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4 Reasons Why Scleral Lenses Are a Big Deal

happy girl wearing contact lenses 640Scleral contact lenses have been called “life-changing” and “transformative” by patients who wear them.

What makes these contact lenses so revolutionary?

What Are Scleral Lenses?

Scleral lenses are contacts that vault over the entire cornea and rest on the white part of the eye (sclera). Their diameter is much larger than standard lenses, which adds to their comfort and compatibility with hard-to-fit eyes.

Here’s why they’re gaining popularity in the contact lens world and why patients and doctors are calling sclerals a big deal.

1. Sclerals are Ideal for People with Corneal Irregularities or Dry Eyes

There was a time when patients with corneal irregularities or severe dry eye syndrome weren’t able to wear contact lenses at all, due to the discomfort associated with direct corneal contact. Nowadays, patients with keratoconus, other corneal aberrations or dry eye can successfully wear scleral contact lenses and enjoy comfortable and crisp vision.

Scleral lenses are also great for patients with corneal dystrophy, high astigmatism, Sjorgren’s syndrome, corneal trauma and corneal ectasia, or who have undergone cataract surgery.

2. They’re Completely Custom-Made

Each pair of scleral contact lenses is custom-designed to gently and securely rest on your unique eyes. The fitting process for scleral lenses starts with corneal topography, where the optometrist creates a digital map of your eye’s surface. This information is then used to customize your perfectly fitted pair of sclerals.

3. They Offer Optimal Visual Clarity and Comfort

The liquid reservoir that sits between the lens and the eye helps enhance the visual optics of the lens. Moreover, scleral lenses are made of very high-grade materials and don’t place any pressure on the cornea, delivering ultimate all-day comfort. Many patients have reported that they comfortably wear sclerals for up to 14 hours a day, which is longer than the wear time for standard soft contact lenses.

4. They Promote Eye Healing

Scleral contact lenses protect the eye by surrounding it with an oxygen-permeable, liquid-filled chamber. This hydrating environment gives the eye the moisture and oxygen it needs to stay healthy and ward off outside irritants.

This can also explain why scleral lenses promote healing of the eye’s surface, whether after a corneal transplant or when recovering from a chemical burn or other eye injury.

If you or a loved one have been diagnosed with a corneal condition that prevents you from wearing standard lenses, consider scleral lenses. To schedule an appointment or to learn more, call Dolman Scleral Lens Centre in New Hamburg today!

Dolman Scleral Lens Centre serves patients from Kitchener & Waterloo region, Cambridge, Guelph, Stratford and throughout Ontario.

Frequently Asked Questions with Dr. Howard Dolman

Q: #1: How long do a pair of scleral lenses last?

  • A: Scleral lenses can last 1-2 years before requiring replacement. Your optometrist will provide you with instructions on how to wear and care for your lenses to keep them feeling fresh and clean, day in day out.

Q: #2: Are scleral lenses expensive?

  • A: Just like any other customized product, scleral lenses tend to be more expensive than standard soft contact lenses. Although they have a higher price point, most patients who wear them will tell you that their comfort, visual clarity and stability make them worth the cost.


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Why Does Outdoor Time Delay Or Prevent Myopia?

outdoor children 640Now that myopia (nearsightedness) is reaching epidemic proportions across the globe, it’s all the more important for parents to understand how myopia can impact their child’s future, and learn which actions they should take to protect their child’s eye health in the long run.

You see, myopia isn’t simply an inconvenience. Childhood myopia raises the risk of developing vision-robbing diseases like macular degeneration, cataracts, glaucoma, retinal detachment and diabetic retinopathy later in life.

Myopia develops as the eye elongates more than it should, causing light to focus in front of the retina instead of directly on it. This manifests as blurred distance vision and clear near vision.

While myopia is caused by a combination of circumstances, including genetic and environmental, a key factor comes down to the amount of time a child spends outdoors in the sunlight.

How Does Outdoor Play Affect Myopia?

Although researchers haven’t yet pinpointed exactly why “sun time” prevents or delays myopia, almost all agree that it plays a large role.

One possible reason is correlated to the brightness of the sun. Some experts have found that the intensity of the sun’s rays triggers a dopamine release in the retina which is thought to slow down the elongation of the eye.

