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What’s the Link Between Dry Eye and Menopause?

Dry Eye and Menopause 640Around 61% of perimenopausal and menopausal women are affected by dry eye syndrome.

During menopause, the body produces less estrogen, progesterone, and androgen, causing a variety of uncomfortable symptoms such as sweating, insomnia, and hot flashes.

Among these physical symptoms is dry eyes, characterized by dry, itchy and burning eyes.

If you’re experiencing dry eyes, contact Fusion Eye Care's Dry Eye Clinic today for effective and lasting dry eye treatment.

Biological Changes That Affect Your Eyes

During menopause, the androgen hormone decreases, affecting the meibomian and lacrimal glands in the eyelids. The meibomian glands produce the essential oils for the tears, so the reduction in oil results in increased tear evaporation and drier eyes.

When these fluid and oil-producing glands are affected, the eyelids can become inflamed, reducing tear quality and production, resulting in dry eye syndrome.

Some researchers believe that dry eye is connected to changes in estrogen levels. This explains why many women experience dry eye symptoms during certain times of a woman’s monthly cycle, or while taking birth control pills.

Symptoms of dry eye syndrome

  • Red eyes
  • Burning in the eyes
  • Itchy eyes
  • Blurred vision
  • Gritty feeling in the eyes
  • The feeling something is caught in your eye. Excessive tearing

How Is Hormone-Related Dry Eye Treated?

Because reduced hormones during and after menopause can cause meibomian gland dysfunction, treatment should be focused on reducing dry eye symptoms.

Dry eye treatments can include:

  • Artificial tears
  • Lubricating eye drops
  • Eyelid hygiene
  • Oral antibiotics
  • Corticosteroid eye drops
  • Medications that reduce eyelid inflammation
  • Punctal plugs – to reduce tear flow away from the eyes

Frequently Asked Questions with Dr. Kiarash Bassiri, OD

Q: Are there home remedies to treat dry eye syndrome?

  • A: Yes. Here are a few things you can do at home to reduce dry eye symptoms.

    Limit your screen time. People who work at a computer all day blink less, which harms the tear film. Remember to take frequent breaks and to blink.
    Protect your eyes. Sunglasses that wrap around your face can block dry air and wind.
    Avoid triggers. Irritants like pollen and smoke can make your symptoms more severe.
    Try a humidifier. Keeping the air around you moist may help.
    Eat right. A diet rich in vitamin A and omega-3 fatty acids can encourage healthy tear production.
    Warm Compress. A warm compress will improve oil flow through your eyelid glands and clean your eyelids.

Q:Can dry eye syndrome damage your eyes?

  • A: Yes. Without sufficient tears, your eyes are not protected from the outside world, leading to an increased risk of eye infections. Severe dry eye syndrome can lead to abrasions or inflammation on the cornea, the front surface of the eye. This can cause pain, a corneal ulcer, and long-lasting vision problems.

    Menopause causes many changes throughout your body. If you’re experiencing dry eye symptoms due to hormonal changes, contact Fusion Eye Care's Dry Eye Clinic to find out what dry eye treatments are available to give your eyes relief.



Fusion Eye Care's Dry Eye Clinic serves patients from Raleigh, Cary, Chapel Hill, and Durham, all throughout North Carolina.

Book An Appointment
Call Us 919-977-7480

4 Common Myopia Myths Debunked

4 Common Myopia Myths Debunked 640Myopia (nearsightedness) occurs when the eye elongates and rays of light entering the eye are focused in front of the light-sensitive retina rather than directly on it.

It’s by far the most common refractive error among children and young adults.

To help understand and learn more about what myopia means for your child’s vision, we’ve debunked 4 common myopia myths.

Myth: Myopia only develops in childhood

Fact: While it’s true that in most cases nearsightedness develops in childhood, it can also develop during one’s young adult years.

Myth: Wearing eyeglasses or contact lenses cause myopia to worsen

Fact: Prescription eyeglasses and contact lenses in no way exacerbate myopia. Optical corrections help you see comfortably and clearly. Another common misconception is that it’s better to use a weaker lens power than the one prescribed by your eye doctor. This is simply not true. By wearing a weaker lens you are contradicting the purpose of using corrective eyewear, which is to comfortably correct your vision.

Myth: Taking vitamins can cure myopia

Fact: Vitamins have been proven to slow the progression of or prevent some eye conditions, such as age-related macular degeneration (AMD) or cataracts. However, no vitamin has been shown to prevent or cure myopia. All vitamins and supplements should only be taken under the advice of your healthcare professional.

Myth: There is no way to slow the progression of myopia.

Fact: There are a few ways to slow down the progression of myopia:

Get more sunlight. Studies have shown that children who spend more time playing outdoors in the sunlight have slower myopia progression than children who are homebodies.

Take a break. Doing close work, such as spending an excessive amount of time looking at a digital screen, reading, and doing homework has been linked to myopia. Encouraging your child to take frequent breaks to focus on objects farther away can help. One well-known eye exercise is the 20-20-20 rule, where you take a 20-second break to view something 20 feet away every 20 minutes.

