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The Link Between Dry Eyes and Depression

The Link Between Dry Eyes and Depression 640×350Depression is a serious illness that impacts a person’s mood and emotional well-being. It creeps into all areas of a person’s life, and can become life-threatening if left untreated.

Not only does depression impact mental health; it can manifest as physical symptoms, too, like insomnia, chronic pain and inflammation, weight loss or gain and heart problems, among others. These physical problems can worsen depressive thoughts — sometimes leading to a vicious cycle.

Interestingly, many patients with depression also suffer from severe dry eye symptoms. The question is, how are these two conditions related?

What is Dry Eye Syndrome?

Dry eye syndrome, also known as dry eye disease, is a chronic condition that results from inadequate lubrication of the eyes. Ocular hydration is crucial when it comes to keeping your eyes healthy and your vision clear. Your tears are responsible for maintaining this necessary hydration, and in healthy eyes fulfill their unique mission each time you blink.

Your tear film is made up of three layers, consisting of oil, water and mucus. If any of these layers become compromised, inadequate tear quality or insufficient tear quantity can result and lead to a host of uncomfortable dry eye symptoms.

The most common dry eye symptoms include:

  • Dry eyes
  • Red or irritated eyes
  • Itchy eyes
  • Gritty eyes
  • Light sensitivity
  • Blurry vision

Can Depression Cause Dry Eye (or Vice-Versa)?

This is what researchers are trying to find out.

In a March 2022 study published in JAMA Ophthalmology, researchers examined the link between depression and severe dry eye symptoms. The study followed 535 dry eye patients for an entire year.

After a year, the patients who tested positive for depression had more severe dry eye symptoms than the patients who didn’t have depression. Their symptoms were measured based on the Ocular Surface Disease Index (OSDI), Brief Ocular Discomfort Index and composite dry eye disease sign score.

Additionally, severe depression was associated with more severe dry eye symptoms at baseline, six months, and one year.

The study concluded that depression was associated with more severe dry eye symptoms, which suggests that among patients with moderate to severe dry eye syndrome, those with depression may be likely to have more severe dry eye symptoms.

The researchers said further research is needed to learn exactly why people with depression have more severe dry eye symptoms than those without depression.

Could the sometimes debilitating symptoms of dry eye syndrome actually cause depression and anxiety?

A 2016 dry eye study published in Nature concluded that chronic discomfort and pain from dry eye symptoms can negatively affect the cognitive processes, sleep, mood and mental health. The researchers urged eye doctors to be aware of the higher incidence of dry eye syndrome in people with depression, whatever the underlying cause.

Can Antidepressants Cause Dry Eye Symptoms?

Yes. Antidepressants have been shown to increase dryness in the body, including the eyes. These medications work by blocking signals between nerve cells, which can result in insufficient tear production and dry eye syndrome.

If you’re taking an antidepressant, be sure to inform your eye doctor during your consultation.

How We Can Help

At Dry Eye Center At Advanced Eyecare Center in Manhattan Beach, we recognize that some of our patients that come in with dry eye symptoms may be suffering from depression.

We’ll diagnose the cause of your dry eye symptoms and offer the most effective dry eye treatments to give you the relief you’re searching for.

Contact us today to schedule a dry eye assessment and take the first step towards regaining your quality of life.

Frequently Asked Questions with Dr. Hansen

Q: Who is affected by dry eye syndrome?

  • A: While dry eye syndrome is most common in adults over 50, it can occur at any age. The following factors can increase your risk of dry eye:
    – Aging
    – Hormonal changes
    – Medical conditions such as Sjogren’s syndrome and rheumatoid arthritis
    – Prolonged screen time
    – Living in a dry, dusty or windy environment
    – Eye allergies
    – Blepharitis or meibomian gland dysfunction
    – Certain medications, such as decongestants, antihistamines, antidepressants, hormone replacement therapy
    – Vitamin A deficiency

Q: How can you reduce your risk of dry eye?