Another theory holds that outdoor time encourages a child to shift their gaze from near objects to faraway ones. Excessive near work, like staring at a digital screen, is believed to be a driving force behind the stark increase in myopic individuals today.

Sending a child outdoors to play gives their eyes a break from focusing on their tablets, smartphones, homework, gaming and other near work.

Additionally, spending more time in the sunshine means more Vitamin-D production. Small-scale studies have found nearsighted people have lower levels of Vitamin D than those with normal eyesight. However, more research is needed to confirm this theory.

Here’s the Bottom Line

Childhood myopia increases the risk of developing sight-threatening eye diseases later in life. Parents should be proactive about their child’s eye health and do what they can to prevent myopia from developing or progressing at a rapid rate.

Even if your child doesn’t have myopia, encouraging them to play outdoors for several hours a day has been found to prevent the onset of myopia in certain instances.

So go ahead and give your child a water bottle, sunscreen, a pair of sunglasses—and send them out to play! Children aged 6 and up should spend about 2 hours daily outside in the sunshine.

But sun time alone isn’t enough to ensure the best possible outcome for their eye health. A myopia management program can help give your child the best odds of healthy vision for a lifetime.

To learn more about the myopia treatments we offer and schedule your child’s myopia consultation, call Dolman Myopia Control Centre today!

Frequently Asked Questions with Dr. Howard Dolman

Q: #1: What is myopia management?

  • A: Myopia management is the science-based method used to slow or halt the progression of myopia. There are several options available, and your optometrist will sit down with you and your child to discuss which treatment option is most suitable for your child’s needs.

Q: #2: Who can benefit from myopia management?

  • A: Myopia management treatments have been approved for children as young as 8 and can be used until early adulthood. Myopia management is great for children with low myopia but can also be effective for slowing myopia progression in kids and teens with moderate to high myopia. Contact us to find out whether your child is a candidate for myopia management.

Dolman Myopia Control Centre serves patients from Kitchener & Waterloo region, Cambridge, Guelph and Stratford, all throughout Ontario.

 

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Can Drinking Coffee Relieve Dry Eyes?

Can Drinking Coffee Relieve Dry Eyes 640Many of us enjoy a cup or two of coffee in the morning to keep our eyes awake and mind alert. But what else can caffeine do for our eyes?

If you suffer from dry eye syndrome (DES), characterized by dry, itchy and red eyes, you may have been advised by a friend or doctor to steer clear of caffeinated coffee due to its diuretic effect. Caffeinated beverages increase the frequency of urination, which leads to water loss. Yet some research suggests that a cup of caffeinated joe might actually promote tear production.

Below, we’ll explore scientific research that studies the relationship between caffeine consumption and tear film.

What is Dry Eye Syndrome?

  • Dry eye syndrome (DES) is an eye condition characterized by dry, stinging, red, itchy eyes. It can be caused by several factors: poor tear quality, insufficient tears, allergies, environmental irritants and excessive digital screen time. Left untreated, DES can lead to corneal damage and scarring and even permanent vision loss in severe cases.
    Certain foods and beverages have been shown to improve the symptoms of DES, like fish high in omega 3s, leafy greens, seeds, nuts, and…possibly coffee.

How Does Caffeine Consumption Impact Dry Eye Syndrome?

  • Caffeine contains a chemical called xanthine, which has been shown to stimulate tear production when applied topically to the eye. As yet, there is insufficient published research to confirm that ingesting xanthine provides the same tear-producing effect, though preliminary studies seem to suggest that it does.


A study published in Optometry and Vision Science found that drinking caffeinated beverages significantly increased tear production after 45-90 minutes. Interestingly, age, gender and body mass had no bearing on the outcome.

Another study, published in Ophthalmology, found similar results. Researchers measured the participants’ tear film twice: once after consuming caffeine and once after drinking a placebo. Their tear film was thickest after consuming caffeine, especially in those with a specific genetic makeup.

While both of these studies showed promising results, they didn’t include enough participants to accurately project the findings onto the general population.