Other options to slow myopia progression include:

  • Orthokeratology/Ortho-k. These are specialized custom-fit contact lenses shown to decrease the rate of myopia progression through the gentle reshaping of the cornea when worn overnight.
  • Multifocal lenses offer clear vision at various focal distances. Studies show that wearing multifocal soft contact lenses or multifocal eyeglasses during the day can limit the progression of myopia compared to conventional single vision glasses or contact lenses.
  • Atropine drops. 1.0% atropine eye drops applied daily in one eye over a period of 2 years has shown to significantly reduce the progression of myopia

Prevent or slow the progression of your child’s myopia with myopia management. Contact Fusion Eye Care's Myopia Control Center to book your child’s consultation today!

Fusion Eye Care's Myopia Control Center serves patients from Raleigh, Cary, Chapel Hill, and Durham, all throughout North Carolina.

Frequently Asked Questions with Dr. Kiarash Bassiri, OD

Q: Can myopia be cured?

  • A: Currently, there is no cure for myopia. However, various myopia management methods can slow its progression.

Q: How much time should my child spend outdoors to reduce the risk of myopia?

  • A: Make sure your child spends at least 90 minutes a day outdoors.


Fusion Eye Care's Myopia Control Center serves patients from Raleigh, Cary, Chapel Hill, and Durham, all throughout North Carolina.

 

Request a Myopia Management Appointment
Want To Discuss Myopia? Call 919-977-7480

Tips For Wearing Scleral Lenses

Pretty Cheerful Woman Gesturing With Two Fingers Near Eyes. Youn

Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Fusion Eye Care's Scleral Lens & Keratoconus Center in Raleigh is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Fusion Eye Care's Scleral Lens & Keratoconus Center serves patients in Raleigh, Cary, Chapel Hill, Durham, and throughout Raleigh.

Frequently Asked Questions with Our Scleral Lenses Expert in Raleigh, North Carolina:

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


References

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How Often Does Your Myopic Child Need An Updated Prescription?

Mom Daughter Child Eye HealthEvery year you buy your children clothing without thinking about why you are doing it. You just know they have outgrown their clothes and need a new coat and certainly new shoes. This also applies to prescription glasses. When your child grows, so do their eyes.

If their eyes grow too long, they develop myopia — nearsightedness. Children whose myopia develops quickly, and/or is moderate to severe, are at a heightened risk of developing sight-threatening eye diseases in adulthood.

Changes in Your Eyes

Babies are born with eyes about 16.5 millimeters in length. When their eyes are about 24 millimeters long — at the age of 20 and 21 — they stop getting longer.

As our eyes grow larger, the way they refract light onto the retina can change, necessitating a new prescription.

During their first few years, children are mainly concerned with interacting with their surroundings, requiring them to use their intermediate and far vision. However, when the school years start, they begin to focus more intently on close-up activities like reading from books and using computers. As a result, their eyes may become more nearsighted.

School-age children can be impacted by progressive myopia, where the myopia continues to worsen throughout the school years. Their optical prescriptions can change, often dramatically, every 6-12 months

This progression in myopia continues as long as the eyes continue to grow, so as children grow, their prescription naturally changes as well.

Since most people’s eyes will stop growing in early adulthood, you will tend to see fewer changes in their prescription after the student completes high school or during their college years.

Myopia Management

If your child has myopia they will need prescription glasses. In some children, myopia progression is gradual. In others, their myopia progresses quickly, resulting in ever-higher levels of nearsightedness. Their eyeglass prescriptions need to be updated quickly.

To try and slow the progression of your child’s myopia, Dr. Kiarash Bassiri, OD may suggest a number of treatments, such as multifocal lenses and atropine drops, among others.

Atropine Drops

Atropine eye drops are most commonly used to dilate your pupils during certain eye exams. However, recent research has shown that a low-dose (0.01%) of atropine eye drops can effectively impede the progression of myopia in children. When the eye drops are applied, at bedtime, over an extended period of time, myopia progression can be reduced.

Multifocal Lenses

Multifocal soft contact lenses offer clear vision at various focal distances. Scientific evidence has shown that wearing multifocal glasses or contact lenses limits the progression of myopia compared to the standard single vision contact lenses or glasses most children wear.

At Fusion Eye Care's Myopia Control Center, we provide our patients with effective, specialized treatment to control the progression of myopia. By stopping or slowing the progression of myopia, we reduce long-term risks to best ensure that your child enjoys the world with healthy eyes throughout their life.

Fusion Eye Care's Myopia Control Center serves patients in Raleigh,Cary, Chapel Hill and Durham, throughout North Carolina.

Request a Myopia Management Appointment
Want To Discuss Myopia? Call 919-977-7480

My Eyes Feel Gritty. Is It Dry Eye?

something in my eyeWhen your eyes feel gritty it’s often due to an eyelash, a speck of dust, or a grain of sand getting caught in your eye. When this discomfort persists without an apparent reason, you could be experiencing dry eye.

