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COVID-19 Office Updates

We are planning to reopen the office on 5/11. We will also start to see regular exam patients starting 5/18. We will be implementing a number of safety protocols listed below:

— All doctors and staff will be wearing protective masks, face shields, and gloves.

— To keep with social distancing, we are looking to de-densifying the office by limiting the number of patients in the office at a time

— The patients will wait in their car until we call to notify

— All patients are required to wear their own masks and gloves.

— We will be checking patients' temperature that enters the office.

— We have improved our personal protection protocols to protect our patients and our team to an even higher standard of care, as this is our highest priority.

— Once a patient arrives, we ask that they call us from their car and we will notify them once their medical provider is ready.

— Family members or caregivers accompanying the patient will be kindly asked to wait in the car. Only in necessary cases will a family member or caregiver be allowed to accompany the patient, but it will be limited to one person. 

— All testing and exam rooms will be extensively sanitized between each patient visit.

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November 10 is World Keratoconus Day

World Keratoconus Day FB Post
November 10 will be the fourth annual World Keratoconus Day. Keratoconus is an eye disease in which the eye bulges and its shape becomes less spherical, leading to potentially significant loss of vision. Symptoms can also include sensitivity to light and red, puffy eyes.

Sometimes, a cornea transplant is required in order to treat the eyes. Often, however, patients will make use of specialty lenses (such as scleral lenses, rigid gas permeable lenses, and hybrid lenses) or cross-linking (a minor procedure involving eye drops and ultraviolet light) to obtain the clearer vision. Regular contact lenses are often too ineffective and uncomfortable for patients with keratoconus to use.

Modern research is showing that keratoconus may be far more common than we had believed. It affects those of all ethnic groups and genders, usually manifesting itself in early adulthood. People from communities worldwide experience life with keratoconus, and Santa Clara is no different.

At Eye Boutique Optometry, we offer treatment to keratoconus patients from the greater community. Being very familiar with the challenges of life with keratoconus, we join together with friends around the globe in celebrating Keratoconus Day. This annual event is a great opportunity to raise awareness of keratoconus and the treatments available to those who have it.

If you or a loved one would like to be examined for keratoconus and other eye conditions or to discuss treatment options, call us or schedule an appointment. Click here to learn more about keratoconus and the treatments we offer for it.

Blinking and Dry Eye: The Clear Connection

Dry Eye Syndrome Affects Your Blinking

Ever notice that when you blink your eyes, your vision goes out of focus?

Blurry vision does not necessarily mean that you need new glasses. In fact, a very common cause of blurry vision is called dry eye syndrome. Often confused with eye allergies, when your eyes fail to produce tears with the right balance of oils, here eyes can become irritated, red, and even itchy. Over time, this can, in a severe case of dry eye, even affect your vision and make things blurry.

Nearly every week, Eye Boutique Optometry sees patients who complain about the following:

  • Driving at night is difficult
  • Very light-sensitive
  • Glare from bright lights can be painful
  • Eyes are constantly red
  • Watery eyes are teary eyes
  • Continuous eye rubbing

While not everybody suffers from dry eye syndrome, there are certainly a number of shared symptoms that can indicate dry eye. One of the telltale signs, however, is when you blink and your vision goes to the focus. Because your vision is dependent on the quality of your tears, any imbalance will tend to disrupt the way your eyes can focus and receive light.

Dry Eye Specialist – Eye Doctor in Santa Clara

If you have noticed any of the following symptoms such as blurry vision or red eyes, schedule an appointment at Eye Boutique Optometry for a complete eye exam and dry eye evaluation.

Your Child’s Eye Exam & Their Future

Preparing for school means new school supplies, meeting new friends and teachers, and ensuring your child visits their eye doctor for an eye exam. Although schools may offer vision screenings within a few weeks or days of the new school year to ensure a child doesn’t struggle with poor visual acuity, none of the staff or even trained nurses check for visual problems, such as binocular vision and accommodative eye skills that play a significant role in near vision. Children who develop reading problems may have passed vision screenings yet were never examined by a professional optometrist.