If You Have Dry Eye Syndrome, We Can Help

Finding relief from dry eye syndrome relies on understanding the root cause of your symptoms. Only your eye doctor can diagnose the problem and determine the best treatment for you, whether in the form of medicated or lubricating eye drops, in-clinic treatments, personalized eye hygiene products like eyelid cleansing wipes, nutritional supplements and more.

For long-lasting relief from dry eye syndrome, schedule your dry eye consultation with Dolman Dry Eye Centre today.

Dolman Dry Eye Centre serves patients from Kitchener & Waterloo region, Cambridge, Guelph, and Stratford, all throughout Ontario.

References

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Masks Can Cause Dry Eye Symptoms

How do masks lead to dry eyes?

The phenomenon of masks leading to dry eye is so widespread that a name for the condition has already been coined by some eye care providers: “Mask-associated dry eye,” or “MADE.” At our eye clinic near you, we’ve been seeing an increasing number of patients who visit due to stinging eyes, redness, and blurred vision – all classic signs of dry eye syndrome. While dry eye syndrome has always been a common reason to book an appointment with our optometrist near you, what’s new is that the dry eye symptoms seem to be caused by wearing masks.

How can you prevent your mask from causing dry eye irritation? near you in New Hamburg, Ontario

The phenomenon of masks leading to dry eye is so widespread that a name for the condition has already been coined by some eye care providers: “Mask-associated dry eye,” or “MADE.” At our eye clinic near you, we’ve been seeing an increasing number of patients who visit due to stinging eyes, redness and blurred vision – all classic signs of dry eye syndrome. While dry eye syndrome has always been a common reason to book an appointment with our optometrist near you, what’s new is that the dry eye symptoms seem to be caused by wearing masks.

If you’re wearing a mask and eyeglasses, every time you breathe it fogs up your lenses. Then they defog, only to fog up again with your next breath. Steamed-up glasses and the onset of dry eye symptoms is an emerging condition to be aware of. The main reason for promoting awareness of MADE is not to encourage anyone to stop wearing a mask, but rather, it’s to help people manage the eye irritation that may result – while continuing to don face masks.

When you breathe, you expel air over the top of your mask. This air flows over the surface of your eyes and can dry out the tear film that coats and lubricates your eye surface. It also speeds evaporation of tears.

In general, our eye doctor near you has found that mask wearing doesn’t trigger the onset of dry eye syndrome in people who don’t have it. Instead, it can worsen symptoms in people who already have the condition or are at high risk for it – such as people who spend a lot of time staring at computer screens. Nowadays, with all the working-from-home and Zoom meetings that occur, most people fall into the category of “at risk” for dry eye syndrome.

  • Make sure your mask fits properly. A poorly fitting face covering increases the chances that exhaled air escapes from the top opening and flows over your eyes. Push the metal strip at the top margin of your mask so it fits snugly over the contour of your nose and cheekbones, blocking airflow.
  • Avoid rubbing your eyes. This habit can lead to a long list of problems, including micro-scratches in your cornea and swelling that can exacerbate the symptoms.
  • Don’t ignore dry eye symptoms. Pay attention to how your eyes feel and seek effective treatment, such as lubricating eye drops, from our optometrist near you.

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

Book an eye exam at Dolman Eyecare Centre eye clinic near you in New Hamburg, Ontario to learn more about your candidacy for contact lenses and which type is right for you. Call 844-823-6594

Dolman Eyecare Centre, your New Hamburg eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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

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

  • What are the typical treatments used to help people suffering from Dry Eyes?

    Treatment for dry eye varies due to the severity and stage of the disease. Artificial tears can be helpful in the early stages. If artificial tears are not sufficient, we progress to a prescription medication such as Restasis or Xiidra. Also, lid hygiene, as well as omega-3 fish oil supplementation, can improve symptoms. Anti-inflammatory medications as well as punctal plugs are also available if needed for treatment.

  • Are there any day to day activities that can cause Dry Eye?

    Certainly, age, gender, and medications can be causative factors, but so can the work environment (dry offices or factories), weather/seasons, and
 geographical location.

  • How do I know if I have Dry Eye?

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

Exercise Helps Keep Your Eyes in Shape Too!