Left untreated, dry eye isn’t just uncomfortable, but it can permanently damage your cornea. If you have dry eye, your eye doctor will prescribe the appropriate treatment to keep your eyes healthy and your vision clear.

What is Dry Eye?

Dry eye is a common problem caused either by insufficient tears or poor tear quality. Every time you blink, you leave a thin film of tears over the surface of your eyes. This helps keep your eyes healthy and your vision clear. If your tears don’t keep the surface of your eye moist enough, you will experience dry eye.

Symptoms of dry eye include:

  • Irritation- a gritty, scratchy or burning sensation
  • Blurred vision
  • Excessive tearing
  • A feeling of something being stuck in the eye

Causes of Dry Eye

There are many things that can cause dry eye:

  • Allergies
  • Medical conditions – Dry eye is more common in people with rheumatoid arthritis, thyroid problems, Sjogren’s syndrome, diabetes and several other conditions.
  • Environmental factors – Wind, smoke, and dry air can all cause your tears to evaporate.
  • Insufficient blinking – staring at a computer screen or a book for long periods of time can cause the eyes to blink less frequently.
  • Medications – Antidepressants, antihistamines, blood pressure medications, and decongestants can cause a reduction in tear production.
  • Ageing – As people get older they are more prone to dry eye. Women tend to be more affected than men.
  • Eyelid Conditions – Insufficient oil production from the glands in the eyelids or misshapen eyelids can lead to poor tear quality.
  • Hormonal changes

Relief from Dry Eye

As with any other form of eye discomfort, your first stop should be your eye doctor, who will thoroughly examine your eyes and eyelids to identify the underlying problem. If dry eye is suspected, your doctor may decide to assess the quality and quantity of your tears.

Depending on the exact cause of your dry eye, your doctor may prescribe artificial tears or prescription eye drops, or discuss a range of in-office procedures to address moderate to severe dry eye caused by your eyelids. Your eye doctor may also recommend wrap-around glasses to protect your eyes against irritants. Blinking more regularly, staying hydrated, and placing a humidifier in your home or office might also help.

After your initial appointment, you will want to schedule a follow-up appointment to make sure the methods you have tried are working and to prevent the progression to advanced dry eye. Advanced dry eye can cause damage to your cornea and, potentially, vision loss.


If you are experiencing eye discomfort, visit Fusion Eye Care to have your eyes examined and receive effective, lasting treatment.

Fusion Eye Care's Dry Eye Clinic serves patients from Raleigh, Cary, Chapel Hill, and Durham, all throughout North Carolina.

Book An Appointment
Call Us 919-977-7480

Annual Eye Exams & Your Health (Reminder: Use Your Benefits Before The Year’s Over!)

Keeping up with your overall eye health is very important no matter what your age. This is why it is important for both adults and children to have a comprehensive eye exam at least once every year. However, many people think that walking into their local eye glasses shop and having their eye glasses or contact lens prescription updated counts as their yearly visit. This unfortunately common misperception can have some dangerous consequences. This is why it is important to understand the difference between a Comprehensive Eye Exam, that can only be performed by a certified Optometrist like Dr. Kiarash Bassiri, OD, and a Vision Screening, which is much less thorough and does not give as deep an insight into your eye health.

As a first rule, if your spending $30-40 on an exam – you’re likely not getting the complete picture. While the price may be attractive, as with anything, you get what you pay for. These kinds of exams will test your vision and will be able to determine whether you need new glasses or contacts, but that’s about it. Comprehensive Eye Exams, by contrast, go much deeper and will tell you much more.

By contrast, a Comprehensive Eye Exam, along with testing to see if you need new glasses, we will also check for the actual health of your eye & often we’ll discuss the addition of digital photos that capture the health of your eye in complete detail. Medical records are consulted and tests are run to see if there is risk of developing any conditions that could harm your overall visual and ocular health. Among the tests performed are tests to see if there are any signs of eye disease such as glaucoma or macular degeneration, which have little or no symptoms until significant damage has already occurred. With diseases such as these, it is essential to catch them early, or else the risk of losing a significant amount of sight increases dramatically.

Besides your eye health, your overall bodily health can be detected through your eyes as well. A Comprehensive Eye Exam also includes examinations of the retina, cornea, blood vessels and nerves for any signs that might signify the onset of tumors, cancer, high blood pressure and diabetes, among other conditions that can be first detected in the eyes.

While it isn’t necessarily a bad thing to get your prescription updated from time to time while you’re passing by, it is important to know that it doesn’t count as your yearly exam. Come see us at least once a year for the full picture!

Lastly, we encourage patients who have their end of year benefits to schedule their yearly eye exam as soon as possible. This part of the year often includes a lot of last minute bookings & packed schedules, so if you have a flex spending account or health savings account, now is the time to act & call us!

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