Another benefit of coming to our practice is that we specialize in myopia management. Traditionally, the only way to handle nearsightedness or myopia progression in a child is to increase the prescription, often resulting in thicker glasses. Over a few years, a child will end up jumping from a low prescription of -.5 or -1 to a high prescription of -3 or worse! Unfortunately, high myopia has been identified as a lead cause for eye disease in old age, such as macular degeneration, cataracts, glaucoma, and even retinal detachment. A person can be 3-4x at risk for eye disease from having a prescription of -4 compared to someone with a low prescription.

Why does myopia cause eye disease?

Although LASIK surgery can help you see without eyeglasses, once a person’s eyes have worsened to a low prescription, the shape of their eye has elongated to a point that leaves the retina in a precarious state. Laser vision correction merely corrects the surface of the eye, but without preventing myopia progression, the damage has already been done. Therefore, the only way to safely secure one’s vision from greater risk is myopia management, in other words, taking steps to stop progression in its tracks.

What should a parent consider for their child’s next year at school?

Come to our practice and schedule an eye exam with our eye doctor, Dr. Somi Oh and Dr. Hung Sun Chung. We’ll not only evaluate the child’s complete eye health, but we’ll guide on the proper steps to slow myopia progression. We have methods through specialty contact lenses to stop advancing myopia, but often we’ll educate parents on how to slow progression through good habit building.

  • Children need 2 hours of outside play. Build their long-vision muscles!
  • Reduce screen time
  • Practice the 20-20-20 Rule.
    • Take a break from close vision work every 20 minutes,
    • Then look at something 20 feet away (or further)
    • Spend at least 20 seconds doing this before returning to your close-up work.

We look forward to seeing you and your children and getting the entire family prepared for the new school year with confidence & healthy vision.

8 Tips to Relieve Winter Dry Eyes

Whether you live in a climate with cold winter weather or you are planning a ski trip up north, winter can be a challenge if you suffer from dry eyes. Dry, cool air, cold winds and even drier indoor heating can cause eye irritation, burning, itchiness and redness, and sometimes even excessively watery eyes as more tears are produced to compensate for the dryness. Many people have a chronic feeling that they have something in their eye and some even experience blurred vision. These symptoms can be debilitating!

Dry eyes is one of the most common complaints eye doctors get from patients during the winter season, especially in the cooler climates. That’s why we’d like to share some tips on how to relieve dry eye discomfort, and how to know when your condition is serious enough to come in for an evaluation.

Tips to Relieve Winter Dry Eyes:

  1. Keep eyes moist using artificial tears or eye drops. You can apply these a few times each day when the eyes are feeling dry or irritated. If over-the-counter drops don’t help or if you have chronic dry eyes, speak to your eye doctor about finding the best drops for you. Since not all artificial tears are the same, knowing the cause of your dry eye will help your eye doctor determine which brand is best suited for your eyes.
  2. Use a humidifier to counteract the drying effects of indoor heaters or generally dry air.
  3. Point car vents or indoor heaters away from your face when the heat is on. Try to keep your distance from direct sources of heating, especially if they blow out the heat.
  4. Drink a lot! Hydrating your body will also hydrate your eyes.
  5. Protect your eyes outdoors with sunglasses or goggles – the bigger the better! Larger, even wrap-around glasses as well as a hat with a wide brim will keep the wind and other elements out of your eyes. If you wear goggles for winter sports, make sure they fit well and cover a large surface area.
  6. Soothe dry eyes using a warm compress and never rub them! Rubbing your eyes will increase irritation and may lead to infection if the hands are not clean.
  7. Give your eyes a digital break. People blink less during screen time which is why extensive computer use can lead to dry eyes. Follow the 20/20/20 rule by taking a break every 20 minutes to look 20 feet away for 20 seconds and make sure you blink!
  8. For contact lens wearers: If you wear contact lenses, dry eyes can be particularly debilitating as the contact lenses can cause even further dryness and irritation. Contact lens rewetting drops can help your eyes feel better and may also allow you to see more clearly. Not all eyedrops are appropriate for use with contact lenses, so ask your optometrist which eyedrop is compatible with your contacts and cleaning solution. If rewetting drops don’t help, consider opting for glasses when your dry eyes are bad, and speak to your optometrist about which brands of contact lenses are better for dry eyes. Many people find dry eye improvement when they switch to daily single use contact lenses.