Dolman Eyecare Centre An Active Body is Linked to Healthy Eyes near you in New Hamburg, Ontario

You know all about how regular exercise strengthens your heart and lungs, as well as boosts your energy. Did you also know it can promote healthy vision? Remember, your body is one interconnected unit, and every organ benefits from getting a workout. Our Eye doctor near you in New Hamburg, Ontario explains how physical activity helps to preserve your quality vision.

The Importance of Preventive Health Care near you in New Hamburg, Ontario

A variety of scientific studies have confirmed that regular exercise can reduce the risks of common eye diseases, such as glaucoma, cataracts, and age-related macular degeneration. The effects of exercise on your quality of life are therefore far-reaching, helping to prevent visual impairment and blindness. Sharp vision is intricately connected to your physical and mental health, enabling you to work and enjoy all the activities you love to do.

When assessing risk factors for ocular disease, eye care providers focus on a holistic view of the person. Eye health can be related to your overall health, with conditions such as high blood pressure, high cholesterol, and diabetes being risk factors for vision loss.

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

How Much Exercise Is Recommended?

At our eye clinic near you in New Hamburg, Ontario, patients constantly ask about the bottom line: how much is enough exercise to reap the eye health benefits? According to the American Academy of Ophthalmology, you don’t need to run a marathon. Leading an active lifestyle, such as taking brisk walks, climbing up the stairs instead of using the elevator, and dancing can have a positive impact on eye health. In many cases, these types of exercise are enough to help lower blood pressure and keep blood sugars in control, which in turn helps prevent vision damage.

The Importance of Preventive Health Care

  • Along with exercising and maintaining a healthy, nutritious diet, the team at our eye care center near you encourages everyone to follow these preventive tips to keep your vision healthy:
    Get routine eye exams so your eye doctor can inspect for any early signs of disease, which will allow you to receive treatment as early as possible. Early detection is essential for effective treatments to slow or prevent damage to your vision.
  • Know your family eye history and share the facts with your eye doctor.
  • Wear sunglasses whenever you’re outdoors, regardless of the season. Dangerous UV rays are always out there.
  • Don’t smoke; smoking increases your chances of developing age-related macular degeneration and cataracts.
  • Eat nutritiously, including fruits and vegetables and foods high in omega-3 fatty acids, such as salmon.

Book an eye exam at an eye clinic near you to learn more about your candidacy for contact lenses and which type is right for you.

Dolman Eyecare Centre, your New Hamburg eye doctor for eye exams and eye care

Alternatively, book an appointment online here CLICK FOR AN APPOINTMENT

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I see fine. Why do I need to see an Eye Doctor?

Regular eye exams are the only way to catch “silent” diseases such as diabetes, glaucoma, and other conditions in their early stages when they’re more easily managed or treated. Many conditions can be discovered in a carefully planned eye exam. Those who consider mass-produced, over-the-counter reading glasses are truly doing themselves a disservice, both financially and medically. One-size-fits-all reading glasses not only do not work well for most people who have a different prescription in each eye, and/or astigmatism, or whose lens and frame parameters are not measured correctly, they bypass the opportunity to have their eyes checked for early detection of many manageable diseases or conditions. For those insisting on selecting glasses not measured specifically for their eyes, headache and eye fatigue are common symptoms.

What are cataracts and how can they be treated?

Cataracts are a clouding of the lens inside the eye. They are common with age, certain medications, and medical conditions. Patients usually feel like they are looking through a dirty window, cannot see colors the way they used to, or have increased difficulty with glare. Currently, the treatment is surgery to remove the cloudy lens. Stay tuned for medical advances in cataract treatment in the future!

What exactly is glaucoma?

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

Is it possible to prevent Macular Degeneration?

Regular eye exams are the only way to catch “silent” diseases such as diabetes, glaucoma, and other conditions in their early stages when they’re more easily managed or treated. Many conditions can be discovered in a carefully planned eye exam. Those who consider mass-produced, over-the-counter reading glasses are truly doing themselves a disservice, both financially and medically. One-size-fits-all reading glasses not only do not work well for most people who have a different prescription in each eye, and/or astigmatism, or whose lens and frame parameters are not measured correctly, they bypass the opportunity to have their eyes checked for early detection of many manageable diseases or conditions. For those insisting on selecting glasses not measured specifically for their eyes, headache and eye fatigue are common symptoms.