  • A: While some dry eye risk factors can’t be avoided completely, making some lifestyle changes can help. Practice these recommended tips:
    – Use a humidifier to add moisture to the air
    – Wear wraparound sunglasses outdoors to protect your eyes from harsh winds
    – Take frequent screen breaks and blink often while using your digital device.
    – Quit smoking
    – Use lubricating eye drops
    – Consume a healthy diet including omega 3 and drink plenty of water.
    – Have regular eye exams

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Bloodshot Eyes – Should You Be Concerned?

You wake up in the morning ready to start your day, only to discover that your eyes are bloodshot. That might not be surprising if you stayed up late to finish a project, had too many drinks at a party or spent time in a smoke-filled room.

But bloodshot eyes can also signal an underlying eye problem. If your eyes appear red or bloodshot, make an appointment with an eye doctor for a comprehensive eye exam to determine the cause and to receive effective treatment.

Why Do I Have Bloodshot Eyes?

When blood rushes to the front of the eye, the tiny red blood vessels on the white of the eye dilate and become visible. This makes the eyes appear red and irritated.

So why do these blood vessels dilate, causing your eyes to look bloodshot?

Bloodshot eyes tend to be caused by:

  • Dry eyes
  • Irritants such as smoke, pollen and perfume
  • Lack of sleep
  • Excessive alcohol consumption
  • Spending too much time in front of the computer

Bloodshot eyes due to lifestyle and environmental irritants may disappear on their own, or you can try to relieve them with over-the-counter eye drops or liquid tears. Lifestyle changes, such as getting more sleep, cutting down on alcohol intake and limiting screen time can often be helpful. If allergies are the culprit, oral antihistamines and antihistamine eye drops may relieve symptoms.

At other times, underlying problems requiring prompt medical attention can cause your eye’s blood vessels to dilate. The following are some of these medical conditions:

Conjunctivitis

You’ve probably heard of “pink eye.” It’s another name for infectious conjunctivitis – an infection of the conjunctiva, the thin membrane covering the eyelid and the front surface of the eye.

There are two types of infectious conjunctivitis – bacterial and viral.

If your child has conjunctivitis, they’re not alone. About 12% of kids get bacterial conjunctivitis every year. This highly contagious condition affects children and adults. In addition to reddish eyes, the following symptoms are associated with conjunctivitis:

  • Bacterial conjunctivitis – irritated eyes, swollen eyelids, eye discharge, crusty eyelids and excessive tearing
  • Viral conjunctivitis – cold or flu-like symptoms, runny nose, fever, itchy eyes, excessive tearing

If you or your child are experiencing these symptoms, it’s important to schedule a prompt appointment with an eye doctor, who can diagnose whether the conjunctivitis is viral, bacterial or due to allergies.

Depending on the diagnosis, your eye doctor will prescribe antibiotic eye drops or creams to treat bacterial conjunctivitis. The viral form may run its course after a few days, but cold compresses and non-prescription eye drops may provide relief.

Dry Eye Syndrome

If your eyes are chronically bloodshot you may have dry eye syndrome (DES). Signs of DES include:

  • Dry, irritated eyes
  • Burning or stinging eyes
  • Discharge from the eyes
  • Light sensitivity
  • A feeling you have something stuck in your eyes
  • Blurred vision
  • Watery eyes

Dry eye syndrome is most commonly caused by a blockage of the tiny meibomian glands in the eyelids. These glands secrete oil that keeps eye moisture from evaporating too quickly. Without the oil, tears dry fast, leaving your eyes feeling dry, itchy and with a bloodshot appearance.

Too much screen time, aging, certain medications such as antihistamines, and medical conditions such as Sjogren’s syndrome can cause dry eye syndrome.

In addition to any medications or in-office treatments your eye doctor recommends, make sure to get plenty of hydration, take frequent breaks from digital screens and use a humidifier in your home.

Uveitis

In addition to bloodshot eyes, if you also experience blurred vision, see floaters or your eyes feel painful, you may have an eye inflammation called uveitis. The causes of uveitis include:

  • Autoimmune or inflammatory condition
  • Infection
  • Medication side effects
  • Cancer (in rare cases)

Unfortunately, uveitis symptoms can often be mistaken for something less serious. That’s the reason it’s important to get an eye exam if your eyes are bloodshot. Left untreated, uveitis can lead to serious conditions such as retinal scarring, cataracts and vision loss.