Chronic Dry Eyes or Dry Eye Syndrome

Dry eye syndrome is a chronic condition in which the eyes do not produce enough tear film, or do not produce the quality of tear film needed to properly keep the eyes moist. While winter weather can make this condition worse, it is often present all year round. If you find that the tips above do not alleviate your discomfort or symptoms, it may be time to see a optometrist to see if your condition requires more effective medical treatment.

Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million.

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring.

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes.

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy.

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness.

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages.

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy.

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision.

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss.

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes.

April is Women's Eye Health and Safety Month

Hey women! Did you know that women are more likely to suffer from vision problems and are at higher risk of permanent vision loss than men? Well 91% of the women surveyed recently didn’t know that, which means that many of them aren’t taking the necessary precautions to prevent eye damage and vision loss.  

According to a recent study, the statistics for many of the major vision problems show that women have a higher percentage of incidence than men. These include:

  • Age-related Macular Degeneration 65%
  • Cataracts 61%
  • Glaucoma 61%
  • Refractive Error 56%
  • Vision Impairment 63%

Women are also more susceptible to develop chronic dry eye, partially because it is often associated with other health issues that are more common in women such as ocular rosacea which is three times more prevalent in women.  Hormonal changes during pregnancy and menopause can also contribute to dry eye.  

It’s important for women to know the risks for eye-related diseases and vision impairment and the steps they can take to prevent eventual vision loss.  Here are some ways that you can help to protect your eyes and save your eyesight:

  • Find out about family history of eye diseases and conditions.
  • Protect your eyes from the sun by wearing 100% UV blocking sunglasses when outdoors.
  • Don’t smoke.
  • Consume a healthy diet with proper nutrition and special eye health supplements as prescribed by an eye doctor.
  • Adhere to contact lens hygiene and safety.  
  • Adhere to cosmetic hygiene and safety precautions. 
  • Protect your eyes against extended exposure to blue light from computers, smartphones and LED lamps. 
  • If you are pregnant or planning to become pregnant and have diabetes, see an eye doctor for a comprehensive eye exam. In women who have diabetes, diabetic retinopathy can accelerate quickly during pregnancy and can present a risk for the baby as well. 

Mothers are often charged with caring for the eye health of the entire family, but too often their own eye health needs fall to the wayside. It is critical that mothers take care of their eyes and overall health so that they can be in the best condition to care for their families. 

Speak to your eye care professional about your personal eye health and vision risks and the precautions and measures you should take to protect your eyes.  Encourage the other women in your life to do so as well.  Once vision is lost, it often can’t be regained and there are many steps you can take to prevent it with proper knowledge and awareness.  

The most important way to prevent vision loss is to ensure you schedule regular eye exams. Don’t wait for symptoms to appear as many eye issues are painless and symptomless, and sometimes by the time you notice symptoms, vision loss is untreatable. 

Understanding Eye Color

eyes green close up woman

Eye color is a hereditary trait that depends on the genes of both parents, as well as a little bit of mystery. The color of the eye is based on the pigments in the iris, which is a colored ring of muscle located at the center of the eye (around the pupil) that helps to control the amount of light that comes into your eye. Eye color falls on a spectrum of color that can range from dark brown, to gray, to green, to blue, with a whole lot of variation in between. 

Genetics

The genetics of eye color are anything but straightforward. In fact children are often born with a different eye color than either of their parents. For some time the belief was that two blue-eyed parents could not have a brown-eyed child, however, while it’s not common, this combination can and does occur. Genetic research in regards to eye color is an ongoing pursuit and while they have identified certain genes that play a role, researchers still do not know exactly how many genes are involved and to what extent each gene affects the final eye color.