Living With Keratoconus | Kenneth’s Story

Kenneth’s Story 640From the time Kenneth was 11 years old, he wore glasses to correct his quickly deteriorating vision. He was always forced to sit at the front of the classroom and felt embarrassed by it. This time in his life marked the beginning of seemingly endless visits to various eye doctors to try and figure out what was causing his vision problems.

Four years later, at the age of 15, Kenneth was diagnosed with keratoconus, a progressive eye disease that affects the shape and condition of the cornea. Kenneth was referred by his ophthalmologist to an optometrist who [specializess] in treating keratoconus.

The optometrist explained that keratoconus is a condition that causes the cornea to thin and bulge out in a cone-like shape, leading to visual impairment. The early stages of this progressive eye disease usually cause mild to moderate vision problems that can be corrected with eyeglasses. But as the cornea’s shape continues to distort, glasses are no longer suitable and rigid contact lenses must be prescribed.

The optometrist prescribed rigid gas permeable contact lenses, which significantly improved Kenneth’s vision. But Kenneth sometimes found his contacts hard to manage, and even uncomfortable at times. People would tell him to just ‘switch back to glasses’ and ‘stop wearing the lenses if they give you so much grief.’

That wasn’t possible. He simply couldn’t see without the contacts.

Thankfully, before Kenneth’s condition progressed to the point where cornea surgery was required, new technology gave him fresh hope.

At the age of 20, Kenneth was fitted for scleral contact lenses for the first time. The day of the fitting was an emotional one for him and his family, as he was truly able to see the world around him in detail—and with great comfort.

Kenneth walked out of the optometrist’s practice, looked around, and saw leaves on the trees for the first time in 5 years. Prior to this, his perception of trees were brown stumps with green shrubbery—but never leaves.

He noticed that the cars driving past him on the street looked astonishingly clean. Nothing seemed faded anymore. Colors were vivid, lines were sharp.

The detail and clarity of each object were genuinely overwhelming for him. His mom, who also suffers from keratoconus, was overcome with emotion as she watched her son visually experience his surroundings in a whole new way.

From that day forward, Kenneth’s life changed drastically. His scleral contact lenses enabled him to function normally and achieve his goals. Wearing his sclerals allows him to work, exercise, socialize and be his authentic self.

Kenneth confesses that when he doesn’t wear his sclerals, his entire personality changes. He becomes timid, quiet and apprehensive.

Having keratoconus will no longer hinder Kenneth from living his best life, and it doesn’t have to hinder you or an affected loved one.

To a person with corneal disease, scleral lenses can be truly life-changing. If you or a loved one has keratoconus or other corneal irregularities, contact Dolman Scleral Lens Centre today.

Dolman Scleral Lens Centre serves patients from Kitchener & Waterloo region, Cambridge, Guelph, and Stratford, all throughout Ontario.

Q&A

Q: #1: How do scleral lenses work?

  • A: Scleral contact lenses are hard lenses that have a much larger diameter than standard soft contact lenses. They vault over the entire cornea and rest on the sclera (the white of the eye) so that no part of the lens is touching the cornea itself. The lens holds a reservoir of soothing and nourishing fluid between the eye and the lens, providing the best in visual clarity and comfort.

Q: #2: What other conditions do scleral lenses help with?

  • A: Any patient with irregular corneas can benefit from scleral lenses. They’re also suitable for patients with severe dry eye syndrome, as the fluid reservoir helps maintain comfort and ocular hydration. They’re also great for patients with very high refractive errors (high myopia, hyperopia, or astigmatism). Speak to your eye doctor if you think scleral lenses may be right for you.


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5 Vision Therapy Myths Debunked

5 Vision Therapy Myths 640There’s a lot of misinformation out there, especially when it comes to vision therapy — a customized program that trains the eyes and brain to work together more effectively and efficiently.

We are here to dispel those myths.

5 Myths and Facts about Vision Therapy

1. Myth: Vision therapy is just for children

Fact: People of all ages can benefit from vision therapy.

Although vision therapy is widely prescribed for younger patients, many adults have benefited from a personalized vision therapy program. That’s because the basis of vision therapy is neuroplasticity — the brain’s ability to change and learn new habits.

