those used at the start of the infection

Conjunctivitis treatment varies. Topical steroid drops and/or antibiotics based on which type of conjunctivitis you have will be used to treat conjunctivitis. Viral conjunctivitis, much like the common cold, must run the course and only in severe cases are steroids used.

The best course of action is to schedule an appointment with your optometrist to properly diagnose and treat your infection. At Bissell Eye Care, we also have tests that examine the optic nerve to ensure there’s not an underlying problem that can become more serious.

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.

DO YOU KNOW YOUR FLEXIBLE SPENDING ACCOUNT (FSA) NUMBERS?

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White paper with text FSA with dollars on the calculator with pen

If you haven’t checked your FSA balance recently, now may be the time to check your account. In 2018, the IRS raised the contribution limit from $2,600 in 2017 to $2,650 for 2018. FSAs are pretax monies that can save an employee up approximately 30% on their out of pocket medical expenses. Employees may use their FSA funds to cover certain qualified medical expenses that their employer’s plan does not cover, such as co-pays and deductibles. Other qualified medical expenses include contact lenses, eye exams, eyeglasses, crutches and hearing aids.

Different than a Health Savings Account, FSA’s must be used within the calendar year. In January of each year, employees must decide how many pretax monies are withheld in the form of payroll deductions. Employees must anticipate what they feel they will spend during that year that is not covered by insurance. Because many employees are concerned when judging what they may spend, they opt not to participate in FSA’s and actually leave money on the table.

Depending on your employer – they can offer employees two options to use it or lose it rule, or none at all. However, the employee must choose one of the two options. The carryover option allows an employee to transfer $500 of unused contributions from one plan year to the next. For example, if an employee has $500 of unused contributions in 2018, then he or she may carry those funds over into the 2019 plan year.

Second, with the grace period option, an employee has 2 1/2 months after the end of the plan year in which to use his or her unused contributions. For example, if an employee has unused contributions at the end of a plan year (December 31, 2018), then he or she must use those contributions by the following March 15, 2019, or risk forfeiting them.

The best solution is to know your balance and prepare to spend down those pretax dollars. Your best move is to do a good job of accurately estimating your healthcare and dependent care expenses for the year so that you don’t run into a situation where you’re struggling to deplete your account balance. But if your company offers one of the above protections, you’ll go in with less risk.

Bissell Eye Care provides comprehensive eye care for the entire family. New designer frames, contact lenses, sunglasses, and protective eyewear are items that can be used to spend down your account.

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 AND EYE EXAMS

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fruits are the main element of healthy eating

September is a perfect time to celebrate Healthy Aging Month since it is time when many people think about getting started on new tasks after the summer. As the years roll on, are you doing all you can to stay active and healthy? The choices you make today may affect the quality of your life down the road. Diet and exercise are key components to healthy aging.

Fitbits and online apps can help track healthy eating habits and steps. Have you set a new goal to walk 10,000 steps a day? Perhaps fresh vegetables and salads are becoming a staple in your refrigerator.

As we look at the components of staying healthy – we also look at regular exams. When was the last time you had a physical, dental or eye exam? By staying up to date with regular medical exams, you can be proactive in changes that may be occurring with your health.

Seeing your eye doctor is not just about needing glasses. During the exam, you are also going to be screened for other diseases… diabetes, cataracts, glaucoma and macular degeneration. After the age of 40, everyone should be tested regularly for macular degeneration, especially if there is a family history of the disease.

Did you know during a comprehensive eye exam, underlying health problems can be uncovered? These are things the doctors at Bissell Eye Care look for during your exam and may uncover a health issue you may not be aware of.

  • Diabetes affects the small capillaries in the retina of the eyes. These blood vessels may leak blood or a yellowish fluid, and this may be discovered in an eye exam.
  • Hypertension presents when blood vessels in the eye exhibit bends, kinks or tears, and this may be an indication of high blood pressure.
  • Autoimmune disorders are recognized by inflammation of the eye which may be a sign of Lupus or another autoimmune disorder.
  • High cholesterol can be found with a yellowish appearance or a yellow ring around your cornea. There also may be plaques in the blood vessels of the retina which could indicate elevated cholesterol.
  • Thyroid disease will often present as bulging eyes or protruding eyeballs.
  • Cancer can be present if the structure of your eye is unusual. Ocular melanoma can develop in the cells that make pigmentation in the eye. Your eye exam can also help detect skin cancer. Basal cell carcinomas can appear on the eyelid. In any of these cases, you would be referred to a specialist.
  • Tumors can present with a droopy eyelid or irregularly shaped pupils and could possibly indicate a neck tumor or an aneurysm (Source: Digital Journal).