Depending on the cause and severity, your eye doctor may treat uveitis with prescription eye drops, steroid pills, injections or eye implants.

Eye Injury

It’s vital that all eye injuries receive immediate eye care from an eye doctor.

Even a minor eye injury can cause a big red blotch to form on the white part of the eye (sclera). The cause is a broken blood vessel or a subconjunctival hemorrhage.

Although the appearance of this blood looks severe, and can make the entire white part of the eye appear bright red, a subconjunctival hemorrhage is usually painless and doesn’t cause vision loss. Any time you notice excessive blood on the eye following an eye injury, schedule an appointment with an eye doctor to assess the health of your eye.

Glaucoma

In rare cases, bloodshot eyes may signal the presence of glaucoma – a leading cause of vision loss and blindness.

While some types of glaucoma don’t show symptoms in the early phases, bloodshot eyes can indicate the type of glaucoma that requires immediate medical care. This disease causes damage to the optic nerve due to excessive pressure within the eye. When this pressure suddenly rises, the eye’s blood vessels become dilated and visible, making the eye appear red.

If you have bloodshot eyes and/or have the following risk factors for glaucoma, immediately schedule an appointment with your eye doctor.

  • Family history of glaucoma
  • Aged 60+
  • African American, Asian or Hispanic
  • Diabetes
  • High blood pressure

Bloodshot Eyes Won’t Go Away?

Talk to Us Any time you notice bloodshot eyes or blood on the front of the eye, don’t wait. Schedule your eye exam with Dr. Hansen at Advanced Eyecare Center in Manhattan Beach today.

Q&A With Your Local Optometrist

Can I get bloodshot eyes after LASIK surgery?

LASIK surgery is highly effective minimally invasive laser eye surgery that can correct refractive errors, but like all surgical procedures, it can have side effects. Your eyes may be bloodshot or you could see halos from a few days to three weeks after surgery. Additionally, you may experience other dry eye symptoms. Eye drops and liquid tears can alleviate these symptoms, but if you have any concerns about your eyes following LASIK surgery contact your eye surgeon.

What Should I Expect from a Glaucoma Exam?

If you have a family history and/or other risk factors for glaucoma, and if your eyes look bloodshot, consider scheduling a glaucoma exam. Your eye doctor may perform the following tests:

  • Tonometry – eye pressure test
  • Gonioscopy – to see how fluid is draining out of your eye
  • Vision field test – to examine the functioning of the optic nerve
  • Dilated pupil exam – to detect any damage to the optic nerve
  • Retinal photo or OCT – digital examination of the retina and optic nerve health

Why Is My Eyelid Twitching?

What Is An Eyelid Twitch?

Myokymia, more commonly known as an eyelid twitch, occurs when the eyelid muscles spasm uncontrollably. This sensation is generally felt in either the upper or lower eyelid of one eye.

An eyelid twitch can develop for a number of reasons, and can last anywhere from a few moments to several days, depending on the underlying cause.

Eyelid twitches are usually nothing to worry about, though persistent eyelid spasms can signal a more serious underlying condition.

What Causes Eyelid Twitching?

There are a range of factors that could be causing your eyelid to twitch, including:

Stress.

This is the most common cause. Any type of physical or mental stress leads to the release of cortisol, a steroid hormone in the body that acts as a stimulant and puts your body into “flight or fight” mode. It can affect the nervous system in uncharacteristic ways, including making the nerves stimulate your muscles to twitch.

Fatigue.

Have you stayed awake later than usual, or are you juggling work and family commitments? Your eyelid twitch may be a sign that your body is craving a few more hours of rest and shut eye.

Allergies.

Itchy, watery, irritated eyes can cause eyelid spasms.

Dry eyes.

Dry, sore eyes may sometimes lead to an eyelid twitch.

Eye strain.

Eye muscle fatigue from prolonged reading or using a digital device can lead to blurry or double vision, dry eyes, headaches and, sometimes, an eyelid twitch.