Your brain is capable of forming new neural pathways throughout your entire life, so vision therapy can be effective at any age.

2. Myth: Vision therapy isn’t based on scientific research

Fact: There are numerous scientific studies that prove the effectiveness of vision therapy, funded and published by the National Eye Institute (NEI).

In fact, according to several studies, vision therapy is the most effective treatment for the most common binocular vision problem, convergence insufficiency. Research also supports the efficacy of vision therapy when it comes to lazy eye (amblyopia), eye turn (strabismus), and difficulties related to reading and learning.

3. Myth: All vision therapy is the same

Fact: No two vision therapy treatments are alike. Each patient’s condition is unique and is treated accordingly.

Vision therapists use a host of different exercises, devices, computer programs, lenses, prisms, and other equipment for treatment. Your optometrist will decide which options will benefit your condition.

4. Myth: Eye surgery is the only option for treating eye misalignment

Fact: While surgery may help the eyes appear more aligned, it can’t fully improve binocular function.

In other words, surgery corrects the physical problem of alignment but doesn’t teach the eyes and brain to work together. That’s why vision therapy is often recommended for patients who have had strabismus surgery or are considering it.

5. Myth: I don’t need vision therapy, I have 20/20 eyesight

Fact: Vision therapy has little to do with eyesight, and everything to do with how your eyes function.

Even a person with 20/20 eyesight can have poor tracking skills, eye movement skills, depth perception, and other visual deficits.

In fact, you may have poor visual skills and not even know it. If you experience symptoms like headaches, dizziness, nausea, eyestrain, or difficulty with concentrating and reading, it may be time to have your vision evaluated by a vision therapist to identify any underlying problems related to your visual skills.

To schedule a functional vision evaluation for you or your child, call KW NeuroVision today!

KW NeuroVision serves patients from Kitchener & Waterloo region, Cambridge, Guelph, Stratford, and throughout Ontario.

Frequently Asked Questions with Dr. Howard Dolman

Q: #1: What is vision therapy?

  • A: Vision therapy is a program of [curtomized] eye exercises that are performed in-office with an at-home component as well. Vision therapy helps develop the visual system and trains the eyes and brain to work in unison. Duration of treatment varies from patient to patient, as each person responds differently. Speak to us to learn more about what we offer and how we can help.

Q:#2: Is vision therapy covered by insurance?

  • A: Vision therapy may be covered under major medical insurance plans (vision therapy is most often applied to a medical policy as opposed to a vision policy). However, certain insurance companies may deny or place severe limits on coverage for vision therapy as a cost-saving measure. When sorting out the insurance details for vision therapy, it’s important to know what questions to ask of your insurance agent or workplace HR department.


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4 Ways Vision May Be Affected Following A Stroke

headache womanAbout 2 in 3 stroke survivors live with some degree of visual dysfunction following the stroke. Although all brains are different and everybody reacts differently, 4 major categories of vision loss can be caused by a stroke.

A stroke can damage any segment of the neural pathway that connects the eyes to the brain or a section of the brain that processes the images the eyes send it. Damage to either area can lead to vision loss.

Stroke-related vision problems can make daily living a challenge, but there is hope for stroke survivors who suffer from visual symptoms.

In honor of World Stroke Awareness Month, we’ll explore 4 types of stroke-related visual problems, and how KW NeuroVision can help.

1. Visual Field Loss

A stroke can damage certain areas of the brain responsible for either central or peripheral vision, causing a portion of the visual field to be lost, causing vision to be ‘blacked-out’ or have ‘blind spots.’

In most cases, the same area of the visual field is lost in both eyes. This condition is called homonymous visual field loss, meaning a person may not be able to see the right or left side of their visual field from each eye.

Affected individuals may have difficulty with reading and may bump into things located in their blind spots.

2. Visual Processing Difficulties

Sometimes, a person may be able to see everything in their visual field but will have problems processing that visual information. For example, they may have the ability to see another person’s face, but might not recognize it. They may also have difficulty identifying or interacting with common objects, affecting daily tasks such as making a cup of coffee.

Visual neglect is the most common type of visual processing problem. People with this condition aren’t aware that they aren’t seeing people or objects on the right or left side of their visual field.