At risk factors for age-related macular degeneration (AMD) include: high blood pressure (hypertension), smoking, obesity, race and family history of (AMD). AMD is painless and can progress slowly over time or suddenly with dramatic changes in your vision. Early detection is key to slowing vision loss.

AMD — damages then destroys central vision. Central vision is your “straight-ahead”, finely detailed vision. This eye disease takes two forms, “dry” and “wet.” Most AMD cases are “dry.” The “wet” is a more damaging form of AMA that is responsible for about 90% of serious vision loss.

Cataracts are small at first and may not affect vision. But the denser they grow, the more they will affect your vision. As cataracts grow, they may hinder your ability to drive safely.

Just like having an annual physical and regular health screenings help to detect disease, the most important lesson learned is to have an annual eye exam. Early detection of eye disease is the key to healthy vision as you age. Give our offices a call at 724-443-6767 or 724-226-0444 to schedule your annual eye exam.

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.

4 TIPS TO SPOT VISION PROBLEMS IN KIDS

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As we march into spring, many families are participating in kindergarten or preschool orientation. Young children are excited about taking the next step in school, but one of the most important yet overlooked necessities in their success is healthy vision.

If your child has been in preschool, chances are they may have had a vision screening. These are performed in most preschool and elementary schools. Many vision screenings test only for distance visual acuity. While the ability to see clearly in the distance is important, it does not indicate how well the eyes focus up close or work together. A screening does not give any information about the health of your child’s eyes. That’s why it’s important to have an annual comprehensive eye exam by an optometrist or ophthalmologist.

As older school aged children near the last half of the school year, standardized testing and spring exams are coming into play. Eye strain and/or vision problems may manifest themselves and as parents, you may notice a change in your child’s demeanor.

A child’s eyes and vision grow from year-to-year and as they progress through school, the demands of learning require visual work involving reading, writing, computers and the ability to see chalkboards/smartboards. If their eyes aren’t up to the task, a child may feel tired, have trouble concentrating, and have problems in school.

Particularly in young children, it’s difficult for them to tell you they are having difficulty seeing something. But sometimes parents will notice signs that their child may have a vision problem. For instance, your child may squint, or hold reading material very close to their face.

Here are four signs that could point to possible vision problems in kids.

  1. Short attention span. Does your child seem to quickly lose interest in games, projects or activities that require using their eyes for an extended period of time?
  2. Losing their place when reading. For young children sometimes allowing a finger to follow the words will help train their eyes. Do you notice as your child reads (aloud or silently), they may have difficulty seeing to keep track of where they are on the page? It may also take them a long time to read a page.
  3. Avoiding reading and other close activities. Do you see a push back when your child is reading? Because of difficulty in seeing, they may choose to avoid reading, drawing, playing games or doing other projects that require focusing up close.
  4. Turning their head to the side. Does your child seem to tip their head or turn their head sideways to look at something in front of them? They can see better, but this may be a sign of an astigmatism or a refractive error.

Success in school is closely tied to eye health. That’s why it is so important for kids to have a comprehensive annual eye exam with an optometrist or ophthalmologist who is properly trained to assess vision in school-aged children. The earlier a vision problem is found and treated, the better off your child will be—in and out of school. As you register your child for the next school year, be sure to put a comprehensive eye exam on your check off list. For questions regarding eye health contact our office at 724-443-6767 or 724-226-0444.

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.

NEW YEAR’S RESOLUTIONS

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Are you ready for the New Year? During the holiday season many people take the opportunity to reflect on the year that has past, focus on new goals and make New Year’s Resolutions. Weight loss, financial freedom, healthy habits are among the top resolutions people make.

Resolutions for better health often include, eating better, exercising, or cutting down on sugar intake. While many people have resolutions to improve their health, they tend to not include an annual medical physical, 6 month dental visits and an annual eye exam.

With the New Year in full swing there is no better time to schedule your eye exam. You or your children may receive an annual vision screening at work or school. What people don’t realize is that a vision screening is much less comprehensive than an eye exam.

Vision screenings usually only take a few minutes and are often performed by volunteers, not by a certified optometrist. Vision screenings are typically designed to detect major vision problems. What many people do not realize is that an eye screening is ineffective at detecting subtle vision problems or overall health diseases, which if left untreated can rob you of your vision or lead to ongoing health problems.

Eye exams that are performed by an optometrist are designed to not only evaluate your visual acuity, but also to check the overall health of your eye. During a comprehensive eye exam, the optometrist will also check for signs of eye problems such as glaucoma, cataracts, macular degeneration and detached retina.