Caffeine.

Consuming too much caffeine can over-stimulate your mind and body, including the muscles in your eyes.

Alcohol.

Similar to caffeine, excessive alcohol intake can have stimulating effects on your eye muscles.

Nutrient deficiencies.

According to research, a deficiency in vitamins B12 or D, or magnesium, or other electrolyte imbalance can cause an eyelid twitch.

Blepharospasm.

This rare eye condition is caused by a neurological problem that leads to uncontrollable facial and eyelid spasms that generally worsen over time.These spasms may also cause an increase in blink rate and intensity.

Neurological disease.

Although uncommon, an eyelid twitch can be a symptom of multiple sclerosis (MS), Parkinson’s disease or Bell’s palsy.

How to Stop Your Eye Twitch

  • Schedule an eye exam to find out what may be causing your eyelid twitch. Your eye doctor may prescribe glasses to relieve eye strain, or recommend dry eye treatments, Botox injections or oral medication to treat the underlying problem.
  • Practice stress-relieving activities such as yoga and deep breathing exercises, or simply take some time out of your day to relax.
  • Use eye drops to alleviate eye allergies or dry eye symptoms.
  • Take frequent breaks from the screen and consider wearing computer glasses to reduce eye strain.
  • Limit caffeine and alcohol consumption to determine if these stimulants may be the cause of your eyelid twitch.
  • Speak with your physician to find out if you can benefit from taking nutritional supplements and to rule out a neurological disorder, especially if other symptoms are present.

Although an eye twitch is generally not a cause for concern, if it persists for longer than a few days or you notice any changes to your vision, contact Dr. Hansen at Advanced Eyecare Center today to schedule an eye exam.

Q & A

Frequently Asked Questions with Dr. Anne Lee

Q: What is dry eye syndrome?

  • A: Dry eye syndrome (DES) is a chronic condition that occurs when your eyes don’t produce enough tears or the quality of your tear film is compromised. This results in a range of symptoms that may include dry, itchy, irritated eyes, and sometimes eye twitches. While mild DES can often be alleviated temporarily with over-the-counter lubricating eye drops, moderate to severe DES generally requires specialized in-office treatments.

Q: How can I relieve eye strain after prolonged screen time?

  • A: Digital eye strain, also known as computer vision syndrome, can cause a host of uncomfortable symptoms, including headaches, eye fatigue, dry eyes and blurry vision. Computer vision syndrome may cause your eyelid to twitch.If limiting screen time isn’t practical on a daily basis, try to follow the 20-20-20 rule: every 20 minutes, look at something around 20 feet away for at least 20 seconds. It is also important to remember to blink frequently and to close your eyes completely. Lastly, speak to your optometrist about wearing computer glasses while you work, as they are designed to eliminate glare from the screen, and reduce eye strain.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Redondo Beach, California. Visit Advanced Eyecare Center for an eye exam and eyeglasses that match your style.

What Is the Long-Term Impact of Virtual Learning on Children’s Eyes?

Kids, like adults, are spending more time online. At some point during the COVID-19 pandemic, many children attended school via Zoom and completed assignments online. The trend toward more screen time — whether playing games or being in touch with friends — is likely to continue even after everyone returns to the classroom. 

We already know that prolonged screen time can cause digital eye strain as well as dry eye symptoms, among other problems in children and adults. There is some indication that extended exposure to blue light may impact the development of retinal cells. However, studies on actual subjects still need to be done to establish a clear connection. 

Dry Eyes

Spending a long time in front of screens can impact how quickly our tears evaporate, because we blink around 66% less when using a computer compared to other daily activities. When tears evaporate too quickly and aren’t replenished with blinking our eyes start to feel dry and gritty. So remember to blink every few seconds to prevent your eyes from drying out!

Blue Light Exposure

Screens, such as those that appear on computers, phones and tablets emit blue light. Recent studies have shown that overexposure to blue light can damage the retinal cells at the back of your eyes. This may increase the risk of vision issues such as age-related macular degeneration which eventually leads to permanent loss of vision. 