3. Eye Movement Problems

A stroke can damage the delicate nerves that control the eyes’ movements. A person who cannot control their eye nerves may have difficulty moving their eyes in order to shift their focus from one object to the next or have trouble tracking moving objects.

Nystagmus (involuntary and rapid eye movements) is also a possible complication of ocular nerve damage.

If only one eye is affected, the patient will usually experience double or blurred vision. Whether one or both eyes are affected, poor depth perception can result from eye movement dysfunction.

4. Dry Eye Syndrome

Stroke-related muscle weakness is common, especially in the eyes and face. If this occurs, the eyelids may not be able to fully close during blinking or while asleep. This can lead to dry eye syndrome, causing symptoms like red, itchy, watery, burning eyes and light sensitivity.

Fortunately, many of these post-stroke visual symptoms are treatable with neuro-optometric rehabilitation therapy.

A customized neuro-optometric rehabilitation therapy program can help you return to your normal routine, or at least make daily life less challenging.

If you or a loved one have suffered a stroke, speak with Dr. Kimberly Dolman about getting your vision evaluated to identify deficiencies in the visual system. If a problem is found, we’ll help guide you through all of your treatment options for the best possible outcome.

To schedule your appointment or to learn more about what we offer, call KW NeuroVision today.

serves patients from Kitchener & Waterloo region, Cambridge, Guelph, Stratford, and throughout Ontario.

Frequently Asked Questions with Dr. Howard Dolman

Q: #1: What is neuro-optometric rehabilitation therapy?

  • A: Neuro-optometric rehabilitation therapy is a tailor-made program of visual exercises that train the eyes and brain to work together. Treatment can also include specialized lenses, prisms, and filters.

Q: #2: What other conditions can neuro-optometric rehabilitation treat?

  • A: Neuro-optometry can help patients with visual problems due to traumatic brain injury, stroke, physical disabilities and neurological conditions. A neuro-optometrist can help treat binocular vision disorders (BVD), strabismus, diplopia, oculomotor dysfunction, accommodation and convergence problems, and traumatic visual acuity loss.


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Why Computer Use Can Cause Dry Eye & Eye Strain

Long Term Computer Use 640Nearly 60% of the Western world use some kind of digital device — a phone, computer, tablet, TV — for at least 5 hours a day. All that screen time can result in eye irritation and dryness. In fact, dry eyes and eye strain have become so common that researchers have coined a name for it: computer vision syndrome (CVS).

What is Computer Vision Syndrome?

Computer vision syndrome (CVS) is an eye condition commonly experienced after staring at a computer screen, at arm’s length or closer, for an extended period of time. It is characterized by eye strain and dry eyes.

Because more people work and study at home as a consequence of the COVID-19 pandemic, eye doctors are reporting a significant rise in the number of adults and children exhibiting these symptoms.

The symptoms of CVS include:

  • Red, watery eyes
  • Burning or stinging eyes
  • Sensitivity to light
  • Blurred vision
  • The feeling of having something in your eyes

Computer vision syndrome symptoms are similar to those found among dry eye syndrome sufferers, a condition that also tends to develop as a result of extended computer use when blinking is reduced. Blinking is critical for good eye health as it rejuvenates the tear film on your eyes, ensuring constant hydration and protecting them from damage.

5 Tips to Prevent CVS

Luckily, computer vision syndrome can be effectively managed with a few simple adjustments to your screen time.

  1. Take regular breaks. Follow the 20-20-20 rule to prevent staring at your screen for too long. Take a break from your computer or device for 20 seconds, every 20 minutes, and look at something at least 20 feet away.
  2. Adjust your angle. Make sure your screen is 20-28 inches from your eyes and that the center of the screen is 4-5 inches lower than eye level.
  3. Use a cool-air humidifier. A humidifier adds moisture to the air and prevents your eyes from drying out.
  4. Reduce glare. Your eyes work harder to read when there is glare reflecting off your screen. Make sure your screen is positioned in a way that prevents glare from windows and lighting. You can also add a glare filter for eye comfort.
  5. Get computer glasses. Computer glasses allow your eyes to focus on a computer screen with less effort and the blue-light filter may also reduce exposure to potentially harmful blue light emitted by digital devices.