The Iris

Looking at it simply, the color of the eye is based on the amount of the pigment melanin located in the iris. Large amounts of melanin result in brown eyes, while blue eyes result from smaller amounts of the pigment. This is why babies that are born with blue eyes (who often have smaller amounts of melanin until they are about a year old) often experience a darkening of their eye color as they grow and develop more melanin in the iris. In adults across the globe, the most common eye color worldwide is brown, while lighter colors such as blue, green and hazel are found predominantly in the Caucasian population. 

Abnormal Eye Color

Sometimes the color of a person’s eyes are not normal. Here are some interesting causes of this phenomenon.

Heterochromia, for example, is a condition in which the two eyes are different colors, or part of one eye is a different color. This can be caused by genetic inconsistencies, issues that occur during the development of the eye, or acquired later in life due to an injury or disease. 

Ocular albinism is a condition in which the eye is a very light color due to low levels of pigmentation in the iris, which is the result of a genetic mutation. It is usually accompanied by serious vision problems. Oculocutaneous albinism is a similar mutation in the body’s ability to produce and store melanin that affects skin and hair color in addition to the eyes.

Eye color can also be affected by certain medications. For example, a certain glaucoma eye drop is known to darken light irises to brown, as well as lengthen and darken eyelashes.

Eye Color – It’s More Than Meets the Eye

It is known that light eyes are more sensitive to light, which is why it might be hard for someone with blue or green eyes to go out into the sun without sunglasses. Light eyes have also shown to be a risk factor for certain conditions including age-related macular degeneration (AMD).  

Color Contact Lenses

While we can’t pick our eye color, we can always play around with different looks using colored contact lenses. Just be sure that you get a proper prescription for any contact lenses, including cosmetic colored lenses, from an eye doctor! Wearing contact lenses that were obtained without a prescription could be dangerous to your eyes and your vision.  

 

 

 

Holiday Season Shopping: Are Nerf Guns Safe for the Eyes?

Nerf guns or blasters come in a remarkable number of shapes and sizes and have become incredibly popular for use in the home and even in large scale “Nerf Wars”. However publicity surrounding the toy has not been all positive. Many parents out there are questioning the safety of the toy foam guns, particularly to the eyes, before making the purchase.

The question of safety ultimately comes down to the user. Nerf darts are relatively soft, foamy and not inherently dangerous, but if shot in the wrong way, they could cause pain or even serious injury. This is particularly true of the eyes because they are a vulnerable organ that can be damaged easily upon impact. Injuries from even a soft projectile could include corneal abrasions (surface scratches), bleeding, cataracts and even retinal detachment which can lead to permanent vision loss.

Nevertheless, Nerf guns are fun and can even be used to help motor development and other skills, so with the right guidelines, children can learn to use them safely and benefit from the enjoyment they provide.

Want surefire eye safety? Wear safety glasses!

The best defense for your eyes is safety glasses. This is the one way you can be sure that you or your child’s eyes are truly safe during Nerf shooting. We strongly recommend safety glasses be worn during any play that involves projectile objects, particularly for small children or during serious games such as Nerf Wars.

General rules of Nerf Gun play:

  1. Never shoot at the face.
  2. Never look into the barrel of the nerf gun, even if you think it isn’t loaded.
  3. Avoid walking around with your finger on the trigger until you are ready to point and aim at the proper target.
  4. Only shoot others that are “playing” and are aware that you are aiming at them.
  5. Don’t shoot from a moving vehicle (including a bicycle, skateboard, rollerblades, etc.).
  6. Don’t shoot at a moving vehicle.
  7. Never shoot at a close range.
  8. Never leave loaded gun in reach of a child or individual that is not able to use the toy properly and safely.

To be safe, all toy guns that shoot projectiles should be treated as a dangerous toy in order to ensure proper usage and precautions. Yes, Nerf guns can cause serious eye damage and even vision loss, but these type of injuries can be caused by many “harmless” objects as well. Before you purchase a toy like this for your child, ask yourself whether the child is old enough and mature enough to understand the safety issues involved and to be able to use it responsibly.