Excess blue light has also been shown to disrupt the circadian rhythms that regulate our sleep patterns, as it tricks your internal clock into thinking that it is the middle of the day. This may lead to difficulty in falling asleep, insomnia, and daytime fatigue.

Digital Eye Strain

Nearly 60% of people who routinely use computers or digital devices experience symptoms of digital eye strain — also called computer vision syndrome. Symptoms of eye strain include eye fatigue and discomfort, dry eye, headaches, blurred vision, neck and shoulder pain, eye twitching, and red eyes. 

Taking frequent breaks from your screen can help reduce eye strain and neck, back and shoulder pain during your workday.

It is recommended to take at least one 10-minute break every hour. During these breaks, stand up, move about and stretch your arms, legs, back, neck and shoulders to relieve tension and muscle aches. 

Also, look away from your computer at least every 20 minutes and gaze at a distant object at least 20 feet away for at least 20 seconds. This relaxes the focusing lens inside the eye to prevent fatigue.

How to Make Virtual Learning Safer For Your Child

The following tips can lessen the impact of screens on your child’s eyes:

  • Reduce overall screen time 
  • Encourage frequent breaks
  • Use accessories that filter blue light (for example, blue light glasses)
  • Schedule regular eye exams

Make Sure Your Child Gets Routine Eye Exams

Children need comprehensive eye exams to assess the health of their eyes, correct their vision and spot potential problems which can affect learning and behavior. 

If you are concerned about the effect of virtual learning and screen time on your child’s eyes, or if you’re due for a checkup, schedule an eye doctor‘s appointment at Advanced Eyecare Center in Manhattan Beach. 

Q&A

What are blue light glasses?

Blue light glasses, also known as computer glasses, effectively block the transmission of blue light emitted from devices and computer screens. They often include a coating to reduce glare to further reduce eye strain. These glasses can be purchased with or without a prescription. 

What’s the 20-20-20 rule?

If you find yourself gazing at screens all day, whether your computer, smartphone, iPad or television, you’re at risk of experiencing eye strain. So make sure you schedule frequent breaks from your screen and follow the 20-20-20 rule; every 20 minutes, look at something 20 feet away for 20 seconds. And while you’re at it, use this time to get up, walk around, and stretch. 

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 Advanced Eyecare Center in Manhattan Beach 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.

Risk Of Overusing Eye Drops

If you find yourself constantly reaching for eye drops, it’s time to start looking into the bigger issue: Why do you need them so often? While they may provide a quick and satisfying fix for irritated or itchy eyes, they don’t focus on what might be causing the irritation to begin with.

Two signs that you’re overusing eye drops: you often exceed the daily recommended dose and/or you view eye drops as a cure rather than a temporary treatment.

Risks of Overusing Eye Drops

When overusing eye drops you can run the risk of:

  • Washing away your natural tears. Artificial tears feel great as they lubricate your eyes and help with insufficient tear production. But overuse can literally wash away the natural moisturizers and your natural tears that protect your eyes.
  • Rebounding. As the effects of the eye drops subside or upon discontinuation of the drops, the original eye symptoms may return stronger than before. This is known as eye rebounding. Eye drops clamp down on the blood vessels in the eye to stop itchiness, which means your sclera isn’t getting the oxygen and nutrients it needs. When you stop using eye drops, or their effects wear off, your eyes may work in overdrive to deliver oxygen to those vessels.
  • Masking a more serious problem. Addressing the symptoms of red, itchy eyes rather than the cause could be more serious than you think.

Conditions That Eye Drops Could Be Masking

Red, itchy eyes are a symptom of several conditions, including:

  • Blepharitis – Red and inflamed eyelids, caused by a fungal or bacterial infection, gland dysfunction, parasites, or dry eye, all of which require treatment beyond over-the-counter eye drops.
  • Eye trauma – Scratching or rubbing your eye can cause blood vessels to break, making the eye itchy and red. Some more serious traumas will require prescription eye drops or surgery.
  • Eye strain – Focusing on work all day and night can cause irritated, tired, and strained eyes.
  • Foreign objects – An eyelash, dust, or something worse could be in your eye. If you have long-term issues with itchy or dry eyes, make sure a foreign body isn’t the culprit.
  • Allergies – Allergies to the environment or pets can cause dry, itchy eyes.
  • Pink eye – A bacterial or viral eye infection, also called conjunctivitis, can cause burning, swelling, and itchiness.
  • Dry eye syndrome – Irritation, redness and itchiness are common symptoms of dry eye syndrome. In severe cases, DES can damage the cornea.