As an added health bonus, your optometrist can also detect early signs of health problems such as diabetes, high blood pressure and stroke risk; all based on the appearance of the delicate blood vessels and other structures within the eye.

As the New Year brings about resolve to change, consider your body’s overall health. Scheduling annual visits to not only your optometrist, but also to your medical doctor for a yearly physical can help to keep your body in top shape and provide early detection of any medical conditions before they become serious problems. Early detection is key to obtaining the best chance of treatment providing a positive outcome. Wishing you the best in 2018.

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.

CLOUDY VISION

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If you are over the age of 60 and have noticed that your vision has become blurry or cloudy, you may be suffering from cataracts. April is cataract awareness month and we want to talk about what the symptoms are and how you can treat cataracts to bring your world back into focus.

Every year, thousands of Americans will suffer vision loss associated with cataracts. Cataracts form when the protein, part of what helps to make up the lens in your eye, clump together forming what appears to be a cloud over the eye. Fortunately, cataracts are treatable and can be removed allowing you to see clearly again!

At the onset of development, cataracts are small in size and generally have minimal effect on your vision. As they progress you may feel as though you are wearing dirty contacts or glasses, leaving you with the sensation that you are looking through a cloudy piece of glass. During the day, light such as the sun or a lamp may feel very bright or create a glare which you never noticed before. At night you may have increasing difficulty driving because on coming headlights have more glare or a halo look. Colors will be dull and not appear as bright and vivid as they once did. The most surefire way to determine if you are suffering from cataracts is to see your eye doctor for a routine eye exam.

While there is no answer as to why the eye’s lens changes over time as we age, there are a few factors that put you at higher risk of developing cataracts.

  • Diabetes
  • Obesity
  • Hypertension
  • Significant alcohol consumption
  • Family history
  • Prolonged exposure to ultraviolet radiation from the sun

You can help to prevent cataracts by wearing protective sunglasses that block 100% of the sun’s UV rays when you are outdoors. Eat a proper diet that is high in leafy greens and fruits which are high in vitamins and antioxidants. Some examples of food to add to your diet are:

  • Spinach
  • Kale
  • Leafy vegetables
  • Broccoli
  • Turnip greens

Now to the important part, TREATMENT! Many people feel that losing your vision as you age is inevitable. If you have cataracts however, this is not the case. Cataracts can be removed with surgery. The surgeon will remove the protein that has built up to form the cataract. Surgery may be a word that makes many people cringe. However cataract surgery is relatively simple and painless procedure. Nine out of ten people who undergo cataract surgery will regain vision between 20/20 and 20/40.

Remember that routine eye exams will help to detect cataracts early. This will prevent you from spending years of your life feeling like you are living in a fog, letting you enjoy everything that our beautiful earth has to offer us!

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 and Vision Loss

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Diabetes and vision loss can go hand in hand.  Vision loss is one of the most common and debilitating complications of diabetes. An annual eye exam will help in early detection of  diabetes as for many people with Type 2 Diabetes the disease goes undetected.   For those individuals who have been diagnosed as a diabetic, extra attention should be made to monitor their diabetes and have regular eye exams.

According to Medical News Today, “Diabetes describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience frequent urination they will become increasingly thirsty and hungry”.

There are three types of diabetes:

  • Type 1 Diabetes- account for approximately 10% of all diabetics and occurs when the body doesn’t produce enough insulin.  Diabetics generally develop Type 1 Diabetes before their 40th birthday.
  • Type 2 Diabetes account for approximately 90% of the remaining diabetics.  The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).  Typically type 2 diabetes is a progressive disease and eventually may lead to medication dependency to control the disease.    Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight.  That’s why diet and exercise play a key role in prevention.
  • Gestational Diabetes   affects females during pregnancy. Some women have very high levels of glucose in their blood, and their bodies are unable to produce enough insulin to transport all of the glucose into their cells, resulting in progressively rising levels of glucose.  Uncontrolled gestational diabetes can raise the risk of complications at childbirth.

Diabetic Eye Disease is a group of eye problems people with diabetes could face as a result of the disease, which can lead to vision loss or blindness. These include:

•  Cataract (clouding of the lens of the eye)

•  Diabetic retinopathy (the most common form of diabetic eye disease, which damages the blood vessels in the retina)

•  Glaucoma (damage to the optic nerve that affects peripheral or side vision)

People often are unaware they have diabetes but In fact, about 90% of diabetes-related blindness is preventable through early detection, timely treatment and appropriate follow-up care.  To learn more about diabetes, low vision and vision loss, visit Tri-State Low Vision Services, a division of Bissell Eye Care.

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.