By taking regular breaks from your screen, you give your eyes and body a much-needed rest. To learn more about computer vision syndrome and to receive treatment to alleviate dry eye symptoms and eye strain, contact Dolman Dry Eye Centre.

 

Frequently Asked Questions with Dr. Howard Dolman

 

Q: What’s the link between staring at a computer screen and dry eye?

  • A: Staring at a computer screen can reduce the number of times a person blinks by 30%. That’s problematic because blinking is essential for lubricating the eyes and keeping the protective tear film that covers the eye intact. If you find your eyes becoming irritated or uncomfortable at work, try to blink more, especially while using the computer and reading.

Q: Can blue light glasses help avoid computer vision syndrome and dry eye?

  • A: Spending long periods of time on a computer or device can negatively affect your eyes, potentially leading to computer vision syndrome and dry eye. Symptoms include blurred or double vision, headaches, eye strain, eye fatigue, sleep disruptions, and dry eyes. Computer glasses offer blue light protection by reducing the dangerous effects of blue light and the risks of computer vision syndrome.


Dolman Dry Eye Centre serves patients from Kitchener & Waterloo region, Cambridge, Guelph, and Stratford, all throughout Ontario.

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What’s The Link Between Obesity And Age-Related Macular Degeneration?

senior woman macular degeneration 640It’s well known that obesity is a risk factor for developing serious health conditions like diabetes and cardiovascular disease. Now researchers are studying whether being obese raises the risk of age-related macular degeneration (AMD) — a leading cause of blindness in adults over the age of 60.

What’s Age-Related Macular Degeneration (AMD)?

AMD is a progressive eye disease that damages the center of the retina, called the macula. The macula is responsible for the central vision that focuses on detail. As it deteriorates, patients may notice blurry or dark spots in their central visual field. This can make it difficult to read, drive and recognize faces.

Other symptoms of AMD are distorted vision, difficulty adjusting from bright settings to dim ones, and colors appearing dull.

There are two forms of the disease: wet and dry.

Dry AMD is much more common and less severe than wet AMD, which usually sets in quickly and progresses more aggressively. Both forms can lead to legal blindness, but treatments can help slow their progression and minimize vision loss.

If you or a loved one has been diagnosed with AMD or experience any of the above symptoms, call and ask how we can help preserve your vision.

Does Obesity Affect AMD?

Researchers are investigating whether there is a link between obesity and AMD.

Some studies suggest that people with a BMI over 30 have double the risk of developing age-related macular degeration than those with a lower BMI.

However, a study published in the journal Retina found that obesity was a predictor for the development of late-stage AMD. In simpler terms, being obese accelerated AMD progression in those who had it or were at a higher risk of developing this serious eye disease.

Another study, published in BMC Ophthalmology, supports these findings. Obesity was found to be a significant factor in the development of late-stage AMD, but this study also showed that age, smoking, and a family history of AMD are higher predictive factors.

What’s the Bottom Line?

These studies indicate that maintaining a healthy weight may lower the risk of late-stage AMD.

To reduce your risk of developing AMD, or to slow its progression, we recommend you quit smoking, eat more leafy greens and ask your eye doctor about the potential benefits of taking a supplement called AREDS 2.

If you or a loved one has received a macular degeneration diagnosis, it can be scary — but we are here for you. Our team of highly trained eye doctors can provide you with cutting-edge treatments in a warm and friendly atmosphere.

Whether it’s AMD or any other eye health problem, can help. Call today to schedule your consultation.

serves patients from Kitchener & Waterloo region, Cambridge, Guelph, Stratford, and throughout Ontario.

Q&A

Q: #1: What treatments are available for AMD?

  • A: Although there isn’t yet a cure for AMD, treatments can help slow it down and even reverse eye damage. Treatment include eye injections, laser therapy, and vitamins. Your eye doctor will determine which treatment option is right for you.

Q: #2: How common is age-related macular degeneration?

  • A: Unfortunately, AMD is the most common cause of vision loss in people over the age of 60, affecting about 196 million people around the world. That number is expected to double, to over 400 million people by the year 2050. AMD is a leading cause of permanent vision loss and blindness across the globe.