Regardless of why you often use eye drops, the only way to get to the root cause of your symptoms is a thorough eye exam. Don’t cover up the symptoms with eye drops.

If you’re suffering from irritated, dry eyes that haven’t resolved on their own, contact Advanced Eyecare Center in Manhattan Beach. We can help you find the long-lasting relief you’ve been looking for.

At Advanced Eyecare Center, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 310-620-1345 or book an appointment online to see one of our Manhattan Beach eye doctors.

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Frequently Asked Questions with Michael Hansen O.D.

Q: What are symptoms of dry eye syndrome ?

  • A: Irritation, redness and itchiness are common symptoms of dry eye syndrome. In severe cases, DES can damage the cornea.

Q: Are OTC eye drops safe ?

  • A: Eye drops may provide relief. But don’t overuse them. Overuse can cause more harm than good. Find out what happens when you overuse those relieving eye drops.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Redondo Beach, California. Visit Advanced Eyecare Center for an eye exam and eyeglasses that match your style.

Get Relief with Autologous Serum Eye Drops

Dry eye syndrome is a common eye condition that occurs when your tears aren’t able to provide adequate lubrication for your eyes. It can cause redness, irritation, discharge, and eye fatigue. If left untreated it can damage your corneas. While lubricating drops and artificial tears help the majority of patients, others continue to look for relief, especially if they have severe dry eye syndrome. Autologous serum eye drops (ASED) are a possible treatment for stubborn cases of dry eye.

What are Autologous Serum Eye Drops?

Autologous means that the recipient and donor are the same person. Therefore, Autologous Serum Eye Drops (ASED) are made from a person’s own blood.

ASEDs are not tear substitutes. They are often used alongside other dry eye treatments such as lubricating eye drops, artificial tears and in-office treatments.

ASEDs consist of elements that artificial tears can’t replicate, making them highly effective and well-tolerated. They promote healing and healthy growth of the ocular surface and contain Vitamin A, albumin, antibodies and special growth factors, known as epidermal growth factors, important for healthy eyes.

How are Autologous Serum Eye Drops Made?

Autologous serum eye drops are made by drawing a tiny amount of blood from a patient into a sterile tube, allowing the blood to clot for at least 10 hours.

For 15 minutes, the blood is then spun allowing it to separate. The blood serum is collected and combined with sterile saline. It is then divided into a few small dropper bottles. According to the severity of your dry eye, the serum to saline ratio will vary. Like other eye drops, the serum is clear.

This process of creating the drops takes up to three hours. Several months’ supply of drops are received, depending on your dosing frequency.

The eye drops are placed in the freezer for up to 6 months to remove the risk of growing harmful microorganisms and maintain optimal freshness.

The serum drops consist of certain growth factors and nutrients that may be missing in very dry eyes.

If you have been frustrated trying to find relief for your dry eye, consider ASED. Contact Advanced Eyecare Center in Manhattan Beach and Redondo Beach to learn more about ASED and how they can change the way you see.

At Advanced Eyecare Center, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 310-620-1345 or book an appointment online to see one of our Manhattan Beach eye doctors.

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How Sleep Apnea Affects The Eyes

Did you know that some eye conditions are associated with sleep apnea? According to the National Sleep Foundation, more than 18 million Americans have sleep apnea, and Health Canada reports similar prevalence. It’s a sleep disorder where people stop breathing — often multiple times per night — while sleeping.

If you have sleep apnea: it tends to take longer for your tears to be replenished, you’re more likely to have ocular irritation, you have a higher chance of developing floppy eyelids, and you’re at increased risk for glaucoma.