Dry Eye Syndrome Causes and Cures

Why Are My Eyes So Dry?

Do you experience dry, scratchy, burning eyes, redness or pain, a gritty feeling like something is in your eye? Or perhaps, excessive tearing, blurred vision, eye fatigue or discomfort wearing contact lenses? There could be a number of causes for your symptoms including allergies, reactions to an irritant or medication or an infection. You could also have a chronic condition called Dry Eye Syndrome.

It’s estimated that one out of every eight adults suffers to some extent from dry eye syndrome, which can range from mild to severe. Despite the fact that it is one of the most common eye problems, a surprisingly large percentage of patients are not aware of it.

What is Dry Eye Syndrome?

Your eyes need a layer of tears to lubricate the surface and keep the eyes comfortable, clean and clear. These tears also wash away particles, dust and bacteria that can lead to infection and eye damage. Dry eye syndrome occurs when there is a chronic lack of lubrication on the surface of the eye either because not enough tears are being produced, the quality of the tears is weak or they evaporate too quickly. This causes the common uncomfortable symptoms including:

  • Itching
  • Burning
  • Redness
  • Soreness or pain
  • Dryness (and sometimes even excessive tearing because the eyes are trying to compensate)
  • Light sensitivity
  • Eye fatigue
  • Blurred vision
  • Grittiness or a feeling like there is something in your eye
  • Vision seems to change when blinking

Factors that Contribute to Dry Eye Syndrome

There are a number of factors that can increase your risk of suffering from Dry Eye Syndrome. While some of them are inherent, there are some environmental factors that can be changed to reduce your risk or symptoms. Risk factors include:

  • Aging: While it can occur at any age, dry eye is more common in individuals over age 50.
  • Women: Likely related to hormonal fluctuations, women are more likely to develop dry eyes than men, especially during pregnancy, menopause or when using birth control pills.
  • Digital screen use: Whether it is a computer, a smartphone or a tablet, when our eyes are focused on a digital screen we tend to blink less, increasing tear evaporation and increasing dryness, blurriness and discomfort. Remember to regularly take a break, look away from the screen and blink several times.
  • Medications: A number of medications – both prescription and nonprescription – have been found to cause dry eye symptoms including certain blood pressure regulators, antihistamines, nasal decongestants, tranquilizers and antidepressants.
  • Contact lenses: Dry eyes is a common problem in contact lens wear. Several manufacturers have started offering lenses that hold more moisture to combat this common issue.
  • Dry air: Whether it is the air conditioning or forced-air heating inside or the dry, windy climate outside, the environment of the air around you can contribute to dry eyes by causing your tears to evaporate too quickly.
  • LASIK: One side effect of LASIK and other corneal refractive surgery is dry eyes, which usually lasts about 3-6 months and eventually resolves itself.
  • Eyelid conditions: Certain conditions which prevent the eyelid from closing completely when sleeping or even blinking can cause the eye to try out.
  • Allergies or infections: Chronic inflammation of the conjunctiva which is often caused by allergies or infections such as Blepharitis can result in dry eyes.
  • Systemic diseases: People with autoimmune diseases or systemic conditions such as diabetes, thyroid disease, Sjogren’s syndrome, rheumatoid arthritis and lupus are also more prone to Dry Eye.

How do you treat dry eye symptoms?

If you have dry eyes, you don’t need to suffer. There are a number of treatment options that can help, depending on the severity and cause of your condition, which can reduce symptoms and enhance your comfort.

Treatments for dry eyes can include non-prescription or prescription eye drops, omega 3 supplements, special lid therapies, punctal plugs, ointments, different contact lenses, goggles or ergonomic changes to your work station. Speak to your eye doctor to discuss the cause of your dry eye and the best remedy for you. Even when it comes to the seemingly straightforward treatments like over-the-counter eye drops, they aren’t all the same. Different ingredients are tailored towards different causes of dry eye.

Get Help for Dry Eyes Today!

If you are experiencing the symptoms above, schedule an appointment with your eye doctor to find out the best solution for you.