What Is Obstructive Sleep Apnea?

There are different types of sleep apnea. The most common one is obstructive sleep apnea (OSA). During OSA, your airway becomes partially blocked due to relaxed muscles in your nose and throat. This causes apnea (the absence of breathing) or hypopnea (abnormally shallow, slow breathing). It’s twice as common in men, and is more likely to affect people with obesity, hypertension, diabetes or heart disease.

What are the common symptoms of sleep apnea?

Sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These temporary breathing lapses cause lower-quality sleep and affect the body’s oxygen supply, which can lead to potentially serious health consequences.

While snoring is a common symptom, not everyone who snores has sleep apnea. Interrupted sleep can cause excessive daytime sleepiness, fatigue, irritability or depression, headaches in the morning, difficulty concentrating and thinking, and a sore throat.

Which Eye Conditions Are Associated With Sleep Apnea?

Glaucoma

Glaucoma occurs when increased pressure within the eye damages the optic nerve, which connects the eye to the brain, leading to vision loss and sometimes blindness. In some cases, it might be due to a drop in blood oxygen levels, which happens when you stop breathing. However, CPAP machines, one of the most common treatments for sleep apnea, can also cause glaucoma.

So, people with sleep apnea — even if it’s being treated — need to get their eyes checked on a regular basis for glaucoma.

Floppy Eyelid Syndrome

Floppy Eyelid Syndrome (FES) is an eye condition where a person has an unusually large and floppy upper eyelid. It can cause eye redness, irritation, discharge, or blurry vision — and over 90% of people with FES also have sleep apnea.

Non-Arteritic Anterior Ischemic Optic Neuropathy

Non-arteritic anterior ischemic optic neuropathy (NAION) is an eye condition that occurs when there is a loss of blood flow to the optic nerve. Patients typically complain of significant vision loss in one eye without any major pain. Approximately 70-80% of patients with NAION have been found to have OSA.

Retinal Vein Occlusion

Also referred to as an ‘eye stroke,’ retinal vein occlusion (RVO) is a blockage of the small veins that carry blood away from the retina. A recent study of 114 RVO patients found that sleep apnea was suspected in 74% of the patients that had previously been diagnosed with RVO.

Other Eye Health Issues Associated With Sleep Apnea

Some other ocular conditions that are more common in patients with sleep apnea include: papilledema, keratoconus, and central serous chorioretinopathy. Furthermore, in addition to glaucoma mentioned above, CPAP machines are associated with dry eye syndrome and bacterial conjunctivitis.

Talk To Your Doc

Get eye exams regularly to rule out eye disorders and prevent potential vision loss, especially if you have been diagnosed with sleep apnea. At Advanced Eyecare Center in Manhattan Beach we encourage you to share your medical history with us so we can better diagnose and treat any eye conditions or ocular diseases you may have, and help you keep your eyes nice and healthy.

Frequently Asked Questions with Michael Hansen O.D.

Q: What Causes Sleep Apnea?

  • A: Sleep apnea occurs when in-part or completely stop breathing when sleeping. This causes your lungs to strain harder for oxygen, and makes the brain send signals that jerk your body awake to resume proper breathing.

Q: What are the Warning Signs of Sleep Apnea?

  • A: A common sign of sleep apnea is loud snoring. Snoring that is loud enough to disturb the sleep of the patient as well as others around, even across the walls. That said, not everyone who snores suffers from obstructive sleep apnea.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Redondo Beach, California. Visit Advanced Eyecare Center for an eye exam and eyeglasses that match your style.

What Are the Benefits of Wearing Scleral Lenses to Relieve Dry Eyes

Dry eye syndrome is nowhere near a rare phenomenon. About 5 million Americans over the age of 50 suffer from this irritating condition, complaining of itchy, stinging or painful eyes. The most common go-to for relief is usually artificial tears eye drops, but their effects are only temporary. For an alternative treatment that brings long-lasting relief, our eye doctors in Manhattan Beach and Redondo Beach recommend scleral lenses for many patients. Our practice offers comprehensive scleral lenses fittings to ensure a perfect fit.

How do scleral lenses alleviate dry eye symptoms?

There are many benefits of scleral lenses for dry eyes, which often make them a better choice for patients than soft contact lenses. Let’s look at why:

  • Constant Moisturizing – scleral lenses are constructed in a way that leaves a gap between the eye surface and the lens, which is filled with a lubricating saline solution that constantly hydrates the eye.
  • Healthy Materials – sclerals are made from high-oxygen permeable materials that promote healthy corneas. Modern materials also improve wettability of the lenses and minimize irritating protein deposits.
  • No Corneal Rubbing – because they vault over the cornea and rest on the sclera (as opposed to soft lenses), scleral lenses don’t cause corneal irritation. Also, blinking causes your eyelids to rub against your cornea. But when wearing sclerals, a protective shield is formed between your eyes and eyelids.
  • Less Eye Drops – the need for applying lubricating eye drops throughout the day is minimized. But if necessary, eye drops can still be used to enhance comfort at night after removing scleral lenses.
  • Clear Vision with More Comfort – sclerals provide crisp vision as they protect and lubricate eyes. Redness and painful dry eye symptoms are reduced or eliminated.

Do dry eyes prevent you from wearing contact lenses, disturbing your daily life with painful eye irritation? Visit our eye doctor in Manhattan Beach and Redondo Beach to discuss the benefits of scleral lenses and to book a scleral lenses fitting.

At Advanced Eyecare Center, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 310-620-1345 or book an appointment online to see one of our Manhattan Beach eye doctors.

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Are Face Masks Causing Dry Eye Symptoms?

woman wearing a mask 640Face masks and social distancing have become the first line of defense in COVID-19 prevention.

While these protective measures are essential to combating the virus’ spread, eye doctors are seeing an increase in dry eye cases among people who wear masks. If you are seeking relief, contact us.

What is Mask-Associated Dry Eye (MADE)?

Mask-associated dry eye (MADE) was first described by an ophthalmologist in May 2020 based on the higher rate of dry eye he was seeing in his practice among patients who wore masks. Patients with existing dry eye reported worsening symptoms when wearing a mask.

When a face mask doesn’t fit securely, it can push air from the nose and mouth upward, onto the eyes, causing the tear film — the liquid layer that coats the eyes’ surface — to evaporate more quickly. This leads to MADE.

Dry eye leaves the eyes feeling sore, gritty, dry and irritated. Left untreated, dry eye can cause damage to the cornea.

There are many causes of dry eye, including eye and health conditions, age, gender and certain medications. Insufficient blinking when looking at a digital device or book, poor indoor air quality and pollution can all play a role. Situations that increase how quickly the tear film evaporates can quickly and significantly dry the eye’s surface, leading to more pronounced symptoms.

What Causes Dry Eye When Wearing a Mask?

Wearing a face mask significantly reduces the spread of air when breathing out from the mouth and nose. Instead of moving out, the air moves upwards towards the eyes’ surface. This forces a stream of air over the surface of the eye, causing the tears to evaporate more quickly.

This is the same reason that eyeglasses fog up when wearing a mask.

When masks are worn for long periods of time, this repeated evaporation may lead to dry spots on the eyes’ surface.

 

How to Prevent or Alleviate MADE?

Here are some simple measures to help reduce dry eye while wearing a mask:

  1. Ensure your mask fits well, and consider taping the top edge to prevent air from rising from your mouth toward your eyes.
  2. Limit your time in air-conditioned or heated environments when possible. Also, take regular breaks from digital devices.
  3. Consult your eye doctor, who will examine your eyes and prescribe the best treatment.

Having to wear a face mask to prevent COVID-19’s spread may cause dry eye, but relief is available. Contact Dry Eye Center At Advanced Eyecare Center if you are experiencing dry eye symptoms. We will determine the underlying cause of your dry eye and offer you the best solution so you can get back to having comfortable eyes and vision.

 

Dry Eye Center At Advanced Eyecare Center serves patients from Redondo Beach, Manhattan Beach, Torrance and Palos Verdes, throughout California.

 

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